SIGNAL TRANSDUCER AND ACTIVATOR OF TRANSCRIPTION FACTOR 6 (STAT6) iRNA COMPOSITIONS AND METHODS OF USE THEREOF

Abstract
The present invention relates to RNAi agents, e.g., double stranded RNA (dsRNA) agents, targeting the signal transducer and activator of transcription factor 6 (STAT6) gene. The invention also relates to methods of using such RNAi agents to inhibit expression of a STAT6 gene and to methods of preventing and treating a STAT6-associated disorder, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.
Description
BACKGROUND OF THE INVENTION

The signal transducer and activator of transcription factor 6 (STAT6) is the main transcription factor that regulates downstream effector functions of Th2 cytokines IL-4 and IL-13 in allergic disease. STAT6 is a member of the STAT protein family with three known splice variants: STAT6a, STAT6b, STAT6c. Latent cytoplasmic STAT6 is activated when IL-4 or IL-13 binds to their respective receptors. Engagement of the IL-4 or IL-13 with their receptors leads to phosphorylation and thus activation of Janus kineases (Jaks), which are attached to the cytoplasmic tail of the receptors. Once active, Jaks phosphorylate certain tyrosine residues on the receptors, which in turn generates docking sites for STAT6 monomers. Upon binding to the phosphotyrosines on the receptors. STAT6 itself becomes phosphorylated on tyrosine residues, which enables it to form dimers. The active STAT6 dimers translocate rapidly to the nucleus, where they regulate the expression of target genes.


Asthma is characterized by inflammation of the respiratory tract, which predominantly involves swollen airways. The airways are infiltrated with eosinophils, mast cells and Th2 cells. Th2 cells are important sources of IL-4, IL-5, IL-9 and IL-13. Th2 cytokines can induce chemokine production from a variety of cells. There are characteristic structural changes such as deposition of collagen under the epithelium (sub-epithelial fibrosis), smooth muscle hyperplasia and goblet cell hyperplasia. Chronic inflammation and structural changes in the airways can lead to airway hyperresponsiveness and restricted airflow.


As the main transcription factor mediating the biologic functions of cytokines IL-4 and IL-13, STAT6 plays a key role in Th2 polarization of the immune system and in the development of allergic inflammation such as asthma. Specifically. STAT6 activates transcription factors that are involved in regulating Th2 cell differentiation and secretion of Th2 cytokines (Ho et al., 2007, Cel.Mol,.Immunol, 4, 15-29). In addition, STAT6 is up-regulated in the airways of asthmatic patients and asthmatics after allergen challenge. (Phipps et al., 2004, AJRCMB 31, 626-632; Christodoulopoulos et al., 2001, J. All. Clin. Immunol 107, 585-591; Mailings et al., 2001, J. All. Clin. Immunol. 108,832-838).


Current treatments for asthma include preventive, long-term control medications to help reduce inflammation in the airways, and quick-relief inhalers. However, these treatments are not always effective. Accordingly, there is a need in the art for alternative treatments for subjects having a respiratory disease, e.g., asthma.


SUMMARY OF THE INVENTION

The present invention provides iRNA compositions which affect the RNA-induced silencing complex (RISC)-mediated cleavage of RNA transcripts of a gene encoding signal transducer and activator of transcription factor 6 (STAT6). The STAT6 gene may be within a cell, e.g., a cell within a subject, such as a human subject. The present invention also provides methods of using the iRNA compositions of the invention for inhibiting the expression of a STAT6 gene and/or for treating a subject who would benefit from inhibiting or reducing the expression of a STAT6 gene, e.g., a subject suffering or prone to suffering from a STAT6-associated disorder, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


Accordingly, in an aspect, the invention provides a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of signal transducer and activator of transcription factor 6 (STAT6) in a cell, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a double stranded region, wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 0, 1, 2, or 3 nucleotides from the nucleotide sequence of SEQ ID NO:1 and the antisense strand comprises at least 15 contiguous nucleotides differing by no more than 1, 2, or 3 nucleotides from the nucleotide sequence of SEQ ID NO:2, and wherein the sense strand or the antisense strand is conjugated to one or more lipophilic moieties.


In another aspect, the present invention provides a double stranded ribonucleic acid (dsRNA) for inhibiting expression of signal transducer and activator of transcription factor 6 (STAT6) in a cell, wherein said dsRNA comprises a sense strand and an antisense strand forming a double stranded region, wherein the antisense strand comprises a region of complementarity to an mRNA encoding STAT6, and wherein the region of complementarity comprises at least 15, e.g., 15, 16, 17, 18, 19, or 20, contiguous nucleotides differing by no more than 0, 1, 2, or 3 nucleotides from any one of the antisense nucleotide sequences in any one of Tables 2-3, and wherein the sense strand or the antisense strand is conjugated to one or more lipophilic moieties.


In one embodiment, both the sense strand and the antisense strand are conjugated to one or more lipophilic moieties.


In one embodiment, the lipophilic moiety is conjugated to one or more positions in the double stranded region of the dsRNA agent.


In one embodiment, the lipophilic moiety is conjugated via a linker or a carrier.


In one embodiment, lipophilicity of the lipophilic moiety, measured by logKow, exceeds 0.


In one embodiment, the hydrophobicity of the double-stranded RNAi agent, measured by the unbound fraction in a plasma protein binding assay of the double-stranded RNAi agent, exceeds 0.2.


In one embodiment, the plasma protein binding assay is an electrophoretic mobility shift assay using human serum albumin protein.


In one embodiment, the dsRNA agent comprises at least one modified nucleotide.


In one embodiment, substantially all of the nucleotides of the sense strand; substantially all of the nucleotides of the antisense strand comprise a modification; or substantially all of the nucleotides of the sense strand and substantially all of the nucleotides of the antisense strand comprise a modification.


In one embodiment, all of the nucleotides of the sense strand comprise a modification; all of the nucleotides of the antisense strand comprise a modification; or all of the nucleotides of the sense strand and all of the nucleotides of the antisense strand comprise a modification.


In one embodiment, at least one of the modified nucleotides is selected from the group a deoxy-nucleotide, a 3′-terminal deoxythimidine (dT) nucleotide, a 2′-O-methyl modified nucleotide, a 2′-fluoro modified nucleotide, a 2′-deoxy-modified nucleotide, a locked nucleotide, an unlocked nucleotide, a conformationally restricted nucleotide, a constrained ethyl nucleotide, an abasic nucleotide, a 2′-amino-modified nucleotide, a 2′-O-allyl-modified nucleotide, 2′-C-alkyl-modified nucleotide, a 2′-methoxyethyl modified nucleotide, a 2′-O-alkyl-modified nucleotide, a morpholino nucleotide, a phosphoramidate, a non-natural base comprising nucleotide, a tetrahydropyran modified nucleotide, a 1,5-anhydrohexitol modified nucleotide, a cyclohexenyl modified nucleotide, a nucleotide comprising a 5′-phosphorothioate group, a nucleotide comprising a 5′-methylphosphonate group, a nucleotide comprising a 5′ phosphate or 5′ phosphate mimic, a nucleotide comprising vinyl phosphonate, a nucleotide comprising adenosine-glycol nucleic acid (GNA), a nucleotide comprising thymidine-glycol nucleic acid (GNA) S-Isomer, a nucleotide comprising 2-hydroxymethyl-tetrahydrofurane-5-phosphate, a nucleotide comprising 2′-deoxythymidine-3′phosphate, a nucleotide comprising 2′-deoxyguanosine-3′-phosphate, a 2′-O hexadecyl nucleotide, a nucleotide comprising a 2′-phosphate, a cytidine-2-phosphate nucleotide, a guanosine-2-phosphate nucleotide, a 2′-O-hexadecyl-cytidine-3′-phosphate nucleotide, a 2′-O-hexadecyl-adenosine-3′-phosphate nucleotide, a 2′-O-hexadecyl-guanosine-3′-phosphate nucleotide, a 2′-O-hexadecyl-uridine-3′-phosphate nucleotide, a 5′-vinyl phosphonate (VP), a 2′-deoxyadenosine-3′-phosphate nucleotide, a 2′-deoxycytidine-3-phosphate nucleotide, a 2′-deoxyguanosine-3′-phosphate nucleotide, a 2-deoxythymidine-3′-phosphate nucleotide, a 2′-deoxyuridine nucleotide, and a terminal nucleotide linked to a cholesteryl derivative and a dodecanoic acid bisdecylamide group; and combinations thereof.


In another embodiment, modified nucleotide is selected from the group consisting of a 2′-deoxy-2′-fluoro modified nucleotide, a 2′-deoxy-modified nucleotide, 3′-terminal deoxythimidine nucleotides (dT), a locked nucleotide, an abasic nucleotide, a 2′-amino-modified nucleotide, a 2′-alkyl-modified nucleotide, a morpholino nucleotide, a phosphoramidate, and a non-natural base comprising nucleotide.


In another embodiment, the modified nucleotide comprises a short sequence of 3′-terminal deoxythimidine nucleotides (dT).


In yet another embodiment, the modifications on the nucleotides are 2′-O-methyl modifications, 2′-deoxy-modifications, and 2′fluoro modifications.


In some embodiments, the dsRNA agent further comprises at least one phosphorothioate internucleotide linkage. In some embodiments, the dsRNA agent comprises 6-8 phosphorothioate internucleotide linkages. In one embodiment, the phosphorothioate or methylphosphonate internucleotide linkage is at the 3′-terminus of one strand. Optionally, the strand is the antisense strand. In another embodiment, the strand is the sense strand. In a related embodiment, the phosphorothioate or methylphosphonate internucleotide linkage is at the 5′-terminus of one strand. Optionally, the strand is the antisense strand. In another embodiment, the strand is the sense strand. In another embodiment, the phosphorothioate or methylphosphonate internucleotide linkage is at the both the 5′- and 3′-terminus of one strand. Optionally, the strand is the antisense strand. In another embodiment, the strand is the sense strand.


The double stranded region may be 19-30 nucleotide pairs in length; 19-25 nucleotide pairs in length; 19-23 nucleotide pairs in length; 23-27 nucleotide pairs in length; or 21-23 nucleotide pairs in length.


In one embodiment, each strand is independently no more than 30 nucleotides in length.


In one embodiment, the sense strand is 21 nucleotides in length and the antisense strand is 23 nucleotides in length.


The region of complementarity may be at least 17 nucleotides in length; between 19 and 23 nucleotides in length; or 19 nucleotides in length.


In one embodiment, at least one strand comprises a 3′ overhang of at least 1 nucleotide. In another embodiment, at least one strand comprises a 3′ overhang of at least 2 nucleotides.


In one embodiment, one or more lipophilic moieties are conjugated to one or more internal positions on at least one strand.


In one embodiment, the one or more lipophilic moieties are conjugated to one or more internal positions on at least one strand via a linker or carrier.


In one embodiment, the internal positions include all positions except the terminal two positions from each end of the at least one strand.


In another embodiment, the internal positions include all positions except the terminal three positions from each end of the at least one strand.


In another embodiment, the internal positions exclude a cleavage site region of the sense strand.


In yet another embodiment, the internal positions include all positions except positions 9-12, counting from the 5′-end of the sense strand.


In one embodiment, the internal positions include all positions except positions 11-13, counting from the 3′-end of the sense strand.


In one embodiment, the internal positions exclude a cleavage site region of the antisense strand.


In one embodiment, the internal positions include all positions except positions 12-14, counting from the 5′-end of the antisense strand.


In one embodiment, the internal positions include all positions except positions 11-13 on the sense strand, counting from the 3′-end, and positions 12-14 on the antisense strand, counting from the 5′-end.


In one embodiment, the one or more lipophilic moieties are conjugated to one or more of the internal positions selected from the group consisting of positions 4-8 and 13-18 on the sense strand, and positions 6-10 and 15-18 on the antisense strand, counting from the 5′end of each strand.


In one embodiment, the one or more lipophilic moieties are conjugated to one or more of the internal positions selected from the group consisting of positions 5, 6, 7, 15, and 17 on the sense strand, and positions 15 and 17 on the antisense strand, counting from the 5′-end of each strand.


In one embodiment, the positions in the double stranded region exclude a cleavage site region of the sense strand.


In one embodiment, the sense strand is 21 nucleotides in length, the antisense strand is 23 nucleotides in length, and the lipophilic moiety is conjugated to position 21, position 20, position 15, position 1, position 7, position 6, or position 2 of the sense strand or position 16 of the antisense strand.


In one embodiment, the lipophilic moiety is conjugated to position 21, position 20, position 15, position 1, or position 7 of the sense strand.


In one embodiment, the lipophilic moiety is conjugated to position 21, position 20, or position 15 of the sense strand.


In one embodiment, the lipophilic moiety is conjugated to position 20 or position 15 of the sense strand.


In one embodiment, the lipophilic moiety is conjugated to position 16 of the antisense strand.


In one embodiment, the lipophilic moiety is an aliphatic, alicyclic, or polyalicyclic compound.


In one embodiment, the lipophilic moiety is selected from the group consisting of lipid, cholesterol, retinoic acid, cholic acid, adamantane acetic acid, 1-pyrene butyric acid, dihydrotestosterone, 1,3-bis-O (hexadecyl)glycerol, geranyloxyhexyanol, hexadecylglycerol, borneol, menthol, 1,3-propanediol, heptadecyl group, palmitic acid, myristic acid, 03-(oleoyl)lithocholic acid, O3-(oleoyl)cholenic acid, dimethoxytrityl, or phenoxazine.


In one embodiment, the lipophilic moiety contains a saturated or unsaturated C4-C30 hydrocarbon chain, and an optional functional group selected from the group consisting of hydroxyl, amine, carboxylic acid, sulfonate, phosphate, thiol, azide, and alkyne.


In one embodiment, the lipophilic moiety contains a saturated or unsaturated C6-C18 hydrocarbon chain.


In one embodiment, the lipophilic moiety contains a saturated or unsaturated C16 hydrocarbon chain.


In one embodiment, the saturated or unsaturated C16 hydrocarbon chain is conjugated to position 6, counting from the 5′-end of the strand.


In one embodiment, the lipophilic moiety is conjugated via a carrier that replaces one or more nucleotide(s) in the internal position(s) or the double stranded region.


In one embodiment, the carrier is a cyclic group selected from the group consisting of pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, piperidinyl, piperazinyl, [1,3]dioxolanyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, quinoxalinyl, pyridazinonyl, tetrahydrofuranyl, and decalinyl; or is an acyclic moiety based on a serinol backbone or a diethanolamine backbone.


In one embodiment, the lipophilic moiety is conjugated to the double-stranded iRNA agent via a linker containing an ether, thioether, urea, carbonate, amine, amide, maleimide-thioether, disulfide, phosphodiester, sulfonamide linkage, a product of a click reaction, or carbamate.


In one embodiment, the lipophilic moiety is conjugated to a nucleobase, sugar moiety, or internucleosidic linkage.


In one embodiment, the lipophilic moiety or a targeting ligand is conjugated via a bio-cleavable linker selected from the group consisting of DNA, RNA, disulfide, amide, functionalized monosaccharides or oligosaccharides of galactosamine, glucosamine, glucose, galactose, mannose, and combinations thereof.


In one embodiment, the 3′ end of the sense strand is protected via an end cap which is a cyclic group having an amine, said cyclic group being selected from the group consisting of pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, piperidinyl, piperazinyl, [1,3]dioxolanyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, quinoxalinyl, pyridazinonyl, tetrahydrofuranyl, and decalinyl.


In one embodiment, the dsRNA agent further comprises a targeting ligand that targets a liver tissue.


In one embodiment, the targeting ligand is a GalNAc conjugate.


In one embodiment, the dsRNA agent further comprises a terminal, chiral modification occurring at the first internucleotide linkage at the 3′ end of the antisense strand, having the linkage phosphorus atom in Sp configuration, a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, and a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the sense strand, having the linkage phosphorus atom in either Rp configuration or Sp configuration.


In one embodiment, the dsRNA agent further comprises a terminal, chiral modification occurring at the first and second internucleotide linkages at the 3′ end of the antisense strand, having the linkage phosphorus atom in Sp configuration, a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, and a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the sense strand, having the linkage phosphorus atom in either Rp or Sp configuration.


In one embodiment, the dsRNA agent further comprises a terminal, chiral modification occurring at the first, second and third internucleotide linkages at the 3′ end of the antisense strand, having the linkage phosphorus atom in Sp configuration, a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, and a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the sense strand, having the linkage phosphorus atom in either Rp or Sp configuration.


In one embodiment, the dsRNA agent further comprises a terminal, chiral modification occurring at the first, and second internucleotide linkages at the 3′ end of the antisense strand, having the linkage phosphorus atom in Sp configuration, a terminal, chiral modification occurring at the third internucleotide linkages at the 3′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, and a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the sense strand, having the linkage phosphorus atom in either Rp or Sp configuration.


In one embodiment, the dsRNA agent further comprises a terminal, chiral modification occurring at the first, and second internucleotide linkages at the 3′ end of the antisense strand, having the linkage phosphorus atom in Sp configuration, a terminal, chiral modification occurring at the first, and second internucleotide linkages at the 5′ end of the antisense strand, having the linkage phosphorus atom in Rp configuration, and a terminal, chiral modification occurring at the first internucleotide linkage at the 5′ end of the sense strand, having the linkage phosphorus atom in either Rp or Sp configuration.


In one embodiment, the dsRNA agent further comprises a phosphate or phosphate mimic at the 5′-end of the antisense strand.


In one embodiment, the phosphate mimic is a 5′-vinyl phosphonate (VP).


In one embodiment, the base pair at the 1 position of the 5′-end of the antisense strand of the duplex is an AU base pair.


In one embodiment, the sense strand has a total of 21 nucleotides and the antisense strand has a total of 23 nucleotides.


The present invention also provides cells containing any of the dsRNA agents of the invention and pharmaceutical compositions comprising any of the dsRNA agents of the invention. The pharmaceutical composition of the invention may comprise a lipid formulation comprising the dsRNA agents of the invention.


In one aspect, the present invention provides a method of inhibiting expression of a signal transducer and activator of transcription factor 6 (STAT6) gene in a cell. The method includes contacting the cell with any of the dsRNAs of the invention or any of the pharmaceutical compositions of the invention, thereby inhibiting expression of the STAT6 gene in the cell.


In one embodiment, the cell is within a subject, e.g., a human subject, e.g., a subject having a STAT6-associated disorder, such as a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


In certain embodiments, the STAT6 expression is inhibited by at least about 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%.


In one aspect, the present invention provides a method of treating a subject having a disorder that would benefit from reduction in signal transducer and activator of transcription factor 6 (STAT6) expression. The method includes administering to the subject a therapeutically effective amount of any of the dsRNAs of the invention or any of the pharmaceutical compositions of the invention, thereby treating the subject having the disorder that would benefit from reduction in STAT6 expression.


In another aspect, the present invention provides a method of preventing at least one symptom in a subject having a disorder that would benefit from reduction in signal transducer and activator of transcription factor 6 (STAT6) expression. The method includes administering to the subject a prophylactically effective amount of any of the dsRNAs of the invention or any of the pharmaceutical compositions of the invention, thereby preventing at least one symptom in the subject having the disorder that would benefit from reduction in STAT6 expression.


In certain embodiments, the disorder is a signal transducer and activator of transcription factor 6 (STAT6)-associated disorder. In some embodiments, the STAT6-associated disorder is a respiratory disease selected from the group consisting of asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. In some embodiments, the STAT6-associated disorder is asthma.


In certain embodiments, administration of the dsRNA to the subject causes a decrease in STAT6 protein accumulation in the subject.


In certain embodiments, administration of the dsRNA to the subject decreases inflammation and/or swelling of the airways in the subject.


In a further aspect, the present invention also provides methods of inhibiting the expression of STAT6 in a subject. The methods include administering to the subject a therapeutically effective amount of any of the dsRNAs provided herein, thereby inhibiting the expression of STAT6 in the subject.


In one embodiment, the subject is human.


In one embodiment, the dsRNA agent is administered to the subject at a dose of about 0.01 mg/kg to about 50 mg/kg.


In one embodiment, the dsRNA agent is administered to the subject via pulmonary system administration. By pulmonary system administration, e.g., intranasal administration or oral inhalative administration, of the double-stranded RNAi agent, the method can reduce the expression of STAT6 in a pulmonary system tissue, e.g., a nasopharynx tissue, an oropharynx tissue, a laryngopharynx tissue, a larynx tissue, a trachea tissue, a carina tissue, a bronchi tissue, a bronchiole tissue, or an alveoli tissue.


In some embodiments, the dsRNA agent is administered to the subject intranasally, intratracheally, or by inhalation through the mouth.


In one embodiment, the dsRNA agent is administered to the subject subcutaneously.


In one embodiment, the methods of the invention include further determining the level of STAT6 in a sample(s) from the subject.


In one embodiment, the level of STAT6 in the subject sample(s) is a STAT6 protein level in a blood or serum or a pulmonary system tissue sample(s).


In certain embodiments, the methods of the invention further comprise administering to the subject an additional therapeutic agent.


In one embodiment, the additional therapeutic agent is selected from the group consisting of an anti-inflammatory agents (e.g., a systemic corticosteroid (e.g., prednisone), an anticholinergic agent, a β2-adrenoreceptor agonist, an antibiotic, an antiviral agent, an antihistamine, an immune modulator (e.g., an immunosuppressant agents (e.g., azathioprine, cyclophosphamide), a phosphodiesterase-5 inhibitor, a tyrosine kinase inhibitor (e.g., nintedanib), an antifibrotic agent (e.g., pirfenidone), and a combination of any of the foregoing.


The present invention also provides kits comprising any of the dsRNAs of the invention or any of the pharmaceutical compositions of the invention, and optionally, instructions for use. In one embodiment, the invention provides a kit for performing a method of inhibiting expression of STAT6 gene in a cell by contacting a cell with a double stranded RNAi agent of the invention in an amount effective to inhibit expression of the STAT6 in the cell. The kit comprises an RNAi agent and instructions for use and, optionally, means for administering the RNAi agent to a subject.


The present invention further provides an RNA-induced silencing complex (RISC) comprising an antisense strand of any of the dsRNA agents of the invention.







DETAILED DESCRIPTION OF THE INVENTION

The present invention provides iRNA compositions which effect the RNA-induced silencing complex (RISC)-mediated cleavage of RNA transcripts of a signal transducer and activator of transcription factor 6 (STAT6) gene. The gene may be within a cell, e.g., a cell within a subject, such as a human. The use of these iRNAs enables the targeted degradation of mRNAs of the corresponding gene (STAT6) in mammals.


The iRNAs of the invention have been designed to target the human signal transducer and activator of transcription factor 6 (STAT6) gene, including portions of the gene that are conserved in the STAT6 orthologs of other mammalian species. Without intending to be limited by theory, it is believed that a combination or sub-combination of the foregoing properties and the specific target sites or the specific modifications in these iRNAs confer to the iRNAs of the invention improved efficacy, stability, potency, durability, and safety.


Accordingly, the present invention provides methods for treating and preventing a signal transducer and activator of transcription factor 6 (STAT6)-associated disorder, e.g., a respiratory disease, e.g., chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis, using iRNA compositions which effect the RNA-induced silencing complex (RISC)-mediated cleavage of RNA transcripts of a STAT6 gene.


The iRNAs of the invention include an RNA strand (the antisense strand) having a region which is up to about 30 nucleotides or less in length, e.g., 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24, 20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 nucleotides in length, which region is substantially complementary to at least part of an mRNA transcript of a STAT6 gene.


In certain embodiments, one or both of the strands of the double stranded RNAi agents of the invention is up to 66 nucleotides in length, e.g., 36-66, 26-36, 25-36, 31-60, 22-43, 27-53 nucleotides in length, with a region of at least 19 contiguous nucleotides that is substantially complementary to at least a part of an mRNA transcript of a STAT6 gene. In some embodiments, such iRNA agents having longer length antisense strands may, for example, include a second RNA strand (the sense strand) of 20-60 nucleotides in length wherein the sense and antisense strands form a duplex of 18-30 contiguous nucleotides.


The use of iRNAs of the invention enables the targeted degradation of mRNAs of the corresponding gene (STAT6 gene) in mammals. Using in vitro assays, the present inventors have demonstrated that iRNAs targeting a STAT6 gene can potently mediate RNAi, resulting in significant inhibition of expression of a STAT6 gene. Thus, methods and compositions including these iRNAs are useful for treating a subject having a STAT6-associated disorder, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


Accordingly, the present invention provides methods and combination therapies for treating a subject having a disorder that would benefit from inhibiting or reducing the expression of a STAT6 gene, e.g., a signal transducer and activator of transcription factor 6 (STAT6)-associated disease, such as a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis, using iRNA compositions which effect the RNA-induced silencing complex (RISC)-mediated cleavage of RNA transcripts of a STAT6 gene.


The present invention also provides methods for preventing at least one symptom in a subject having a disorder that would benefit from inhibiting or reducing the expression of a STAT6 gene, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


The following detailed description discloses how to make and use compositions containing iRNAs to inhibit the expression of a STAT6 gene as well as compositions, uses, and methods for treating subjects that would benefit from inhibition and/or reduction of the expression of a STAT6 gene, e.g., subjects susceptible to or diagnosed with a STAT6-associated disorder.


I. Definitions

In order that the present invention may be more readily understood, certain terms are first defined. In addition, it should be noted that whenever a value or range of values of a parameter are recited, it is intended that values and ranges intermediate to the recited values are also intended to be part of this invention.


The articles “a” and “an” are used herein to refer to one or to more than one (i.e., to at least one) of the grammatical object of the article. By way of example, “an element” means one element or more than one element, e.g., a plurality of elements.


The term “including” is used herein to mean, and is used interchangeably with, the phrase “including but not limited to”.


The term “or” is used herein to mean, and is used interchangeably with, the term “and/or,” unless context clearly indicates otherwise. For example, “sense strand or antisense strand” is understood as “sense strand or antisense strand or sense strand and antisense strand.”


The term “about” is used herein to mean within the typical ranges of tolerances in the art. For example, “about” can be understood as about 2 standard deviations from the mean. In certain embodiments, about means ±10%. In certain embodiments, about means ±5%. When about is present before a series of numbers or a range, it is understood that “about” can modify each of the numbers in the series or range.


The term “at least”, “no less than”, or “or more” prior to a number or series of numbers is understood to include the number adjacent to the term “at least”, and all subsequent numbers or integers that could logically be included, as clear from context. For example, the number of nucleotides in a nucleic acid molecule must be an integer. For example, “at least 19 nucleotides of a 21 nucleotide nucleic acid molecule” means that 19, 20, or 21 nucleotides have the indicated property. When at least is present before a series of numbers or a range, it is understood that “at least” can modify each of the numbers in the series or range.


As used herein, “no more than” or “or less” is understood as the value adjacent to the phrase and logical lower values or integers, as logical from context, to zero. For example, a duplex with an overhang of “no more than 2 nucleotides” has a 2, 1, or 0 nucleotide overhang. When “no more than” is present before a series of numbers or a range, it is understood that “no more than” can modify each of the numbers in the series or range. As used herein, ranges include both the upper and lower limit.


As used herein, methods of detection can include determination that the amount of analyte present is below the level of detection of the method.


In the event of a conflict between an indicated target site and the nucleotide sequence for a sense or antisense strand, the indicated sequence takes precedence.


In the event of a conflict between a sequence and its indicated site on a transcript or other sequence, the nucleotide sequence recited in the specification takes precedence.


As used herein. “signal transducer and activator of transcription factor 6.” used interchangeably with the term “STAT6.” refers to a member of the STAT family of transcription factors. In response to cytokines and growth factors, STAT family members are phosphorylated by the receptor associated kinases, and then form homo- or heterodimers that translocate to the cell nucleus where they act as transcription activators. STAT6 has been demonstrated to regulate many pathologic features of lung inflammatory responses in animal models including airway eosinophilia, epithelial mucus production, smooth muscle changes, Th2 cell differentiation, and IgE production from B cells (Wurster A L, et al., Oncogene 2000; 19:2577-84). STAT6 is also known as interleukin-4 induced, IL-4-STAT, D12S1644, STAT6B, or STAT6C.


The sequence of a human STAT6 mRNA transcript can be found at, for example, GenBank Accession No. GI: 1519313969 (NM_003153.5; SEQ ID NO:1; reverse complement, SEQ ID NO: 2). The sequence of mouse STAT6 mRNA can be found at, for example, GenBank Accession No. GI: 128485773 (NM_009284.2; SEQ ID NO:3; reverse complement, SEQ ID NO: 4). The sequence of rat STAT6 mRNA can be found at, for example, GenBank Accession No. GI: 113205499 (NM_001044250.1; SEQ ID NO:5; reverse complement. SEQ ID NO: 6). The sequence of Macaca fascicularis STAT6 mRNA can be found at, for example, GenBank Accession No. GI: 982282006 (XM_005571286.2; SEQ ID NO: 7; reverse complement, SEQ ID NO: 8). The sequence of Macaca mulatta STAT6 mRNA can be found at, for example, GenBank Accession No. GI: 1622842915 (XM_015152044.2; SEQ ID NO: 9; reverse complement, SEQ ID NO: 10).


Additional examples of STAT6 mRNA sequences are readily available through publicly available databases, e.g., GenBank. UniProt, OMIM, and the Macaca genome project web site.


Further information on STAT6 can be found, for example, at www.ncbi.nlm.nih.gov/gene/?term=STAT6.


The entire contents of each of the foregoing GenBank Accession numbers and the Gene database numbers are incorporated herein by reference as of the date of filing this application.


The term STAT6, as used herein, also refers to variations of the STAT6 gene including variants provided in the SNP database. Numerous sequence variations within the STAT6 gene have been identified and may be found at, for example, NCBI dbSNP and UniProt (see, e.g., www.ncbi.nlm.nih.gov/snp/?term=STAT6, the entire contents of which is incorporated herein by reference as of the date of filing this application.


As used herein, “target sequence” refers to a contiguous portion of the nucleotide sequence of an mRNA molecule formed during the transcription of a STAT6 gene, including mRNA that is a product of RNA processing of a primary transcription product. In one embodiment, the target portion of the sequence will be at least long enough to serve as a substrate for iRNA-directed cleavage at or near that portion of the nucleotide sequence of an mRNA molecule formed during the transcription of a STAT6 gene.


The target sequence may be from about 19-36 nucleotides in length, e.g., about 19-30 nucleotides in length. For example, the target sequence can be about 19-30 nucleotides, 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24, 20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 nucleotides in length. In certain embodiments, the target sequence is 19-23 nucleotides in length, optionally 21-23 nucleotides in length. Ranges and lengths intermediate to the above recited ranges and lengths are also contemplated to be part of the disclosure.


As used herein, the term “strand comprising a sequence” refers to an oligonucleotide comprising a chain of nucleotides that is described by the sequence referred to using the standard nucleotide nomenclature.


“G,” “C,” “A,” “T,” and “U” each generally stand for a nucleotide that contains guanine, cytosine, adenine, thymidine, and uracil as a base, respectively. However, it will be understood that the term “ribonucleotide” or “nucleotide” can also refer to a modified nucleotide, as further detailed below, or a surrogate replacement moiety (see, e.g., Table 1). The skilled person is well aware that guanine, cytosine, adenine, and uracil can be replaced by other moieties without substantially altering the base pairing properties of an oligonucleotide comprising a nucleotide bearing such replacement moiety. For example, without limitation, a nucleotide comprising inosine as its base can base pair with nucleotides containing adenine, cytosine, or uracil. Hence, nucleotides containing uracil, guanine, or adenine can be replaced in the nucleotide sequences of dsRNA featured in the invention by a nucleotide containing, for example, inosine. In another example, adenine and cytosine anywhere in the oligonucleotide can be replaced with guanine and uracil, respectively to form G-U Wobble base pairing with the target mRNA. Sequences containing such replacement moieties are suitable for the compositions and methods featured in the invention.


The terms “iRNA”, “RNAi agent,” “iRNA agent,”, “RNA interference agent” as used interchangeably herein, refer to an agent that contains RNA as that term is defined herein, and which mediates the targeted cleavage of an RNA transcript via an RNA-induced silencing complex (RISC) pathway. iRNA directs the sequence-specific degradation of mRNA through a process known as RNA interference (RNAi). The iRNA modulates, e.g., inhibits, the expression of a STAT6 gene in a cell, e.g., a cell within a subject, such as a mammalian subject.


In one embodiment, an RNAi agent of the invention includes a single stranded RNA that interacts with a target RNA sequence, e.g., a STAT6 target mRNA sequence, to direct the cleavage of the target RNA. Without wishing to be bound by theory it is believed that long double stranded RNA introduced into cells is broken down into siRNA by a Type III endonuclease known as Dicer (Sharp et al. (2001) Genes Dev. 15:485). Dicer, a ribonuclease-III-like enzyme, processes the dsRNA into 19-23 base pair short interfering RNAs with characteristic two base 3′ overhangs (Bernstein, et al., (2001) Nature 409:363). The siRNAs are then incorporated into an RNA-induced silencing complex (RISC) where one or more helicases unwind the siRNA duplex, enabling the complementary antisense strand to guide target recognition (Nykanen, et al., (2001) Cell 107:309). Upon binding to the appropriate target mRNA, one or more endonucleases within the RISC cleave the target to induce silencing (Elbashir, et al., (2001) Genes Dev. 15:188). Thus, in one aspect the invention relates to a single stranded RNA (siRNA) generated within a cell and which promotes the formation of a RISC complex to effect silencing of the target gene, i.e., a STAT6 gene. Accordingly, the term “siRNA” is also used herein to refer to an iRNA as described above.


In certain embodiments, the RNAi agent may be a single-stranded siRNA (ssRNAi) that is introduced into a cell or organism to inhibit a target mRNA. Single-stranded RNAi agents bind to the RISC endonuclease, Argonaute 2, which then cleaves the target mRNA. The single-stranded siRNAs are generally 15-30 nucleotides and are chemically modified. The design and testing of single-stranded siRNAs are described in U.S. Pat. No. 8,101,348 and in Lima et al., (2012) Cell 150:883-894, the entire contents of each of which are hereby incorporated herein by reference. Any of the antisense nucleotide sequences described herein may be used as a single-stranded siRNA as described herein or as chemically modified by the methods described in Lima et al., (2012) Cell 150:883-894.


In certain embodiments, an “IRNA” for use in the compositions, uses, and methods of the invention is a double stranded RNA and is referred to herein as a “double stranded RNA agent.” “double stranded RNA (dsRNA) molecule,” “dsRNA agent,” or “dsRNA”. The term “dsRNA”, refers to a complex of ribonucleic acid molecules, having a duplex structure comprising two anti-parallel and substantially complementary nucleic acid strands, referred to as having “sense” and “antisense” orientations with respect to a target RNA, i.e., a STAT6 gene. In some embodiments of the invention, a double stranded RNA (dsRNA) triggers the degradation of a target RNA, e.g., an mRNA, through a post-transcriptional gene-silencing mechanism referred to herein as RNA interference or RNAi.


In general, the majority of nucleotides of each strand of a dsRNA molecule are ribonucleotides, but as described in detail herein, each or both strands can also include one or more non-ribonucleotides, e.g., a deoxyribonucleotide or a modified nucleotide. In addition, as used in this specification, an “iRNA” may include ribonucleotides with chemical modifications; an iRNA may include substantial modifications at multiple nucleotides. As used herein, the term “modified nucleotide” refers to a nucleotide having, independently, a modified sugar moiety, a modified internucleotide linkage, or modified nucleobase, or any combination thereof. Thus, the term modified nucleotide encompasses substitutions, additions or removal of, e.g., a functional group or atom, to internucleoside linkages, sugar moieties, or nucleobases. The modifications suitable for use in the agents of the invention include all types of modifications disclosed herein or known in the art. Any such modifications, as used in a siRNA type molecule, are encompassed by “iRNA” or “RNAi agent” for the purposes of this specification and claims.


In certain embodiments of the instant disclosure, inclusion of a deoxy-nucleotide if present within an RNAi agent can be considered to constitute a modified nucleotide.


The duplex region may be of any length that permits specific degradation of a desired target RNA through a RISC pathway, and may range from about 19 to 36 base pairs in length, e.g., about 19-30 base pairs in length, for example, about 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, or 36 base pairs in length, such as about 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24, 20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 base pairs in length. In certain embodiments, the duplex region is 19-21 base pairs in length, e.g., 21 base pairs in length. Ranges and lengths intermediate to the above recited ranges and lengths are also contemplated to be part of the disclosure.


The two strands forming the duplex structure may be different portions of one larger RNA molecule, or they may be separate RNA molecules. Where the two strands are part of one larger molecule, and therefore are connected by an uninterrupted chain of nucleotides between the 3′-end of one strand and the 5′-end of the respective other strand forming the duplex structure, the connecting RNA chain is referred to as a “hairpin loop.” A hairpin loop can comprise at least one unpaired nucleotide. In some embodiments, the hairpin loop can comprise at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 20, 23 or more unpaired nucleotides. In some embodiments, the hairpin loop can be 10 or fewer nucleotides. In some embodiments, the hairpin loop can be 8 or fewer unpaired nucleotides. In some embodiments, the hairpin loop can be 4-10 unpaired nucleotides. In some embodiments, the hairpin loop can be 4-8 nucleotides.


Where the two substantially complementary strands of a dsRNA are comprised by separate RNA molecules, those molecules need not be, but can be covalently connected. Where the two strands are connected covalently by means other than an uninterrupted chain of nucleotides between the 3′-end of one strand and the 5′-end of the respective other strand forming the duplex structure, the connecting structure is referred to as a “linker.” The RNA strands may have the same or a different number of nucleotides. The maximum number of base pairs is the number of nucleotides in the shortest strand of the dsRNA minus any overhangs that are present in the duplex. In addition to the duplex structure, an RNAi may comprise one or more nucleotide overhangs. In one embodiment of the RNAi agent, at least one strand comprises a 3′ overhang of at least 1 nucleotide. In another embodiment, at least one strand comprises a 3′ overhang of at least 2 nucleotides, e.g., 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, or 15 nucleotides. In other embodiments, at least one strand of the RNAi agent comprises a 5′ overhang of at least 1 nucleotide. In certain embodiments, at least one strand comprises a 5′ overhang of at least 2 nucleotides, e.g., 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, or 15 nucleotides. In still other embodiments, both the 3′ and the 5′ end of one strand of the RNAi agent comprise an overhang of at least 1 nucleotide.


In certain embodiments, an iRNA agent of the invention is a dsRNA, each strand of which comprises 19-23 nucleotides, that interacts with a target RNA sequence, e.g., a STAT6 gene, to direct cleavage of the target RNA.


In some embodiments, an iRNA of the invention is a dsRNA of 24-30 nucleotides that interacts with a target RNA sequence, e.g., a STAT6 target mRNA sequence, to direct the cleavage of the target RNA.


As used herein, the term “nucleotide overhang” refers to at least one unpaired nucleotide that protrudes from the duplex structure of a double stranded iRNA. For example, when a 3′-end of one strand of a dsRNA extends beyond the 5′-end of the other strand, or vice versa, there is a nucleotide overhang. A dsRNA can comprise an overhang of at least one nucleotide; alternatively the overhang can comprise at least two nucleotides, at least three nucleotides, at least four nucleotides, at least five nucleotides or more. A nucleotide overhang can comprise or consist of a nucleotide/nucleoside analog, including a deoxynucleotide/nucleoside. The overhang(s) can be on the sense strand, the antisense strand, or any combination thereof. Furthermore, the nucleotide(s) of an overhang can be present on the 5′-end, 3′-end, or both ends of either an antisense or sense strand of a dsRNA.


In one embodiment, the antisense strand of a dsRNA has a 1-10 nucleotide, e.g., a 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleotide, overhang at the 3′-end or the 5′-end. In one embodiment, the sense strand of a dsRNA has a 1-10 nucleotide, e.g., a 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleotide, overhang at the 3′-end or the 5′-end. In another embodiment, one or more of the nucleotides in the overhang is replaced with a nucleoside thiophosphate.


In certain embodiments, the antisense strand of a dsRNA has a 1-10 nucleotide, e.g., 0-3, 1-3, 2-4, 2-5, 4-10, 5-10, e.g., a 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleotide, overhang at the 3′-end or the 5′-end. In one embodiment, the sense strand of a dsRNA has a 1-10 nucleotide, e.g., a 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleotide, overhang at the 3′-end or the 5′-end. In another embodiment, one or more of the nucleotides in the overhang is replaced with a nucleoside thiophosphate.


In certain embodiments, the antisense strand of a dsRNA has a 1-10 nucleotides, e.g., a 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleotide, overhang at the 3′-end or the 5′-end. In certain embodiments, the overhang on the sense strand or the antisense strand, or both, can include extended lengths longer than 10 nucleotides, e.g., 1-30 nucleotides, 2-30 nucleotides, 10-30 nucleotides, 10-25 nucleotides, 10-20 nucleotides, or 10-15 nucleotides in length. In certain embodiments, an extended overhang is on the sense strand of the duplex. In certain embodiments, an extended overhang is present on the 3′ end of the sense strand of the duplex. In certain embodiments, an extended overhang is present on the 5′ end of the sense strand of the duplex. In certain embodiments, an extended overhang is on the antisense strand of the duplex. In certain embodiments, an extended overhang is present on the 3′end of the antisense strand of the duplex. In certain embodiments, an extended overhang is present on the 5′end of the antisense strand of the duplex. In certain embodiments, one or more of the nucleotides in the extended overhang is replaced with a nucleoside thiophosphate. In certain embodiments, the overhang includes a self-complementary portion such that the overhang is capable of forming a hairpin structure that is stable under physiological conditions.


“Blunt” or “blunt end” means that there are no unpaired nucleotides at that end of the double stranded RNA agent, i.e., no nucleotide overhang. A “blunt ended” double stranded RNA agent is double stranded over its entire length, i.e., no nucleotide overhang at either end of the molecule. The RNAi agents of the invention include RNAi agents with no nucleotide overhang at one end (i.e., agents with one overhang and one blunt end) or with no nucleotide overhangs at either end. Most often such a molecule will be double-stranded over its entire length.


The term “antisense strand” or “guide strand” refers to the strand of an iRNA, e.g., a dsRNA, which includes a region that is substantially complementary to a target sequence, e.g., a STAT6 mRNA.


As used herein, the term “region of complementarity” refers to the region on the antisense strand that is substantially complementary to a sequence, for example a target sequence, e.g., a STAT6 nucleotide sequence, as defined herein. Where the region of complementarity is not fully complementary to the target sequence, the mismatches can be in the internal or terminal regions of the molecule. Generally, the most tolerated mismatches are in the terminal regions, e.g., within 5, 4, or 3 nucleotides of the 5′- or 3′-end of the iRNA. In some embodiments, a double stranded RNA agent of the invention includes a nucleotide mismatch in the antisense strand. In some embodiments, the antisense strand of the double stranded RNA agent of the invention includes no more than 4 mismatches with the target mRNA, e.g., the antisense strand includes 4, 3, 2, 1, or 0 mismatches with the target mRNA. In some embodiments, the antisense strand double stranded RNA agent of the invention includes no more than 4 mismatches with the sense strand, e.g., the antisense strand includes 4, 3, 2, 1, or 0 mismatches with the sense strand. In some embodiments, a double stranded RNA agent of the invention includes a nucleotide mismatch in the sense strand. In some embodiments, the sense strand of the double stranded RNA agent of the invention includes no more than 4 mismatches with the antisense strand, e.g., the sense strand includes 4, 3, 2, 1, or 0 mismatches with the antisense strand. In some embodiments, the nucleotide mismatch is, for example, within 5, 4, 3 nucleotides from the 3′-end of the iRNA. In another embodiment, the nucleotide mismatch is, for example, in the 3′-terminal nucleotide of the iRNA agent. In some embodiments, the mismatch(s) is not in the seed region.


Thus, an RNAi agent as described herein can contain one or more mismatches to the target sequence. In one embodiment, an RNAi agent as described herein contains no more than 3 mismatches (i.e., 3, 2, 1, or 0 mismatches). In one embodiment, an RNAi agent as described herein contains no more than 2 mismatches. In one embodiment, an RNAi agent as described herein contains no more than 1 mismatch. In one embodiment, an RNAi agent as described herein contains 0 mismatches. In certain embodiments, if the antisense strand of the RNAi agent contains mismatches to the target sequence, the mismatch can optionally be restricted to be within the last 5 nucleotides from either the 5′- or 3′-end of the region of complementarity. For example, in such embodiments, for a 23 nucleotide RNAi agent, the strand which is complementary to a region of a STAT6 gene, generally does not contain any mismatch within the central 13 nucleotides. The methods described herein or methods known in the art can be used to determine whether an RNAi agent containing a mismatch to a target sequence is effective in inhibiting the expression of a STAT6 gene. Consideration of the efficacy of RNAi agents with mismatches in inhibiting expression of a STAT6 gene is important, especially if the particular region of complementarity in a STAT6 gene is known to have polymorphic sequence variation within the population.


The term “sense strand” or “passenger strand” as used herein, refers to the strand of an iRNA that includes a region that is substantially complementary to a region of the antisense strand as that term is defined herein.


As used herein, “substantially all of the nucleotides are modified” are largely but not wholly modified and can include not more than 5, 4, 3, 2, or 1 unmodified nucleotides.


As used herein, the term “cleavage region” refers to a region that is located immediately adjacent to the cleavage site. The cleavage site is the site on the target at which cleavage occurs. In some embodiments, the cleavage region comprises three bases on either end of, and immediately adjacent to, the cleavage site. In some embodiments, the cleavage region comprises two bases on either end of, and immediately adjacent to, the cleavage site. In some embodiments, the cleavage site specifically occurs at the site bound by nucleotides 10 and 11 of the antisense strand, and the cleavage region comprises nucleotides 11, 12 and 13.


As used herein, and unless otherwise indicated, the term “complementary,” when used to describe a first nucleotide sequence in relation to a second nucleotide sequence, refers to the ability of an oligonucleotide or polynucleotide comprising the first nucleotide sequence to hybridize and form a duplex structure under certain conditions with an oligonucleotide or polynucleotide comprising the second nucleotide sequence, as will be understood by the skilled person. Such conditions can, for example, be stringent conditions, where stringent conditions can include: 400 mM NaCl, 40 mM PIPES pH 6.4, 1 mM EDTA, 50ºC or 70° ° C. for 12-16 hours followed by washing (see, e.g., “Molecular Cloning: A Laboratory Manual, Sambrook, et al. (1989) Cold Spring Harbor Laboratory Press). Other conditions, such as physiologically relevant conditions as can be encountered inside an organism, can apply. The skilled person will be able to determine the set of conditions most appropriate for a test of complementarity of two sequences in accordance with the ultimate application of the hybridized nucleotides.


Complementary sequences within an iRNA, e.g., within a dsRNA as described herein, include base-pairing of the oligonucleotide or polynucleotide comprising a first nucleotide sequence to an oligonucleotide or polynucleotide comprising a second nucleotide sequence over the entire length of one or both nucleotide sequences. Such sequences can be referred to as “fully complementary” with respect to each other herein. However, where a first sequence is referred to as “substantially complementary” with respect to a second sequence herein, the two sequences can be fully complementary, or they can form one or more, but generally not more than 5, 4, 3, or 2 mismatched base pairs upon hybridization for a duplex up to 30 base pairs, while retaining the ability to hybridize under the conditions most relevant to their ultimate application, e.g., inhibition of gene expression, in vitro or in vivo. However, where two oligonucleotides are designed to form, upon hybridization, one or more single stranded overhangs, such overhangs shall not be regarded as mismatches with regard to the determination of complementarity. For example, a dsRNA comprising one oligonucleotide 21 nucleotides in length and another oligonucleotide 23 nucleotides in length, wherein the longer oligonucleotide comprises a sequence of 21 nucleotides that is fully complementary to the shorter oligonucleotide, can yet be referred to as “fully complementary” for the purposes described herein.


“Complementary” sequences, as used herein, can also include, or be formed entirely from, non-Watson-Crick base pairs or base pairs formed from non-natural and modified nucleotides, in so far as the above requirements with respect to their ability to hybridize are fulfilled. Such non-Watson-Crick base pairs include, but are not limited to, G:U Wobble or Hoogsteen base pairing.


The terms “complementary,” “fully complementary” and “substantially complementary” herein can be used with respect to the base matching between the sense strand and the antisense strand of a dsRNA, or between two oligonucleotides or polynucleotides, such as the antisense strand of a double stranded RNA agent and a target sequence, as will be understood from the context of their use.


As used herein, a polynucleotide that is “substantially complementary to at least part of” a messenger RNA (mRNA) refers to a polynucleotide that is substantially complementary to a contiguous portion of the mRNA of interest (e.g., an mRNA encoding a STAT6 gene). For example, a polynucleotide is complementary to at least a part of a STAT6 mRNA if the sequence is substantially complementary to a non-interrupted portion of an mRNA encoding a STAT6 gene.


Accordingly, in some embodiments, the antisense polynucleotides disclosed herein are fully complementary to the target STAT6 sequence. In other embodiments, the antisense polynucleotides disclosed herein are substantially complementary to the target STAT6 sequence and comprise a contiguous nucleotide sequence which is at least 80% complementary over its entire length to the equivalent region of the nucleotide sequence of any one of SEQ ID NOs: 1, 3, 5, 7, or 9, or a fragment of any one of SEQ ID NOs:1, 3, 5, 7, or 9, such as about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, or about 99% complementary.


In other embodiments, the antisense polynucleotides disclosed herein are substantially complementary to the target STAT6 sequence and comprise a contiguous nucleotide sequence which is at least about 80% complementary over its entire length to any one of the sense strand nucleotide sequences in any one of any one of Tables 2-3, or a fragment of any one of the sense strand nucleotide sequences in any one of Tables 2-3, such as about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or 100% complementary.


In one embodiment, an RNAi agent of the disclosure includes a sense strand that is substantially complementary to an antisense polynucleotide which, in turn, is the same as a target STAT6 sequence, and wherein the sense strand polynucleotide comprises a contiguous nucleotide sequence which is at least about 80% complementary over its entire length to the equivalent region of the nucleotide sequence of SEQ ID NOs: 2, 4, 6, 8, or 10, or a fragment of any one of SEQ ID NOs:2, 4, 6, 8, or 10, such as about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or 100% complementary.


In some embodiments, an iRNA of the invention includes a sense strand that is substantially complementary to an antisense polynucleotide which, in turn, is complementary to a target STAT6 sequence, and wherein the sense strand polynucleotide comprises a contiguous nucleotide sequence which is at least about 80% complementary over its entire length to any one of the antisense strand nucleotide sequences in any one of any one of Tables 2-3, or a fragment of any one of the antisense strand nucleotide sequences in any one of Tables 2-3, such as about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or 100% complementary.


In general, an “IRNA” includes ribonucleotides with chemical modifications. Such modifications may include all types of modifications disclosed herein or known in the art. Any such modifications, as used in a dsRNA molecule, are encompassed by “iRNA” for the purposes of this specification and claims.


In certain embodiments of the instant disclosure, inclusion of a deoxy-nucleotide if present within an RNAi agent can be considered to constitute a modified nucleotide.


In an aspect of the invention, an agent for use in the methods and compositions of the invention is a single-stranded antisense oligonucleotide molecule that inhibits a target mRNA via an antisense inhibition mechanism. The single-stranded antisense oligonucleotide molecule is complementary to a sequence within the target mRNA. The single-stranded antisense oligonucleotides can inhibit translation in a stoichiometric manner by base pairing to the mRNA and physically obstructing the translation machinery, see Dias, N. et al., (2002) Mol Cancer Ther 1:347-355. The single-stranded antisense oligonucleotide molecule may be about 14 to about 30 nucleotides in length and have a sequence that is complementary to a target sequence. For example, the single-stranded antisense oligonucleotide molecule may comprise a sequence that is at least about 14, 15, 16, 17, 18, 19, 20, or more contiguous nucleotides from any one of the antisense sequences described herein.


The phrase “contacting a cell with an iRNA,” such as a dsRNA, as used herein, includes contacting a cell by any possible means. Contacting a cell with an iRNA includes contacting a cell in vitro with the iRNA or contacting a cell in vivo with the iRNA. The contacting may be done directly or indirectly. Thus, for example, the iRNA may be put into physical contact with the cell by the individual performing the method, or alternatively, the iRNA may be put into a situation that will permit or cause it to subsequently come into contact with the cell.


Contacting a cell in vitro may be done, for example, by incubating the cell with the RNAi agent. Contacting a cell in vivo may be done, for example, via inhalation, intranasal administration, or intratracheal administration, by injecting the RNAi agent into or near the tissue where the cell is located, e.g., the pulmonary system, or by injecting the RNAi agent into another area, or to the bloodstream or the subcutaneous space, such that the agent will subsequently reach the tissue where the cell to be contacted is located. For example, the RNAi agent may contain or be coupled to a ligand, e.g., a lipophilic moiety or moieties as described below and further detailed, e.g., in PCT Publication No. WO 2019/217459, the entire contents of which is incorporated herein by reference, that directs or otherwise stabilizes the RNAi agent at a site of interest, e.g., the pulmonary system. In some embodiments, the RNAi agent may contain or be coupled to a ligand, e.g., one or more GalNAc derivatives as described below, that directs or otherwise stabilizes the RNAi agent at a site of interest, e.g., the liver. In other embodiments, the RNAi agent may contain or be coupled to a lipophilic moiety or moieties and one or more GalNAc derivatives. Combinations of in vitro and in vivo methods of contacting are also possible. For example, a cell may also be contacted in vitro with an RNAi agent and subsequently transplanted into a subject.


In certain embodiments, contacting a cell with an iRNA includes “introducing” or “delivering the iRNA into the cell” by facilitating or effecting uptake or absorption into the cell. Absorption or uptake of an iRNA can occur through unaided diffusion or active cellular processes, or by auxiliary agents or devices. Introducing an iRNA into a cell may be in vitro or in vivo. For example, for in vivo introduction, iRNA can be injected into a tissue site or administered systemically. In vitro introduction into a cell includes methods known in the art such as electroporation and lipofection. Further approaches are described herein below or are known in the art.


The term “lipophile” or “lipophilic moiety” broadly refers to any compound or chemical moiety having an affinity for lipids. One way to characterize the lipophilicity of the lipophilic moiety is by the octanol-water partition coefficient, logKow, where Kow is the ratio of a chemical's concentration in the octanol-phase to its concentration in the aqueous phase of a two-phase system at equilibrium. The octanol-water partition coefficient is a laboratory-measured property of a substance. However, it may also be predicted by using coefficients attributed to the structural components of a chemical which are calculated using first-principle or empirical methods (see, for example, Tetko et al., J. Chem. Inf. Comput. Sci. 41:1407-21 (2001), which is incorporated herein by reference in its entirety). It provides a thermodynamic measure of the tendency of the substance to prefer a non-aqueous or oily milieu rather than water (i.e. its hydrophilic/lipophilic balance). In principle, a chemical substance is lipophilic in character when its logKow exceeds 0. Typically, the lipophilic moiety possesses a logKow exceeding 1, exceeding 1.5, exceeding 2, exceeding 3, exceeding 4, exceeding 5, or exceeding 10. For instance, the logKow of 6-amino hexanol, for instance, is predicted to be approximately 0.7. Using the same method, the logKow of cholesteryl N-(hexan-6-ol) carbamate is predicted to be 10.7.


The lipophilicity of a molecule can change with respect to the functional group it carries. For instance, adding a hydroxyl group or amine group to the end of a lipophilic moiety can increase or decrease the partition coefficient (e.g., logKow) value of the lipophilic moiety.


Alternatively, the hydrophobicity of the double-stranded RNAi agent, conjugated to one or more lipophilic moieties, can be measured by its protein binding characteristics. For instance, in certain embodiments, the unbound fraction in the plasma protein binding assay of the double-stranded RNAi agent could be determined to positively correlate to the relative hydrophobicity of the double-stranded RNAi agent, which could then positively correlate to the silencing activity of the double-stranded RNAi agent.


In one embodiment, the plasma protein binding assay determined is an electrophoretic mobility shift assay (EMSA) using human serum albumin protein. An exemplary protocol of this binding assay is illustrated in detail in, e.g., PCT Publication No. WO 2019/217459. The hydrophobicity of the double-stranded RNAi agent, measured by fraction of unbound siRNA in the binding assay, exceeds 0.15, exceeds 0.2, exceeds 0.25, exceeds 0.3, exceeds 0.35, exceeds 0.4, exceeds 0.45, or exceeds 0.5 for an enhanced in vivo delivery of siRNA.


Accordingly, conjugating the lipophilic moieties to the internal position(s) of the double-stranded RNAi agent provides optimal hydrophobicity for the enhanced in vivo delivery of siRNA.


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


As used herein, a “subject” is an animal, such as a mammal, including a primate (such as a human, a non-human primate, e.g., a monkey, and a chimpanzee), a non-primate (such as a cow, a pig, a horse, a goat, a rabbit, a sheep, a hamster, a guinea pig, a cat, a dog, a rat, or a mouse), or a bird that expresses the target gene, either endogenously or heterologously. In an embodiment, the subject is a human, such as a human being treated or assessed for a disease or disorder that would benefit from reduction in STAT6 expression; a human at risk for a disease or disorder that would benefit from reduction in STAT6 expression; a human having a disease or disorder that would benefit from reduction in STAT6 expression; or human being treated for a disease or disorder that would benefit from reduction in STAT6 expression as described herein. In some embodiments, the subject is a female human. In other embodiments, the subject is a male human. In one embodiment, the subject is an adult subject. In another embodiment, the subject is a pediatric subject.


As used herein, the terms “treating” or “treatment” refer to a beneficial or desired result, such as reducing at least one sign or symptom of a STAT6-associated disorder in a subject. Treatment also includes a reduction of one or more sign or symptoms associated with unwanted STAT6 expression; diminishing the extent of unwanted STAT6 activation or stabilization; amelioration or palliation of unwanted STAT6 activation or stabilization. “Treatment” can also mean prolonging survival as compared to expected survival in the absence of treatment.


The term “lower” in the context of the level of STAT6 in a subject or a disease marker or symptom refers to a statistically significant decrease in such level. The decrease can be, for example, at least 10%, 15%, 20%, 25%, 30%, %, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or more. In certain embodiments, a decrease is at least 20%. In certain embodiments, the decrease is at least 50% in a disease marker, e.g., protein or gene expression level. “Lower” in the context of the level of STAT6 in a subject is a decrease to a level accepted as within the range of normal for an individual without such disorder. In certain embodiments, the expression of the target is normalized, i.e., decreased towards or to a level accepted as within the range of normal for an individual without such disorder, e.g., blood oxygen level, white blood cell count, liver function. As used here, “lower” in a subject can refer to lowering of gene expression or protein production in a cell in a subject does not require lowering of expression in all cells or tissues of a subject. For example, as used herein, lowering in a subject can include lowering of gene expression or protein production in a subject.


The term “lower” can also be used in association with normalizing a symptom of a disease or condition, i.e. decreasing the difference between a level in a subject suffering from a STAT6-associated disease towards or to a level in a normal subject not suffering from a STAT6-associated disease. As used herein, if a disease is associated with an elevated value for a symptom, “normal” is considered to be the upper limit of normal. If a disease is associated with a decreased value for a symptom, “normal” is considered to be the lower limit of normal.


As used herein. “prevention” or “preventing.” when used in reference to a disease, disorder or condition thereof, may be treated or ameliorated by a reduction in expression of a STAT6 gene, refers to a reduction in the likelihood that a subject will develop a symptom associated with such a disease, disorder, or condition, e.g., a symptom of a STAT6-associated disease, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. The failure to develop a disease, disorder or condition, or the reduction in the development of a symptom associated with such a disease, disorder or condition (e.g., by at least about 10% on a clinically accepted scale for that disease or disorder), or the exhibition of delayed symptoms delayed (e.g., by days, weeks, months or years) is considered effective prevention.


As used herein, the term “Signal transducer and activator of transcription factor 6-associated disease” or “STAT6-associated disease,” is a disease or disorder that is caused by, or associated with STAT6 gene expression or STAT6 protein production. The term “STAT6-associated disease” includes a disease, disorder or condition that would benefit from a decrease in STAT6 gene expression, replication, or protein activity. In some embodiments, the STAT6-associated disease is a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


As used herein, the term “asthma” refers to a chronic disease or condition that causes the airways to become inflamed. During an asthma attack, the airways will become swollen, the muscles around them will tighten, making it more difficult for air to move in and out of the lungs, thereby causing symptoms such as coughing, wheezing, shortness of breath and/or chest tightness.


As used herein, the term “chronic obstructive pulmonary disease (COPD)” refers to a disease of the lung characterized by chronic obstruction of airflow. In COPD, the damage accrued by the lungs over time leads to a loss in elasticity of the lung tissue that is responsible for proper exhalation. When this elasticity is lost, some waste carbon dioxide is left in the lungs at the end of exhalation, leading to carbon dioxide buildup in the body. COPD leads to emphysema, which is the destruction of the alveoli, and chronic bronchitis, which is inflammation of the airway tubes in the lungs.


As used herein, the term “cystic fibrosis” refers to a genetic disorder that results in thickening tissue and buildup of mucus in the lungs, pancreas, liver, kidneys and intestines. Individuals with cystic fibrosis develop a thick mucus that can block the airways in the lungs. This mucus buildup results in troubled breathing and an increased susceptibility to respiratory infections, as mucus traps the bacteria and is unable to be removed efficiently. This condition also has severely debilitating effects on the digestive system, resulting in stunted growth and weight.


As used herein, the term “pulmonary fibrosis” refers to a condition of the lungs in which the tissue thickens and becomes scarred. This thickened, stiff tissue makes it more difficult for the lungs to work properly. As pulmonary fibrosis worsens, people become progressively more short of breath. In some embodiments, the cause of pulmonary fibrosis is unknown. In those instances, the pulmonary fibrosis is referred to as “idiopathic pulmonary fibrosis (IPF)”.


The symptoms for a STAT6-associated disease include, for example, mucus buildup in the airways, troubled breathing, an increased susceptibility to respiratory infections, stunted growth and weight, a loss in elasticity of the lung tissue, carbon dioxide buildup in the body, emphysema, chronic bronchitis, shortness of breath, a chronic cough and excessive mucus, wheezing, a tight feeling in the chest, blue lips and nail beds, and uncontrollable weight loss. Further details regarding signs and symptoms of the various diseases or conditions are provided herein and are well known in the art.


“Therapeutically effective amount,” as used herein, is intended to include the amount of an RNAi agent that, when administered to a subject having a STAT6-associated disease, is sufficient to effect treatment of the disease (e.g., by diminishing, ameliorating, or maintaining the existing disease or one or more symptoms of disease). The “therapeutically effective amount” may vary depending on the RNAi agent, how the agent is administered, the disease and its severity and the history, age, weight, family history, genetic makeup, the types of preceding or concomitant treatments, if any, and other individual characteristics of the subject to be treated.


“Prophylactically effective amount,” as used herein, is intended to include the amount of an RNAi agent that, when administered to a subject having a STAT6-associated disorder, is sufficient to prevent or ameliorate the disease or one or more symptoms of the disease. Ameliorating the disease includes slowing the course of the disease or reducing the severity of later-developing disease. The “prophylactically effective amount” may vary depending on the RNAi agent, how the agent is administered, the degree of risk of disease, and the history, age, weight, family history, genetic makeup, the types of preceding or concomitant treatments, if any, and other individual characteristics of the patient to be treated.


A “therapeutically-effective amount” or “prophylactically effective amount” also includes an amount of an RNAi agent that produces some desired effect at a reasonable benefit/risk ratio applicable to any treatment. The iRNA employed in the methods of the present invention may be administered in a sufficient amount to produce a reasonable benefit/risk ratio applicable to such treatment.


The phrase “pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human subjects and animal subjects without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.


The phrase “pharmaceutically-acceptable carrier” as used herein means a pharmaceutically-acceptable material, composition, or vehicle, such as a liquid or solid filler, diluent, excipient, manufacturing aid (e.g., lubricant, talc magnesium, calcium or zinc stearate, or steric acid), or solvent encapsulating material, involved in carrying or transporting the subject compound from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the subject being treated. Such carriers are known in the art. Pharmaceutically acceptable carriers include carriers for administration by injection.


As used herein. “respiratory system” is understood as the structures through which air moves from outside the body into the lungs and back out, e.g., the mouth, nose and nasal cavity, sinus, trachea, pharynx, larynx, bronchial tubes/bronchi, bronchioles, alveoli, and vasculature, e.g., capillaries, hematopoietic cells, lymphatics, and lungs, and the cells, tissues, and fluids present therein.


As used herein, “delivery by inhalation” and the like include delivery by inhalation through the nose or mouth, including intratracheal administration. Delivery by inhalation typically is performed using a device, e.g., inhaler, sprayer, nebulizer, that is selected, in part, based on the location that the agent is to be delivered, e.g., nose, mouth, lungs, and the type of material to be delivered, e.g., drops, mist, dry powder.


The term “sample,” as used herein, includes a collection of similar fluids, cells, or tissues isolated from a subject, as well as fluids, cells, or tissues present within a subject. Examples of biological fluids include blood, serum and serosal fluids, plasma, cerebrospinal fluid, ocular fluids, lymph, urine, saliva, and the like. Tissue samples may include samples from tissues, organs, or localized regions. For example, samples may be derived from particular organs, parts of organs, or fluids or cells within those organs. In certain embodiments, samples may be derived from a nasal swab. In certain embodiments, samples may be derived from a throat swab. In certain embodiments, samples may be derived from the lung, or certain types of cells in the lung. In some embodiments, the samples may be derived from the bronchioles. In some embodiments, the samples may be derived from the bronchus. In some embodiments, the samples may be derived from the alveoli. In certain embodiments, samples may be derived from the liver (e.g., whole liver or certain segments of liver or certain types of cells in the liver, such as, e.g., hepatocytes). In some embodiments, a “sample derived from a subject” refers to urine obtained from the subject. A “sample derived from a subject” can refer to blood or blood derived serum or plasma from the subject.


II. iRNAs of the Invention

The present invention provides iRNAs which inhibit the expression of a STAT6 gene. In certain embodiments, the iRNA includes double stranded ribonucleic acid (dsRNA) molecules for inhibiting the expression of a STAT6 gene in a cell, such as a cell within a subject, e.g., a mammal, such as a human susceptible to developing a STAT6-associated disorder, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. The dsRNAi agent includes an antisense strand having a region of complementarity which is complementary to at least a part of an mRNA formed in the expression of a STAT6 gene. The region of complementarity is about 19-30 nucleotides in length (e.g., about 30, 29, 28, 27, 26, 25, 24, 23, 22, 21, 20, or 19 nucleotides in length).


Upon contact with a cell expressing the STAT6 gene, the iRNA inhibits the expression of the STAT6 gene (e.g., a human, a primate, a non-primate, or a rat STAT6 gene) by at least about 50% as assayed by, for example, a PCR or branched DNA (bDNA)-based method, or by a protein-based method, such as by immunofluorescence analysis, using, for example, western blotting or flow cytometric techniques. In certain embodiments, inhibition of expression is determined by the qPCR method provided in the examples herein with the siRNA at, e.g., a 10 nM concentration, in an appropriate organism cell line provided therein. In certain embodiments, inhibition of expression in vivo is determined by knockdown of the human gene in a rodent expressing the human gene, e.g., a mouse or an AAV-infected mouse expressing the human target gene, e.g., when administered as single dose, e.g., at 3 mg/kg at the nadir of RNA expression.


A dsRNA includes two RNA strands that are complementary and hybridize to form a duplex structure under conditions in which the dsRNA will be used. One strand of a dsRNA (the antisense strand) includes a region of complementarity that is substantially complementary, and generally fully complementary, to a target sequence. The target sequence can be derived from the sequence of an mRNA formed during the expression of a STAT6 gene. The other strand (the sense strand) includes a region that is complementary to the antisense strand, such that the two strands hybridize and form a duplex structure when combined under suitable conditions. As described elsewhere herein and as known in the art, the complementary sequences of a dsRNA can also be contained as self-complementary regions of a single nucleic acid molecule, as opposed to being on separate oligonucleotides.


Generally, the duplex structure is 15 to 30 base pairs in length, e.g., 15-29, 15-28, 15-27, 15-26, 15-25, 15-24, 15-23, 15-22, 15-21, 15-20, 15-19, 15-18, 15-17, 18-30, 18-29, 18-28, 18-27, 18-26, 18-25, 18-24, 18-23, 18-22, 18-21, 18-20, 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24, 20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 base pairs in length. In certain embodiments, the duplex structure is 18 to 25 base pairs in length, e.g., 18-25, 18-24, 18-23, 18-22, 18-21, 18-20, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-25, 20-24, 20-23, 20-22, 20-21, 21-25, 21-24, 21-23, 21-22, 22-25, 22-24, 22-23, 23-25, 23-24 or 24-25 base pairs in length, for example, 19-21 basepairs in length. Ranges and lengths intermediate to the above recited ranges and lengths are also contemplated to be part of the disclosure.


Similarly, the region of complementarity to the target sequence is 15 to 30 nucleotides in length, e.g., 15-29, 15-28, 15-27, 15-26, 15-25, 15-24, 15-23, 15-22, 15-21, 15-20, 15-19, 15-18, 15-17, 18-30, 18-29, 18-28, 18-27, 18-26, 18-25, 18-24, 18-23, 18-22, 18-21, 18-20, 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24,20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 nucleotides in length, for example 19-23 nucleotides in length or 21-23 nucleotides in length. Ranges and lengths intermediate to the above recited ranges and lengths are also contemplated to be part of the disclosure.


In some embodiments, the duplex structure is 19 to 30 base pairs in length. Similarly, the region of complementarity to the target sequence is 19 to 30 nucleotides in length.


In some embodiments, the dsRNA is about 19 to about 23 nucleotides in length, or about 25 to about 30 nucleotides in length. In general, the dsRNA is long enough to serve as a substrate for the Dicer enzyme. For example, it is well-known in the art that dsRNAs longer than about 21-23 nucleotides in length may serve as substrates for Dicer. As the ordinarily skilled person will also recognize, the region of an RNA targeted for cleavage will most often be part of a larger RNA molecule, often an mRNA molecule. Where relevant, a “part” of an mRNA target is a contiguous sequence of an mRNA target of sufficient length to allow it to be a substrate for RNAi-directed cleavage (i.e., cleavage through a RISC pathway).


One of skill in the art will also recognize that the duplex region is a primary functional portion of a dsRNA, e.g., a duplex region of about 19 to about 30 base pairs, e.g., about 19-30, 19-29, 19-28, 19-27, 19-26, 19-25, 19-24, 19-23, 19-22, 19-21, 19-20, 20-30, 20-29, 20-28, 20-27, 20-26, 20-25, 20-24, 20-23, 20-22, 20-21, 21-30, 21-29, 21-28, 21-27, 21-26, 21-25, 21-24, 21-23, or 21-22 base pairs. Thus, in one embodiment, to the extent that it becomes processed to a functional duplex, of e.g., 15-30 base pairs, that targets a desired RNA for cleavage, an RNA molecule or complex of RNA molecules having a duplex region greater than 30 base pairs is a dsRNA. Thus, an ordinarily skilled artisan will recognize that in one embodiment, a miRNA is a dsRNA. In another embodiment, a dsRNA is not a naturally occurring miRNA. In another embodiment, an iRNA agent useful to target STAT6 gene expression is not generated in the target cell by cleavage of a larger dsRNA.


A dsRNA as described herein can further include one or more single-stranded nucleotide overhangs, e.g., 1-4, 2-4, 1-3, 2-3, 1, 2, 3, or 4 nucleotides. dsRNAs having at least one nucleotide overhang can have superior inhibitory properties relative to their blunt-ended counterparts. A nucleotide overhang can comprise or consist of a nucleotide/nucleoside analog, including a deoxynucleotide/nucleoside. The overhang(s) can be on the sense strand, the antisense strand, or any combination thereof. Furthermore, the nucleotide(s) of an overhang can be present on the 5′-end, 3′-end, or both ends of an antisense or sense strand of a dsRNA.


A dsRNA can be synthesized by standard methods known in the art. Double stranded RNAi compounds of the invention may be prepared using a two-step procedure. First, the individual strands of the double stranded RNA molecule are prepared separately. Then, the component strands are annealed. The individual strands of the siRNA compound can be prepared using solution-phase or solid-phase organic synthesis or both. Organic synthesis offers the advantage that the oligonucleotide strands comprising unnatural or modified nucleotides can be easily prepared. Similarly, single-stranded oligonucleotides of the invention can be prepared using solution-phase or solid-phase organic synthesis or both.


In an aspect, a dsRNA of the invention includes at least two nucleotide sequences, a sense sequence and an anti-sense sequence. The sense strand is selected from the group of sequences provided in any one of Tables 2-3, and the corresponding antisense strand of the sense strand is selected from the group of sequences of any one of Tables 2-3. In this aspect, one of the two sequences is complementary to the other of the two sequences, with one of the sequences being substantially complementary to a sequence of an mRNA generated in the expression of a STAT6 gene. As such, in this aspect, a dsRNA will include two oligonucleotides, where one oligonucleotide is described as the sense strand in any one of Tables 2-3, and the second oligonucleotide is described as the corresponding antisense strand of the sense strand in any one of Tables 2-3.


In certain embodiments, the substantially complementary sequences of the dsRNA are contained on separate oligonucleotides. In other embodiments, the substantially complementary sequences of the dsRNA are contained on a single oligonucleotide.


In one embodiment, the antisense strand comprises at least 15, e.g., 15, 16, 17, 18, 19, or 20, contiguous nucleotides differing by no more than 0, 1, 2, or 3 nucleotides from any one of the antisense strand nucleotide sequences in any one of Tables 2-3.


It will be understood that, although the sequences in, for example, Table 3, are not described as modified or conjugated sequences, the RNA of the iRNA of the invention e.g., a dsRNA of the invention, may comprise any one of the sequences set forth in any one of Tables 2-3 that is un-modified, un-conjugated, or modified or conjugated differently than described therein. In other words, the invention encompasses dsRNA of Tables 2-3 which are un-modified, un-conjugated, modified, or conjugated, as described herein.


The skilled person is well aware that dsRNAs having a duplex structure of about 20 to 23 base pairs, e.g., 21, base pairs have been hailed as particularly effective in inducing RNA interference (Elbashir et al., EMBO 2001, 20:6877-6888). However, others have found that shorter or longer RNA duplex structures can also be effective (Chu and Rana (2007) RNA 14:1714-1719; Kim et al. (2005) Nat Biotech 23:222-226). In the embodiments described above, by virtue of the nature of the oligonucleotide sequences provided in any one of Tables 2-3. dsRNAs described herein can include at least one strand of a length of minimally 21 nucleotides. It can be reasonably expected that shorter duplexes having any one of the sequences in any one of Tables 2-3 minus only a few nucleotides on one or both ends can be similarly effective as compared to the dsRNAs described above. Hence, dsRNAs having a sequence of at least 19, 20, or more contiguous nucleotides derived from any one of the sequences of any one of Tables 2-3, and differing in their ability to inhibit the expression of a STAT6 gene by not more than about 5, 10, 15, 20, 25, or 30% inhibition from a dsRNA comprising the full sequence, are contemplated to be within the scope of the present invention.


In addition, the RNAs provided in Tables 2-3 identify a site(s) in a STAT6 transcript that is susceptible to RISC-mediated cleavage. As such, the present invention further features iRNAs that target within one of these sites. As used herein, an iRNA is said to target within a particular site of an RNA transcript if the iRNA promotes cleavage of the transcript anywhere within that particular site. Such an iRNA will generally include at least about 19 contiguous nucleotides from any one of the sequences provided in any one of Tables 2-3 coupled to additional nucleotide sequences taken from the region contiguous to the selected sequence in a STAT6 gene.


III. Modified iRNAs of the Invention

In certain embodiments, the RNA of the iRNA of the invention e.g., a dsRNA, is un-modified, and does not comprise, e.g., chemical modifications or conjugations known in the art and described herein. In other embodiments, the RNA of an iRNA of the invention, e.g., a dsRNA, is chemically modified to enhance stability or other beneficial characteristics. In certain embodiments of the invention, substantially all of the nucleotides of an iRNA of the invention are modified. In other embodiments of the invention, all of the nucleotides of an iRNA or substantially all of the nucleotides of an iRNA are modified, i.e., not more than 5, 4, 3, 2, or 1 unmodified nucleotides are present in a strand of the iRNA.


The nucleic acids featured in the invention can be synthesized or modified by methods well established in the art, such as those described in “Current protocols in nucleic acid chemistry.” Beaucage, S. L. et al. (Edrs.), John Wiley & Sons, Inc., New York, NY, USA, which is hereby incorporated herein by reference. Modifications include, for example, end modifications, e.g., 5′-end modifications (phosphorylation, conjugation, inverted linkages) or 3′-end modifications (conjugation. DNA nucleotides, inverted linkages, etc.); base modifications, e.g., replacement with stabilizing bases, destabilizing bases, or bases that base pair with an expanded repertoire of partners, removal of bases (abasic nucleotides), or conjugated bases; sugar modifications (e.g., at the 2′-position or 4′-position) or replacement of the sugar; or backbone modifications, including modification or replacement of the phosphodiester linkages. Specific examples of iRNA compounds useful in the embodiments described herein include, but are not limited to RNAs containing modified backbones or no natural internucleoside linkages. RNAs having modified backbones include, among others, those that do not have a phosphorus atom in the backbone. For the purposes of this specification, and as sometimes referenced in the art, modified RNAs that do not have a phosphorus atom in their internucleoside backbone can also be considered to be oligonucleosides. In some embodiments, a modified iRNA will have a phosphorus atom in its internucleoside backbone.


Modified RNA backbones include, for example, phosphorothioates, chiral phosphorothioates, phosphorodithioates, phosphotriesters, aminoalkylphosphotriesters, methyl and other alkyl phosphonates including 3′-alkylene phosphonates and chiral phosphonates, phosphinates, phosphoramidates including 3′-amino phosphoramidate and aminoalkylphosphoramidates, thionophosphoramidates, thionoalkylphosphonates, thionoalkylphosphotriesters, and boranophosphates having normal 3′-5′ linkages. 2′-5′-linked analogs of these, and those having inverted polarity wherein the adjacent pairs of nucleoside units are linked 3′-5′ to 5′-3′ or 2′-5′ to 5′-2′. Various salts, mixed salts and free acid forms are also included. In some embodiments of the invention, the dsRNA agents of the invention are in a free acid form. In other embodiments of the invention, the dsRNA agents of the invention are in a salt form. In one embodiment, the dsRNA agents of the invention are in a sodium salt form. In certain embodiments, when the dsRNA agents of the invention are in the sodium salt form, sodium ions are present in the agent as counterions for substantially all of the phosphodiester and/or phosphorothioate groups present in the agent. Agents in which substantially all of the phosphodiester and/or phosphorothioate linkages have a sodium counterion include not more than 5, 4, 3, 2, or 1 phosphodiester and/or phosphorothioate linkages without a sodium counterion. In some embodiments, when the dsRNA agents of the invention are in the sodium salt form, sodium ions are present in the agent as counterions for all of the phosphodiester and/or phosphorothioate groups present in the agent.


Representative U.S. Patents that teach the preparation of the above phosphorus-containing linkages include, but are not limited to, U.S. Pat. Nos. 3,687,808; 4,469,863; 4,476,301; 5,023,243; 5,177,195; 5,188,897; 5,264,423; 5,276,019; 5,278,302; 5,286,717; 5,321,131; 5,399,676; 5,405,939; 5,453,496; 5,455,233; 5,466,677; 5,476,925; 5,519,126; 5,536,821; 5,541,316; 5,550,111; 5,563,253; 5,571,799; 5,587,361; 5,625,050; 6,028,188; 6,124,445; 6,160,109; 6,169,170; 6,172,209; 6,239,265; 6,277,603; 6,326,199; 6,346,614; 6,444,423; 6,531,590; 6,534,639; 6,608,035; 6,683,167; 6,858,715; 6,867,294; 6,878,805; 7,015,315; 7,041,816; 7,273,933; 7,321,029; and U.S. Pat. RE39464, the entire contents of each of which are hereby incorporated herein by reference.


Modified RNA backbones that do not include a phosphorus atom therein have backbones that are formed by short chain alkyl or cycloalkyl internucleoside linkages, mixed heteroatoms and alkyl or cycloalkyl internucleoside linkages, or one or more short chain heteroatomic or heterocyclic internucleoside linkages. These include those having morpholino linkages (formed in part from the sugar portion of a nucleoside); siloxane backbones; sulfide, sulfoxide and sulfone backbones; formacetyl and thioformacetyl backbones; methylene formacetyl and thioformacetyl backbones; alkene containing backbones; sulfamate backbones; methyleneimino and methylenehydrazino backbones; sulfonate and sulfonamide backbones; amide backbones; and others having mixed N, O, S, and CH2 component parts.


Representative U.S. Patents that teach the preparation of the above oligonucleosides include, but are not limited to, U.S. Pat. Nos. 5,034,506; 5,166,315; 5,185,444; 5,214,134; 5,216,141; 5,235,033; 5,64,562; 5,264,564; 5,405,938; 5,434,257; 5,466,677; 5,470,967; 5,489,677; 5,541,307; 5,561,225; 5,596,086; 5,602,240; 5,608,046; 5,610,289; 5,618,704; 5,623,070; 5,663,312; 5,633,360; 5,677,437; and 5,677,439, the entire contents of each of which are hereby incorporated herein by reference.


Suitable RNA mimetics are contemplated for use in iRNAs provided herein, in which both the sugar and the internucleoside linkage, i.e., the backbone, of the nucleotide units are replaced with novel groups. The base units are maintained for hybridization with an appropriate nucleic acid target compound. One such oligomeric compound in which an RNA mimetic that has been shown to have excellent hybridization properties is referred to as a peptide nucleic acid (PNA). In PNA compounds, the sugar backbone of an RNA is replaced with an amide containing backbone, in particular an aminoethylglycine backbone. The nucleobases are retained and are bound directly or indirectly to aza nitrogen atoms of the amide portion of the backbone. Representative US patents that teach the preparation of PNA compounds include, but are not limited to, U.S. Pat. Nos. 5,539,082; 5,714,331; and 5,719,262, the entire contents of each of which are hereby incorporated herein by reference. Additional PNA compounds suitable for use in the iRNAs of the invention are described in, for example, in Nielsen et al., Science, 1991, 254, 1497-1500.


Some embodiments featured in the invention include RNAs with phosphorothioate backbones and oligonucleosides with heteroatom backbones, and in particular —CH2—NH—CH2—, —CH2—N(CH3)—O—CH2— [known as a methylene (methylimino) or MMI backbone], —CH2—O—N(CH3)—CH2—, —CH2—N(CH3)—N(CH3)—CH2— and —N(CH3)—CH2—CH2— of the above-referenced U.S. Pat. No. 5,489,677, and the amide backbones of the above-referenced U.S. Pat. No. 5,602,240. In some embodiments, the RNAs featured herein have morpholino backbone structures of the above-referenced U.S. Pat. No. 5,034,506. The native phosphodiester backbone can be represented as O—P(O)(OH)—OCH2—.


Modified RNAs can also contain one or more substituted sugar moieties. The iRNAs, e.g., dsRNAs, featured herein can include one of the following at the 2′-position: OH; F; O—, S—, or N-alkyl; O—, S—, or N-alkenyl; O—, S- or N-alkynyl; or O-alkyl-O-alkyl, wherein the alkyl, alkenyl and alkynyl can be substituted or unsubstituted C1 to C10 alkyl or C2 to C10 alkenyl and alkynyl. Exemplary suitable modifications include O[(CH2)nO]mCH3, O(CH2)·nOCH3, O(CH2)nNH2, O(CH2)nCH3, O(CH2)nONH2, and O(CH2)nON[(CH2)nCH3)]2, where n and m are from 1 to about 10. In other embodiments, dsRNAs include one of the following at the 2′ position: C1 to C10 lower alkyl, substituted lower alkyl, alkaryl, aralkyl, O-alkaryl or O-aralkyl, SH, SCH3, OCN, Cl, Br, CN, CF3, OCF3, SOCH3, SO2CH3, ONO2, NO2, N3, NH2, heterocycloalkyl, heterocycloalkaryl, aminoalkylamino, polyalkylamino, substituted silyl, an RNA cleaving group, a reporter group, an intercalator, a group for improving the pharmacokinetic properties of an iRNA, or a group for improving the pharmacodynamic properties of an iRNA, and other substituents having similar properties. In some embodiments, the modification includes a 2′-methoxyethoxy (2′-O—CH2CH2OCH3, also known as 2′-O-(2-methoxyethyl) or 2′-MOE) (Martin et al., Helv. Chim. Acta, 1995, 78:486-504) i.e., an alkoxy-alkoxy group. Another exemplary modification is 2′-dimethylaminooxyethoxy, i.e., a O(CH2)2ON(CH3)2 group, also known as 2′-DMAOE, as described in examples herein below, and 2′-dimethylaminoethoxyethoxy (also known in the art as 2′-O-dimethylaminoethoxyethyl or 2′-DMAEOE), i.e., 2′-O—CH2—O—CH2—N(CH3)2. Further exemplary modifications include: 5′-Me-2′-F nucleotides, 5′-Me-2′-OMe nucleotides, 5′-Me-2′-deoxynucleotides, (both R and S isomers in these three families); 2′-alkoxyalkyl; and 2′-NMA (N-methylacetamide).


Other modifications include 2′-methoxy (2′-OCH3), 2′-aminopropoxy (2′-OCH2CH2CH2NH2) and 2′-fluoro (2′-F). Similar modifications can also be made at other positions on the RNA of an iRNA, particularly the 3′ position of the sugar on the 3′ terminal nucleotide or in 2′-5′ linked dsRNAs and the 5′ position of 5′ terminal nucleotide. iRNAs can also have sugar mimetics such as cyclobutyl moieties in place of the pentofuranosyl sugar. Representative US patents that teach the preparation of such modified sugar structures include, but are not limited to, U.S. Pat. Nos. 4,981,957; 5,118,800; 5,319,080; 5,359,044; 5,393,878; 5,446,137; 5,466,786; 5,514,785; 5,519,134; 5,567,811; 5,576,427; 5,591,722; 5,597,909; 5,610,300; 5,627,053; 5,639,873; 5,646,265; 5,658,873; 5,670,633; and 5,700,920, certain of which are commonly owned with the instant application. The entire contents of each of the foregoing are hereby incorporated herein by reference.


An iRNA can also include nucleobase (often referred to in the art simply as “base”) modifications or substitutions. As used herein, “unmodified” or “natural” nucleobases include the purine bases adenine (A) and guanine (G), and the pyrimidine bases thymine (T), cytosine (C), and uracil (U). Modified nucleobases include other synthetic and natural nucleobases such as deoxythimidine (dT), 5-methylcytosine (5-me-C), 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 uracil and cytosine, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl anal 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, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine and 3-deazaguanine and 3-deazaadenine. Further nucleobases include those disclosed in U.S. Pat. No. 3,687,808, those disclosed in Modified Nucleosides in Biochemistry, Biotechnology and Medicine, Herdewijn, P. ed. Wiley-VCH, 2008; those disclosed in The Concise Encyclopedia Of Polymer Science And Engineering, pages 858-859, Kroschwitz, J. L, ed. John Wiley & Sons, 1990, these disclosed by Englisch et al., Angewandte Chemie, International Edition, 1991, 30, 613, and those disclosed by Sanghvi, Y S., Chapter 15, dsRNA Research and Applications, pages 289-302, Crooke, S. T. and Lebleu, B., Ed., CRC Press, 1993. Certain of these nucleobases are particularly useful for increasing the binding affinity of the oligomeric compounds featured in the invention. These include 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and 0-6 substituted purines, including 2-aminopropyladenine, 5-propynyluracil and 5-propynylcytosine. 5-methylcytosine substitutions have been shown to increase nucleic acid duplex stability by 0.6-1.2° ° C. (Sanghvi, Y. S., Crooke, S. T. and Lebleu, B., Eds., dsRNA Research and Applications, CRC Press, Boca Raton, 1993, pp. 276-278) and are exemplary base substitutions, even more particularly when combined with 2′-O-methoxyethyl sugar modifications.


Representative U.S. Patents that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include, but are not limited to, the above noted U.S. Pat. Nos. 3,687,808, 4,845,205; 5,130,30; 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; 5,681,941; 5,750,692; 6,015,886; 6,147,200; 6,166,197; 6,222,025; 6,235,887; 6,380,368; 6,528,640; 6,639,062; 6,617,438; 7,045,610; 7,427,672; and 7,495,088, the entire contents of each of which are hereby incorporated herein by reference.


In some embodiments, an RNAi agent of the disclosure can also be modified to include one or more bicyclic sugar moieties. A “bicyclic sugar” is a furanosyl ring modified by a ring formed by the bridging of two carbons, whether adjacent or non-adjacent. A “bicyclic nucleoside” (“BNA”) is a nucleoside having a sugar moiety comprising a ring formed by bridging two carbons, whether adjacent or non-adjacent, of the sugar ring, thereby forming a bicyclic ring system. In certain embodiments, the bridge connects the 4′-carbon and the 2′-carbon of the sugar ring, optionally, via the 2′-acyclic oxygen atom. Thus, in some embodiments an agent of the invention may include one or more locked nucleic acids (LNA). A locked nucleic acid is a nucleotide having a modified ribose moiety in which the ribose moiety comprises an extra bridge connecting the 2′ and 4′ carbons. In other words, an LNA is a nucleotide comprising a bicyclic sugar moiety comprising a 4′-CH2—O-2′ bridge. This structure effectively “locks” the ribose in the 3′-endo structural conformation. The addition of locked nucleic acids to siRNAs has been shown to increase siRNA stability in serum, and to reduce off-target effects (Elmen, J. et al., (2005) Nucleic Acids Research 33(1):439-447; Mook, O R. et al., (2007) Mol Canc Ther 6(3):833-843; Grunweller, A. et al., (2003) Nucleic Acids Research 31(12):3185-3193). Examples of bicyclic nucleosides for use in the polynucleotides of the invention include without limitation nucleosides comprising a bridge between the 4′ and the 2′ ribosyl ring atoms. In certain embodiments, the antisense polynucleotide agents of the invention include one or more bicyclic nucleosides comprising a 4′ to 2′ bridge.


A locked nucleoside can be represented by the structure (omitting stereochemistry),




embedded image


wherein B is a nucleobase or modified nucleobase and L is the linking group that joins the 2′-carbon to the 4′-carbon of the ribose ring. Examples of such 4′ to 2′ bridged bicyclic nucleosides, include but are not limited to 4′-(CH2)—O-2′ (LNA); 4′-(CH2)—S-2′; 4′-(CH2)2—O-2′ (ENA); 4′-CH(CH3)—O-2′ (also referred to as “constrained ethyl” or “cEt”) and 4′-CH(CH2OCH3)—O-2′ (and analogs thereof; see, e.g., U.S. Pat. No. 7,399,845); 4′-C(CH3)(CH3)—O-2′ (and analogs thereof; see e.g., U.S. Pat. No. 8,278,283); 4′-CH2—N(OCH3)-2′ (and analogs thereof; see e.g., U.S. Pat. No. 8,278,425); 4′-CH2—O—N(CH3)-2′ (see, e.g., U.S. Patent Publication No. 2004/0171570); 4′-CH2—N(R)—O-2′, wherein R is H, C1-C12 alkyl, or a nitrogen protecting group (see, e.g., U.S. Pat. No. 7,427,672); 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, e.g., U.S. Pat. No. 8,278,426). The entire contents of each of the foregoing are hereby incorporated herein by reference.


Additional representative U.S. Patents and U.S. Patent Publications that teach the preparation of locked nucleic acid nucleotides include, but are not limited to, the following: U.S. Pat. Nos. 6,268,490; 6,525,191; 6,670,461; 6,770,748; 6,794,499; 6,998,484; 7,053,207; 7,034,133; 7,084,125; 7,399,845; 7,427,672; 7,569,686; 7,741,457; 8,022,193; 8,030,467; 8,278,425; 8,278,426; 8,278,283; US 2008/0039618; and US 2009/0012281, the entire contents of each of which are hereby incorporated herein by reference.


Any of the foregoing bicyclic nucleosides can be prepared having one or more stereochemical sugar configurations including for example α-L-ribofuranose and β-D-ribofuranose (see WO 99/14226).


The RNA of an iRNA can also be modified to include one or more constrained ethyl nucleotides. As used herein, a “constrained ethyl nucleotide” or “cEt” is a locked nucleic acid comprising a bicyclic sugar moiety comprising a 4′-CH(CH3)—O-2′ bridge (i.e., L in the preceding structure). In one embodiment, a constrained ethyl nucleotide is in the S conformation referred to herein as “S-cEt.”


An iRNA of the invention may also include one or more “conformationally restricted nucleotides” (“CRN”). CRN are nucleotide analogs with a linker connecting the C2′ and C4′ carbons of ribose or the C3 and -C5′ carbons of ribose. CRN lock the ribose ring into a stable conformation and increase the hybridization affinity to mRNA. The linker is of sufficient length to place the oxygen in an optimal position for stability and affinity resulting in less ribose ring puckering.


Representative publications that teach the preparation of certain of the above noted CRN include, but are not limited to, U.S. Patent Publication No. 2013/0190383; and PCT publication WO 2013/036868, the entire contents of each of which are hereby incorporated herein by reference.


In some embodiments, an iRNA of the invention comprises one or more monomers that are UNA (unlocked nucleic acid) nucleotides. UNA is unlocked acyclic nucleic acid, wherein any of the bonds of the sugar has been removed, forming an unlocked “sugar” residue. In one example, UNA also encompasses monomer with bonds between C1′-C4′ have been removed (i.e. the covalent carbon-oxygen-carbon bond between the C1′ and C4′ carbons). In another example, the C2′-C3′ bond (i.e. the covalent carbon-carbon bond between the C2′ and C3′ carbons) of the sugar has been removed (see Nuc. Acids Symp. Series, 52, 133-134 (2008) and Fluiter et al., Mol. Biosyst., 2009, 10, 1039 hereby incorporated by reference).


Representative U.S. publications that teach the preparation of UNA include, but are not limited to, U.S. Pat. No. 8,314,227; and U.S. Patent Publication Nos. 2013/0096289; 2013/0011922; and 2011/0313020, the entire contents of each of which are hereby incorporated herein by reference.


Potentially stabilizing modifications to the ends of RNA molecules can include N-(acetylaminocaproyl)-4-hydroxyprolinol (Hyp-C6-NHAc), N-(caproyl-4-hydroxyprolinol (Hyp-C6), N-(acetyl-4-hydroxyprolinol (Hyp-NHAc), thymidine-2′-O-deoxythymidine (ether), N-(aminocaproyl)-4-hydroxyprolinol (Hyp-C6-amino), 2-docosanoyl-uridine-3″-phosphate, inverted base dT(idT) and others. Disclosure of this modification can be found in PCT Publication No. WO 2011/005861.


Other modifications of the nucleotides of an iRNA of the invention include a 5′ phosphate or 5′ phosphate mimic, e.g., a 5′-terminal phosphate or phosphate mimic on the antisense strand of an iRNA. Suitable phosphate mimics are disclosed in, for example U.S. Patent Publication No. 2012/0157511, the entire contents of which are incorporated herein by reference.


A. Modified iRNAs Comprising Motifs of the Invention


In certain aspects of the invention, the double stranded RNA agents of the invention include agents with chemical modifications as disclosed, for example, in WO2013/075035, the entire contents of each of which are incorporated herein by reference. As shown herein and in WO2013/075035, one or more motifs of three identical modifications on three consecutive nucleotides may be introduced into a sense strand or antisense strand of a dsRNAi agent, particularly at or near the cleavage site. In some embodiments, the sense strand and antisense strand of the dsRNAi agent may otherwise be completely modified. The introduction of these motifs interrupts the modification pattern, if present, of the sense or antisense strand. The dsRNAi agent may be optionally conjugated with a lipophilic ligand, e.g., a C16 ligand, for instance on the sense strand. The RNAi agent may be optionally modified with a (S)-glycol nucleic acid (GNA) modification, for instance on one or more residues of the antisense strand. The resulting RNAi agents present superior gene silencing activity.


Accordingly, the invention provides double stranded RNA agents capable of inhibiting the expression of a target gene (i.e., STAT6 gene) in vivo. The RNAi agent comprises a sense strand and an antisense strand. Each strand of the RNAi agent may be, for example, 17-30 nucleotides in length, 25-30 nucleotides in length, 27-30 nucleotides in length, 19-25 nucleotides in length, 19-23 nucleotides in length, 19-21 nucleotides in length, 21-25 nucleotides in length, or 21-23 nucleotides in length.


The sense strand and antisense strand typically form a duplex double stranded RNA (“dsRNA”), also referred to herein as “dsRNAi agent.” The duplex region of a dsRNAi agent may be, for example, the duplex region can be 27-30 nucleotide pairs in length, 19-25 nucleotide pairs in length, 19-23 nucleotide pairs in length, 19-21 nucleotide pairs in length, 21-25 nucleotide pairs in length, or 21-23 nucleotide pairs in length. In another example, the duplex region is selected from 19, 20, 21, 22, 23, 24, 25, 26, and 27 nucleotides in length.


In certain embodiments, the dsRNAi agent may contain one or more overhang regions or capping groups at the 3′-end, 5′-end, or both ends of one or both strands. The overhang can be, independently, 1-6 nucleotides in length, for instance 2-6 nucleotides in length, 1-5 nucleotides in length, 2-5 nucleotides in length, 1-4 nucleotides in length, 2-4 nucleotides in length, 1-3 nucleotides in length, 2-3 nucleotides in length, or 1-2 nucleotides in length. In certain embodiments, the overhang regions can include extended overhang regions as provided above. The overhangs can be the result of one strand being longer than the other, or the result of two strands of the same length being staggered. The overhang can form a mismatch with the target mRNA or it can be complementary to the gene sequences being targeted or can be another sequence. The first and second strands can also be joined, e.g., by additional bases to form a hairpin, or by other non-base linkers.


In certain embodiments, the nucleotides in the overhang region of the dsRNAi agent can each independently be a modified or unmodified nucleotide including, but no limited to 2′-sugar modified, such as, 2′-F, 2′-O-methyl, thymidine (T), 2-O-methoxyethyl-5-methyluridine (Teo), 2′-O-methoxyethyladenosine (Aeo), 2-O-methoxyethyl-5-methylcytidine (m5Ceo), and any combinations thereof.


For example, TT can be an overhang sequence for either end on either strand. The overhang can form a mismatch with the target mRNA or it can be complementary to the gene sequences being targeted or can be another sequence.


The 5′- or 3′-overhangs at the sense strand, antisense strand, or both strands of the dsRNAi agent may be phosphorylated. In some embodiments, the overhang region(s) contains two nucleotides having a phosphorothioate between the two nucleotides, where the two nucleotides can be the same or different. In some embodiments, the overhang is present at the 3′-end of the sense strand, antisense strand, or both strands. In some embodiments, this 3′-overhang is present in the antisense strand. In some embodiments, this 3′-overhang is present in the sense strand.


The dsRNAi agent may contain only a single overhang, which can strengthen the interference activity of the RNAi, without affecting its overall stability. For example, the single-stranded overhang may be located at the 3′-end of the sense strand or, alternatively, at the 3′-end of the antisense strand. The RNAi may also have a blunt end, located at the 5′-end of the antisense strand (i.e., the 3′-end of the sense strand) or vice versa. Generally, the antisense strand of the dsRNAi agent has a nucleotide overhang at the 3′-end, and the 5′-end is blunt. While not wishing to be bound by theory, the asymmetric blunt end at the 5′-end of the antisense strand and 3′-end overhang of the antisense strand favor the guide strand loading into RISC process.


In certain embodiments, the dsRNAi agent is a double blunt-ended of 19 nucleotides in length, wherein the sense strand contains at least one motif of three 2′-F modifications on three consecutive nucleotides at positions 7, 8, 9 from the 5′end. The antisense strand contains at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at positions 11, 12, and 13 from the 5′end.


In other embodiments, the dsRNAi agent is a double blunt-ended of 20 nucleotides in length, wherein the sense strand contains at least one motif of three 2′-F modifications on three consecutive nucleotides at positions 8, 9, and 10 from the 5′end. The antisense strand contains at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at positions 11, 12, and 13 from the 5′end.


In yet other embodiments, the dsRNAi agent is a double blunt-ended of 21 nucleotides in length, wherein the sense strand contains at least one motif of three 2′-F modifications on three consecutive nucleotides at positions 9, 10, and 11 from the 5′end. The antisense strand contains at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at positions 11, 12, and 13 from the 5′end.


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


When the 2 nucleotide overhang is at the 3′-end of the antisense strand, there may be two phosphorothioate internucleotide linkages between the terminal three nucleotides, wherein two of the three nucleotides are the overhang nucleotides, and the third nucleotide is a paired nucleotide next to the overhang nucleotide. In one embodiment, the RNAi agent additionally has two phosphorothioate internucleotide linkages between the terminal three nucleotides at both the 5′-end of the sense strand and at the 5′-end of the antisense strand. In certain embodiments, every nucleotide in the sense strand and the antisense strand of the dsRNAi agent, including the nucleotides that are part of the motifs are modified nucleotides. In certain embodiments each residue is independently modified with a 2′-O-methyl or 3′-fluoro, e.g., in an alternating motif. Optionally, the dsRNAi agent further comprises a ligand (such as, a lipophilic ligand, optionally a C16 ligand).


In certain embodiments, the dsRNAi agent comprises a sense and an antisense strand, wherein the sense strand is 25-30 nucleotide residues in length, wherein starting from the 5′ terminal nucleotide (position 1) positions 1 to 23 of the first strand comprise at least 8 ribonucleotides; the antisense strand is 36-66 nucleotide residues in length and, starting from the 3′ terminal nucleotide, comprises at least 8 ribonucleotides in the positions paired with positions 1-23 of sense strand to form a duplex; wherein at least the 3 ‘ terminal nucleotide of antisense strand is unpaired with sense strand, and up to 6 consecutive 3’ terminal nucleotides are unpaired with sense strand, thereby forming a 3′ single stranded overhang of 1-6 nucleotides; wherein the 5′ terminus of antisense strand comprises from 10-30 consecutive nucleotides which are unpaired with sense strand, thereby forming a 10-30 nucleotide single stranded 5′ overhang; wherein at least the sense strand 5′ terminal and 3′ terminal nucleotides are base paired with nucleotides of antisense strand when sense and antisense strands are aligned for maximum complementarity, thereby forming a substantially duplexed region between sense and antisense strands; and antisense strand is sufficiently complementary to a target RNA along at least 19 ribonucleotides of antisense strand length to reduce target gene expression when the double stranded nucleic acid is introduced into a mammalian cell; and wherein the sense strand contains at least one motif of three 2′-F modifications on three consecutive nucleotides, where at least one of the motifs occurs at or near the cleavage site. The antisense strand contains at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at or near the cleavage site.


In certain embodiments, the dsRNAi agent comprises sense and antisense strands, wherein the dsRNAi agent comprises a first strand having a length which is at least 25 and at most 29 nucleotides and a second strand having a length which is at most 30 nucleotides with at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at position 11, 12, 13 from the 5′ end; wherein the 3′ end of the first strand and the 5′ end of the second strand form a blunt end and the second strand is 1-4 nucleotides longer at its 3′ end than the first strand, wherein the duplex region which is at least 25 nucleotides in length, and the second strand is sufficiently complementary to a target mRNA along at least 19 nucleotide of the second strand length to reduce target gene expression when the RNAi agent is introduced into a mammalian cell, and wherein Dicer cleavage of the dsRNAi agent results in an siRNA comprising the 3′-end of the second strand, thereby reducing expression of the target gene in the mammal. Optionally, the dsRNAi agent further comprises a ligand.


In certain embodiments, the sense strand of the dsRNAi agent contains at least one motif of three identical modifications on three consecutive nucleotides, where one of the motifs occurs at the cleavage site in the sense strand.


In certain embodiments, the antisense strand of the dsRNAi agent can also contain at least one motif of three identical modifications on three consecutive nucleotides, where one of the motifs occurs at or near the cleavage site in the antisense strand.


For a dsRNAi agent having a duplex region of 19-23 nucleotides in length, the cleavage site of the antisense strand is typically around the 10, 11, and 12 positions from the 5′-end. Thus the motifs of three identical modifications may occur at the 9, 10, 11 positions; the 10, 11, 12 positions; the 11, 12, 13 positions; the 12, 13, 14 positions; or the 13, 14, 15 positions of the antisense strand, the count starting from the first nucleotide from the 5′-end of the antisense strand, or, the count starting from the first paired nucleotide within the duplex region from the 5′-end of the antisense strand. The cleavage site in the antisense strand may also change according to the length of the duplex region of the dsRNAi agent from the 5′-end.


The sense strand of the dsRNAi agent may contain at least one motif of three identical modifications on three consecutive nucleotides at the cleavage site of the strand; and the antisense strand may have at least one motif of three identical modifications on three consecutive nucleotides at or near the cleavage site of the strand. When the sense strand and the antisense strand form a dsRNA duplex, the sense strand and the antisense strand can be so aligned that one motif of the three nucleotides on the sense strand and one motif of the three nucleotides on the antisense strand have at least one nucleotide overlap, i.e., at least one of the three nucleotides of the motif in the sense strand forms a base pair with at least one of the three nucleotides of the motif in the antisense strand. Alternatively, at least two nucleotides may overlap, or all three nucleotides may overlap.


In some embodiments, the sense strand of the dsRNAi agent may contain more than one motif of three identical modifications on three consecutive nucleotides. The first motif may occur at or near the cleavage site of the strand and the other motifs may be a wing modification. The term “wing modification” herein refers to a motif occurring at another portion of the strand that is separated from the motif at or near the cleavage site of the same strand. The wing modification is either adjacent to the first motif or is separated by at least one or more nucleotides. When the motifs are immediately adjacent to each other then the chemistries of the motifs are distinct from each other, and when the motifs are separated by one or more nucleotide than the chemistries can be the same or different. Two or more wing modifications may be present. For instance, when two wing modifications are present, each wing modification may occur at one end relative to the first motif which is at or near cleavage site or on either side of the lead motif.


Like the sense strand, the antisense strand of the dsRNAi agent may contain more than one motif of three identical modifications on three consecutive nucleotides, with at least one of the motifs occurring at or near the cleavage site of the strand. This antisense strand may also contain one or more wing modifications in an alignment similar to the wing modifications that may be present on the sense strand.


In some embodiments, the wing modification on the sense strand or antisense strand of the dsRNAi agent typically does not include the first one or two terminal nucleotides at the 3′-end, 5′-end, or both ends of the strand.


In other embodiments, the wing modification on the sense strand or antisense strand of the dsRNAi agent typically does not include the first one or two paired nucleotides within the duplex region at the 3′-end, 5′-end, or both ends of the strand.


When the sense strand and the antisense strand of the dsRNAi agent each contain at least one wing modification, the wing modifications may fall on the same end of the duplex region, and have an overlap of one, two, or three nucleotides.


When the sense strand and the antisense strand of the dsRNAi agent each contain at least two wing modifications, the sense strand and the antisense strand can be so aligned that two modifications each from one strand fall on one end of the duplex region, having an overlap of one, two, or three nucleotides; two modifications each from one strand fall on the other end of the duplex region, having an overlap of one, two or three nucleotides; two modifications one strand fall on each side of the lead motif, having an overlap of one, two or three nucleotides in the duplex region.


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


As nucleic acids are polymers of subunits, many of the modifications occur at a position which is repeated within a nucleic acid, e.g., a modification of a base, or a phosphate moiety, or a non-linking O of a phosphate moiety. In some cases the modification will occur at all of the subject positions in the nucleic acid but in many cases it will not. By way of example, a modification may only occur at a 3′- or 5′ terminal position, may only occur in a terminal region, e.g., at a position on a terminal nucleotide or in the last 2, 3, 4, 5, or 10 nucleotides of a strand. A modification may occur in a double strand region, a single strand region, or in both. A modification may occur only in the double strand region of an RNA or may only occur in a single strand region of a RNA. For example, a phosphorothioate modification at a non-linking O position may only occur at one or both termini, may only occur in a terminal region, e.g., at a position on a terminal nucleotide or in the last 2, 3, 4, 5, or 10 nucleotides of a strand, or may occur in double strand and single strand regions, particularly at termini. The 5′-end or ends can be phosphorylated.


It may be possible, e.g., to enhance stability, to include particular bases in overhangs, or to include modified nucleotides or nucleotide surrogates, in single strand overhangs, e.g., in a 5′- or 3′-overhang, or in both. For example, it can be desirable to include purine nucleotides in overhangs. In some embodiments all or some of the bases in a 3′- or 5′-overhang may be modified, e.g., with a modification described herein. Modifications can include, e.g., the use of modifications at the 2′ position of the ribose sugar with modifications that are known in the art, e.g., the use of deoxyribonucleotides, 2′-deoxy-2′-fluoro (2′-F) or 2′-O-methyl modified instead of the ribosugar of the nucleobase, and modifications in the phosphate group, e.g., phosphorothioate modifications. Overhangs need not be homologous with the target sequence.


In some embodiments, each residue of the sense strand and antisense strand is independently modified with LNA, CRN, CET, UNA, HNA, CeNA, 2′-methoxyethyl, 2′-O-methyl, 2′-O-allyl, 2′-C-allyl. 2′-deoxy, 2′-hydroxyl, or 2′-fluoro. The strands can contain more than one modification. In one embodiment, each residue of the sense strand and antisense strand is independently modified with 2′-O-methyl or 2′-fluoro.


At least two different modifications are typically present on the sense strand and antisense strand. Those two modifications may be the 2′-O-methyl or 2′-fluoro modifications, or others.


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


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


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


In some embodiments, the dsRNAi agent comprises the pattern of the alternating motif of 2′-O-methyl modification and 2′-F modification on the sense strand initially has a shift relative to the pattern of the alternating motif of 2′-O-methyl modification and 2′-F modification on the antisense strand initially, i.e., the 2′-O-methyl modified nucleotide on the sense strand base pairs with a 2′-F modified nucleotide on the antisense strand and vice versa. The 1 position of the sense strand may start with the 2′-F modification, and the 1 position of the antisense strand may start with the 2′-O-methyl modification.


The introduction of one or more motifs of three identical modifications on three consecutive nucleotides to the sense strand or antisense strand interrupts the initial modification pattern present in the sense strand or antisense strand. This interruption of the modification pattern of the sense or antisense strand by introducing one or more motifs of three identical modifications on three consecutive nucleotides to the sense or antisense strand may enhance the gene silencing activity against the target gene.


In some embodiments, when the motif of three identical modifications on three consecutive nucleotides is introduced to any of the strands, the modification of the nucleotide next to the motif is a different modification than the modification of the motif. For example, the portion of the sequence containing the motif is “ . . . NaYYYNb . . . .” where “Y” represents the modification of the motif of three identical modifications on three consecutive nucleotide, and “Na” and “No” represent a modification to the nucleotide next to the motif “YYY” that is different than the modification of Y, and where Na and No can be the same or different modifications. Alternatively, Na or Ns may be present or absent when there is a wing modification present.


The iRNA may further comprise at least one phosphorothioate or methylphosphonate internucleotide linkage. The phosphorothioate or methylphosphonate internucleotide linkage modification may occur on any nucleotide of the sense strand, antisense strand, or both strands in any position of the strand. For instance, the internucleotide linkage modification may occur on every nucleotide on the sense strand or antisense strand; each internucleotide linkage modification may occur in an alternating pattern on the sense strand or antisense strand; or the sense strand or antisense strand may contain both internucleotide linkage modifications in an alternating pattern. The alternating pattern of the internucleotide linkage modification on the sense strand may be the same or different from the antisense strand, and the alternating pattern of the internucleotide linkage modification on the sense strand may have a shift relative to the alternating pattern of the internucleotide linkage modification on the antisense strand. In one embodiment, a double-stranded RNAi agent comprises 6-8 phosphorothioate internucleotide linkages. In some embodiments, the antisense strand comprises two phosphorothioate internucleotide linkages at the 5′-end and two phosphorothioate internucleotide linkages at the 3′-end, and the sense strand comprises at least two phosphorothioate internucleotide linkages at either the 5′-end or the 3′-end.


In some embodiments, the dsRNAi agent comprises a phosphorothioate or methylphosphonate internucleotide linkage modification in the overhang region. For example, the overhang region may contain two nucleotides having a phosphorothioate or methylphosphonate internucleotide linkage between the two nucleotides. Internucleotide linkage modifications also may be made to link the overhang nucleotides with the terminal paired nucleotides within the duplex region. For example, at least 2, 3, 4, or all the overhang nucleotides may be linked through phosphorothioate or methylphosphonate internucleotide linkage, and optionally, there may be additional phosphorothioate or methylphosphonate internucleotide linkages linking the overhang nucleotide with a paired nucleotide that is next to the overhang nucleotide. For instance, there may be at least two phosphorothioate internucleotide linkages between the terminal three nucleotides, in which two of the three nucleotides are overhang nucleotides, and the third is a paired nucleotide next to the overhang nucleotide. These terminal three nucleotides may be at the 3′-end of the antisense strand, the 3′-end of the sense strand, the 5′-end of the antisense strand, or the 5′end of the antisense strand.


In some embodiments, the 2-nucleotide overhang is at the 3′-end of the antisense strand, and there are two phosphorothioate internucleotide linkages between the terminal three nucleotides, wherein two of the three nucleotides are the overhang nucleotides, and the third nucleotide is a paired nucleotide next to the overhang nucleotide. Optionally, the dsRNAi agent may additionally have two phosphorothioate internucleotide linkages between the terminal three nucleotides at both the 5′-end of the sense strand and at the 5′-end of the antisense strand.


In one embodiment, the dsRNAi agent comprises mismatch(es) with the target, within the duplex, or combinations thereof. The mismatch may occur in the overhang region or the duplex region. The base pair may be ranked on the basis of their propensity to promote dissociation or melting (e.g., on the free energy of association or dissociation of a particular pairing, the simplest approach is to examine the pairs on an individual pair basis, though next neighbor or similar analysis can also be used). In terms of promoting dissociation: A:U is preferred over G:C; G:U is preferred over G:C; and I:C is preferred over G:C (I=inosine). Mismatches, e.g., non-canonical or other than canonical pairings (as described elsewhere herein) are preferred over canonical (A:T, A:U, G:C) pairings; and pairings which include a universal base are preferred over canonical pairings.


In certain embodiments, the dsRNAi agent comprises at least one of the first 1, 2, 3, 4, or 5 base pairs within the duplex regions from the 5′-end of the antisense strand independently selected from the group of: A:U, G:U, I:C, and mismatched pairs, e.g., non-canonical or other than canonical pairings or pairings which include a universal base, to promote the dissociation of the antisense strand at the 5′-end of the duplex.


In certain embodiments, the nucleotide at the 1 position within the duplex region from the 5′-end in the antisense strand is selected from A, dA, dU, U, and dT. Alternatively, at least one of the first 1, 2, or 3 base pair within the duplex region from the 5′-end of the antisense strand is an AU base pair. For example, the first base pair within the duplex region from the 5′-end of the antisense strand is an AU base pair.


In other embodiments, the nucleotide at the 3′-end of the sense strand is deoxythimidine (dT) or the nucleotide at the 3′-end of the antisense strand is deoxythimidine (dT). For example, there is a short sequence of deoxythimidine nucleotides, for example, two dT nucleotides on the 3′-end of the sense, antisense strand, or both strands.


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









(I)


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








    • wherein:

    • i and j are each independently 0 or 1;

    • p and q are each independently 0-6;

    • each Na independently represents an oligonucleotide sequence comprising 0-25 modified nucleotides, each sequence comprising at least two differently modified nucleotides;

    • each Nb independently represents an oligonucleotide sequence comprising 0-10 modified nucleotides;

    • each np and nq independently represent an overhang nucleotide;

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

    • XXX, YYY, and ZZZ each independently represent one motif of three identical modifications on three consecutive nucleotides. In one embodiment, YYY is all 2′-F modified nucleotides.





In some embodiments, the Na or Nb comprises modifications of alternating pattern.


In some embodiments, the YYY motif occurs at or near the cleavage site of the sense strand. For example, when the dsRNAi agent has a duplex region of 17-23 nucleotides in length, the YYY motif can occur at or the vicinity of the cleavage site (e.g.: can occur at positions 6, 7, 8; 7, 8, 9; 8, 9, 10; 9, 10, 11; 10, 11, 12; or 11, 12, 13) of the sense strand, the count starting from the first nucleotide, from the 5′-end; or optionally, the count starting at the first paired nucleotide within the duplex region, from the 5′-end.


In one embodiment, i is 1 and j is 0, or i is 0 and j is 1, or both i and j are 1. The sense strand can therefore be represented by the following formulas:











(Ib)



5′ np-Na-YYY-Nb-ZZZ-Na-nq 3′;







(Ic)



5′ np-Na-XXX-Nb-YYY-Na-nq 3′;



or







(Id)



5′ np-Na-XXX-Nb-YYY-Nb-ZZZ-Na-nq 3′.






When the sense strand is represented by formula (Ib), Nb represents an oligonucleotide sequence comprising 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na independently can represent an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the sense strand is represented as formula (Ic), Nb represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na can independently represent an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the sense strand is represented as formula (Id), each Nb independently represents an oligonucleotide sequence comprising 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. In one embodiment, Nb is 0, 1, 2, 3, 4, 5, or 6 Each Na can independently represent an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


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


In other embodiments, i is 0 and j is 0, and the sense strand may be represented by the formula:











(Ia)



5′ np-Na-Y Y Y-Na-nq 3′.






When the sense strand is represented by formula (Ia), each Na independently can represent an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


In one embodiment, the antisense strand sequence of the RNAi may be represented by formula (II):









(II)


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


np′ 3′








    • wherein:

    • k and l are each independently 0 or 1;

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

    • each Na′ independently represents an oligonucleotide sequence comprising 0-25 modified nucleotides, each sequence comprising at least two differently modified nucleotides;

    • each Nb′ independently represents an oligonucleotide sequence comprising 0-10 modified nucleotides;

    • each np′ and nq′ independently represent an overhang nucleotide;

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

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





In some embodiments, the Na′ or Nb′ comprises modifications of alternating pattern.


The Y′Y′Y′ motif occurs at or near the cleavage site of the antisense strand. For example, when the dsRNAi agent has a duplex region of 17-23 nucleotides in length, the Y′Y′Y′ motif can occur at positions 9, 10, 11; 10, 11, 12; 11, 12, 13; 12, 13, 14; or 13, 14, 15 of the antisense strand, with the count starting from the first nucleotide, from the 5′-end; or optionally, the count starting at the first paired nucleotide within the duplex region, from the 5′-end. In one embodiment, the Y′Y′Y′ motif occurs at positions 11, 12, 13.


In certain embodiments, Y′Y′Y′ motif is all 2′-OMe modified nucleotides.


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


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









(IIb)


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





(IIc)


5′ nq′-Na′-Y′Y′Y′-Nb′-X′X′X′-np′ 3′;


or





(IId)


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






When the antisense strand is represented by formula (IIb), Nb′ represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na′ independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the antisense strand is represented as formula (IIc), Nb′ represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na′ independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the antisense strand is represented as formula (IId), each Nb′ independently represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na′ independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides. In one embodiment, Nb is 0, 1, 2, 3, 4, 5, or 6.


In other embodiments, k is 0 and l is 0 and the antisense strand may be represented by the formula:











(Ia)



5′ np′-Na′-Y′Y′Y′-Na′-nq′ 3′.






When the antisense strand is represented as formula (IIa), each Na′ independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides. Each of X′, Y′ and Z′ may be the same or different from each other.


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


In some embodiments, the sense strand of the dsRNAi agent may contain YYY motif occurring at 9, 10, and 11 positions of the strand when the duplex region is 21 nt, the count starting from the first nucleotide from the 5′-end, or optionally, the count starting at the first paired nucleotide within the duplex region, from the 5′-end; and Y represents 2′-F modification. The sense strand may additionally contain XXX motif or ZZZ motifs as wing modifications at the opposite end of the duplex region; and XXX and ZZZ each independently represents a 2′-OMe modification or 2′-F modification.


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


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


Accordingly, the dsRNAi agents for use in the methods of the invention may comprise a sense strand and an antisense strand, each strand having 14 to 30 nucleotides, the iRNA duplex represented by formula (III):









(III)


sense:


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





antisense:


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


nq′ 5′








    • wherein:

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

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

    • each Na and Na independently represents an oligonucleotide sequence comprising 0-25 modified nucleotides, each sequence comprising at least two differently modified nucleotides;

    • each Nb and Nb independently represents an oligonucleotide sequence comprising 0-10 modified nucleotides;

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

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





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


Exemplary combinations of the sense strand and antisense strand forming an iRNA duplex include the formulas below:









(IIIa)


5′ np-Na-Y Y Y-Na-nq 3′


3′ np′-Na′-Y′Y′Y′-Na′nq′ 5′





(IIIb)


5′ np-Na-Y Y Y-Nb-Z Z Z-Na-nq 3′


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





(IIIc)


5′ np-Na-X X X-Nb-Y Y Y-Na-nq 3′


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





(IIId)


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


3′ np′-Na′-X′X′X′-Nb′-Y′Y′Y′-Nb′-Z′Z′Z′-Na-n q′ 5′






When the dsRNAi agent is represented by formula (IIIa), each Na independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the dsRNAi agent is represented by formula (IIIb), each Nb independently represents an oligonucleotide sequence comprising 1-10, 1-7, 1-5, or 1-4 modified nucleotides. Each Na independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the dsRNAi agent is represented as formula (IIIc), each Nb, Nb′ independently represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides.


When the dsRNAi agent is represented as formula (IIId), each Nb, Nb′ independently represents an oligonucleotide sequence comprising 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 modified nucleotides. Each Na, Na independently represents an oligonucleotide sequence comprising 2-20, 2-15, or 2-10 modified nucleotides. Each of Na, Na′, Nb, and Nb independently comprises modifications of alternating pattern.


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


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


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


When the dsRNAi agent is represented as formula (IIIc) or (IIId), at least one of the X nucleotides may form a base pair with one of the X′ nucleotides. Alternatively, at least two of the X nucleotides form base pairs with the corresponding X′ nucleotides; or all three of the X nucleotides all form base pairs with the corresponding X′ nucleotides.


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


In certain embodiments, when the dsRNAi agent is represented by formula (IIId), the Na modifications are 2′-O-methyl or 2′-fluoro modifications. In other embodiments, when the RNAi agent is represented by formula (IIId), the Na modifications are 2′-O-methyl or 2′-fluoro modifications and np′>0 and at least one ne′ is linked to a neighboring nucleotide a via phosphorothioate linkage. In yet other embodiments, when the RNAi agent is represented by formula (IIId), the Na modifications are 2′-O-methyl or 2′-fluoro modifications, np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, and the sense strand is conjugated to one or more GalNAc derivatives attached through a bivalent or trivalent branched linker (described below). In other embodiments, when the RNAi agent is represented by formula (IIId), the Na modifications are 2′-O-methyl or 2′-fluoro modifications, np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, the sense strand comprises at least one phosphorothioate linkage, and the sense strand is conjugated to one or more GalNAc derivatives attached through a bivalent or trivalent branched linker.


In some embodiments, when the dsRNAi agent is represented by formula (IIIa), the Na modifications are 2′-O-methyl or 2′-fluoro modifications, np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, the sense strand comprises at least one phosphorothioate linkage, and the sense strand is conjugated to one or more GalNAc derivatives attached through a bivalent or trivalent branched linker.


In some embodiments, the dsRNAi agent is a multimer containing at least two duplexes represented by formula (III), (IIIa), (IIIb), (IIIc), and (IIId), wherein the duplexes are connected by a linker. The linker can be cleavable or non-cleavable. Optionally, the multimer further comprises a ligand. Each of the duplexes can target the same gene or two different genes; or each of the duplexes can target same gene at two different target sites.


In some embodiments, the dsRNAi agent is a multimer containing three, four, five, six, or more duplexes represented by formula (III), (IIIa), (IIIb), (IIIc), and (IIId), wherein the duplexes are connected by a linker. The linker can be cleavable or non-cleavable. Optionally, the multimer further comprises a ligand. Each of the duplexes can target the same gene or two different genes; or each of the duplexes can target same gene at two different target sites.


In one embodiment, two dsRNAi agents represented by at least one of formulas (III), (IIIa), (IIIb), (IIIc), and (IIId) are linked to each other at the 5′ end, and one or both of the 3′ ends, and are optionally conjugated to a ligand. Each of the agents can target the same gene or two different genes; or each of the agents can target same gene at two different target sites.


In certain embodiments, an RNAi agent of the invention may contain a low number of nucleotides containing a 2′-fluoro modification, e.g., 10 or fewer nucleotides with 2′-fluoro modification. For example, the RNAi agent may contain 10, 9, 8, 7, 6, 5, 4, 3, 2, 1 or 0 nucleotides with a 2′-fluoro modification. In a specific embodiment, the RNAi agent of the invention contains 10 nucleotides with a 2′-fluoro modification, e.g., 4 nucleotides with a 2′-fluoro modification in the sense strand and 6 nucleotides with a 2′-fluoro modification in the antisense strand. In another specific embodiment, the RNAi agent of the invention contains 6 nucleotides with a 2′-fluoro modification, e.g., 4 nucleotides with a 2′-fluoro modification in the sense strand and 2 nucleotides with a 2′-fluoro modification in the antisense strand.


In other embodiments, an RNAi agent of the invention may contain an ultra low number of nucleotides containing a 2′-fluoro modification, e.g., 2 or fewer nucleotides containing a 2′-fluoro modification. For example, the RNAi agent may contain 2, 1 of 0 nucleotides with a 2′-fluoro modification. In a specific embodiment, the RNAi agent may contain 2 nucleotides with a 2′-fluoro modification, e.g., 0 nucleotides with a 2-fluoro modification in the sense strand and 2 nucleotides with a 2′-fluoro modification in the antisense strand.


Various publications describe multimeric iRNAs that can be used in the methods of the invention. Such publications include WO2007/091269, U.S. Pat. No. 7,858,769, WO2010/141511, WO2007/117686, WO2009/014887, and WO2011/031520 the entire contents of each of which are hereby incorporated herein by reference.


In certain embodiments, the compositions and methods of the disclosure include a vinyl phosphonate (VP) modification of an RNAi agent as described herein. In exemplary embodiments, a 5′ vinyl phosphonate modified nucleotide of the disclosure has the structure:




embedded image




    • wherein X is O or S;

    • R is hydrogen, hydroxy, fluoro, or C1-20alkoxy (e.g., methoxy or n-hexadecyloxy);

    • R5′ is ═C(H)—P(O)(OH), and the double bond between the C5′ carbon and R5′ is in the E or Z orientation (e.g., E orientation); and

    • B is a nucleobase or a modified nucleobase, optionally where B is adenine, guanine, cytosine, thymine, or uracil.





A vinyl phosphonate of the instant disclosure may be attached to either the antisense or the sense strand of a dsRNA of the disclosure. In certain embodiments, a vinyl phosphonate of the instant disclosure is attached to the antisense strand of a dsRNA, optionally at the 5′ end of the antisense strand of the dsRNA.


Vinyl phosphonate modifications are also contemplated for the compositions and methods of the instant disclosure. An exemplary vinyl phosphonate structure includes the preceding structure, where R5′ is ═C(H)—OP(O)(OH)2 and the double bond between the C5′ carbon and R5′ is in the E or Z orientation (e.g., E orientation).


As described in more detail below, the iRNA that contains conjugations of one or more carbohydrate moieties to an iRNA can optimize one or more properties of the iRNA. In many cases, the carbohydrate moiety will be attached to a modified subunit of the iRNA. For example, the ribose sugar of one or more ribonucleotide subunits of a iRNA can be replaced with another moiety, e.g., a non-carbohydrate (such as, cyclic) carrier to which is attached a carbohydrate ligand. A ribonucleotide subunit in which the ribose sugar of the subunit has been so replaced is referred to herein as a ribose replacement modification subunit (RRMS). A cyclic carrier may be a carbocyclic ring system, i.e., all ring atoms are carbon atoms, or a heterocyclic ring system, i.e., one or more ring atoms may be a heteroatom, e.g., nitrogen, oxygen, sulfur. The cyclic carrier may be a monocyclic ring system, or may contain two or more rings, e.g. fused rings. The cyclic carrier may be a fully saturated ring system, or it may contain one or more double bonds.


The ligand may be attached to the polynucleotide via a carrier. The carriers include (i) at least one “backbone attachment point.” such as, two “backbone attachment points” and (ii) at least one “tethering attachment point.” A “backbone attachment point” as used herein refers to a functional group, e.g. a hydroxyl group, or generally, a bond available for, and that is suitable for incorporation of the carrier into the backbone, e.g., the phosphate, or modified phosphate, e.g., sulfur containing, backbone, of a ribonucleic acid. A “tethering attachment point” (TAP) in some embodiments refers to a constituent ring atom of the cyclic carrier, e.g., a carbon atom or a heteroatom (distinct from an atom which provides a backbone attachment point), that connects a selected moiety. The moiety can be, e.g., a carbohydrate, e.g. monosaccharide, disaccharide, trisaccharide, tetrasaccharide, oligosaccharide, or polysaccharide. Optionally, the selected moiety is connected by an intervening tether to the cyclic carrier. Thus, the cyclic carrier will often include a functional group, e.g., an amino group, or generally, provide a bond, that is suitable for incorporation or tethering of another chemical entity, e.g., a ligand to the constituent ring.


The iRNA may be conjugated to a ligand via a carrier, wherein the carrier can be cyclic group or acyclic group. In one embodiment, the cyclic group is selected from pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, piperidinyl, piperazinyl, [1,3]dioxolane, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, quinoxalinyl, pyridazinonyl, tetrahydrofuryl, and decalin. In one embodiment, the acyclic group is a serinol backbone or diethanolamine backbone.


i. Thermally Destabilizing Modifications


In certain embodiments, a dsRNA molecule can be optimized for RNA interference by incorporating thermally destabilizing modifications in the seed region of the antisense strand. As used herein “seed region” means at positions 2-9 of the 5′-end of the referenced strand. For example, thermally destabilizing modifications can be incorporated in the seed region of the antisense strand to reduce or inhibit off-target gene silencing.


The term “thermally destabilizing modification(s)” includes modification(s) that would result with a dsRNA with a lower overall melting temperature (Tm) than the Tm of the dsRNA without having such modification(s). For example, the thermally destabilizing modification(s) can decrease the Tm of the dsRNA by 1-4° C., such as one, two, three or four degrees Celcius. And, the term “thermally destabilizing nucleotide” refers to a nucleotide containing one or more thermally destabilizing modifications.


It has been discovered that dsRNAs with an antisense strand comprising at least one thermally destabilizing modification of the duplex within the first 9 nucleotide positions, counting from the 5′ end, of the antisense strand have reduced off-target gene silencing activity. Accordingly, in some embodiments, the antisense strand comprises at least one (e.g., one, two, three, four, five or more) thermally destabilizing modification of the duplex within the first 9 nucleotide positions of the 5′ region of the antisense strand. In some embodiments, one or more thermally destabilizing modification(s) of the duplex is/are located in positions 2-9, such as, positions 4-8, from the 5′-end of the antisense strand. In some further embodiments, the thermally destabilizing modification(s) of the duplex is/are located at position 6, 7 or 8 from the 5′-end of the antisense strand. In still some further embodiments, the thermally destabilizing modification of the duplex is located at position 7 from the 5′-end of the antisense strand. In some embodiments, the thermally destabilizing modification of the duplex is located at position 2, 3, 4, 5 or 9 from the 5′-end of the antisense strand.


An iRNA agent comprises a sense strand and an antisense strand, each strand having 14 to 40 nucleotides. The RNAi agent may be represented by formula (L):




embedded image


In formula (L), B1, B2, B3, B1′, B2′, B3′, and B4′ each are independently a nucleotide containing a modification selected from the group consisting of 2′-O-alkyl, 2′-substituted alkoxy, 2′-substituted alkyl, 2′-halo, ENA, and BNA/LNA. In one embodiment, B1, B2, B3, B1′, B2′, B3′, and B4′ each contain 2′-OMe modifications. In one embodiment, B1, B2, B3, B1′, B2′, B3′, and B4′ each contain 2′-OMe or 2′-F modifications. In one embodiment, at least one of B1, B2, B3, B1′, B2′, B3′, and B4′ contain 2′-O—N-methylacetamido (2′-O-NMA, 2′O—CH2C(O)N(Me)H) modification.


C1 is a thermally destabilizing nucleotide placed at a site opposite to the seed region of the antisense strand (i.e., at positions 2-8 of the 5′-end of the antisense strand). For example, C1 is at a position of the sense strand that pairs with a nucleotide at positions 2-8 of the 5′-end of the antisense strand. In one example, C1 is at position 15 from the 5′-end of the sense strand. C1 nucleotide bears the thermally destabilizing modification which can include abasic modification; mismatch with the opposing nucleotide in the duplex; and sugar modification such as 2′-deoxy modification or acyclic nucleotide e.g., unlocked nucleic acids (UNA) or glycerol nucleic acid (GNA). In one embodiment, C1 has thermally destabilizing modification selected from the group consisting of: i) mismatch with the opposing nucleotide in the antisense strand; ii) abasic modification selected from the group consisting of:




embedded image


and iii) sugar modification selected from the group consisting of:




embedded image


wherein B is a modified or unmodified nucleobase, R1 and R2 independently are H, halogen, OR3, or alkyl; and R3 is H, alkyl, cycloalkyl, aryl, aralkyl, heteroaryl or sugar. In one embodiment, the thermally destabilizing modification in C1 is a mismatch selected from the group consisting of G:G, G:A, G:U, G:T, A:A, A:C, C:C, C:U, C:T, U:U, T:T, and U:T; and optionally, at least one nucleobase in the mismatch pair is a 2′-deoxy nucleobase. In one example, the thermally destabilizing modification in C1 is GNA or




embedded image


T1, T1′, T2′, and T3′ each independently represent a nucleotide comprising a modification providing the nucleotide a steric bulk that is less or equal to the steric bulk of a 2′-OMe modification. A steric bulk refers to the sum of steric effects of a modification. Methods for determining steric effects of a modification of a nucleotide are known to one skilled in the art. The modification can be at the 2′ position of a ribose sugar of the nucleotide, or a modification to a non-ribose nucleotide, acyclic nucleotide, or the backbone of the nucleotide that is similar or equivalent to the 2′ position of the ribose sugar, and provides the nucleotide a steric bulk that is less than or equal to the steric bulk of a 2′-OMe modification. For example, T1, T1′, T2′, and T3′ are each independently selected from DNA, RNA, LNA, 2′-F, and 2′-F-5′-methyl. In one embodiment, T1 is DNA. In one embodiment,


T1′ is DNA, RNA or LNA. In one embodiment, T2′ is DNA or RNA. In one embodiment, T3′ is DNA or RNA.


n1, n3, and q1 are independently 4 to 15 nucleotides in length.


n5, q3, and q7 are independently 1-6 nucleotide(s) in length.


n4, q2, and q6 are independently 1-3 nucleotide(s) in length; alternatively, n4 is 0.


q5 is independently 0-10 nucleotide(s) in length.


n2 and q4 are independently 0-3 nucleotide(s) in length.


Alternatively, n4 is 0-3 nucleotide(s) in length.


In one embodiment, n4 can be 0. In one example, n4 is 0, and q2 and q6 are 1. In another example, n4 is 0, and q2 and q6 are 1, with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, n4, q2, and q6 are each 1.


In one embodiment, n2, n4, q2, q4, and q6 are each 1.


In one embodiment, C1 is at position 14-17 of the 5′-end of the sense strand, when the sense strand is 19-22 nucleotides in length, and n4 is 1. In one embodiment, C1 is at position 15 of the 5′-end of the sense strand


In one embodiment, T3′ starts at position 2 from the 5′ end of the antisense strand. In one example, T3′ is at position 2 from the 5′ end of the antisense strand and q6 is equal to 1.


In one embodiment, T1′ starts at position 14 from the 5′ end of the antisense strand. In one example, T1′ is at position 14 from the 5′ end of the antisense strand and q2 is equal to 1.


In an exemplary embodiment, T3′ starts from position 2 from the 5′ end of the antisense strand and T1′ starts from position 14 from the 5′ end of the antisense strand. In one example, T3′ starts from position 2 from the 5′ end of the antisense strand and q6 is equal to 1 and T1′ starts from position 14 from the 5′ end of the antisense strand and q2 is equal to 1.


In one embodiment, T1′ and T3′ are separated by 11 nucleotides in length (i.e. not counting the T1′ and T3′ nucleotides).


In one embodiment, T1′ is at position 14 from the 5′ end of the antisense strand. In one example, T1′ is at position 14 from the 5′ end of the antisense strand and q2 is equal to 1, and the modification at the 2′ position or positions in a non-ribose, acyclic or backbone that provide less steric bulk than a 2′-OMe ribose.


In one embodiment, T3′ is at position 2 from the 5′ end of the antisense strand. In one example, T3′ is at position 2 from the 5′ end of the antisense strand and q6 is equal to 1, and the modification at the 2′ position or positions in a non-ribose, acyclic or backbone that provide less than or equal to steric bulk than a 2′-OMe ribose.


In one embodiment, T1 is at the cleavage site of the sense strand. In one example, T1 is at position 11 from the 5′ end of the sense strand, when the sense strand is 19-22 nucleotides in length, and n2 is 1. In an exemplary embodiment. T1 is at the cleavage site of the sense strand at position 11 from the 5′ end of the sense strand, when the sense strand is 19-22 nucleotides in length, and n2 is 1.


In one embodiment, T2′ starts at position 6 from the 5′ end of the antisense strand. In one example, T2′ is at positions 6-10 from the 5′ end of the antisense strand, and q4 is 1.


In an exemplary embodiment, T1 is at the cleavage site of the sense strand, for instance, at position 11 from the 5′ end of the sense strand, when the sense strand is 19-22 nucleotides in length, and n2 is 1; T1′ is at position 14 from the 5′ end of the antisense strand, and q2 is equal to 1, and the modification to T1′ is at the 2′ position of a ribose sugar or at positions in a non-ribose, acyclic or backbone that provide less steric bulk than a 2′-OMe ribose; T2′ is at positions 6-10 from the 5′ end of the antisense strand, and q4 is 1; and T3′ is at position 2 from the 5′ end of the antisense strand, and q6 is equal to 1, and the modification to T3′ is at the 2′ position or at positions in a non-ribose, acyclic or backbone that provide less than or equal to steric bulk than a 2′-OMe ribose.


In one embodiment, T2′ starts at position 8 from the 5′ end of the antisense strand. In one example, T2′ starts at position 8 from the 5′ end of the antisense strand, and q4 is 2.


In one embodiment, T2′ starts at position 9 from the 5′ end of the antisense strand. In one example, T2′ is at position 9 from the 5′ end of the antisense strand, and q4 is 1.


In one embodiment, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 6, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 6, T3′ is 2′-F, q6 is 1. B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9. T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 6, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 7, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 6, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 7, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 6, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 6, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 5, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; optionally with at least 2 additional TT at the 3′-end of the antisense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 5, T2′ is 2′-F, q4 is 1, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; optionally with at least 2 additional TT at the 3′-end of the antisense strand; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end).


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within positions 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand).


The RNAi agent can comprise a phosphorus-containing group at the 5′-end of the sense strand or antisense strand. The 5′-end phosphorus-containing group can be 5′-end phosphate (5′-P), 5′-end phosphorothioate (5′-PS), 5′-end phosphorodithioate (5′-PS2), 5′-end vinylphosphonate (5′-VP), 5′-end methylphosphonate (MePhos), or 5′-deoxy-5′-C-malonyl




embedded image


When the 5′-end phosphorus-containing group is 5′-end vinylphosphonate (5′-VP), the 5′-VP can be either 5′-E-VP isomer (i.e., trans-vinylphosphonate,




embedded image


5′-Z-VP isomer (i.e., cis-vinylphosphonate,




embedded image


or mixtures thereof.


In one embodiment, the RNAi agent comprises a phosphorus-containing group at the 5′-end of the sense strand. In one embodiment, the RNAi agent comprises a phosphorus-containing group at the 5′-end of the antisense strand.


In one embodiment, the RNAi agent comprises a 5′-P. In one embodiment, the RNAi agent comprises a 5′-P in the antisense strand.


In one embodiment, the RNAi agent comprises a 5′-PS. In one embodiment, the RNAi agent comprises a 5′-PS in the antisense strand.


In one embodiment, the RNAi agent comprises a 5′-VP. In one embodiment, the RNAi agent comprises a 5′-VP in the antisense strand. In one embodiment, the RNAi agent comprises a 5′-E-VP in the antisense strand. In one embodiment, the RNAi agent comprises a 5′-Z-VP in the antisense strand.


In one embodiment, the RNAi agent comprises a 5′-PS2. In one embodiment, the RNAi agent comprises a 5′-PS2 in the antisense strand.


In one embodiment, the RNAi agent comprises a 5′-PS2. In one embodiment, the RNAi agent comprises a 5′-deoxy-5′-C-malonyl in the antisense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP. 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The dsRNA agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof. In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1. The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The dsRNAi RNA agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1;


with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9. T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9. T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1. The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP. The 5′-VP may be 5′-E-VP, 5′-Z-VP, or combination thereof.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F. 96 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P and a targeting ligand. In one embodiment, the 5′-P is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4. T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS and a targeting ligand. In one embodiment, the 5′-PS is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP (e.g., a 5′-E-VP, 5′-Z-VP, or combination thereof), and a targeting ligand.


In one embodiment, the 5′-VP is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9. T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2 and a targeting ligand. In one embodiment, the 5′-PS2 is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl and a targeting ligand. In one embodiment, the 5′-deoxy-5′-C-malonyl is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-P and a targeting ligand. In one embodiment, the 5′-P is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-PS and a targeting ligand. In one embodiment, the 5′-PS is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-VP (e.g., a 5′-E-VP. 5′-Z-VP, or combination thereof) and a targeting ligand. In one embodiment, the 5′-VP is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-PS2 and a targeting ligand. In one embodiment, the 5′-PS2 is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9. T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-OMe, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl and a targeting ligand. In one embodiment, the 5′-deoxy-5′-C-malonyl is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P and a targeting ligand. In one embodiment, the 5′-P is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9. T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS and a targeting ligand. In one embodiment, the 5′-PS is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n′ is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q1 is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP (e.g., a 5′-E-VP, 5′-Z-VP, or combination thereof) and a targeting ligand. In one embodiment, the 5′-VP is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2 and a targeting ligand. In one embodiment, the 5′-PS2 is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9. T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, T2′ is 2′-F, q4 is 2, B3′ is 2′-OMe or 2′-F, q5 is 5, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl and a targeting ligand. In one embodiment, the 5′-deoxy-5′-C-malonyl is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n′ is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-P and a targeting ligand. In one embodiment, the 5′-P is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS and a targeting ligand. In one embodiment, the 5′-PS is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-VP (e.g., a 5′-E-VP, 5′-Z-VP, or combination thereof) and a targeting ligand. In one embodiment, the 5′-VP is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q′ is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-PS2 and a targeting ligand. In one embodiment, the 5′-PS2 is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In one embodiment, B1 is 2′-OMe or 2′-F, n1 is 8, T1 is 2′F, n2 is 3, B2 is 2′-OMe, n3 is 7, n4 is 0, B3 is 2′-OMe, n5 is 3, B1′ is 2′-OMe or 2′-F, q′ is 9, T1′ is 2′-F, q2 is 1, B2′ is 2′-OMe or 2′-F, q3 is 4, q4 is 0, B3′ is 2′-OMe or 2′-F, q5 is 7, T3′ is 2′-F, q6 is 1, B4′ is 2′-F, and q7 is 1; with two phosphorothioate internucleotide linkage modifications within position 1-5 of the sense strand (counting from the 5′-end of the sense strand), and two phosphorothioate internucleotide linkage modifications at positions 1 and 2 and two phosphorothioate internucleotide linkage modifications within positions 18-23 of the antisense strand (counting from the 5′-end of the antisense strand). The RNAi agent also comprises a 5′-deoxy-5′-C-malonyl and a targeting ligand. In one embodiment, the 5′-deoxy-5′-C-malonyl is at the 5′-end of the antisense strand, and the targeting ligand is at the 3′-end of the sense strand.


In a particular embodiment, an RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
      • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker; and
      • (iii) 2′-F modifications at positions 1, 3, 5, 7, 9 to 11, 13, 17, 19, and 21, and 2′-OMe modifications at positions 2, 4, 6, 8, 12, 14 to 16, 18, and 20 (counting from the 5′ end); and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 9, 11 to 13, 15, 17, 19, 21, and 23, and 2′F modifications at positions 2, 4, 6 to 8, 10, 14, 16, 18, 20, and 22 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleotide linkages between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);
    • wherein the dsRNA agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, an RNAi agent of the present invention comprises:

    • (a) a sense strand having:
    • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-F modifications at positions 1, 3, 5, 7, 9 to 11, 13, 15, 17, 19, and 21, and 2′-OMe modifications at positions 2, 4, 6, 8, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11 to 13, 15, 17, 19, and 21 to 23, and 2′F modifications at positions 2, 4, 6, 8, 10, 14, 16, 18, and 20 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, 10, and 12 to 21, 2′-F modifications at positions 7, and 9, and a deoxy-nucleotide (e.g. dT) at position 11 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3, 7, 9, 11, 13, 15, 17, and 19 to 23, and 2′-F modifications at positions 2, 4 to 6, 8, 10, 12, 14, 16, and 18 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, 10, 12, 14, and 16 to 21, and 2′-F modifications at positions 7, 9, 11, 13, and 15; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 5, 7, 9, 11, 13, 15, 17, 19, and 21 to 23, and 2′-F modifications at positions 2 to 4, 6, 8, 10, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 9, and 12 to 21, and 2′-F modifications at positions 10, and 11; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11 to 13, 15, 17, 19, and 21 to 23, and 2′-F modifications at positions 2, 4, 6, 8, 10, 14, 16, 18, and 20 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-F modifications at positions 1, 3, 5, 7, 9 to 11, and 13, and 2′-OMe modifications at positions 2, 4, 6, 8, 12, and 14 to 21; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3, 5 to 7, 9, 11 to 13, 15, 17 to 19, and 21 to 23, and 2′-F modifications at positions 2, 4, 8, 10, 14, 16, and 20 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1, 2, 4, 6, 8, 12, 14, 15, 17, and 19 to 21, and 2′-F modifications at positions 3, 5, 7, 9 to 11, 13, 16, and 18; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 25 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 4, 6, 7, 9, 11 to 13, 15, 17, and 19 to 23, 2′-F modifications at positions 2, 3, 5, 8, 10, 14, 16, and 18, and deoxy-nucleotides (e.g. dT) at positions 24 and 25 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


        wherein the RNAi agents have a four nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21, and 2′-F modifications at positions 7, and 9 to 11; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 8, 10 to 13, 15, and 17 to 23, and 2′-F modifications at positions 2, 6, 9, 14, and 16 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21, and 2′-F modifications at positions 7, and 9 to 11; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 23 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 10 to 13, 15, and 17 to 23, and 2′-F modifications at positions 2, 6, 8, 9, 14, and 16 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 21 and 22, and between nucleotide positions 22 and 23 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In another particular embodiment, a RNAi agent of the present invention comprises:

    • (a) a sense strand having:
      • (i) a length of 19 nucleotides;
    • (ii) an ASGPR ligand attached to the 3′-end, wherein said ASGPR ligand comprises three GalNAc derivatives attached through a trivalent branched linker;
      • (iii) 2′-OMe modifications at positions 1 to 4, 6, and 10 to 19, and 2′-F modifications at positions 5, and 7 to 9; and
      • (iv) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, and between nucleotide positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense strand having:
      • (i) a length of 21 nucleotides;
    • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 10 to 13, 15, and 17 to 21, and 2′-F modifications at positions 2, 6, 8, 9, 14, and 16 (counting from the 5′ end); and
    • (iii) phosphorothioate internucleotide linkages between nucleotide positions 1 and 2, between nucleotide positions 2 and 3, between nucleotide positions 19 and 20, and between nucleotide positions 20 and 21 (counting from the 5′ end);


      wherein the RNAi agents have a two nucleotide overhang at the 3′-end of the antisense strand, and a blunt end at the 5′-end of the antisense strand.


In certain embodiments, the iRNA for use in the methods of the invention is an agent selected from agents listed in any one of Tables 2-3. These agents may further comprise a ligand, such as one or more lipophilic moieties, one or more GalNAc derivatives, or both of one of more lipophilic moieties and one or more GalNAc derivatives.


III. iRNAs Conjugated to Ligands

Another modification of the RNA of an iRNA of the invention involves chemically linking to the iRNA one or more ligands, moieties or conjugates that enhance the activity, cellular distribution, or cellular uptake of the iRNA e.g., into a cell. Such moieties include but are not limited to lipid moieties such as a cholesterol moiety (Letsinger et al., Proc. Natl. Acid. Sci. USA, 1989, 86: 6553-6556). In other embodiments, the ligand is cholic acid (Manoharan et al., Biorg. Med. Chem. Let., 1994, 4:1053-1060), a thioether, e.g., beryl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660:306-309; Manoharan et al., Biorg. Med. Chem. Let., 1993, 3:2765-2770), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20:533-538), an aliphatic chain, e.g., dodecandiol 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-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-carbonyloxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277:923-937).


In certain embodiments, a ligand alters the distribution, targeting, or lifetime of an iRNA agent into which it is incorporated. In some embodiments a ligand provides an enhanced affinity for a selected target, e.g., molecule, cell or cell type, compartment, e.g., a cellular or organ compartment, tissue, organ or region of the body, as, e.g., compared to a species absent such a ligand. In some embodiments, ligands do not take part in duplex pairing in a duplexed nucleic acid.


Ligands can include a naturally occurring substance, such as a protein (e.g., human serum albumin (HSA), low-density lipoprotein (LDL), or globulin); carbohydrate (e.g., a dextran, pullulan, chitin, chitosan, inulin, cyclodextrin, N-acetylglucosamine, N-acetylgalactosamine, or hyaluronic acid); or a lipid. The ligand can also be a recombinant or synthetic molecule, such as a synthetic polymer, e.g., a synthetic polyamino acid. Examples of polyamino acids include polyamino acid is a polylysine (PLL), poly L-aspartic acid, poly L-glutamic acid, styrene-maleic acid anhydride copolymer, poly(L-lactide-co-glycolied) copolymer, divinyl ether-maleic anhydride copolymer, N-(2-hydroxypropyl)methacrylamide copolymer (HMPA), polyethylene glycol (PEG), polyvinyl alcohol (PVA), polyurethane, poly(2-ethylacryllic acid), N-isopropylacrylamide polymers, or polyphosphazine. Example of polyamines include: polyethylenimine, polylysine (PLL), spermine, spermidine, polyamine, pseudopeptide-polyamine, peptidomimetic polyamine, dendrimer polyamine, arginine, amidine, protamine, cationic lipid, cationic porphyrin, quaternary salt of a polyamine, or an alpha helical peptide.


Ligands can also include targeting groups, e.g., a cell or tissue targeting agent, e.g., a lectin, glycoprotein, lipid or protein, e.g., an antibody, that binds to a specified cell type such as a kidney cell. A targeting group can be a thyrotropin, melanotropin, lectin, glycoprotein, surfactant protein A, Mucin carbohydrate, multivalent lactose, multivalent galactose, N-acetyl-galactosamine, N-acetyl-glucosamine multivalent mannose, multivalent fucose, glycosylated polyaminoacids, multivalent galactose, transferrin, bisphosphonate, polyglutamate, polyaspartate, a lipid, cholesterol, a steroid, bile acid, folate, vitamin B12, vitamin A, biotin, or an RGD peptide or RGD peptide mimetic. In certain embodiments, the ligand is a multivalent galactose, e.g., an N-acetyl-galactosamine.


Other examples of ligands include dyes, intercalating agents (e.g. acridines), cross-linkers (e.g. psoralene, mitomycin C), porphyrins (TPPC4, texaphyrin, Sapphyrin), polycyclic aromatic hydrocarbons (e.g., phenazine, dihydrophenazine), artificial endonucleases (e.g. EDTA), lipophilic molecules, e.g., cholesterol, cholic acid, adamantane acetic acid, 1-pyrene butyric acid, dihydrotestosterone, 1,3-Bis-O (hexadecyl)glycerol, geranyloxyhexyl group, hexadecylglycerol, borneol, menthol, 1,3-propanediol, heptadecyl group, palmitic acid, myristic acid, O3-(oleoyl)lithocholic acid, O3-(oleoyl)cholenic acid, dimethoxytrityl, or phenoxazine) and peptide conjugates (e.g., antennapedia peptide, Tat peptide), alkylating agents, phosphate, amino, mercapto, PEG (e.g., PEG-40K), MPEG, [MPEG]2, polyamino, alkyl, substituted alkyl, radiolabeled markers, enzymes, haptens (e.g. biotin), transport/absorption facilitators (e.g., aspirin, vitamin E, folic acid), synthetic ribonucleases (e.g., imidazole, bisimidazole, histamine, imidazole clusters, acridine-imidazole conjugates, Eu3+ complexes of tetraazamacrocycles), dinitrophenyl, HRP, or AP.


Ligands can be proteins, e.g., glycoproteins, or peptides, e.g., molecules having a specific affinity for a co-ligand, or antibodies e.g., an antibody, that binds to a specified cell type such as a hepatic cell. Ligands can also include hormones and hormone receptors. They can also include non-peptidic species, such as lipids, lectins, carbohydrates, vitamins, cofactors, multivalent lactose, multivalent galactose, N-acetyl-galactosamine, N-acetyl-glucosamine multivalent mannose, or multivalent fucose. The ligand can be, for example, a lipopolysaccharide, an activator of p38 MAP kinase, or an activator of NF-κB.


The ligand can be a substance, e.g., a drug, which can increase the uptake of the iRNA agent into the cell, for example, by disrupting the cell's cytoskeleton, e.g., by disrupting the cell's microtubules, microfilaments, or intermediate filaments. The drug can be, for example, taxol, vincristine, vinblastine, cytochalasin, nocodazole, japlakinolide, latrunculin A, phalloidin, swinholide A, indanocine, or myoservin.


In some embodiments, a ligand attached to an iRNA as described herein acts as a pharmacokinetic modulator (PK modulator). PK modulators include lipophiles, bile acids, steroids, phospholipid analogues, peptides, protein binding agents, PEG, vitamins, etc. Exemplary PK modulators include, but are not limited to, cholesterol, fatty acids, cholic acid, lithocholic acid, dialkylglycerides, diacylglyceride, phospholipids, sphingolipids, naproxen, ibuprofen, vitamin E, biotin. Oligonucleotides that comprise a number of phosphorothioate linkages are also known to bind to serum protein, thus short oligonucleotides, e.g., oligonucleotides of about 5 bases, 10 bases, 15 bases, or 20 bases, comprising multiple of phosphorothioate linkages in the backbone are also amenable to the present invention as ligands (e.g. as PK modulating ligands). In addition, aptamers that bind serum components (e.g. serum proteins) are also suitable for use as PK modulating ligands in the embodiments described herein.


Ligand-conjugated iRNAs of the invention may be synthesized by the use of an oligonucleotide that bears a pendant reactive functionality, such as that derived from the attachment of a linking molecule onto the oligonucleotide (described below). This reactive oligonucleotide may be reacted directly with commercially-available ligands, ligands that are synthesized bearing any of a variety of protecting groups, or ligands that have a linking moiety attached thereto.


The oligonucleotides used in the conjugates of the present invention may be conveniently and routinely made through the well-known technique of solid-phase synthesis. Equipment for such synthesis is sold by several vendors including, for example, Applied Biosystems® (Foster City, Calif.). Any other methods for such synthesis known in the art may additionally or alternatively be employed. It is also known to use similar techniques to prepare other oligonucleotides, such as the phosphorothioates and alkylated derivatives.


In the ligand-conjugated iRNAs and ligand-molecule bearing sequence-specific linked nucleosides of the present invention, the oligonucleotides and oligonucleosides may be assembled on a suitable DNA synthesizer utilizing standard nucleotide or nucleoside precursors, or nucleotide or nucleoside conjugate precursors that already bear the linking moiety, ligand-nucleotide or nucleoside-conjugate precursors that already bear the ligand molecule, or non-nucleoside ligand-bearing building blocks.


When using nucleotide-conjugate precursors that already bear a linking moiety, the synthesis of the sequence-specific linked nucleosides is typically completed, and the ligand molecule is then reacted with the linking moiety to form the ligand-conjugated oligonucleotide. In some embodiments, the oligonucleotides or linked nucleosides of the present invention are synthesized by an automated synthesizer using phosphoramidites derived from ligand-nucleoside conjugates in addition to the standard phosphoramidites and non-standard phosphoramidites that are commercially available and routinely used in oligonucleotide synthesis.


A. Lipid Conjugates

In certain embodiments, the ligand or conjugate is a lipid or lipid-based molecule. In one embodiment, such a lipid or lipid-based molecule binds a serum protein, e.g., human serum albumin (HSA). An HSA binding ligand allows for distribution of the conjugate to a target tissue, e.g., a non-kidney target tissue of the body. For example, the target tissue can be the liver, including parenchymal cells of the liver. Other molecules that can bind HSA can also be used as ligands. For example, naproxen or aspirin can be used. A lipid or lipid-based ligand can (a) increase resistance to degradation of the conjugate, (b) increase targeting or transport into a target cell or cell membrane, or (c) can be used to adjust binding to a serum protein, e.g., HSA.


A lipid based ligand can be used to inhibit, e.g., control the binding of the conjugate to a target tissue. For example, a lipid or lipid-based ligand that binds to HSA more strongly will be less likely to be targeted to the kidney and therefore less likely to be cleared from the body. A lipid or lipid-based ligand that binds to HSA less strongly can be used to target the conjugate to the kidney.


In certain embodiments, the lipid based ligand binds HSA. In one embodiment, it binds HSA with a sufficient affinity such that the conjugate will be distributed to a non-kidney tissue. However, it is preferred that the affinity not be so strong that the HSA-ligand binding cannot be reversed.


In other embodiments, the lipid based ligand binds HSA weakly or not at all. In one embodiment, the conjugate will be distributed to the kidney. Other moieties that target to kidney cells can also be used in place of, or in addition to, the lipid based ligand.


In another aspect, the ligand is a moiety, e.g., a vitamin, which is taken up by a target cell, e.g., a proliferating cell. These are particularly useful for treating disorders characterized by unwanted cell proliferation, e.g., of the malignant or non-malignant type, e.g., cancer cells. Exemplary vitamins include vitamin A. E, and K. Other exemplary vitamins include are B vitamin, e.g., folic acid, B12, riboflavin, biotin, pyridoxal or other vitamins or nutrients taken up by target cells such as liver cells. Also included are HSA and low density lipoprotein (LDL).


B. Cell Permeation Agents

In another aspect, the ligand is a cell-permeation agent, such as, a helical cell-permeation agent. In one embodiment, the agent is amphipathic. An exemplary agent is a peptide such as that or antennapedia. If the agent is a peptide, it can be modified, including a peptidylmimetic, invertomers, non-peptide or pseudo-peptide linkages, and use of D-amino acids. In one embodiment, the helical agent is an alpha-helical agent, which has a lipophilic and a lipophobic phase.


The ligand can be a peptide or peptidomimetic. A peptidomimetic (also referred to herein as an oligopeptidomimetic) is a molecule capable of folding into a defined three-dimensional structure similar to a natural peptide. The attachment of peptide and peptidomimetics to iRNA agents can affect pharmacokinetic distribution of the iRNA, such as by enhancing cellular recognition and absorption. The peptide or peptidomimetic moiety can be about 5-50 amino acids long, e.g., about 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 amino acids long.


A peptide or peptidomimetic can be, for example, a cell permeation peptide, cationic peptide, amphipathic peptide, or hydrophobic peptide (e.g., consisting primarily of Tyr, Trp, or Phe). The peptide moiety can be a dendrimer peptide, constrained peptide or crosslinked peptide. In another alternative, the peptide moiety can include a hydrophobic membrane translocation sequence (MTS). An exemplary hydrophobic MTS-containing peptide is RFGF having the amino acid sequence AAVALLPAVLLALLAP (SEQ ID NO: 14). An RFGF analogue (e.g., amino acid sequence AALLPVLLAAP (SEQ ID NO:15) containing a hydrophobic MTS can also be a targeting moiety. The peptide moiety can be a “delivery” peptide, which can carry large polar molecules including peptides, oligonucleotides, and protein across cell membranes. For example, sequences from the HIV Tat protein (GRKKRRQRRRPPQ (SEQ ID NO: 16) and the Drosophila Antennapedia protein (RQIKIWFQNRRMKWKK (SEQ ID NO:17) have been found to be capable of functioning as delivery peptides. A peptide or peptidomimetic can be encoded by a random sequence of DNA, such as a peptide identified from a phage-display library, or one-bead-one-compound (OBOC) combinatorial library (Lam et al., Nature, 354:82-84, 1991). Examples of a peptide or peptidomimetic tethered to a dsRNA agent via an incorporated monomer unit for cell targeting purposes is an arginine-glycine-aspartic acid (RGD)-peptide, or RGD mimic. A peptide moiety can range in length from about 5 amino acids to about 40 amino acids. The peptide moieties can have a structural modification, such as to increase stability or direct conformational properties. Any of the structural modifications described below can be utilized.


An RGD peptide for use in the compositions and methods of the invention may be linear or cyclic, and may be modified, e.g., glycosylated or methylated, to facilitate targeting to a specific tissue(s). RGD-containing peptides and peptidomimetics may include D-amino acids, as well as synthetic RGD mimics. In addition to RGD, one can use other moieties that target the integrin ligand, e.g., PECAM-1 or VEGF.


A “cell permeation peptide” is capable of permeating a cell, e.g., a microbial cell, such as a bacterial or fungal cell, or a mammalian cell, such as a human cell. A microbial cell-permeating peptide can be, for example, an α-helical linear peptide (e.g., LL-37 or Ceropin P1), a disulfide bond-containing peptide (e.g., α-defensin, β-defensin or bactenecin), or a peptide containing only one or two dominating amino acids (e.g., PR-39 or indolicidin). A cell permeation peptide can also include a nuclear localization signal (NLS). For example, a cell permeation peptide can be a bipartite amphipathic peptide, such as MPG, which is derived from the fusion peptide domain of HIV-1 gp41 and the NLS of SV40 large T antigen (Simeoni et al., Nucl. Acids Res. 31:2717-2724, 2003).


C. Carbohydrate Conjugates

In some embodiments of the compositions and methods of the invention, an iRNA further comprises a carbohydrate. The carbohydrate conjugated iRNA is advantageous for the in vivo delivery of nucleic acids, as well as compositions suitable for in vivo therapeutic use, as described herein. As used herein, “carbohydrate” refers to a compound which is either a carbohydrate per se made up of one or more monosaccharide units having at least 6 carbon atoms (which can be linear, branched or cyclic) with an oxygen, nitrogen or sulfur atom bonded to each carbon atom; or a compound having as a part thereof a carbohydrate moiety made up of one or more monosaccharide units each having at least six carbon atoms (which can be linear, branched or cyclic), with an oxygen, nitrogen or sulfur atom bonded to each carbon atom. Representative carbohydrates include the sugars (mono-, di-, tri-, and oligosaccharides containing from about 4, 5, 6, 7, 8, or 9 monosaccharide units), and polysaccharides such as starches, glycogen, cellulose and polysaccharide gums. Specific monosaccharides include C5 and above (e.g., C5, C6, C7, or C8) sugars; di- and trisaccharides include sugars having two or three monosaccharide units (e.g., C5, C6, C7, or C8).


In certain embodiments, a carbohydrate conjugate for use in the compositions and methods of the invention is a monosaccharide.


In certain embodiments, the monosaccharide is an N-acetylgalactosamine (GalNAc). GalNAc conjugates, which comprise one or more N-acetylgalactosamine (GalNAc) derivatives, are described, for example, in U.S. Pat. No. 8,106,022, the entire content of which is hereby incorporated herein by reference. In some embodiments, the GalNAc conjugate serves as a ligand that targets the iRNA to particular cells. In some embodiments, the GalNAc conjugate targets the iRNA to liver cells, e.g., by serving as a ligand for the asialoglycoprotein receptor of liver cells (e.g., hepatocytes).


In some embodiments, the carbohydrate conjugate comprises one or more GalNAc derivatives. The GalNAc derivatives may be attached via a linker, e.g., a bivalent or trivalent branched linker. In some embodiments the GalNAc conjugate is conjugated to the 3′ end of the sense strand. In some embodiments, the GalNAc conjugate is conjugated to the iRNA agent (e.g., to the 3′ end of the sense strand) via a linker, e.g., a linker as described herein. In some embodiments the GalNAc conjugate is conjugated to the 5′ end of the sense strand. In some embodiments, the GalNAc conjugate is conjugated to the iRNA agent (e.g., to the 5′ end of the sense strand) via a linker, e.g., a linker as described herein.


In certain embodiments of the invention, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a monovalent linker. In some embodiments, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a bivalent linker. In yet other embodiments of the invention, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a trivalent linker. In other embodiments of the invention, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a tetravalent linker.


In certain embodiments, the double stranded RNAi agents of the invention comprise one GalNAc or GalNAc derivative attached to the iRNA agent. In certain embodiments, the double stranded RNAi agents of the invention comprise a plurality (e.g., 2, 3, 4, 5, or 6) GalNAc or GalNAc derivatives, each independently attached to a plurality of nucleotides of the double stranded RNAi agent through a plurality of monovalent linkers.


In some embodiments, for example, when the two strands of an iRNA agent of the invention are part of one larger molecule connected by an uninterrupted chain of nucleotides between the 3′-end of one strand and the 5′-end of the respective other strand forming a hairpin loop comprising, a plurality of unpaired nucleotides, each unpaired nucleotide within the hairpin loop may independently comprise a GalNAc or GalNAc derivative attached via a monovalent linker. The hairpin loop may also be formed by an extended overhang in one strand of the duplex.


In some embodiments, for example, when the two strands of an iRNA agent of the invention are part of one larger molecule connected by an uninterrupted chain of nucleotides between the 3′-end of one strand and the 5′-end of the respective other strand forming a hairpin loop comprising, a plurality of unpaired nucleotides, each unpaired nucleotide within the hairpin loop may independently comprise a GalNAc or GalNAc derivative attached via a monovalent linker. The hairpin loop may also be formed by an extended overhang in one strand of the duplex.


In one embodiment, a carbohydrate conjugate for use in the compositions and methods of the invention is selected from the group consisting of:




embedded image


embedded image


embedded image


embedded image


embedded image


embedded image


embedded image


embedded image


embedded image


embedded image


In another embodiment, a carbohydrate conjugate for use in the compositions and methods of the invention is a monosaccharide. In one embodiment, the monosaccharide is an N-acetylgalactosamine, such as




embedded image


In some embodiments, the RNAi agent is attached to the carbohydrate conjugate via a linker as shown in the following schematic, wherein X is O or S




embedded image


In some embodiments, the RNAi agent is conjugated to L96 as defined in Table 1 and shown below:




embedded image


Another representative carbohydrate conjugate for use in the embodiments described herein includes, but is not limited to,




embedded image


(Formula XXXVI), when one of X or Y is an oligonucleotide, the other is a hydrogen.


In some embodiments, a suitable ligand is a ligand disclosed in WO 2019/055633, the entire contents of which are incorporated herein by reference. In one embodiment the ligand comprises the structure below:




text missing or illegible when filed


In certain embodiments of the invention, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a monovalent linker. In some embodiments, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a bivalent linker. In yet other embodiments of the invention, the GalNAc or GalNAc derivative is attached to an iRNA agent of the invention via a trivalent linker.


In one embodiment, the double stranded RNAi agents of the invention comprise one or more GalNAc or GalNAc derivative attached to the iRNA agent. The GalNAc may be attached to any nucleotide via a linker on the sense strand or antisense strand. The GalNac may be attached to the 5′-end of the sense strand, the 3′ end of the sense strand, the 5′-end of the antisense strand, or the 3′-end of the antisense strand. In one embodiment, the GalNAc is attached to the 3′ end of the sense strand, e.g., via a trivalent linker.


In other embodiments, the double stranded RNAi agents of the invention comprise a plurality (e.g., 2, 3, 4, 5, or 6) GalNAc or GalNAc derivatives, each independently attached to a plurality of nucleotides of the double stranded RNAi agent through a plurality of linkers, e.g., monovalent linkers.


In some embodiments, for example, when the two strands of an iRNA agent of the invention is part of one larger molecule connected by an uninterrupted chain of nucleotides between the 3′-end of one strand and the 5′-end of the respective other strand forming a hairpin loop comprising, a plurality of unpaired nucleotides, each unpaired nucleotide within the hairpin loop may independently comprise a GalNAc or GalNAc derivative attached via a monovalent linker.


In some embodiments, the carbohydrate conjugate further comprises one or more additional ligands as described above, such as, but not limited to, a PK modulator or a cell permeation peptide.


Additional carbohydrate conjugates and linkers suitable for use in the present invention include those described in PCT Publication Nos. WO 2014/179620 and WO 2014/179627, the entire contents of each of which are incorporated herein by reference.


D. Linkers

In some embodiments, the conjugate or ligand described herein can be attached to an iRNA oligonucleotide with various linkers that can be cleavable or non-cleavable.


The term “linker” or “linking group” means an organic moiety that connects two parts of a compound, e.g., covalently attaches two parts of a compound. Linkers typically comprise a direct bond or an atom such as oxygen or sulfur, a unit such as NR8, C(O), C(O)NH, SO, SO2, SO2NH or a chain of atoms, such as, but not limited to, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, heterocyclylalkyl, heterocyclylalkenyl, heterocyclylalkynyl, aryl, heteroaryl, heterocyclyl, cycloalkyl, cycloalkenyl, alkylarylalkyl, alkylarylalkenyl, alkylarylalkynyl, alkenylarylalkyl, alkenylarylalkenyl, alkenylarylalkynyl, alkynylarylalkyl, alkynylarylalkenyl, alkynylarylalkynyl, alkylheteroarylalkyl, alkylheteroarylalkenyl, alkylheteroarylalkynyl, alkenylheteroarylalkyl, alkenylheteroarylalkenyl, alkenylheteroarylalkynyl, alkynylheteroarylalkyl, alkynylheteroarylalkenyl, alkynylheteroarylalkynyl, alkylheterocyclylalkyl, alkylheterocyclylalkenyl, alkylhererocyclylalkynyl, alkenylheterocyclylalkyl, alkenylheterocyclylalkenyl, alkenylheterocyclylalkynyl, alkynylheterocyclylalkyl, alkynylheterocyclylalkenyl, alkynylheterocyclylalkynyl, alkylaryl, alkenylaryl, alkynylaryl, alkylheteroaryl, alkenylheteroaryl, alkynylhereroaryl, which one or more methylenes can be interrupted or terminated by O, S, S(O), SO2, N(R8), C(O), substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, or substituted or unsubstituted heterocyclic; where R8 is hydrogen, acyl, aliphatic, or substituted aliphatic. In one embodiment, the linker is about 1-24 atoms, 2-24, 3-24, 4-24, 5-24, 6-24, 6-18, 7-18, 8-18, 7-17, 8-17, 6-16, 7-17, or 8-16 atoms.


A cleavable linking group is one which is sufficiently stable outside the cell, but which upon entry into a target cell is cleaved to release the two parts the linker is holding together. In an exemplary embodiment, the cleavable linking group is cleaved at least about 10 times, 20, times, 30 times, 40 times, 50 times, 60 times, 70 times, 80 times, 90 times, or more, or at least 100 times faster in a target cell or under a first reference condition (which can, e.g., be selected to mimic or represent intracellular conditions) than in the blood of a subject, or under a second reference condition (which can, e.g., be selected to mimic or represent conditions found in the blood or serum).


Cleavable linking groups are susceptible to cleavage agents, e.g., pH, redox potential, or the presence of degradative molecules. Generally, cleavage agents are more prevalent or found at higher levels or activities inside cells than in serum or blood. Examples of such degradative agents include: redox agents which are selected for particular substrates or which have no substrate specificity, including, e.g., oxidative or reductive enzymes or reductive agents such as mercaptans, present in cells, that can degrade a redox cleavable linking group by reduction; esterases; endosomes or agents that can create an acidic environment, e.g., those that result in a pH of five or lower; enzymes that can hydrolyze or degrade an acid cleavable linking group by acting as a general acid, peptidases (which can be substrate specific), and phosphatases.


A cleavable linkage group, such as a disulfide bond can be susceptible to pH. The pH of human serum is 7.4, while the average intracellular pH is slightly lower, ranging from about 7.1-7.3. Endosomes have a more acidic pH, in the range of 5.5-6.0, and lysosomes have an even more acidic pH at around 5.0. Some linkers will have a cleavable linking group that is cleaved at a selected pH, thereby releasing a cationic lipid from the ligand inside the cell, or into the desired compartment of the cell.


A linker can include a cleavable linking group that is cleavable by a particular enzyme. The type of cleavable linking group incorporated into a linker can depend on the cell to be targeted. For example, a liver-targeting ligand can be linked to a cationic lipid through a linker that includes an ester group. Liver cells are rich in esterases, and therefore the linker will be cleaved more efficiently in liver cells than in cell types that are not esterase-rich. Other cell-types rich in esterases include cells of the lung, renal cortex, and testis.


Linkers that contain peptide bonds can be used when targeting cell types rich in peptidases, such as liver cells and synoviocytes.


In general, the suitability of a candidate cleavable linking group can be evaluated by testing the ability of a degradative agent (or condition) to cleave the candidate linking group. It will also be desirable to also test the candidate cleavable linking group for the ability to resist cleavage in the blood or when in contact with other non-target tissue. Thus, one can determine the relative susceptibility to cleavage between a first and a second condition, where the first is selected to be indicative of cleavage in a target cell and the second is selected to be indicative of cleavage in other tissues or biological fluids, e.g., blood or serum. The evaluations can be carried out in cell free systems, in cells, in cell culture, in organ or tissue culture, or in whole animals. It can be useful to make initial evaluations in cell-free or culture conditions and to confirm by further evaluations in whole animals. In certain embodiments, useful candidate compounds are cleaved at least about 2, 4, 10, 20, 30, 40, 50, 60, 70, 80, 90, or 100 times faster in the cell (or under in vitro conditions selected to mimic intracellular conditions) as compared to blood or serum (or under in vitro conditions selected to mimic extracellular conditions).


i. Redox Cleavable Linking Groups


In certain embodiments, a cleavable linking group is a redox cleavable linking group that is cleaved upon reduction or oxidation. An example of reductively cleavable linking group is a disulphide linking group (—S—S—). To determine if a candidate cleavable linking group is a suitable “reductively cleavable linking group.” or for example is suitable for use with a particular iRNA moiety and particular targeting agent one can look to methods described herein. For example, a candidate can be evaluated by incubation with dithiothreitol (DTT), or other reducing agent using reagents know in the art, which mimic the rate of cleavage which would be observed in a cell, e.g., a target cell. The candidates can also be evaluated under conditions which are selected to mimic blood or serum conditions. In one, candidate compounds are cleaved by at most about 10% in the blood. In other embodiments, useful candidate compounds are degraded at least about 2, 4, 10, 20, 30, 40, 50, 60, 70, 80, 90, or about 100 times faster in the cell (or under in vitro conditions selected to mimic intracellular conditions) as compared to blood (or under in vitro conditions selected to mimic extracellular conditions). The rate of cleavage of candidate compounds can be determined using standard enzyme kinetics assays under conditions chosen to mimic intracellular media and compared to conditions chosen to mimic extracellular media.


ii. Phosphate-Based Cleavable Linking Groups


In other embodiments, a cleavable linker comprises a phosphate-based cleavable linking group. A phosphate-based cleavable linking group is cleaved by agents that degrade or hydrolyze the phosphate group. An example of an agent that cleaves phosphate groups in cells are enzymes such as phosphatases in cells. Examples of phosphate-based linking groups are —O—P(O)(ORk)-O—, —O—P(S)(ORk)-O—, —O—P(S)(SRk)-O—, —S—P(O)(ORk)-O—, —O—P(O)(ORk)-S—, —S—P(O)(ORk)-S—, —O—P(S)(ORk)-S—, —S—P(S)(ORk)-O—, —O—P(O)(Rk)-O—, —O—P(S)(Rk)-O—, —S—P(O)(Rk)-O—, —S—P(S)(Rk)-O—, —S—P(O)(Rk)-S—, —O—P(S)(Rk)-S—, wherein Rk at each occurrence can be, independently, C1-C20 alkyl, C1-C20 haloalkyl, C6-C10 aryl, or C7-C12 aralkyl. Exemplary embodiments include —O—P(O)(OH)—O—, —O—P(S)(OH)—O—, —O—P(S)(SH)—O—, —S—P(O)(OH)—O—, —O—P(O)(OH)—S—, —S—P(O)(OH)—S—, —O—P(S)(OH)—S—, —S—P(S)(OH)—O—, —O—P(O)(H)—O—, —O—P(S)(H)—O—, —S—P(O)(H)—O, —S—P(S)(H)—O—, —S—P(O)(H)—S—, and —O—P(S)(H)—S—. In certain embodiments a phosphate-based linking group is —O—P(O)(OH)—O—. These candidates can be evaluated using methods analogous to those described above.


iii. Acid Cleavable Linking Groups


In other embodiments, a cleavable linker comprises an acid cleavable linking group. An acid cleavable linking group is a linking group that is cleaved under acidic conditions. In certain embodiments acid cleavable linking groups are cleaved in an acidic environment with a pH of about 6.5 or lower (e.g., about 6.0, 5.5, 5.0, or lower), or by agents such as enzymes that can act as a general acid. In a cell, specific low pH organelles, such as endosomes and lysosomes can provide a cleaving environment for acid cleavable linking groups. Examples of acid cleavable linking groups include but are not limited to hydrazones, esters, and esters of amino acids. Acid cleavable groups can have the general formula —C═NN—, C(O)O, or —OC(O). An exemplary embodiment is when the carbon attached to the oxygen of the ester (the alkoxy group) is an aryl group, substituted alkyl group, or tertiary alkyl group such as dimethyl pentyl or t-butyl. These candidates can be evaluated using methods analogous to those described above.


iv. Ester-Based Linking Groups


In other embodiments, a cleavable linker comprises an ester-based cleavable linking group. An ester-based cleavable linking group is cleaved by enzymes such as esterases and amidases in cells. Examples of ester-based cleavable linking groups include, but are not limited to, esters of alkylene, alkenylene and alkynylene groups. Ester cleavable linking groups have the general formula —C(O)O—, or —OC(O)—. These candidates can be evaluated using methods analogous to those described above.


v. Peptide-Based Cleaving Groups


In yet other embodiments, a cleavable linker comprises a peptide-based cleavable linking group. A peptide-based cleavable linking group is cleaved by enzymes such as peptidases and proteases in cells. Peptide-based cleavable linking groups are peptide bonds formed between amino acids to yield oligopeptides (e.g., dipeptides, tripeptides etc.) and polypeptides. Peptide-based cleavable groups do not include the amide group (—C(O)NH—). The amide group can be formed between any alkylene, alkenylene or alkynylene. A peptide bond is a special type of amide bond formed between amino acids to yield peptides and proteins. The peptide based cleavage group is generally limited to the peptide bond (i.e., the amide bond) formed between amino acids yielding peptides and proteins and does not include the entire amide functional group. Peptide-based cleavable linking groups have the general formula —NHCHRAC(O)NHCHRBC(O)—, where RA and RB are the R groups of the two adjacent amino acids. These candidates can be evaluated using methods analogous to those described above.


In some embodiments, an iRNA of the invention is conjugated to a carbohydrate through a linker. Non-limiting examples of iRNA carbohydrate conjugates with linkers of the compositions and methods of the invention include, but are not limited to,




embedded image


embedded image


embedded image


(Formula XLIV), when one of X or Y is an oligonucleotide, the other is a hydrogen.


In certain embodiments of the compositions and methods of the invention, a ligand is one or more “GalNAc” (N-acetylgalactosamine) derivatives attached through a bivalent or trivalent branched linker.


In one embodiment, a dsRNA of the invention is conjugated to a bivalent or trivalent branched linker selected from the group of structures shown in any of formula (XLV)-(XLVI): Formula XXXXV




embedded image




    • wherein:

    • q2A, q2B, q3A, q3B, q4A, q4B, q5A, q5B and q5C represent independently for each occurrence 0-20 and wherein the repeating unit can be the same or different;

    • p2A, p2B, p3A, p3B, p4A, p4B, p5A, p5B, p5C, T2A, T2B, T3A, T3B, T4A, T4B, T4A, T5B, T5C are each independently for each occurrence absent, CO, NH, O, S, OC(O), NHC(O), CH2, CH2NH or CH2O;

    • Q2A, Q2B, Q3A, Q3B, Q4A, Q4B, Q5A, Q5B, Q5C are independently for each occurrence absent, alkylene, substituted alkylene wherein one or more methylenes can be interrupted or terminated by one or more of O, S, S(O), SO2, N(RN), C(R′)═C(R″), C═C or C(O):





R2A, R2B, R3A, R3B, R4A, R4B, R5A, R5B, R5C are each independently for each occurrence absent, NH, O, S, CH2, C(O)O, C(O)NH, NHCH(Ra)C(O), —C(O)—CH(Ra)—NH—, CO, CH═N—O,




embedded image


or heterocyclyl; L2A, L2B, L3A, L3B, L4A, L4B, L5A, L5B and L5C represent the ligand; i.e. each independently for each occurrence a monosaccharide (such as GalNAc), disaccharide, trisaccharide, tetrasaccharide, oligosaccharide, or polysaccharide; and Ra is H or amino acid side chain. Trivalent conjugating GalNAc derivatives are particularly useful for use with RNAi agents for inhibiting the expression of a target gene, such as those of formula (XLIX):




embedded image


wherein L5A, L5B and L5C represent a monosaccharide, such as GalNAc derivative.


Examples of suitable bivalent and trivalent branched linker groups conjugating GalNAc derivatives include, but are not limited to, the structures recited above as formulas II, VII, XI, X, and XIII.


Representative U.S. Patents that teach the preparation of RNA conjugates include, but are not limited to, U.S. Pat. Nos. 4,828,979; 4,948,882; 5,218,105; 5,525,465; 5,541,313; 5,545,730; 5,552,538; 5,578,717, 5,580,731; 5,591,584; 5,109,124; 5,118,802; 5,138,045; 5,414,077; 5,486,603; 5,512,439; 5,578,718; 5,608,046; 4,587,044; 4,605,735; 4,667,025; 4,762,779; 4,789,737; 4,824,941; 4,835,263; 4,876,335; 4,904,582; 4,958,013; 5,082,830; 5,112,963; 5,214,136; 5,082,830; 5,112,963; 5,214,136; 5,245,022; 5,254,469; 5,258,506; 5,262,536; 5,272,250; 5,292,873; 5,317,098; 5,371,241, 5,391,723; 5,416,203, 5,451,463; 5,510,475; 5,512,667; 5,514,785; 5,565,552; 5,567,810; 5,574,142; 5,585,481; 5,587,371; 5,595,726; 5,597,696; 5,599,923; 5,599,928; 5,688,941; 6,294,664; 6,320,017; 6,576,752; 6,783,931; 6,900,297; 7,037,646; and 8,106,022, the entire contents of each of which are hereby incorporated herein by reference.


It is not necessary for all positions in a given compound to be uniformly modified, and in fact more than one of the aforementioned modifications can be incorporated in a single compound or even at a single nucleoside within an iRNA. The present invention also includes iRNA compounds that are chimeric compounds.


“Chimeric” iRNA compounds or “chimeras,” in the context of this invention, are iRNA compounds, such as, dsRNAi agents, that contain two or more chemically distinct regions, each made up of at least one monomer unit, i.e., a nucleotide in the case of a dsRNA compound. These iRNAs typically contain at least one region wherein the RNA is modified so as to confer upon the iRNA increased resistance to nuclease degradation, increased cellular uptake, or increased binding affinity for the target nucleic acid. An additional region of the iRNA can serve as a substrate for enzymes capable of cleaving RNA:DNA or RNA:RNA hybrids. By way of example, RNase H is a cellular endonuclease which cleaves the RNA strand of an RNA:DNA duplex. Activation of RNase H, therefore, results in cleavage of the RNA target, thereby greatly enhancing the efficiency of iRNA inhibition of gene expression. Consequently, comparable results can often be obtained with shorter iRNAs when chimeric dsRNAs are used, compared to phosphorothioate deoxy dsRNAs hybridizing to the same target region. Cleavage of the RNA target can be routinely detected by gel electrophoresis and, if necessary, associated nucleic acid hybridization techniques known in the art.


In certain instances, the RNA of an iRNA can be modified by a non-ligand group. A number of non-ligand molecules have been conjugated to iRNAs in order to enhance the activity, cellular distribution or cellular uptake of the iRNA, and procedures for performing such conjugations are available in the scientific literature. Such non-ligand moieties have included lipid moieties, such as cholesterol (Kubo, T. et al., Biochem. Biophys. Res. Comm., 2007, 365(1):54-61; Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86:6553), cholic acid (Manoharan et al., Bioorg. Med. Chem. Lett., 1994, 4:1053), a thioether, e.g., hexyl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660:306; Manoharan et al., Bioorg. Med. Chem. Let., 1993, 3:2765), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20:533), an aliphatic chain, e.g., dodecandiol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10:111; Kabanov et al., FEBS Lett., 1990, 259:327; Svinarchuk et al., Biochimie, 1993, 75:49), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethylammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36:3651; Shea et al., Nucl. Acids Res., 1990, 18:3777), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14:969), or adamantane acetic acid (Manoharan et al., Tetrahedron Lett., 1995, 36:3651), a palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264:229), or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277:923). Representative United States patents that teach the preparation of such RNA conjugates have been listed above. Typical conjugation protocols involve the synthesis of RNAs bearing an aminolinker at one or more positions of the sequence. The amino group is then reacted with the molecule being conjugated using appropriate coupling or activating reagents. The conjugation reaction can be performed either with the RNA still bound to the solid support or following cleavage of the RNA, in solution phase. Purification of the RNA conjugate by HPLC typically affords the pure conjugate.


IV. Delivery of an iRNA of the Invention

The delivery of an iRNA of the invention to a cell e.g., a cell within a subject, such as a human subject (e.g., a subject in need thereof, such as a subject susceptible to or diagnosed with a STAT6-associated disorder, e.g., a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis, can be achieved in a number of different ways. For example, delivery may be performed by contacting a cell with an iRNA of the invention either in vitro or in vivo. In vivo delivery may also be performed directly by administering a composition comprising an iRNA, e.g., a dsRNA, to a subject. Alternatively, in vivo delivery may be performed indirectly by administering one or more vectors that encode and direct the expression of the iRNA. These alternatives are discussed further below.


In general, any method of delivering a nucleic acid molecule (in vitro or in vivo) can be adapted for use with an iRNA of the invention (see e.g., Akhtar S. and Julian R L. (1992) Trends Cell. Biol. 2(5): 139-144 and WO94/02595, which are incorporated herein by reference in their entireties). For in vivo delivery, factors to consider in order to deliver an iRNA molecule include, for example, biological stability of the delivered molecule, prevention of non-specific effects, and accumulation of the delivered molecule in the target tissue. RNA interference has also shown success with local delivery to the CNS by direct injection (Dorn, G., et al. (2004) Nucleic Acids 32:049; Tan, P H., et al (2005) Gene Ther. 12:59-66; Makimura, H., et al (2002) BMC Neurosci. 3:18; Shishkina, G T., et al (2004) Neuroscience 129:521-528; Thakker, E R., et al (2004) Proc. Natl. Acad. Sci. U.S.A. 101:17270-17275; Akaneya, Y., et al (2005) J. Neurophysiol. 93:594-602). Modification of the RNA or the pharmaceutical carrier can also permit targeting of the iRNA to the target tissue and avoid undesirable off-target effects. iRNA molecules can be modified by chemical conjugation to lipophilic groups such as cholesterol to enhance cellular uptake and prevent degradation. For example, an iRNA directed against ApoB conjugated to a lipophilic cholesterol moiety was injected systemically into mice and resulted in knockdown of apoB mRNA in both the liver and jejunum (Soutschek, J., et al (2004) Nature 432:173-178).


In an alternative embodiment, the iRNA can be delivered using drug delivery systems such as a nanoparticle, a dendrimer, a polymer, liposomes, or a cationic delivery system. Positively charged cationic delivery systems facilitate binding of an iRNA molecule (negatively charged) and also enhance interactions at the negatively charged cell membrane to permit efficient uptake of an iRNA by the cell. Cationic lipids, dendrimers, or polymers can either be bound to an iRNA, or induced to form a vesicle or micelle (see e.g., Kim S H, et al (2008) Journal of Controlled Release 129(2): 107-116) that encases an iRNA. The formation of vesicles or micelles further prevents degradation of the iRNA when administered systemically. Methods for making and administering cationic-iRNA complexes are well within the abilities of one skilled in the art (see e.g., Sorensen, D R, et al (2003) J. Mol. Biol 327:761-766; Verma, U N, et al (2003) Clin. Cancer Res. 9:1291-1300; Arnold, A S et al (2007) J. Hypertens. 25:197-205, which are incorporated herein by reference in their entirety). Some non-limiting examples of drug delivery systems useful for systemic delivery of iRNAs include DOTAP (Sorensen, D R., et al (2003), supra; Verma, U N, et al (2003), supra), “solid nucleic acid lipid particles” (Zimmermann, T S, et al (2006) Nature 441:111-114), cardiolipin (Chien, P Y, et al (2005) Cancer Gene Ther. 12:321-328; Pal, A, et al (2005) Int J. Oncol. 26:1087-1091), polyethyleneimine (Bonnet M E, et al (2008) Pharm. Res. August 16 Epub ahead of print; Aigner, A. (2006) J. Biomed. Biotechnol. 71659), Arg-Gly-Asp (RGD) peptides (Liu, S. (2006) Mol. Pharm. 3:472-487), and polyamidoamines (Tomalia, D A, et al (2007) Biochem. Soc. Trans. 35:61-67; Yoo, H., et al (1999) Pharm. Res. 16:1799-1804). In some embodiments, an iRNA forms a complex with cyclodextrin for systemic administration. Methods for administration and pharmaceutical compositions of iRNAs and cyclodextrins can be found in U.S. Pat. No. 7,427,605, which is herein incorporated by reference in its entirety. Certain aspects of the instant disclosure relate to a method of reducing the expression of a STAT6 gene in a cell, comprising contacting said cell with the double-stranded RNAi agent of the disclosure. In one embodiment, the cell is a hepatic cell, optionally a hepatocyte. In one embodiment, the cell is an extrahepatic cell, optionally a pulmonary cell.


In one embodiment, the cell is present in an organ or tissues of the respiratory system, including, but not limited to, bronchus, bronchiole, alveoli, epithelium including nasal and respiratory epithelium, ciliated epithelium, and goblet cells; pneumocytes, both type I and type II, macrophages, peritubular interstitium, macrophages, adipose tissue, e.g., mediastinal adipose tissue, pulmonary cell.neuronal cells, e.g., in the pulmonary neuroal plexus, club cells, clara cells, neutrophils, both resident and transient, and oral mucosa.


In certain embodiments, the RNAi agent is taken up on one or more tissue or cell types present in organs outside of the respiratory system, e.g., liver.


Another aspect of the disclosure relates to a method of reducing the expression and/or activity of a STAT6 gene in a subject, comprising administering to the subject the double-stranded RNAi agent of the disclosure.


Another aspect of the disclosure relates to a method of treating a subject having a STAT6-associated disorder or at risk of having or at risk of developing a STAT6-associated disorder, comprising administering to the subject a therapeutically effective amount of the double-stranded RNAi agent of the disclosure, thereby treating the subject. In some embodiments, the STAT6-associated disorder comprises a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


In one embodiment, the double-stranded RNAi agent is administered subcutaneously.


In one embodiment, the double-stranded RNAi agent is administered by pulmonary system administration, e.g., intranasal administration, or oral inhalative administration.


In one embodiment, the double-stranded RNAi agent is administered intranasally.


By pulmonary system administration, e.g., intranasal administration or oral inhalative administration, of the double-stranded RNAi agent, the method can reduce the expression of a STAT6 target gene in a pulmonary system tissue, e.g., a nasopharynx tissue, an oropharynx tissue, a laryngopharynx tissue, a larynx tissue, a trachea tissue, a carina tissue, a bronchi tissue, a bronchiole tissue, or an alveoli tissue.


For ease of exposition the formulations, compositions and methods in this section are discussed largely with regard to modified siRNA compounds. It may be understood, however, that these formulations, compositions and methods can be practiced with other siRNA compounds, e.g., unmodified siRNA compounds, and such practice is within the disclosure. A composition that includes a RNAi agent can be delivered to a subject by a variety of routes. Exemplary routes include pulmonary system, intravenous, intraventricular, topical, rectal, anal, vaginal, nasal, and ocular.


The RNAi agents of the disclosure can be incorporated into pharmaceutical compositions suitable for administration. Such compositions typically include one or more species of RNAi agent and a pharmaceutically acceptable carrier. As used herein the language “pharmaceutically acceptable carrier” is intended to include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active compound, use thereof in the compositions is contemplated. Supplementary active compounds can also be incorporated into the compositions.


The pharmaceutical compositions of the present disclosure may be administered in a number of ways depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration may be pulmonary, e.g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal, intranasal, topical (including ophthalmic, vaginal, rectal, intranasal, transdermal), oral, or parenteral. Parenteral administration includes intravenous drip, subcutaneous, intraperitoneal, or intramuscular injection, or intrathecal or intraventricular administration.


The route and site of administration may be chosen to enhance targeting. For example, to target muscle cells, intramuscular injection into the muscles of interest would be a logical choice. Lung cells might be targeted by administering the RNAi agent in powder or aerosol form. The vascular endothelial cells could be targeted by coating a balloon catheter with the RNAi agent and mechanically introducing the RNA.


Compositions for pulmonary system delivery may include aqueous solutions, e.g., for intranasal or oral inhalative administration, suitable carriers composed of, e.g., lipids (liposomes, niosomes, microemulsions, lipidic micelles, solid lipid nanoparticles) or polymers (polymer micelles, dendrimers, polymeric nanoparticles, nonogels, nanocapsules), adjuvant, e.g., for oral inhalative administration. Aqueous compositions may be sterile and may optionally contain buffers, diluents, absorption enhancers and other suitable additives.


Formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids, and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable. Coated condoms, gloves, and the like may also be useful.


Compositions for oral administration include powders or granules, suspensions or solutions in water, syrups, elixirs or non-aqueous media, tablets, capsules, lozenges, or troches. In the case of tablets, carriers that can be used include lactose, sodium citrate and salts of phosphoric acid. Various disintegrants such as starch, and lubricating agents such as magnesium stearate, sodium lauryl sulfate and talc, are commonly used in tablets. For oral administration in capsule form, useful diluents are lactose and high molecular weight polyethylene glycols. When aqueous suspensions are required for oral use, the nucleic acid compositions can be combined with emulsifying and suspending agents. If desired, certain sweetening or flavoring agents can be added.


Compositions for intrathecal or intraventricular administration may include sterile aqueous solutions which may also contain buffers, diluents, and other suitable additives.


Formulations for parenteral administration may include sterile aqueous solutions which may also contain buffers, diluents, and other suitable additives. Intraventricular injection may be facilitated by an intraventricular catheter, for example, attached to a reservoir. For intravenous use, the total concentration of solutes may be controlled to render the preparation isotonic.


In one embodiment, the administration of the siRNA compound, e.g., a double-stranded siRNA compound, or ssiRNA compound, composition is parenteral, e.g., intravenous (e.g., as a bolus or as a diffusible infusion), intradermal, intraperitoneal, intramuscular, intrathecal, intraventricular, intracranial, subcutaneous, transmucosal, buccal, sublingual, endoscopic, rectal, oral, vaginal, topical, pulmonary system, intranasal, urethral, or ocular. Administration can be provided by the subject or by another person, e.g., a health care provider. The medication can be provided in measured doses or in a dispenser which delivers a metered dose. Selected modes of delivery are discussed in more detail below.


Pulmonary System Administration

In one embodiment, the double-stranded RNAi agent is administered by pulmonary system administration. The pulmonary system includes the upper pulmonary system and the lower pulmonary system. The upper pulmonary system includes the nose and the pharynx. The pharynx includes the nasopharynx, oropharynx, and laryngopharynx. The lower pulmonary system includes the larynx, trachea, carina, bronchi, bronchioles, and alveoli.


Pulmonary system administration may be intranasal administration or oral inhalative administration. Such administration permits both systemic and local delivery of the double stranded RNAi agents of the invention.


Intranasal administration may include instilling or insufflating a double stranded RNAi agent into the nasal cavity with syringes or droppers by applying a few drops at a time or via atomization. Suitable dosage forms for intranasal administration include drops, powders, nebulized mists, and sprays. Nasal delivery devices include, but not limited to, vapor inhaler, nasal dropper, spray bottle, metered dose spray pump, gas driven spray atomizer, nebulizer, mechanical powder sprayer, breath actuated inhaler, and insufflator. Devices for delivery deeper into the respiratory system, e.g., into the lung, include nebulizer, pressured metered-dose inhaler, dry powder inhaler, and thermal vaporization aerosol device. Devices for delivery by inhalation are available from commercial suppliers. Devices can be fixed or variable dose, single or multidose, disposable or reusable depending on, for example, the disease or disorder to be prevented or treated, the volume of the agent to be delivered, the frequency of delivery of the agent, and other considerations in the art.


Oral inhalative administration may include use of device, e.g., a passive breath driven or active power driven single/-multiple dose dry powder inhaler (DPI), to deliver a double stranded RNAi agent to the pulmonary system. Suitable dosage forms for oral inhalative administration include powders and solutions. Suitable devices for oral inhalative administration include nebulizers, metered-dose inhalers, and dry powder inhalers. Dry powder inhalers are of the most popular devices used to deliver drugs, especially proteins to the lungs. Exemplary commercially available dry powder inhalers include Spinhaler (Fisons Pharmaceuticals, Rochester, NY) and Rotahaler (GSK, RTP, NC). Several types of nebulizers are available, namely jet nebulizers, ultrasonic nebulizers, vibrating mesh nebulizers. Jet nebulizers are driven by compressed air. Ultrasonic nebulizers use a piezoelectric transducer in order to create droplets from an open liquid reservoir. Vibrating mesh nebulizers use perforated membranes actuated by an annular piezoelement to vibrate in resonant bending mode. The holes in the membrane have a large cross-section size on the liquid supply side and a narrow cross-section size on the side from where the droplets emerge. Depending on the therapeutic application, the hole sizes and number of holes can be adjusted. Selection of a suitable device depends on parameters, such as nature of the drug and its formulation, the site of action, and pathophysiology of the lung. Aqueous suspensions and solutions are nebulized effectively. Aerosols based on mechanically generated vibration mesh technologies also have been used successfully to deliver proteins to lungs.


The amount of RNAi agent for pulmonary system administration may vary from one target gene to another target gene and the appropriate amount that has to be applied may have to be determined individually for each target gene. Typically, this amount ranges from 10 μg to 2 mg, preferably 50 μg to 1500 μg, more preferably 100 μg to 1000 μg.


Vector Encoded iRNAs of the Invention


iRNA targeting the STAT6 gene can be expressed from transcription units inserted into DNA or RNA vectors (see, e.g., Couture, A, et al., TIG. (1996), 12:5-10; Skillern, A, et al., International PCT Publication No. WO 00/22113, Conrad, International PCT Publication No. WO 00/22114, and Conrad, U.S. Pat. No. 6,054,299). Expression can be transient (on the order of hours to weeks) or sustained (weeks to months or longer), depending upon the specific construct used and the target tissue or cell type. These transgenes can be introduced as a linear construct, a circular plasmid, or a viral vector, which can be an integrating or non-integrating vector. The transgene can also be constructed to permit it to be inherited as an extrachromosomal plasmid (Gassmann, et al., Proc. Natl. Acad. Sci. USA (1995) 92:1292).


Viral vector systems which can be utilized with the methods and compositions described herein include, but are not limited to, (a) adenovirus vectors; (b) retrovirus vectors, including but not limited to lentiviral vectors, moloney murine leukemia virus, etc.; (c) adeno-associated virus vectors; (d) herpes simplex virus vectors; (e) SV 40 vectors; (f) polyoma virus vectors; (g) papilloma virus vectors; (h) picornavirus vectors; (i) pox virus vectors such as an orthopox, e.g., vaccinia virus vectors or avipox, e.g. canary pox or fowl pox; and (j) a helper-dependent or gutless adenovirus. Replication-defective viruses can also be advantageous. Different vectors will or will not become incorporated into the cells' genome. The constructs can include viral sequences for transfection, if desired. Alternatively, the construct can be incorporated into vectors capable of episomal replication, e.g. EPV and EBV vectors. Constructs for the recombinant expression of an iRNA will generally require regulatory elements, e.g., promoters, enhancers, etc., to ensure the expression of the iRNA in target cells. Other aspects to consider for vectors and constructs are known in the art.


V. Pharmaceutical Compositions of the Invention

The present invention also includes pharmaceutical compositions and formulations which include the iRNAs of the invention. In one embodiment, provided herein are pharmaceutical compositions containing an iRNA, as described herein, and a pharmaceutically acceptable carrier.


The pharmaceutical compositions containing the iRNA are useful for preventing or treating a STAT6-associated disorder, e.g., a respiratory disease, e.g., chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. Such pharmaceutical compositions are formulated based on the mode of delivery. One example is compositions that are formulated for direct delivery into the pulmonary system by intranasal administration or oral inhalative administration, e.g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal or intranasal delivery. Another example is compositions that are formulated for systemic administration via parenteral delivery, e.g., by subcutaneous (SC), intramuscular (IM), or intravenous (IV) delivery. The pharmaceutical compositions of the invention may be administered in dosages sufficient to inhibit expression of a STAT6 gene.


In some embodiments, the pharmaceutical compositions of the invention are sterile. In another embodiment, the pharmaceutical compositions of the invention are pyrogen free.


The pharmaceutical compositions of the invention may be administered in dosages sufficient to inhibit expression of a STAT6 gene. In general, a suitable dose of an iRNA of the invention will be in the range of about 0.001 to about 200.0 milligrams per kilogram body weight of the recipient per day, generally in the range of about 1 to 50 mg per kilogram body weight per day. Typically, a suitable dose of an iRNA of the invention will be in the range of about 0.1 mg/kg to about 5.0 mg/kg, such as, about 0.3 mg/kg and about 3.0 mg/kg. A repeat-dose regimen may include administration of a therapeutic amount of iRNA on a regular basis, such as every month, once every 3-6 months, or once a year. In certain embodiments, the iRNA is administered about once per month to about once per six months.


After an initial treatment regimen, the treatments can be administered on a less frequent basis. Duration of treatment can be determined based on the severity of disease.


The skilled artisan will appreciate that certain factors can influence the dosage and timing required to effectively treat a subject, including but not limited to the severity of the disease or disorder, previous treatments, the general health or age of the subject, and other diseases present. Moreover, treatment of a subject with a therapeutically effective amount of a composition can include a single treatment or a series of treatments.


The pharmaceutical compositions of the present disclosure can be administered in a number of ways depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration can be topical (e.g., by a transdermal patch), pulmonary system administration by intranasal administration or oral inhalative administration, e.g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal, epidermal and transdermal, oral or parenteral. Parenteral administration includes intravenous, intraarterial, subcutaneous, intraperitoneal or intramuscular injection or infusion; subdermal, e.g., via an implanted device; or intracranial, e.g., by intraparenchymal, intrathecal or intraventricular, administration.


The RNAi agents can be delivered in a manner to target a particular tissue, such as the liver, the lung (e.g., bronchioles, alveoli, or bronchus of the lung), or both the liver and lung.


Pharmaceutical compositions and formulations for topical administration can include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like can be necessary or desirable. Coated condoms, gloves and the like can also be useful. Suitable topical formulations include those in which the RNAi agents featured in the disclosure are in admixture with a topical delivery agent such as lipids, liposomes, fatty acids, fatty acid esters, steroids, chelating agents and surfactants. Suitable lipids and liposomes include neutral (e.g., diolcoylphosphatidyl DOPE ethanolamine, dimyristoylphosphatidyl choline DMPC, distearolyphosphatidyl choline) negative (e.g., dimyristoylphosphatidyl glycerol DMPG) and cationic (e.g., dioleoyltetramethylaminopropyl DOTAP and dioleoylphosphatidyl ethanolamine DOTMA). RNAi agents featured in the disclosure can be encapsulated within liposomes or can form complexes thereto, in particular to cationic liposomes. Alternatively, RNAi agents can be complexed to lipids, in particular to cationic lipids. Suitable fatty acids and esters include but are not limited to arachidonic acid, oleic acid, eicosanoic acid, lauric acid, caprylic acid, capric acid, myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, monoolein, dilaurin, glyceryl 1-monocaprate, 1-dodecylazacycloheptan-2-one, an acylcarnitine, an acylcholine, or a C1-20 alkyl ester (e.g., isopropylmyristate IPM), monoglyceride, diglyceride or pharmaceutically acceptable salt thereof. Topical formulations are described in detail in U.S. Pat. No. 6,747,014, which is incorporated herein by reference.


A. RNAi Agent Formulations Comprising Membranous Molecular Assemblies

A RNAi agent for use in the compositions and methods of the disclosure can be formulated for delivery in a membranous molecular assembly, e.g., a liposome or a micelle. As used herein, the term “liposome” refers to a vesicle composed of amphiphilic lipids arranged in at least one bilayer, e.g., one bilayer or a plurality of bilayers. Liposomes include unilamellar and multilamellar vesicles that have a membrane formed from a lipophilic material and an aqueous interior. The aqueous portion contains the RNAi agent composition. The lipophilic material isolates the aqueous interior from an aqueous exterior, which typically does not include the RNAi agent composition, although in some examples, it may. Liposomes are useful for the transfer and delivery of active ingredients to the site of action. Because the liposomal membrane is structurally similar to biological membranes, when liposomes are applied to a tissue, the liposomal bilayer fuses with bilayer of the cellular membranes. As the merging of the liposome and cell progresses, the internal aqueous contents that include the RNAi agent are delivered into the cell where the RNAi agent can specifically bind to a target RNA and can mediate RNAi. In some cases the liposomes are also specifically targeted, e.g., to direct the RNAi agent to particular cell types.


A liposome containing an RNAi agent can be prepared by a variety of methods. In one example, the lipid component of a liposome is dissolved in a detergent so that micelles are formed with the lipid component. For example, the lipid component can be an amphipathic cationic lipid or lipid conjugate. The detergent can have a high critical micelle concentration and may be nonionic. Exemplary detergents include cholate, CHAPS, octylglucoside, deoxycholate, and lauroyl sarcosine. The RNAi agent preparation is then added to the micelles that include the lipid component. The cationic groups on the lipid interact with the RNAi agent and condense around the RNAi agent to form a liposome. After condensation, the detergent is removed, e.g., by dialysis, to yield a liposomal preparation of RNAi agent.


If necessary a carrier compound that assists in condensation can be added during the condensation reaction, e.g., by controlled addition. For example, the carrier compound can be a polymer other than a nucleic acid (e.g., spermine or spermidine). pH can also adjusted to favor condensation.


Methods for producing stable polynucleotide delivery vehicles, which incorporate a polynucleotide/cationic lipid complex as structural components of the delivery vehicle, are further described in, e.g., WO 96/37194, the entire contents of which are incorporated herein by reference. Liposome formation can also include one or more aspects of exemplary methods described in Felgner. P. L. et al., (1987) Proc. Natl. Acad. Sci. USA 8:7413-7417; U.S. Pat. Nos. 4,897,355; 5,171,678; Bangham et al., (1965) M. Mol. Biol. 23:238; Olson et al., (1979) Biochim. Biophys. Acta 557:9; Szoka et al., (1978) Proc. Natl. Acad. Sci. 75: 4194; Mayhew et al., (1984) Biochim. Biophys. Acta 775:169; Kim et al., (1983) Biochim. Biophys. Acta 728:339; and Fukunaga et al., (1984) Endocrinol. 115:757. Commonly used techniques for preparing lipid aggregates of appropriate size for use as delivery vehicles include sonication and freeze-thaw plus extrusion (see, e.g., Mayer et al., (1986) Biochim. Biophys. Acta 858:161. Microfluidization can be used when consistently small (50 to 200 nm) and relatively uniform aggregates are desired (Mayhew et al., (1984) Biochim. Biophys. Acta 775:169. These methods are readily adapted to packaging RNAi agent preparations into liposomes.


Liposomes fall into two broad classes. Cationic liposomes are positively charged liposomes which interact with the negatively charged nucleic acid molecules to form a stable complex. The positively charged nucleic acid/liposome complex binds to the negatively charged cell surface and is internalized in an endosome. Due to the acidic pH within the endosome, the liposomes are ruptured, releasing their contents into the cell cytoplasm (Wang et al. (1987) Biochem. Biophys. Res. Commun., 147:980-985).


Liposomes, which are pH-sensitive or negatively charged, entrap nucleic acids rather than complex with them. Since both the nucleic acid and the lipid are similarly charged, repulsion rather than complex formation occurs. Nevertheless, some nucleic acid is entrapped within the aqueous interior of these liposomes. pH sensitive liposomes have been used to deliver nucleic acids encoding the thymidine kinase gene to cell monolayers in culture. Expression of the exogenous gene was detected in the target cells (Zhou et al. (1992) Journal of Controlled Release, 19:269-274).


One major type of liposomal composition includes phospholipids other than naturally-derived phosphatidylcholine. Neutral liposome compositions, for example, can be formed from dimyristoyl phosphatidylcholine (DMPC) or dipalmitoyl phosphatidylcholine (DPPC). Anionic liposome compositions generally are formed from dimyristoyl phosphatidylglycerol, while anionic fusogenic liposomes are formed primarily from dioleoyl phosphatidylethanolamine (DOPE). Another type of liposomal composition is formed from phosphatidylcholine (PC) such as, for example, soybean PC, and egg PC. Another type is formed from mixtures of phospholipid or phosphatidylcholine or cholesterol.


Examples of other methods to introduce liposomes into cells in vitro and in vivo include U.S. Pat. Nos. 5,283,185; 5,171,678; WO 94/00569; WO 93/24640; WO 91/16024; Felgner, (1994) J. Biol. Chem. 269:2550; Nabel, (1993) Proc. Natl. Acad. Sci. 90:11307; Nabel, (1992) Human Gene Ther. 3:649; Gershon, (1993) Biochem. 32:7143; and Strauss, (1992) EMBO J. 11:417.


Non-ionic liposomal systems have also been examined to determine their utility in the delivery of drugs to the skin, in particular systems comprising non-ionic surfactant and cholesterol. Non-ionic liposomal formulations comprising Novasome™ I (glyceryl dilaurate/cholesterol/polyoxyethylene-10-stearyl ether) and Novasome™ II (glyceryl distearate/cholesterol/polyoxyethylene-10-stearyl ether) were used to deliver cyclosporin-A into the dermis of mouse skin. Results indicated that such non-ionic liposomal systems were effective in facilitating the deposition of cyclosporine A into different layers of the skin (Hu et al., (1994) S.T.P.Pharma. Sci., 4(6):466).


Liposomes also include “sterically stabilized” liposomes, a term which, as used herein, refers to liposomes comprising one or more specialized lipids that, when incorporated into liposomes, result in enhanced circulation lifetimes relative to liposomes lacking such specialized lipids. Examples of sterically stabilized liposomes are those in which part of the vesicle-forming lipid portion of the liposome (A) comprises one or more glycolipids, such as monosialoganglioside GM1, or (B) is derivatized with one or more hydrophilic polymers, such as a polyethylene glycol (PEG) moiety. While not wishing to be bound by any particular theory, it is thought in the art that, at least for sterically stabilized liposomes containing gangliosides, sphingomyelin, or PEG-derivatized lipids, the enhanced circulation half-life of these sterically stabilized liposomes derives from a reduced uptake into cells of the reticuloendothelial system (RES) (Allen et al., (1987) FEBS Letters, 223:42; Wu et al., (1993) Cancer Research, 53:3765).


Various liposomes comprising one or more glycolipids are known in the art. Papahadjopoulos et al. (Ann. N.Y. Acad. Sci., (1987), 507:64) reported the ability of monosialoganglioside GM1, galactocerebroside sulfate and phosphatidylinositol to improve blood half-lives of liposomes. These findings were expounded upon by Gabizon et al. (Proc. Natl. Acad. Sci. U.S.A., (1988), 85,:6949). U.S. Pat. No. 4,837,028 and WO 88/04924, both to Allen et al., disclose liposomes comprising (1) sphingomyelin and (2) the ganglioside GM1 or a galactocerebroside sulfate ester. U.S. Pat. No. 5,543,152 (Webb et al.) discloses liposomes comprising sphingomyelin. Liposomes comprising 1,2-sn-dimyristoylphosphatidylcholine are disclosed in WO 97/13499 (Lim et al).


In one embodiment, cationic liposomes are used. Cationic liposomes possess the advantage of being able to fuse to the cell membrane. Non-cationic liposomes, although not able to fuse as efficiently with the plasma membrane, are taken up by macrophages in vivo and can be used to deliver RNAi agents to macrophages.


Further advantages of liposomes include: liposomes obtained from natural phospholipids are biocompatible and biodegradable; liposomes can incorporate a wide range of water and lipid soluble drugs; liposomes can protect encapsulated RNAi agents in their internal compartments from metabolism and degradation (Rosoff, in “Pharmaceutical Dosage Forms,” Lieberman, Rieger and Banker (Eds.), 1988, volume 1, p. 245). Important considerations in the preparation of liposome formulations are the lipid surface charge, vesicle size and the aqueous volume of the liposomes.


A positively charged synthetic cationic lipid, N-[1-(2,3-dioleyloxy)propyl]-N,N,N-trimethylammonium chloride (DOTMA) can be used to form small liposomes that interact spontaneously with nucleic acid to form lipid-nucleic acid complexes which are capable of fusing with the negatively charged lipids of the cell membranes of tissue culture cells, resulting in delivery of RNAi agent (see, e.g., Felgner, P. L. et al., (1987) Proc. Natl. Acad. Sci. USA 8:7413-7417, and U.S. Pat. No. 4,897,355 for a description of DOTMA and its use with DNA).


A DOTMA analogue, 1,2-bis(oleoyloxy)-3-(trimethylammonia)propane (DOTAP) can be used in combination with a phospholipid to form DNA-complexing vesicles. Lipofectin™ Bethesda Research Laboratories, Gaithersburg, Md.) is an effective agent for the delivery of highly anionic nucleic acids into living tissue culture cells that comprise positively charged DOTMA liposomes which interact spontaneously with negatively charged polynucleotides to form complexes. When enough positively charged liposomes are used, the net charge on the resulting complexes is also positive. Positively charged complexes prepared in this way spontaneously attach to negatively charged cell surfaces, fuse with the plasma membrane, and efficiently deliver functional nucleic acids into, for example, tissue culture cells. Another commercially available cationic lipid, 1,2-bis(oleoyloxy)-3,3-(trimethylammonia)propane (“DOTAP”) (Boehringer Mannheim, Indianapolis, Indiana) differs from DOTMA in that the oleoyl moieties are linked by ester, rather than ether linkages.


Other reported cationic lipid compounds include those that have been conjugated to a variety of moieties including, for example, carboxyspermine which has been conjugated to one of two types of lipids and includes compounds such as 5-carboxyspermylglycine dioctaoleoylamide (“DOGS”) (Transfectam™, Promega, Madison, Wisconsin) and dipalmitoylphosphatidylethanolamine 5-carboxyspermyl-amide (“DPPES”) (see, e.g., U.S. Pat. No. 5,171,678).


Another cationic lipid conjugate includes derivatization of the lipid with cholesterol (“DC-Chol”) which has been formulated into liposomes in combination with DOPE (See, Gao, X. and Huang, L., (1991) Biochim. Biophys. Res. Commun. 179:280). Lipopolylysine, made by conjugating polylysine to DOPE, has been reported to be effective for transfection in the presence of serum (Zhou, X. et al., (1991) Biochim. Biophys. Acta 1065:8). For certain cell lines, these liposomes containing conjugated cationic lipids, are said to exhibit lower toxicity and provide more efficient transfection than the DOTMA-containing compositions. Other commercially available cationic lipid products include DMRIE and DMRIE-HP (Vical, La Jolla, California) and Lipofectamine (DOSPA) (Life Technology, Inc., Gaithersburg, Maryland). Other cationic lipids suitable for the delivery of oligonucleotides are described in WO 98/39359 and WO 96/37194.


Liposomal formulations are particularly suited for topical administration, liposomes present several advantages over other formulations. Such advantages include reduced side effects related to high systemic absorption of the administered drug, increased accumulation of the administered drug at the desired target, and the ability to administer RNAi agent into the skin. In some implementations, liposomes are used for delivering RNAi agent to epidermal cells and also to enhance the penetration of RNAi agent into dermal tissues, e.g., into skin. For example, the liposomes can be applied topically. Topical delivery of drugs formulated as liposomes to the skin has been documented (see, e.g., Weiner et al., (1992) Journal of Drug Targeting, vol. 2.405-410 and du Plessis et al., (1992) Antiviral Research, 18:259-265; Mannino, R. J. and Fould-Fogerite, S., (1998) Biotechniques 6:682-690; Itani, T. et al., (1987) Gene 56:267-276; Nicolau, C. et al. (1987) Meth. Enzymol. 149:157-176; Straubinger. R. M. and Papahadjopoulos, D. (1983) Meth. Enzymol. 101:512-527; Wang, C. Y. and Huang. L., (1987) Proc. Natl. Acad. Sci. USA 84:7851-7855).


Non-ionic liposomal systems have also been examined to determine their utility in the delivery of drugs to the skin, in particular systems comprising non-ionic surfactant and cholesterol. Non-ionic liposomal formulations comprising Novasome I (glyceryl dilaurate/cholesterol/polyoxyethylene-10-stearyl ether) and Novasome II (glyceryl distearate/cholesterol/polyoxyethylene-10-stearyl ether) were used to deliver a drug into the dermis of mouse skin. Such formulations with RNAi agent are useful for treating a dermatological disorder.


Liposomes that include RNAi agents can be made highly deformable. Such deformability can enable the liposomes to penetrate through pore that are smaller than the average radius of the liposome. For example, transfersomes are a type of deformable liposomes. Transfersomes can be made by adding surface edge activators, usually surfactants, to a standard liposomal composition. Transfersomes that include RNAi agent can be delivered, for example, subcutaneously by infection in order to deliver RNAi agent to keratinocytes in the skin. In order to cross intact mammalian skin, lipid vesicles must pass through a series of fine pores, each with a diameter less than 50 nm, under the influence of a suitable transdermal gradient. In addition, due to the lipid properties, these transfersomes can be self-optimizing (adaptive to the shape of pores, e.g., in the skin), self-repairing, and can frequently reach their targets without fragmenting, and often self-loading.


Other formulations amenable to the present disclosure are described in PCT publication No. WO 2008/042973.


Transfersomes, yet another type of liposomes, are highly deformable lipid aggregates which are attractive candidates for drug delivery vehicles. Transfersomes can be described as lipid droplets which are so highly deformable that they are easily able to penetrate through pores which are smaller than the droplet. Transfersomes are adaptable to the environment in which they are used, e.g., they are self-optimizing (adaptive to the shape of pores in the skin), self-repairing, frequently reach their targets without fragmenting, and often self-loading. To make transfersomes it is possible to add surface edge-activators, usually surfactants, to a standard liposomal composition. Transfersomes have been used to deliver serum albumin to the skin. The transfersome-mediated delivery of serum albumin has been shown to be as effective as subcutaneous injection of a solution containing serum albumin.


Surfactants find wide application in formulations such as those described herein, particularly in emulsions (including microemulsions) and liposomes. The most common way of classifying and ranking the properties of the many different types of surfactants, both natural and synthetic, is by the use of the hydrophile/lipophile balance (HLB). The nature of the hydrophilic group (also known as the “head”) provides the most useful means for categorizing the different surfactants used in formulations (Rieger, in Pharmaceutical Dosage Forms, Marcel Dekker, Inc., New York, N.Y., 1988, p. 285).


If the surfactant molecule is not ionized, it is classified as a nonionic surfactant. Nonionic surfactants find wide application in pharmaceutical and cosmetic products and are usable over a wide range of pH values. In general, their HLB values range from 2 to about 18 depending on their structure. Nonionic surfactants include nonionic esters such as ethylene glycol esters, propylene glycol esters, glyceryl esters, polyglyceryl esters, sorbitan esters, sucrose esters, and ethoxylated esters. Nonionic alkanolamides and ethers such as fatty alcohol ethoxylates, propoxylated alcohols, and ethoxylated/propoxylated block polymers are also included in this class. The polyoxyethylene surfactants are the most popular members of the nonionic surfactant class.


If the surfactant molecule carries a negative charge when it is dissolved or dispersed in water, the surfactant is classified as anionic. Anionic surfactants include carboxylates such as soaps, acyl lactylates, acyl amides of amino acids, esters of sulfuric acid such as alkyl sulfates and ethoxylated alkyl sulfates, sulfonates such as alkyl benzene sulfonates, acyl isethionates, acyl taurates and sulfosuccinates, and phosphates. The most important members of the anionic surfactant class are the alkyl sulfates and the soaps.


If the surfactant molecule carries a positive charge when it is dissolved or dispersed in water, the surfactant is classified as cationic. Cationic surfactants include quaternary ammonium salts and ethoxylated amines. The quaternary ammonium salts are the most used members of this class.


If the surfactant molecule has the ability to carry either a positive or negative charge, the surfactant is classified as amphoteric. Amphoteric surfactants include acrylic acid derivatives, substituted alkylamides, N-alkylbetaines and phosphatides.


The use of surfactants in drug products, formulations and in emulsions has been reviewed (Rieger, in Pharmaceutical Dosage Forms, Marcel Dekker, Inc., New York, N.Y., 1988, p. 285).


The RNAi agent for use in the methods of the disclosure can also be provided as micellar formulations. “Micelles” are defined herein as a particular type of molecular assembly in which amphipathic molecules are arranged in a spherical structure such that all the hydrophobic portions of the molecules are directed inward, leaving the hydrophilic portions in contact with the surrounding aqueous phase. The converse arrangement exists if the environment is hydrophobic.


A mixed micellar formulation suitable for delivery through transdermal membranes may be prepared by mixing an aqueous solution of the siRNA composition, an alkali metal C8 to C22 alkyl sulphate, and a micelle forming compounds. Exemplary micelle forming compounds include lecithin, hyaluronic acid, pharmaceutically acceptable salts of hyaluronic acid, glycolic acid, lactic acid, chamomile extract, cucumber extract, oleic acid, linoleic acid, linolenic acid, monoolein, monooleates, monolaurates, borage oil, evening of primrose oil, menthol, trihydroxy oxo cholanyl glycine and pharmaceutically acceptable salts thereof, glycerin, polyglycerin, lysine, polylysine, triolein, polyoxyethylene ethers and analogues thereof, polidocanol alkyl ethers and analogues thereof, chenodeoxycholate, deoxycholate, and mixtures thereof. The micelle forming compounds may be added at the same time or after addition of the alkali metal alkyl sulphate. Mixed micelles will form with substantially any kind of mixing of the ingredients but vigorous mixing in order to provide smaller size micelles.


In one method a first micellar composition is prepared which contains the siRNA composition and at least the alkali metal alkyl sulphate. The first micellar composition is then mixed with at least three micelle forming compounds to form a mixed micellar composition. In another method, the micellar composition is prepared by mixing the siRNA composition, the alkali metal alkyl sulphate and at least one of the micelle forming compounds, followed by addition of the remaining micelle forming compounds, with vigorous mixing.


Phenol or m-cresol may be added to the mixed micellar composition to stabilize the formulation and protect against bacterial growth. Alternatively, phenol or m-cresol may be added with the micelle forming ingredients. An isotonic agent such as glycerin may also be added after formation of the mixed micellar composition.


For delivery of the micellar formulation as a spray, the formulation can be put into an aerosol dispenser and the dispenser is charged with a propellant. The propellant, which is under pressure, is in liquid form in the dispenser. The ratios of the ingredients are adjusted so that the aqueous and propellant phases become one, i.e., there is one phase. If there are two phases, it is necessary to shake the dispenser prior to dispensing a portion of the contents, e.g., through a metered valve. The dispensed dose of pharmaceutical agent is propelled from the metered valve in a fine spray.


Propellants may include hydrogen-containing chlorofluorocarbons, hydrogen-containing fluorocarbons, dimethyl ether and diethyl ether. In certain embodiments, HFA 134a (1,1,1,2 tetrafluoroethane) may be used.


The specific concentrations of the essential ingredients can be determined by relatively straightforward experimentation. For absorption through the oral cavities, it is often desirable to increase, e.g., at least double or triple, the dosage for through injection or administration through the gastrointestinal tract.


Lipid Particles

RNAi agents, e.g., dsRNAs of in the disclosure may be fully encapsulated in a lipid formulation, e.g., a LNP, or other nucleic acid-lipid particle.


As used herein, the term “LNP” refers to a stable nucleic acid-lipid particle. LNPs typically contain a cationic lipid, a non-cationic lipid, and a lipid that prevents aggregation of the particle (e.g., a PEG-lipid conjugate). LNPs are extremely useful for systemic applications, as they exhibit extended circulation lifetimes following intravenous (i.v.) injection and accumulate at distal sites (e.g., sites physically separated from the administration site). LNPs include “pSPLP,” which include an encapsulated condensing agent-nucleic acid complex as set forth in WO 00/03683. The particles of the present disclosure typically have a mean diameter of about 50 nm to about 150 nm, more typically about 60 nm to about 130 nm, more typically about 70 nm to about 110 nm, most typically about 70 nm to about 90 nm, and are substantially nontoxic. In addition, the nucleic acids when present in the nucleic acid-lipid particles of the present disclosure are resistant in aqueous solution to degradation with a nuclease. Nucleic acid-lipid particles and their method of preparation are disclosed in, e.g., U.S. Pat. Nos. 5,976,567; 5,981,501; 6,534,484; 6,586,410; 6,815,432; United States Patent publication No. 2010/0324120 and WO 96/40964.


In one embodiment, the lipid to drug ratio (mass/mass ratio) (e.g., lipid to dsRNA ratio) will be in the range of from about 1:1 to about 50:1, from about 1:1 to about 25:1, from about 3:1 to about 15:1, from about 4:1 to about 10:1, from about 5:1 to about 9:1, or about 6:1 to about 9:1. Ranges intermediate to the above recited ranges are also contemplated to be part of the disclosure.


Certain specific LNP formulations for delivery of RNAi agents have been described in the art, including, e.g., “LNP01” formulations as described in, e.g., WO 2008/042973, which is hereby incorporated by reference.


Additional exemplary lipid-dsRNA formulations are identified in the table below.

















cationic lipid/non-cationic




lipid/cholesterol/PEG-lipid conjugate



Ionizable/Cationic Lipid
Lipid:siRNA ratio


















SNALP-1
1,2-Dilinolenyloxy-N,N-
DLinDMA/DPPC/Cholesterol/PEG-



dimethylaminopropane (DLinDMA)
CDMA




(57.1/7.1/34.4/1.4)




lipid:siRNA ~ 7:1


2-XTC
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DPPC/Cholesterol/PEG-cDMA



[1,3]-dioxolane (XTC)
57.1/7.1/34.4/1.4




lipid:siRNA ~ 7:1


LNP05
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DSPC/Cholesterol/PEG-DMG



[1,3]-dioxolane (XTC)
57.5/7.5/31.5/3.5




lipid:siRNA ~ 6:1


LNP06
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DSPC/Cholesterol/PEG-DMG



[1,3]-dioxolane (XTC)
57.5/7.5/31.5/3.5




lipid:siRNA ~ 11:1


LNP07
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DSPC/Cholesterol/PEG-DMG



[1,3]-dioxolane (XTC)
60/7.5/31/1.5,




lipid:siRNA ~ 6:1


LNP08
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DSPC/Cholesterol/PEG-DMG



[1,3]-dioxolane (XTC)
60/7.5/31/1.5,




lipid:siRNA ~ 11:1


LNP09
2,2-Dilinoleyl-4-dimethylaminoethyl-
XTC/DSPC/Cholesterol/PEG-DMG



[1,3]-dioxolane (XTC)
50/10/38.5/1.5




Lipid:siRNA 10:1


LNP10
(3aR,5s,6aS)-N,N-dimethyl-2,2-
ALN100/DSPC/Cholesterol/PEG-



di((9Z,12Z)-octadeca-9,12-
DMG



dienyl)tetrahydro-3aH-
50/10/38.5/1.5



cyclopenta[d][1,3]dioxol-5-amine
Lipid:siRNA 10:1



(ALN100)


LNP11
(6Z,9Z,28Z,31Z)-heptatriaconta-6,9,28,31-
MC-3/DSPC/Cholesterol/PEG-DMG



tetraen-19-yl 4-(dimethylamino)butanoate
50/10/38.5/1.5



(MC3)
Lipid:siRNA 10:1


LNP12
1,1′-(2-(4-(2-((2-(bis(2-
Tech G1/DSPC/Cholesterol/PEG-



hydroxydodecyl)amino)ethyl)(2-
DMG



hydroxydodecyl)amino)ethyl)piperazin-1-
50/10/38.5/1.5



yl)ethylazanediyl)didodecan-2-ol (Tech
Lipid:siRNA 10:1



G1)


LNP13
XTC
XTC/DSPC/Chol/PEG-DMG




50/10/38.5/1.5




Lipid:siRNA: 33:1


LNP14
MC3
MC3/DSPC/Chol/PEG-DMG




40/15/40/5




Lipid:siRNA: 11:1


LNP15
MC3
MC3/DSPC/Chol/PEG-DSG/GalNAc-




PEG-DSG




50/10/35/4.5/0.5




Lipid:siRNA: 11:1


LNP16
MC3
MC3/DSPC/Chol/PEG-DMG




50/10/38.5/1.5




Lipid:siRNA: 7:1


LNP17
MC3
MC3/DSPC/Chol/PEG-DSG




50/10/38.5/1.5




Lipid:siRNA: 10:1


LNP18
MC3
MC3/DSPC/Chol/PEG-DMG




50/10/38.5/1.5




Lipid:siRNA: 12:1


LNP19
MC3
MC3/DSPC/Chol/PEG-DMG




50/10/35/5




Lipid:siRNA: 8:1


LNP20
MC3
MC3/DSPC/Chol/PEG-DPG




50/10/38.5/1.5




Lipid:siRNA: 10:1


LNP21
C12-200
C12-200/DSPC/Chol/PEG-DSG




50/10/38.5/1.5




Lipid:siRNA: 7:1


LNP22
XTC
XTC/DSPC/Chol/PEG-DSG




50/10/38.5/1.5




Lipid:siRNA: 10:1





DSPC: distearoylphosphatidylcholine


DPPC: dipalmitoylphosphatidylcholine


PEG-DMG: PEG-didimyristoyl glycerol (C14-PEG, or PEG-C14) (PEG with avg mol wt of 2000)


PEG-DSG: PEG-distyryl glycerol (C18-PEG, or PEG-C18) (PEG with avg mol wt of 2000)


PEG-cDMA: PEG-carbamoyl-1,2-dimyristyloxypropylamine (PEG with avg mol wt of 2000)


SNALP (1,2-Dilinolenyloxy-N,N-dimethylaminopropane (DLinDMA)) comprising formulations are described in WO 2009/127060, which is hereby incorporated by reference.


XTC comprising formulations are described in WO 2010/088537, the entire contents of which are hereby incorporated herein by reference.


MC3 comprising formulations are described, e.g., in United States Patent Publication No. 2010/0324120, the entire contents of which are hereby incorporated by reference.


ALNY-100 comprising formulations are described in WO 2010/054406, the entire contents of which are hereby incorporated herein by reference. C12-200 comprising formulations are described in WO 2010/129709, the entire contents of which are hereby incorporated herein by reference.






Compositions and formulations for oral administration include powders or granules, microparticulates, nanoparticulates, suspensions or solutions in water or non-aqueous media, capsules, gel capsules, sachets, tablets or minitablets. Thickeners, flavoring agents, diluents, emulsifiers, dispersing aids or binders can be desirable. In some embodiments, oral formulations are those in which dsRNAs featured in the disclosure are administered in conjunction with one or more penetration enhancer surfactants and chelators. Suitable surfactants include fatty acids or esters or salts thereof, bile acids or salts thereof. Suitable bile acids/salts include chenodeoxycholic acid (CDCA) and ursodeoxychenodeoxycholic acid (UDCA), cholic acid, dehydrocholic acid, deoxycholic acid, glucholic acid, glycholic acid, glycodeoxycholic acid, taurocholic acid, taurodeoxycholic acid, sodium tauro-24,25-dihydro-fusidate and sodium glycodihydrofusidate. Suitable fatty acids include arachidonic acid, undecanoic acid, oleic acid, lauric acid, caprylic acid, capric acid, myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, monoolein, dilaurin, glyceryl 1-monocaprate, 1-dodecylazacycloheptan-2-one, an acylcarnitine, an acylcholine, or a monoglyceride, a diglyceride or a pharmaceutically acceptable salt thereof (e.g., sodium). In some embodiments, combinations of penetration enhancers are used, for example, fatty acids/salts in combination with bile acids/salts. One exemplary combination is the sodium salt of lauric acid, capric acid and UDCA. Further penetration enhancers include polyoxyethylene-9-lauryl ether, polyoxyethylene-20-cetyl ether. DsRNAs featured in the disclosure can be delivered orally, in granular form including sprayed dried particles, or complexed to form micro or nanoparticles. DsRNA complexing agents include poly-amino acids; polyimines; polyacrylates; polyalkylacrylates, polyoxethanes, polyalkylcyanoacrylates; cationized gelatins, albumins, starches, acrylates, polyethyleneglycols (PEG) and starches; polyalkylcyanoacrylates; DEAE-derivatized polyimines, pollulans, celluloses and starches. Suitable complexing agents include chitosan, N-trimethylchitosan, poly-L-lysine, polyhistidine, polyornithine, polyspermines, protamine, polyvinylpyridine, polythiodiethylaminomethylethylene P(TDAE), polyaminostyrene (e.g., p-amino), poly(methylcyanoacrylate), poly(ethylcyanoacrylate), poly(butylcyanoacrylate), poly(isobutylcyanoacrylate), poly(isohexylcynaoacrylate), DEAE-methacrylate, DEAE-hexylacrylate, DEAE-acrylamide, DEAE-albumin and DEAE-dextran, polymethylacrylate, polyhexylacrylate, poly(D,L-lactic acid), poly(DL-lactic-co-glycolic acid (PLGA), alginate, and polyethyleneglycol (PEG). Oral formulations for dsRNAs and their preparation are described in detail in U.S. Pat. No. 6,887,906, U.S. 2003/0027780, and U.S. Pat. No. 6,747,014, each of which is incorporated herein by reference.


Compositions for pulmonary system delivery may include aqueous solutions, e.g., for intranasal or oral inhalative administration, suitable carriers composed of, e.g., lipids (liposomes, niosomes, microemulsions, lipidic micelles, solid lipid nanoparticles) or polymers (polymer micelles, dendrimers, polymeric nanoparticles, nonogels, nanocapsules), adjuvant, e.g., for oral inhalative administration. Aqueous compositions may be sterile and may optionally contain buffers, diluents, absorption enhancers and other suitable additives.


Compositions and formulations for parenteral, intraparenchymal (into the brain), intrathecal, intraventricular or intrahepatic administration can include sterile aqueous solutions which can also contain buffers, diluents and other suitable additives such as, but not limited to, penetration enhancers, carrier compounds and other pharmaceutically acceptable carriers or excipients.


Pharmaceutical compositions of the present disclosure include, but are not limited to, solutions, emulsions, and liposome-containing formulations. These compositions can be generated from a variety of components that include, but are not limited to, preformed liquids, self-emulsifying solids and self-emulsifying semisolids. Particularly preferred are formulations that target the brain when treating APP-associated diseases or disorders.


The pharmaceutical formulations of the present disclosure, which can conveniently be presented in unit dosage form, can be prepared according to conventional techniques well known in the pharmaceutical industry. Such techniques include the step of bringing into association the active ingredients with the pharmaceutical carrier(s) or excipient(s). In general, the formulations are prepared by uniformly and intimately bringing into association the active ingredients with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product.


The compositions of the present disclosure can be formulated into any of many possible dosage forms such as, but not limited to, tablets, capsules, gel capsules, liquid syrups, soft gels, suppositories, and enemas. The compositions of the present disclosure can also be formulated as suspensions in aqueous, non-aqueous or mixed media. Aqueous suspensions can further contain substances which increase the viscosity of the suspension including, for example, sodium carboxymethylcellulose, sorbitol or dextran. The suspension can also contain stabilizers.


Additional Formulations

i. Emulsions


The compositions of the present invention can be prepared and formulated as emulsions. Emulsions are typically heterogeneous systems of one liquid dispersed in another in the form of droplets usually exceeding 0.1 μm in diameter (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, L V., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199; Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., Volume 1, p. 245; Block in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 2, p. 335; Higuchi et al., in Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa., 1985, p. 301). Emulsions are often biphasic systems comprising two immiscible liquid phases intimately mixed and dispersed with each other. In general, emulsions can be of either the water-in-oil (w/o) or the oil-in-water (o/w) variety. When an aqueous phase is finely divided into and dispersed as minute droplets into a bulk oily phase, the resulting composition is called a water-in-oil (w/o) emulsion. Alternatively, when an oily phase is finely divided into and dispersed as minute droplets into a bulk aqueous phase, the resulting composition is called an oil-in-water (o/w) emulsion. Emulsions can contain additional components in addition to the dispersed phases, and the active drug which can be present as a solution either in the aqueous phase, oily phase or itself as a separate phase. Pharmaceutical excipients such as emulsifiers, stabilizers, dyes, and anti-oxidants can also be present in emulsions as needed. Pharmaceutical emulsions can also be multiple emulsions that are comprised of more than two phases such as, for example, in the case of oil-in-water-in-oil (o/w/o) and water-in-oil-in-water (w/o/w) emulsions. Such complex formulations often provide certain advantages that simple binary emulsions do not. Multiple emulsions in which individual oil droplets of an o/w emulsion enclose small water droplets constitute a w/o/w emulsion. Likewise a system of oil droplets enclosed in globules of water stabilized in an oily continuous phase provides an o/w/o emulsion.


Emulsions are characterized by little or no thermodynamic stability. Often, the dispersed or discontinuous phase of the emulsion is well dispersed into the external or continuous phase and maintained in this form through the means of emulsifiers or the viscosity of the formulation. Other means of stabilizing emulsions entail the use of emulsifiers that can be incorporated into either phase of the emulsion. Emulsifiers can broadly be classified into four categories: synthetic surfactants, naturally occurring emulsifiers, absorption bases, and finely dispersed solids (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, LV., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N. Y., volume 1, p. 199).


Synthetic surfactants, also known as surface active agents, have found wide applicability in the formulation of emulsions and have been reviewed in the literature (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, LV., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY; Rieger, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N. Y., volume 1, p. 285; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), Marcel Dekker, Inc., New York, N.Y., 1988, volume 1, p. 199). Surfactants are typically amphiphilic and comprise a hydrophilic and a hydrophobic portion. The ratio of the hydrophilic to the hydrophobic nature of the surfactant has been termed the hydrophile/lipophile balance (HLB) and is a valuable tool in categorizing and selecting surfactants in the preparation of formulations. Surfactants can be classified into different classes based on the nature of the hydrophilic group: nonionic, anionic, cationic, and amphoteric (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, LV., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY Rieger, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 285).


A large variety of non-emulsifying materials are also included in emulsion formulations and contribute to the properties of emulsions. These include fats, oils, waxes, fatty acids, fatty alcohols, fatty esters, humectants, hydrophilic colloids, preservatives, and antioxidants (Block, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 335; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199).


The application of emulsion formulations via dermatological, oral, and parenteral routes, and methods for their manufacture have been reviewed in the literature (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, LV., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199).


ii. Microemulsions


In one embodiment of the present invention, the compositions of iRNAs and nucleic acids are formulated as microemulsions. A microemulsion can be defined as a system of water, oil, and amphiphile which is a single optically isotropic and thermodynamically stable liquid solution (see e.g., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Allen, LV., Popovich N G., and Ansel H C., 2004, Lippincott Williams & Wilkins (8th ed.), New York, NY; Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 245). Typically microemulsions are systems that are prepared by first dispersing an oil in an aqueous surfactant solution and then adding a sufficient amount of a fourth component, generally an intermediate chain-length alcohol to form a transparent system. Therefore, microemulsions have also been described as thermodynamically stable, isotropically clear dispersions of two immiscible liquids that are stabilized by interfacial films of surface-active molecules (Leung and Shah, in: Controlled Release of Drugs: Polymers and Aggregate Systems, Rosoff, M., Ed., 1989, VCH Publishers, New York, pages 185-215).


iii. Microparticles


An iRNA of the invention may be incorporated into a particle, e.g., a microparticle. Microparticles can be produced by spray-drying, but may also be produced by other methods including lyophilization, evaporation, fluid bed drying, vacuum drying, or a combination of these techniques.


iv. Penetration Enhancers


In one embodiment, the present invention employs various penetration enhancers to effect the efficient delivery of nucleic acids, particularly iRNAs, to the skin of animals. Most drugs are present in solution in both ionized and nonionized forms. However, usually only lipid soluble or lipophilic drugs readily cross cell membranes. It has been discovered that even non-lipophilic drugs can cross cell membranes if the membrane to be crossed is treated with a penetration enhancer. In addition to aiding the diffusion of non-lipophilic drugs across cell membranes, penetration enhancers also enhance the permeability of lipophilic drugs.


Penetration enhancers can be classified as belonging to one of five broad categories, i.e., surfactants, fatty acids, bile salts, chelating agents, and non-chelating non-surfactants (see e.g., Malmsten, M. Surfactants and polymers in drug delivery, Informa Health Care, New York, NY, 2002; Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p. 92). Each of the above mentioned classes of penetration enhancers and their use in manufacture of pharmaceutical compositions and delivery of pharmaceutical agents are well known in the art.


v. Excipients


In contrast to a carrier compound, a “pharmaceutical carrier” or “excipient” is a pharmaceutically acceptable solvent, suspending agent, or any other pharmacologically inert vehicle for delivering one or more nucleic acids to an animal. The excipient can be liquid or solid and is selected, with the planned manner of administration in mind, so as to provide for the desired bulk, consistency, etc., when combined with a nucleic acid and the other components of a given pharmaceutical composition. Such agent are well known in the art.


vi. Other Components


The compositions of the present invention can additionally contain other adjunct components conventionally found in pharmaceutical compositions, at their art-established usage levels. Thus, for example, the compositions can contain additional, compatible, pharmaceutically-active materials such as, for example, antipruritics, astringents, local anesthetics or anti-inflammatory agents, or can contain additional materials useful in physically formulating various dosage forms of the compositions of the present invention, such as dyes, flavoring agents, preservatives, antioxidants, opacifiers, thickening agents and stabilizers. However, such materials, when added, should not unduly interfere with the biological activities of the components of the compositions of the present invention. The formulations can be sterilized and, if desired, mixed with auxiliary agents, e.g., lubricants, preservatives, stabilizers, wetting agents, emulsifiers, salts for influencing osmotic pressure, buffers, colorings, flavorings, or aromatic substances, and the like which do not deleteriously interact with the nucleic acid(s) of the formulation.


Aqueous suspensions can contain substances which increase the viscosity of the suspension including, for example, sodium carboxymethylcellulose, sorbitol, or dextran. The suspension can also contain stabilizers.


In some embodiments, pharmaceutical compositions featured in the invention include (a) one or more iRNA and (b) one or more agents which function by a non-iRNA mechanism and which are useful in treating a STAT6-associated disorder. Examples of such agents include, but are not limited to an anti-inflammatory agent (e.g., a systemic corticosteroid (e.g., prednisone), an anticholinergic agent, a β2-adrenoreceptor agonist, an anti-infective agent, (e.g., an antibiotic or an antiviral agent), an antihistamine, an immune modulator (e.g., an immunosuppressant agents (e.g., azathioprine, cyclophosphamide), a phosphodiesterase-5 inhibitor, a tyrosine kinase inhibitor (e.g., nintedanib), an antifibrotic agent (e.g., pirfenidone), and a combination of any of the foregoing.


Toxicity and prophylactic efficacy of such compounds can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the LD50 (the dose lethal to 50% of the population) and the ED50 (the dose prophylactically effective in 50% of the population). The dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio LD50/ED50. Compounds that exhibit high therapeutic indices are preferred.


The data obtained from cell culture assays and animal studies can be used in formulating a range of dosage for use in humans. The dosage of compositions featured herein in the invention lies generally within a range of circulating concentrations that include the ED50, such as, an ED80 or ED90, with little or no toxicity. The dosage can vary within this range depending upon the dosage form employed and the route of administration utilized. For any compound used in the methods featured in the invention, the prophylactically effective dose can be estimated initially from cell culture assays. A dose can be formulated in animal models to achieve a circulating plasma concentration range of the compound or, when appropriate, of the polypeptide product of a target sequence (e.g., achieving a decreased concentration of the polypeptide) that includes the IC50 (i.e., the concentration of the test compound which achieves a half-maximal inhibition of symptoms) or higher levels of inhibition as determined in cell culture. Such information can be used to more accurately determine useful doses in humans. Levels in plasma can be measured, for example, by high performance liquid chromatography.


In addition to their administration, as discussed above, the iRNAs featured in the invention can be administered in combination with other known agents used for the prevention or treatment of a STAT6-associated disorder, e.g., primary hyperoxaluria. In any event, the administering physician can adjust the amount and timing of iRNA administration on the basis of results observed using standard measures of efficacy known in the art or described herein.


VI. Methods for Inhibiting STAT6 Expression

The present invention also provides methods of inhibiting expression of a STAT6 gene in a cell. The methods include contacting a cell with an RNAi agent, e.g., double stranded RNA agent, in an amount effective to inhibit expression of STAT6 in the cell, thereby inhibiting expression of STAT6 in the cell. In certain embodiments of the disclosure, expression of a MUC5B gene is inhibited preferentially in the pulmonary system (e.g., lung, bronchial, alveoli) cells. In other embodiments of the disclosure, expression of a STAT6 gene is inhibited preferentially in the liver (e.g., hepatocytes). In certain embodiments of the disclosure, expression of a STAT6 gene is inhibited in the pulmonary system (e.g., lung, bronchial, alveoli) cells and in liver (e.g., hepatocytes) cells.


Contacting of a cell with an iRNA, e.g., a double stranded RNA agent, may be done in vitro or in vivo. Contacting a cell in vivo with the iRNA includes contacting a cell or group of cells within a subject, e.g., a human subject, with the iRNA. Combinations of in vitro and in vivo methods of contacting a cell are also possible. Contacting a cell may be direct or indirect, as discussed above. Furthermore, contacting a cell may be accomplished via a targeting ligand, including any ligand described herein or known in the art. In some embodiments, the targeting ligand is a lipophilic moiety, e.g., a C16, and/or a carbohydrate moiety, e.g., a GalNAc; ligand, or any other ligand that directs the RNAi agent to a site of interest. In certain embodiments, the ligand is not a cholesterol moiety. In certain embodiments, the RNAi agent does not include a targeting ligand.


The term “inhibiting.” as used herein, is used interchangeably with “reducing.” “silencing.” “downregulating”, “suppressing”, and other similar terms, and includes any level of inhibition.


The phrase “inhibiting expression of a STAT6” is intended to refer to inhibition of expression of any STAT6 gene (such as, e.g., a mouse STAT6 3 gene, a rat STAT6 gene, a monkey STAT6 gene, or a human STAT6 gene) as well as variants or mutants of a STAT6 gene. Thus, the STAT6 gene may be a wild-type STAT6 gene, a mutant STAT6 gene, or a transgenic STAT6 gene in the context of a genetically manipulated cell, group of cells, or organism.


“Inhibiting expression of a STAT6 gene” includes any level of inhibition of a STAT6 gene, e.g., at least partial suppression of the expression of a STAT6 gene. The expression of the STAT6 gene may be assessed based on the level, or the change in the level, of any variable associated with STAT6 gene expression, e.g., STAT6 mRNA level or STAT6 protein level.


Inhibition may be assessed by a decrease in an absolute or relative level of one or more variables that are associated with STAT6 expression compared with a control level. The control level may be any type of control level that is utilized in the art, e.g., a pre-dose baseline level, or a level determined from a similar subject, cell, or sample that is untreated or treated with a control (such as, e.g., buffer only control or inactive agent control).


In some embodiments of the methods of the invention, expression of a STAT6 gene is inhibited by at least 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%, or to below the level of detection of the assay. In some embodiments, expression of a STAT6 gene is inhibited by at least 70%. It is further understood that inhibition of STAT6 expression in certain tissues, e.g., in lung and/or liver, without a significant inhibition of expression in other tissues, e.g., brain, may be desirable. In some embodiments, expression level is determined using the assay method provided in Example 2 with a 10 nM siRNA concentration in the appropriate species matched cell line.


In certain embodiments, inhibition of expression in vivo is determined by knockdown of the human gene in a rodent expressing the human gene, e.g., an AAV-infected mouse expressing the human target gene (i.e., STAT6), e.g., when administered as a single dose, e.g., at 3 mg/kg at the nadir of RNA expression. Knockdown of expression of an endogenous gene in a model animal system can also be determined, e.g., after administration of a single dose at, e.g., 3 mg/kg at the nadir of RNA expression. Such systems are useful when the nucleic acid sequence of the human gene and the model animal gene are sufficiently close such that the human iRNA provides effective knockdown of the model animal gene. RNA expression in liver is determined using the PCR methods provided in Example 2.


Inhibition of the expression of a STAT6 gene may be manifested by a reduction of the amount of mRNA expressed by a first cell or group of cells (such cells may be present, for example, in a sample derived from a subject) in which a STAT6 gene is transcribed and which has or have been treated (e.g., by contacting the cell or cells with an iRNA of the invention, or by administering an iRNA of the invention to a subject in which the cells are or were present) such that the expression of a STAT6 gene is inhibited, as compared to a second cell or group of cells substantially identical to the first cell or group of cells but which has not or have not been so treated (control cell(s) not treated with an iRNA or not treated with an iRNA targeted to the gene of interest). In some embodiments, the inhibition is assessed by the method provided in Example 2 using a 10 nM siRNA concentration in the species matched cell line and expressing the level of mRNA in treated cells as a percentage of the level of mRNA in control cells, using the following formula:










(

mRNA


in


control


cells

)

-

(

mRNA


in


treated


cells

)



(

mRNA


in


control


cells

)


·
100


%




In other embodiments, inhibition of the expression of a STAT6 gene may be assessed in terms of a reduction of a parameter that is functionally linked to STAT6 gene expression, e.g., STAT6 protein level in blood or serum from a subject. STAT6 gene silencing may be determined in any cell expressing STAT6, either endogenous or heterologous from an expression construct, and by any assay known in the art.


Inhibition of the expression of a STAT6 protein may be manifested by a reduction in the level of the STAT6 protein that is expressed by a cell or group of cells or in a subject sample (e.g., the level of protein in a sample derived from a subject). As explained above, for the assessment of mRNA suppression, the inhibition of protein expression levels in a treated cell or group of cells may similarly be expressed as a percentage of the level of protein in a control cell or group of cells, or the change in the level of protein in a subject sample, e.g., a respiratory system sample, e.g., sputum sample or nasal swab derived therefrom.


A control cell, a group of cells, or subject sample that may be used to assess the inhibition of the expression of a STAT6 gene includes a cell, group of cells, or subject sample that has not yet been contacted with an RNAi agent of the invention. For example, the control cell, group of cells, or subject sample may be derived from an individual subject (e.g., a human or animal subject) prior to treatment of the subject with an RNAi agent or an appropriately matched population control.


The level of STAT6 mRNA that is expressed by a cell or group of cells may be determined using any method known in the art for assessing mRNA expression. In one embodiment, the level of expression of STAT6 in a sample is determined by detecting a transcribed polynucleotide, or portion thereof, e.g., mRNA of the STAT6 gene. RNA may be extracted from cells using RNA extraction techniques including, for example, using acid phenol/guanidine isothiocyanate extraction (RNAzol B; Biogenesis), RNeasy™ RNA preparation kits (Qiagen®) or PAXgene™ (PreAnalytix™. Switzerland). Typical assay formats utilizing ribonucleic acid hybridization include nuclear run-on assays, RT-PCR, RNase protection assays, northern blotting, in situ hybridization, and microarray analysis.


In some embodiments, the level of expression of STAT6 is determined using a nucleic acid probe. The term “probe”, as used herein, refers to any molecule that is capable of selectively binding to a specific STAT6. Probes can be synthesized by one of skill in the art, or derived from appropriate biological preparations. Probes may be specifically designed to be labeled. Examples of molecules that can be utilized as probes include, but are not limited to, RNA, DNA, proteins, antibodies, and organic molecules.


Isolated mRNA can be used in hybridization or amplification assays that include, but are not limited to, Southern or northern analyses, polymerase chain reaction (PCR) analyses and probe arrays. One method for the determination of mRNA levels involves contacting the isolated mRNA with a nucleic acid molecule (probe) that can hybridize to STAT6 mRNA. In one embodiment, the mRNA is immobilized on a solid surface and contacted with a probe, for example by running the isolated mRNA on an agarose gel and transferring the mRNA from the gel to a membrane, such as nitrocellulose. In an alternative embodiment, the probe(s) are immobilized on a solid surface and the mRNA is contacted with the probe(s), for example, in an Affymetrix® gene chip array. A skilled artisan can readily adapt known mRNA detection methods for use in determining the level of STAT6 mRNA.


An alternative method for determining the level of expression of STAT6 in a sample involves the process of nucleic acid amplification or reverse transcriptase (to prepare cDNA) of for example mRNA in the sample, e.g., by RT-PCR (the experimental embodiment set forth in Mullis, 1987, U.S. Pat. No. 4,683,202), ligase chain reaction (Barany (1991) Proc. Natl. Acad. Sci. USA 88:189-193), self sustained sequence replication (Guatelli et al. (1990) Proc. Natl. Acad. Sci. USA 87:1874-1878), transcriptional amplification system (Kwoh et al. (1989) Proc. Natl. Acad. Sci. USA 86:1173-1177), Q-Beta Replicase (Lizardi et al. (1988) Bio/Technology 6:1197), rolling circle replication (Lizardi et al., U.S. Pat. No. 5,854,033) or any other nucleic acid amplification method, followed by the detection of the amplified molecules using techniques well known to those of skill in the art. These detection schemes are especially useful for the detection of nucleic acid molecules if such molecules are present in very low numbers. In particular aspects of the invention, the level of expression of STAT6 is determined by quantitative fluorogenic RT-PCR (i.e., the TaqMan™ System). In some embodiments, expression level is determined by the method provided in Example 2 using, e.g., a 10 nM siRNA concentration, in the species matched cell line.


The expression levels of STAT6 mRNA may be monitored using a membrane blot (such as used in hybridization analysis such as northern, Southern, dot, and the like), or microwells, sample tubes, gels, beads or fibers (or any solid support comprising bound nucleic acids). See U.S. Pat. Nos. 5,770,722, 5,874,219, 5,744,305, 5,677,195 and 5,445,934, which are incorporated herein by reference. The determination of STAT6 expression level may also comprise using nucleic acid probes in solution.


In some embodiments, the level of mRNA expression is assessed using branched DNA (bDNA) assays or real time PCR (qPCR). The use of these methods is described and exemplified in the Examples presented herein. In some embodiments, expression level is determined by the method provided in Example 2 using a 10 nM siRNA concentration in the species matched cell line.


The level of STAT6 protein expression may be determined using any method known in the art for the measurement of protein levels. Such methods include, for example, electrophoresis, capillary electrophoresis, high performance liquid chromatography (HPLC), thin layer chromatography (TLC), hyperdiffusion chromatography, fluid or gel precipitin reactions, absorption spectroscopy, a colorimetric assays, spectrophotometric assays, flow cytometry, immunodiffusion (single or double), immunoelectrophoresis, western blotting, radioimmunoassay (RIA), enzyme-linked immunosorbent assays (ELISAs), immunofluorescent assays, electrochemiluminescence assays, and the like.


In some embodiments, the efficacy of the methods of the invention are assessed by a decrease in STAT6 mRNA or protein level (e.g., in the lung, by biopsy, or otherwise, e.g., sputum sample or nasal swab, or in a liver sample, by biopsy).


In some embodiments of the methods of the invention, the iRNA is administered to a subject such that the iRNA is delivered to a specific site within the subject. The inhibition of expression of STAT6 may be assessed using measurements of the level or change in the level of STAT6 mRNA or STAT6 protein in a sample derived from fluid or tissue from the specific site within the subject (e.g., liver and/or liver cells or fluid samples from the respiratory system).


As used herein, the terms detecting or determining a level of an analyte are understood to mean performing the steps to determine if a material, e.g., protein, RNA, is present. As used herein, methods of detecting or determining include detection or determination of an analyte level that is below the level of detection for the method used.


VII. Prophylactic and Treatment Methods of the Invention

The present invention also provides methods of using an iRNA of the invention or a composition containing an iRNA of the invention to inhibit expression of STAT6, thereby preventing or treating a STAT6-associated disorder, e.g., primary hyperoxaluria and/or kidney stone diseases. In the methods of the invention the cell may be contacted with the siRNA in vitro or in vivo, i.e., the cell may be within a subject.


A cell suitable for treatment using the methods of the invention may be any cell that expresses a STAT6 gene, such as a cell in the respiratory system that expresses STAT6. A cell suitable for use in the methods of the invention may be a mammalian cell, e.g., a primate cell (such as a human cell, including human cell in a chimeric non-human animal, or a non-human primate cell, e.g., a monkey cell or a chimpanzee cell), or a non-primate cell. In certain embodiments, the cell is a human cell. In one embodiment, the cell is a human cell, e.g., a human lung cell. In one embodiment, the cell is a human cell, e.g., a human liver cell. In one embodiment, the cell is a human cell, e.g., a human lung cell and a human liver cell.


STAT6 expression is inhibited in the cell by at least 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 96, 97, 98, 99, or about 100%, i.e., to below the level of detection. In certain embodiments, STAT6 expression is inhibited by at least 50%.


The in vivo methods of the invention may include administering to a subject a composition containing an iRNA, where the iRNA includes a nucleotide sequence that is complementary to at least a part of an RNA transcript of the STAT6 gene of the mammal to which the RNAi agent is to be administered. The composition can be administered by any means known in the art including, but not limited to oral, intraperitoneal, or parenteral routes, including intracranial (e.g., intraventricular, intraparenchymal, and intrathecal), intravenous, intramuscular, subcutaneous, transdermal, airway (aerosol), nasal, rectal, and topical (including buccal and sublingual) administration. In certain embodiments, the compositions are administered by intravenous infusion or injection. In certain embodiments, the compositions are administered by subcutaneous injection. In certain embodiments, the compositions are administered by intramuscular injection. In certain embodiments, the compositions are administered by pulmonary delivery, e.g., oral inhalation or intranasal delivery.


In some embodiments, the administration is via a depot injection. A depot injection may release the RNAi agent in a consistent way over a prolonged time period. Thus, a depot injection may reduce the frequency of dosing needed to obtain a desired effect, e.g., a desired inhibition of STAT6, or a therapeutic or prophylactic effect. A depot injection may also provide more consistent serum concentrations. Depot injections may include subcutaneous injections or intramuscular injections. In preferred embodiments, the depot injection is a subcutaneous injection.


In one embodiment, the double-stranded RNAi agent is administered by pulmonary system administration, e.g., intranasal administration or oral inhalative administration. Pulmonary system administration may be via a syringe, a dropper, atomization, or use of device, e.g., a passive breath driven or active power driven single/-multiple dose dry powder inhaler (DPI) device.


The mode of administration may be chosen based upon whether local or systemic treatment is desired and based upon the area to be treated. The route and site of administration may be chosen to enhance targeting.


In one aspect, the present invention also provides methods for inhibiting the expression of a STAT6 gene in a mammal. The methods include administering to the mammal a composition comprising a dsRNA that targets a STAT6 gene in a cell of the mammal and maintaining the mammal for a time sufficient to obtain degradation of the mRNA transcript of the STAT6 gene, thereby inhibiting expression of the STAT6 gene in the cell. Reduction in gene expression can be assessed by any methods known in the art and by methods, e.g. qRT-PCR, described herein, e.g., in Example 2. Reduction in protein production can be assessed by any methods known it the art, e.g. ELISA. In certain embodiments, a lung biopsy sample serves as the tissue material for monitoring the reduction in the STAT6 gene or protein expression.


The present invention further provides methods of treatment in a subject in need thereof, e.g., a subject diagnosed with a STAT6-associated disorder, such as a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


The present invention further provides methods of prophylaxis in a subject in need thereof. The treatment methods of the invention include administering an iRNA of the invention to a subject. e.g., a subject that would benefit from a reduction of STAT6 expression, in a prophylactically effective amount of a dsRNA targeting a STAT6 gene or a pharmaceutical composition comprising a dsRNA targeting a STAT6 gene.


In one aspect, the present invention provides methods of treating a subject having a disorder that would benefit from reduction in STAT6 expression, e.g., a STAT6-associated disease, such as a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. Treatment of a subject that would benefit from a reduction and/or inhibition of STAT6 gene expression includes therapeutic treatment (e.g., a subject is having a respiratory disease) and prophylactic treatment (e.g., the subject is not a respiratory disease or a subject may be at risk of developing a respiratory disease).


In some embodiments, the STAT6-associated disease is a respiratory disease.


In other embodiments, the STAT6-associated disease is asthma.


An iRNA of the invention may be administered as a “free iRNA.” A free iRNA is administered in the absence of a pharmaceutical composition. The naked iRNA may be in a suitable buffer solution. The buffer solution may comprise acetate, citrate, prolamine, carbonate, or phosphate, or any combination thereof. In one embodiment, the buffer solution is phosphate buffered saline (PBS). The pH and osmolarity of the buffer solution containing the iRNA can be adjusted such that it is suitable for administering to a subject.


Alternatively, an iRNA of the invention may be administered as a pharmaceutical composition, such as a dsRNA liposomal formulation.


Subjects that would benefit from an inhibition of STAT6 gene expression are subjects susceptible to or diagnosed with a STAT6-associated disorder, such as a respiratory disease, e.g., asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis. In one embodiment, the method includes administering a composition featured herein such that expression of the target a STAT6 gene is decreased, such as for about 1, 2, 3, 4, 5, 6, 1-6, 1-3, or 3-6 months per dose. In certain embodiments, the composition is administered once every 3-6 months.


In one embodiment, the iRNAs useful for the methods and compositions featured herein specifically target RNAs (primary or processed) of the target STAT6 gene. Compositions and methods for inhibiting the expression of these genes using iRNAs can be prepared and performed as described herein.


Administration of the iRNA according to the methods of the invention may result prevention or treatment of a STAT6-associated disorder, e.g., a respiratory disease, e.g., chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.


Subjects can be administered a therapeutic amount of iRNA, such as about 0.01 mg/kg to about 200 mg/kg.


In one embodiment, the dsRNA agent is administered to the subject via pulmonary system administration. In one embodiment, the pulmonary system administration is via inhalation or intranasally. In one embodiment, the iRNA is administered subcutaneously, i.e., by subcutaneous injection. One or more injections may be used to deliver the desired dose of iRNA to a subject. The injections may be repeated over a period of time.


The administration may be repeated on a regular basis. In certain embodiments, after an initial treatment regimen, the treatments can be administered on a less frequent basis. A repeat-dose regimen may include administration of a therapeutic amount of iRNA on a regular basis, such as once per month to once a year. In certain embodiments, the iRNA is administered about once per month to about once every three months, or about once every three months to about once every six months.


The invention further provides methods and uses of an iRNA agent or a pharmaceutical composition thereof for treating a subject that would benefit from reduction and/or inhibition of STAT6 gene expression, e.g., a subject having a STAT6-associated disease, in combination with other pharmaceuticals and/or other therapeutic methods, e.g., with known pharmaceuticals and/or known therapeutic methods, such as, for example, those which are currently employed for treating these disorders.


Accordingly, in some aspects of the invention, the methods which include either a single iRNA agent of the invention, further include administering to the subject one or more additional therapeutic agents.


For example, in certain embodiments, an iRNA targeting STAT6 is administered in combination with, e.g., other pharmaceuticals or other therapeutic methods, e.g., with known pharmaceuticals or known therapeutic methods, such as, for example, those which are currently employed for treating these disorders. For example, in certain embodiments, an RNAi agent targeting STAT6 is administered in combination with, e.g., an agent useful in treating a STAT6-associated disorder as described elsewhere herein or as otherwise known in the art. For example, additional agents and treatments suitable for treating a subject that would benefit from reduction in STAT6 expression, e.g., a subject having a STAT6-associated disorder, may include agents currently used to treat symptoms of STAT6-associated disorder.


Exemplary additional therapeutics and treatments include, for example, an anti-inflammatory agent (e.g., a systemic corticosteroid (e.g., prednisone), an anticholinergic agent, a 2-adrenoreceptor agonist, an anti-infective agent, (e.g., an antibiotic or an antiviral agent), an antihistamine, an immune modulator (e.g., an immunosuppressant agents (e.g., azathioprine, cyclophosphamide), a phosphodiesterase-5 inhibitor, a tyrosine kinase inhibitor (e.g., nintedanib), an antifibrotic agent (e.g., pirfenidone), and a combination of any of the foregoing.


The RNAi agent and additional therapeutic agents may be administered at the same time or in the same combination, e.g., via pulmonary system administration, or the additional therapeutic agent can be administered as part of a separate composition or at separate times or by another method known in the art or described herein.


VIII. Kits

In certain aspects, the instant disclosure provides kits that include a suitable container containing a pharmaceutical formulation of a siRNA compound, e.g., a double-stranded siRNA compound, or siRNA compound, (e.g., a precursor, e.g., a larger siRNA compound which can be processed into a siRNA compound, or a DNA which encodes an siRNA compound, e.g., a double-stranded siRNA compound, or ssiRNA compound, or precursor thereof).


Such kits include one or more dsRNA agent(s) and instructions for use, e.g., instructions for administering a prophylactically or therapeutically effective amount of a dsRNA agent(s). The dsRNA agent may be in a vial or a pre-filled syringe. The kits may optionally further comprise means for administering the dsRNA agent (e.g., an injection device, such as a pre-filled syringe), or means for measuring the inhibition of STAT6 (e.g., means for measuring the inhibition of STAT6 mRNA, STAT6 protein, and/or STAT6 activity). Such means for measuring the inhibition of STAT6 may comprise a means for obtaining a sample from a subject, such as, e.g., a cell, tissue, blood, or pulmonary system sample. The kits of the invention may optionally further comprise means for determining the therapeutically effective or prophylactically effective amount.


In certain embodiments the individual components of the pharmaceutical formulation may be provided in one container, e.g., a vial or a pre-filled syringe. Alternatively, it may be desirable to provide the components of the pharmaceutical formulation separately in two or more containers, e.g., one container for a siRNA compound preparation, and at least another for a carrier compound. The kit may be packaged in a number of different configurations such as one or more containers in a single box. The different components can be combined, e.g., according to instructions provided with the kit. The components can be combined according to a method described herein, e.g., to prepare and administer a pharmaceutical composition. The kit can also include a delivery device, such as a device suitable for pulmonary administration, e.g., a device suitable for oral inhalative administration including nebulizers, metered-dose inhalers, and dry powder inhalers.


This invention is further illustrated by the following examples which should not be construed as limiting. The entire contents of all references, patents and published patent applications cited throughout this application, as well as the informal Sequence Listing and Figures, are hereby incorporated herein by reference.


EXAMPLES
Example 1. iRNA Synthesis
Source of Reagents

Where the source of a reagent is not specifically given herein, such reagent can be obtained from any supplier of reagents for molecular biology at a quality/purity standard for application in molecular biology.


siRNA Design


siRNAs targeting the human signal transducer and activator of transcription factor 6 (STAT6) gene (human: NCBI refseqID NM_003153.5, NCBI GeneID: 6778) were designed using custom R and Python scripts. The human NM_003153.5 REFSEQ mRNA, has a length of 3963 bases.


Detailed lists of the unmodified STAT6 sense and antisense strand nucleotide sequences are shown in Table 2. Detailed lists of the modified STAT6 sense and antisense strand nucleotide sequences are shown in Table 3.


It is to be understood that, throughout the application, a duplex name without a decimal is equivalent to a duplex name with a decimal which merely references the batch number of the duplex. For example, AD-959917 is equivalent to AD-959917.1.


siRNA Synthesis


siRNAs were designed, synthesized, and prepared using methods known in the art.


Briefly, siRNA sequences were synthesized on a 1 μmol scale using a Mermade 192 synthesizer (BioAutomation) with phosphoramidite chemistry on solid supports. The solid support was controlled pore glass (500-1000 Å) loaded with a custom GalNAc ligand (3′-GalNAc conjugates), universal solid support (AM Chemicals), or the first nucleotide of interest. Ancillary synthesis reagents and standard 2-cyanoethyl phosphoramidite monomers (2′-deoxy-2′-fluoro, 2′-O-methyl, RNA, DNA) were obtained from Thermo-Fisher (Milwaukee, WI), Hongene (China), or Chemgenes (Wilmington, MA, USA). Additional phosphoramidite monomers were procured from commercial suppliers, prepared in-house, or procured using custom synthesis from various CMOs. Phosphoramidites were prepared at a concentration of 100 mM in either acetonitrile or 9:1 acetonitrile:DMF and were coupled using 5-Ethylthio-1H-tetrazole (ETT, 0.25 M in acetonitrile) with a reaction time of 400 s. Phosphorothioate linkages were generated using a 100 mM solution of 3-((Dimethylamino-methylidene) amino)-3H-1,2,4-dithiazole-3-thione (DDTT, obtained from Chemgenes (Wilmington, MA, USA)) in anhydrous acetonitrile/pyridine (9:1 v/v). Oxidation time was 5 minutes. All sequences were synthesized with final removal of the DMT group (“DMT-Off”).


Upon completion of the solid phase synthesis, solid-supported oligoribonucleotides were treated with 300 μL of Methylamine (40% aqueous) at room temperature in 96 well plates for approximately 2 hours to afford cleavage from the solid support and subsequent removal of all additional base-labile protecting groups. For sequences containing any natural ribonucleotide linkages (2′-OH) protected with a tert-butyl dimethyl silyl (TBDMS) group, a second deprotection step was performed using TEA.3HF (triethylamine trihydrofluoride). To each oligonucleotide solution in aqueous methylamine was added 200 μL of dimethyl sulfoxide (DMSO) and 300 μL TEA.3HF and the solution was incubated for approximately 30 mins at 60° ° C. After incubation, the plate was allowed to come to room temperature and crude oligonucleotides were precipitated by the addition of 1 mL of 9:1 acetontrile:ethanol or 1:1 ethanol:isopropanol. The plates were then centrifuged at 4° C. for 45 mins and the supernatant carefully decanted with the aid of a multichannel pipette. The oligonucleotide pellet was resuspended in 20 mM NaOAc and subsequently desalted using a HiTrap size exclusion column (5 mL, GE Healthcare) on an Agilent LC system equipped with an autosampler, UV detector, conductivity meter, and fraction collector. Desalted samples were collected in 96 well plates and then analyzed by LC-MS and UV spectrometry to confirm identity and quantify the amount of material, respectively.


Duplexing of single strands was performed on a Tecan liquid handling robot. Sense and antisense single strands were combined in an equimolar ratio to a final concentration of 10 UM in 1× PBS in 96 well plates, the plate sealed, incubated at 100° C. for 10 minutes, and subsequently allowed to return slowly to room temperature over a period of 2-3 hours. The concentration and identity of each duplex was confirmed and then subsequently utilized for in vitro screening assays.


Example 2. In Vitro Screening Methods
Cell Culture and Transfections

For transfections, A549 cells were grown to near confluence at 37° ° C. in an atmosphere of 5% CO2 in Eagle's Minimum Essential Medium (Gibco) supplemented with 10% FBS (ATCC) before being released from the plate by trypsinization. Transfection was carried out by adding 7.5 μl of Opti-MEM plus 0.1 μl of Lipofectamine RNAiMax per well (Invitrogen, Carlsbad CA. cat #13778-150) to 2.5 μl of each siRNA duplex to an individual well in a 96-well plate. The mixture was then incubated at room temperature for 15 minutes. Forty μl of complete growth media without antibiotic containing ˜2×104 cells were then added to the siRNA mixture. Cells were incubated for 24 hours prior to RNA purification. Single dose experiments were performed at a 10 nM final duplex concentration.


Total RNA Isolation Using DYNABEADS mRNA Isolation Kit (Invitrogen™, Part #: 610-12)


Cells were lysed in 75 μl of Lysis/Binding Buffer containing 3 μL of beads per well and mixed for 10 minutes on an electrostatic shaker. The washing steps were automated on a Biotek EL406, using a magnetic plate support. Beads were washed (in 90 μL) once in Buffer A, once in Buffer B, and twice in Buffer E, with aspiration steps in between. Following a final aspiration, complete 10 μL RT mixture was added to each well, as described below.


cDNA Synthesis Using ABI High Capacity cDNA Reverse Transcription Kit (Applied Biosystems, Foster City, CA, Cat #4368813)


A master mix of 1 μl 10× Buffer, 0.4 μl 25× dNTPs, 1 μl Random primers, 0.5 μl Reverse Transcriptase, 0.5 μl RNase inhibitor and 6.6 μl of H2O per reaction were added per well. Plates were sealed, agitated for 10 minutes on an electrostatic shaker, and then incubated at 37 degrees C. for 2 hours. Following this, the plates were agitated at 80 degrees C. for 8 minutes.


Real Time PCR

Two microlitre (μl) of cDNA were added to a master mix containing 0.5 μl of human GAPDH TaqMan Probe (4326317E), 0.5 μl human STAT6, 2 μl nuclease-free water and 5 μl Lightcycler 480 probe master mix (Roche Cat #04887301001) per well in a 384 well plates (Roche cat #04887301001). Real time PCR was done in a LightCycler480 Real Time PCR system (Roche).


To calculate relative fold change, data are analyzed using the ΔΔCt method and normalized to assays performed with cells transfected with 10 nM AD-1955, or mock transfected cells. IC50s are calculated using a 4 parameter fit model using XLFit and normalized to cells transfected with AD-1955 or mock-transfected. The sense and antisense sequences of AD-1955 are: sense: cuuAcGcuGAGuAcuucGAdTsdT (SEQ ID NO: 18) and antisense UCGAAGuACUcAGCGuAAGdTsdT (SEQ ID NO: 19).


The results of the screening of the dsRNA agents listed in Tables 2 and 3 in A549 cells are shown in Table 4.









TABLE 1







Abbreviations of nucleotide monomers used in nucleic acid sequence representation. It will be understood that these monomers, when present in an


oligonucleotide, are mutually linked by 5′-3′-phosphodiester bonds; and it is understood that when the nucleotide contains a 2′-fluoro modification,


then the fluoro replaces the hydroxy at that position in the parent nucleotide (i.e., it is a 2′-deoxy-2′-fluoronucleotide).










Abbre-




viation
Nucleotide(s)







A
Adenosine-3′-phosphate



Ab
beta-L-adenosine-3′-phosphate



Abs
beta-L-adenosine-3′-phosphorothioate



Af
2′-fluoroadenosine-3′-phosphate



Afs
2′-fluoroadenosine-3′-phosphorothioate



As
adenosine-3′-phosphorothioate



C
cytidine-3′-phosphate



Cb
beta-L-cytidine-3′-phosphate



Cbs
beta-L-cytidine-3′-phosphorothioate



Cf
2′-fluorocytidine-3′-phosphate



Cfs
2′-fluorocytidine-3′-phosphorothioate



Cs
cytidine-3′-phosphorothioate



G
guanosine-3′-phosphate



Gb
beta-L-guanosine-3′-phosphate



Gbs
beta-L-guanosine-3′-phosphorothioate



Gf
2′-fluoroguanosine-3′-phosphate



Gfs
2′-fluoroguanosine-3′-phosphorothioate



Gs
guanosine-3′-phosphorothioate



T
5′-methyluridine-3′-phosphate



Tf
2′-fluoro-5-methyluridine-3′-phosphate



Tfs
2′-fluoro-5-methyluridine-3′-phosphorothioate



Ts
5-methyluridine-3′-phosphorothioate



U
Uridine-3′-phosphate



Uf
2′-fluorouridine-3′-phosphate



Ufs
2′-fluorouridine-3′-phosphorothioate



Us
uridine-3′-phosphorothioate



N
any nucleotide, modified or unmodified



a
2′-O-methyladenosine-3′-phosphate



as
2′-O-methyladenosine-3′-phosphorothioate



c
2′-O-methylcytidine-3′-phosphate



cs
2′-O-methylcytidine-3′-phosphorothioate



g
2′-O-methylguanosine-3′-phosphate



gs
2′-O-methylguanosine-3′-phosphorothioate



t
2′-O-methyl-5-methyluridine-3′-phosphate



ts
2′-O-methyl-5-methyluridine-3′-phosphorothioate



u
2′-O-methyluridine-3′-phosphate



us
2′-O-methyluridine-3′-phosphorothioate



s
phosphorothioate linkage



L10
N-(cholesterylcarboxamidocaproyl)-4-hydroxyprolinol (Hyp-C6-Chol)



L96
N-[tris(GalNAc-alkyl)-amidodecanoyl)]-4-hydroxyprolinol (Hyp-(GalNAc-alkyl)3)










embedded image









Y34
2-hydroxymethyl-tetrahydrofurane-4-methoxy-3-phosphate (abasic 2′-OMe furanose)



Y44
inverted abasic DNA (2-hydroxymethyl-tetrahydrofurane-5-phosphate)



(Agn)
Adenosine-glycol nucleic acid (GNA)



(Cgn)
Cytidine-glycol nucleic acid (GNA)



(Ggn)
Guanosine-glycol nucleic acid (GNA)



(Tgn)
Thymidine-glycol nucleic acid (GNA) S-Isomer



P
Phosphate



VP
Vinyl-phosphonate



dA
2′-deoxyadenosine-3′-phosphate



dAs
2′-deoxyadenosine-3′-phosphorothioate



dC
2′-deoxycytidine-3′-phosphate



dCs
2′-deoxycytidine-3′-phosphorothioate



dG
2′-deoxyguanosine-3′-phosphate



dGs
2′-deoxyguanosine-3′-phosphorothioate



dT
2′-deoxythimidine-3′-phosphate



dTs
2′-deoxythimidine-3′-phosphorothioate



dU
2′-deoxyuridine



dUs
2′-deoxyuridine-3′-phosphorothioate



(C2p)
cytidine-2′-phosphate



(G2p)
guanosine-2′-phosphate



(U2p)
uridine-2′-phosphate



(A2p)
adenosine-2′-phosphate



(Chd)
2′-O-hexadecyl-cytidine-3′-phosphate



(Ahd)
2′-O-hexadecyl-adenosine-3′-phosphate



(Ghd)
2′-O-hexadecyl-guanosine-3′-phosphate



(Uhd)
2′-O-hexadecyl-uridine-3′-phosphate

















TABLE 2







Unmodified Sense and Antisense Strand Sequences of STAT6 dsRNA Agents














mRNA starting
mRNA ending


Duplex
sense sequence
antisense sequence
site in
site in


Name
5′ to 3′
5′ to 3′
NM_003153.5
NM_003153.5














AD-1586142
CCACUGCUUACACUGAAGAGG
CCUCUUCAGUGUAAGCAGUGGCU
6
28



(SEQ ID NO: 20)
(SEQ ID NO: 21)







AD-1586165
AGAGGAGUGUGUGUGUGUGUG
CACACACACACACACUCCUCUCC
36
58



(SEQ ID NO: 22)
(SEQ ID NO: 23)







AD-1586188
UGUGUGCUUUAUCUUAUUUUU
AAAAAUAAGAUAAAGCACACACA
79
101



(SEQ ID NO: 24)
(SEQ ID NO: 25)







AD-1586212
AGCCUUGAACUCGCUGGACAG
CUGUCCAGCGAGUUCAAGGCUGG
144
166



(SEQ ID NO: 26)
(SEQ ID NO: 27)







AD-1586229
ACAGAGCUACAGACCUAUGGG
CCCAUAGGUCUGUAGCUCUGUCC
161
183



(SEQ ID NO: 28)
(SEQ ID NO: 29)







AD-1586246
GCUGAGAAAGGGAGAAGACAG
CUGUCUUCUCCCUUUCUCAGCGG
196
218



(SEQ ID NO: 30)
(SEQ ID NO: 31)







AD-1586261
GAGGCAACCUCCAAGUCCCAG
CUGGGACUUGGAGGUUGCCUCGG
230
252



(SEQ ID NO: 32)
(SEQ ID NO: 33)







AD-1586276
UCCCAGAUCAUGUCUCUGUGG
CCACAGAGACAUGAUCUGGGACU
245
267



(SEQ ID NO: 34)
(SEQ ID NO: 35)







AD-1586293
GCGGCUCUAUGUCGACUUUCC
GGAAAGUCGACAUAGAGCCGCUG
301
323



(SEQ ID NO: 36)
(SEQ ID NO: 37)







AD-1586304
CGGCAUCUUCUGGGUGACUGG
CCAGUCACCCAGAAGAUGCCGCA
332
354



(SEQ ID NO: 38)
(SEQ ID NO: 39)







AD-1586367
CUGCUGCAACUUGGCUAGUGC
GCACUAGCCAAGUUGCAGCAGAA
397
419



(SEQ ID NO: 40)
(SEQ ID NO: 41)







AD-1586387
CCCUACUUUCAGACACUGUCC
GGACAGUGUCUGAAAGUAGGGCA
417
439



(SEQ ID NO: 42)
(SEQ ID NO: 43)







AD-1586407
CAGCACCUUCAGGCCUCGGUG
CACCGAGGCCUGAAGGUGCUGGA
437
459



(SEQ ID NO: 44)
(SEQ ID NO: 45)







AD-1586427
CAUCUUGCAACACAUCAGCAC
GUGCUGAUGUGUUGCAAGAUGGU
481
503



(SEQ ID NO: 46)
(SEQ ID NO: 47)







AD-1586446
ACCCUUGAGAGCAUAUAUCAG
CUGAUAUAUGCUCUCAAGGGUGC
500
522



(SEQ ID NO: 48)
(SEQ ID NO: 49)







AD-1586471
CUUUCAGACAAAUACUUCAAG
CUUGAAGUAUUUGUCUGAAAGUG
546
568



(SEQ ID NO: 50)
(SEQ ID NO: 51)







AD-1586483
AAGCUGUUAUGGAACAGUUCC
GGAACUGUUCCAUAACAGCUUUU
576
598



(SEQ ID NO: 52)
(SEQ ID NO: 53)







AD-1586503
CGCCACUUGCCAAUGCCUUUC
GAAAGGCAUUGGCAAGUGGCGGA
596
618



(SEQ ID NO: 54)
(SEQ ID NO: 55)







AD-1586518
CCUUUCCACUGGAAGCAGGAA
UUCCUGCUUCCAGUGGAAAGGCA
611
633



(SEQ ID NO: 56)
(SEQ ID NO: 57)







AD-1586533
CAGGAAGAACUCAAGUUUAAG
CUUAAACUUGAGUUCUUCCUGCU
626
648



(SEQ ID NO: 58)
(SEQ ID NO: 59)







AD-1586571
AUCCACCUUCUCCGAGAAGCC
GGCUUCUCGGAGAAGGUGGAUCU
683
705



(SEQ ID NO: 60)
(SEQ ID NO: 61)







AD-1586593
UGGCCAAGUGUCUCUGCACAG
CUGUGCAGAGACACUUGGCCAGC
724
746



(SEQ ID NO: 62)
(SEQ ID NO: 63)







AD-1586608
GCACAGCUUGAUAGAAACUCC
GGAGUUUCUAUCAAGCUGUGCAG
739
761



(SEQ ID NO: 64)
(SEQ ID NO: 65)







AD-1586625
CUCCUGCUAAUGGGACUGGGC
GCCCAGUCCCAUUAGCAGGAGUU
756
778



(SEQ ID NO: 66)
(SEQ ID NO: 67)







AD-1586657
CUGGCCAUGCUACUGCAGGAG
CUCCUGCAGUAGCAUGGCCAGGG
788
810



(SEQ ID NO: 68)
(SEQ ID NO: 69)







AD-1586679
CCACUGGAGAGCUAGAGGCAG
CUGCCUCUAGCUCUCCAGUGGUC
810
832



(SEQ ID NO: 70)
(SEQ ID NO: 71)







AD-1586697
CAGCCAAAGCCCUAGUGCUGA
UCAGCACUAGGGCUUUGGCUGCC
828
850



(SEQ ID NO: 72)
(SEQ ID NO: 73)







AD-1586713
GCUGAAGAGGAUCCAGAUUUG
CAAAUCUGGAUCCUCUUCAGCAC
844
866



(SEQ ID NO: 74)
(SEQ ID NO: 75)







AD-1586765
GCACCGUUUGAGGAGAGCCUG
CAGGCUCUCCUCAAACGGUGCGC
896
918



(SEQ ID NO: 76)
(SEQ ID NO: 77)







AD-1586775
CAGGAGAGGUGUGAAAGCCUG
CAGGCUUUCACACCUCUCCUGGA
926
948



(SEQ ID NO: 78)
(SEQ ID NO: 79)







AD-1586794
UGGUGGACAUUUAUUCCCAGC
GCUGGGAAUAAAUGUCCACCAGG
945
967



(SEQ ID NO: 80)
(SEQ ID NO: 81)







AD-1586810
CCAGCUACAGCAGGAGGUAGG
CCUACCUCCUGCUGUAGCUGGGA
961
983



(SEQ ID NO: 82)
(SEQ ID NO: 83)







AD-1586852
CUGGAUGAAGUCCUGAGAACC
GGUUCUCAGGACUUCAUCCAGCC
1034
1056



(SEQ ID NO: 84)
(SEQ ID NO: 85)







AD-1586874
UCGUCACCAGUUGCUUCCUGG
CCAGGAAGCAACUGGUGACGAGG
1056
1078



(SEQ ID NO: 86)
(SEQ ID NO: 87)







AD-1586895
CUGAAGACUCAGACCAAGUUC
GAACUUGGUCUGAGUCUUCAGUA
1100
1122



(SEQ ID NO: 88)
(SEQ ID NO: 89)







AD-1586920
CUGGAGUUCGAUUCCUGUUGG
CCAACAGGAAUCGAACUCCAGCC
1125
1147



(SEQ ID NO: 90)
(SEQ ID NO: 91)







AD-1586936
GUUGGGCUUGAGGUUCCUGGG
CCCAGGAACCUCAAGCCCAACAG
1141
1163



(SEQ ID NO: 92)
(SEQ ID NO: 93)







AD-1586957
CCGACAUGGUGACAGAGAAGC
GCUUCUCUGUCACCAUGUCGGCC
1191
1213



(SEQ ID NO: 94)
(SEQ ID NO: 95)







AD-1586994
GCUGGAGCAGAAAGCACUGGA
UCCAGUGCUUUCUGCUCCAGCCC
1247
1269



(SEQ ID NO: 96)
(SEQ ID NO: 97)







AD-1587009
ACUGGAGAAAUCAUCAACAAC
GUUGUUGAUGAUUUCUCCAGUGC
1262
1284



(SEQ ID NO: 98)
(SEQ ID NO: 99)







AD-1587037
CCUUGGAGAACAGCAUUCCUG
CAGGAAUGCUGUUCUCCAAGGGC
1290
1312



(SEQ ID NO: 100)
(SEQ ID NO: 101)







AD-1587052
UUCCUGGGAACUGCUGCUCUG
CAGAGCAGCAGUUCCCAGGAAUG
1305
1327



(SEQ ID NO: 102)
(SEQ ID NO: 103)







AD-1587072
GCCCUGUUCAAGAACCUGCUU
AAGCAGGUUCUUGAACAGGGCAG
1325
1347



(SEQ ID NO: 104)
(SEQ ID NO: 105)







AD-1587087
CUGCUUCUCAAGAAGAUCAAG
CUUGAUCUUCUUGAGAAGCAGGU
1340
1362



(SEQ ID NO: 106)
(SEQ ID NO: 107)







AD-1587124
GCACUGAGUCUGUCACAGAGG
CCUCUGUGACAGACUCAGUGCCC
1377
1399



(SEQ ID NO: 108)
(SEQ ID NO: 109)







AD-1587141
GAGGAGAAGUGCGCUGUGCUC
GAGCACAGCGCACUUCUCCUCUG
1394
1416



(SEQ ID NO: 110)
(SEQ ID NO: 111)







AD-1587158
GCUCUUCUCUGCCAGCUUCAC
GUGAAGCUGGCAGAGAAGAGCAC
1411
1433



(SEQ ID NO: 112)
(SEQ ID NO: 113)







AD-1587179
GUGGUCAUCGUCCAUGGCAAC
GUUGCCAUGGACGAUGACCACCA
1484
1506



(SEQ ID NO: 114)
(SEQ ID NO: 115)







AD-1587197
AACCAAGACAACAAUGCCAAA
UUUGGCAUUGUUGUCUUGGUUGC
1502
1524



(SEQ ID NO: 116)
(SEQ ID NO: 117)







AD-1587212
GCCAAAGCCACUAUCCUGUGG
CCACAGGAUAGUGGCUUUGGCAU
1517
1539



(SEQ ID NO: 118)
(SEQ ID NO: 119)







AD-1587230
UGGGACAAUGCCUUCUCUGAG
CUCAGAGAAGGCAUUGUCCCACA
1535
1557



(SEQ ID NO: 120)
(SEQ ID NO: 121)







AD-1587260
GUGCCCUUUGUGGUGGCUGAG
CUCAGCCACCACAAAGGGCACGC
1565
1587



(SEQ ID NO: 122)
(SEQ ID NO: 123)







AD-1587284
UGGGAGAAGAUGUGUGAAACU
AGUUUCACACAUCUUCUCCCAGG
1595
1617



(SEQ ID NO: 124)
(SEQ ID NO: 125)







AD-1587302
ACUCUGAACCUGAAGUUCAUG
CAUGAACUUCAGGUUCAGAGUUU
1613
1635



(SEQ ID NO: 126)
(SEQ ID NO: 127)







AD-1587323
CCAGAGCACUUCCUCUUCCUG
CAGGAAGAGGAAGUGCUCUGGGA
1664
1686



(SEQ ID NO: 128)
(SEQ ID NO: 129)







AD-1587347
CAGAAGAUCUUCAAUGACAAC
GUUGUCAUUGAAGAUCUUCUGGG
1688
1710



(SEQ ID NO: 130)
(SEQ ID NO: 131)







AD-1587368
AGCCUCAGUAUGGAGGCCUUC
GAAGGCCUCCAUACUGAGGCUGU
1709
1731



(SEQ ID NO: 132)
(SEQ ID NO: 133)







AD-1587391
GCACCGUUCUGUGUCCUGGUC
GACCAGGACACAGAACGGUGCUG
1732
1754



(SEQ ID NO: 134)
(SEQ ID NO: 135)







AD-1587410
UCGCAGUUCAACAAGGAGAUC
GAUCUCCUUGUUGAACUGCGACC
1751
1773



(SEQ ID NO: 136)
(SEQ ID NO: 137)







AD-1587442
UGGCUUCACCUUUUGGCAGUG
CACUGCCAAAAGGUGAAGCCACG
1783
1805



(SEQ ID NO: 138)
(SEQ ID NO: 139)







AD-1587458
CAGUGGUUUGAUGGUGUCCUG
CAGGACACCAUCAAACCACUGCC
1799
1821



(SEQ ID NO: 140)
(SEQ ID NO: 141)







AD-1587479
GACCUCACCAAACGCUGUCUC
GAGACAGCGUUUGGUGAGGUCCA
1820
1842



(SEQ ID NO: 142)
(SEQ ID NO: 143)







AD-1587499
CCGGAGCUACUGGUCUGACCG
CGGUCAGACCAGUAGCUCCGGAG
1840
1862



(SEQ ID NO: 144)
(SEQ ID NO: 145)







AD-1587517
CCGGCUGAUCAUUGGCUUCAU
AUGAAGCCAAUGAUCAGCCGGUC
1858
1880



(SEQ ID NO: 146)
(SEQ ID NO: 147)







AD-1587535
CAUCAGCAAACAGUACGUUAC
GUAACGUACUGUUUGCUGAUGAA
1876
1898



(SEQ ID NO: 148)
(SEQ ID NO: 149)







AD-1587552
UUACUAGCCUUCUUCUCAAUG
CAUUGAGAAGAAGGCUAGUAACG
1893
1915



(SEQ ID NO: 150)
(SEQ ID NO: 151)







AD-1587581
GGAACCUUUCUCCUCCGCUUC
GAAGCGGAGGAGAAAGGUUCCGU
1922
1944



(SEQ ID NO: 152)
(SEQ ID NO: 153)







AD-1587598
CUUCAGCGACUCAGAGAUUGG
CCAAUCUCUGAGUCGCUGAAGCG
1939
1961



(SEQ ID NO: 154)
(SEQ ID NO: 155)







AD-1587603
CAUCACCAUUGCCCAUGUCAU
AUGACAUGGGCAAUGGUGAUGCC
1963
1985



(SEQ ID NO: 156)
(SEQ ID NO: 157)







AD-1587625
CCACAGAUAGAGAACAUCCAG
CUGGAUGUUCUCUAUCUGUGGAG
2003
2025



(SEQ ID NO: 158)
(SEQ ID NO: 159)







AD-1587652
UCUGCCAAAGACCUGUCCAUU
AAUGGACAGGUCUUUGGCAGAGA
2030
2052



(SEQ ID NO: 160)
(SEQ ID NO: 161)







AD-1587675
CGGGAUCUUGCUCAGCUCAAA
UUUGAGCUGAGCAAGAUCCCGGA
2072
2094



(SEQ ID NO: 162)
(SEQ ID NO: 163)







AD-1587696
AAUCUCUAUCCCAAGAAGCCC
GGGCUUCUUGGGAUAGAGAUUUU
2093
2115



(SEQ ID NO: 164)
(SEQ ID NO: 165)







AD-1587711
AAGCCCAAGGAUGAGGCUUUC
GAAAGCCUCAUCCUUGGGCUUCU
2108
2130



(SEQ ID NO: 166)
(SEQ ID NO: 167)







AD-1587738
CACUACAAGCCUGAACAGAUG
CAUCUGUUCAGGCUUGUAGUGGC
2135
2157



(SEQ ID NO: 168)
(SEQ ID NO: 169)







AD-1587764
CCCAGCUACCAUCAAGAUGAC
GUCAUCUUGAUGGUAGCUGGGAC
2179
2201



(SEQ ID NO: 170)
(SEQ ID NO: 171)







AD-1587792
AGGGACCAACCACUUCCUACC
GGUAGGAAGUGGUUGGUCCCUUU
2207
2229



(SEQ ID NO: 172)
(SEQ ID NO: 173)







AD-1587799
CUCCAGAUGCCUACCAUGGUG
CACCAUGGUAGGCAUCUGGAGCU
2234
2256



(SEQ ID NO: 174)
(SEQ ID NO: 175)







AD-1587819
GCCUUCUUAUGACCUUGGAAU
AUUCCAAGGUCAUAAGAAGGCAC
2254
2276



(SEQ ID NO: 176)
(SEQ ID NO: 177)







AD-1587831
CCUCCAUGAGCAUGCAGCUUG
CAAGCUGCAUGCUCAUGGAGGAA
2286
2308



(SEQ ID NO: 178)
(SEQ ID NO: 179)







AD-1587857
CACCACACUCUCACUCCAUCC
GGAUGGAGUGAGAGUGUGGUGGG
2334
2356



(SEQ ID NO: 180)
(SEQ ID NO: 181)







AD-1587864
GAAUCAGUCAACGUGUUGUCA
UGACAACACGUUGACUGAUUCUU
2381
2403



(SEQ ID NO: 182)
(SEQ ID NO: 183)







AD-1587882
UCAGCCUUCCAGGAGCCUCAC
GUGAGGCUCCUGGAAGGCUGACA
2399
2421



(SEQ ID NO: 184)
(SEQ ID NO: 185)







AD-1587914
CUGCCCUUUGACCAGCCUCAC
GUGAGGCUGGUCAAAGGGCAGGC
2453
2475



(SEQ ID NO: 186)
(SEQ ID NO: 187)







AD-1587937
CAGGAGCAUGCUGUGUCCAGC
GCUGGACACAGCAUGCUCCUGAG
2501
2523



(SEQ ID NO: 188)
(SEQ ID NO: 189)







AD-1587950
UCUGCUCAGAUGUGACCAUGG
CCAUGGUCACAUCUGAGCAGAGC
2535
2557



(SEQ ID NO: 190)
(SEQ ID NO: 191)







AD-1587969
GGUGGAAGACAGCUGCCUGAG
CUCAGGCAGCUGUCUUCCACCAU
2554
2576



(SEQ ID NO: 192)
(SEQ ID NO: 193)







AD-1587994
CCAGUGACAGCGUUUCCUCAG
CUGAGGAAACGCUGUCACUGGCU
2579
2601



(SEQ ID NO: 194)
(SEQ ID NO: 195)







AD-1588016
GCACUUGGAUUGGUGAAGACA
UGUCUUCACCAAUCCAAGUGCCC
2601
2623



(SEQ ID NO: 196)
(SEQ ID NO: 197)







AD-1588031
AAGACAUAUUCCCUCCUCUGC
GCAGAGGAGGGAAUAUGUCUUCA
2616
2638



(SEQ ID NO: 198)
(SEQ ID NO: 199)







AD-1588052
CCUCCCACUGAACAGGACCUC
GAGGUCCUGUUCAGUGGGAGGCA
2639
2661



(SEQ ID NO: 200)
(SEQ ID NO: 201)







AD-1588067
GACCUCACUAAGCUUCUCCUG
CAGGAGAAGCUUAGUGAGGUCCU
2654
2676



(SEQ ID NO: 202)
(SEQ ID NO: 203)







AD-1588085
UCCCACUAUGGGCAAUCUGGG
CCCAGAUUGCCCAUAGUGGGAGG
2732
2754



(SEQ ID NO: 204)
(SEQ ID NO: 205)







AD-1588100
UCUGGGAUCUCAAUGUCCCAC
GUGGGACAUUGAGAUCCCAGAUU
2747
2769



(SEQ ID NO: 206)
(SEQ ID NO: 207)







AD-1588115
UCCCACAUGGACCUAAGGGCC
GGCCCUUAGGUCCAUGUGGGACA
2762
2784



(SEQ ID NO: 208)
(SEQ ID NO: 209)







AD-1588153
AAGAGACAGCUCUUCUACUAC
GUAGUAGAAGAGCUGUCUCUUUG
2820
2842



(SEQ ID NO: 210)
(SEQ ID NO: 211)







AD-1588167
UCUGGACACUUGCUCAUGCCC
GGGCAUGAGCAAGUGUCCAGAGC
2855
2877



(SEQ ID NO: 212)
(SEQ ID NO: 213)







AD-1588198
GGGUCAGGAGGAAAAGACUAA
UUAGUCUUUUCCUCCUGACCCAG
2924
2946



(SEQ ID NO: 214)
(SEQ ID NO: 215)







AD-1588213
GACUAACAGGAGAAUGCACAG
CUGUGCAUUCUCCUGUUAGUCUU
2939
2961



(SEQ ID NO: 216)
(SEQ ID NO: 217)







AD-1588236
GGUGGAGCCAAUCCACUCCUU
AAGGAGUGGAUUGGCUCCACCCA
2962
2984



(SEQ ID NO: 218)
(SEQ ID NO: 219)







AD-1588251
CUCCUUCCUUUCUAUCAUUCC
GGAAUGAUAGAAAGGAAGGAGUG
2977
2999



(SEQ ID NO: 220)
(SEQ ID NO: 221)







AD-1588255
GCCCACCUCCUUCCAGCACUG
CAGUGCUGGAAGGAGGUGGGCAG
3001
3023



(SEQ ID NO: 222)
(SEQ ID NO: 223)







AD-1588271
CACUGACUGGAAGGGAAGUUC
GAACUUCCCUUCCAGUCAGUGCU
3017
3039



(SEQ ID NO: 224)
(SEQ ID NO: 225)







AD-1588289
UUCAGGCUCUGAGACACACCC
GGGUGUGUCUCAGAGCCUGAACU
3035
3057



(SEQ ID NO: 226)
(SEQ ID NO: 227)







AD-1588321
ACACACAUACAGAGCUCUCUG
CAGAGAGCUCUGUAUGUGUGUGU
3093
3115



(SEQ ID NO: 228)
(SEQ ID NO: 229)







AD-1588336
CUGGGUAAGAGCACAGGUUAG
CUAACCUGUGCUCUUACCCAGCC
3142
3164



(SEQ ID NO: 230)
(SEQ ID NO: 231)







AD-1588354
UAGGGCAUGGAAGGCUUCUCC
GGAGAAGCCUUCCAUGCCCUAAC
3160
3182



(SEQ ID NO: 232)
(SEQ ID NO: 233)







AD-1588370
UCUCCGCCCAUUCUGACCCAG
CUGGGUCAGAAUGGGCGGAGAAG
3176
3198



(SEQ ID NO: 234)
(SEQ ID NO: 235)







AD-1588394
CUAGGACGGAUAGGCAGGAAC
GUUCCUGCCUAUCCGUCCUAGGC
3200
3222



(SEQ ID NO: 236)
(SEQ ID NO: 237)







AD-1588415
AUACAGACACAUUUACACUAG
CUAGUGUAAAUGUGUCUGUAUGU
3221
3243



(SEQ ID NO: 238)
(SEQ ID NO: 239)







AD-1588440
CAGGGAUAGAGGAUAUUGGGU
ACCCAAUAUCCUCUAUCCCUGGC
3246
3268



(SEQ ID NO: 240)
(SEQ ID NO: 241)







AD-1588483
UCUGGACAUGUGGUUACUAGU
ACUAGUAACCACAUGUCCAGACC
3326
3348



(SEQ ID NO: 242)
(SEQ ID NO: 243)







AD-1588505
CAGGUUUUGCCCUGAUUAAAA
UUUUAAUCAGGGCAAAACCUGUA
3348
3370



(SEQ ID NO: 244)
(SEQ ID NO: 245)







AD-1588510
AUUCCUGUUAGCCAGGUGGAG
CUCCACCUGGCUAACAGGAAUUU
3387
3409



(SEQ ID NO: 246)
(SEQ ID NO: 247)







AD-1588527
GGAGGCUUCUGAUACGUGUAU
AUACACGUAUCAGAAGCCUCCAC
3404
3426



(SEQ ID NO: 248)
(SEQ ID NO: 249)







AD-1588542
GUGUAUGAGACUAUGCAAAAG
CUUUUGCAUAGUCUCAUACACGU
3419
3441



(SEQ ID NO: 250)
(SEQ ID NO: 251)







AD-1588558
AAAAGUACAAGGGCUGAGAUU
AAUCUCAGCCCUUGUACUUUUGC
3435
3457



(SEQ ID NO: 252)
(SEQ ID NO: 253)







AD-1588573
GAGAUUCUUCGUGUAUAGCUG
CAGCUAUACACGAAGAAUCUCAG
3450
3472



(SEQ ID NO: 254)
(SEQ ID NO: 255)







AD-1588595
GUGAACGUGUAUGUACCUAGG
CCUAGGUACAUACACGUUCACAC
3472
3494



(SEQ ID NO: 256)
(SEQ ID NO: 257)







AD-1588612
UAGGAUAUGUUAAAUGUAUAG
CUAUACAUUUAACAUAUCCUAGG
3489
3511



(SEQ ID NO: 258)
(SEQ ID NO: 259)







AD-1588636
GCACCUUAGUUGCAUGACCAC
GUGGUCAUGCAACUAAGGUGCCA
3513
3535



(SEQ ID NO: 260)
(SEQ ID NO: 261)







AD-1588660
GAACAUGUGUCUAUCUGCUUU
AAAGCAGAUAGACACAUGUUCUA
3537
3559



(SEQ ID NO: 262)
(SEQ ID NO: 263)







AD-1588684
CUACGUGACAACACAAAUUUG
CAAAUUUGUGUUGUCACGUAGGC
3561
3583



(SEQ ID NO: 264)
(SEQ ID NO: 265)







AD-1588719
UGCACAGAAGACAGCAGCAAG
CUUGCUGCUGUCUUCUGUGCAGU
3596
3618



(SEQ ID NO: 266)
(SEQ ID NO: 267)







AD-1588748
CCUCUCUGACAUAUGCUAACC
GGUUAGCAUAUGUCAGAGAGGCC
3625
3647



(SEQ ID NO: 268)
(SEQ ID NO: 269)







AD-1588755
ACUCUGAAUUUGGAGUCUGAC
GUCAGACUCCAAAUUCAGAGUAU
3653
3675



(SEQ ID NO: 270)
(SEQ ID NO: 271)







AD-1588785
GUGGGUCCAAGUGGCUGUGAC
GUCACAGCCACUUGGACCCACUU
3683
3705



(SEQ ID NO: 272)
(SEQ ID NO: 273)







AD-1588800
UGUGACAUCUACGUAUGGCUC
GAGCCAUACGUAGAUGUCACAGC
3698
3720



(SEQ ID NO: 274)
(SEQ ID NO: 275)







AD-1588821
CACACCUCCAAUGCUGCCUGG
CCAGGCAGCAUUGGAGGUGUGGA
3719
3741



(SEQ ID NO: 276)
(SEQ ID NO: 277)







AD-1588878
GCCCUCCAGUGUAUGAGAGGG
CCCUCUCAUACACUGGAGGGCCA
3779
3801



(SEQ ID NO: 278)
(SEQ ID NO: 279)







AD-1588904
CUGCUGCAUCUUUUCUGUUGC
GCAACAGAAAAGAUGCAGCAGGC
3806
3828



(SEQ ID NO: 280)
(SEQ ID NO: 281)







AD-1588914
CGCCAGCUUCCCUUCACUCCC
GGGAGUGAAGGGAAGCUGGCGGU
3836
3858



(SEQ ID NO: 282)
(SEQ ID NO: 283)







AD-1588917
AUCCCAUUCUCCCUCUCAAGG
CCUUGAGAGGGAGAAUGGGAUAG
3859
3881



(SEQ ID NO: 284)
(SEQ ID NO: 285)







AD-1588931
GAUCCUAAGCCAUAAAAUAAA
UUUAUUUUAUGGCUUAGGAUCUA
3891
3913



(SEQ ID NO: 286)
(SEQ ID NO: 287)







AD-1588943
AUCUACUGUACACAAUCUGAA
UUCAGAUUGUGUACAGUAGAUUA
3939
3961



(SEQ ID NO: 288)
(SEQ ID NO: 289)
















TABLE 3







Modified Sense and Antisense Strand Sequences of STAT6 dsRNA Agents















SEQ

SEQ

SEQ




ID

ID

ID


Duplex Name
Sense Sequence 5′ to 3′
NO:
Anti sense Sequence 5′ to 3′
NO:
mRNA target sequence
NO:





AD-1586142
cscsacu(Ghd)CfuUfAfCfacugaagasgsa
290
VPusCfsucuUfcAfGfuguaAfgCfaguggscsu
291
AGCCACTGCTTACACTGAAGAGG
292





AD-1586165
asgsagg(Ahd)GfuGfUfGfugugugugsusa
293
VPusAfscacAfcAfCfacacAfcUfccucuscsc
294
GGAGAGGAGTGTGTGTGTGTGTG
295





AD-1586188
usgsugu(Ghd)CfuUfUfAfucuuauuususa
296
VPusAfsaaaUfaAfGfauaaAfgCfacacascsa
297
TGTGTGTGCTTTATCTTATTTTT
298





AD-1586212
asgsccu(Uhd)GfaAfCfUfcgcuggacsasa
299
VPusUfsgucCfaGfCfgaguUfcAfaggcusgsg
300
CCAGCCTTGAACTCGCTGGACAG
301





AD-1586229
ascsaga(Ghd)CfuAfCfAfgaccuaugsgsa
302
VPusCfscauAfgGfUfcuguAfgCfucuguscsc
303
GGACAGAGCTACAGACCTATGGG
304





AD-1586246
gscsuga(Ghd)AfaAfGfGfgagaagacsasa
305
VPusUfsgucUfuCfUfcccuUfuCfucagcsgsg
306
CCGCTGAGAAAGGGAGAAGACAG
307





AD-1586261
gsasggc(Ahd)AfcCfUfCfcaagucccsasa
308
VPusUfsgggAfcUfUfggagGfuUfgccucsgsg
309
CCGAGGCAACCTCCAAGTCCCAG
310





AD-1586276
uscscca(Ghd)AfuCfAfUfgucucugusgsa
311
VPusCfsacaGfaGfAfcaugAfuCfugggascsu
312
AGTCCCAGATCATGTCTCTGTGG
313





AD-1586293
gscsggc(Uhd)CfuAfUfGfucgacuuuscsa
314
VPusGfsaaaGfuCfGfacauAfgAfgccgcsusg
315
CAGCGGCTCTATGTCGACTTTCC
316





AD-1586304
csgsgca(Uhd)CfuUfCfUfgggugacusgsa
317
VPusCfsaguCfaCfCfcagaAfgAfugccgscsa
318
TGCGGCATCTTCTGGGTGACTGG
319





AD-1586367
csusgcu(Ghd)CfaAfCfUfuggcuagusgsa
320
VPusCfsacuAfgCfCfaaguUfgCfagcagsasa
321
TTCTGCTGCAACTTGGCTAGTGC
322





AD-1586387
cscscua(Chd)UfuUfCfAfgacacuguscsa
323
VPusGfsacaGfuGfUfcugaAfaGfuagggscsa
324
TGCCCTACTTTCAGACACTGTCC
325





AD-1586407
csasgca(Chd)CfuUfCfAfggccucggsusa
326
VPusAfsccgAfgGfCfcugaAfgGfugcugsgsa
327
TCCAGCACCTTCAGGCCTCGGTG
328





AD-1586427
csasucu(Uhd)GfcAfAfCfacaucagcsasa
329
VPusUfsgcuGfaUfGfuguuGfcAfagaugsgsu
330
ACCATCTTGCAACACATCAGCAC
331





AD-1586446
ascsccu(Uhd)GfaGfAfGfcauauaucsasa
332
VPusUfsgauAfuAfUfgcucUfcAfagggusgsc
333
GCACCCTTGAGAGCATATATCAG
334





AD-1586471
csusuuc(Ahd)GfaCfAfAfauacuucasasa
335
VPusUfsugaAfgUfAfuuugUfcUfgaaagsusg
336
CACTTTCAGACAAATACTTCAAG
337





AD-1586483
asasgcu(Ghd)UfuAfUfGfgaacaguuscsa
338
VPusGfsaacUfgUfUfccauAfaCfagcuususu
339
AAAAGCTGTTATGGAACAGTTCC
340





AD-1586503
csgscca(Chd)UfuGfCfCfaaugccuususa
341
VPusAfsaagGfcAfUfuggcAfaGfuggcgsgsa
342
TCCGCCACTTGCCAATGCCTTTC
343





AD-1586518
cscsuuu(Chd)CfaCfUfGfgaagcaggsasa
344
VPusUfsccuGfcUfUfccagUfgGfaaaggscsa
345
TGCCTTTCCACTGGAAGCAGGAA
346





AD-1586533
csasgga(Ahd)GfaAfCfUfcaaguuuasasa
347
VPusUfsuaaAfcUfUfgaguUfcUfuccugscsu
348
AGCAGGAAGAACTCAAGTTTAAG
349





AD-1586571
asuscca(Chd)CfuUfCfUfccgagaagscsa
350
VPusGfscuuCfuCfGfgagaAfgGfuggauscsu
351
AGATCCACCTTCTCCGAGAAGCC
352





AD-1586593
usgsgcc(Ahd)AfgUfGfUfcucugcacsasa
353
VPusUfsgugCfaGfAfgacaCfuUfggccasgsc
354
GCTGGCCAAGTGTCTCTGCACAG
355





AD-1586608
gscsaca(Ghd)CfuUfGfAfuagaaacuscsa
356
VPusGfsaguUfuCfUfaucaAfgCfugugcsasg
357
CTGCACAGCTTGATAGAAACTCC
358





AD-1586625
csusccu(Ghd)CfuAfAfUfgggacuggsgsa
359
VPusCfsccaGfuCfCfcauuAfgCfaggagsusu
360
AACTCCTGCTAATGGGACTGGGC
361





AD-1586657
csusggc(Chd)AfuGfCfUfacugcaggsasa
362
VPusUfsccuGfcAfGfuagcAfuGfgccagsgsg
363
CCCTGGCCATGCTACTGCAGGAG
364





AD-1586679
cscsacu(Ghd)GfaGfAfGfcuagaggcsasa
365
VPusUfsgccUfcUfAfgcucUfcCfaguggsusc
366
GACCACTGGAGAGCTAGAGGCAG
367





AD-1586697
csasgcc(Ahd)AfaGfCfCfcuagugcusgsa
368
VPusCfsagcAfcUfAfgggcUfuUfggcugscsc
369
GGCAGCCAAAGCCCTAGTGCTGA
370





AD-1586713
gscsuga(Ahd)GfaGfGfAfuccagauususa
371
VPusAfsaauCfuGfGfauccUfcUfucagesasc
372
GTGCTGAAGAGGATCCAGATTTG
373





AD-1586765
gscsacc(Ghd)UfuUfGfAfggagagccsusa
374
VPusAfsggcUfcUfCfcucaAfaCfggugcsgsc
375
GCGCACCGTTTGAGGAGAGCCTG
376





AD-1586775
csasgga(Ghd)AfgGfUfGfugaaagccsusa
377
VPusAfsggcUfuUfCfacacCfuCfuccugsgsa
378
TCCAGGAGAGGTGTGAAAGCCTG
379





AD-1586794
usgsgug(Ghd)AfcAfUfUfuauucccasgsa
380
VPusCfsuggGfaAfUfaaauGfuCfcaccasgsg
381
CCTGGTGGACATTTATTCCCAGC
382





AD-1586810
cscsagc(Uhd)AfcAfGfCfaggagguasgsa
383
VPusCfsuacCfuCfCfugcuGfuAfgcuggsgsa
384
TCCCAGCTACAGCAGGAGGTAGG
385





AD-1586852
csusgga(Uhd)GfaAfGfUfccugagaascsa
386
VPusGfsuucUfcAfGfgacuUfcAfuccagscsc
387
GGCTGGATGAAGTCCTGAGAACC
388





AD-1586874
uscsguc(Ahd)CfcAfGfUfugcuuccusgsa
389
VPusCfsaggAfaGfCfaacuGfgUfgacgasgsg
390
CCTCGTCACCAGTTGCTTCCTGG
391





AD-1586895
csusgaa(Ghd)AfcUfCfAfgaccaagususa
392
VPusAfsacuUfgGfUfcugaGfuCfuucagsusa
393
TACTGAAGACTCAGACCAAGTTC
394





AD-1586920
csusgga(Ghd)UfuCfGfAfuuccuguusgsa
395
VPusCfsaacAfgGfAfaucgAfaCfuccagscsc
396
GGCTGGAGTTCGATTCCTGTTGG
397





AD-1586936
gsusugg(Ghd)CfuUfGfAfgguuccugsgsa
398
VPusCfscagGfaAfCfcucaAfgCfccaacsasg
399
CTGTTGGGCTTGAGGTTCCTGGG
400





AD-1586957
cscsgac(Ahd)UfgGfUfGfacagagaasgsa
401
VPusCfsuucUfcUfGfucacCfaUfgucggscsc
402
GGCCGACATGGTGACAGAGAAGC
403





AD-1586994
gscsugg(Ahd)GfcAfGfAfaagcacugsgsa
404
VPusCfscagUfgCfUfuucuGfcUfccagescsc
405
GGGCTGGAGCAGAAAGCACTGGA
406





AD-1587009
ascsugg(Ahd)GfaAfAfUfcaucaacasasa
407
VPusUfsuguUfgAfUfgauuUfcUfccagusgsc
408
GCACTGGAGAAATCATCAACAAC
409





AD-1587037
cscsuug(Ghd)AfgAfAfCfagcauuccsusa
410
VPusAfsggaAfuGfCfuguuCfuCfcaaggsgsc
411
GCCCTTGGAGAACAGCATTCCTG
412





AD-1587052
ususccu(Ghd)GfgAfAfCfugcugcucsusa
413
VPusAfsgagCfaGfCfaguuCfcCfaggaasusg
414
CATTCCTGGGAACTGCTGCTCTG
415





AD-1587072
gscsccu(Ghd)UfuCfAfAfgaaccugcsusa
416
VPusAfsgcaGfgUfUfcuugAfaCfagggcsasg
417
CTGCCCTGTTCAAGAACCTGCTT
418





AD-1587087
csusgcu(Uhd)CfuCfAfAfgaagaucasasa
419
VPusUfsugaUfcUfUfcuugAfgAfagcagsgsu
420
ACCTGCTTCTCAAGAAGATCAAG
421





AD-1587124
gscsacu(Ghd)AfgUfCfUfgucacagasgsa
422
VPusCfsucuGfuGfAfcagaCfuCfagugcscsc
423
GGGCACTGAGTCTGTCACAGAGG
424





AD-1587141
gsasgga(Ghd)AfaGfUfGfcgcugugcsusa
425
VPusAfsgcaCfaGfCfgcacUfuCfuccucsusg
426
CAGAGGAGAAGTGCGCTGTGCTC
427





AD-1587158
gscsucu(Uhd)CfuCfUfGfccagcuucsasa
428
VPusUfsgaaGfcUfGfgcagAfgAfagagcsasc
429
GTGCTCTTCTCTGCCAGCTTCAC
430





AD-1587179
gsusggu(Chd)AfuCfGfUfccauggcasasa
431
VPusUfsugcCfaUfGfgacgAfuGfaccacscsa
432
TGGTGGTCATCGTCCATGGCAAC
433





AD-1587197
asascca(Ahd)GfaCfAfAfcaaugccasasa
434
VPusUfsuggCfaUfUfguugUfcUfugguusgsc
435
GCAACCAAGACAACAATGCCAAA
436





AD-1587212
gscscaa(Ahd)GfcCfAfCfuauccugusgsa
437
VPusCfsacaGfgAfUfagugGfcUfuuggcsasu
438
ATGCCAAAGCCACTATCCTGTGG
439





AD-1587230
usgsgga(Chd)AfaUfGfCfcuucucugsasa
440
VPusUfscagAfgAfAfggcaUfuGfucccascsa
441
TGTGGGACAATGCCTTCTCTGAG
442





AD-1587260
gsusgcc(Chd)UfuUfGfUfgguggcugsasa
443
VPusUfscagCfcAfCfcacaAfaGfggcacsgsc
444
GCGTGCCCTTTGTGGTGGCTGAG
445





AD-1587284
usgsgga(Ghd)AfaGfAfUfgugugaaascsa
446
VPusGfsuuuCfaCfAfcaucUfuCfucccasgsg
447
CCTGGGAGAAGATGTGTGAAACT
448





AD-1587302
ascsucu(Ghd)AfaCfCfUfgaaguucasusa
449
VPusAfsugaAfcUfUfcaggUfuCfagagususu
450
AAACTCTGAACCTGAAGTTCATG
451





AD-1587323
cscsaga(Ghd)CfaCfUfUfccucuuccsusa
452
VPusAfsggaAfgAfGfgaagUfgCfucuggsgsa
453
TCCCAGAGCACTTCCTCTTCCTG
454





AD-1587347
csasgaa(Ghd)AfuCfUfUfcaaugacasasa
455
VPusUfsuguCfaUfUfgaagAfuCfuucugsgsg
456
CCCAGAAGATCTTCAATGACAAC
457





AD-1587368
asgsccu(Chd)AfgUfAfUfggaggccususa
458
VPusAfsaggCfcUfCfcauaCfuGfaggcusgsu
459
ACAGCCTCAGTATGGAGGCCTTC
460





AD-1587391
gscsacc(Ghd)UfuCfUfGfuguccuggsusa
461
VPusAfsccaGfgAfCfacagAfaCfggugcsusg
462
CAGCACCGTTCTGTGTCCTGGTC
463





AD-1587410
uscsgca(Ghd)UfuCfAfAfcaaggagasusa
464
VPusAfsucuCfcUfUfguugAfaCfugcgascsc
465
GGTCGCAGTTCAACAAGGAGATC
466





AD-1587442
usgsgcu(Uhd)CfaCfCfUfuuuggcagsusa
467
VPusAfscugCfcAfAfaaggUfgAfagccascsg
468
CGTGGCTTCACCTTTTGGCAGTG
469





AD-1587458
csasgug(Ghd)UfuUfGfAfugguguccsusa
470
VPusAfsggaCfaCfCfaucaAfaCfcacugscsc
471
GGCAGTGGTTTGATGGTGTCCTG
472





AD-1587479
gsasccu(Chd)AfcCfAfAfacgcugucsusa
473
VPusAfsgacAfgCfGfuuugGfuGfaggucscsa
474
TGGACCTCACCAAACGCTGTCTC
475





AD-1587499
cscsgga(Ghd)CfuAfCfUfggucugacscsa
476
VPusGfsgucAfgAfCfcaguAfgCfuccggsasg
477
CTCCGGAGCTACTGGTCTGACCG
478





AD-1587517
cscsggc(Uhd)GfaUfCfAfuuggcuucsasa
479
VPusUfsgaaGfcCfAfaugaUfcAfgceggsusc
480
GACCGGCTGATCATTGGCTTCAT
481





AD-1587535
csasuca(Ghd)CfaAfAfCfaguacguusasa
482
VPusUfsaacGfuAfCfuguuUfgCfugaugsasa
483
TTCATCAGCAAACAGTACGTTAC
484





AD-1587552
ususacu(Ahd)GfcCfUfUfcuucucaasusa
485
VPusAfsuugAfgAfAfgaagGfcUfaguaascsg
486
CGTTACTAGCCTTCTTCTCAATG
487





AD-1587581
gsgsaac(Chd)UfuUfCfUfccuccgcususa
488
VPusAfsagcGfgAfGfgagaAfaGfguuccsgsu
489
ACGGAACCTTTCTCCTCCGCTTC
490





AD-1587598
csusuca(Ghd)CfgAfCfUfcagagauusgsa
491
VPusCfsaauCfuCfUfgaguCfgCfugaagscsg
492
CGCTTCAGCGACTCAGAGATTGG
493





AD-1587603
csasuca(Chd)CfaUfUfGfcccaugucsasa
494
VPusUfsgacAfuGfGfgcaaUfgGfugaugscsc
495
GGCATCACCATTGCCCATGTCAT
496





AD-1587625
cscsaca(Ghd)AfuAfGfAfgaacauccsasa
497
VPusUfsggaUfgUfUfcucuAfuCfuguggsasg
498
CTCCACAGATAGAGAACATCCAG
499





AD-1587652
uscsugc(Chd)AfaAfGfAfccuguccasusa
500
VPusAfsuggAfcAfGfgucuUfuGfgcagasgsa
501
TCTCTGCCAAAGACCTGTCCATT
502





AD-1587675
csgsgga(Uhd)CfuUfGfCfucagcucasasa
503
VPusUfsugaGfcUfGfagcaAfgAfucccgsgsa
504
TCCGGGATCTTGCTCAGCTCAAA
505





AD-1587696
asasucu(Chd)UfaUfCfCfcaagaagcscsa
506
VPusGfsgcuUfcUfUfgggaUfaGfagauususu
507
AAAATCTCTATCCCAAGAAGCCC
508





AD-1587711
asasgcc(Chd)AfaGfGfAfugaggcuususa
509
VPusAfsaagCfcUfCfauccUfuGfggcuuscsu
510
AGAAGCCCAAGGATGAGGCTTTC
511





AD-1587738
csascua(Chd)AfaGfCfCfugaacagasusa
512
VPusAfsucuGfuUfCfaggcUfuGfuagugsgsc
513
GCCACTACAAGCCTGAACAGATG
514





AD-1587764
cscscag(Chd)UfaCfCfAfucaagaugsasa
515
VPusUfscauCfuUfGfauggUfaGfcugggsasc
516
GTCCCAGCTACCATCAAGATGAC
517





AD-1587792
asgsgga(Chd)CfaAfCfCfacuuccuascsa
518
VPusGfsuagGfaAfGfugguUfgGfucccususu
519
AAAGGGACCAACCACTTCCTACC
520





AD-1587799
csuscca(Ghd)AfuGfCfCfuaccauggsusa
521
VPusAfsccaUfgGfUfaggcAfuCfuggagscsu
522
AGCTCCAGATGCCTACCATGGTG
523





AD-1587819
gscscuu(Chd)UfuAfUfGfaccuuggasasa
524
VPusUfsuccAfaGfGfucauAfaGfaaggcsasc
525
GTGCCTTCTTATGACCTTGGAAT
526





AD-1587831
cscsucc(Ahd)UfgAfGfCfaugcagcususa
527
VPusAfsagcUfgCfAfugcuCfaUfggaggsasa
528
TTCCTCCATGAGCATGCAGCTTG
529





AD-1587857
csascca(Chd)AfcUfCfUfcacuccauscsa
530
VPusGfsaugGfaGfUfgagaGfuGfuggugsgsg
531
CCCACCACACTCTCACTCCATCC
532





AD-1587864
gsasauc(Ahd)GfuCfAfAfcguguuguscsa
533
VPusGfsacaAfcAfCfguugAfcUfgauucsusu
534
AAGAATCAGTCAACGTGTTGTCA
535





AD-1587882
uscsagc(Chd)UfuCfCfAfggagccucsasa
536
VPusUfsgagGfcUfCfcuggAfaGfgcugascsa
537
TGTCAGCCTTCCAGGAGCCTCAC
538





AD-1587914
csusgcc(Chd)UfuUfGfAfccagccucsasa
539
VPusUfsgagGfcUfGfgucaAfaGfggcagsgsc
540
GCCTGCCCTTTGACCAGCCTCAC
541





AD-1587937
csasgga(Ghd)CfaUfGfCfuguguccasgsa
542
VPusCfsuggAfcAfCfagcaUfgCfuccugsasg
543
CTCAGGAGCATGCTGTGTCCAGC
544





AD-1587950
uscsugc(Uhd)CfaGfAfUfgugaccausgsa
545
VPusCfsaugGfuCfAfcaucUfgAfgcagasgsc
546
GCTCTGCTCAGATGTGACCATGG
547





AD-1587969
gsgsugg(Ahd)AfgAfCfAfgcugccugsasa
548
VPusUfscagGfcAfGfcuguCfuUfccaccsasu
549
ATGGTGGAAGACAGCTGCCTGAG
550





AD-1587994
cscsagu(Ghd)AfcAfGfCfguuuccucsasa
551
VPusUfsgagGfaAfAfcgcuGfuCfacuggscsu
552
AGCCAGTGACAGCGTTTCCTCAG
553





AD-1588016
gscsacu(Uhd)GfgAfUfUfggugaagascsa
554
VPusGfsucuUfcAfCfcaauCfcAfagugescsc
555
GGGCACTTGGATTGGTGAAGACA
556





AD-1588031
asasgac(Ahd)UfaUfUfCfccuccucusgsa
557
VPusCfsagaGfgAfGfggaaUfaUfgucuuscsa
558
TGAAGACATATTCCCTCCTCTGC
559





AD-1588052
cscsucc(Chd)AfcUfGfAfacaggaccsusa
560
VPusAfsgguCfcUfGfuucaGfuGfggaggscsa
561
TGCCTCCCACTGAACAGGACCTC
562





AD-1588067
gsasccu(Chd)AfcUfAfAfgcuucuccsusa
563
VPusAfsggaGfaAfGfcuuaGfuGfaggucscsu
564
AGGACCTCACTAAGCTTCTCCTG
565





AD-1588085
uscscca(Chd)UfaUfGfGfgcaaucugsgsa
566
VPusCfscagAfuUfGfcccaUfaGfugggasgsg
567
CCTCCCACTATGGGCAATCTGGG
568





AD-1588100
uscsugg(Ghd)AfuCfUfCfaaugucccsasa
569
VPusUfsgggAfcAfUfugagAfuCfccagasusu
570
AATCTGGGATCTCAATGTCCCAC
571





AD-1588115
uscscca(Chd)AfuGfGfAfccuaagggscsa
572
VPusGfscccUfuAfGfguccAfuGfugggascsa
573
TGTCCCACATGGACCTAAGGGCC
574





AD-1588153
asasgag(Ahd)CfaGfCfUfcuucuacusasa
575
VPusUfsaguAfgAfAfgagcUfgUfcucuususg
576
CAAAGAGACAGCTCTTCTACTAC
577





AD-1588167
uscsugg(Ahd)CfaCfUfUfgcucaugescsa
578
VPusGfsgcaUfgAfGfcaagUfgUfccagasgsc
579
GCTCTGGACACTTGCTCATGCCC
580





AD-1588198
gsgsguc(Ahd)GfgAfGfGfaaaagacusasa
581
VPusUfsaguCfuUfUfuccuCfcUfgacccsasg
582
CTGGGTCAGGAGGAAAAGACTAA
583





AD-1588213
gsascua(Ahd)CfaGfGfAfgaaugcacsasa
584
VPusUfsgugCfaUfUfcuccUfgUfuagucsusu
585
AAGACTAACAGGAGAATGCACAG
586





AD-1588236
gsgsugg(Ahd)GfcCfAfAfuccacuccsusa
587
VPusAfsggaGfuGfGfauugGfcUfccaccscsa
588
TGGGTGGAGCCAATCCACTCCTT
589





AD-1588251
csusccu(Uhd)CfcUfUfUfcuaucauuscsa
590
VPusGfsaauGfaUfAfgaaaGfgAfaggagsusg
591
CACTCCTTCCTTTCTATCATTCC
592





AD-1588255
gscscca(Chd)CfuCfCfUfuccagcacsusa
593
VPusAfsgugCfuGfGfaaggAfgGfugggcsasg
594
CTGCCCACCTCCTTCCAGCACTG
595





AD-1588271
csascug(Ahd)CfuGfGfAfagggaagususa
596
VPusAfsacuUfcCfCfuuccAfgUfcagugscsu
597
AGCACTGACTGGAAGGGAAGTTC
598





AD-1588289
ususcag(Ghd)CfuCfUfGfagacacacscsa
599
VPusGfsgugUfgUfCfucagAfgCfcugaascsu
600
AGTTCAGGCTCTGAGACACACCC
601





AD-1588321
ascsaca(Chd)AfuAfCfAfgagcucucsusa
602
VPusAfsgagAfgCfUfcuguAfuGfugugusgsu
603
ACACACACATACAGAGCTCTCTG
604





AD-1588336
csusggg(Uhd)AfaGfAfGfcacagguusasa
605
VPusUfsaacCfuGfUfgcucUfuAfcccagscsc
606
GGCTGGGTAAGAGCACAGGTTAG
607





AD-1588354
usasggg(Chd)AfuGfGfAfaggcuucuscsa
608
VPusGfsagaAfgCfCfuuccAfuGfcccuasasc
609
GTTAGGGCATGGAAGGCTTCTCC
610





AD-1588370
uscsucc(Ghd)CfcCfAfUfucugacccsasa
611
VPusUfsgggUfcAfGfaaugGfgCfggagasasg
612
CTTCTCCGCCCATTCTGACCCAG
613





AD-1588394
csusagg(Ahd)CfgGfAfUfaggcaggasasa
614
VPusUfsuccUfgCfCfuaucCfgUfccuagsgsc
615
GCCTAGGACGGATAGGCAGGAAC
616





AD-1588415
asusaca(Ghd)AfcAfCfAfuuuacacusasa
617
VPusUfsaguGfuAfAfauguGfuCfuguausgsu
618
ACATACAGACACATTTACACTAG
619





AD-1588440
csasggg(Ahd)UfaGfAfGfgauauuggsgsa
620
VPusCfsccaAfuAfUfccucUfaUfcccugsgsc
621
GCCAGGGATAGAGGATATTGGGT
622





AD-1588483
uscsugg(Ahd)CfaUfGfUfgguuacuasgsa
623
VPusCfsuagUfaAfCfcacaUfgUfccagascsc
624
GGTCTGGACATGTGGTTACTAGT
625





AD-1588505
csasggu(Uhd)UfuGfCfCfcugauuaasasa
626
VPusUfsuuaAfuCfAfgggcAfaAfaccugsusa
627
TACAGGTTTTGCCCTGATTAAAA
628





AD-1588510
asusucc(Uhd)GfuUfAfGfccagguggsasa
629
VPusUfsccaCfcUfGfgcuaAfcAfggaaususu
630
AAATTCCTGTTAGCCAGGTGGAG
631





AD-1588527
gsgsagg(Chd)UfuCfUfGfauacgugusasa
632
VPusUfsacaCfgUfAfucagAfaGfccuccsasc
633
GTGGAGGCTTCTGATACGTGTAT
634





AD-1588542
gsusgua(Uhd)GfaGfAfCfuaugcaaasasa
635
VPusUfsuuuGfcAfUfagucUfcAfuacacsgsu
636
ACGTGTATGAGACTATGCAAAAG
637





AD-1588558
asasaag(Uhd)AfcAfAfGfggcugagasusa
638
VPusAfsucuCfaGfCfccuuGfuAfcuuuusgsc
639
GCAAAAGTACAAGGGCTGAGATT
640





AD-1588573
gsasgau(Uhd)CfuUfCfGfuguauagcsusa
641
VPusAfsgcuAfuAfCfacgaAfgAfaucucsasg
642
CTGAGATTCTTCGTGTATAGCTG
643





AD-1588595
gsusgaa(Chd)GfuGfUfAfuguaccuasgsa
644
VPusCfsuagGfuAfCfauacAfcGfuucacsasc
645
GTGTGAACGTGTATGTACCTAGG
646





AD-1588612
usasgga(Uhd)AfuGfUfUfaaauguausasa
647
VPusUfsauaCfaUfUfuaacAfuAfuccuasgsg
648
CCTAGGATATGTTAAATGTATAG
649





AD-1588636
gscsacc(Uhd)UfaGfUfUfgcaugaccsasa
650
VPusUfsgguCfaUfGfcaacUfaAfggugcscsa
651
TGGCACCTTAGTTGCATGACCAC
652





AD-1588660
gsasaca(Uhd)GfuGfUfCfuaucugcususa
653
VPusAfsagcAfgAfUfagacAfcAfuguucsusa
654
TAGAACATGTGTCTATCTGCTTT
655





AD-1588684
csusacg(Uhd)GfaCfAfAfcacaaauususa
656
VPusAfsaauUfuGfUfguugUfcAfcguagsgsc
657
GCCTACGTGACAACACAAATTTG
658





AD-1588719
usgscac(Ahd)GfaAfGfAfcagcagcasasa
659
VPusUfsugcUfgCfUfgucuUfcUfgugcasgsu
660
ACTGCACAGAAGACAGCAGCAAG
661





AD-1588748
cscsucu(Chd)UfgAfCfAfuaugcuaascsa
662
VPusGfsuuaGfcAfUfauguCfaGfagaggscsc
663
GGCCTCTCTGACATATGCTAACC
664





AD-1588755
ascsucu(Ghd)AfaUfUfUfggagucugsasa
665
VPusUfscagAfcUfCfcaaaUfuCfagagusasu
666
ATACTCTGAATTTGGAGTCTGAC
667





AD-1588785
gsusggg(Uhd)CfcAfAfGfuggcugugsasa
668
VPusUfscacAfgCfCfacuuGfgAfcccacsusu
669
AAGTGGGTCCAAGTGGCTGTGAC
670





AD-1588800
usgsuga(Chd)AfuCfUfAfcguauggcsusa
671
VPusAfsgccAfuAfCfguagAfuGfucacasgsc
672
GCTGTGACATCTACGTATGGCTC
673





AD-1588821
csascac(Chd)UfcCfAfAfugcugccusgsa
674
VPusCfsaggCfaGfCfauugGfaGfgugugsgsa
675
TCCACACCTCCAATGCTGCCTGG
676





AD-1588878
gscsccu(Chd)CfaGfUfGfuaugagagsgsa
677
VPusCfscucUfcAfUfacacUfgGfagggcscsa
678
TGGCCCTCCAGTGTATGAGAGGG
679





AD-1588904
csusgcu(Ghd)CfaUfCfUfuuucuguusgsa
680
VPusCfsaacAfgAfAfaagaUfgCfagcagsgsc
681
GCCTGCTGCATCTTTTCTGTTGC
682





AD-1588914
csgscca(Ghd)CfuUfCfCfcuucacucscsa
683
VPusGfsgagUfgAfAfgggaAfgCfuggcgsgsu
684
ACCGCCAGCTTCCCTTCACTCCC
685





AD-1588917
asusccc(Ahd)UfuCfUfCfccucucaasgsa
686
VPusCfsuugAfgAfGfggagAfaUfgggausasg
687
CTATCCCATTCTCCCTCTCAAGG
688





AD-1588931
gsasucc(Uhd)AfaGfCfCfauaaaauasasa
689
VPusUfsuauUfuUfAfuggcUfuAfggaucsusa
690
TAGATCCTAAGCCATAAAATAAA
691





AD-1588943
asuscua(Chd)UfgUfAfCfacaaucugsasa
692
VPusUfscagAfuUfGfuguaCfaGfuagaususa
693
TAATCTACTGTACACAATCTGAA
694
















TABLE 4







In Vitro STAT6 Single Dose Screen in A549 Cells










10 nM













Avg % of





Message



Duplex Name
remaining
St Dev















AD-1588943.1
115.726
5.620



AD-1588931.1
26.904
2.096



AD-1588917.1
44.622
4.770



AD-1588914.1
48.475
1.979



AD-1588904.1
40.173
1.581



AD-1588878.1
68.332
5.835



AD-1588821.1
61.621
2.122



AD-1588800.1
42.111
1.326



AD-1588785.1
51.350
1.861



AD-1588755.1
39.650
3.309



AD-1588748.1
35.077
2.910



AD-1588719.1
54.678
2.162



AD-1588684.1
44.342
2.603



AD-1588660.1
34.261
1.935



AD-1588636.1
35.703
0.635



AD-1588612.1
34.528
1.407



AD-1588595.1
26.781
0.788



AD-1588573.1
26.954
0.307



AD-1588558.1
61.931
3.163



AD-1588542.1
28.123
8.092



AD-1588527.1
27.442
1.415



AD-1588510.1
69.007
3.736



AD-1588505.1
26.202
1.737



AD-1588483.1
30.210
1.854



AD-1588440.1
39.513
2.385



AD-1588415.1
44.325
2.827



AD-1588394.1
44.020
5.631



AD-1588370.1
69.918
2.328



AD-1588354.1
27.645
2.568



AD-1588336.1
60.646
1.552



AD-1588321.1
37.970
2.150



AD-1588289.1
29.732
0.449



AD-1588271.1
59.644
1.325



AD-1588255.1
75.737
4.416



AD-1588251.1
34.281
1.754



AD-1588236.1
88.790
6.544



AD-1588213.1
34.264
2.863



AD-1588198.1
47.952
4.311



AD-1588167.1
35.095
1.990



AD-1588153.1
28.452
1.085



AD-1588115.1
89.222
5.112



AD-1588100.1
82.697
5.742



AD-1588085.1
35.129
1.189



AD-1588067.1
66.316
7.926



AD-1588052.1
58.719
12.132



AD-1588031.1
93.777
4.877



AD-1588016.1
27.035
0.735



AD-1587994.1
42.117
5.902



AD-1587969.1
64.265
9.047



AD-1587950.1
25.509
3.445



AD-1587937.1
32.471
1.243



AD-1587914.1
47.712
4.076



AD-1587882.1
33.282
3.188



AD-1587864.1
29.055
7.957



AD-1587857.1
77.198
7.708



AD-1587831.1
29.035
3.329



AD-1587819.1
27.023
1.187



AD-1587799.1
26.717
1.103



AD-1587792.1
40.250
0.832



AD-1587764.1
26.002
1.108



AD-1587738.1
27.604
0.894



AD-1587711.1
37.528
3.794



AD-1587696.1
32.395
1.472



AD-1587675.1
26.008
1.409



AD-1587652.1
45.855
1.339



AD-1587625.1
32.668
2.739



AD-1587603.1
28.841
1.660



AD-1587598.1
25.686
0.927



AD-1587581.1
37.548
2.982



AD-1587552.1
32.564
0.774



AD-1587535.1
22.223
0.731



AD-1587517.1
25.100
1.255



AD-1587499.1
48.734
4.386



AD-1587479.1
55.580
8.076



AD-1587458.1
29.624
0.940



AD-1587442.1
42.668
1.939



AD-1587410.1
29.309
0.968



AD-1587391.1
34.119
1.250



AD-1587368.1
97.631
8.925



AD-1587347.1
53.806
4.813



AD-1587323.1
37.880
1.988



AD-1587302.1
51.543
3.453



AD-1587284.1
26.791
1.536



AD-1587260.1
82.385
5.116



AD-1587230.1
25.705
1.150



AD-1587212.1
30.336
1.313



AD-1587197.1
58.372
7.922



AD-1587179.1
95.091
6.212



AD-1587158.1
72.120
3.538



AD-1587141.1
38.574
1.874



AD-1587124.1
64.513
1.066



AD-1587087.1
37.826
1.887



AD-1587072.1
45.292
5.345



AD-1587052.1
37.390
8.613



AD-1587037.1
34.879
4.356



AD-1587009.1
27.977
1.103



AD-1586994.1
44.425
5.205



AD-1586957.1
78.736
5.264



AD-1586936.1
63.561
11.464



AD-1586920.1
33.816
3.472



AD-1586895.1
40.001
2.488



AD-1586874.1
38.229
2.338



AD-1586852.1
28.716
0.837



AD-1586810.1
85.916
4.400



AD-1586794.1
73.255
3.810



AD-1586775.1
44.585
3.339



AD-1586765.1
56.879
3.241



AD-1586713.1
20.436
1.078



AD-1586697.1
31.901
2.921



AD-1586679.1
38.021
3.410



AD-1586657.1
108.469
3.345



AD-1586625.1
45.802
3.910



AD-1586608.1
33.226
3.171



AD-1586593.1
34.445
1.197



AD-1586571.1
29.484
2.220



AD-1586533.1
26.571
1.305



AD-1586518.1
85.211
4.417



AD-1586503.1
41.199
1.388



AD-1586483.1
79.712
3.881



AD-1586471.1
29.453
3.574



AD-1586446.1
41.134
1.625



AD-1586427.1
54.270
2.155



AD-1586407.1
71.359
5.378



AD-1586387.1
59.774
3.953



AD-1586367.1
56.619
1.900



AD-1586304.1
39.085
0.864



AD-1586293.1
32.633
2.529



AD-1586276.1
37.049
1.744



AD-1586261.1
103.697
11.238



AD-1586246.1
43.162
2.513



AD-1586229.1
86.076
2.868



AD-1586212.1
68.406
4.955



AD-1586188.1
40.501
1.921



AD-1586165.1
61.569
7.850



AD-1586142.1
68.209
3.451










EQUIVALENTS

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments and methods described herein. Such equivalents are intended to be encompassed by the scope of the following claims.










Informal Sequence Listing



<210>    1


<211> 3963


<212> DNA


<213> Homo sapiens


<400>    1









ggggcagcca ctgcttacac tgaagaggga ggacgggaga ggagtgtgtg tgtgtgtgtg
  60






tgtgtgtgtg tgtatgtatg tgtgtgcttt atcttatttt tctttttggt ggtggtggtg
 120





gaagggggga ggtgctagca gggccagcct tgaactcgct ggacagagct acagacctat
 180





ggggcctgga agtgcccgct gagaaaggga gaagacagca gaggggttgc cgaggcaacc
 240





tccaagtccc agatcatgtc tctgtggggt ctggtctcca agatgccccc agaaaaagtg
 300





cagcggctct atgtcgactt tccccaacac ctgcggcatc ttctgggtga ctggctggag
 360





agccagccct gggagttcct ggtcggctcc gacgccttct gctgcaactt ggctagtgcc
 420





ctactttcag acactgtcca gcaccttcag gcctcggtgg gagagcaggg ggaggggagc
 480





accatcttgc aacacatcag cacccttgag agcatatatc agagggaccc cctgaagctg
 540





gtggccactt tcagacaaat acttcaagga gagaaaaaag ctgttatgga acagttccgc
 600





cacttgccaa tgcctttcca ctggaagcag gaagaactca agtttaagac aggcttgcgg
 660





aggctgcagc accgagtagg ggagatccac cttctccgag aagccctgca gaagggggct
 720





gaggctggcc aagtgtctct gcacagcttg atagaaactc ctgctaatgg gactgggcca
 780





agtgaggccc tggccatgct actgcaggag accactggag agctagaggc agccaaagcc
 840





ctagtgctga agaggatcca gatttggaaa cggcagcagc agctggcagg gaatggcgca
 900





ccgtttgagg agagcctggc cccactccag gagaggtgtg aaagcctggt ggacatttat
 960





tcccagctac agcaggaggt aggggcggct ggtggggagc ttgagcccaa gacccgggca
1020





tcgctgactg gccggctgga tgaagtcctg agaaccctcg tcaccagttg cttcctggtg
1080





gagaagcagc ccccccaggt actgaagact cagaccaagt tccaggctgg agttcgattc
1140





ctgttgggct tgaggttcct gggggcccca gccaagcctc cgctggtcag ggccgacatg
1200





gtgacagaga agcaggcgcg ggagctgagt gtgcctcagg gtcctggggc tggagcagaa
1260





agcactggag aaatcatcaa caacactgtg cccttggaga acagcattcc tgggaactgc
1320





tgctctgccc tgttcaagaa cctgcttctc aagaagatca agcggtgtga gcggaagggc
1380





actgagtctg tcacagagga gaagtgcgct gtgctcttct ctgccagctt cacacttggc
1440





cccggcaaac tccccatcca gctccaggcc ctgtctctgc ccctggtggt catcgtccat
1500





ggcaaccaag acaacaatgc caaagccact atcctgtggg acaatgcctt ctctgagatg
1560





gaccgcgtgc cctttgtggt ggctgagcgg gtgccctggg agaagatgtg tgaaactctg
1620





aacctgaagt tcatggctga ggtggggacc aaccgggggc tgctcccaga gcacttcctc
1680





ttcctggccc agaagatctt caatgacaac agcctcagta tggaggcctt ccagcaccgt
1740





tctgtgtcct ggtcgcagtt caacaaggag atcctgctgg gccgtggctt caccttttgg
1800





cagtggtttg atggtgtcct ggacctcacc aaacgctgtc tccggagcta ctggtctgac
1860





cggctgatca ttggcttcat cagcaaacag tacgttacta gccttcttct caatgagccc
1920





gacggaacct ttctcctccg cttcagcgac tcagagattg ggggcatcac cattgcccat
1980





gtcatccggg gccaggatgg ctctccacag atagagaaca tccagccatt ctctgccaaa
2040





gacctgtcca ttcgctcact gggggaccga atccgggatc ttgctcagct caaaaatctc
2100





tatcccaaga agcccaagga tgaggctttc cggagccact acaagcctga acagatgggt
2160





aaggatggca ggggttatgt cccagctacc atcaagatga ccgtggaaag ggaccaacca
2220





cttcctaccc cagagctcca gatgcctacc atggtgcctt cttatgacct tggaatggcc
2280





cctgattcct ccatgagcat gcagcttggc ccagatatgg tgccccaggt gtacccacca
2340





cactctcact ccatcccccc gtatcaaggc ctctccccag aagaatcagt caacgtgttg
2400





tcagccttcc aggagcctca cctgcagatg ccccccagcc tgggccagat gagcctgccc
2460





tttgaccagc ctcaccccca gggcctgctg ccgtgccagc ctcaggagca tgctgtgtcc
2520





agccctgacc ccctgctctg ctcagatgtg accatggtgg aagacagctg cctgagccag
2580





ccagtgacag cgtttcctca gggcacttgg attggtgaag acatattccc tcctctgctg
2640





cctcccactg aacaggacct cactaagctt ctcctggagg ggcaagggga gtcgggggga
2700





gggtccttgg gggcacagcc cctcctgcag ccctcccact atgggcaatc tgggatctca
2760





atgtcccaca tggacctaag ggccaacccc agttggtgat cccagctgga gggagaaccc
2820





aaagagacag ctcttctact acccccacag acctgctctg gacacttgct catgccctgc
2880





caagcagcag atggggaggg tgccctccta tccccaccta ctcctgggtc aggaggaaaa
2940





gactaacagg agaatgcaca gtgggtggag ccaatccact ccttcctttc tatcattccc
3000





ctgcccacct ccttccagca ctgactggaa gggaagttca ggctctgaga cacaccccaa
3060





catgcctgca cctgcagcgc gcacacgcac gcacacacac atacagagct ctctgagggt
3120





gatggggctg agcaggaggg gggctgggta agagcacagg ttagggcatg gaaggcttct
3180





ccgcccattc tgacccaggg cctaggacgg ataggcagga acatacagac acatttacac
3240





tagaggccag ggatagagga tattgggtct cagccctagg ggaatgggaa gcagctcaag
3300





ggaccctggg tgggagcata ggaggggtct ggacatgtgg ttactagtac aggttttgcc
3360





ctgattaaaa aatctcccaa agccccaaat tcctgttagc caggtggagg cttctgatac
3420





gtgtatgaga ctatgcaaaa gtacaagggc tgagattctt cgtgtatagc tgtgtgaacg
3480





tgtatgtacc taggatatgt taaatgtata gctggcacct tagttgcatg accacataga
3540





acatgtgtct atctgctttt gcctacgtga caacacaaat ttgggagggt gagacactgc
3600





acagaagaca gcagcaagtg tgctggcctc tctgacatat gctaaccccc aaatactctg
3660





aatttggagt ctgactgtgc ccaagtgggt ccaagtggct gtgacatcta cgtatggctc
3720





cacacctcca atgctgcctg ggagccaggg tgagagtctg ggtccaggcc tggccatgtg
3780





gccctccagt gtatgagagg gccctgcctg ctgcatcttt tctgttgccc catccaccgc
3840





cagcttccct tcactcccct atcccattct ccctctcaag gcaggggtca tagatcctaa
3900





gccataaaat aaattttatt ccaaaataac aaaataaata atctactgta cacaatctga
3960





aaa
3963











<210>    2



<211> 3963


<212> DNA


<213> Homo sapiens


<400>    2









ttttcagatt gtgtacagta gattatttat tttgttattt tggaataaaa tttattttat
  60






ggcttaggat ctatgacccc tgccttgaga gggagaatgg gataggggag tgaagggaag
 120





ctggcggtgg atggggcaac agaaaagatg cagcaggcag ggccctctca tacactggag
 180





ggccacatgg ccaggcctgg acccagactc tcaccctggc tcccaggcag cattggaggt
 240





gtggagccat acgtagatgt cacagccact tggacccact tgggcacagt cagactccaa
 300





attcagagta tttgggggtt agcatatgtc agagaggcca gcacacttgc tgctgtcttc
 360





tgtgcagtgt ctcaccctcc caaatttgtg ttgtcacgta ggcaaaagca gatagacaca
 420





tgttctatgt ggtcatgcaa ctaaggtgcc agctatacat ttaacatatc ctaggtacat
 480





acacgttcac acagctatac acgaagaatc tcagcccttg tacttttgca tagtctcata
 540





cacgtatcag aagcctccac ctggctaaca ggaatttggg gctttgggag attttttaat
 600





cagggcaaaa cctgtactag taaccacatg tccagacccc tcctatgctc ccacccaggg
 660





tcccttgagc tgcttcccat tcccctaggg ctgagaccca atatcctcta tccctggcct
 720





ctagtgtaaa tgtgtctgta tgttcctgcc tatccgtcct aggccctggg tcagaatggg
 780





cggagaagcc ttccatgccc taacctgtgc tcttacccag cccccctcct gctcagcccc
 840





atcaccctca gagagctctg tatgtgtgtg tgcgtgcgtg tgcgcgctgc aggtgcaggc
 900





atgttggggt gtgtctcaga gcctgaactt cccttccagt cagtgctgga aggaggtggg
 960





caggggaatg atagaaagga aggagtggat tggctccacc cactgtgcat tctcctgtta
1020





gtcttttcct cctgacccag gagtaggtgg ggataggagg gcaccctccc catctgctgc
1080





ttggcagggc atgagcaagt gtccagagca ggtctgtggg ggtagtagaa gagctgtctc
1140





tttgggttct ccctccagct gggatcacca actggggttg gcccttaggt ccatgtggga
1200





cattgagatc ccagattgcc catagtggga gggctgcagg aggggctgtg cccccaagga
1260





ccctcccccc gactcccctt gcccctccag gagaagctta gtgaggtcct gttcagtggg
1320





aggcagcaga ggagggaata tgtcttcacc aatccaagtg ccctgaggaa acgctgtcac
1380





tggctggctc aggcagctgt cttccaccat ggtcacatct gagcagagca gggggtcagg
1440





gctggacaca gcatgctcct gaggctggca cggcagcagg ccctgggggt gaggctggtc
1500





aaagggcagg ctcatctggc ccaggctggg gggcatctgc aggtgaggct cctggaaggc
1560





tgacaacacg ttgactgatt cttctgggga gaggccttga tacgggggga tggagtgaga
1620





gtgtggtggg tacacctggg gcaccatatc tgggccaagc tgcatgctca tggaggaatc
1680





aggggccatt ccaaggtcat aagaaggcac catggtaggc atctggagct ctggggtagg
1740





aagtggttgg tccctttcca cggtcatctt gatggtagct gggacataac ccctgccatc
1800





cttacccatc tgttcaggct tgtagtggct ccggaaagcc tcatccttgg gcttcttggg
1860





atagagattt ttgagctgag caagatcccg gattcggtcc cccagtgagc gaatggacag
1920





gtctttggca gagaatggct ggatgttctc tatctgtgga gagccatcct ggccccggat
1980





gacatgggca atggtgatgc ccccaatctc tgagtcgctg aagcggagga gaaaggttcc
2040





gtcgggctca ttgagaagaa ggctagtaac gtactgtttg ctgatgaagc caatgatcag
2100





ccggtcagac cagtagctcc ggagacagcg tttggtgagg tccaggacac catcaaacca
2160





ctgccaaaag gtgaagccac ggcccagcag gatctccttg ttgaactgcg accaggacac
2220





agaacggtgc tggaaggcct ccatactgag gctgttgtca ttgaagatct tctgggccag
2280





gaagaggaag tgctctggga gcagcccccg gttggtcccc acctcagcca tgaacttcag
2340





gttcagagtt tcacacatct tctcccaggg cacccgctca gccaccacaa agggcacgcg
2400





gtccatctca gagaaggcat tgtcccacag gatagtggct ttggcattgt tgtcttggtt
2460





gccatggacg atgaccacca ggggcagaga cagggcctgg agctggatgg ggagtttgcc
2520





ggggccaagt gtgaagctgg cagagaagag cacagcgcac ttctcctctg tgacagactc
2580





agtgcccttc cgctcacacc gcttgatctt cttgagaagc aggttcttga acagggcaga
2640





gcagcagttc ccaggaatgc tgttctccaa gggcacagtg ttgttgatga tttctccagt
2700





gctttctgct ccagccccag gaccctgagg cacactcagc tcccgcgcct gcttctctgt
2760





caccatgtcg gccctgacca gcggaggctt ggctggggcc cccaggaacc tcaagcccaa
2820





caggaatcga actccagcct ggaacttggt ctgagtcttc agtacctggg ggggctgctt
2880





ctccaccagg aagcaactgg tgacgagggt tctcaggact tcatccagcc ggccagtcag
2940





cgatgcccgg gtcttgggct caagctcccc accagccgcc cctacctcct gctgtagctg
3000





ggaataaatg tccaccaggc tttcacacct ctcctggagt ggggccaggc tctcctcaaa
3060





cggtgcgcca ttccctgcca gctgctgctg ccgtttccaa atctggatcc tcttcagcac
3120





tagggctttg gctgcctcta gctctccagt ggtctcctgc agtagcatgg ccagggcctc
3180





acttggccca gtcccattag caggagtttc tatcaagctg tgcagagaca cttggccagc
3240





ctcagccccc ttctgcaggg cttctcggag aaggtggatc tcccctactc ggtgctgcag
3300





cctccgcaag cctgtcttaa acttgagttc ttcctgcttc cagtggaaag gcattggcaa
3360





gtggcggaac tgttccataa cagctttttt ctctccttga agtatttgtc tgaaagtggc
3420





caccagcttc agggggtccc tctgatatat gctctcaagg gtgctgatgt gttgcaagat
3480





ggtgctcccc tccccctgct ctcccaccga ggcctgaagg tgctggacag tgtctgaaag
3540





tagggcacta gccaagttgc agcagaaggc gtcggagccg accaggaact cccagggctg
3600





gctctccagc cagtcaccca gaagatgccg caggtgttgg ggaaagtcga catagagccg
3660





ctgcactttt tctgggggca tcttggagac cagaccccac agagacatga tctgggactt
3720





ggaggttgcc tcggcaaccc ctctgctgtc ttctcccttt ctcagcgggc acttccaggc
3780





cccataggtc tgtagctctg tccagcgagt tcaaggctgg ccctgctagc acctcccccc
3840





ttccaccacc accaccaaaa agaaaaataa gataaagcac acacatacat acacacacac
3900





acacacacac acacacacac tcctctcccg tcctccctct tcagtgtaag cagtggctgc
3960





ccc
3963











<210>    3



<211> 3805


<212> DNA


<213> Mus musculus


<400>    3









gagaagccgg aaacagcagg ccggggcagc cagggtttac agtgaagaag gcccggagac
  60






gagtgcgtgc gtgcctgtgt gtgtgtttgt gtgtgtgtgc gcgcgctcga gcgtgtgcgc
 120





gcgtgcctgt gtgcatatgt gtgtgtgtgt ctgtacacat tgagttttta gggccagccc
 180





aggacccgct ggacagacct acagacccat ggggcttggt agtgccctct gagagaggga
 240





gaagatagca gcggggctgc tgaggcaccc tgtatatccc agatcatgtc tctgtggggc
 300





ctaatttcca agatgtcccc agaaaaactg caacggctct atgttgactt tccacaacgc
 360





ctacggcatc tcctggctga ctggctggag agccagccct gggagttcct ggtcggttca
 420





gatgctttct gttacaacat ggccagtgcc ctactttctg ccacagtcca gcgtcttcag
 480





gccactgctg gagagcaggg gaagggaaac agcatcttgc cgcacatcag caccttggag
 540





agcatctatc agagggaccc cctgaagctg gtggccacca tcagacaaat acttcaaggg
 600





gagaaaaaag ctgttataga agagttccgc cacctgccag ggcccttcca tcggaagcag
 660





gaagaactca agtttactac agccctcgga aggcttcagc atcgagtaag ggagacccgg
 720





cttctccgag aatctctgca gcaaggggct aagactggac aagtgtctct gcagaatttg
 780





atagaccctc ctgtcaatgg tcctggtcca agtgaggacc tggccaccat gctgcagggg
 840





actgtggggg acctggaggc cacccaggcc ctggtgctga aaaggattca gatttggaag
 900





cggcagcaac agctggcagg gaatggcaca ccctttgagg agagcctagc agggctgcag
 960





gagaggtgtg aaagcctggt ggaaatttat tcccagctgc agcaggagat tggggcagcc
1020





agtggagaac tggaacccaa gacccgggca tcgctgataa gccgtctgga tgaagtcctg
1080





cgaacccttg tgaccagctc tttcctggtg gagaagcagc ccccgcaggt tctgaagaca
1140





cagactaagt tccaggctgg ggttcgattc ctgctgggtc tgcagtttct agggacctca
1200





gccaagcctc caatggtcag agctgacatg gtgacagaga aacaggccag agaactaagc
1260





ctggcccagg ggcccgggac tggagtggag agcacaggag agatcatgaa caacacggtg
1320





cccctggaga acagcattcc cagcaactgc tgctccgccc tgttcaagaa cctgctcctg
1380





aagaaaataa agcgctgtga gcggaagggc acagagtctg tcaccgagga gaagtgtgct
1440





gtgctcttct ccacgagctt cacattgggc cccaacaaac ttctcatcca gcttcaggcc
1500





ctgtctctgc ccttggtggt catcgtgcat ggtaaccaag acaacaacgc caaagctacc
1560





atcctatggg acaatgcctt ctctgagatg gaccgagtgc cctttgtggt ggctgagcga
1620





gtgccctggg agaagatgtg tgaaacccta aacctcaagt ttatggctga ggtggggacc
1680





agccggggac tgcttccaga gcacttcctg ttcctcgccc agaagatctt caacgacaac
1740





agcctcagtg tggaggcctt tcagcaccgc tgtgtgtcct ggtcacagtt caataaggag
1800





atcctgctgg gccgaggctt cacattttgg cagtggtttg atggtgtcct ggacctcacc
1860





aaacgctgtc tccggagcta ctggtcagat cggctgatca ttggctttat tagtaagcaa
1920





tatgtcacta gccttctcct caatgagcca gatgggacct tcctcctccg ctttagcgac
1980





tctgagatcg ggggcatcac cattgcacac gtcatccggg gtcaggatgg ctcctcacag
2040





atagagaaca tccagccatt ttctgccaaa gacctgtcca ttcgctcact gggggaccgg
2100





atccgggatc ttgctcagtt aaaaaacctc taccccaaga aacccaaaga tgaggctttc
2160





cggagtcact ataagcccga acagatgggg aaggacggga ggggttatgt ctctactact
2220





atcaagatga ctgtggaaag ggaccagccc cttcctactc cagagcccca gatgcctgcc
2280





atggtgccac cttatgatct tggaatggcc cctgatgctt ccatgcaact cagctcagat
2340





atggggtatc ctccacagtc catccactca tttcagagcc tagaagagtc catgagtgta
2400





ctgccatctt ttcaggagcc tcacctgcaa atgcccccca acatgagcca gataaccatg
2460





ccctttgacc agcctcaccc ccagggtctg ctgcagtgcc agtcccagga acatgctgtg
2520





tccagccctg aacccatgct ttgctcagat gtgactatgg tagaggacag ctgcctaact
2580





cagcctgtgg gaggtttccc ccaaggcacc tgggtcagtg aagacatgta ccctcccctg
2640





atgcctccca ctgaacagga cctcaccaag cttctcctgg agaaccaagg ggaggcagga
2700





gggtccttag gaagccagcc cctcctgcaa ccatctcctt atgggcaatc agggatctca
2760





ctgtcccacc tcgacctaag gaccaacccc agctggtgat cccagctgga gaagcccaga
2820





aacaaagcct cttctgtctc tatggaccag ctctggacac ctgctcatgc aggtgccttc
2880





cgtctcaact gttccttggt caagagaaaa gaactggctg ggagaccatg tggtgtatgg
2940





aactgctgtg ctctgtcctt cctgccatat cagggccccc cttttccagc actgggtgca
3000





aagggatgag tggggtgtta atgctcgaat gtgatacaac tgtatcacaa cacacacgca
3060





cacacacata cacacacacc agaactgtgt tgagccaggg cctgggactc aacatacaga
3120





aacatagaga cattgtgcca aagacagagg gcatataggc ctagggcatt gaagctgggc
3180





tcaggtgact ctgggaggga gaaaaaggaa aaagtgggta tacagtcact ggtgtgagtt
3240





ctacccagat tttaaaaaac aagactccaa agctccaaat tcttgcaaaa aaagatgcct
3300





agtgacattt gagactgcat tctaagagct aagcttgtgt atagctgtac caatgtttac
3360





ccaagacatg ttaacctata gaagtcacac atcactgtat gaccgcacag aacatgtatc
3420





ttctgctttt gccagtgtga ccttaacata tctgaaaggc tgagacattg tataagacag
3480





caacccagta tcatttgggg agtaactatg tggctgtgac atgcataaag ctctagcctg
3540





ggtaacttga tgcttccagt gtttcctaga gcctgggata taagtaggga tgcagacctc
3600





tctgtgtaaa ctccctgggc gttgaggccc tcaactgctg tctcttgtac ttttctgtcc
3660





actgccagct ctgcccccct cccccggctc ttacccagtc ctttttccct cactggaggg
3720





gaagggggcc atggatccta agccataaaa taaattttat tccaaaataa caaaataaat
3780





aatctactgt acacaatctg aaaag
3805











<210>    4



<211> 3805


<212> DNA


<213> Mus musculus


<400>    4









cttttcagat tgtgtacagt agattattta ttttgttatt ttggaataaa atttatttta
  60






tggcttagga tccatggccc ccttcccctc cagtgaggga aaaaggactg ggtaagagcc
 120





gggggagggg ggcagagctg gcagtggaca gaaaagtaca agagacagca gttgagggcc
 180





tcaacgccca gggagtttac acagagaggt ctgcatccct acttatatcc caggctctag
 240





gaaacactgg aagcatcaag ttacccaggc tagagcttta tgcatgtcac agccacatag
 300





ttactcccca aatgatactg ggttgctgtc ttatacaatg tctcagcctt tcagatatgt
 360





taaggtcaca ctggcaaaag cagaagatac atgttctgtg cggtcataca gtgatgtgtg
 420





acttctatag gttaacatgt cttgggtaaa cattggtaca gctatacaca agcttagctc
 480





ttagaatgca gtctcaaatg tcactaggca tctttttttg caagaatttg gagctttgga
 540





gtcttgtttt ttaaaatctg ggtagaactc acaccagtga ctgtataccc actttttcct
 600





ttttctccct cccagagtca cctgagccca gcttcaatgc cctaggccta tatgccctct
 660





gtctttggca caatgtctct atgtttctgt atgttgagtc ccaggccctg gctcaacaca
 720





gttctggtgt gtgtgtatgt gtgtgtgcgt gtgtgttgtg atacagttgt atcacattcg
 780





agcattaaca ccccactcat ccctttgcac ccagtgctgg aaaagggggg ccctgatatg
 840





gcaggaagga cagagcacag cagttccata caccacatgg tctcccagcc agttcttttc
 900





tcttgaccaa ggaacagttg agacggaagg cacctgcatg agcaggtgtc cagagctggt
 960





ccatagagac agaagaggct ttgtttctgg gcttctccag ctgggatcac cagctggggt
1020





tggtccttag gtccaggtgg gacagtgaga tccctgattg cccataagga gatggttgca
1080





ggaggggctg gcttcctaag gaccctcctg cctccccttg gttctccagg agaagcttgg
1140





tgaggtcctg ttcagtggga ggcatcaggg gagggtacat gtcttcactg acccaggtgc
1200





cttgggggaa acctcccaca ggctgagtta ggcagctgtc ctctaccata gtcacatctg
1260





agcaaagcat gggttcaggg ctggacacag catgttcctg ggactggcac tgcagcagac
1320





cctgggggtg aggctggtca aagggcatgg ttatctggct catgttgggg ggcatttgca
1380





ggtgaggctc ctgaaaagat ggcagtacac tcatggactc ttctaggctc tgaaatgagt
1440





ggatggactg tggaggatac cccatatctg agctgagttg catggaagca tcaggggcca
1500





ttccaagatc ataaggtggc accatggcag gcatctgggg ctctggagta ggaaggggct
1560





ggtccctttc cacagtcatc ttgatagtag tagagacata acccctcccg tccttcccca
1620





tctgttcggg cttatagtga ctccggaaag cctcatcttt gggtttcttg gggtagaggt
1680





tttttaactg agcaagatcc cggatccggt cccccagtga gcgaatggac aggtctttgg
1740





cagaaaatgg ctggatgttc tctatctgtg aggagccatc ctgaccccgg atgacgtgtg
1800





caatggtgat gcccccgatc tcagagtcgc taaagcggag gaggaaggtc ccatctggct
1860





cattgaggag aaggctagtg acatattgct tactaataaa gccaatgatc agccgatctg
1920





accagtagct ccggagacag cgtttggtga ggtccaggac accatcaaac cactgccaaa
1980





atgtgaagcc tcggcccagc aggatctcct tattgaactg tgaccaggac acacagcggt
2040





gctgaaaggc ctccacactg aggctgttgt cgttgaagat cttctgggcg aggaacagga
2100





agtgctctgg aagcagtccc cggctggtcc ccacctcagc cataaacttg aggtttaggg
2160





tttcacacat cttctcccag ggcactcgct cagccaccac aaagggcact cggtccatct
2220





cagagaaggc attgtcccat aggatggtag ctttggcgtt gttgtcttgg ttaccatgca
2280





cgatgaccac caagggcaga gacagggcct gaagctggat gagaagtttg ttggggccca
2340





atgtgaagct cgtggagaag agcacagcac acttctcctc ggtgacagac tctgtgccct
2400





tccgctcaca gcgctttatt ttcttcagga gcaggttctt gaacagggcg gagcagcagt
2460





tgctgggaat gctgttctcc aggggcaccg tgttgttcat gatctctcct gtgctctcca
2520





ctccagtccc gggcccctgg gccaggctta gttctctggc ctgtttctct gtcaccatgt
2580





cagctctgac cattggaggc ttggctgagg tccctagaaa ctgcagaccc agcaggaatc
2640





gaaccccagc ctggaactta gtctgtgtct tcagaacctg cgggggctgc ttctccacca
2700





ggaaagagct ggtcacaagg gttcgcagga cttcatccag acggcttatc agcgatgccc
2760





gggtcttggg ttccagttct ccactggctg ccccaatctc ctgctgcagc tgggaataaa
2820





tttccaccag gctttcacac ctctcctgca gccctgctag gctctcctca aagggtgtgc
2880





cattccctgc cagctgttgc tgccgcttcc aaatctgaat ccttttcagc accagggcct
2940





gggtggcctc caggtccccc acagtcccct gcagcatggt ggccaggtcc tcacttggac
3000





caggaccatt gacaggaggg tctatcaaat tctgcagaga cacttgtcca gtcttagccc
3060





cttgctgcag agattctcgg agaagccggg tctcccttac tcgatgctga agccttccga
3120





gggctgtagt aaacttgagt tcttcctgct tccgatggaa gggccctggc aggtggcgga
3180





actcttctat aacagctttt ttctcccctt gaagtatttg tctgatggtg gccaccagct
3240





tcagggggtc cctctgatag atgctctcca aggtgctgat gtgcggcaag atgctgtttc
3300





ccttcccctg ctctccagca gtggcctgaa gacgctggac tgtggcagaa agtagggcac
3360





tggccatgtt gtaacagaaa gcatctgaac cgaccaggaa ctcccagggc tggctctcca
3420





gccagtcagc caggagatgc cgtaggcgtt gtggaaagtc aacatagagc cgttgcagtt
3480





tttctgggga catcttggaa attaggcccc acagagacat gatctgggat atacagggtg
3540





cctcagcagc cccgctgcta tcttctccct ctctcagagg gcactaccaa gccccatggg
3600





tctgtaggtc tgtccagcgg gtcctgggct ggccctaaaa actcaatgtg tacagacaca
3660





cacacacata tgcacacagg cacgcgcgca cacgctcgag cgcgcgcaca cacacacaaa
3720





cacacacaca ggcacgcacg cactcgtctc cgggccttct tcactgtaaa ccctggctgc
3780





cccggcctgc tgtttccggc ttctc
3805











<210>    5



<211> 2635


<212> DNA


<213> Rattus norvegicus


<400>    5









agacccatgg gcttggtagt gcccgctgag agagggagaa gatagcagcg gggctgccga
  60






ggcaccctgc gatatcccag atcatgtctc tgtggagtct agtttccaag atgtccccag
 120





aaaaactgca acggctctat gttgactttc cacaacacct gcggcatctt ctggccgaat
 180





ggctggagaa tcagccctgg gagttcctgg ttggttcaga tgctttctgt tacaacatgg
 240





ctagtgccct actttctgcc actgtccagc gtcttcaggc ctctgcagga gagcagggga
 300





aaggaagcag cctcttgcag cacatcagca ccttggagag catctatcag agggaccccc
 360





tgaagctggt ggccaccatc agacaaatac ttcaagggga gaaaaaagct gttatagaag
 420





agttccacca cctgccaggg cccttccatc gaaagcagga agaactcaag tttactacag
 480





ccctgggcag gcttcagcac cgagtaaggg agaccaggat tctccgagaa tctctgcagc
 540





aggggaccaa gactgcgcaa gtgtctctga agaacttgat agaccctcct gccaatggca
 600





ctggtccaag tgaggatctg gccacgatgc tgcaggggac tgtgggggac ttggaggcca
 660





cccaggctct agtgctgaaa aggattcaga tttggaagcg gcaacagcag ctggcaggga
 720





atggcacacc ctttgaggag agcctggcag ggctgcagga gaggtgtgaa agcctggtgg
 780





aaatttattc ccagctgcag caggagattg gagcagccag tggggagctt gagcccaaga
 840





cccgggcatc gctcataagc cgtctggatg aagtcctgcg aacccttgtg accagctctt
 900





tcctggtgga gaagcagccc ccacaggttc tgaagacaca gactaagttt caggctgggg
 960





ttcgattcct actgggtctg cagttcctag ggacctcagc caagcctcca ctggtcagag
1020





ctgacatggt gacagagaaa caggccagag aactaagcct gccccagggg tctggggctg
1080





gagtggagag cacaggagag atcatgaaca atactgtacc tctggagaac agtgttcctg
1140





ggaactgctg ctctgccctc ttcaagaacc tgctcctgaa gaaaatcaag cgctgtgagc
1200





ggaagggtac agagtctgtc accgaagaga agtgcgctgt gctcttctct acgagcttca
1260





tgctgggccc caacaaacac ctcatccagc ttcaggccct gtctctgccc ttggtggtca
1320





tcgttcatgg caaccaagac aacaatgcca aagctaccat cctgtgggat aatgccttct
1380





ctgagatgga ccgagtgccc tttgtggtag ctgagcgagt gccctgggag aaaatgtgtg
1440





aaactctgaa cctcaagttt atggctgagg tggggaccag ccggggactg ctaccagaac
1500





acttcctgtt cctggcccag aagatcttca atgacaacag ccttagcata gaggcctttc
1560





agcaccgctg tgtgtcttgg tcacagttca acaaggagat tctactgggc cgaggcttca
1620





ctttttggca gtggtttgat ggtgtcctgg acctcactaa acgctgtctt cggagctact
1680





ggtcagatcg gctgatcatc ggctttatca gtaagcaata tgtcactagc cttctcctca
1740





acgagccaga tggaaccttc ctcctccgct ttagcgactc tgagattggg ggcatcacca
1800





ttgcccatgt catccggggt caggatggct cctcacagat agagaacatc cagccgtttt
1860





ctgccaaaga cctatccatt cgctcactgg gggaccgaat ccgagatctt gctcaattaa
1920





aaaacctcta ccccaagaaa cccaaggatg aggcttttcg gagccactat aagccggaac
1980





agatgggaaa ggacgggagg ggttatgtct caactactat caagatgact gtggaaaggg
2040





accagcccct tcctactcca gagccccaga tgcctgccat ggtggcccct tatgatcttg
2100





gaatggcccc tgatgcttcc atgcaactca gctcagatat ggtgtatcct ccacagtctc
2160





attccatcca ctcatttcag agcatccccc tagaagagtc catgagtgta ctgccaccct
2220





ttcaggagcc tcacctccaa atgcccccca ccatgagcca gataagcatg ccctttgacc
2280





agcctcatcc ccagggcctg ctccagtgcc agtcccagga gcatgcggtg tccagccctg
2340





aacccttgct gtgttcagat gtcactatgg cggaagacag ctgcctaact cagcctgtgc
2400





aaggtttccc ccagggcacc tgggtcagcg aaggcatgta ccctcccctg atgcctccca
2460





ctgaacagga cctcaccaag cttctcctag agggccaagg ggaaggtgga ggatccatag
2520





ggactcagcc cctcctgcaa ccatcttctt atgggcaatc ggggatctca atgtcccacc
2580





tggacctaag gaccaacccc agttggtgat cccaactgga gaagcccaga gacag
2635











<210>    6



<211> 2635


<212> DNA


<213> Rattus norvegicus


<400>    6









ctgtctctgg gcttctccag ttgggatcac caactggggt tggtccttag gtccaggtgg
  60






gacattgaga tccccgattg cccataagaa gatggttgca ggaggggctg agtccctatg
 120





gatcctccac cttccccttg gccctctagg agaagcttgg tgaggtcctg ttcagtggga
 180





ggcatcaggg gagggtacat gccttcgctg acccaggtgc cctgggggaa accttgcaca
 240





ggctgagtta ggcagctgtc ttccgccata gtgacatctg aacacagcaa gggttcaggg
 300





ctggacaccg catgctcctg ggactggcac tggagcaggc cctggggatg aggctggtca
 360





aagggcatgc ttatctggct catggtgggg ggcatttgga ggtgaggctc ctgaaagggt
 420





ggcagtacac tcatggactc ttctaggggg atgctctgaa atgagtggat ggaatgagac
 480





tgtggaggat acaccatatc tgagctgagt tgcatggaag catcaggggc cattccaaga
 540





tcataagggg ccaccatggc aggcatctgg ggctctggag taggaagggg ctggtccctt
 600





tccacagtca tcttgatagt agttgagaca taacccctcc cgtcctttcc catctgttcc
 660





ggcttatagt ggctccgaaa agcctcatcc ttgggtttct tggggtagag gttttttaat
 720





tgagcaagat ctcggattcg gtcccccagt gagcgaatgg ataggtcttt ggcagaaaac
 780





ggctggatgt tctctatctg tgaggagcca tcctgacccc ggatgacatg ggcaatggtg
 840





atgcccccaa tctcagagtc gctaaagcgg aggaggaagg ttccatctgg ctcgttgagg
 900





agaaggctag tgacatattg cttactgata aagccgatga tcagccgatc tgaccagtag
 960





ctccgaagac agcgtttagt gaggtccagg acaccatcaa accactgcca aaaagtgaag
1020





cctcggccca gtagaatctc cttgttgaac tgtgaccaag acacacagcg gtgctgaaag
1080





gcctctatgc taaggctgtt gtcattgaag atcttctggg ccaggaacag gaagtgttct
1140





ggtagcagtc cccggctggt ccccacctca gccataaact tgaggttcag agtttcacac
1200





attttctccc agggcactcg ctcagctacc acaaagggca ctcggtccat ctcagagaag
1260





gcattatccc acaggatggt agctttggca ttgttgtctt ggttgccatg aacgatgacc
1320





accaagggca gagacagggc ctgaagctgg atgaggtgtt tcttggggcc cagcatgaag
1380





ctcgtagaga agagcacagc gcacttctct tcggtgacag actctgtacc cttccgctca
1440





cagcgcttga ttttcttcag gagcaggttc ttgaagaggg cagagcagca gttcccagga
1500





acactgttct ccagaggtac agtattgttc atgatctctc ctgtgctctc cactccagcc
1560





ccagacccct ggggcaggct tagttctctg gcctgtttct ctgtcaccat gtcagctctg
1620





accagtggag gcttggctga ggtccctagg aactgcagac ccagtaggaa tcgaacccca
1680





gcctgaaact tagtctgtgt cttcagaacc tgtgggggct gcttctccac caggaaagag
1740





ctggtcacaa gggttcgcag gacttcatcc agacggctta tgagcgatgc ccgggtcttg
1800





ggctcaagct ccccactggc tgctccaatc tcctgctgca gctgggaata aatttccacc
1860





aggctttcac acctctcctg cagccctgcc aggctctcct caaagggtgt gccattccct
1920





gccagctgct gttgccgctt ccaaatctga atccttttca gcactagagc ctgggtggcc
1980





tccaagtccc ccacagtccc ctgcagcatc gtggccagat cctcacttgg accagtgcca
2040





ttggcaggag ggtctatcaa gttcttcaga gacacttgcg cagtcttggt cccctgctgc
2100





agagattctc ggagaatcct ggtctccctt actcggtgct gaagcctgcc cagggctgta
2160





gtaaacttga gttcttcctg ctttcgatgg aagggccctg gcaggtggtg gaactcttct
2220





ataacagctt ttttctcccc ttgaagtatt tgtctgatgg tggccaccag cttcaggggg
2280





tccctctgat agatgctctc caaggtgctg atgtgctgca agaggctgct tcctttcccc
2340





tgctctcctg cagaggcctg aagacgctgg acagtggcag aaagtagggc actagccatg
2400





ttgtaacaga aagcatctga accaaccagg aactcccagg gctgattctc cagccattcg
2460





gccagaagat gccgcaggtg ttgtggaaag tcaacataga gccgttgcag tttttctggg
2520





gacatcttgg aaactagact ccacagagac atgatctggg atatcgcagg gtgcctcggc
2580





agccccgctg ctatcttctc cctctctcag cgggcactac caagcccatg ggtct
2635











<210>    7



<211> 4015


<212> DNA


<213> Macaca fascicularis


<400>    7









cttctctgtg tcgtcagagc tccagggagg gacctgggta gaaggagaag ccggaaacag
  60






cgggctgggg cagccactgc ttacactgaa gagggaggac gggagaggag tgtgtgtgtg
 120





tgtatgtatg tgtgtgtttt attttatttt tctttttggt gatggtggtg gaagggggga
 180





ggtgctagca gggccagcct tgaactcgct ggacagagct acagacctat ggggcctggc
 240





agtgcccgct gagaaaggga gaagacagca gaggggttgc ctccgaggca acctccaagt
 300





cccagatcat gtctctgtgg ggtctggtct ccaagatgcc cccagaaaaa gtgcagcggc
 360





tctatgtcga ctttccccaa cacctgcggc atcttctggg tgactggctg gagagccagc
 420





cctgggagtt cctggtcggc tcagacgcct tctgctgcaa catggctagt gccctacttt
 480





cagacactgt ccagcgcctt caggcctcgg cgggagagca gggggagggg agcaccatct
 540





tgcaacacat cagtaccctg gagagcatat atcagaggga ccccctgaag ctggtggcca
 600





ctttcagaca aatacttcaa ggagagaaaa aagctgttat ggaacagttt cgccacttgc
 660





caatgccttt ccactggaag caggaagaac tcaagttcaa gacagccctg cggaggctgc
 720





agcaccgagt aggggagatc caccttcttc gagaagccct gcagaagggg gctgatgctg
 780





gccaagtgtc tctgcacagc ttgatagaaa ctcctgctaa tgggactggg ccaagtgagg
 840





ccctggccct gctactgcag gagaccactg gagagctgga gacagccaag gcgctagtgc
 900





tgaagaggat ccagatttgg aaacggcagc agcagctggc agggaatggc gcaccctttg
 960





aggagagcct ggccccactc caggagaggt gtgagagcct ggtggacatt tattcccagc
1020





tacagcagga ggtaggggcg gctggtgggg agcttgagcc caagacccgg gcatcgctga
1080





ttggccggct ggatgaagtc ctgcgaaccc tcgtcaccag ttgtttcctg gtggagaagc
1140





agccgcccca ggtactgaag actcagacca agttccaggc tggagttcga ttcctgttgg
1200





gcttgaggtt cctgggggcc ccagccaagc ctccactggt cagggctgac atggtgacag
1260





agaagcaggc gagggagctg agtgtgcctc agggtcctgg ggctggagca gaaagcactg
1320





gagaaatcat caacaacact gtgcccttgg agaacagcat tcctgggaac tgctgctctg
1380





ccctgttcaa gaacctgctt ctcaagaaga tcaagcggtg tgagcggaag ggcactgagt
1440





ctgtcacaga ggagaagtgc gctgtgctct tctctgccag cttcacactt ggccccggca
1500





aactccccat ccagctccag gccctgtctc tgcccctggt ggtcatcgt catggcaacc
1560





aagacaacaa tgccaaagcc accatcctgt gggacaatgc cttctctgag atggaccgcg
1620





tgccctttgt ggtggctgag cgggtgccct gggagaagat gtgtgaaact ctgaacttga
1680





agttcatggc tgaggtgggg accaaccggg ggctgctccc agagcacttc ctcttcctgg
1740





cccagaagat cttcaatgac aacagcctca gcatggaggc cttccagcac cgttctgtgt
1800





cctggtcaca gttcaacaag gagatcctgc tgggccgtgg cttcaccttt tggcagtggt
1860





ttgatggtgt cctggacctc accaaacgct gtctccggag ctactggtct gaccggctga
1920





ttatcggctt catcagcaaa cagtacgtta ctagccttct tctgaacgag cccgacggaa
1980





cctttctcct ccgcttcagc gactcagaga ttgggggcat caccattgcc cacgtcatcc
2040





ggggccagga tggctctcca cagatagaga acatccagcc attctctgcc aaagacctgt
2100





ccattcgttc actgggggac cgaatccggg atcttgctca gctcaaaaac ctctatccca
2160





agaagcccaa ggatgaggct ttccggagcc actacaagcc tgaacagatg ggtaaggatg
2220





gcaggggtta tgtcccagct accatcaaga tgaccgtgga aagggaccag ccacttccta
2280





ccccagagct ccagatgcct accatggtgc cttcttatga ccttggaatg gcccctgatt
2340





cctccatgag catgcagctt ggcccagata tggtgcccca ggtgtaccca ccacactctc
2400





actccatccc cccgtatcaa ggcctctccc cagaagaatc agtcaatgtg ttgtccgcct
2460





tccaggagcc tcacctgcag atgcccccca gcctgggcca gatgagcctg tcctttgacc
2520





agcctcaccc ccagggcctg ctgccatgcc agcctcagga gcatgctgtg tccagccctg
2580





accccctgct ctgctcagat gtgaccatgg tggaagacag ctgcctgagc cagccagtga
2640





gagcgttttc tcagggcact tggattggtg aagacatatt ccctcctctg ctgccgccca
2700





ctgaacagga cctcactaag cttctcctgg aggggcaagg ggaatcgggg ggagggtcct
2760





tgggggccca gcccctcctg caaccctccc actatgggca atctgggatc tcaatgtccc
2820





acatggacct aagggccaac cccagttggt gatcccagcc gggagggaga acccagagag
2880





acagctcttc tactaccccc acagacctgc tctggacact tactcatgcc ctgccaagca
2940





gcagatgggg agggtgccct cctatcccca cctacttctc ggtcaggagg aaaagacagg
3000





agaatgcatg gtgggtggag ccaatccact ccttcctttc atcattcccc tgcccacctc
3060





cttccagcac tgactggaag ggaagttcag gctctgagac acgccccaac atgcccgcac
3120





ctgcagcgcg cacacgcacg cacacacaca tacagagctc tctgagggtg atggggctga
3180





gcaggaggtg ggctgggtag gagtacaggt tagggcatgg aaggcttctc cgcccactct
3240





gacccagggc ctaggatggt taggcaggaa catacagaca catttacgct agaggccagg
3300





gatagaggat attaggtctc agccctgggg gaatgggaag cagctcaagg gaccctggat
3360





ggagcacagg aggggtctgg acatgtggtt accaatacaa gttttgccct gattaaaaaa
3420





tctcccaaag ccccaaattc ctgttagcga ggtggaggct tctgatatgt gtatgagact
3480





atgcaaaagt acaagggccg agtttcttca tgtatagctg tgtgaacgtg tatgtaccta
3540





agatatgtta atgtatagct ggcatgttag ttgcatgacc acatagaaca tgtgtctgct
3600





tttgcctgtt tgacaacaca aatttgggag tgtgagacat tgcacagaag acagcagcaa
3660





gtgtgctggc ctctctgaca tatgctaacc caaaaatact ctgaatttgg agtctgactg
3720





tgcccaagtg ggtccaagtg gctgtgacat ctacatatgg ctccatatct ccaatgctgc
3780





ctgggagcca gggtgagtgt ctgggtccag gcctgaccat gtggccctcc agtgtatgaa
3840





ggggccctgc ctgctgtatc ttctctgttg ccctatccac tgccagcttc ccttcactcc
3900





cccatcccat gtcaccgttt ctccctctcg aggcaggggt catagatcct aagccataaa
3960





ataaatttta ttccaaaata acaaaataaa taatctactg tacacaatct gaaaa
4015











<210>    8



<211> 4015


<212> DNA


<213> Macaca fascicularis


<400>    8









ttttcagatt gtgtacagta gattatttat tttgttattt tggaataaaa tttattttat
  60






ggcttaggat ctatgacccc tgcctcgaga gggagaaacg gtgacatggg atgggggagt
 120





gaagggaagc tggcagtgga tagggcaaca gagaagatac agcaggcagg gccccttcat
 180





acactggagg gccacatggt caggcctcga cccagacact caccctggct cccaggcagc
 240





attggagata tggagccata tgtagatgtc acagccactt ggacccactt gggcacagtc
 300





agactccaaa ttcagagtat ttttgggtta gcatatgtca gagaggccag cacacttgct
 360





gctgtcttct gtgcaatgtc tcacactccc aaatttgtgt tgtcaaacag gcaaaagcag
 420





acacatgttc tatgtggtca tgcaactaac atgccagcta tacattaaca tatcttaggt
 480





acatacacgt tcacacagct atacatgaag aaactcggcc cttgtacttt tgcatagtct
 540





catacacata tcagaagcct ccacctcgct aacaggaatt tggggctttg ggagattttt
 600





taatcagggc aaaacttgta ttggtaacca catgtccaga cccctcctgt gctccatcca
 660





gggtcccttg agctgcttcc cattccccca gggctgagac ctaatatcct ctatccctgg
 720





cctctagcgt aaatgtgtct gtatgttcct gcctaaccat cctaggccct gggtcagagt
 780





gggcggagaa gccttccatg ccctaacctg tactcctacc cagcccacct cctgctcagc
 840





cccatcaccc tcagagagct ctgtatgtgt gtgtgcgtgc gtgtgcgcgc tgcaggtgcg
 900





ggcatgttgg ggcgtgtctc agagcctgaa cttcccttcc agtcagtgct ggaaggaggt
 960





gggcagggga atgatgaaag gaaggagtgg attggctcca cccaccatgc attctcctgt
1020





cttttcctcc tgaccgagaa gtaggtgggg ataggagggc accctcccca tctgctgctt
1080





ggcagggcat gagtaagtgt ccagagcagg tctgtggggg tagtagaaga gctgtctctc
1140





tgggttctcc ctcccggctg ggatcaccaa ctggggttgg cccttaggtc catgtgggac
1200





attgagatcc cagattgccc atagtgggag ggttgcagga ggggctgggc ccccaaggac
1260





cctccccccg attccccttg cccctccagg agaagcttag tgaggtcctg ttcagtgggc
1320





ggcagcagag gagggaatat gtcttcacca atccaagtgc cctgagaaaa cgctctcact
1380





ggctggctca ggcagctgtc ttccaccatg gtcacatctg agcagagcag ggggtcaggg
1440





ctggacacag catgctcctg aggctggcat ggcagcaggc cctgggggtg aggctggtca
1500





aaggacaggc tcatctggcc caggctgggg ggcatctgca ggtgaggctc ctggaaggcg
1560





gacaacacat tgactgattc ttctggggag aggccttgat acggggggat ggagtgagag
1620





tgtggtgggt acacctgggg caccatatct gggccaagct gcatgctcat ggaggaatca
1680





ggggccattc caaggtcata agaaggcacc atggtaggca tctggagctc tggggtagga
1740





agtggctggt ccctttccac ggtcatcttg atggtagctg ggacataacc cctgccatcc
1800





ttacccatct gttcaggctt gtagtggctc cggaaagcct catccttggg cttcttggga
1860





tagaggtttt tgagctgagc aagatcccgg attcggtccc ccagtgaacg aatggacagg
1920





tctttggcag agaatggctg gatgttctct atctgtggag agccatcctg gccccggatg
1980





acgtgggcaa tggtgatgcc cccaatctct gagtcgctga agcggaggag aaaggttccg
2040





tcgggctcgt tcagaagaag gctagtaacg tactgtttgc tgatgaagcc gataatcagc
2100





cggtcagacc agtagctccg gagacagcgt ttggtgaggt ccaggacacc atcaaaccac
2160





tgccaaaagg tgaagccacg gcccagcagg atctccttgt tgaactgtga ccaggacaca
2220





gaacggtgct ggaaggcctc catgctgagg ctgttgtcat tgaagatctt ctgggccagg
2280





aagaggaagt gctctgggag cagcccccgg ttggtcccca cctcagccat gaacttcaag
2340





ttcagagttt cacacatctt ctcccagggc acccgctcag ccaccacaaa gggcacgcgg
2400





tccatctcag agaaggcatt gtcccacagg atggtggctt tggcattgtt gtcttggttg
2460





ccatggacga tgaccaccag gggcagagac agggcctgga gctggatggg gagtttgccg
2520





gggccaagtg tgaagctggc agagaagagc acagcgcact tctcctctgt gacagactca
2580





gtgcccttcc gctcacaccg cttgatcttc ttgagaagca ggttcttgaa cagggcagag
2640





cagcagttcc caggaatgct gttctccaag ggcacagtgt tgttgatgat ttctccagtg
2700





ctttctgctc cagccccagg accctgaggc acactcagct ccctcgcctg cttctctgtc
2760





accatgtcag ccctgaccag tggaggcttg gctggggccc ccaggaacct caagcccaac
2820





aggaatcgaa ctccagcctg gaacttggtc tgagtcttca gtacctgggg cggctgcttc
2880





tccaccagga aacaactggt gacgagggtt cgcaggactt catccagccg gccaatcagc
2940





gatgcccggg tcttgggctc aagctcccca ccagccgccc ctacctcctg ctgtagctgg
3000





gaataaatgt ccaccaggct ctcacacctc tcctggagtg gggccaggct ctcctcaaag
3060





ggtgcgccat tccctgccag ctgctgctgc cgtttccaaa tctggatcct cttcagcact
3120





agcgccttgg ctgtctccag ctctccagtg gtctcctgca gtagcagggc cagggcctca
3180





cttggcccag tcccattagc aggagtttct atcaagctgt gcagagacac ttggccagca
3240





tcagccccct tctgcagggc ttctcgaaga aggtggatct cccctactcg gtgctgcagc
3300





ctccgcaggg ctgtcttgaa cttgagttct tcctgcttcc agtggaaagg cattggcaag
3360





tggcgaaact gttccataac agcttttttc tctccttgaa gtatttgtct gaaagtggcc
3420





accagcttca gggggtccct ctgatatatg ctctccaggg tactgatgtg ttgcaagatg
3480





gtgctcccct ccccctgctc tcccgccgag gcctgaaggc gctggacagt gtctgaaagt
3540





agggcactag ccatgttgca gcagaaggcg tctgagccga ccaggaactc ccagggctgg
3600





ctctccagcc agtcacccag aagatgccgc aggtgttggg gaaagtcgac atagagccgc
3660





tgcacttttt ctgggggcat cttggagacc agaccccaca gagacatgat ctgggacttg
3720





gaggttgcct cggaggcaac ccctctgctg tcttctccct ttctcagcgg gcactgccag
3780





gccccatagg tctgtagctc tgtccagcga gttcaaggct ggccctgcta gcacctcccc
3840





ccttccacca ccatcaccaa aaagaaaaat aaaataaaac acacacatac atacacacac
3900





acacactcct ctcccgtcct ccctcttcag tgtaagcagt ggctgcccca gcccgctgtt
3960





tccggcttct ccttctaccc aggtccctcc ctggagctct gacgacacag agaag
4015











<210>    9



<211> 3824


<212> DNA


<213> Macaca mulatta


<400>    9









ccagggaggg acctgggtag aaggagaagc cggaaacagc gggctggggc agccactgct
  60






tacactgaag agggaggacg ggagaggagt gtgtgtgtgt gtatgcaacc tccaagtccc
 120





agatcatgtc tctgtggggt ctggtctcca agatgccccc agaaaaagtg cagcggctct
 180





atgtcgactt tccccaacac ctgcggcatc ttctgggtga ctggctggag agccagccct
 240





gggagttcct ggtcggctca gacgccttct gctgcaacat ggctagtgcc ctactttcag
 300





acactgtcca gcgccttcag gcctcggcgg gagagcaggg ggaggggagc accatcttgc
 360





aacacatcaa taccctggag agcatatatc agagggaccc cctgaagctg gtggccactt
 420





tcagacaaat acttcaagga gagaaaaaag ctgttatgga acagtttcgc cacttgccaa
 480





tgcctttcca ctggaagcag gaagaactca agttcaagac agccctgcgg aggctgcagc
 540





accgagtagg ggagatccac cttcttcgag aagccctgca gaagggggct gacgctggcc
 600





aagtgtctct gcacagcttg atagaaactc ctgctaatgg gactgggcca agtgaggccc
 660





tggccctgct actacaggag accactggag agctggagac agccaaggcc ctagtgctga
 720





agaggatcca gatttggaaa cggcagcagc agctggcagg gaatggcgca ccctttgagg
 780





agagcctggc cccactccag gagaggtgtg agagcctggt ggacatttat tcccagctac
 840





agcaggaggt aggggcggct ggtggggagc ttgagcccaa gacccgggca tcgctgattg
 900





gccggctgga tgaagtcctg cgaaccctcg tcaccagttg tttcctggtg gagaagcagc
 960





cgccccaggt actgaagact cagaccaagt tccaggctgg agttcgattc ctgttgggct
1020





tgaggttcct gggggcccca gccaagcctc cactggtcag ggctgacatg gtgacagaga
1080





agcaggcgag ggagctgagt gtgcctcagg gtcctggggc tggagcagaa agcactggag
1140





aaatcatcaa caacactgtg cccttggaga acagcattcc tgggaactgc tgctctgccc
1200





tgttcaagaa cctgcttctc aagaagatca agcggtgtga gcggaagggc actgagtctg
1260





tcacagagga gaagtgcgct gtgctcttct ctgccagctt cacacttggc cccggcaaac
1320





tccccatcca gctccaggcc ctgtctctgc ccctggtggt catcgtccat ggcaaccaag
1380





acaacaatgc caaagccacc atcctgtggg acaatgcctt ctctgagatg gaccgcgtgc
1440





cctttgtggt ggctgagcgg gtgccctggg agaagatgtg tgaaactctg aacttgaagt
1500





tcatggctga ggtggggacc aaccgggggc tgctcccaga gcacttcctc ttcctggccc
1560





agaagatctt caatgacaac agcctcagca tggaggcctt ccagcaccgt tctgtgtcct
1620





ggtcacagtt caacaaggag atcctgctgg gccgtggctt caccttttgg cagtggtttg
1680





atggtgtcct ggacctcacc aaacgctgtc tccggagcta ctggtctgac cggctgatta
1740





tcggcttcat cagcaaacag tacgttacta gccttcttct gaacgagccc gacggaacct
1800





ttctcctccg cttcagcgac tcagagattg ggggcatcac cattgcccac gtcatccggg
1860





gccaggatgg ctctccacag atagagaaca tccagccatt ctctgccaaa gacctgtcca
1920





ttcgttcact gggggaccga atccgggatc ttgctcagct caaaaacctc tatcccaaga
1980





agcccaagga tgaggctttc cggagccact acaagcctga acagatgggt aaggatggca
2040





ggggttatgt cccagctacc atcaagatga ccgtggaaag ggaccagcca cttcctaccc
2100





cagagctcca gatgcctacc atggtgcctt cttatgacct tggaatggcc cctgattcct
2160





ccatgagcat gcagcttggc ccagatatgg tgccccaggt gtacccacca cactctcact
2220





ccatcccccc gtatcaaggc ctctccccag aagaatcagt caatgtgttg tcagccttcc
2280





aggagcctca cctgcagatg ccccccagcc tgggccagat gagcctgtcc tttgaccagc
2340





ctcaccccca gggcctgctg ccatgccagc ctcaggagca tgctgtgtcc agccctgacc
2400





ccctgctctg ctcagatgtg accatggtgg aagacagctg cctgagccag ccagtgagag
2460





cgttttctca gggcacttgg attggtgaag acatattccc tcctctgctg cctcccactg
2520





aacaggacct cactaagctt ctcctggagg ggcaagggga atcgggggga gggtccttgg
2580





gggcccagcc cctcctgcaa ccctcccact atgggcaacc tgggatctca atgtcccaca
2640





tggacctaag ggccaacccc agttggtgat cccagccggg agggagaacc cagagagaca
2700





gctcttctac tacccccaca gacctgctct ggacacttac tcatgccctg ccaagcagca
2760





gatggggagg gtgccctcct atccccacct acttctcggt caggaggaaa agacaggaga
2820





atgcacggtg ggtggagcca atccactcct tcctttcatc attcccctgc ccacctcctt
2880





ccagcactga ctggaaggga agttcaggct ctgagacacg ccccaacatg cccgcacctg
2940





cagcgcgcac acgcacgcac acacacatac agagctctct gagggtgatg gggctgagca
3000





ggaggtgggc tgggtaggag tacaggttag ggcatggaag gcttctccgc ccactctgac
3060





ccagggccta ggatggttag gcaggaacat acagacacat ttacgctaga ggccagggat
3120





agaggatatt gggtctcagc cctgggggaa tcggaagcag ctcaagggac cctcgatgga
3180





gcacaggagg ggtctggaca tgtggttacc aatacaagtt ttgccctgat taaaaaatct
3240





cccaaagccc caaattcctg ttagcgaggt ggaggcttct gatatgtgta tgagactatg
3300





caaaagtaca agggccgagt ttcttcatgt atagctgtgt gaacgtgtat gtacctaaga
3360





tatgttaatg tatagctggc atgttagttg catgaccaca tagaacatgt gtctgctttt
3420





gcctgtttga caacacaaat ttgggagtgt gagacattgc acagaagaca gcagcaagtg
3480





tgctggcctc tctgacatat gctaacccaa aaatactctg aatttggagt ctgactgtgc
3540





ccaagtgggt ccaagtggct gtgacatcta catatggctc catatctcca atgctgcctg
3600





ggagccaggg tgagagtctg ggtccaggcc tgaccatgtg gccctccagt gtatgaagga
3660





gccctgcctg ctgtatcttc tctgttgccc tatccactgc cagcttccct tcactccccc
3720





atcccatgtc accgtttctc cctctcgagg caggggtcat agatcctaag ccataaaata
3780





aattttattc caaaataaca aaataaataa tctactgtac acaa
3824











<210>   10



<211> 3824


<212> DNA


<213> Macaca mulatta


<400>   10









ttgtgtacag tagattattt attttgttat tttggaataa aatttatttt atggcttagg
  60






atctatgacc cctgcctcga gagggagaaa cggtgacatg ggatggggga gtgaagggaa
 120





gctggcagtg gatagggcaa cagagaagat acagcaggca gggctccttc atacactgga
 180





gggccacatg gtcaggcctg gacccagact ctcaccctgg ctcccaggca gcattggaga
 240





tatggagcca tatgtagatg tcacagccac ttggacccac ttgggcacag tcagactcca
 300





aattcagagt atttttgggt tagcatatgt cagagaggcc agcacacttg ctgctgtctt
 360





ctgtgcaatg tctcacactc ccaaatttgt gttgtcaaac aggcaaaagc agacacatgt
 420





tctatgtggt catgcaacta acatgccagc tatacattaa catatcttag gtacatacac
 480





gttcacacag ctatacatga agaaactcgg cccttgtact tttgcatagt ctcatacaca
 540





tatcagaagc ctccacctcg ctaacaggaa tttggggctt tgggagattt tttaatcagg
 600





gcaaaacttg tattggtaac cacatgtcca gacccctcct gtgctccatc cagggtccct
 660





tgagctgctt cccattcccc cagggctgag acccaatatc ctctatccct ggcctctagc
 720





gtaaatgtgt ctgtatgttc ctgcctaacc atcctaggcc ctgggtcaga gtgggcggag
 780





aagccttcca tgccctaacc tgtactccta cccagcccac ctcctgctca gccccatcac
 840





cctcagagag ctctgtatgt gtgtgtgcgt gcgtgtgcgc gctgcaggtg cgggcatgtt
 900





ggggcgtgtc tcagagcctg aacttccctt ccagtcagtg ctggaaggag gtgggcaggg
 960





gaatgatgaa aggaaggagt ggattggctc cacccaccgt gcattctcct gtcttttcct
1020





cctgaccgag aagtaggtgg ggataggagg gcaccctccc catctgctgc ttggcagggc
1080





atgagtaagt gtccagagca ggtctgtggg ggtagtagaa gagctgtctc tctgggttct
1140





ccctcccggc tgggatcacc aactggggtt ggcccttagg tccatgtggg acattgagat
1200





cccaggttgc ccatagtggg agggttgcag gaggggctgg gcccccaagg accctccccc
1260





cgattcccct tgcccctcca ggagaagctt agtgaggtcc tgttcagtgg gaggcagcag
1320





aggagggaat atgtcttcac caatccaagt gccctgagaa aacgctctca ctggctggct
1380





caggcagctg tcttccacca tggtcacatc tgagcagagc agggggtcag ggctggacac
1440





agcatgctcc tgaggctggc atggcagcag gccctggggg tgaggctggt caaaggacag
1500





gctcatctgg cccaggctgg ggggcatctg caggtgaggc tcctggaagg ctgacaacac
1560





attgactgat tcttctgggg agaggccttg atacgggggg atggagtgag agtgtggtgg
1620





gtacacctgg ggcaccatat ctgggccaag ctgcatgctc atggaggaat caggggccat
1680





tccaaggtca taagaaggca ccatggtagg catctggagc tctggggtag gaagtggctg
1740





gtccctttcc acggtcatct tgatggtagc tgggacataa cccctgccat ccttacccat
1800





ctgttcaggc ttgtagtggc tccggaaagc ctcatccttg ggcttcttgg gatagaggtt
1860





tttgagctga gcaagatccc ggattcggtc ccccagtgaa cgaatggaca ggtctttggc
1920





agagaatggc tggatgttct ctatctgtgg agagccatcc tggccccgga tgacgtgggc
1980





aatggtgatg cccccaatct ctgagtcgct gaagcggagg agaaaggttc cgtcgggctc
2040





gttcagaaga aggctagtaa cgtactgttt gctgatgaag ccgataatca gccggtcaga
2100





ccagtagctc cggagacagc gtttggtgag gtccaggaca ccatcaaacc actgccaaaa
2160





ggtgaagcca cggcccagca ggatctcctt gttgaactgt gaccaggaca cagaacggtg
2220





ctggaaggcc tccatgctga ggctgttgtc attgaagatc ttctgggcca ggaagaggaa
2280





gtgctctggg agcagccccc ggttggtccc cacctcagcc atgaacttca agttcagagt
2340





ttcacacatc ttctcccagg gcacccgctc agccaccaca aagggcacgc ggtccatctc
2400





agagaaggca ttgtcccaca ggatggtggc tttggcattg ttgtcttggt tgccatggac
2460





gatgaccacc aggggcagag acagggcctg gagctggatg gggagtttgc cggggccaag
2520





tgtgaagctg gcagagaaga gcacagcgca cttctcctct gtgacagact cagtgccctt
2580





ccgctcacac cgcttgatct tcttgagaag caggttcttg aacagggcag agcagcagtt
2640





cccaggaatg ctgttctcca agggcacagt gttgttgatg atttctccag tgctttctgc
2700





tccagcccca ggaccctgag gcacactcag ctccctcgcc tgcttctctg tcaccatgtc
2760





agccctgacc agtggaggct tggctggggc ccccaggaac ctcaagccca acaggaatcg
2820





aactccagcc tggaacttgg tctgagtctt cagtacctgg ggcggctgct tctccaccag
2880





gaaacaactg gtgacgaggg ttcgcaggac ttcatccagc cggccaatca gcgatgcccg
2940





ggtcttgggc tcaagctccc caccagccgc ccctacctcc tgctgtagct gggaataaat
3000





gtccaccagg ctctcacacc tctcctggag tggggccagg ctctcctcaa agggtgcgcc
3060





attccctgcc agctgctgct gccgtttcca aatctggatc ctcttcagca ctagggcctt
3120





ggctgtctcc agctctccag tggtctcctg tagtagcagg gccagggcct cacttggccc
3180





agtcccatta gcaggagttt ctatcaagct gtgcagagac acttggccag cgtcagcccc
3240





cttctgcagg gcttctcgaa gaaggtggat ctcccctact cggtgctgca gcctccgcag
3300





ggctgtcttg aacttgagtt cttcctgctt ccagtggaaa ggcattggca agtggcgaaa
3360





ctgttccata acagcttttt tctctccttg aagtatttgt ctgaaagtgg ccaccagctt
3420





cagggggtcc ctctgatata tgctctccag ggtattgatg tgttgcaaga tggtgctccc
3480





ctccccctgc tctcccgccg aggcctgaag gcgctggaca gtgtctgaaa gtagggcact
3540





agccatgttg cagcagaagg cgtctgagcc gaccaggaac tcccagggct ggctctccag
3600





ccagtcaccc agaagatgcc gcaggtgttg gggaaagtcg acatagagcc gctgcacttt
3660





ttctgggggc atcttggaga ccagacccca cagagacatg atctgggact tggaggttgc
3720





atacacacac acacactcct ctcccgtcct ccctcttcag tgtaagcagt ggctgcccca
3780





gcccgctgtt tccggcttct ccttctaccc aggtccctcc ctgg
3824





Claims
  • 1. A double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of signal transducer and activator of transcription factor 6 (STAT6) in a cell, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a double stranded region,a) wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequence of SEQ ID NO:1, and said antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequence of SEQ ID NO:2, andwherein the sense strand or the antisense strand is conjugated to one or more lipophilic moieties; orb) wherein the antisense strand comprises a region of complementarity to an mRNA encoding STAT6, and wherein the region of complementarity comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the antisense nucleotide sequences in any one of Tables 2-3, andwherein the sense strand or the antisense strand is conjugated to one or more lipophilic moieties.
  • 2.-10. (canceled)
  • 11. The dsRNA agent of claim 1, wherein all of the nucleotides of the sense strand and all of the nucleotides of the antisense strand comprise a nucleotide modification.
  • 12. The dsRNA agent of claim 9, wherein at least one of the nucleotide modifications is selected from the group a deoxy-nucleotide modification, a 3′-terminal deoxythimidine (dT) nucleotide modification, a 2′-O-methyl nucleotide modification, a 2′-fluoro nucleotide modification, a 2′-deoxy nucleotide modification, a locked nucleotide modification, an unlocked nucleotide modification, a conformationally restricted nucleotide modification, a constrained ethyl nucleotide modification, an abasic nucleotide modification, a 2′-amino nucleotide modification, a 2′-O-allyl nucleotide modification, 2′-C-alkyl nucleotide modification, a 2′-methoxyethyl nucleotide modification, a 2′-O-alkyl-nucleotide modification, a morpholino nucleotide modification, a phosphoramidate modification, a non-natural base comprising nucleotide modification, a tetrahydropyran nucleotide modification, a 1,5-anhydrohexitol nucleotide modification, a cyclohexenyl nucleotide modification, a nucleotide comprising a 5′-phosphorothioate group modification, a nucleotide comprising a 5′-methylphosphonate group modification, a nucleotide comprising a 5′ phosphate or 5′ phosphate mimic modification, a nucleotide comprising vinyl phosphonate modification, a nucleotide comprising adenosine-glycol nucleic acid (GNA) modification, a nucleotide comprising thymidine-glycol nucleic acid (GNA) S-Isomer modification, a nucleotide comprising 2-hydroxymethyl-tetrahydrofurane-5-phosphate modification, a nucleotide comprising 2′-deoxythymidine-3′phosphate modification, a nucleotide comprising 2′-deoxyguanosine-3′-phosphate modification, a 2′-O hexadecyl nucleotide modification, a nucleotide comprising a 2′-phosphate modification, a cytidine-2′-phosphate nucleotide modification, a guanosine-2′-phosphate nucleotide modification, a 2′-O-hexadecyl-cytidine-3′-phosphate nucleotide modification, a 2′-O-hexadecyl-adenosine-3′-phosphate nucleotide modification, a 2′-O-hexadecyl-guanosine-3′-phosphate nucleotide modification, a 2′-O-hexadecyl-uridine-3′-phosphate nucleotide modification, a 5′-vinyl phosphonate (VP) modification, a 2′-deoxyadenosine-3′-phosphate nucleotide modification, a 2′-deoxycytidine-3′-phosphate nucleotide modification, a 2′-deoxyguanosine-3′-phosphate nucleotide modification, a 2′-deoxythymidine-3′-phosphate nucleotide modification, a 2′-deoxyuridine nucleotide modification, and a terminal nucleotide linked to a cholesteryl derivative and a dodecanoic acid bisdecylamide group modification; and combinations thereof.
  • 13.-15.
  • 16. The dsRNA agent of claim 1, further comprising at least one phosphorothioate internucleotide linkage.
  • 17. (canceled)
  • 18. The dsRNA agent of claim 1, wherein each strand is no more than 30 nucleotides in length.
  • 19. The dsRNA agent of claim 1, wherein at least one strand comprises a 3′ overhang of at least 1 nucleotide.
  • 20. (canceled)
  • 21. The dsRNA agent of claim 1, wherein the double stranded region is 15-30 nucleotide pairs in length.
  • 22.-29.
  • 30. The dsRNA agent of claim 1, wherein one or more lipophilic moieties are conjugated to one or more internal positions on at least one strand.
  • 31.-39.
  • 40. The dsRNA agent of claim 1, wherein the one or more lipophilic moieties are conjugated to one or more of the internal positions selected from the group consisting of positions 4-8 and 13-18 on the sense strand, and positions 6-10 and 15-18 on the antisense strand, counting from the 5′-end of each strand.
  • 41.-47. (canceled)
  • 48. The dsRNA agent of claim 1, wherein the lipophilic moiety is an aliphatic, alicyclic, or polyalicyclic compound.
  • 49. (canceled)
  • 50. (canceled)
  • 51. The dsRNA agent of claim 48, wherein the lipophilic moiety contains a saturated or unsaturated C6-C18 hydrocarbon chain.
  • 52.-66. (canceled)
  • 67. The dsRNA agent of claim 1, further comprising a phosphate or phosphate mimic at the 5′-end of the antisense strand.
  • 68.-70. (canceled)
  • 71. An isolated cell containing the dsRNA agent of claim 1.
  • 72. A pharmaceutical composition for inhibiting expression of a STAT6 gene, comprising the dsRNA agent of claim 1.
  • 73. (canceled)
  • 74. A method of inhibiting expression of a STAT6 gene in a cell, the method comprising: (a) contacting the cell with the dsRNA agent of claim 1; and(b) maintaining the cell produced in step (a) for a time sufficient to obtain degradation of the STAT6 gene, thereby inhibiting expression of the STAT6 gene in the cell.
  • 75.-77. (canceled)
  • 78. A method of treating a subject having a disorder that would benefit from reduction in signal transducer and activator of transcription factor 6 (STAT6) expression, comprising administering to the subject a therapeutically effective amount of the dsRNA agent of claim 1, thereby treating the subject having the disorder that would benefit from reduction in STAT6 expression.
  • 79. (canceled)
  • 80. The method of claim 78, wherein the disorder is a STAT-6 associated disorder.
  • 81. The method of claim 80, wherein the STAT6-associated disorder is a respiratory disease selected from the group consisting of asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, eosinophilic cough, bronchitis, sarcoidosis, pulmonary fibrosis, rhinitis, and sinusitis.
  • 82.-93. (canceled)
  • 94. A kit, a vial, or a syringe comprising the dsRNA agent of claim 1.
  • 95.-97. (canceled)
RELATED APPLICATIONS

This application is a 35 § U.S.C. 111(a) continuation application which claims the benefit of priority to PCT/US2022/026645, filed on Apr. 28, 2022, which, in turn, claims the benefit of priority to U.S. Provisional Application No. 63/181,356, filed on Apr. 29, 2021, and U.S. Provisional Application No. 63/232,335, filed on Aug. 12, 2021. The entire contents of each of the foregoing applications are incorporated herein by reference.

Provisional Applications (2)
Number Date Country
63232335 Aug 2021 US
63181356 Apr 2021 US
Continuations (1)
Number Date Country
Parent PCT/US2022/026645 Apr 2022 WO
Child 18383941 US