U.S. patent application number 14/286621 was filed with the patent office on 2015-04-16 for antisense modulation of apolipoprotein b expression.
This patent application is currently assigned to Genzyme Corporation. The applicant listed for this patent is Genzyme Corporation. Invention is credited to Rosanne M. CROOKE, Mark J. GRAHAM.
Application Number | 20150105440 14/286621 |
Document ID | / |
Family ID | 27384801 |
Filed Date | 2015-04-16 |
United States Patent
Application |
20150105440 |
Kind Code |
A1 |
CROOKE; Rosanne M. ; et
al. |
April 16, 2015 |
ANTISENSE MODULATION OF APOLIPOPROTEIN B EXPRESSION
Abstract
Antisense compounds, compositions and methods are provided for
modulating the expression of apolipoprotein B. The compositions
comprise antisense compounds, particularly antisense
oligonucleotides, targeted to nucleic acids encoding apolipoprotein
B. Methods of using these compounds for modulation of
apolipoprotein B expression and for treatment of diseases
associated with expression of apolipoprotein B are provided.
Inventors: |
CROOKE; Rosanne M.;
(Carlsbad, CA) ; GRAHAM; Mark J.; (San Clemente,
CA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Genzyme Corporation |
Cambridge |
MA |
US |
|
|
Assignee: |
Genzyme Corporation
Cambridge
MA
|
Family ID: |
27384801 |
Appl. No.: |
14/286621 |
Filed: |
May 23, 2014 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11969096 |
Jan 3, 2008 |
8735364 |
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14286621 |
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10147196 |
May 15, 2002 |
7407943 |
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11969096 |
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10135985 |
Apr 30, 2002 |
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10147196 |
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09920033 |
Aug 1, 2001 |
7888324 |
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10135985 |
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Current U.S.
Class: |
514/44A ;
435/375; 536/24.5 |
Current CPC
Class: |
C12N 2310/11 20130101;
A61P 9/00 20180101; A61P 3/00 20180101; A61P 9/10 20180101; C12N
15/113 20130101; C12N 2310/314 20130101; A61K 38/00 20130101; A61P
3/06 20180101; C12N 2310/346 20130101; Y02P 20/582 20151101; C12N
2310/341 20130101; C12N 2310/321 20130101; A61P 3/10 20180101; C12N
2310/3341 20130101; C12N 2310/315 20130101; A61P 3/04 20180101;
C12N 2310/321 20130101; C12N 2310/3525 20130101 |
Class at
Publication: |
514/44.A ;
536/24.5; 435/375 |
International
Class: |
C12N 15/113 20060101
C12N015/113 |
Claims
1. A compound 8 to 50 nucleobases in length targeted to a nucleic
acid molecule encoding apolipoprotein B, wherein said compound
specifically hybridizes with and inhibits the expression of a
nucleic acid molecule encoding apolipoprotein B.
2. The compound of claim 1 which is an antisense
oligonucleotide.
3. The compound of claim 2 wherein the antisense oligonucleotide
has a sequence comprising SEQ ID NO: 17, 18, 19, 20, 21, 23, 24,
25, 27, 28, 30, 31, 32, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 45,
46, 48, 49, 50, 51, 52, 53, 55, 56, 57, 58, 59, 61, 62, 63, 66, 67,
69, 71, 73, 74, 75, 76, 78, 79, 81, 82, 83, 84, 86, 87, 88, 90, 93,
96, 101, 101, 102, 103, 105, 109, 111, 111, 114, 115, 116, 117,
118, 119, 120, 121 or 122.
4. The compound of claim 2 wherein the antisense oligonucleotide
comprises at least one modified internucleoside linkage, at least
one modified sugar moiety, or at least one modified nucleobase.
5. The compound of claim 4 wherein the modified internucleoside
linkage is a phosphorothioate linkage; (ii) the modified sugar
moiety is a 2'-O-methoxyethyl sugar moiety; or (iii) the modified
nucleobase is a 5-methylcytosine.
6.-9. (canceled)
10. The compound of claim 2 wherein the antisense oligonucleotide
is a chimeric oligonucleotide.
11. A compound 8 to 50 nucleobases in length which specifically
hybridizes with at least an 8-nucleobase portion of an active site
on a nucleic acid molecule encoding apolipoprotein B.
12.-14. (canceled)
15. A method of inhibiting the expression of apolipoprotein B in
cells or tissues comprising contacting said cells or tissues with
the compound of claim 1 so that expression of apolipoprotein B is
inhibited.
16. A method of treating an animal having a disease or condition
associated with apolipoprotein B comprising administering to said
animal a therapeutically or prophylactically effective amount of
the compound of claim 1 so that expression of apolipoprotein B is
inhibited.
17. The method of claim 16 wherein the condition involves abnormal
lipid metabolism the condition involves abnormal cholesterol
metabolism; or the condition is atherosclerosis.
18. (canceled)
19. (canceled)
20. The compound of claim 1 targeted to a nucleic acid molecule
encoding apolipoprotein B, wherein said compound specifically
hybridizes with and inhibits the expression of the long form of a
nucleic acid molecule encoding apolipoprotein B, ApoB-100.
21. The method of claim 16 wherein the condition is an abnormal
metabolic condition, hyperlipidemia, diabetes, Type 2 diabetes,
obesity, atherosclerosis, or a cardiovascular disease.
22.-27. (canceled)
28. A method of modulating glucose levels in an animal comprising
administering to said animal the compound of claim 1.
29.-32. (canceled)
33. A method of preventing or delaying the onset of a disease or
condition associated with apolipoprotein B in an animal comprising
administering to said animal a therapeutically or prophylactically
effective amount of the compound of claim 1.
34. (canceled)
35. The method of claim 33 wherein the condition is an abnormal
metabolic condition, hyperlipidemia, diabetes, Type 2 diabetes,
obesity, atherosclerosis, or wherein the condition involves
abnormal lipid metabolism or abnormal cholesterol metabolism.
36.-42. (canceled)
43. A method of preventing or delaying the onset of an increase in
glucose levels in an animal comprising administering to said animal
a therapeutically or prophylactically effective amount of the
compound of claim 1.
44.-46. (canceled)
47. A method of modulating serum cholesterol levels in an animal
comprising administering to said animal a therapeutically or
prophylactically effective amount of the compound of claim 1.
48. (canceled)
49. A method of modulating lipoprotein levels in an animal
comprising administering to said animal a therapeutically or
prophylactically effective amount of the compound of claim 1.
50. (canceled)
51. The method of claim 49 wherein the lipoprotein is VLDL, HDL or
LDL.
52. (canceled)
53. (canceled)
54. A method of modulating serum triglyceride levels in an animal
comprising administering to said animal a therapeutically or
prophylactically effective amount of the compound of claim 1.
55. (canceled)
56. (canceled)
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation of U.S. application Ser.
No. 11/969,096 filed Jan. 3, 2008 (now U.S. Pat. No. 8,735,364),
which is a continuation of U.S. application Ser. No. 10/147,196
filed May 15, 2002 (now U.S. Pat. No. 7,407,943), which is a
continuation-in-part of U.S. application Ser. No. 10/135,985 filed
Apr. 30, 2002 (abandoned), which is a continuation-in-part of U.S.
application Ser. No. 09/920,033 filed Aug. 1, 2001 (now U.S. Pat.
No. 7,888,324), each of which is incorporated herein by reference
in its entirety.
FIELD OF THE INVENTION
[0002] The present invention provides compositions and methods for
modulating the expression of apolipoprotein B. In particular, this
invention relates to compounds, particularly oligonucleotides,
specifically hybridizable with nucleic acids encoding
apolipoprotein B. Such compounds have been shown to modulate the
expression of apolipoprotein B.
BACKGROUND OF THE INVENTION
[0003] Lipoproteins are globular, micelle-like particles that
consist of a non-polar core of acylglycerols and cholesteryl esters
surrounded by an amphiphilic coating of protein, phospholipid and
cholesterol. Lipoproteins have been classified into five broad
categories on the basis of their functional and physical
properties: chylomicrons, which transport dietary lipids from
intestine to tissues; very low density lipoproteins (VLDL);
intermediate density lipoproteins (IDL); low density lipoproteins
(LDL); all of which transport triacylglycerols and cholesterol from
the liver to tissues; and high density lipoproteins (HDL), which
transport endogenous cholesterol from tissues to the liver.
[0004] Lipoprotein particles undergo continuous metabolic
processing and have variable properties and compositions.
Lipoprotein densities increase without decreasing particle diameter
because the density of their outer coatings is less than that of
the inner core. The protein components of lipoproteins are known as
apoliproteins. At least nine apolipoproteins are distributed in
significant amounts among the various human lipoproteins.
[0005] Apolipoprotein B (also known as ApoB, apolipoprotein B-100;
ApoB-100, apolipoprotein B-48; ApoB-48 and Ag(x) antigen), is a
large glycoprotein that serves an indispensable role in the
assembly and secretion of lipids and in the transport and
receptor-mediated uptake and delivery of distinct classes of
lipoproteins. The importance of apolipoprotein B spans a variety of
functions, from the absorption and processing of dietary lipids to
the regulation of circulating lipoprotein levels (Davidson and
Shelness, Annu. Rev. Nutr., 2000, 20, 169-193). This latter
property underlies its relevance in terms of atherosclerosis
susceptibility, which is highly correlated with the ambient
concentration of apolipoprotein B-containing lipoproteins (Davidson
and Shelness, Annu. Rev. Nutr., 2000, 20, 169-193).
[0006] Two forms of apolipoprotein B exist in mammals. ApoB-100
represents the full-length protein containing 4536 amino acid
residues synthesized exclusively in the human liver (Davidson and
Shelness, Annu. Rev. Nutr., 2000, 20, 169-193). A truncated form
known as ApoB-48 is colinear with the amino terminal 2152 residues
and is synthesized in the small intestine of all mammals (Davidson
and Shelness, Annu. Rev. Nutr., 2000, 20, 169-193).
[0007] ApoB-100 is the major protein component of LDL and contains
the domain required for interaction of this lipoprotein species
with the LDL receptor. In addition, ApoB-100 contains an unpaired
cysteine residue which mediates an interaction with
apolipoprotein(a) and generates another distinct atherogenic
lipoprotein called Lp(a) (Davidson and Shelness, Annu. Rev. Nutr.,
2000, 20, 169-193).
[0008] In humans, ApoB-48 circulates in association with
chylomicrons and chylomicron remnants and these particles are
cleared by a distinct receptor known as the LDL-receptor-related
protein (Davidson and Shelness, Annu. Rev. Nutr., 2000, 20,
169-193). ApoB-48 can be viewed as a crucial adaptation by which
dietary lipid is delivered from the small intestine to the liver,
while ApoB-100 participates in the transport and delivery of
endogenous plasma cholesterol (Davidson and Shelness, Annu. Rev.
Nutr., 2000, 20, 169-193).
[0009] The basis by which the common structural gene for
apolipoprotein B produces two distinct protein isoforms is a
process known as RNA editing. A site specific cytosine-to-uracil
editing reaction produces a UAA stop codon and translational
termination of apolipoprotein B to produce ApoB-48 (Davidson and
Shelness, Annu. Rev. Nutr., 2000, 20, 169-193).
[0010] Apolipoprotein B was cloned in 1985 (Law et al., Proc. Natl.
Acad. Sci. U.S.A., 1985, 82, 8340-8344) and mapped to chromosome
2p23-2p24 in 1986 (Deeb et al., Proc. Natl. Acad. Sci. U.S.A.,
1986, 83, 419-422).
[0011] Disclosed and claimed in U.S. Pat. No. 5,786,206 are methods
and compositions for determining the level of low density
lipoproteins (LDL) in plasma which include isolated DNA sequences
encoding epitope regions of apolipoprotein B-100 (Smith et al.,
1998).
[0012] Transgenic mice expressing human apolipoprotein B and fed a
high-fat diet were found to develop high plasma cholesterol levels
and displayed an 11-fold increase in atherosclerotic lesions over
non-transgenic littermates (Kim and Young, J. Lipid Res., 1998, 39,
703-723; Nishina et al., J. Lipid Res., 1990, 31, 859-869).
[0013] In addition, transgenic mice expressing truncated forms of
human apolipoprotein B have been employed to identify the
carboxyl-terminal structural features of ApoB-100 that are required
for interactions with apolipoprotein(a) to generate the Lp(a)
lipoprotein particle and to investigate structural features of the
LDL receptor-binding region of ApoB-100 (Kim and Young, J. Lipid
Res., 1998, 39, 703-723; McCormick et al., J. Biol. Chem., 1997,
272, 23616-23622).
[0014] Apolipoprotein B knockout mice (bearing disruptions of both
ApoB-100 and ApoB-48) have been generated which are protected from
developing hypercholesterolemia when fed a high-fat diet (Farese et
al., Proc. Natl. Acad. Sci. U.S.A., 1995, 92, 1774-1778; Kim and
Young, J. Lipid Res., 1998, 39, 703-723). The incidence of
atherosclerosis has been investigated in mice expressing
exclusively ApoB-100 or ApoB-48 and susceptibility to
atherosclerosis was found to be dependent on total cholesterol
levels. Whether the mice synthesized ApoB-100 or ApoB-48 did not
affect the extent of the atherosclerosis, indicating that there is
probably no major difference in the intrinsic atherogenicity of
ApoB-100 versus ApoB-48 (Kim and Young, J. Lipid Res., 1998, 39,
703-723; Veniant et al., J. Clin. Invest., 1997, 100, 180-188).
[0015] Elevated plasma levels of the ApoB-100-containing
lipoprotein Lp(a) are associated with increased risk for
atherosclerosis and its manifestations, which may include
hypercholesterolemia (Seed et al., N. Engl. J. Med., 1990, 322,
1494-1499), myocardial infarction (Sandkamp et al., Clin. Chem.,
1990, 36, 20-23), and thrombosis (Nowak-Gottl et al., Pediatrics,
1997, 99, E 11).
[0016] The plasma concentration of Lp(a) is strongly influenced by
heritable factors and is refractory to most drug and dietary
manipulation (Katan and Beynen, Am. J. Epidemiol., 1987, 125,
387-399; Vessby et al., Atherosclerosis, 1982, 44, 61-71).
Pharmacologic therapy of elevated Lp(a) levels has been only
modestly successful and apheresis remains the most effective
therapeutic modality (Hajjar and Nachman, Annu. Rev. Med., 1996,
47, 423-442).
[0017] Disclosed and claimed in U.S. Pat. No. 6,156,315 and the
corresponding PCT publication WO 99/18986 is a method for
inhibiting the binding of LDL to blood vessel matrix in a subject,
comprising administering to the subject an effective amount of an
antibody or a fragment thereof, which is capable of binding to the
amino-terminal region of apolipoprotein B, thereby inhibiting the
binding of low density lipoprotein to blood vessel matrix (Goldberg
and Pillarisetti, 2000; Goldberg and Pillarisetti, 1999).
[0018] Disclosed and claimed in U.S. Pat. No. 6,096,516 are vectors
containing cDNA encoding murine recombinant antibodies which bind
to human ApoB-100 for the purpose of for diagnosis and treatment of
cardiovascular diseases (Kwak et al., 2000).
[0019] Disclosed and claimed in PCT publication EP 911344 is a
monoclonal antibody which specifically binds to ApoB-48 and does
not specifically bind to ApoB-100, which is useful for diagnosis
and therapy of hyperlipidemia and arterial sclerosis (Uchida and
Kurano, 1998).
[0020] Disclosed and claimed in PCT publication WO 01/30354 are
methods of treating a patient with a cardiovascular disorder,
comprising administering a therapeutically effective amount of a
compound to said patient, wherein said compound acts for a period
of time to lower plasma concentrations of apolipoprotein B or
apolipoprotein B-containing lipoproteins by stimulating a pathway
for apolipoprotein B degradation (Fisher and Williams, 2001).
[0021] Disclosed and claimed in U.S. Pat. No. 5,220,006 is a cloned
cis-acting DNA sequence that mediates the suppression of
atherogenic apolipoprotein B (Ross et al., 1993).
[0022] Disclosed and claimed in PCT publication WO 01/12789 is a
ribozyme which cleaves ApoB-100 mRNA specifically at position 6679
(Chan et al., 2001).
[0023] To date, strategies aimed at inhibiting apolipoprotein B
function have been limited to Lp(a) apheresis, antibodies, antibody
fragments and ribozymes. However, with the exception of Lp(a)
apheresis, these investigative strategies are untested as
therapeutic protocols. Consequently, there remains a long felt need
for additional agents capable of effectively inhibiting
apolipoprotein B function.
[0024] Antisense technology is emerging as an effective means of
reducing the expression of specific gene products and may therefore
prove to be uniquely useful in a number of therapeutic, diagnostic
and research applications involving modulation of apolipoprotein B
expression.
[0025] The present invention provides compositions and methods for
modulating apolipoprotein B expression, including inhibition of the
alternative isoform of apolipoprotein B, ApoB-48.
SUMMARY OF THE INVENTION
[0026] The present invention is directed to compounds, particularly
antisense oligonucleotides, which are targeted to a nucleic acid
encoding apolipoprotein B, and which modulate the expression of
apolipoprotein B. Pharmaceutical and other compositions comprising
the compounds of the invention are also provided. Further provided
are methods of modulating the expression of apolipoprotein B in
cells or tissues comprising contacting said cells or tissues with
one or more of the antisense compounds or compositions of the
invention. Further provided are methods of treating an animal,
particularly a human, suspected of having or being prone to a
disease or condition associated with expression of apolipoprotein B
by administering a therapeutically or prophylactically effective
amount of one or more of the antisense compounds or compositions of
the invention.
DETAILED DESCRIPTION OF THE INVENTION
[0027] The present invention employs oligomeric compounds,
particularly antisense oligonucleotides, for use in modulating the
function of nucleic acid molecules encoding apolipoprotein B,
ultimately modulating the amount of apolipoprotein B produced. This
is accomplished by providing antisense compounds which specifically
hybridize with one or more nucleic acids encoding apolipoprotein B.
As used herein, the terms "target nucleic acid" and "nucleic acid
encoding apolipoprotein B" encompass DNA encoding apolipoprotein B,
RNA (including pre-mRNA and mRNA) transcribed from such DNA, and
also cDNA derived from such RNA. The specific hybridization of an
oligomeric compound with its target nucleic acid interferes with
the normal function of the nucleic acid. This modulation of
function of a target nucleic acid by compounds which specifically
hybridize to it is generally referred to as "antisense". The
functions of DNA to be interfered with include replication and
transcription. The functions of RNA to be interfered with include
all vital functions such as, for example, translocation of the RNA
to the site of protein translation, translation of protein from the
RNA, splicing of the RNA to yield one or more mRNA species, and
catalytic activity which may be engaged in or facilitated by the
RNA. The overall effect of such interference with target nucleic
acid function is modulation of the expression of apolipoprotein B.
In the context of the present invention, "modulation" means either
an increase (stimulation) or a decrease (inhibition) in the
expression of a gene. In the context of the present invention,
inhibition is the preferred form of modulation of gene expression
and mRNA is a preferred target.
[0028] It is preferred to target specific nucleic acids for
antisense. "Targeting" an antisense compound to a particular
nucleic acid, in the context of this invention, is a multistep
process. The process usually begins with the identification of a
nucleic acid sequence whose function is to be modulated. This may
be, for example, a cellular gene (or mRNA transcribed from the
gene) whose expression is associated with a particular disorder or
disease state, or a nucleic acid molecule from an infectious agent.
In the present invention, the target is a nucleic acid molecule
encoding apolipoprotein B. The targeting process also includes
determination of a site or sites within this gene for the antisense
interaction to occur such that the desired effect, e.g., detection
or modulation of expression of the protein, will result. Within the
context of the present invention, a preferred intragenic site is
the region encompassing the translation initiation or termination
codon of the open reading frame (ORF) of the gene. Since, as is
known in the art, the translation initiation codon is typically
5'-AUG (in transcribed mRNA molecules; 5'-ATG in the corresponding
DNA molecule), the translation initiation codon is also referred to
as the "AUG codon," the "start codon" or the "AUG start codon". A
minority of genes have a translation initiation codon having the
RNA sequence 5'-GUG, 5'-UUG or 5'-CUG, and 5'-AUA, 5'-ACG and
5'-CUG have been shown to function in vivo. Thus, the terms
"translation initiation codon" and "start codon" can encompass many
codon sequences, even though the initiator amino acid in each
instance is typically methionine (in eukaryotes) or
formylmethionine (in prokaryotes). It is also known in the art that
eukaryotic and prokaryotic genes may have two or more alternative
start codons, any one of which may be preferentially utilized for
translation initiation in a particular cell type or tissue, or
under a particular set of conditions. In the context of the
invention, "start codon" and "translation initiation codon" refer
to the codon or codons that are used in vivo to initiate
translation of an mRNA molecule transcribed from a gene encoding
apolipoprotein B, regardless of the sequence(s) of such codons.
[0029] It is also known in the art that a translation termination
codon (or "stop codon") of a gene may have one of three sequences,
i.e., 5'-UAA, 5'-UAG and 5'-UGA (the corresponding DNA sequences
are 5'-TAA, 5'-TAG and 5'-TGA, respectively). The terms "start
codon region" and "translation initiation codon region" refer to a
portion of such an mRNA or gene that encompasses from about 25 to
about 50 contiguous nucleotides in either direction (i.e., 5' or
3') from a translation initiation codon. Similarly, the terms "stop
codon region" and "translation termination codon region" refer to a
portion of such an mRNA or gene that encompasses from about 25 to
about 50 contiguous nucleotides in either direction (i.e., 5' or
3') from a translation termination codon.
[0030] The open reading frame (ORF) or "coding region," which is
known in the art to refer to the region between the translation
initiation codon and the translation termination codon, is also a
region which may be targeted effectively. Other target regions
include the 5' untranslated region (5'UTR), known in the art to
refer to the portion of an mRNA in the 5' direction from the
translation initiation codon, and thus including nucleotides
between the 5' cap site and the translation initiation codon of an
mRNA or corresponding nucleotides on the gene, and the 3'
untranslated region (3'UTR), known in the art to refer to the
portion of an mRNA in the 3' direction from the translation
termination codon, and thus including nucleotides between the
translation termination codon and 3' end of an mRNA or
corresponding nucleotides on the gene. The 5' cap of an mRNA
comprises an N7-methylated guanosine residue joined to the 5'-most
residue of the mRNA via a 5'-5' triphosphate linkage. The 5' cap
region of an mRNA is considered to include the 5' cap structure
itself as well as the first 50 nucleotides adjacent to the cap. The
5' cap region may also be a preferred target region.
[0031] Although some eukaryotic mRNA transcripts are directly
translated, many contain one or more regions, known as "introns,"
which are excised from a transcript before translated. The
remaining (and therefore translated) regions are known as "exons"
and are spliced together to form a continuous mRNA sequence. mRNA
splice sites, i.e., intron-exon junctions, may also be preferred
target regions, and are particularly useful in situations where
aberrant splicing is implicated in disease, or where an
overproduction of a particular mRNA splice product is implicated in
disease. Aberrant fusion junctions due to rearrangements or
deletions are also preferred targets. It has also been found that
introns can also be effective, and therefore preferred, target
regions for antisense compounds targeted, for example, to DNA or
pre-mRNA.
[0032] Once one or more target sites have been identified,
oligonucleotides are chosen which are sufficiently complementary to
the target, i.e., hybridize sufficiently well and with sufficient
specificity, to give the desired effect.
[0033] In the context of this invention, "hybridization" means
hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed
Hoogsteen hydrogen bonding, between complementary nucleoside or
nucleotide bases. For example, adenine and thymine are
complementary nucleobases which pair through the formation of
hydrogen bonds. "Complementary," as used herein, refers to the
capacity for precise pairing between two nucleotides. For example,
if a nucleotide at a certain position of an oligonucleotide is
capable of hydrogen bonding with a nucleotide at the same position
of a DNA or RNA molecule, then the oligonucleotide and the DNA or
RNA are considered to be complementary to each other at that
position. The oligonucleotide and the DNA or RNA are complementary
to each other when a sufficient number of corresponding positions
in each molecule are occupied by nucleotides which can hydrogen
bond with each other. Thus, "specifically hybridizable" and
"complementary" are terms which are used to indicate a sufficient
degree of complementarity or precise pairing such that stable and
specific binding occurs between the oligonucleotide and the DNA or
RNA target. It is understood in the art that the sequence of an
antisense compound need not be 100% complementary to that of its
target nucleic acid to be specifically hybridizable. An antisense
compound is specifically hybridizable when binding of the compound
to the target DNA or RNA molecule interferes with the normal
function of the target DNA or RNA to cause a loss of utility, and
there is a sufficient degree of complementarity to avoid
non-specific binding of the antisense compound to non-target
sequences under conditions in which specific binding is desired,
i.e., under physiological conditions in the case of in vivo assays
or therapeutic treatment, and in the case of in vitro assays, under
conditions in which the assays are performed.
[0034] Antisense and other compounds of the invention which
hybridize to the target and inhibit expression of the target are
identified through experimentation, and the sequences of these
compounds are hereinbelow identified as preferred embodiments of
the invention. The target sites to which these preferred sequences
are complementary are hereinbelow referred to as "active sites" and
are therefore preferred sites for targeting. Therefore another
embodiment of the invention encompasses compounds which hybridize
to these active sites.
[0035] Antisense compounds are commonly used as research reagents
and diagnostics. For example, antisense oligonucleotides, which are
able to inhibit gene expression with exquisite specificity, are
often used by those of ordinary skill to elucidate the function of
particular genes. Antisense compounds are also used, for example,
to distinguish between functions of various members of a biological
pathway. Antisense modulation has, therefore, been harnessed for
research use.
[0036] For use in kits and diagnostics, the antisense compounds of
the present invention, either alone or in combination with other
antisense compounds or therapeutics, can be used as tools in
differential and/or combinatorial analyses to elucidate expression
patterns of a portion or the entire complement of genes expressed
within cells and tissues.
[0037] Expression patterns within cells or tissues treated with one
or more antisense compounds are compared to control cells or
tissues not treated with antisense compounds and the patterns
produced are analyzed for differential levels of gene expression as
they pertain, for example, to disease association, signaling
pathway, cellular localization, expression level, size, structure
or function of the genes examined. These analyses can be performed
on stimulated or unstimulated cells and in the presence or absence
of other compounds which affect expression patterns.
[0038] Examples of methods of gene expression analysis known in the
art include DNA arrays or microarrays (Brazma and Vilo, FEBS Lett.,
2000, 480, 17-24; Celis, et al., FEBS Lett., 2000, 480, 2-16), SAGE
(serial analysis of gene expression) (Madden, et al., Drug Discov.
Today, 2000, 5, 415-425), READS (restriction enzyme amplification
of digested cDNAs) (Prashar and Weissman, Methods Enzymol., 1999,
303, 258-72), TOGA (total gene expression analysis) (Sutcliffe, et
al., Proc. Natl. Acad. Sci. U.S.A., 2000, 97, 1976-81), protein
arrays and proteomics (Celis, et al., FEBS Lett., 2000, 480, 2-16;
Jungblut, et al., Electrophoresis, 1999, 20, 2100-10), expressed
sequence tag (EST) sequencing (Celis, et al., FEBS Lett, 2000, 480,
2-16; Larsson, et al., J. Biotechnol., 2000, 80, 143-57),
subtractive RNA fingerprinting (SuRF) (Fuchs, et al., Anal.
Biochem., 2000, 286, 91-98; Larson, et al., Cytometry, 2000, 41,
203-208), subtractive cloning, differential display (DD) (Jurecic
and Belmont, Curr. Opin. Microbial., 2000, 3, 316-21), comparative
genomic hybridization (Carulli, et al., J. Cell Biochem. Suppl.,
1998, 31, 286-96), FISH (fluorescent in situ hybridization)
techniques (Going and Gusterson, Eur. J. Cancer, 1999, 35,
1895-904) and mass spectrometry methods (reviewed in (To, Comb.
Chem. High Throughput Screen, 2000, 3, 235-41).
[0039] The specificity and sensitivity of antisense is also
harnessed by those of skill in the art for therapeutic uses.
Antisense oligonucleotides have been employed as therapeutic
moieties in the treatment of disease states in animals and man.
Antisense oligonucleotide drugs, including ribozymes, have been
safely and effectively administered to humans and numerous clinical
trials are presently underway. It is thus established that
oligonucleotides can be useful therapeutic modalities that can be
configured to be useful in treatment regimes for treatment of
cells, tissues and animals, especially humans.
[0040] In the context of this invention, the term "oligonucleotide"
refers to an oligomer or polymer of ribonucleic acid (RNA) or
deoxyribonucleic acid (DNA) or mimetics thereof. This term includes
oligonucleotides composed of naturally-occurring nucleobases,
sugars and covalent internucleoside (backbone) linkages as well as
oligonucleotides having non-naturally-occurring portions which
function similarly. Such modified or substituted oligonucleotides
are often preferred over native forms because of desirable
properties such as, for example, enhanced cellular uptake, enhanced
affinity for nucleic acid target and increased stability in the
presence of nucleases.
[0041] While antisense oligonucleotides are a preferred form of
antisense compound, the present invention comprehends other
oligomeric antisense compounds, including but not limited to
oligonucleotide mimetics such as are described below. The antisense
compounds in accordance with this invention preferably comprise
from about 8 to about 50 nucleobases (i.e. from about 8 to about 50
linked nucleosides). Particularly preferred antisense compounds are
antisense oligonucleotides, even more preferably those comprising
from about 12 to about 30 nucleobases. Antisense compounds include
ribozymes, external guide sequence (EGS) oligonucleotides
(oligozymes), and other short catalytic RNAs or catalytic
oligonucleotides which hybridize to the target nucleic acid and
modulate its expression.
[0042] As is known in the art, a nucleoside is a base-sugar
combination. The base portion of the nucleoside is normally a
heterocyclic base. The two most common classes of such heterocyclic
bases are the purines and the pyrimidines. Nucleotides are
nucleosides that further include a phosphate group covalently
linked to the sugar portion of the nucleoside. For those
nucleosides that include a pentofuranosyl sugar, the phosphate
group can be linked to either the 2', 3' or 5' hydroxyl moiety of
the sugar. In forming oligonucleotides, the phosphate groups
covalently link adjacent nucleosides to one another to form a
linear polymeric compound. In turn the respective ends of this
linear polymeric structure can be further joined to form a circular
structure, however, open linear structures are generally preferred.
Within the oligonucleotide structure, the phosphate groups are
commonly referred to as forming the internucleoside backbone of the
oligonucleotide. The normal linkage or backbone of RNA and DNA is a
3' to 5' phosphodiester linkage.
[0043] Specific examples of preferred antisense compounds useful in
this invention include oligonucleotides containing modified
backbones or non-natural internucleoside linkages. As defined in
this specification, oligonucleotides having modified backbones
include those that retain a phosphorus atom in the backbone and
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 oligonucleotides that do not have a phosphorus atom
in their internucleoside backbone can also be considered to be
oligonucleosides.
[0044] Preferred modified oligonucleotide backbones include, for
example, phosphorothioates, chiral phosphorothioates,
phosphorodithioates, phosphotriesters, aminoalkylphosphotriesters,
methyl and other alkyl phosphonates including 3'-alkylene
phosphonates, 5'-alkylene phosphonates and chiral phosphonates,
phosphinates, phosphoramidates including 3'-amino phosphoramidate
and aminoalkylphosphoramidates, thionophosphoramidates,
thionoalkylphosphonates, thionoalkylphosphotriesters,
selenophosphates and boranophosphates having normal 3'-5' linkages,
2'-5' linked analogs of these, and those having inverted polarity
wherein one or more internucleotide linkages is a 3' to 3', 5' to
5' or 2' to 2' linkage. Preferred oligonucleotides having inverted
polarity comprise a single 3' to 3' linkage at the 3'-most
internucleotide linkage i.e. a single inverted nucleoside residue
which may be abasic (the nucleobase is missing or has a hydroxyl
group in place thereof). Various salts, mixed salts and free acid
forms are also included.
[0045] Representative United States 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; 5,177,196; 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; 5,541,306;
5,550,111; 5,563,253; 5,571,799; 5,587,361; 5,194,599; 5,565,555;
5,527,899; 5,721,218; 5,672,697 and 5,625,050, certain of which are
commonly owned with this application, and each of which is herein
incorporated by reference.
[0046] Preferred modified oligonucleotide backbones that do not
include a phosphorus atom therein have backbones that are formed by
short chain alkyl or cycloalkyl internucleoside linkages, mixed
heteroatom 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; riboacetyl backbones; alkene containing backbones;
sulfamate backbones; methyleneimino and methylenehydrazino
backbones; sulfonate and sulfonamide backbones; amide backbones;
and others having mixed N, O, S and CH.sub.2 component parts.
[0047] Representative United States 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; 5,264,562; 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; 5,610,289; 5,602,240; 5,608,046; 5,610,289;
5,618,704; 5,623,070; 5,663,312; 5,633,360; 5,677,437; 5,792,608;
5,646,269 and 5,677,439, certain of which are commonly owned with
this application, and each of which is herein incorporated by
reference.
[0048] In other preferred oligonucleotide mimetics, 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, an oligonucleotide
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 oligonucleotide 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 United States 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, each of
which is herein incorporated by reference. Further teaching of PNA
compounds can be found in Nielsen et al., Science, 1991, 254,
1497-1500.
[0049] Most preferred embodiments of the invention are
oligonucleotides with phosphorothioate backbones and
oligonucleosides with heteroatom backbones, and in particular
--CH.sub.2--NH--O--CH.sub.2--,
--CH.sub.2--N(CH.sub.3)--O--CH.sub.2-- [known as a methylene
(methylimino) or MMI backbone],
--CH.sub.2--O--N(CH.sub.3)--CH.sub.2--,
--CH.sub.2--N(CH.sub.3)--N(CH.sub.3)--CH.sub.2-- and
--O--N(CH.sub.3)--CH.sub.2--CH.sub.2-- [wherein the native
phosphodiester backbone is represented as --O--P--O--CH.sub.2--] 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. Also
preferred are oligonucleotides having morpholino backbone
structures of the above-referenced U.S. Pat. No. 5,034,506.
[0050] Modified oligonucleotides may also contain one or more
substituted sugar moieties. Preferred oligonucleotides comprise 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 may be substituted or unsubstituted
C.sub.1 to C.sub.10 alkyl or C.sub.2 to C.sub.10 alkenyl and
alkynyl. Particularly preferred are
O[(CH.sub.2).sub.nO].sub.mCH.sub.3, O(CH.sub.2).sub.nOCH.sub.3,
O(CH.sub.2).sub.nNH.sub.2, O(CH.sub.2).sub.nCH.sub.3,
O(CH.sub.2).sub.nONH.sub.2, and
O(CH.sub.2).sub.nON[(CH.sub.2).sub.nCH.sub.3)].sub.2, where n and m
are from 1 to about 10. Other preferred oligonucleotides comprise
one of the following at the 2' position: C.sub.1 to C.sub.10 lower
alkyl, substituted lower alkyl, alkenyl, alkynyl, alkaryl, aralkyl,
O-alkaryl or O-aralkyl, SH, SCH.sub.3, OCN, Cl, Br, CN, CF.sub.3,
OCF.sub.3, SOCH.sub.3, SO.sub.2CH.sub.3, ONO.sub.2, NO.sub.2,
N.sub.3, NH.sub.2, heterocycloalkyl, heterocycloalkaryl,
aminoalkylamino, poly-alkylamino, substituted silyl, an RNA
cleaving group, a reporter group, an intercalator, a group for
improving the pharmacokinetic properties of an oligonucleotide, or
a group for improving the pharmacodynamic properties of an
oligonucleotide, and other substituents having similar properties.
A preferred modification includes 2'-methoxyethoxy
(2'-O--CH.sub.2CH.sub.2OCH.sub.3, also known as
2'-O-(2-methoxyethyl) or 2'-MOE) (Martin et al., Helv. Chim. Acta,
1995, 78, 486-504) i.e., an alkoxyalkoxy group. A further preferred
modification includes 2'-dimethylaminooxyethoxy, i.e., a
O(CH.sub.2).sub.2ON(CH.sub.3).sub.2 group, also known as 2'-DMAOE,
as described in examples hereinbelow, and
2'-dimethylaminoethoxyethoxy (also known in the art as
2'-O-dimethylaminoethoxyethyl or 2'-DMAEOE), i.e.,
2'-O--CH.sub.2--O--CH.sub.2--N(CH.sub.2).sub.2, also described in
examples hereinbelow.
[0051] A further preferred modification includes Locked Nucleic
Acids (LNAs) in which the 2'-hydroxyl group is linked to the 3' or
4' carbon atom of the sugar ring thereby forming a bicyclic sugar
moiety. The linkage is preferably a methelyne (--CH.sub.2--), group
bridging the 2' oxygen atom and the 4' carbon atom wherein n is 1
or 2. LNAs and preparation thereof are described in WO 98/39352 and
WO 99/14226.
[0052] Other preferred modifications include 2'-methoxy
(2'-O--CH.sub.3), 2'-aminopropoxy
(2'-OCH.sub.2CH.sub.2CH.sub.2NH.sub.2), 2'-allyl
(2'-CH.sub.2--CH.dbd.CH.sub.2),
2'-O-allyl(2'-O--CH.sub.2--CH.dbd.CH.sub.2) and 2'-fluoro (2'-F).
The 2'-modification may be in the arabino (up) position or ribo
(down) position. A preferred 2'-arabino modification is 2'-F.
Similar modifications may also be made at other positions on the
oligonucleotide, particularly the 3' position of the sugar on the
3' terminal nucleotide or in 2'-5' linked oligonucleotides and the
5' position of 5' terminal nucleotide. Oligonucleotides may also
have sugar mimetics such as cyclobutyl moieties in place of the
pentofuranosyl sugar. Representative United States 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; 5,792,747;
and 5,700,920, certain of which are commonly owned with the instant
application, and each of which is herein incorporated by reference
in its entirety.
[0053] Oligonucleotides may 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
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
(--C.ident.C--CH.sub.3) uracil and cytosine and other alkynyl
derivatives of pyrimidine bases, 6-azo uracil, cytosine and
thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino,
8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines
and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and
other 5-substituted uracils and cytosines, 7-methylguanine and
7-methyladenine, 2-F-adenine, 2-amino-adenine, 8-azaguanine and
8-azaadenine, 7-deazaguanine and 7-deazaadenine and 3-deazaguanine
and 3-deazaadenine. Further modified nucleobases include tricyclic
pyrimidines such as phenoxazine
cytidine(1H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one),
phenothiazine cytidine
(1H-pyrimido[5,4-b][1,4]benzothiazin-2(3H)-one), G-clamps such as a
substituted phenoxazine cytidine (e.g.
9-(2-aminoethoxy)-H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one),
carbazole cytidine (2H-pyrimido[4,5-b]indol-2-one), pyridoindole
cytidine (H-pyrido[3',2':4,5]pyrrolo[2,3-d]pyrimidin-2-one).
Modified nucleobases may also include those in which the purine or
pyrimidine base is replaced with other heterocycles, for example
7-deaza-adenine, 7-deazaguanosine, 2-aminopyridine and 2-pyridone.
Further nucleobases include those disclosed in U.S. Pat. No.
3,687,808, those disclosed in The Concise Encyclopedia Of Polymer
Science And Engineering, pages 858-859, Kroschwitz, J. I., ed. John
Wiley & Sons, 1990, those disclosed by Englisch et al.,
Angewandte Chemie, International Edition, 1991, 30, 613, and those
disclosed by Sanghvi, Y. S., Chapter 15, Antisense Research and
Applications, 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 of
the invention. These include 5-substituted pyrimidines,
6-azapyrimidines and N-2, N-6 and O-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.degree. C.
(Sanghvi, Y. S., Crooke, S. T. and Lebleu, B., eds., Antisense
Research and Applications, CRC Press, Boca Raton, 1993, pp.
276-278) and are presently preferred base substitutions, even more
particularly when combined with 2'-O-methoxyethyl sugar
modifications.
[0054] Representative United States 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. No. 3,687,808, as well as U.S. Pat. Nos.
4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066; 5,432,272;
5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711; 5,552,540;
5,587,469; 5,594,121, 5,596,091; 5,614,617; 5,645,985; 5,830,653;
5,763,588; 6,005,096; and 5,681,941, certain of which are commonly
owned with the instant application, and each of which is herein
incorporated by reference, and U.S. Pat. No. 5,750,692, which is
commonly owned with the instant application and also herein
incorporated by reference.
[0055] Another modification of the oligonucleotides of the
invention involves chemically linking to the oligonucleotide one or
more moieties or conjugates which enhance the activity, cellular
distribution or cellular uptake of the oligonucleotide. The
compounds of the invention can include conjugate groups covalently
bound to functional groups such as primary or secondary hydroxyl
groups. Conjugate groups of the invention include intercalators,
reporter molecules, polyamines, polyamides, polyethylene glycols,
polyethers, groups that enhance the pharmacodynamic properties of
oligomers, and groups that enhance the pharmacokinetic properties
of oligomers. Typical conjugates groups include cholesterols,
lipids, phospholipids, biotin, phenazine, folate, phenanthridine,
anthra-quinone, acridine, fluoresceins, rhodamines, coumarins, and
dyes. Groups that enhance the pharmacodynamic properties, in the
context of this invention, include groups that improve oligomer
uptake, enhance oligomer resistance to degradation, and/or
strengthen sequence-specific hybridization with RNA. Groups that
enhance the pharmacokinetic properties, in the context of this
invention, include groups that improve oligomer uptake,
distribution, metabolism or excretion. Representative conjugate
groups are disclosed in International Patent Application
PCT/US92/09196, filed Oct. 23, 1992 the entire disclosure of which
is incorporated herein by reference. Conjugate moieties include but
are not limited to lipid moieties such as a cholesterol moiety
(Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86,
6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Let.,
1994, 4, 1053-1060), a thioether, e.g., hexyl-5-tritylthiol
(Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660, 306-309;
Manoharan et al., Bioorg. Med. Chem. Let., 1993, 3, 2765-2770), a
thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20,
533-538), an aliphatic chain, e.g., 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 triethylammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate
(Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et
al., Nucl. Acids Res., 1990, 18, 3777-3783), a polyamine or a
polyethylene glycol chain (Manoharan et al., Nucleosides &
Nucleotides, 1995, 14, 969-973), or adamantane acetic acid
(Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654), a
palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264,
229-237), or an octadecylamine or
hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J.
Pharmacol. Exp. Ther., 1996, 277, 923-937. Oligonucleotides of the
invention may also be conjugated to active drug substances, for
example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen,
fenbufen, ketoprofen, (S)-(+)-pranoprofen, carprofen,
dansylsarcosine, 2,3,5-triiodobenzoic acid, flufenamic acid,
folinic acid, a benzothiadiazide, chlorothiazide, a diazepine,
indomethicin, a barbiturate, a cephalosporin, a sulfa drug, an
antidiabetic, an antibacterial or an antibiotic.
Oligonucleotide-drug conjugates and their preparation are described
in U.S. application Ser. No. 09/334,130 (filed Jun. 15, 1999) which
is incorporated herein by reference in its entirety.
[0056] Representative United States patents that teach the
preparation of such oligonucleotide 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;
5,580,731; 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 and 5,688,941, certain of which are commonly owned with
the instant application, and each of which is herein incorporated
by reference.
[0057] 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 may be incorporated in a single
compound or even at a single nucleoside within an oligonucleotide.
The present invention also includes antisense compounds which are
chimeric compounds. "Chimeric" antisense compounds or "chimeras,"
in the context of this invention, are antisense compounds,
particularly oligonucleotides, which contain two or more chemically
distinct regions, each made up of at least one monomer unit, i.e.,
a nucleotide in the case of an oligonucleotide compound. These
oligonucleotides typically contain at least one region wherein the
oligonucleotide is modified so as to confer upon the
oligonucleotide increased resistance to nuclease degradation,
increased cellular uptake, and/or increased binding affinity for
the target nucleic acid. An additional region of the
oligonucleotide may 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
oligonucleotide inhibition of gene expression. Consequently,
comparable results can often be obtained with shorter
oligonucleotides when chimeric oligonucleotides are used, compared
to phosphorothioate deoxyoligonucleotides 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.
[0058] Chimeric antisense compounds of the invention may be formed
as composite structures of two or more oligonucleotides, modified
oligonucleotides, oligonucleosides and/or oligonucleotide mimetics
as described above. Such compounds have also been referred to in
the art as hybrids or gapmers. Representative United States patents
that teach the preparation of such hybrid structures include, but
are not limited to, U.S. Pat. Nos. 5,013,830; 5,149,797; 5,220,007;
5,256,775; 5,366,878; 5,403,711; 5,491,133; 5,565,350; 5,623,065;
5,652,355; 5,652,356; and 5,700,922, certain of which are commonly
owned with the instant application, and each of which is herein
incorporated by reference in its entirety.
[0059] The antisense compounds used in accordance with this
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 means for such
synthesis known in the art may additionally or alternatively be
employed. It is well known to use similar techniques to prepare
oligonucleotides such as the phosphorothioates and alkylated
derivatives.
[0060] The antisense compounds of the invention are synthesized in
vitro and do not include antisense compositions of biological
origin, or genetic vector constructs designed to direct the in vivo
synthesis of antisense molecules.
[0061] The compounds of the invention may also be admixed,
encapsulated, conjugated or otherwise associated with other
molecules, molecule structures or mixtures of compounds, as for
example, liposomes, receptor targeted molecules, oral, rectal,
topical or other formulations, for assisting in uptake,
distribution and/or absorption. Representative United States
patents that teach the preparation of such uptake, distribution
and/or absorption assisting formulations include, but are not
limited to, U.S. Pat. Nos. 5,108,921; 5,354,844; 5,416,016;
5,459,127; 5,521,291; 5,543,158; 5,547,932; 5,583,020; 5,591,721;
4,426,330; 4,534,899; 5,013,556; 5,108,921; 5,213,804; 5,227,170;
5,264,221; 5,356,633; 5,395,619; 5,416,016; 5,417,978; 5,462,854;
5,469,854; 5,512,295; 5,527,528; 5,534,259; 5,543,152; 5,556,948;
5,580,575; and 5,595,756, each of which is herein incorporated by
reference.
[0062] The antisense compounds of the invention encompass any
pharmaceutically acceptable salts, esters, or salts of such esters,
or any other compound which, upon administration to an animal
including a human, is capable of providing (directly or indirectly)
the biologically active metabolite or residue thereof. Accordingly,
for example, the disclosure is also drawn to prodrugs and
pharmaceutically acceptable salts of the compounds of the
invention, pharmaceutically acceptable salts of such prodrugs, and
other bioequivalents.
[0063] The term "prodrug" indicates a therapeutic agent that is
prepared in an inactive form that is converted to an active form
(i.e., drug) within the body or cells thereof by the action of
endogenous enzymes or other chemicals and/or conditions. In
particular, prodrug versions of the oligonucleotides of the
invention are prepared as SATE [(S-acetyl-2-thioethyl) phosphate]
derivatives according to the methods disclosed in WO 93/24510 to
Gosselin et al., published Dec. 9, 1993 or in WO 94/26764 and U.S.
Pat. No. 5,770,713 to Imbach et al.
[0064] The term "pharmaceutically acceptable salts" refers to
physiologically and pharmaceutically acceptable salts of the
compounds of the invention: i.e., salts that retain the desired
biological activity of the parent compound and do not impart
undesired toxicological effects thereto.
[0065] Pharmaceutically acceptable base addition salts are formed
with metals or amines, such as alkali and alkaline earth metals or
organic amines. Examples of metals used as cations are sodium,
potassium, magnesium, calcium, and the like. Examples of suitable
amines are N,N'-dibenzylethylenediamine, chloroprocaine, choline,
diethanolamine, dicyclohexylamine, ethylenediamine,
N-methylglucamine, and procaine (see, for example, Berge et al.,
"Pharmaceutical Salts," J. of Pharma Sci., 1977, 66, 1-19). The
base addition salts of said acidic compounds are prepared by
contacting the free acid form with a sufficient amount of the
desired base to produce the salt in the conventional manner. The
free acid form may be regenerated by contacting the salt form with
an acid and isolating the free acid in the conventional manner. The
free acid forms differ from their respective salt forms somewhat in
certain physical properties such as solubility in polar solvents,
but otherwise the salts are equivalent to their respective free
acid for purposes of the present invention. As used herein, a
"pharmaceutical addition salt" includes a pharmaceutically
acceptable salt of an acid form of one of the components of the
compositions of the invention. These include organic or inorganic
acid salts of the amines. Preferred acid salts are the
hydrochlorides, acetates, salicylates, nitrates and phosphates.
Other suitable pharmaceutically acceptable salts are well known to
those skilled in the art and include basic salts of a variety of
inorganic and organic acids, such as, for example, with inorganic
acids, such as for example hydrochloric acid, hydrobromic acid,
sulfuric acid or phosphoric acid; with organic carboxylic,
sulfonic, sulfo or phospho acids or N-substituted sulfamic acids,
for example acetic acid, propionic acid, glycolic acid, succinic
acid, maleic acid, hydroxymaleic acid, methylmaleic acid, fumaric
acid, malic acid, tartaric acid, lactic acid, oxalic acid, gluconic
acid, glucaric acid, glucuronic acid, citric acid, benzoic acid,
cinnamic acid, mandelic acid, salicylic acid, 4-aminosalicylic
acid, 2-phenoxybenzoic acid, 2-acetoxybenzoic acid, embonic acid,
nicotinic acid or isonicotinic acid; and with amino acids, such as
the 20 alpha-amino acids involved in the synthesis of proteins in
nature, for example glutamic acid or aspartic acid, and also with
phenylacetic acid, methanesulfonic acid, ethanesulfonic acid,
2-hydroxyethanesulfonic acid, ethane-1,2-disulfonic acid,
benzenesulfonic acid, 4-methylbenzenesulfonic acid,
naphthalene-2-sulfonic acid, naphthalene-1,5-disulfonic acid, 2- or
3-phosphoglycerate, glucose-6-phosphate, N-cyclohexylsulfamic acid
(with the formation of cyclamates), or with other acid organic
compounds, such as ascorbic acid. Pharmaceutically acceptable salts
of compounds may also be prepared with a pharmaceutically
acceptable cation. Suitable pharmaceutically acceptable cations are
well known to those skilled in the art and include alkaline,
alkaline earth, ammonium and quaternary ammonium cations.
Carbonates or hydrogen carbonates are also possible.
[0066] For oligonucleotides, preferred examples of pharmaceutically
acceptable salts include but are not limited to (a) salts formed
with cations such as sodium, potassium, ammonium, magnesium,
calcium, polyamines such as spermine and spermidine, etc.; (b) acid
addition salts formed with inorganic acids, for example
hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric
acid, nitric acid and the like; (c) salts formed with organic acids
such as, for example, acetic acid, oxalic acid, tartaric acid,
succinic acid, maleic acid, fumaric acid, gluconic acid, citric
acid, malic acid, ascorbic acid, benzoic acid, tannic acid,
paimitic acid, alginic acid, polyglutamic acid, naphthalenesulfonic
acid, methanesulfonic acid, p-toluenesulfonic acid,
naphthalenedisulfonic acid, polygalacturonic acid, and the like;
and (d) salts formed from elemental anions such as chlorine,
bromine, and iodine.
[0067] The antisense compounds of the present invention can be
utilized for diagnostics, therapeutics, prophylaxis and as research
reagents and kits. For therapeutics, an animal, preferably a human,
suspected of having a disease or disorder which can be treated by
modulating the expression of apolipoprotein B is treated by
administering antisense compounds in accordance with this
invention. The compounds of the invention can be utilized in
pharmaceutical compositions by adding an effective amount of an
antisense compound to a suitable pharmaceutically acceptable
diluent or carrier. Use of the antisense compounds and methods of
the invention may also be useful prophylactically, e.g., to prevent
or delay infection, inflammation or tumor formation, for
example.
[0068] The antisense compounds of the invention are useful for
research and diagnostics, because these compounds hybridize to
nucleic acids encoding apolipoprotein B, enabling sandwich and
other assays to easily be constructed to exploit this fact.
Hybridization of the antisense oligonucleotides of the invention
with a nucleic acid encoding apolipoprotein B can be detected by
means known in the art. Such means may include conjugation of an
enzyme to the oligonucleotide, radiolabelling of the
oligonucleotide or any other suitable detection means. Kits using
such detection means for detecting the level of apolipoprotein B in
a sample may also be prepared.
[0069] The present invention also includes pharmaceutical
compositions and formulations which include the antisense compounds
of the invention. The pharmaceutical compositions of the present
invention 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 topical (including ophthalmic and
to mucous membranes including vaginal and rectal delivery),
pulmonary, e.g., by inhalation or insufflation of powders or
aerosols, including by nebulizer; intratracheal, intranasal,
epidermal and transdermal), oral or parenteral. Parenteral
administration includes intravenous, intraarterial, subcutaneous,
intraperitoneal or intramuscular injection or infusion; or
intracranial, e.g., intrathecal or intraventricular,
administration. Oligonucleotides with at least one
2'-O-methoxyethyl modification are believed to be particularly
useful for oral administration.
[0070] Pharmaceutical compositions and 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. Preferred
topical formulations include those in which the oligonucleotides of
the invention are in admixture with a topical delivery agent such
as lipids, liposomes, fatty acids, fatty acid esters, steroids,
chelating agents and surfactants. Preferred lipids and liposomes
include neutral (e.g. dioleoylphosphatidyl DOPE ethanolamine,
dimyristoylphosphatidyl choline DMPC, distearolyphosphatidyl
choline) negative (e.g. dimyristoylphosphatidyl glycerol DMPG) and
cationic (e.g. dioleoyltetramethylaminopropyl DOTAP and
dioleoylphosphatidyl ethanolamine DOTMA). Oligonucleotides of the
invention may be encapsulated within liposomes or may form
complexes thereto, in particular to cationic liposomes.
Alternatively, oligonucleotides may be complexed to lipids, in
particular to cationic lipids. Preferred fatty acids and esters
include but are not limited 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 C.sub.1-10 alkyl ester (e.g. isopropylmyristate IPM),
monoglyceride, diglyceride or pharmaceutically acceptable salt
thereof. Topical formulations are described in detail in U.S.
application Ser. No. 09/315,298 filed on May 20, 1999, which is
incorporated herein by reference in its entirety.
[0071] 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
may be desirable. Preferred oral formulations are those in which
oligonucleotides of the invention are administered in conjunction
with one or more penetration enhancers surfactants and chelators.
Preferred surfactants include fatty acids and/or esters or salts
thereof, bile acids and/or salts thereof. Preferred 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, sodium glycodihydrofusidate.
Preferred 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). Also preferred are combinations of
penetration enhancers, for example, fatty acids/salts in
combination with bile acids/salts. A particularly preferred
combination is the sodium salt of lauric acid, capric acid and
UDCA. Further penetration enhancers include
polyoxyethylene-9-lauryl ether, polyoxyethylene-20-cetyl ether.
Oligonucleotides of the invention may be delivered orally in
granular form including sprayed dried particles, or complexed to
form micro or nanoparticles. Oligonucleotide 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.
Particularly preferred complexing agents include chitosan,
N-trimethylchitosan, poly-L-lysine, polyhistidine, polyornithine,
polyspermines, protamine, polyvinylpyridine,
polythiodiethylamino-methylethylene 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 oligonucleotides
and their preparation are described in detail in U.S. application
Ser. No. 08/886,829 (filed Jul. 1, 1997), Ser. No. 09/108,673
(filed Jul. 1, 1998), Ser. No. 09/256,515 (filed Feb. 23, 1999),
Ser. No. 09/082,624 (filed May 21, 1998) and Ser. No. 09/315,298
(filed May 20, 1999) each of which is incorporated herein by
reference in their entirety.
[0072] Compositions and formulations for parenteral, intrathecal or
intraventricular administration may include sterile aqueous
solutions which may 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.
[0073] Pharmaceutical compositions of the present invention
include, but are not limited to, solutions, emulsions, and
liposome-containing formulations. These compositions may be
generated from a variety of components that include, but are not
limited to, preformed liquids, self-emulsifying solids and
self-emulsifying semisolids.
[0074] The pharmaceutical formulations of the present invention,
which may conveniently be presented in unit dosage form, may 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.
[0075] The compositions of the present invention may 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
invention may also be formulated as suspensions in aqueous,
non-aqueous or mixed media. Aqueous suspensions may further contain
substances which increase the viscosity of the suspension
including, for example, sodium carboxymethylcellulose, sorbitol
and/or dextran. The suspension may also contain stabilizers.
[0076] In one embodiment of the present invention the
pharmaceutical compositions may be formulated and used as foams.
Pharmaceutical foams include formulations such as, but not limited
to, emulsions, microemulsions, creams, jellies and liposomes. While
basically similar in nature these formulations vary in the
components and the consistency of the final product. The
preparation of such compositions and formulations is generally
known to those skilled in the pharmaceutical and formulation arts
and may be applied to the formulation of the compositions of the
present invention.
[0077] Emulsions
[0078] The compositions of the present invention may be prepared
and formulated as emulsions. Emulsions are typically heterogenous
systems of one liquid dispersed in another in the form of droplets
usually exceeding 0.1 .mu.m in diameter (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 of two immiscible liquid phases
intimately mixed and dispersed with each other. In general,
emulsions may be either water-in-oil (w/o) or of 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 may contain
additional components in addition to the dispersed phases and the
active drug which may be present as a solution in either the
aqueous phase, oily phase or itself as a separate phase.
Pharmaceutical excipients such as emulsifiers, stabilizers, dyes,
and anti-oxidants may also be present in emulsions as needed.
Pharmaceutical emulsions may 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 provides an o/w/o emulsion.
[0079] 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. Either of the phases of the emulsion
may be a semisolid or a solid, as is the case of emulsion-style
ointment bases and creams. Other means of stabilizing emulsions
entail the use of emulsifiers that may be incorporated into either
phase of the emulsion. Emulsifiers may broadly be classified into
four categories: synthetic surfactants, naturally occurring
emulsifiers, absorption bases, and finely dispersed solids (Idson,
in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker
(Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p.
199).
[0080] Synthetic surfactants, also known as surface active agents,
have found wide applicability in the formulation of emulsions and
have been reviewed in the literature (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 may be classified into different classes
based on the nature of the hydrophilic group: nonionic, anionic,
cationic and amphoteric (Rieger, in Pharmaceutical Dosage Forms,
Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New
York, N.Y., volume 1, p. 285).
[0081] Naturally occurring emulsifiers used in emulsion
formulations include lanolin, beeswax, phosphatides, lecithin and
acacia. Absorption bases possess hydrophilic properties such that
they can soak up water to form w/o emulsions yet retain their
semisolid consistencies, such as anhydrous lanolin and hydrophilic
petrolatum. Finely divided solids have also been used as good
emulsifiers especially in combination with surfactants and in
viscous preparations. These include polar inorganic solids, such as
heavy metal hydroxides, nonswelling clays such as bentonite,
attapulgite, hectorite, kaolin, montmorillonite, colloidal aluminum
silicate and colloidal magnesium aluminum silicate, pigments and
nonpolar solids such as carbon or glyceryl tristearate.
[0082] 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).
[0083] Hydrophilic colloids or hydrocolloids include naturally
occurring gums and synthetic polymers such as polysaccharides (for
example, acacia, agar, alginic acid, carrageenan, guar gum, karaya
gum, and tragacanth), cellulose derivatives (for example,
carboxymethylcellulose and carboxypropylcellulose), and synthetic
polymers (for example, carbomers, cellulose ethers, and
carboxyvinyl polymers). These disperse or swell in water to form
colloidal solutions that stabilize emulsions by forming strong
interfacial films around the dispersed-phase droplets and by
increasing the viscosity of the external phase.
[0084] Since emulsions often contain a number of ingredients such
as carbohydrates, proteins, sterols and phosphatides that may
readily support the growth of microbes, these formulations often
incorporate preservatives. Commonly used preservatives included in
emulsion formulations include methyl paraben, propyl paraben,
quaternary ammonium salts, benzalkonium chloride, esters of
p-hydroxybenzoic acid, and boric acid. Antioxidants are also
commonly added to emulsion formulations to prevent deterioration of
the formulation. Antioxidants used may be free radical scavengers
such as tocopherols, alkyl gallates, butylated hydroxyanisole,
butylated hydroxytoluene, or reducing agents such as ascorbic acid
and sodium metabisulfite, and antioxidant synergists such as citric
acid, tartaric acid, and lecithin.
[0085] The application of emulsion formulations via dermatological,
oral and parenteral routes and methods for their manufacture have
been reviewed in the literature (Idson, in Pharmaceutical Dosage
Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker,
Inc., New York, N.Y., volume 1, p. 199). Emulsion formulations for
oral delivery have been very widely used because of reasons of ease
of formulation, efficacy from an absorption and bioavailability
standpoint. (Rosoff, in Pharmaceutical Dosage Forms, Lieberman,
Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York,
N.Y., volume 1, p. 245; Idson, in Pharmaceutical Dosage Forms,
Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New
York, N.Y., volume 1, p. 199). Mineral-oil base laxatives,
oil-soluble vitamins and high fat nutritive preparations are among
the materials that have commonly been administered orally as o/w
emulsions.
[0086] In one embodiment of the present invention, the compositions
of oligonucleotides and nucleic acids are formulated as
microemulsions. A microemulsion may be defined as a system of
water, oil and amphiphile which is a single optically isotropic and
thermodynamically stable liquid solution (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, Val
Publishers, New York, pages 185-215). Microemulsions commonly are
prepared via a combination of three to five components that include
oil, water, surfactant, cosurfactant and electrolyte. Whether the
microemulsion is of the water-in-oil (w/o) or an oil-in-water (o/w)
type is dependent on the properties of the oil and surfactant used
and on the structure and geometric packing of the polar heads and
hydrocarbon tails of the surfactant molecules (Schott, in
Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton,
Pa., 1985, p. 271).
[0087] The phenomenological approach utilizing phase diagrams has
been extensively studied and has yielded a comprehensive knowledge,
to one skilled in the art, of how to formulate microemulsions
(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 1, p. 335). Compared to conventional emulsions,
microemulsions offer the advantage of solubilizing water-insoluble
drugs in a formulation of thermodynamically stable droplets that
are formed spontaneously.
[0088] Surfactants used in the preparation of microemulsions
include, but are not limited to, ionic surfactants, non-ionic
surfactants, Brij 96, polyoxyethylene oleyl ethers, polyglycerol
fatty acid esters, tetraglycerol monolaurate (ML310), tetraglycerol
monooleate (MO310), hexaglycerol monooleate (PO310), hexaglycerol
pentaoleate (PO500), decaglycerol monocaprate (MCA750),
decaglycerol monooleate (MO750), decaglycerol sequioleate (SO750),
decaglycerol decaoleate (DAO750), alone or in combination with
cosurfactants. The cosurfactant, usually a short-chain alcohol such
as ethanol, 1-propanol, and 1-butanol, serves to increase the
interfacial fluidity by penetrating into the surfactant film and
consequently creating a disordered film because of the void space
generated among surfactant molecules. Microemulsions may, however,
be prepared without the use of cosurfactants and alcohol-free
self-emulsifying microemulsion systems are known in the art. The
aqueous phase may typically be, but is not limited to, water, an
aqueous solution of the drug, glycerol, PEG300, PEG400,
polyglycerols, propylene glycols, and derivatives of ethylene
glycol. The oil phase may include, but is not limited to, materials
such as Captex 300, Captex 355, Capmul MCM, fatty acid esters,
medium chain (C8-C12) mono, di, and tri-glycerides,
polyoxyethylated glyceryl fatty acid esters, fatty alcohols,
polyglycolized glycerides, saturated polyglycolized C8-C10
glycerides, vegetable oils and silicone oil.
[0089] Microemulsions are particularly of interest from the
standpoint of drug solubilization and the enhanced absorption of
drugs. Lipid based microemulsions (both o/w and w/o) have been
proposed to enhance the oral bioavailability of drugs, including
peptides (Constantinides et al., Pharmaceutical Research, 1994, 11,
1385-1390; Ritschel, Meth. Find. Exp. Clin. Pharmacol., 1993, 13,
205). Microemulsions afford advantages of improved drug
solubilization, protection of drug from enzymatic hydrolysis,
possible enhancement of drug absorption due to surfactant-induced
alterations in membrane fluidity and permeability, ease of
preparation, ease of oral administration over solid dosage forms,
improved clinical potency, and decreased toxicity (Constantinides
et al., Pharmaceutical Research, 1994, 11, 1385; Ho et al., J.
Pharm. Sci., 1996, 85, 138-143). Often microemulsions may form
spontaneously when their components are brought together at ambient
temperature. This may be particularly advantageous when formulating
thermolabile drugs, peptides or oligonucleotides. Microemulsions
have also been effective in the transdermal delivery of active
components in both cosmetic and pharmaceutical applications. It is
expected that the microemulsion compositions and formulations of
the present invention will facilitate the increased systemic
absorption of oligonucleotides and nucleic acids from the
gastrointestinal tract, as well as improve the local cellular
uptake of oligonucleotides and nucleic acids within the
gastrointestinal tract, vagina, buccal cavity and other areas of
administration.
[0090] Microemulsions of the present invention may also contain
additional components and additives such as sorbitan monostearate
(Grill 3), Labrasol, and penetration enhancers to improve the
properties of the formulation and to enhance the absorption of the
oligonucleotides and nucleic acids of the present invention.
Penetration enhancers used in the microemulsions of the present
invention may be classified as belonging to one of five broad
categories--surfactants, fatty acids, bile salts, chelating agents,
and non-chelating non-surfactants (Lee et al., Critical Reviews in
Therapeutic Drug Carrier Systems, 1991, p. 92). Each of these
classes has been discussed above.
[0091] Liposomes
[0092] There are many organized surfactant structures besides
microemulsions that have been studied and used for the formulation
of drugs. These include monolayers, micelles, bilayers and
vesicles. Vesicles, such as liposomes, have attracted great
interest because of their specificity and the duration of action
they offer from the standpoint of drug delivery. As used in the
present invention, the term "liposome" means a vesicle composed of
amphiphilic lipids arranged in a spherical bilayer or bilayers.
[0093] Liposomes are unilamellar or multilamellar vesicles which
have a membrane formed from a lipophilic material and an aqueous
interior. The aqueous portion contains the composition to be
delivered. Cationic liposomes possess the advantage of being able
to fuse to the cell wall. Non-cationic liposomes, although not able
to fuse as efficiently with the cell wall, are taken up by
macrophages in vivo.
[0094] 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.
Therefore, it is desirable to use a liposome which is highly
deformable and able to pass through such fine pores.
[0095] 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 drugs in their internal
compartments from metabolism and degradation (Rosoff, in
Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.),
1988, Marcel Dekker, Inc., New York, N.Y., 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.
[0096] 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 liposomes start to merge with the cellular
membranes. As the merging of the liposome and cell progresses, the
liposomal contents are emptied into the cell where the active agent
may act.
[0097] Liposomal formulations have been the focus of extensive
investigation as the mode of delivery for many drugs. There is
growing evidence that 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 a wide variety
of drugs, both hydrophilic and hydrophobic, into the skin.
[0098] Several reports have detailed the ability of liposomes to
deliver agents including high-molecular weight DNA into the skin.
Compounds including analgesics, antibodies, hormones and
high-molecular weight DNAs have been administered to the skin. The
majority of applications resulted in the targeting of the upper
epidermis.
[0099] Liposomes fall into two broad classes. Cationic liposomes
are positively charged liposomes which interact with the negatively
charged DNA molecules to form a stable complex. The positively
charged DNA/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., Biochem. Biophys.
Res. Commun., 1987, 147, 980-985).
[0100] Liposomes which are pH-sensitive or negatively-charged,
entrap DNA rather than complex with it. Since both the DNA and the
lipid are similarly charged, repulsion rather than complex
formation occurs. Nevertheless, some DNA is entrapped within the
aqueous interior of these liposomes. pH-sensitive liposomes have
been used to deliver DNA encoding the thymidine kinase gene to cell
monolayers in culture. Expression of the exogenous gene was
detected in the target cells (Zhou et al., Journal of Controlled
Release, 1992, 19, 269-274).
[0101] 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 and/or phosphatidylcholine and/or
cholesterol.
[0102] Several studies have assessed the topical delivery of
liposomal drug formulations to the skin. Application of liposomes
containing interferon to guinea pig skin resulted in a reduction of
skin herpes sores while delivery of interferon via other means
(e.g. as a solution or as an emulsion) were ineffective (Weiner et
al., Journal of Drug Targeting, 1992, 2, 405-410). Further, an
additional study tested the efficacy of interferon administered as
part of a liposomal formulation to the administration of interferon
using an aqueous system, and concluded that the liposomal
formulation was superior to aqueous administration (du Plessis et
al., Antiviral Research, 1992, 18, 259-265).
[0103] 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.TM. I
(glyceryl dilaurate/cholesterol/polyoxyethylene-10-stearyl ether)
and Novasome.TM. 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 cyclosporin-A into different layers
of the skin (Hu et al. S.T.P.Pharma. Sci., 1994, 4, 6, 466).
[0104] 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 G.sub.M1, 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., FEBS
Letters, 1987, 223, 42; Wu et al., Cancer Research, 1993, 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
G.sub.M1, galactocerebroside sulfate and phosphatidylinositol to
improve blood half-lives of liposomes. These findings were
expounded upon by Gabizon et al. (Proc. Natl. Acad. Sci. USA.,
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 G.sub.M1 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.).
[0105] Many liposomes comprising lipids derivatized with one or
more hydrophilic polymers, and methods of preparation thereof, are
known in the art. Sunamoto et al. (Bull. Chem. Soc. Jpn., 1980, 53,
2778) described liposomes comprising a nonionic detergent,
2C.sub.1215G, that contains a PEG moiety. Ilium et al. (FEBS Lett.,
1984, 167, 79) noted that hydrophilic coating of polystyrene
particles with polymeric glycols results in significantly enhanced
blood half-lives. Synthetic phospholipids modified by the
attachment of carboxylic groups of polyalkylene glycols (e.g., PEG)
are described by Sears (U.S. Pat. Nos. 4,426,330 and 4,534,899).
Klibanov et al. (FEBS Lett., 1990, 268, 235) described experiments
demonstrating that liposomes comprising phosphatidylethanolamine
(PE) derivatized with PEG or PEG stearate have significant
increases in blood circulation half-lives. Blume et al. (Biochimica
et Biophysica Acta, 1990, 1029, 91) extended such observations to
other PEG-derivatized phospholipids, e.g., DSPE-PEG, formed from
the combination of distearoylphosphatidylethanolamine (DSPE) and
PEG. Liposomes having covalently bound PEG moieties on their
external surface are described in European Pat. No. EP 0 445 131 B1
and WO 90/04384 to Fisher. Liposome compositions containing 1-20
mole percent of PE derivatized with PEG, and methods of use
thereof, are described by Woodle et al. (U.S. Pat. Nos. 5,013,556
and 5,356,633) and Martin et al. (U.S. Pat. No. 5,213,804 and
European Pat. No. EP 0 496 813 B1). Liposomes comprising a number
of other lipid-polymer conjugates are disclosed in WO 91/05545 and
U.S. Pat. No. 5,225,212 (both to Martin et al.) and in WO 94/20073
(Zalipsky et al.) Liposomes comprising PEG-modified ceramide lipids
are described in WO 96/10391 (Choi et al.). U.S. Pat. No. 5,540,935
(Miyazaki et al.) and U.S. Pat. No. 5,556,948 (Tagawa et al.)
describe PEG-containing liposomes that can be further derivatized
with functional moieties on their surfaces.
[0106] A limited number of liposomes comprising nucleic acids are
known in the art. WO 96/40062 to Thierry et al. discloses methods
for encapsulating high molecular weight nucleic acids in liposomes.
U.S. Pat. No. 5,264,221 to Tagawa et al. discloses protein-bonded
liposomes and asserts that the contents of such liposomes may
include an antisense RNA. U.S. Pat. No. 5,665,710 to Rahman et al.
describes certain methods of encapsulating oligodeoxynucleotides in
liposomes. WO 97/04787 to Love et al. discloses liposomes
comprising antisense oligonucleotides targeted to the raf gene.
[0107] Transfersomes are yet another type of liposomes, and are
highly deformable lipid aggregates which are attractive candidates
for drug delivery vehicles. Transfersomes may 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.
[0108] Surfactants find wide application in formulations such as
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).
[0109] 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.
[0110] 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.
[0111] 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.
[0112] 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.
[0113] 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).
[0114] Penetration Enhancers
[0115] In one embodiment, the present invention employs various
penetration enhancers to effect the efficient delivery of nucleic
acids, particularly oligonucleotides, 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 may 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.
[0116] Penetration enhancers may be classified as belonging to one
of five broad categories, i.e., surfactants, fatty acids, bile
salts, chelating agents, and non-chelating non-surfactants (Lee et
al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p.
92). Each of the above mentioned classes of penetration enhancers
are described below in greater detail.
[0117] Surfactants: In connection with the present invention,
surfactants (or "surface-active agents") are chemical entities
which, when dissolved in an aqueous solution, reduce the surface
tension of the solution or the interfacial tension between the
aqueous solution and another liquid, with the result that
absorption of oligonucleotides through the mucosa is enhanced. In
addition to bile salts and fatty acids, these penetration enhancers
include, for example, sodium lauryl sulfate,
polyoxyethylene-9-lauryl ether and polyoxyethylene-20-cetyl ether)
(Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems,
1991, p. 92); and perfluorochemical emulsions, such as FC-43.
Takahashi et al., J. Pharm. Pharmacol., 1988, 40, 252).
[0118] Fatty acids: Various fatty acids and their derivatives which
act as penetration enhancers include, for example, oleic acid,
lauric acid, capric acid (n-decanoic acid), myristic acid, palmitic
acid, stearic acid, linoleic acid, linolenic acid, dicaprate,
tricaprate, monoolein (1-monooleoyl-rac-glycerol), dilaurin,
caprylic acid, arachidonic acid, glycerol 1-monocaprate,
1-dodecylazacycloheptan-2-one, acylcarnitines, acylcholines,
C.sub.1-10 alkyl esters thereof (e.g., methyl, isopropyl and
t-butyl), and mono- and di-glycerides thereof (i.e., oleate,
laurate, caprate, myristate, palmitate, stearate, linoleate, etc.)
(Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems,
1991, p. 92; Muranishi, Critical Reviews in Therapeutic Drug
Carrier Systems, 1990, 7, 1-33; El Hariri et al., J. Pharm.
Pharmacol., 1992, 44, 651-654).
[0119] Bile salts: The physiological role of bile includes the
facilitation of dispersion and absorption of lipids and fat-soluble
vitamins (Brunton, Chapter 38 in: Goodman & Gilman's The
Pharmacological Basis of Therapeutics, 9th Ed., Hardman et al.
Eds., McGraw-Hill, New York, 1996, pp. 934-935). Various natural
bile salts, and their synthetic derivatives, act as penetration
enhancers. Thus the term "bile salts" includes any of the naturally
occurring components of bile as well as any of their synthetic
derivatives. The bile salts of the invention include, for example,
cholic acid (or its pharmaceutically acceptable sodium salt, sodium
cholate), dehydrocholic acid (sodium dehydrocholate), deoxycholic
acid (sodium deoxycholate), glucholic acid (sodium glucholate),
glycholic acid (sodium glycocholate), glycodeoxycholic acid (sodium
glycodeoxycholate), taurocholic acid (sodium taurocholate),
taurodeoxycholic acid (sodium taurodeoxycholate), chenodeoxycholic
acid (sodium chenodeoxycholate), ursodeoxycholic acid (UDCA),
sodium tauro-24,25-dihydro-fusidate (STDHF), sodium
glycodihydrofusidate and polyoxyethylene-9-lauryl ether (POE) (Lee
et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991,
page 92; Swinyard, Chapter 39 In: Remington's Pharmaceutical
Sciences, 18th Ed., Gennaro, ed., Mack Publishing Co., Easton, Pa.,
1990, pages 782-783; Muranishi, Critical Reviews in Therapeutic
Drug Carrier Systems, 1990, 7, 1-33; Yamamoto et al., J. Pharm.
Exp. Ther., 1992, 263, 25; Yamashita et al., J. Pharm. Sci., 1990,
79, 579-583).
[0120] Chelating Agents: Chelating agents, as used in connection
with the present invention, can be defined as compounds that remove
metallic ions from solution by forming complexes therewith, with
the result that absorption of oligonucleotides through the mucosa
is enhanced. With regards to their use as penetration enhancers in
the present invention, chelating agents have the added advantage of
also serving as DNase inhibitors, as most characterized DNA
nucleases require a divalent metal ion for catalysis and are thus
inhibited by chelating agents (Jarrett, J. Chromatogr., 1993, 618,
315-339). Chelating agents of the invention include but are not
limited to disodium ethylenediaminetetraacetate (EDTA), citric
acid, salicylates (e.g., sodium salicylate, 5-methoxysalicylate and
homovanilate), N-acyl derivatives of collagen, laureth-9 and
N-amino acyl derivatives of beta-diketones (enamines) (Lee et al.,
Critical Reviews in Therapeutic Drug Carrier Systems, 1991, page
92; Muranishi, Critical Reviews in Therapeutic Drug Carrier
Systems, 1990, 7, 1-33; Buur et al., J. Control Rel., 1990, 14,
43-51).
[0121] Non-chelating non-surfactants: As used herein, non-chelating
non-surfactant penetration enhancing compounds can be defined as
compounds that demonstrate insignificant activity as chelating
agents or as surfactants but that nonetheless enhance absorption of
oligonucleotides through the alimentary mucosa (Muranishi, Critical
Reviews in Therapeutic Drug Carrier Systems, 1990, 7, 1-33). This
class of penetration enhancers include, for example, unsaturated
cyclic ureas, 1-alkyl- and 1-alkenylazacyclo-alkanone derivatives
(Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems,
1991, page 92); and non-steroidal anti-inflammatory agents such as
diclofenac sodium, indomethacin and phenylbutazone (Yamashita et
al., J. Pharm. Pharmacol., 1987, 39, 621-626).
[0122] Agents that enhance uptake of oligonucleotides at the
cellular level may also be added to the pharmaceutical and other
compositions of the present invention. For example, cationic
lipids, such as lipofectin (Junichi et al, U.S. Pat. No.
5,705,188), cationic glycerol derivatives, and polycationic
molecules, such as polylysine (Lollo et al., PCT Application WO
97/30731), are also known to enhance the cellular uptake of
oligonucleotides.
[0123] Other agents may be utilized to enhance the penetration of
the administered nucleic acids, including glycols such as ethylene
glycol and propylene glycol, pyrrols such as 2-pyrrol, azones, and
terpenes such as limonene and menthone.
[0124] Carriers
[0125] Certain compositions of the present invention also
incorporate carrier compounds in the formulation. As used herein,
"carrier compound" or "carrier" can refer to a nucleic acid, or
analog thereof, which is inert (i.e., does not possess biological
activity per se) but is recognized as a nucleic acid by in vivo
processes that reduce the bioavailability of a nucleic acid having
biological activity by, for example, degrading the biologically
active nucleic acid or promoting its removal from circulation. The
coadministration of a nucleic acid and a carrier compound,
typically with an excess of the latter substance, can result in a
substantial reduction of the amount of nucleic acid recovered in
the liver, kidney or other extracirculatory reservoirs, presumably
due to competition between the carrier compound and the nucleic
acid for a common receptor. For example, the recovery of a
partially phosphorothioate oligonucleotide in hepatic tissue can be
reduced when it is coadministered with polyinosinic acid, dextran
sulfate, polycytidic acid or 4-acetamido-4'
isothiocyano-stilbene-2,2'-disulfonic acid (Miyao et al., Antisense
Res. Dev., 1995, 5, 115-121; Takakura et al., Antisense & Nucl.
Acid Drug Dev., 1996, 6, 177-183).
[0126] Excipients
[0127] 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
may 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. Typical
pharmaceutical carriers include, but are not limited to, binding
agents (e.g., pregelatinized maize starch, polyvinylpyrrolidone or
hydroxypropyl methylcellulose, etc.); fillers (e.g., lactose and
other sugars, microcrystalline cellulose, pectin, gelatin, calcium
sulfate, ethyl cellulose, polyacrylates or calcium hydrogen
phosphate, etc.); lubricants (e.g., magnesium stearate, talc,
silica, colloidal silicon dioxide, stearic acid, metallic
stearates, hydrogenated vegetable oils, corn starch, polyethylene
glycols, sodium benzoate, sodium acetate, etc.); disintegrants
(e.g., starch, sodium starch glycolate, etc.); and wetting agents
(e.g., sodium lauryl sulphate, etc.).
[0128] Pharmaceutically acceptable organic or inorganic excipient
suitable for non-parenteral administration which do not
deleteriously react with nucleic acids can also be used to
formulate the compositions of the present invention. Suitable
pharmaceutically acceptable carriers include, but are not limited
to, water, salt solutions, alcohols, polyethylene glycols, gelatin,
lactose, amylose, magnesium stearate, talc, silicic acid, viscous
paraffin, hydroxymethylcellulose, polyvinylpyrrolidone and the
like.
[0129] Formulations for topical administration of nucleic acids may
include sterile and non-sterile aqueous solutions, non-aqueous
solutions in common solvents such as alcohols, or solutions of the
nucleic acids in liquid or solid oil bases. The solutions may also
contain buffers, diluents and other suitable additives.
Pharmaceutically acceptable organic or inorganic excipients
suitable for non-parenteral administration which do not
deleteriously, react with nucleic acids can be used.
[0130] Suitable pharmaceutically acceptable excipients include, but
are not limited to, water, salt solutions, alcohol, polyethylene
glycols, gelatin, lactose, amylose, magnesium stearate, talc,
silicic acid, viscous paraffin, hydroxymethylcellulose,
polyvinylpyrrolidone and the like.
[0131] Other Components
[0132] The compositions of the present invention may additionally
contain other adjunct components conventionally found in
pharmaceutical compositions, at their art-established usage levels.
Thus, for example, the compositions may contain additional,
compatible, pharmaceutically-active materials such as, for example,
antipruritics, astringents, local anesthetics or anti-inflammatory
agents, or may 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 and/or aromatic substances and the like which
do not deleteriously interact with the nucleic acid(s) of the
formulation.
[0133] Aqueous suspensions may contain substances which increase
the viscosity of the suspension including, for example, sodium
carboxymethylcellulose, sorbitol and/or dextran. The suspension may
also contain stabilizers.
[0134] Certain embodiments of the invention provide pharmaceutical
compositions containing (a) one or more antisense compounds and (b)
one or more other chemotherapeutic agents which function by a
non-antisense mechanism. Examples of such chemotherapeutic agents
include but are not limited to daunorubicin, daunomycin,
dactinomycin, doxorubicin, epirubicin, idarubicin, esorubicin,
bleomycin, mafosfamide, ifosfamide, cytosine arabinoside,
bis-chloroethylnitrosurea, busulfan, mitomycin C, actinomycin D,
mithramycin, prednisone, hydroxyprogesterone, testosterone,
tamoxifen, dacarbazine, procarbazine, hexamethylmelamine,
pentamethylmelamine, mitoxantrone, amsacrine, chlorambucil,
methylcyclohexylnitrosurea, nitrogen mustards, melphalan,
cyclophosphamide, 6-mercaptopurine, 6-thioguanine, cytarabine,
5-azacytidine, hydroxyurea, deoxycoformycin,
4-hydroxyperoxycyclophosphoramide, 5-fluorouracil (5-FU),
5-fluorodeoxyuridine (5-FUdR), methotrexate (MTX), colchicine,
taxol, vincristine, vinblastine, etoposide (VP-16), trimetrexate,
irinotecan, topotecan, gemcitabine, teniposide, cisplatin and
diethylstilbestrol (DES). See, generally, The Merck Manual of
Diagnosis and Therapy, 15th Ed. 1987, pp. 1206-1228, Berkow et al.,
eds., Rahway, N.J. When used with the compounds of the invention,
such chemotherapeutic agents may be used individually (e.g., 5-FU
and oligonucleotide), sequentially (e.g., 5-FU and oligonucleotide
for a period of time followed by MTX and oligonucleotide), or in
combination with one or more other such chemotherapeutic agents
(e.g., 5-FU, MTX and oligonucleotide, or 5-FU, radiotherapy and
oligonucleotide). Anti-inflammatory drugs, including but not
limited to nonsteroidal anti-inflammatory drugs and
corticosteroids, and antiviral drugs, including but not limited to
ribivirin, vidarabine, acyclovir and ganciclovir, may also be
combined in compositions of the invention. See, generally, The
Merck Manual of Diagnosis and Therapy, 15th Ed., Berkow et al.,
eds., 1987, Rahway, N.J., pages 2499-2506 and 46-49, respectively).
Other non-antisense chemotherapeutic agents are also within the
scope of this invention. Two or more combined compounds may be used
together or sequentially.
[0135] In another related embodiment, compositions of the invention
may contain one or more antisense compounds, particularly
oligonucleotides, targeted to a first nucleic acid and one or more
additional antisense compounds targeted to a second nucleic acid
target. Numerous examples of antisense compounds are known in the
art. Two or more combined compounds may be used together or
sequentially.
[0136] The formulation of therapeutic compositions and their
subsequent administration is believed to be within the skill of
those in the art. Dosing is dependent on severity and
responsiveness of the disease state to be treated, with the course
of treatment lasting from several days to several months, or until
a cure is effected or a diminution of the disease state is
achieved. Optimal dosing schedules can be calculated from
measurements of drug accumulation in the body of the patient.
Persons of ordinary skill can easily determine optimum dosages,
dosing methodologies and repetition rates. Optimum dosages may vary
depending on the relative potency of individual oligonucleotides,
and can generally be estimated based on EC.sub.50s found to be
effective in in vitro and in vivo animal models. In general, dosage
is from 0.01 ug to 100 g per kg of body weight, and may be given
once or more daily, weekly, monthly or yearly, or even once every 2
to 20 years. Persons of ordinary skill in the art can easily
estimate repetition rates for dosing based on measured residence
times and concentrations of the drug in bodily fluids or tissues.
Following successful treatment, it may be desirable to have the
patient undergo maintenance therapy to prevent the recurrence of
the disease state, wherein the oligonucleotide is administered in
maintenance doses, ranging from 0.01 ug to 100 g per kg of body
weight, once or more daily, to once every 20 years.
[0137] While the present invention has been described with
specificity in accordance with certain of its preferred
embodiments, the following examples serve only to illustrate the
invention and are not intended to limit the same.
EXAMPLES
Example 1
Nucleoside Phosphoramidites for Oligonucleotide Synthesis
Deoxy and 2'-alkoxy amidites
[0138] 2'-Deoxy and 2'-methoxy beta-cyanoethyldiisopropyl
phosphoramidites were purchased from commercial sources (e.g.
Chemgenes, Needham Mass. or Glen Research, Inc. Sterling Va.).
Other 2'-O-alkoxy substituted nucleoside amidites are prepared as
described in U.S. Pat. No. 5,506,351, herein incorporated by
reference. For oligonucleotides synthesized using 2'-alkoxy
amidites, the standard cycle for unmodified oligonucleotides was
utilized, except the wait step after pulse delivery of tetrazole
and base was increased to 360 seconds.
[0139] Oligonucleotides containing 5-methyl-2'-deoxycytidine
(5-Me-C) nucleotides were synthesized according to published
methods [Sanghvi, et. al., Nucleic Acids Research, 1993, 21,
3197-3203] using commercially available phosphoramidites (Glen
Research, Sterling Va. or ChemGenes, Needham Mass.).
2'-Fluoro amidites
2'-Fluorodeoxyadenosine amidites
[0140] 2'-fluoro oligonucleotides were synthesized as described
previously [Kawasaki, et. al., J. Med. Chem., 1993, 36, 831-841]
and U.S. Pat. No. 5,670,633, herein incorporated by reference.
Briefly, the protected nucleoside
N6-benzoyl-2'-deoxy-2'-fluoroadenosine was synthesized utilizing
commercially available 9-beta-D-arabinofuranosyladenine as starting
material and by modifying literature procedures whereby the
2'-alpha-fluoro atom is introduced by a S.sub.N2-displacement of a
2'-beta-trityl group. Thus
N6-benzoyl-9-beta-D-arabinofuranosyladenine was selectively
protected in moderate yield as the 3',5'-ditetrahydropyranyl (THP)
intermediate. Deprotection of the THP and N6-benzoyl groups was
accomplished using standard methodologies and standard methods were
used to obtain the 5'-dimethoxytrityl-(DMT) and
5'-DMT-3'-phosphoramidite intermediates.
2'-Fluorodeoxyguanosine
[0141] The synthesis of 2'-deoxy-2'-fluoroguanosine was
accomplished using tetraisopropyldisiloxanyl (TPDS) protected
9-beta-D-arabinofuranosylguanine as starting material, and
conversion to the intermediate
diisobutyrylarabinofuranosylguanosine. Deprotection of the TPDS
group was followed by protection of the hydroxyl group with THP to
give diisobutyryl di-THP protected arabinofuranosylguanine.
Selective O-deacylation and triflation was followed by treatment of
the crude product with fluoride, then deprotection of the THP
groups.
[0142] Standard methodologies were used to obtain the 5'-DMT- and
5'-DMT-3'-phosphoramidites.
2'-Fluorouridine
[0143] Synthesis of 2'-deoxy-2'-fluorouridine was accomplished by
the modification of a literature procedure in which
2,2'-anhydro-1-beta-D-arabinofuranosyluracil was treated with 70%
hydrogen fluoride-pyridine. Standard procedures were used to obtain
the 5'-DMT and 5'-DMT-3' phosphoramidites.
2'-Fluorodeoxycytidine
[0144] 2'-deoxy-2'-fluorocytidine was synthesized via amination of
2'-deoxy-2'-fluorouridine, followed by selective protection to give
N4-benzoyl-2'-deoxy-2'-fluorocytidine. Standard procedures were
used to obtain the 5'-DMT and 5'-DMT-3' phosphoramidites.
2'-O-(2-Methoxyethyl) modified amidites
[0145] 2'-O-Methoxyethyl-substituted nucleoside amidites are
prepared as follows, or alternatively, as per the methods of
Martin, P., Helvetica Chimica Acta, 1995, 78, 486-504.
2,2'Anhydro[1-(beta-D-arabinofuranosyl)-5-methyluridine]
[0146] 5-Methyluridine (ribosylthymine, commercially available
through Yamasa, Choshi, Japan) (72.0 g, 0.279 M), diphenylcarbonate
(90.0 g, 0.420 M) and sodium bicarbonate (2.0 g, 0.024 M) were
added to DMF (300 mL). The mixture was heated to reflux, with
stirring, allowing the evolved carbon dioxide gas to be released in
a controlled manner. After 1 hour, the slightly darkened solution
was concentrated under reduced pressure. The resulting syrup was
poured into diethylether (2.5 L), with stirring. The product formed
a gum. The ether was decanted and the residue was dissolved in a
minimum amount of methanol (ca. 400 mL). The solution was poured
into fresh ether (2.5 L) to yield a stiff gum. The ether was
decanted and the gum was dried in a vacuum oven (60.degree. C. at 1
mm Hg for 24 h) to give a solid that was crushed to a light tan
powder (57 g, 85% crude yield). The NMR spectrum was consistent
with the structure, contaminated with phenol as its sodium salt
(ca. 5%). The material was used as is for further reactions (or it
can be purified further by column chromatography using a gradient
of methanol in ethyl acetate (10-25%) to give a white solid, mp
222-4.degree. C.).
2'-O-Methoxyethyl-5-methyluridine
[0147] 2,2'-Anhydro-5-methyluridine (195 g, 0.81 M),
tris(2-methoxyethyl)borate (231 g, 0.98 M) and 2-methoxyethanol
(1.2 L) were added to a 2 L stainless steel pressure vessel and
placed in a pre-heated oil bath at 160.degree. C. After heating for
48 hours at 155-160.degree. C., the vessel was opened and the
solution evaporated to dryness and triturated with MeOH (200 mL).
The residue was suspended in hot acetone (1 L). The insoluble salts
were filtered, washed with acetone (150 mL) and the filtrate
evaporated. The residue (280 g) was dissolved in CH.sub.3CN (600
mL) and evaporated. A silica gel column (3 kg) was packed in
CH.sub.2Cl.sub.2/acetone/MeOH (20:5:3) containing 0.5% Et.sub.3NH.
The residue was dissolved in CH.sub.2Cl.sub.2 (250 mL) and adsorbed
onto silica (150 g) prior to loading onto the column. The product
was eluted with the packing solvent to give 160 g (63%) of product.
Additional material was obtained by reworking impure fractions.
2'-O-Methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine
[0148] 2'-O-Methoxyethyl-5-methyluridine (160 g, 0.506 M) was
co-evaporated with pyridine (250 mL) and the dried residue
dissolved in pyridine (1.3 L). A first aliquot of dimethoxytrityl
chloride (94.3 g, 0.278 M) was added and the mixture stirred at
room temperature for one hour. A second aliquot of dimethoxytrityl
chloride (94.3 g, 0.278 M) was added and the reaction stirred for
an additional one hour. Methanol (170 mL) was then added to stop
the reaction. HPLC showed the presence of approximately 70%
product. The solvent was evaporated and triturated with CH.sub.3CN
(200 mL). The residue was dissolved in CHCl.sub.3 (1.5 L) and
extracted with 2.times.500 mL of saturated NaHCO.sub.3 and
2.times.500 mL of saturated NaCl. The organic phase was dried over
Na.sub.2SO.sub.4, filtered and evaporated. 275 g of residue was
obtained. The residue was purified on a 3.5 kg silica gel column,
packed and eluted with EtOAc/hexane/acetone (5:5:1) containing 0.5%
Et.sub.3NH. The pure fractions were evaporated to give 164 g of
product. Approximately 20 g additional was obtained from the impure
fractions to give a total yield of 183 g (57%).
3'-O-Acetyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine
[0149] 2'-O-Methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine (106
g, 0.167 M), DMF/pyridine (750 mL of a 3:1 mixture prepared from
562 mL of DMF and 188 mL of pyridine) and acetic anhydride (24.38
mL, 0.258 M) were combined and stirred at room temperature for 24
hours. The reaction was monitored by TLC by first quenching the TLC
sample with the addition of MeOH. Upon completion of the reaction,
as judged by TLC, MeOH (50 mL) was added and the mixture evaporated
at 35.degree. C. The residue was dissolved in CHCl.sub.3 (800 mL)
and extracted with 2.times.200 mL of saturated sodium bicarbonate
and 2.times.200 mL of saturated NaCl. The water layers were back
extracted with 200 mL of CHCl.sub.3. The combined organics were
dried with sodium sulfate and evaporated to give 122 g of residue
(approx. 90% product). The residue was purified on a 3.5 kg silica
gel column and eluted using EtOAc/hexane (4:1). Pure product
fractions were evaporated to yield 96 g (84%). An additional 1.5 g
was recovered from later fractions.
3'-O-Acetyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methyl-4-triazoleurid-
ine
[0150] A first solution was prepared by dissolving
3'-O-acetyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine
(96 g, 0.144 M) in CH.sub.3CN (700 mL) and set aside. Triethylamine
(189 mL, 1.44 M) was added to a solution of triazole (90 g, 1.3 M)
in CH.sub.3CN (1 L), cooled to -5.degree. C. and stirred for 0.5 h
using an overhead stirrer. POCl.sub.3 was added dropwise, over a 30
minute period, to the stirred solution maintained at 0-10.degree.
C., and the resulting mixture stirred for an additional 2 hours.
The first solution was added dropwise, over a 45 minute period, to
the latter solution. The resulting reaction mixture was stored
overnight in a cold room. Salts were filtered from the reaction
mixture and the solution was evaporated. The residue was dissolved
in EtOAc (1 L) and the insoluble solids were removed by filtration.
The filtrate was washed with 1.times.300 mL of NaHCO.sub.3 and
2.times.300 mL of saturated NaCl, dried over sodium sulfate and
evaporated. The residue was triturated with EtOAc to give the title
compound.
2'-O-Methoxyethyl-5'-O-dimethoxytrityl-5-methylcytidine
[0151] A solution of
3'-O-acetyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methyl-4-triazoleuri-
dine (103 g, 0.141 M) in dioxane (500 mL) and NH.sub.4OH (30 mL)
was stirred at room temperature for 2 hours. The dioxane solution
was evaporated and the residue azeotroped with MeOH (2.times.200
mL). The residue was dissolved in MeOH (300 mL) and transferred to
a 2 liter stainless steel pressure vessel. MeOH (400 mL) saturated
with NH.sub.3 gas was added and the vessel heated to 100.degree. C.
for 2 hours (TLC showed complete conversion). The vessel contents
were evaporated to dryness and the residue was dissolved in EtOAc
(500 mL) and washed once with saturated NaCl (200 mL). The organics
were dried over sodium sulfate and the solvent was evaporated to
give 85 g (95%) of the title compound.
N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methylcytidine
[0152] 2'-O-Methoxyethyl-5'-O-dimethoxytrityl-5-methylcytidine (85
g, 0.134 M) was dissolved in DMF (800 mL) and benzoic anhydride
(37.2 g, 0.165 M) was added with stirring. After stirring for 3
hours, TLC showed the reaction to be approximately 95% complete.
The solvent was evaporated and the residue azeotroped with MeOH
(200 mL). The residue was dissolved in CHCl.sub.3 (700 mL) and
extracted with saturated NaHCO.sub.3 (2.times.300 mL) and saturated
NaCl (2.times.300 mL), dried over MgSO.sub.4 and evaporated to give
a residue (96 g). The residue was chromatographed on a 1.5 kg
silica column using EtOAc/hexane (1:1) containing 0.5% Et.sub.3NH
as the eluting solvent. The pure product fractions were evaporated
to give 90 g (90%) of the title compound.
N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methylcytidine-3'-amid-
ite
[0153]
N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methylcytidine
(74 g, 0.10 M) was dissolved in CH.sub.2Cl.sub.2 (1 L). Tetrazole
diisopropylamine (7.1 g) and
2-cyanoethoxy-tetra(isopropyl)phosphite (40.5 mL, 0.123 M) were
added with stirring, under a nitrogen atmosphere. The resulting
mixture was stirred for 20 hours at room temperature (TLC showed
the reaction to be 95% complete). The reaction mixture was
extracted with saturated NaHCO.sub.3 (1.times.300 mL) and saturated
NaCl (3.times.300 mL). The aqueous washes were back-extracted with
CH.sub.2Cl.sub.2 (300 mL), and the extracts were combined, dried
over MgSO.sub.4 and concentrated. The residue obtained was
chromatographed on a 1.5 kg silica column using EtOAc/hexane (3:1)
as the eluting solvent. The pure fractions were combined to give
90.6 g (87%) of the title compound.
2'-O-(Aminooxyethyl) nucleoside amidites and
2'-O-(dimethylaminooxyethyl) nucleoside amidites
2'-(Dimethylaminooxyethoxy) nucleoside amidites
[0154] 2'-(Dimethylaminooxyethoxy) nucleoside amidites [also known
in the art as 2'-O-(dimethylaminooxyethyl) nucleoside amidites] are
prepared as described in the following paragraphs. Adenosine,
cytidine and guanosine nucleoside amidites are prepared similarly
to the thymidine (5-methyluridine) except the exocyclic amines are
protected with a benzoyl moiety in the case of adenosine and
cytidine and with isobutyryl in the case of guanosine.
5'-O-tert-Butyldiphenylsilyl-O.sup.2-2'-anhydro-5-methyluridine
[0155] O.sup.2-2'-anhydro-5-methyluridine (Pro. Bio. Sint., Varese,
Italy, 100.0 g, 0.416 mmol), dimethylaminopyridine (0.66 g, 0.013
eq, 0.0054 mmol) were dissolved in dry pyridine (500 ml) at ambient
temperature under an argon atmosphere and with mechanical stirring.
tert-Butyldiphenylchlorosilane (125.8 g, 119.0 mL, 1.1 eq, 0.458
mmol) was added in one portion. The reaction was stirred for 16 h
at ambient temperature. TLC (Rf 0.22, ethyl acetate) indicated a
complete reaction. The solution was concentrated under reduced
pressure to a thick oil. This was partitioned between
dichloromethane (1 L) and saturated sodium bicarbonate (2.times.1
L) and brine (1 L). The organic layer was dried over sodium sulfate
and concentrated under reduced pressure to a thick oil. The oil was
dissolved in a 1:1 mixture of ethyl acetate and ethyl ether (600
mL) and the solution was cooled to -10.degree. C. The resulting
crystalline product was collected by filtration, washed with ethyl
ether (3.times.200 mL) and dried (40.degree. C., 1 mm Hg, 24 h) to
149 g (74.8%) of white solid. TLC and NMR were consistent with pure
product.
5-O-tert-Butyldiphenylsilyl-2'-O-(2-hydroxyethyl)-5-methyluridine
[0156] In a 2 L stainless steel, unstirred pressure reactor was
added borane in tetrahydrofuran (1.0 M, 2.0 eq, 622 mL). In the
fume hood and with manual stirring, ethylene glycol (350 mL,
excess) was added cautiously at first until the evolution of
hydrogen gas subsided.
5'-O-tert-Butyldiphenylsilyl-O.sup.2-2'-anhydro-5-methyluridine
(149 g, 0.311 mol) and sodium bicarbonate (0.074 g, 0.003 eq) were
added with manual stirring. The reactor was sealed and heated in an
oil bath until an internal temperature of 160.degree. C. was
reached and then maintained for 16 h (pressure <100 psig). The
reaction vessel was cooled to ambient and opened. TLC (Rf 0.67 for
desired product and Rf 0.82 for ara-T side product, ethyl acetate)
indicated about 70% conversion to the product. In order to avoid
additional side product formation, the reaction was stopped,
concentrated under reduced pressure (10 to 1 mm Hg) in a warm water
bath (40-100.degree. C.) with the more extreme conditions used to
remove the ethylene glycol. [Alternatively, once the low boiling
solvent is gone, the remaining solution can be partitioned between
ethyl acetate and water. The product will be in the organic phase.]
The residue was purified by column chromatography (2 kg silica gel,
ethyl acetate-hexanes gradient 1:1 to 4:1). The appropriate
fractions were combined, stripped and dried to product as a white
crisp foam (84 g, 50%), contaminated starting material (17.4 g) and
pure reusable starting material 20 g. The yield based on starting
material less pure recovered starting material was 58%. TLC and NMR
were consistent with 99% pure product.
2'-O-([2-phthalimidoxy)ethyl]-5'-t-butyldiphenylsilyl-5-methyluridine
[0157]
5'-O-tert-Butyldiphenylsilyl-2'-O-(2-hydroxyethyl)-5-methyluridine
(20 g, 36.98 mmol) was mixed with triphenylphosphine (11.63 g,
44.36 mmol) and N-hydroxyphthalimide (7.24 g, 44.36 mmol). It was
then dried over P.sub.2O.sub.5 under high vacuum for two days at
40.degree. C. The reaction mixture was flushed with argon and dry
THF (369.8 mL, Aldrich, sure seal bottle) was added to get a clear
solution. Diethyl-azodicarboxylate (6.98 mL, 44.36 mmol) was added
dropwise to the reaction mixture. The rate of addition is
maintained such that resulting deep red coloration is just
discharged before adding the next drop. After the addition was
complete, the reaction was stirred for 4 hrs. By that time TLC
showed the completion of the reaction (ethylacetate:hexane, 60:40).
The solvent was evaporated in vacuum. Residue obtained was placed
on a flash column and eluted with ethyl acetate:hexane (60:40), to
get
2'-O-([2-phthalimidoxy)ethyl]-5'-t-butyldiphenylsilyl-5-methyluridine
as white foam (21.819 g, 86%).
5-O-tert-butyldiphenylsilyl-2'-O-[(2-formadoximinooxy)ethyl]-5-methyluridi-
ne
[0158]
2'-O-([2-phthalimidoxy)ethyl]-5'-t-butyldiphenylsilyl-5-methyluridi-
ne (3.1 g, 4.5 mmol) was dissolved in dry CH.sub.2Cl.sub.2 (4.5 mL)
and methylhydrazine (300 mL, 4.64 mmol) was added dropwise at
-10.degree. C. to 0.degree. C. After 1 h the mixture was filtered,
the filtrate was washed with ice cold CH.sub.2Cl.sub.2 and the
combined organic phase was washed with water, brine and dried over
anhydrous Na.sub.2SO.sub.4. The solution was concentrated to get
2'-O-(aminooxyethyl) thymidine, which was then dissolved in MeOH
(67.5 mL). To this formaldehyde (20% aqueous solution, w/w, 1.1
eq.) was added and the resulting mixture was stirred for 1 h.
Solvent was removed under vacuum; residue chromatographed to get
5'-O-tert-butyldiphenylsilyl-2'-O-[(2-formadoximinooxy)ethyl]-5-methyluri-
dine as white foam (1.95 g, 78%).
5'-O-tert-Butyldiphenylsilyl-2'-O--[N,N-dimethylaminooxyethyl]-5-methyluri-
dine
[0159]
5'-O-tert-butyldiphenylsilyl-2'-O-[(2-formadoximinooxy)ethyl]-5-met-
hyluridine (1.77 g, 3.12 mmol) was dissolved in a solution of 1M
pyridinium p-toluenesulfonate (PPTS) in dry MeOH (30.6 mL). Sodium
cyanoborohydride (0.39 g, 6.13 mmol) was added to this solution at
10.degree. C. under inert atmosphere. The reaction mixture was
stirred for 10 minutes at 10.degree. C. After that the reaction
vessel was removed from the ice bath and stirred at room
temperature for 2 h, the reaction monitored by TLC (5% MeOH in
CH.sub.2Cl.sub.2). Aqueous NaHCO.sub.3 solution (5%, 10 mL) was
added and extracted with ethyl acetate (2.times.20 mL). Ethyl
acetate phase was dried over anhydrous Na.sub.2SO.sub.4, evaporated
to dryness. Residue was dissolved in a solution of 1M PPTS in MeOH
(30.6 mL). Formaldehyde (20% w/w, 30 mL, 3.37 mmol) was added and
the reaction mixture was stirred at room temperature for 10
minutes. Reaction mixture cooled to 10.degree. C. in an ice bath,
sodium cyanoborohydride (0.39 g, 6.13 mmol) was added and reaction
mixture stirred at 10.degree. C. for 10 minutes. After 10 minutes,
the reaction mixture was removed from the ice bath and stirred at
room temperature for 2 hrs. To the reaction mixture 5% NaHCO.sub.3
(25 mL) solution was added and extracted with ethyl acetate
(2.times.25 mL). Ethyl acetate layer was dried over anhydrous
Na.sub.2SO.sub.4 and evaporated to dryness. The residue obtained
was purified by flash column chromatography and eluted with 5% MeOH
in CH.sub.2Cl.sub.2 to get
5'-O-tert-butyldiphenylsilyl-2'-O--[N,N-dimethylaminooxyethyl]-5-methylur-
idine as a white foam (14.6 g, 80%).
2'-O-(dimethylaminooxyethyl)-5-methyluridine
[0160] Triethylamine trihydrofluoride (3.91 mL, 24.0 mmol) was
dissolved in dry THF and triethylamine (1.67 mL, 12 mmol, dry, kept
over KOH). This mixture of triethylamine-2HF was then added to
5'-O-tert-butyldiphenylsilyl-2'-O--[N,N-dimethylaminooxyethyl]-5-methylur-
idine (1.40 g, 2.4 mmol) and stirred at room temperature for 24
hrs. Reaction was monitored by TLC (5% MeOH in CH.sub.2Cl.sub.2).
Solvent was removed under vacuum and the residue placed on a flash
column and eluted with 10% MeOH in CH.sub.2Cl.sub.2 to get
2'-O-(dimethylaminooxyethyl)-5-methyluridine (766 mg, 92.5%).
5'-O-DMT-2'-O-(dimethylaminooxyethyl)-5-methyluridine
[0161] 2'-O-(dimethylaminooxyethyl)-5-methyluridine (750 mg, 2.17
mmol) was dried over P.sub.2O.sub.5 under high vacuum overnight at
40.degree. C. It was then co-evaporated with anhydrous pyridine (20
mL). The residue obtained was dissolved in pyridine (11 mL) under
argon atmosphere. 4-dimethylaminopyridine (26.5 mg, 2.60 mmol),
4,4'-dimethoxytrityl chloride (880 mg, 2.60 mmol) was added to the
mixture and the reaction mixture was stirred at room temperature
until all of the starting material disappeared. Pyridine was
removed under vacuum and the residue chromatographed and eluted
with 10% MeOH in CH.sub.2Cl.sub.2 (containing a few drops of
pyridine) to get
5'-O-DMT-2'-O-(dimethylamino-oxyethyl)-5-methyluridine (1.13 g,
80%).
5'-O-DMT-2'-O-(2-N,N-dimethylaminooxyethyl)-5-methyluridine-3%[(2-cyanoeth-
yl)-N,N-diisopropylphosphoramidite]
[0162] 5'-O-DMT-2'-O-(dimethylaminooxyethyl)-5-methyluridine (1.08
g, 1.67 mmol) was co-evaporated with toluene (20 mL). To the
residue N,N-diisopropylamine tetrazonide (0.29 g, 1.67 mmol) was
added and dried over P.sub.2O.sub.5 under high vacuum overnight at
40.degree. C. Then the reaction mixture was dissolved in anhydrous
acetonitrile (8.4 mL) and
2-cyanoethyl-N,N,N.sup.1,N.sup.1-tetraisopropylphosphoramidite
(2.12 mL, 6.08 mmol) was added. The reaction mixture was stirred at
ambient temperature for 4 hrs under inert atmosphere. The progress
of the reaction was monitored by TLC (hexane:ethyl acetate 1:1).
The solvent was evaporated, then the residue was dissolved in ethyl
acetate (70 mL) and washed with 5% aqueous NaHCO.sub.3 (40 mL).
Ethyl acetate layer was dried over anhydrous Na.sub.2SO.sub.4 and
concentrated. Residue obtained was chromatographed (ethyl acetate
as eluent) to get
5'-O-DMT-2'-O-(2-N,N-dimethylaminooxyethyl)-5-methyluridine-3'-[(2-cyanoe-
thyl)-N,N-diisopropylphosphoramidite] as a foam (1.04 g,
74.9%).
2'-(Aminooxyethoxy) nucleoside amidites
[0163] 2'-(Aminooxyethoxy) nucleoside amidites [also known in the
art as 2'-O-(aminooxyethyl) nucleoside amidites] are prepared as
described in the following paragraphs. Adenosine, cytidine and
thymidine nucleoside amidites are prepared similarly.
N2-isobutyryl-6-O-diphenylcarbamoyl-2'-O-(2-ethylacetyl)-5'-O-(4,4'-dimeth-
oxytrityl)guanosine-3'-[(2-cyanoethyl)-N,N-diisopropylphosphoramidite]
[0164] The 2'-O-aminooxyethyl guanosine analog may be obtained by
selective 2'-O-alkylation of diaminopurine riboside. Multigram
quantities of diaminopurine riboside may be purchased from Schering
AG (Berlin) to provide 2'-O-(2-ethylacetyl) diaminopurine riboside
along with a minor amount of the 3'-O-isomer. 2'-O-(2-ethylacetyl)
diaminopurine riboside may be resolved and converted to
2'-O-(2-ethylacetyl)guanosine by treatment with adenosine
deaminase. (McGee, D. P. C., Cook, P. D., Guinosso, C. J., WO
94/02501 A1 940203.) Standard protection procedures should afford
2'-O-(2-ethylacetyl)-5'-O-(4,4'-dimethoxytrityl)guanosine and
2-N-isobutyryl-6-O-diphenylcarbamoyl-2'-O-(2-ethylacetyl)-5'-O-(4,4'--
dimethoxytrityl)guanosine which may be reduced to provide
2-N-isobutyryl-6-O-diphenylcarbamoyl-2'-O-(2-hydroxyethyl)-5'-O-(4,4'-dim-
ethoxytrityl)guanosine. As before the hydroxyl group may be
displaced by N-hydroxyphthalimide via a Mitsunobu reaction, and the
protected nucleoside may phosphitylated as usual to yield
2-N-isobutyryl-6-O-diphenylcarbamoyl-2'-O-([2-phthalmidoxy]ethyl)-5'-O-(4-
,4'-dimethoxytrityl)guanosine-3'-[(2-cyanoethyl)-N,N-diisopropylphosphoram-
idite].
2'-dimethylaminoethoxyethoxy (2'-DMAEOE) nucleoside amidites
[0165] 2'-dimethylaminoethoxyethoxy nucleoside amidites (also known
in the art as 2'-O-dimethylaminoethoxyethyl, i.e.,
2'-O--CH.sub.2--O--CH.sub.2--N(CH.sub.2).sub.2, or 2'-DMAEOE
nucleoside amidites) are prepared as follows. Other nucleoside
amidites are prepared similarly.
2'-O--[2(2-N,N-dimethylaminoethoxy)ethyl]-5-methyl uridine
[0166] 2[2-(Dimethylamino)ethoxy]ethanol (Aldrich, 6.66 g, 50 mmol)
is slowly added to a solution of borane in tetrahydrofuran (1 M, 10
mL, 10 mmol) with stirring in a 100 mL bomb. Hydrogen gas evolves
as the solid dissolves. O.sup.2-,2'-anhydro-5-methyluridine (1.2 g,
5 mmol), and sodium bicarbonate (2.5 mg) are added and the bomb is
sealed, placed in an oil bath and heated to 155.degree. C. for 26
hours. The bomb is cooled to room temperature and opened. The crude
solution is concentrated and the residue partitioned between water
(200 mL) and hexanes (200 mL). The excess phenol is extracted into
the hexane layer. The aqueous layer is extracted with ethyl acetate
(3.times.200 mL) and the combined organic layers are washed once
with water, dried over anhydrous sodium sulfate and concentrated.
The residue is columned on silica gel using methanol/methylene
chloride 1:20 (which has 2% triethylamine) as the eluent. As the
column fractions are concentrated a colorless solid forms which is
collected to give the title compound as a white solid.
5'-O-dimethoxytrityl-2'-O-[2(2-N,N-dimethylaminoethoxy)ethyl)]-5-methyl
uridine
[0167] To 0.5 g (1.3 mmol) of
2'-O-[2(2-N,N-dimethylaminoethoxy)ethyl)]-5-methyl uridine in
anhydrous pyridine (8 mL), triethylamine (0.36 mL) and
dimethoxytrityl chloride (DMT-Cl, 0.87 g, 2 eq.) are added and
stirred for 1 hour. The reaction mixture is poured into water (200
mL) and extracted with CH.sub.2Cl.sub.2 (2.times.200 mL). The
combined CH.sub.2Cl.sub.2 layers are washed with saturated
NaHCO.sub.3 solution, followed by saturated NaCl solution and dried
over anhydrous sodium sulfate. Evaporation of the solvent followed
by silica gel chromatography using MeOH:CH.sub.2Cl.sub.2:Et.sub.3N
(20:1, v/v, with 1% triethylamine) gives the title compound.
5'-O-Dimethoxytrityl-2'-O-[2(2-N,N-dimethylaminoethoxy)ethyl)]-5-methyl
uridine-3'-O-(cyanoethyl-N,N-diisopropyl)phosphoramidite
[0168] Diisopropylaminotetrazolide (0.6 g) and
2-cyanoethoxy-N,N-diisopropyl phosphoramidite (1.1 mL, 2 eq.) are
added to a solution of
5'-O-dimethoxytrityl-2'-O-[2(2-N,N-dimethylaminoethoxy)ethyl)]-5-methylur-
idine (2.17 g, 3 mmol) dissolved in CH.sub.2Cl.sub.2 (20 mL) under
an atmosphere of argon. The reaction mixture is stirred overnight
and the solvent evaporated. The resulting residue is purified by
silica gel flash column chromatography with ethyl acetate as the
eluent to give the title compound.
Example 2
Oligonucleotide Synthesis
[0169] Unsubstituted and substituted phosphodiester (P=O)
oligonucleotides are synthesized on an automated DNA synthesizer
(Applied Biosystems model 380B) using standard phosphoramidite
chemistry with oxidation by iodine.
[0170] Phosphorothioates (P=S) are synthesized as for the
phosphodiester oligonucleotides except the standard oxidation
bottle was replaced by 0.2 M solution of 3H-1,2-benzodithiole-3-one
1,1-dioxide in acetonitrile for the stepwise thiation of the
phosphite linkages. The thiation wait step was increased to 68 sec
and was followed by the capping step. After cleavage from the CPG
column and deblocking in concentrated ammonium hydroxide at
55.degree. C. (18 h), the oligonucleotides were purified by
precipitating twice with 2.5 volumes of ethanol from a 0.5 M NaCl
solution. Phosphinate oligonucleotides are prepared as described in
U.S. Pat. No. 5,508,270, herein incorporated by reference.
[0171] Alkyl phosphonate oligonucleotides are prepared as described
in U.S. Pat. No. 4,469,863, herein incorporated by reference.
[0172] 3'-Deoxy-3'-methylene phosphonate oligonucleotides are
prepared as described in U.S. Pat. No. 5,610,289 or 5,625,050,
herein incorporated by reference.
[0173] Phosphoramidite oligonucleotides are prepared as described
in U.S. Pat. No. 5,256,775 or U.S. Pat. No. 5,366,878, herein
incorporated by reference.
[0174] Alkylphosphonothioate oligonucleotides are prepared as
described in published PCT applications PCT/US94/00902 and
PCT/US93/06976 (published as WO 94/17093 and WO 94/02499,
respectively), herein incorporated by reference.
[0175] 3'-Deoxy-3'-amino phosphoramidate oligonucleotides are
prepared as described in U.S. Pat. No. 5,476,925, herein
incorporated by reference.
[0176] Phosphotriester oligonucleotides are prepared as described
in U.S. Pat. No. 5,023,243, herein incorporated by reference.
[0177] Borano phosphate oligonucleotides are prepared as described
in U.S. Pat. Nos. 5,130,302 and 5,177,198, both herein incorporated
by reference.
Example 3
Oligonucleoside Synthesis
[0178] Methylenemethylimino linked oligonucleosides, also
identified as MMI linked oligonucleosides, methylenedimethylhydrazo
linked oligonucleosides, also identified as MDH linked
oligonucleosides, and methylenecarbonylamino linked
oligonucleosides, also identified as amide-3 linked
oligonucleosides, and methyleneaminocarbonyl linked
oligonucleosides, also identified as amide-4 linked
oligonucleosides, as well as mixed backbone compounds having, for
instance, alternating MMI and P=O or P=S linkages are prepared as
described in U.S. Pat. Nos. 5,378,825, 5,386,023, 5,489,677,
5,602,240 and 5,610,289, all of which are herein incorporated by
reference.
[0179] Formacetal and thioformacetal linked oligonucleosides are
prepared as described in U.S. Pat. Nos. 5,264,562 and 5,264,564,
herein incorporated by reference.
[0180] Ethylene oxide linked oligonucleosides are prepared as
described in U.S. Pat. No. 5,223,618, herein incorporated by
reference.
Example 4
PNA Synthesis
[0181] Peptide nucleic acids (PNAs) are prepared in accordance with
any of the various procedures referred to in Peptide Nucleic Acids
(PNA): Synthesis, Properties and Potential Applications, Bioorganic
& Medicinal Chemistry, 1996, 4, 5-23. They may also be prepared
in accordance with U.S. Pat. Nos. 5,539,082, 5,700,922, and
5,719,262, herein incorporated by reference.
Example 5
Synthesis of Chimeric Oligonucleotides
[0182] Chimeric oligonucleotides, oligonucleosides or mixed
oligonucleotides/oligonucleosides of the invention can be of
several different types. These include a first type wherein the
"gap" segment of linked nucleosides is positioned between 5' and 3'
"wing" segments of linked nucleosides and a second "open end" type
wherein the "gap" segment is located at either the 3' or the 5'
terminus of the oligomeric compound. Oligonucleotides of the first
type are also known in the art as "gapmers" or gapped
oligonucleotides. Oligonucleotides of the second type are also
known in the art as "hemimers" or "wingmers".
[2'-O-Me]-[2'-deoxy]-[2'-O-Me] Chimeric Phosphorothioate
Oligonucleotides
[0183] Chimeric oligonucleotides having phosphorothioate and
2'-deoxy phosphorothioate oligonucleotide segments are synthesized
using an Applied Biosystems automated DNA synthesizer Model 380B,
as above. Oligonucleotides are synthesized using the automated
synthesizer and 2'-deoxy-5'-dimethoxytrityl-3'-O-phosphoramidite
for the DNA portion and
5'-dimethoxytrityl-2'-O-methyl-3'-O-phosphoramidite for 5' and 3'
wings. The standard synthesis cycle is modified by increasing the
wait step after the delivery of tetrazole and base to 600 s
repeated four times for RNA and twice for 2'-O-methyl. The fully
protected oligonucleotide is cleaved from the support and the
phosphate group is deprotected in 3:1 ammonia/ethanol at room
temperature overnight then lyophilized to dryness. Treatment in
methanolic ammonia for 24 hrs at room temperature is then done to
deprotect all bases and sample was again lyophilized to dryness.
The pellet is resuspended in 1M TBAF in THF for 24 hrs at room
temperature to deprotect the 2' positions. The reaction is then
quenched with 1M TEAA and the sample is then reduced to 1/2 volume
by rotovac before being desalted on a G25 size exclusion column.
The oligo recovered is then analyzed spectrophotometrically for
yield and for purity by capillary electrophoresis and by mass
spectrometry.
[2'-O-(2-Methoxyethyl)]-[2'-deoxy]-[2'-O-(Methoxyethyl)] Chimeric
Phosphorothioate Oligonucleotides
[0184] [2'-O-(2-methoxyethyl)]-[2'-deoxy]-[-2'-O-(methoxyethyl)]
chimeric phosphorothioate oligonucleotides were prepared as per the
procedure above for the 2'-O-methyl chimeric oligonucleotide, with
the substitution of 2'-O-(methoxyethyl) amidites for the
2'-O-methyl amidites.
[2'-O-(2-Methoxyethyl)Phosphodiester]-[2'-deoxy
Phosphorothioate]-[2'-O-(2-Methoxyethyl) Phosphodiester] Chimeric
Oligonucleotides
[0185] [2'-O-(2-methoxyethyl phosphodiester]-[2'-deoxy
phosphorothioate]-[2'-O-(methoxyethyl) phosphodiester] chimeric
oligonucleotides are prepared as per the above procedure for the
2'-O-methyl chimeric oligonucleotide with the substitution of
2'-O-(methoxyethyl) amidites for the 2'-O-methyl amidites,
oxidization with iodine to generate the phosphodiester
internucleotide linkages within the wing portions of the chimeric
structures and sulfurization utilizing 3,H-1,2 benzodithiole-3-one
1,1 dioxide (Beaucage Reagent) to generate the phosphorothioate
internucleotide linkages for the center gap.
[0186] Other chimeric oligonucleotides, chimeric oligonucleosides
and mixed chimeric oligonucleotides/oligonucleosides are
synthesized according to U.S. Pat. No. 5,623,065, herein
incorporated by reference.
Example 6
Oligonucleotide Isolation
[0187] After cleavage from the controlled pore glass column
(Applied Biosystems) and deblocking in concentrated ammonium
hydroxide at 55.degree. C. for 18 hours, the oligonucleotides or
oligonucleosides are purified by precipitation twice out of 0.5 M
NaCl with 2.5 volumes ethanol. Synthesized oligonucleotides were
analyzed by polyacrylamide gel electrophoresis on denaturing gels
and judged to be at least 85% full length material. The relative
amounts of phosphorothioate and phosphodiester linkages obtained in
synthesis were periodically checked by .sup.31P nuclear magnetic
resonance spectroscopy, and for some studies oligonucleotides were
purified by HPLC, as described by Chiang et al., J. Biol. Chem.
1991, 266, 18162-18171. Results obtained with HPLC-purified
material were similar to those obtained with non-HPLC purified
material.
Example 7
Oligonucleotide Synthesis
96 Well Plate Format
[0188] Oligonucleotides were synthesized via solid phase P(III)
phosphoramidite chemistry on an automated synthesizer capable of
assembling 96 sequences simultaneously in a standard 96 well
format. Phosphodiester internucleotide linkages were afforded by
oxidation with aqueous iodine. Phosphorothioate internucleotide
linkages were generated by sulfurization utilizing 3,H-1,2
benzodithiole-3-one 1,1 dioxide (Beaucage Reagent) in anhydrous
acetonitrile. Standard base-protected beta-cyanoethyldiisopropyl
phosphoramidites were purchased from commercial vendors (e.g.
PE-Applied Biosystems, Foster City, Calif., or Pharmacia,
Piscataway, N.J.). Non-standard nucleosides are synthesized as per
known literature or patented methods. They are utilized as base
protected beta-cyanoethyldiisopropyl phosphoramidites.
[0189] Oligonucleotides were cleaved from support and deprotected
with concentrated NH.sub.4OH at elevated temperature (55-60.degree.
C.) for 12-16 hours and the released product then dried in vacuo.
The dried product was then re-suspended in sterile water to afford
a master plate from which all analytical and test plate samples are
then diluted utilizing robotic pipettors.
Example 8
Oligonucleotide Analysis
96 Well Plate Format
[0190] The concentration of oligonucleotide in each well was
assessed by dilution of samples and UV absorption spectroscopy. The
full-length integrity of the individual products was evaluated by
capillary electrophoresis (CE) in either the 96 well format
(Beckman P/ACE.TM. MDQ) or, for individually prepared samples, on a
commercial CE apparatus (e.g., Beckman P/ACE.TM. 5000, ABI 270).
Base and backbone composition was confirmed by mass analysis of the
compounds utilizing electrospray-mass spectroscopy. All assay test
plates were diluted from the master plate using single and
multi-channel robotic pipettors. Plates were judged to be
acceptable if at least 85% of the compounds on the plate were at
least 85% full length.
Example 9
Cell Culture and Oligonucleotide Treatment
[0191] The effect of antisense compounds on target nucleic acid
expression can be tested in any of a variety of cell types provided
that the target nucleic acid is present at measurable levels. This
can be routinely determined using, for example, PCR or Northern
blot analysis. The following 7 cell types are provided for
illustrative purposes, but other cell types can be routinely used,
provided that the target is expressed in the cell type chosen. This
can be readily determined by methods routine in the art, for
example Northern blot analysis, Ribonuclease protection assays, or
RT-PCR.
[0192] T-24 Cells:
[0193] The human transitional cell bladder carcinoma cell line T-24
was obtained from the American Type Culture Collection (ATCC)
(Manassas, Va.). T-24 cells were routinely cultured in complete
McCoy's 5A basal media (Gibco/Life Technologies, Gaithersburg, Md.)
supplemented with 10% fetal calf serum (Gibco/Life Technologies,
Gaithersburg, Md.), penicillin 100 units per mL, and streptomycin
100 micrograms per mL (Gibco/Life Technologies, Gaithersburg, Md.).
Cells were routinely passaged by trypsinization and dilution when
they reached 90% confluence. Cells were seeded into 96-well plates
(Falcon-Primaria #3872) at a density of 7000 cells/well for use in
RT-PCR analysis.
[0194] For Northern blotting or other analysis, cells may be seeded
onto 100 mm or other standard tissue culture plates and treated
similarly, using appropriate volumes of medium and
oligonucleotide.
[0195] A549 Cells:
[0196] The human lung carcinoma cell line A549 was obtained from
the American Type Culture Collection (ATCC) (Manassas, Va.). A549
cells were routinely cultured in DMEM basal media (Gibco/Life
Technologies, Gaithersburg, Md.) supplemented with 10% fetal calf
serum (Gibco/Life Technologies, Gaithersburg, Md.), penicillin 100
units per mL, and streptomycin 100 micrograms per mL (Gibco/Life
Technologies, Gaithersburg, Md.). Cells were routinely passaged by
trypsinization and dilution when they reached 90% confluence.
[0197] NHDF Cells:
[0198] Human neonatal dermal fibroblast (NHDF) were obtained from
the Clonetics Corporation (Walkersville Md.). NHDFs were routinely
maintained in Fibroblast Growth Medium (Clonetics Corporation,
Walkersville Md.) supplemented as recommended by the supplier.
Cells were maintained for up to 10 passages as recommended by the
supplier.
[0199] HEK Cells:
[0200] Human embryonic keratinocytes (HEK) were obtained from the
Clonetics Corporation (Walkersville Md.). HEKs were routinely
maintained in Keratinocyte Growth Medium (Clonetics Corporation,
Walkersville Md.) formulated as recommended by the supplier. Cells
were routinely maintained for up to 10 passages as recommended by
the supplier.
[0201] HepG2 Cells:
[0202] The human hepatoblastoma cell line HepG2 was obtained from
the American Type Culture Collection (Manassas, Va.). HepG2 cells
were routinely cultured in Eagle's MEM supplemented with 10% fetal
calf serum, non-essential amino acids, and 1 mM sodium pyruvate
(Gibco/Life Technologies, Gaithersburg, Md.). Cells were routinely
passaged by trypsinization and dilution when they reached 90%
confluence. Cells were seeded into 96-well plates (Falcon-Primaria
#3872) at a density of 7000 cells/well for use in RT-PCR
analysis.
[0203] For Northern blotting or other analyses, cells may be seeded
onto 100 mm or other standard tissue culture plates and treated
similarly, using appropriate volumes of medium and
oligonucleotide.
[0204] AML12 Cells:
[0205] The AML12 (alpha mouse liver 12) cell line was established
from hepatocytes from a mouse (CD1 strain, line MT42) transgenic
for human TGF alpha. Cells are cultured in a 1:1 mixture of
Dulbecco's modified Eagle's medium and Ham's F12 medium with 0.005
mg/ml insulin, 0.005 mg/ml transferrin, 5 ng/ml selenium, and 40
ng/ml dexamethasone, and 90%; 10% fetal bovine serum. For
subculturing, spent medium is removed and fresh media of 0.25%
trypsin, 0.03% EDTA solution is added. Fresh trypsin solution (1 to
2 ml) is added and the culture is left to sit at room temperature
until the cells detach.
[0206] Cells were routinely passaged by trypsinization and dilution
when they reached 90% confluence. Cells were seeded into 96-well
plates (Falcon-Primaria #3872) at a density of 7000 cells/well for
use in RT-PCR analysis.
[0207] For Northern blotting or other analyses, cells may be seeded
onto 100 mm or other standard tissue culture plates and treated
similarly, using appropriate volumes of medium and
oligonucleotide.
[0208] Primary Mouse Hepatocytes:
[0209] Primary mouse hepatocytes were prepared from CD-1 mice
purchased from Charles River Labs (Wilmington, Mass.) and were
routinely cultured in Hepatoyte Attachment Media (Gibco)
supplemented with 10% Fetal Bovine Serum (Gibco/Life Technologies,
Gaithersburg, Md.), 250 nM dexamethasone (Sigma), and 10 nM bovine
insulin (Sigma). Cells were seeded into 96-well plates
(Falcon-Primaria #3872) at a density of 10000 cells/well for use in
RT-PCR analysis.
[0210] For Northern blotting or other analyses, cells are plated
onto 100 mm or other standard tissue culture plates coated with rat
tail collagen (200 ug/mL) (Becton Dickinson) and treated similarly
using appropriate volumes of medium and oligonucleotide.
[0211] Treatment with Antisense Compounds:
[0212] When cells reached 80% confluency, they were treated with
oligonucleotide. For cells grown in 96-well plates, wells were
washed once with 200 .mu.L OPTI-MEM.TM.-1 reduced-serum medium
(Gibco BRL) and then treated with 130 .mu.L of OPTI-MEM.TM.-1
containing 3.75 .mu.g/mL LIPOFECTIN.TM. (Gibco BRL) and the desired
concentration of oligonucleotide. After 4-7 hours of treatment, the
medium was replaced with fresh medium. Cells were harvested 16-24
hours after oligonucleotide treatment.
[0213] The concentration of oligonucleotide used varies from cell
line to cell line. To determine the optimal oligonucleotide
concentration for a particular cell line, the cells are treated
with a positive control oligonucleotide at a range of
concentrations. For human cells the positive control
oligonucleotide is ISIS 13920, TCCGTCATCGCTCCTCAGGG, SEQ ID NO: 1,
a 2'-O-methoxyethyl gapmer (2'-O-methoxyethyls shown in bold) with
a phosphorothioate backbone which is targeted to human H-ras. For
mouse or rat cells the positive control oligonucleotide is ISIS
15770, ATGCATTCTGCCCCCAAGGA, SEQ ID NO: 2, a 2'-O-methoxyethyl
gapmer (2'-O-methoxyethyls shown in bold) with a phosphorothioate
backbone which is targeted to both mouse and rat c-raf. The
concentration of positive control oligonucleotide that results in
80% inhibition of c-Ha-ras (for ISIS 13920) or c-raf (for ISIS
15770) mRNA is then utilized as the screening concentration for new
oligonucleotides in subsequent experiments for that cell line. If
80% inhibition is not achieved, the lowest concentration of
positive control oligonucleotide that results in 60% inhibition of
H-ras or c-raf mRNA is then utilized as the oligonucleotide
screening concentration in subsequent experiments for that cell
line. If 60% inhibition is not achieved, that particular cell line
is deemed as unsuitable for oligonucleotide transfection
experiments.
Example 10
Analysis of Oligonucleotide Inhibition of Apolipoprotein B
Expression
[0214] Antisense modulation of apolipoprotein B expression can be
assayed in a variety of ways known in the art. For example,
apolipoprotein B mRNA levels can be quantitated by, e.g., Northern
blot analysis, competitive polymerase chain reaction (PCR), or
real-time PCR (RT-PCR). Real-time quantitative PCR is presently
preferred. RNA analysis can be performed on total cellular RNA or
poly(A)+ mRNA. Methods of RNA isolation are taught in, for example,
Ausubel, F. M. et al., Current Protocols in Molecular Biology,
Volume 1, pp. 4.1.1-4.2.9 and 4.5.1-4.5.3, John Wiley & Sons,
Inc., 1993. Northern blot analysis is routine in the art and is
taught in, for example, Ausubel, F. M. et al., Current Protocols in
Molecular Biology, Volume 1, pp. 4.2.1-4.2.9, John Wiley &
Sons, Inc., 1996. Real-time quantitative (PCR) can be conveniently
accomplished using the commercially available ABI PRISM.TM. 7700
Sequence Detection System, available from PE-Applied Biosystems,
Foster City, Calif. and used according to manufacturer's
instructions.
[0215] Protein levels of apolipoprotein B can be quantitated in a
variety of ways well known in the art, such as immunoprecipitation,
Western blot analysis (immunoblotting), ELISA or
fluorescence-activated cell sorting (FACS). Antibodies directed to
apolipoprotein B can be identified and obtained from a variety of
sources, such as the MSRS catalog of antibodies (Aerie Corporation,
Birmingham, Mich.), or can be prepared via conventional antibody
generation methods. Methods for preparation of polyclonal antisera
are taught in, for example, Ausubel, F. M. et al., Current
Protocols in Molecular Biology, Volume 2, pp. 11.12.1-11.12.9, John
Wiley & Sons, Inc., 1997. Preparation of monoclonal antibodies
is taught in, for example, Ausubel, F. M. et al., Current Protocols
in Molecular Biology, Volume 2, pp. 11.4.1-11.11.5, John Wiley
& Sons, Inc., 1997.
[0216] Immunoprecipitation methods are standard in the art and can
be found at, for example, Ausubel, F. M. et al., Current Protocols
in Molecular Biology, Volume 2, pp. 10.16.1-10.16.11, John Wiley
& Sons, Inc., 1998. Western blot (immunoblot) analysis is
standard in the art and can be found at, for example, Ausubel, F.
M. et al., Current Protocols in Molecular Biology, Volume 2, pp.
10.8.1-10.8.21, John Wiley & Sons, Inc., 1997. Enzyme-linked
immunosorbent assays (ELISA) are standard in the art and can be
found at, for example, Ausubel, F. M. et al., Current Protocols in
Molecular Biology, Volume 2, pp. 11.2.1-11.2.22, John Wiley &
Sons, Inc., 1991.
Example 11
Poly(A)+ mRNA Isolation
[0217] Poly(A)+ mRNA was isolated according to Miura et al., Clin.
Chem., 1996, 42, 1758-1764. Other methods for poly(A)+ mRNA
isolation are taught in, for example, Ausubel, F. M. et al.,
Current Protocols in Molecular Biology, Volume 1, pp. 4.5.1-4.5.3,
John Wiley & Sons, Inc., 1993. Briefly, for cells grown on
96-well plates, growth medium was removed from the cells and each
well was washed with 200 .mu.L cold PBS. 60 .mu.L lysis buffer (10
mM Tris-HCl, pH 7.6, 1 mM EDTA, 0.5 M NaCl, 0.5% NP-40, 20 mM
vanadyl-ribonucleoside complex) was added to each well, the plate
was gently agitated and then incubated at room temperature for five
minutes. 55 .mu.L of lysate was transferred to Oligo d(T) coated
96-well plates (AGCT Inc., Irvine Calif.). Plates were incubated
for 60 minutes at room temperature, washed 3 times with 200 .mu.L
of wash buffer (10 mM Tris-HCl pH 7.6, 1 mM EDTA, 0.3 M NaCl).
After the final wash, the plate was blotted on paper towels to
remove excess wash buffer and then air-dried for 5 minutes. 60
.mu.L of elution buffer (5 mM Tris-HCl pH 7.6), preheated to
70.degree. C. was added to each well, the plate was incubated on a
90.degree. C. hot plate for 5 minutes, and the eluate was then
transferred to a fresh 96-well plate.
[0218] Cells grown on 100 mm or other standard plates may be
treated similarly, using appropriate volumes of all solutions.
Example 12
Total RNA Isolation
[0219] Total RNA was isolated using an RNEASY 96.TM. kit and
buffers purchased from Qiagen Inc. (Valencia Calif.) following the
manufacturer's recommended procedures. Briefly, for cells grown on
96-well plates, growth medium was removed from the cells and each
well was washed with 200 .mu.L cold PBS. 100 .mu.L Buffer RLT was
added to each well and the plate vigorously agitated for 20
seconds. 100 .mu.L of 70% ethanol was then added to each well and
the contents mixed by pipetting three times up and down. The
samples were then transferred to the RNEASY 96.TM. well plate
attached to a QIAVAC.TM. manifold fitted with a waste collection
tray and attached to a vacuum source. Vacuum was applied for 15
seconds. 1 mL of Buffer RW1 was added to each well of the RNEASY
96.TM. plate and the vacuum again applied for 15 seconds. 1 mL of
Buffer RPE was then added to each well of the RNEASY 96.TM. plate
and the vacuum applied for a period of 15 seconds. The Buffer RPE
wash was then repeated and the vacuum was applied for an additional
10 minutes. The plate was then removed from the QIAVAC.TM. manifold
and blotted dry on paper towels. The plate was then re-attached to
the QIAVAC.TM. manifold fitted with a collection tube rack
containing 1.2 mL collection tubes. RNA was then eluted by
pipetting 60 .mu.L water into each well, incubating 1 minute, and
then applying the vacuum for 30 seconds. The elution step was
repeated with an additional 60 .mu.L water.
[0220] The repetitive pipetting and elution steps may be automated
using a QIAGEN Bio-Robot 9604 (Qiagen, Inc., Valencia Calif.).
Essentially, after lysing of the cells on the culture plate, the
plate is transferred to the robot deck where the pipetting, DNase
treatment and elution steps are carried out.
Example 13
Real-Time Quantitative PCR Analysis of Apolipoprotein B mRNA
Levels
[0221] Quantitation of apolipoprotein B mRNA levels was determined
by real-time quantitative PCR using the ABI PRISM.TM. 7700 Sequence
Detection System (PE-Applied Biosystems, Foster City, Calif.)
according to manufacturer's instructions. This is a closed-tube,
non-gel-based, fluorescence detection system which allows
high-throughput quantitation of polymerase chain reaction (PCR)
products in real-time. As opposed to standard PCR, in which
amplification products are quantitated after the PCR is completed,
products in real-time quantitative PCR are quantitated as they
accumulate. This is accomplished by including in the PCR reaction
an oligonucleotide probe that anneals specifically between the
forward and reverse PCR primers, and contains two fluorescent dyes.
A reporter dye (e.g., JOE, FAM, or VIC, obtained from either Operon
Technologies Inc., Alameda, Calif. or PE-Applied Biosystems, Foster
City, Calif.) is attached to the 5' end of the probe and a quencher
dye (e.g., TAMRA, obtained from either Operon Technologies Inc.,
Alameda, Calif. or PE-Applied Biosystems, Foster City, Calif.) is
attached to the 3' end of the probe. When the probe and dyes are
intact, reporter dye emission is quenched by the proximity of the
3' quencher dye. During amplification, annealing of the probe to
the target sequence creates a substrate that can be cleaved by the
5'-exonuclease activity of Taq polymerase. During the extension
phase of the PCR amplification cycle, cleavage of the probe by Taq
polymerase releases the reporter dye from the remainder of the
probe (and hence from the quencher moiety) and a sequence-specific
fluorescent signal is generated. With each cycle, additional
reporter dye molecules are cleaved from their respective probes,
and the fluorescence intensity is monitored at regular intervals by
laser optics built into the ABI PRISM.TM. 7700 Sequence Detection
System. In each assay, a series of parallel reactions containing
serial dilutions of mRNA from untreated control samples generates a
standard curve that is used to quantitate the percent inhibition
after antisense oligonucleotide treatment of test samples.
[0222] Prior to quantitative PCR analysis, primer-probe sets
specific to the target gene being measured are evaluated for their
ability to be "multiplexed" with a GAPDH amplification reaction. In
multiplexing, both the target gene and the internal standard gene
GAPDH are amplified concurrently in a single sample. In this
analysis, mRNA isolated from untreated cells is serially diluted.
Each dilution is amplified in the presence of primer-probe sets
specific for GAPDH only, target gene only ("single-plexing"), or
both (multiplexing). Following PCR amplification, standard curves
of GAPDH and target mRNA signal as a function of dilution are
generated from both the single-plexed and multiplexed samples. If
both the slope and correlation coefficient of the GAPDH and target
signals generated from the multiplexed samples fall within 10% of
their corresponding values generated from the single-plexed
samples, the primer-probe set specific for that target is deemed
multiplexable. Other methods of PCR are also known in the art.
[0223] PCR reagents were obtained from PE-Applied Biosystems,
Foster City, Calif. RT-PCR reactions were carried out by adding 25
.mu.L PCR cocktail (1.times. TAQMAN.TM. buffer A, 5.5 mM
MgCl.sub.2, 300 .mu.M each of dATP, dCTP and dGTP, 600 .mu.M of
dUTP, 100 nM each of forward primer, reverse primer, and probe, 20
Units RNAse inhibitor, 1.25 Units AMPLITAQ GOLD.TM., and 12.5 Units
MuLV reverse transcriptase) to 96 well plates containing 25 .mu.L
total RNA solution. The RT reaction was carried out by incubation
for 30 minutes at 48.degree. C. Following a 10 minute incubation at
95.degree. C. to activate the AMPLITAQ GOLD.TM., 40 cycles of a
two-step PCR protocol were carried out: 95.degree. C. for 15
seconds (denaturation) followed by 60.degree. C. for 1.5 minutes
(annealing/extension).
[0224] Gene target quantities obtained by real time RT-PCR are
normalized using either the expression level of GAPDH, a gene whose
expression is constant, or by quantifying total RNA using
RiboGreen.TM. (Molecular Probes, Inc. Eugene, Oreg.). GAPDH
expression is quantified by real time RT-PCR, by being run
simultaneously with the target, multiplexing, or separately. Total
RNA is quantified using RiboGreen.TM. RNA quantification reagent
from Molecular Probes. Methods of RNA quantification by
RiboGreen.TM. are taught in Jones, L. J., et al, Analytical
Biochemistry, 1998, 265, 368-374.
[0225] In this assay, 175 .mu.L of RiboGreen.TM. working reagent
(RiboGreen.TM. reagent diluted 1:2865 in 10 mM Tris-HCl, 1 mM EDTA,
pH 7.5) is pipetted into a 96-well plate containing 25 uL purified,
cellular RNA. The plate is read in a CytoFluor 4000 (PE Applied
Biosystems) with excitation at 480 nm and emission at 520 nm.
[0226] Probes and primers to human apolipoprotein B were designed
to hybridize to a human apolipoprotein B sequence, using published
sequence information (GenBank accession number NM.sub.--000384,
incorporated herein as SEQ ID NO: 3). For human apolipoprotein B
the PCR primers were:
[0227] forward primer: TGCTAAAGGCACATATGGCCT (SEQ ID NO: 4)
[0228] reverse primer: CTCAGGTTGGACTCTCCATTGAG (SEQ ID NO: 5) and
the PCR probe was: FAM-CTTGTCAGAGGGATCCTAACACTGGCCG-TAMRA (SEQ ID
NO: 6) where FAM (PE-Applied Biosystems, Foster City, Calif.) is
the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems,
Foster City, Calif.) is the quencher dye.
[0229] For human GAPDH the PCR primers were:
[0230] forward primer: GAAGGTGAAGGTCGGAGTC (SEQ ID NO: 7)
[0231] reverse primer: GAAGATGGTGATGGGATTTC (SEQ ID NO: 8) and the
PCR
[0232] probe was: 5' JOE-CAAGCTTCCCGTTCTCAGCC-TAMRA 3' (SEQ ID NO:
9) where JOE (PE-Applied Biosystems, Foster City, Calif.) is the
fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster
City, Calif.) is the quencher dye.
[0233] Probes and primers to mouse apolipoprotein B were designed
to hybridize to a mouse apolipoprotein B sequence, using published
sequence information (GenBank accession number M35186, incorporated
herein as SEQ ID NO: 10). For mouse apolipoprotein B the PCR
primers were:
[0234] forward primer: CGTGGGCTCCAGCATTCTA (SEQ ID NO: 11)
[0235] reverse primer: AGTCATTTCTGCCTTTGCGTC (SEQ ID NO: 12) and
the PCR probe was: FAM-CCAATGGTCGGGCACTGCTCAA-TAMRA (SEQ ID NO: 13)
where FAM (PE-Applied Biosystems, Foster City, Calif.) is the
fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster
City, Calif.) is the quencher dye. For mouse GAPDH the PCR primers
were:
[0236] forward primer: GGCAAATTCAACGGCACAGT (SEQ ID NO: 14)
[0237] reverse primer: GGGTCTCGCTCCTGGAAGAT (SEQ ID NO:15) and the
PCR probe was: 5' JOE-AAGGCCGAGAATGGGAAGCTTGTCATC-TAMRA 3' (SEQ ID
NO: 16) where JOE (PE-Applied Biosystems, Foster City, Calif.) is
the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems,
Foster City, Calif.) is the quencher dye.
Example 14
Northern Blot Analysis of Apolipoprotein B mRNA Levels
[0238] Eighteen hours after antisense treatment, cell monolayers
were washed twice with cold PBS and lysed in 1 mL RNAZOL.TM.
(TEL-TEST "B" Inc., Friendswood, Tex.). Total RNA was prepared
following manufacturer's recommended protocols. Twenty micrograms
of total RNA was fractionated by electrophoresis through 1.2%
agarose gels containing 1.1% formaldehyde using a MOPS buffer
system (AMRESCO, Inc. Solon, Ohio). RNA was transferred from the
gel to HYBOND.TM.-N+ nylon membranes (Amersham Pharmacia Biotech,
Piscataway, N.J.) by overnight capillary transfer using a
Northern/Southern Transfer buffer system (TEL-TEST "B" Inc.,
Friendswood, Tex.). RNA transfer was confirmed by UV visualization.
Membranes were fixed by UV cross-linking using a STRATALINKER.TM.
UV Crosslinker 2400 (Stratagene, Inc, La Jolla, Calif.) and then
robed using QUICKHYB.TM. hybridization solution (Stratagene, La
Jolla, Calif.) using manufacturer's recommendations for stringent
conditions.
[0239] To detect human apolipoprotein B, a human apolipoprotein B
specific probe was prepared by PCR using the forward primer
TGCTAAAGGCACATATGGCCT (SEQ ID NO: 4) and the reverse primer
CTCAGGTTGGACTCTCCATTGAG (SEQ ID NO: 5). To normalize for variations
in loading and transfer efficiency membranes were stripped and
probed for human glyceraldehyde-3-phosphate dehydrogenase (GAPDH)
RNA (Clontech, Palo Alto, Calif.).
[0240] To detect mouse apolipoprotein B, a human apolipoprotein B
specific probe was prepared by PCR using the forward primer
CGTGGGCTCCAGCATTCTA (SEQ ID NO: 11) and the reverse primer
AGTCATTTCTGCCTTTGCGTC (SEQ ID NO: 12). To normalize for variations
in loading and transfer efficiency membranes were stripped and
probed for mouse glyceraldehyde-3-phosphate dehydrogenase (GAPDH)
RNA (Clontech, Palo Alto, Calif.).
[0241] Hybridized membranes were visualized and quantitated using a
PHOSPHORIMAGER.TM. and IMAGEQUANT.TM. Software V3.3 (Molecular
Dynamics, Sunnyvale, Calif.). Data was normalized to GAPDH levels
in untreated controls.
Example 15
Antisense Inhibition of Human Apolipoprotein B Expression by
Chimeric Phosphorothioate Oligonucleotides Having 2'-MOE Wings and
a Deoxy Gap
[0242] In accordance with the present invention, a series of
oligonucleotides were designed to target different regions of the
human apolipoprotein B RNA, using published sequence (GenBank
accession number NM.sub.--000384, incorporated herein as SEQ ID NO:
3). The oligonucleotides are shown in Table 1. "Target site"
indicates the first (5'-most) nucleotide number on the particular
target sequence to which the oligonucleotide binds. All compounds
in Table 1 are chimeric oligonucleotides ("gapmers") 20 nucleotides
in length, composed of a central "gap" region consisting of ten
2'-deoxynucleotides, which is flanked on both sides (5' and 3'
directions) by five-nucleotide "wings". The wings are composed of
2'-methoxyethyl (2'-MOE) nucleotides. The internucleoside
(backbone) linkages are phosphorothioate (P=S) throughout the
oligonucleotide. All cytidine residues are 5-methylcytidines. The
compounds were analyzed for their effect on human apolipoprotein B
mRNA levels in HepG2 cells by quantitative real-time PCR as
described in other examples herein. Data are averages from two
experiments. If present, "N.D." indicates "no data".
TABLE-US-00001 TABLE 1 Inhibition of human apolipoprotein B mRNA
levels by chimeric phosphorothioate oligo- nucleotides having
2'-MOE wings and a deoxy gap TAR- GET SEQ TAR- SEQ ID GET % ID ISIS
# REGION NO SITE SEQUENCE INHIB NO 147780 5'UTR 3 1
CCGCAGGTCCCGGTGGGAAT 40 17 147781 5'UTR 3 21 ACCGAGAAGGGCACTCAGCC
35 18 147782 5'UTR 3 71 GCCTCGGCCTCGCGGCCCTG 67 19 147783 Start 3
114 TCCATCGCCAGCTGCGGTGG N.D. 20 Codon 147784 Coding 3 151
CAGCGCCAGCAGCGCCAGCA 70 21 147785 Coding 3 181 GCCCGCCAGCAGCAGCAGCA
29 22 147786 Coding 3 321 CTTGAATCAGCAGTCCCAGG 34 23 147787 Coding
3 451 CTTCAGCAAGGCTTTGCCCT N.D. 24 147788 Coding 3 716
TTTCTGTTGCCACATTGCCC 95 25 147789 Coding 3 911 GGAAGAGGTGTTGCTCCTTG
24 26 147790 Coding 3 951 TGTGCTACCATCCCATACTT 33 27 147791 Coding
3 1041 TCAAATGCGAGGCCCATCTT N.D. 28 147792 Coding 3 1231
GGACACCTCAATCAGCTGTG 26 29 147793 Coding 3 1361
TCAGGGCCACCAGGTAGGTG N.D. 30 147794 Coding 3 1561
GTAATCTTCATCCCCAGTGC 47 31 147795 Coding 3 1611
TGCTCCATGGTTTGGCCCAT N.D. 32 147796 Coding 3 1791
GCAGCCAGTCGCTTATCTCC 8 33 147797 Coding 3 2331 GTATAGCCAAAGTGGTCCAC
N.D. 34 147798 Coding 3 2496 CCCAGGAGCTGGAGGTCATG N.D. 35 147799
Coding 3 2573 TTGAGCCCTTCCTGATGACC N.D. 36 147800 Coding 3 2811
ATCTGGACCCCACTCCTAGC N.D. 37 147801 Coding 3 2842
CAGACCCGACTCGTGGAAGA 38 38 147802 Coding 3 3367
GCCCTCAGTAGATTCATCAT N.D. 39 147803 Coding 3 3611
GCCATGCCACCCTCTTGGAA N.D. 40 147804 Coding 3 3791
AACCCACGTGCCGGAAAGTC N.D. 41 147805 Coding 3 3841
ACTCCCAGATGCCTTCTGAA N.D. 42 147806 Coding 3 4281
ATGTGGTAACGAGCCCGAAG 100 43 147807 Coding 3 4391
GGCGTAGAGACCCATCACAT 25 44 147808 Coding 3 4641
GTGTTAGGATCCCTCTGACA N.D. 45 147809 Coding 3 5241
CCCAGTGATAGCTCTGTGAG 60 46 147810 Coding 3 5355
ATTTCAGCATATGAGCCCAT 0 47 147811 Coding 3 5691 CCCTGAACCTTAGCAACAGT
N.D. 48 147812 Coding 3 5742 GCTGAAGCCAGCCCAGCGAT N.D. 49 147813
Coding 3 5891 ACAGCTGCCCAGTATGTTCT N.D. 50 147814 Coding 3 7087
CCCAATAAGATTTATAACAA 34 51 147815 Coding 3 7731
TGGCCTACCAGAGACAGGTA 45 52 147816 Coding 3 7841
TCATACGTTTAGCCCAATCT 100 53 147817 Coding 3 7901
GCATGGTCCCAAGGATGGTC 0 54 147818 Coding 3 8491 AGTGATGGAAGCTGCGATAC
30 55 147819 Coding 3 9181 ATGAGCATCATGCCTCCCAG N.D. 56 147820
Coding 3 9931 GAACACATAGCCGAATGCCG 100 57 147821 Coding 3 10263
GTGGTGCCCTCTAATTTGTA N.D. 58 147822 Coding 3 10631
CCCGAGAAAGAACCGAACCC N.D. 59 147823 Coding 3 10712
TGCCCTGCAGCTTCACTGAA 19 60 147824 Coding 3 11170
GAAATCCCATAAGCTCTTGT N.D. 61 147825 Coding 3 12301
AGAAGCTGCCTCTTCTTCCC 72 62 147826 Coding 3 12401
TCAGGGTGAGCCCTGTGTGT 80 63 147827 Coding 3 12471
CTAATGGCCCCTTGATAAAC 13 64 147828 Coding 3 12621
ACGTTATCCTTGAGTCCCTG 12 65 147829 Coding 3 12741
TATATCCCAGGTTTCCCCGG 64 66 147830 Coding 3 12801
ACCTGGGACAGTACCGTCCC N.D. 67 147831 3'UTR 3 13921
CTGCCTACTGCAAGGCTGGC 0 68 147832 3'UTR 3 13991 AGAGACCTTCCGAGCCCTGG
N.D. 69 147833 3'UTR 3 14101 ATGATACACAATAAAGACTC 25 70
[0243] As shown in Table 1, SEQ ID NOs 17, 18, 19, 21, 23, 25, 27,
31, 38, 43, 46, 51, 52, 53, 55, 57, 62, 63 and 66 demonstrated at
least 30% inhibition of human apolipoprotein B expression in this
assay and are therefore preferred. The target sites to which these
preferred sequences are complementary are herein referred to as
"active sites" and are therefore preferred sites for targeting by
compounds of the present invention. As apolipoprotein B exists in
two forms in mammals (ApoB-48 and ApoB-100) which are colinear at
the amino terminus, antisense oligonucleotides targeting
nucleotides 1-6530 hybridize to both forms, while those targeting
nucleotides 6531-14121 are specific to the long form of
apolipoprotein B.
Example 16
Antisense Inhibition of Human Apolipoprotein B Expression by
Chimeric Phosphorothioate Oligonucleotides Having 2'-MOE Wings and
a Deoxy Gap
Dose Response Study
[0244] In accordance with the present invention, a subset of the
antisense oligonucleotides in Example 15 were further investigated
in dose-response studies. Treatment doses were 50, 150 and 250 nM.
The compounds were analyzed for their effect on human
apolipoprotein B mRNA levels in HepG2 cells by quantitative
real-time PCR as described in other examples herein. Data are
averages from two experiments and are shown in Table 2.
TABLE-US-00002 TABLE 2 Inhibition of human apolipoprotein B mRNA
levels by chimeric phosphorothioate oligonucleotides having 2'-MOE
wings and a deoxy gap Percent Inhibition ISIS # 50 nM 150 nM 250 nM
147788 54 63 72 147806 23 45 28 147816 25 81 65 147820 10 0 73
Example 17
Antisense Inhibition of Mouse Apolipoprotein B Expression by
Chimeric Phosphorothioate Oligonucleotides Having 2'-MOE Wings and
a Deoxy Gap
[0245] In accordance with the present invention, a series of
oligonucleotides were designed to target different regions of the
mouse apolipoprotein B RNA, using published sequence (GenBank
accession number M35186, incorporated herein as SEQ ID NO: 10). The
oligonucleotides are shown in Table 3. "Target site" indicates the
first (5'-most) nucleotide number on the particular target sequence
to which the oligonucleotide binds. All compounds in Table 3 are
chimeric oligonucleotides ("gapmers") 20 nucleotides in length,
composed of a central "gap" region consisting of ten
2'-deoxynucleotides, which is flanked on both sides (5' and 3'
directions) by five-nucleotide "wings". The wings are composed of
2'-methoxyethyl (2'-MOE) nucleotides. The internucleoside
(backbone) linkages are phosphorothioate (P=S) throughout the
oligonucleotide. All cytidine residues are 5-methylcytidines. The
compounds were analyzed for their effect on mouse apolipoprotein B
mRNA levels in primary hepatocytes by quantitative real-time PCR as
described in other examples herein. Data are averages from two
experiments. If present, "N.D." indicates "no data".
TABLE-US-00003 TABLE 3 Inhibition of mouse apolipoprotein B mRNA
levels by chimeric phosphorothioate oligo- nucleotides having
2'-MOE wings and a deoxy gap TAR- GET SEQ TAR- SEQ ID GET % ID ISIS
# REGION NO SITE SEQUENCE INHIB NO 147475 Coding 10 13
ATTGTATGTGAGAGGTGAGG 79 71 147476 Coding 10 66 GAGGAGATTGGATCTTAAGG
13 72 147477 Coding 10 171 CTTCAAATTGGGACTCTCCT N.D 73 147478
Coding 10 211 TCCAGGAATTGAGCTTGTGC 78 74 147479 Coding 10 238
TTCAGGACTGGAGGATGAGG N.D 75 147480 Coding 10 291
TCTCACCCTCATGCTCCATT 54 76 147481 Coding 10 421
TGACTGTCAAGGGTGAGCTG 24 77 147482 Coding 10 461
GTCCAGCCTAGGAACACTCA 59 78 147483 Coding 10 531
ATGTCAATGCCACATGTCCA N.D 79 147484 Coding 10 581
TTCATCCGAGAAGTTGGGAC 49 80 147485 Coding 10 601
ATTTGGGACGAATGTATGCC 64 81 147486 Coding 10 711
AGTTGAGGAAGCCAGATTCA N.D 82 147487 Coding 10 964
TTCCCAGTCAGCTTTAGTGG 73 83 147488 Coding 10 1023
AGCTTGCTTGTTGGGCACGG 72 84 147489 Coding 10 1111
CCTATACTGGCTTCTATGTT 5 85 147490 Coding 10 1191
TGAACTCCGTGTAAGGCAAG N.D 86 147491 Coding 10 1216
GAGAAATCCTTCAGTAAGGG 71 87 147492 Coding 10 1323
CAATGGAATGCTTGTCACTG 68 88 147493 Coding 10 1441
GCTTCATTATAGGAGGTGGT 41 89 147494 Coding 10 1531
ACAACTGGGATAGTGTAGCC 84 90 147495 Coding 10 1631
GTTAGGACCAGGGATTGTGA 0 91 147496 Coding 10 1691
ACCATGGAAAACTGGCAACT 19 92 147497 Coding 10 1721
TGGGAGGAAAAACTTGAATA N.D 93 147498 Coding 10 1861
TGGGCAACGATATCTGATTG 0 94 147499 Coding 10 1901
CTGCAGGGCGTCAGTGACAA 29 95 147500 Coding 10 1932
GCATCAGACGTGATGTTCCC N.D 96 147501 Coding 10 2021
CTTGGTTAAACTAATGGTGC 18 97 147502 Coding 10 2071
ATGGGAGCATGGAGGTTGGC 16 98 147503 Coding 10 2141
AATGGATGATGAAACAGTGG 26 99 147504 Coding 10 2201
ATCAATGCCTCCTGTTGCAG N.D 100 147505 Coding 10 2231
GGAAGTGAGACTTTCTAAGC 76 101 147506 Coding 10 2281
AGGAAGGAACTCTTGATATT 58 102 147507 Coding 10 2321
ATTGGCTTCATTGGCAACAC 81 103 147759 Coding 10 1 AGGTGAGGAAGTTGGAATTC
19 104 147760 Coding 10 121 TTGTTCCCTGAAGTTGTTAC N.D 105 147761
Coding 10 251 GTTCATGGATTCCTTCAGGA 45 106 147762 Coding 10 281
ATGCTCCATTCTCACATGCT 46 107 147763 Coding 10 338
TGCGACTGTGTCTGATTTCC 34 108 147764 Coding 10 541
GTCCCTGAAGATGTCAATGC 97 109 147765 Coding 10 561
AGGCCCAGTTCCATGACCCT 59 110 147766 Coding 10 761
GGAGCCCACGTGCTGAGATT 59 111 147767 Coding 10 801
CGTCCTTGAGCAGTGCCCGA 5 112 147768 Coding 10 1224
CCCATATGGAGAAATCCTTC 24 113 147769 Coding 10 1581
CATGCCTGGAAGCCAGTGTC 89 114 147770 Coding 10 1741
GTGTTGAATCCCTTGAAATC 67 115 147771 Coding 10 1781
GGTAAAGTTGCCCATGGCTG 68 116 147772 Coding 10 1841
GTTATAAAGTCCAGCATTGG 78 117 147773 Coding 10 1931
CATCAGACGTGATGTTCCCT 85 118 147774 Coding 10 1956
TGGCTAGTTTCAATCCCCTT 84 119 147775 Coding 10 2002
CTGTCATGACTGCCCTTTAC 52 120 147776 Coding 10 2091
GCTTGAAGTTCATTGAGAAT 92 121 147777 Coding 10 2291
TTCCTGAGAAAGGAAGGAAC N.D 122 147778 Coding 10 2331
TCAGATATACATTGGCTTCA 14 123
[0246] As shown in Table 3, SEQ ID Nos 71, 74, 76, 78, 81, 83, 84,
87, 88, 90, 101, 102, 103, 109, 111, 111, 114, 115, 116, 117, 118,
119, 120 and 121 demonstrated at least 50% inhibition of mouse
apolipoprotein B expression in this assay and are therefore
preferred. The target sites to which these preferred sequences are
complementary are herein referred to as "active sites" and are
therefore preferred sites for targeting by compounds of the present
invention.
Example 18
Antisense Inhibition Mouse Apolipoprotein B Expression by Chimeric
Phosphorothioate Oligonucleotides Having 2'-MOE Wings and a Deoxy
Gap
Dose Response Study
[0247] In accordance with the present invention, a subset of the
antisense oligonucleotides in Example 17 were further investigated
in dose-response studies. Treatment doses were 50, 150 and 300 nM.
The compounds were analyzed for their effect on mouse
apolipoprotein B mRNA levels in primary hepatocytes cells by
quantitative real-time PCR as described in other examples herein.
Data are averages from two experiments and are shown in Table
4.
TABLE-US-00004 TABLE 4 Inhibition of mouse apolipoprotein B mRNA
levels by chimeric phosphorothioate oligonucleotides having 2'-MOE
wings and a deoxy gap Percent Inhibition ISIS # 50 nM 150 nM 300 nM
147483 56 88 89 147764 48 84 90 147769 3 14 28 147776 0 17 44
Example 19
Western Blot Analysis of Apolipoprotein B Protein Levels
[0248] Western blot analysis (immunoblot analysis) was carried out
using standard methods. Cells were harvested 16-20 h after
oligonucleotide treatment, washed once with PBS, suspended in
Laemmli buffer (100 ul/well), boiled for 5 minutes and loaded on a
16% SDS-PAGE gel. Gels were run for 1.5 hours at 150 V, and
transferred to membrane for western blotting. Appropriate primary
antibody directed to apolipoprotein B was used, with a
radiolabelled or fluorescently labeled secondary antibody directed
against the primary antibody species. Bands were visualized using a
PHOSPHORIMAGER.TM. (Molecular Dynamics, Sunnyvale Calif.).
Example 20
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
in C57BL/6 Mice
Lean Animals Vs. High Fat Fed Animals
[0249] C57BL/6 mice, a strain reported to be susceptible to
hyperlipidemia-induced atherosclerotic plaque formation were used
in the following studies to evaluate antisense oligonucleotides as
potential lipid lowering compounds in lean versus high fat fed
mice.
[0250] Male C57BL/6 mice were divided into two matched groups; (1)
wild-type control animals (lean animals) and (2) animals receiving
a high fat diet (60% kcal fat). Control animals received saline
treatment and were maintained on a normal rodent diet. After
overnight fasting, mice from each group were dosed
intraperitoneally every three days with saline or 50 mg/kg ISIS
147764 (SEQ ID No: 109) for six weeks. At study termination and
forty eight hours after the final injections, animals were
sacrificed and evaluated for target mRNA levels in liver,
cholesterol and triglyceride levels, liver enzyme levels and serum
glucose levels.
[0251] The results of the comparative studies are shown in Table
5.
TABLE-US-00005 TABLE 5 Effects of ISIS 147764 treatment on
apolipoprotein B mRNA, cholesterol, lipid, triglyceride, liver
enzyme and glucose levels in lean and high fat mice. Percent Change
Treatment Lipoproteins Liver Enzymes Group mRNA CHOL VLDL LDL HDL
TRIG AST ALT GLUC Lean- -73 -63 No -64 -44 -34 Slight No No control
change decrease change change High Fat -87 -67 No -87 -65 No Slight
Slight -28 Group change change decrease increase
[0252] It is evident from these data that treatment with ISIS
147764 lowered cholesterol as well as LDL and HDL lipoproteins and
serum glucose in both lean and high fat mice and that the effects
demonstrated are, in fact, due to the inhibition of apolipoprotein
B expression as supported by the decrease in mRNA levels. No
significant changes in liver enzyme levels were observed,
indicating that the antisense oligonucleotide was not toxic to
either treatment group.
Example 21
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on High Fat Fed Mice
6 Week Timecourse Study
[0253] In accordance with the present invention, a 6-week
timecourse study was performed to further investigate the effects
of ISIS 147764 on lipid and glucose metabolism in high fat fed
mice.
[0254] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
treatment with the antisense oligonucleotide, ISIS 147764. Control
animals received saline treatment (50 mg/kg). A subset of animals
received a daily oral dose (20 mg/kg) atorvastatin calcium
(Lipitor.RTM., Pfizer Inc.). All mice, except atorvastatin-treated
animals, were dosed intraperitoneally every three days (twice a
week), after fasting overnight, with 5, 25, 50 mg/kg ISIS 147764
(SEQ ID No: 109) or saline (50 mg/kg) for six weeks. Serum
cholesterol and lipoproteins were analyzed at 0, 2 and 6 week
interim timepoints. At study termination, animals were sacrificed
48 hours after the final injections and evaluated for levels of
target mRNA levels in liver, cholesterol, lipoprotein,
triglyceride, liver enzyme (AST and ALT) and serum glucose levels
as well as body, liver, spleen and fat pad weights.
Example 22
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
in High Fat Fed Mice
mRNA Expression in Liver
[0255] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on mRNA expression. Control animals received saline
treatment (50 mg/kg). Mice were dosed intraperitoneally every three
days (twice a week), after fasting overnight, with 5, 25, 50 mg/kg
ISIS 147764 (SEQ ID No: 109) or saline (50 mg/kg) for six weeks. At
study termination, animals were sacrificed 48 hours after the final
injections and evaluated for levels of target mRNA levels in liver.
ISIS 147764 showed a dose-response effect, reducing mRNA levels by
15, 75 and 88% at doses of 5, 25 and 50 mg/kg, respectively.
Example 23
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on Serum Cholesterol and Triglyceride Levels
[0256] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on serum cholesterol and triglyceride levels. Control
animals received saline treatment (50 mg/kg). Mice were dosed
intraperitoneally every three days (twice a week), after fasting
overnight, with 5, 25, 50 mg/kg ISIS 147764 (SEQ ID No: 109) or
saline (50 mg/kg) for six weeks.
[0257] Serum cholesterol levels were measured at 0, 2 and 6 weeks
and this data is shown in Table 6. Values in the table are
expressed as percent inhibition and are normalized to the saline
control.
[0258] In addition to serum cholesterol, at study termination,
animals were sacrificed 48 hours after the final injections and
evaluated for triglyceride levels.
[0259] Mice treated with ISIS 147764 showed a reduction in both
serum cholesterol (240 mg/dL for control animals and 225, 125 and
110 mg/dL for doses of 5, 25, and 50 mg/kg, respectively) and
triglycerides (115 mg/dL for control animals and 125, 150 and 85
mg/dL for doses of 5, 25, and 50 mg/kg, respectively) to normal
levels by study end.
[0260] These data were also compared to the effects of atorvastatin
calcium at an oral dose of 20 mg/kg which showed only a minimal
decrease in serum cholesterol of 20 percent at study
termination.
TABLE-US-00006 TABLE 6 Percent Inhibition of mouse apolipoprotein B
cholesterol levels by ISIS 147764 Percent Inhibition time Saline 5
mg/kg 25 mg/kg 50 mg/kg 0 weeks 0 0 0 0 2 weeks 0 5 12 20 6 weeks 0
10 45 55
Example 24
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on Lipoprotein Levels
[0261] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on lipoprotein (VLDL, LDL and HDL) levels. Control
animals received saline treatment (50 mg/kg). Mice were dosed
intraperitoneally every three days (twice a week), after fasting
overnight, with 5, 25, 50 mg/kg ISIS 147764 (SEQ ID No: 109) or
saline (50 mg/kg) for six weeks.
[0262] Lipoprotein levels were measured at 0, 2 and 6 weeks and
this data is shown in Table 7. Values in the table are expressed as
percent inhibition and are normalized to the saline control.
Negative values indicate an observed increase in lipoprotein
levels.
[0263] These data were also compared to the effects of atorvastatin
calcium at a daily oral dose of 20 mg/kg at 0, 2 and 6 weeks.
[0264] These data demonstrate that at a dose of 50 mg/kg, ISIS
147764 is capable of lowering all categories of serum lipoproteins
investigated to a greater extent than atorvastatin.
TABLE-US-00007 TABLE 7 Percent Inhibition of mouse apolipoprotein B
lipoprotein levels by ISIS 147764 as compared to atorvastatin
Percent Inhibition Dose Time Sa- 5 25 50 atorvastatin Lipoprotein
(weeks) line mg/kg mg/kg mg/kg (20 mg/kg) VLDL 0 0 0 0 0 0 2 0 25
30 40 15 6 0 10 -30 15 -5 LDL 0 0 2 0 0 0 2 0 -30 10 40 10 6 0 -10
55 90 -10 HDL 0 0 0 0 0 0 2 0 5 10 10 15 6 0 10 45 50 20
Example 25
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on Serum AST and ALT Levels
[0265] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on liver enzyme (AST and ALT) levels. Control animals
received saline treatment (50 mg/kg). Mice were dosed
intraperitoneally every three days (twice a week), after fasting
overnight, with 5, 25, 50 mg/kg ISIS 147764 (SEQ ID No: 109) or
saline (50 mg/kg) for six weeks.
[0266] AST and ALT levels were measured at 6 weeks and this data is
shown in Table 8. Values in the table are expressed as IU/L.
Increased levels of the liver enzymes ALT and AST indicate toxicity
and liver damage.
[0267] Mice treated with ISIS 147764 showed no significant change
in AST levels over the duration of the study compared to saline
controls (105, 70 and 80 IU/L for doses of 5, 25 and 50 mg/kg,
respectively compared to 65 IU/L for saline control). Mice treated
with atorvastatin at a daily oral dose of 20 mg/kg had AST levels
of 85 IU/L.
[0268] ALT levels were increased by all treatments over the
duration of the study compared to saline controls (50, 70 and 100
IU/L for doses of 5, 25 and 50 mg/kg, respectively compared to 25
IU/L for saline control). Mice treated with atorvastatin at a daily
oral dose of 20 mg/kg had AST levels of 40 IU/L.
Example 26
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on Serum Glucose Levels
[0269] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on serum glucose levels. Control animals received
saline treatment (50 mg/kg). Mice were dosed intraperitoneally
every three days (twice a week), after fasting overnight, with 5,
25, 50 mg/kg ISIS 147764 (SEQ ID No: 109) or saline (50 mg/kg) for
six weeks.
[0270] At study termination, animals were sacrificed 48 hours after
the final injections and evaluated for serum glucose levels. ISIS
147764 showed a dose-response effect, reducing serum glucose levels
to 225, 190 and 180 mg/dL at doses of 5, 25 and 50 mg/kg,
respectively compared to the saline control of 300 mg/dL. Mice
treated with atorvastatin at a daily oral dose of 20 mg/kg had
serum glucose levels of 215 mg/dL. These data demonstrate that ISIS
147764 is capable of reducing serum glucose levels in high fat fed
mice.
Example 27
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
on Body, Spleen, Liver and Fat Pad Weight
[0271] Male C57BL/6 mice (n=8) receiving a high fat diet (60% kcal
fat) were evaluated over the course of 6 weeks for the effects of
ISIS 147764 on body, spleen, liver and fat pad weight. Control
animals received saline treatment (50 mg/kg). Mice were dosed
intraperitoneally every three days (twice a week), after fasting
overnight, with 5, 25, 50 mg/kg ISIS 147764 (SEQ ID No: 109) or
saline (50 mg/kg) for six weeks.
[0272] At study termination, animals were sacrificed 48 hours after
the final injections and body, spleen, liver and fat pad weights
were measured. These data are shown in Table 8. Values are
expressed as percent change in body weight or organ weight compared
to the saline-treated control animals. Data from mice treated with
atorvastatin at a daily dose of 20 mg/kg are also shown in the
table. Negative values indicated a decrease in weight.
TABLE-US-00008 TABLE 8 Effects of antisense inhibition of mouse
apolipoprotein B on body and organ weight Percent Change Dose
Atorvastatin Tissue 5 mg/kg 25 mg/kg 50 mg/kg 20 mg/kg Total Body 5
5 -4 1 Wt. Spleen 10 10 46 10 Liver 18 70 80 15 Fat 10 6 -47 7
[0273] These data show a decrease in fat over the dosage range of
ISIS 147764 counterbalanced by an increase in both spleen and liver
weight with increased dose to give an overall decrease in total
body weight.
Example 28
Effects of Antisense Inhibition of Apolipoprotein B (ISIS 147764)
in B6.129P-Apoe.sup.tm1Unc Knockout Mice
Lean Animals vs. High Fat Fed Animals
[0274] B6.129P-ApoE.sup.tm1Unc knockout mice (herein referred to as
ApoE knockout mice) obtained from The Jackson Laboratory (Bar
Harbor, Me.), are homozygous for the Apoe.sup.tm1Unc mutation and
show a marked increase in total plasma cholesterol levels that are
unaffected by age or sex. These animals present with fatty streaks
in the proximal aorta at 3 months of age. These lesions increase
with age and progress to lesions with less lipid but more elongated
cells, typical of a more advanced stage of pre-atherosclerotic
lesion.
[0275] The mutation in these mice resides in the apolipoprotein E
(ApoE) gene. The primary role of the ApoE protein is to transport
cholesterol and triglycerides throughout the body. It stabilizes
lipoprotein structure, binds to the low density lipoprotein
receptor (LDLR) and related proteins, and is present in a subclass
of HDLs, providing them the ability to bind to LDLR. ApoE is
expressed most abundantly in the liver and brain.
[0276] Female B6.129P-Apoe.sup.tm1Unc knockout mice (ApoE knockout
mice) were used in the following studies to evaluate antisense
oligonucleotides as potential lipid lowering compounds.
[0277] Female ApoE knockout mice ranged in age from 5 to 7 weeks
and were placed on a normal diet for 2 weeks before study
initiation. ApoE knockout mice were then fed ad libitum a 60% fat
diet, with 0.15% added cholesterol to induce dyslipidemia and
obesity. Control animals were maintained on a high-fat diet with no
added cholesterol. After overnight fasting, mice from each group
were dosed intraperitoneally every three days with saline, 50 mg/kg
of a control antisense oligonucleotide (ISIS 29837
TCGATCTCCTTTTATGCCCG; SEQ ID NO. 124) or 5, 25 or 50 mg/kg ISIS
147764 (SEQ ID No: 109) for six weeks.
[0278] The control oligonucleotide is a chimeric oligonucleotides
("gapmers") 20 nucleotides in length, composed of a central "gap"
region consisting of ten 2'-deoxynucleotides, which is flanked on
both sides (5' and 3' directions) by five-nucleotide "wings". The
wings are composed of 2'-methoxyethyl (2'-MOE) nucleotides. The
internucleoside (backbone) linkages are phosphorothioate (P=S)
throughout the oligonucleotide. All cytidine residues are
5-methylcytidines.
[0279] At study termination and forty eight hours after the final
injections, animals were sacrificed and evaluated for target mRNA
levels in liver by RT-PCR methods verified by Northern Blot
analysis, glucose levels, cholesterol and lipid levels by HPLC
separation methods and triglyceride and liver enzyme levels
(performed by LabCorp Preclinical Services; San Diego, Calif.).
Data from ApoE knockout mice treated with atorvastatin at a daily
dose of 20 mg/kg are also shown in the table for comparison.
[0280] The results of the comparative studies are shown in Table 9.
Data are normalized to saline controls.
TABLE-US-00009 TABLE 9 Effects of ISIS 147764 treatment on
apolipoprotein B mRNA, cholesterol, glucose, lipid, triglyceride
and liver enzyme levels in ApoE knockout mice. Percent Inhibition
Dose Con- 5 25 50 atorvastatin trol mg/kg mg/kg mg/kg (20 mg/kg)
mRNA 0 2 42 70 10 Glucose Levels (mg/dL) Glucose 225 195 209 191
162 Cholesterol Levels (mg/dL) Cholesterol 1750 1630 1750 1490 938
Lipoprotein Levels (mg/dL) Lipoprotein HDL 51 49 62 61 42 LDL 525
475 500 325 250 VLDL 1190 1111 1194 1113 653 Liver Enzyme Levels
(IU/L) Liver AST 55 50 60 85 75 Enzymes ALT 56 48 59 87 76
[0281] It is evident from these data that treatment with ISIS
147764 lowered glucose and cholesterol as well as all lipoproteins
investigated (HDL, LDL and VLDL) in ApoE knockout mice. Further,
these decreases correlated with a decrease in both protein and RNA
levels of apolipoprotein B, demonstrating an antisense mechanism of
action. No significant changes in liver enzyme levels were
observed, indicating that the antisense oligonucleotide was not
toxic to either treatment group.
SEQUENCE LISTING
[0282] The present specification is being filed with a computer
readable form (CRF) copy of the Sequence Listing. The CRF entitled
12207-399 SEQLIST.txt, which was created on Jun. 25, 2013 and is
82,686 bytes in size, is identical to the paper copy of the
Sequence Listing and is incorporated herein by reference in its
entirety.
Sequence CWU 1
1
124120DNAArtificial SequenceAntisense Oligonucleotide 1tccgtcatcg
ctcctcaggg 20220DNAArtificial SequenceAntisense Oligonucleotide
2atgcattctg cccccaagga 20314121DNAHomo sapiensCDS(129)...(13820)
3attcccaccg ggacctgcgg ggctgagtgc ccttctcggt tgctgccgct gaggagcccg
60cccagccagc cagggccgcg aggccgaggc caggccgcag cccaggagcc gccccaccgc
120agctggcg atg gac ccg ccg agg ccc gcg ctg ctg gcg ctg ctg gcg ctg
170 Met Asp Pro Pro Arg Pro Ala Leu Leu Ala Leu Leu Ala Leu 1 5
10cct gcg ctg ctg ctg ctg ctg ctg gcg ggc gcc agg gcc gaa gag gaa
218Pro Ala Leu Leu Leu Leu Leu Leu Ala Gly Ala Arg Ala Glu Glu
Glu15 20 25 30atg ctg gaa aat gtc agc ctg gtc tgt cca aaa gat gcg
acc cga ttc 266Met Leu Glu Asn Val Ser Leu Val Cys Pro Lys Asp Ala
Thr Arg Phe 35 40 45aag cac ctc cgg aag tac aca tac aac tat gag gct
gag agt tcc agt 314Lys His Leu Arg Lys Tyr Thr Tyr Asn Tyr Glu Ala
Glu Ser Ser Ser 50 55 60gga gtc cct ggg act gct gat tca aga agt gcc
acc agg atc aac tgc 362Gly Val Pro Gly Thr Ala Asp Ser Arg Ser Ala
Thr Arg Ile Asn Cys 65 70 75aag gtt gag ctg gag gtt ccc cag ctc tgc
agc ttc atc ctg aag acc 410Lys Val Glu Leu Glu Val Pro Gln Leu Cys
Ser Phe Ile Leu Lys Thr 80 85 90agc cag tgc acc ctg aaa gag gtg tat
ggc ttc aac cct gag ggc aaa 458Ser Gln Cys Thr Leu Lys Glu Val Tyr
Gly Phe Asn Pro Glu Gly Lys95 100 105 110gcc ttg ctg aag aaa acc
aag aac tct gag gag ttt gct gca gcc atg 506Ala Leu Leu Lys Lys Thr
Lys Asn Ser Glu Glu Phe Ala Ala Ala Met 115 120 125tcc agg tat gag
ctc aag ctg gcc att cca gaa ggg aag cag gtt ttc 554Ser Arg Tyr Glu
Leu Lys Leu Ala Ile Pro Glu Gly Lys Gln Val Phe 130 135 140ctt tac
ccg gag aaa gat gaa cct act tac atc ctg aac atc aag agg 602Leu Tyr
Pro Glu Lys Asp Glu Pro Thr Tyr Ile Leu Asn Ile Lys Arg 145 150
155ggc atc att tct gcc ctc ctg gtt ccc cca gag aca gaa gaa gcc aag
650Gly Ile Ile Ser Ala Leu Leu Val Pro Pro Glu Thr Glu Glu Ala Lys
160 165 170caa gtg ttg ttt ctg gat acc gtg tat gga aac tgc tcc act
cac ttt 698Gln Val Leu Phe Leu Asp Thr Val Tyr Gly Asn Cys Ser Thr
His Phe175 180 185 190acc gtc aag acg agg aag ggc aat gtg gca aca
gaa ata tcc act gaa 746Thr Val Lys Thr Arg Lys Gly Asn Val Ala Thr
Glu Ile Ser Thr Glu 195 200 205aga gac ctg ggg cag tgt gat cgc ttc
aag ccc atc cgc aca ggc atc 794Arg Asp Leu Gly Gln Cys Asp Arg Phe
Lys Pro Ile Arg Thr Gly Ile 210 215 220agc cca ctt gct ctc atc aaa
ggc atg acc cgc ccc ttg tca act ctg 842Ser Pro Leu Ala Leu Ile Lys
Gly Met Thr Arg Pro Leu Ser Thr Leu 225 230 235atc agc agc agc cag
tcc tgt cag tac aca ctg gac gct aag agg aag 890Ile Ser Ser Ser Gln
Ser Cys Gln Tyr Thr Leu Asp Ala Lys Arg Lys 240 245 250cat gtg gca
gaa gcc atc tgc aag gag caa cac ctc ttc ctg cct ttc 938His Val Ala
Glu Ala Ile Cys Lys Glu Gln His Leu Phe Leu Pro Phe255 260 265
270tcc tac aac aat aag tat ggg atg gta gca caa gtg aca cag act ttg
986Ser Tyr Asn Asn Lys Tyr Gly Met Val Ala Gln Val Thr Gln Thr Leu
275 280 285aaa ctt gaa gac aca cca aag atc aac agc cgc ttc ttt ggt
gaa ggt 1034Lys Leu Glu Asp Thr Pro Lys Ile Asn Ser Arg Phe Phe Gly
Glu Gly 290 295 300act aag aag atg ggc ctc gca ttt gag agc acc aaa
tcc aca tca cct 1082Thr Lys Lys Met Gly Leu Ala Phe Glu Ser Thr Lys
Ser Thr Ser Pro 305 310 315cca aag cag gcc gaa gct gtt ttg aag act
ctc cag gaa ctg aaa aaa 1130Pro Lys Gln Ala Glu Ala Val Leu Lys Thr
Leu Gln Glu Leu Lys Lys 320 325 330cta acc atc tct gag caa aat atc
cag aga gct aat ctc ttc aat aag 1178Leu Thr Ile Ser Glu Gln Asn Ile
Gln Arg Ala Asn Leu Phe Asn Lys335 340 345 350ctg gtt act gag ctg
aga ggc ctc agt gat gaa gca gtc aca tct ctc 1226Leu Val Thr Glu Leu
Arg Gly Leu Ser Asp Glu Ala Val Thr Ser Leu 355 360 365ttg cca cag
ctg att gag gtg tcc agc ccc atc act tta caa gcc ttg 1274Leu Pro Gln
Leu Ile Glu Val Ser Ser Pro Ile Thr Leu Gln Ala Leu 370 375 380gtt
cag tgt gga cag cct cag tgc tcc act cac atc ctc cag tgg ctg 1322Val
Gln Cys Gly Gln Pro Gln Cys Ser Thr His Ile Leu Gln Trp Leu 385 390
395aaa cgt gtg cat gcc aac ccc ctt ctg ata gat gtg gtc acc tac ctg
1370Lys Arg Val His Ala Asn Pro Leu Leu Ile Asp Val Val Thr Tyr Leu
400 405 410gtg gcc ctg atc ccc gag ccc tca gca cag cag ctg cga gag
atc ttc 1418Val Ala Leu Ile Pro Glu Pro Ser Ala Gln Gln Leu Arg Glu
Ile Phe415 420 425 430aac atg gcg agg gat cag cgc agc cga gcc acc
ttg tat gcg ctg agc 1466Asn Met Ala Arg Asp Gln Arg Ser Arg Ala Thr
Leu Tyr Ala Leu Ser 435 440 445cac gcg gtc aac aac tat cat aag aca
aac cct aca ggg acc cag gag 1514His Ala Val Asn Asn Tyr His Lys Thr
Asn Pro Thr Gly Thr Gln Glu 450 455 460ctg ctg gac att gct aat tac
ctg atg gaa cag att caa gat gac tgc 1562Leu Leu Asp Ile Ala Asn Tyr
Leu Met Glu Gln Ile Gln Asp Asp Cys 465 470 475act ggg gat gaa gat
tac acc tat ttg att ctg cgg gtc att gga aat 1610Thr Gly Asp Glu Asp
Tyr Thr Tyr Leu Ile Leu Arg Val Ile Gly Asn 480 485 490atg ggc caa
acc atg gag cag tta act cca gaa ctc aag tct tca atc 1658Met Gly Gln
Thr Met Glu Gln Leu Thr Pro Glu Leu Lys Ser Ser Ile495 500 505
510ctc aaa tgt gtc caa agt aca aag cca tca ctg atg atc cag aaa gct
1706Leu Lys Cys Val Gln Ser Thr Lys Pro Ser Leu Met Ile Gln Lys Ala
515 520 525gcc atc cag gct ctg cgg aaa atg gag cct aaa gac aag gac
cag gag 1754Ala Ile Gln Ala Leu Arg Lys Met Glu Pro Lys Asp Lys Asp
Gln Glu 530 535 540gtt ctt ctt cag act ttc ctt gat gat gct tct ccg
gga gat aag cga 1802Val Leu Leu Gln Thr Phe Leu Asp Asp Ala Ser Pro
Gly Asp Lys Arg 545 550 555ctg gct gcc tat ctt atg ttg atg agg agt
cct tca cag gca gat att 1850Leu Ala Ala Tyr Leu Met Leu Met Arg Ser
Pro Ser Gln Ala Asp Ile 560 565 570aac aaa att gtc caa att cta cca
tgg gaa cag aat gag caa gtg aag 1898Asn Lys Ile Val Gln Ile Leu Pro
Trp Glu Gln Asn Glu Gln Val Lys575 580 585 590aac ttt gtg gct tcc
cat att gcc aat atc ttg aac tca gaa gaa ttg 1946Asn Phe Val Ala Ser
His Ile Ala Asn Ile Leu Asn Ser Glu Glu Leu 595 600 605gat atc caa
gat ctg aaa aag tta gtg aaa gaa gct ctg aaa gaa tct 1994Asp Ile Gln
Asp Leu Lys Lys Leu Val Lys Glu Ala Leu Lys Glu Ser 610 615 620caa
ctt cca act gtc atg gac ttc aga aaa ttc tct cgg aac tat caa 2042Gln
Leu Pro Thr Val Met Asp Phe Arg Lys Phe Ser Arg Asn Tyr Gln 625 630
635ctc tac aaa tct gtt tct ctt cca tca ctt gac cca gcc tca gcc aaa
2090Leu Tyr Lys Ser Val Ser Leu Pro Ser Leu Asp Pro Ala Ser Ala Lys
640 645 650ata gaa ggg aat ctt ata ttt gat cca aat aac tac ctt cct
aaa gaa 2138Ile Glu Gly Asn Leu Ile Phe Asp Pro Asn Asn Tyr Leu Pro
Lys Glu655 660 665 670agc atg ctg aaa act acc ctc act gcc ttt gga
ttt gct tca gct gac 2186Ser Met Leu Lys Thr Thr Leu Thr Ala Phe Gly
Phe Ala Ser Ala Asp 675 680 685ctc atc gag att ggc ttg gaa gga aaa
ggc ttt gag cca aca ttg gaa 2234Leu Ile Glu Ile Gly Leu Glu Gly Lys
Gly Phe Glu Pro Thr Leu Glu 690 695 700gct ctt ttt ggg aag caa gga
ttt ttc cca gac agt gtc aac aaa gct 2282Ala Leu Phe Gly Lys Gln Gly
Phe Phe Pro Asp Ser Val Asn Lys Ala 705 710 715ttg tac tgg gtt aat
ggt caa gtt cct gat ggt gtc tct aag gtc tta 2330Leu Tyr Trp Val Asn
Gly Gln Val Pro Asp Gly Val Ser Lys Val Leu 720 725 730gtg gac cac
ttt ggc tat acc aaa gat gat aaa cat gag cag gat atg 2378Val Asp His
Phe Gly Tyr Thr Lys Asp Asp Lys His Glu Gln Asp Met735 740 745
750gta aat gga ata atg ctc agt gtt gag aag ctg att aaa gat ttg aaa
2426Val Asn Gly Ile Met Leu Ser Val Glu Lys Leu Ile Lys Asp Leu Lys
755 760 765tcc aaa gaa gtc ccg gaa gcc aga gcc tac ctc cgc atc ttg
gga gag 2474Ser Lys Glu Val Pro Glu Ala Arg Ala Tyr Leu Arg Ile Leu
Gly Glu 770 775 780gag ctt ggt ttt gcc agt ctc cat gac ctc cag ctc
ctg gga aag ctg 2522Glu Leu Gly Phe Ala Ser Leu His Asp Leu Gln Leu
Leu Gly Lys Leu 785 790 795ctt ctg atg ggt gcc cgc act ctg cag ggg
atc ccc cag atg att gga 2570Leu Leu Met Gly Ala Arg Thr Leu Gln Gly
Ile Pro Gln Met Ile Gly 800 805 810gag gtc atc agg aag ggc tca aag
aat gac ttt ttt ctt cac tac atc 2618Glu Val Ile Arg Lys Gly Ser Lys
Asn Asp Phe Phe Leu His Tyr Ile815 820 825 830ttc atg gag aat gcc
ttt gaa ctc ccc act gga gct gga tta cag ttg 2666Phe Met Glu Asn Ala
Phe Glu Leu Pro Thr Gly Ala Gly Leu Gln Leu 835 840 845caa ata tct
tca tct gga gtc att gct ccc gga gcc aag gct gga gta 2714Gln Ile Ser
Ser Ser Gly Val Ile Ala Pro Gly Ala Lys Ala Gly Val 850 855 860aaa
ctg gaa gta gcc aac atg cag gct gaa ctg gtg gca aaa ccc tcc 2762Lys
Leu Glu Val Ala Asn Met Gln Ala Glu Leu Val Ala Lys Pro Ser 865 870
875gtg tct gtg gag ttt gtg aca aat atg ggc atc atc att ccg gac ttc
2810Val Ser Val Glu Phe Val Thr Asn Met Gly Ile Ile Ile Pro Asp Phe
880 885 890gct agg agt ggg gtc cag atg aac acc aac ttc ttc cac gag
tcg ggt 2858Ala Arg Ser Gly Val Gln Met Asn Thr Asn Phe Phe His Glu
Ser Gly895 900 905 910ctg gag gct cat gtt gcc cta aaa gct ggg aag
ctg aag ttt atc att 2906Leu Glu Ala His Val Ala Leu Lys Ala Gly Lys
Leu Lys Phe Ile Ile 915 920 925cct tcc cca aag aga cca gtc aag ctg
ctc agt gga ggc aac aca tta 2954Pro Ser Pro Lys Arg Pro Val Lys Leu
Leu Ser Gly Gly Asn Thr Leu 930 935 940cat ttg gtc tct acc acc aaa
acg gag gtg atc cca cct ctc att gag 3002His Leu Val Ser Thr Thr Lys
Thr Glu Val Ile Pro Pro Leu Ile Glu 945 950 955aac agg cag tcc tgg
tca gtt tgc aag caa gtc ttt cct ggc ctg aat 3050Asn Arg Gln Ser Trp
Ser Val Cys Lys Gln Val Phe Pro Gly Leu Asn 960 965 970tac tgc acc
tca ggc gct tac tcc aac gcc agc tcc aca gac tcc gcc 3098Tyr Cys Thr
Ser Gly Ala Tyr Ser Asn Ala Ser Ser Thr Asp Ser Ala975 980 985
990tcc tac tat ccg ctg acc ggg gac acc aga tta gag ctg gaa ctg agg
3146Ser Tyr Tyr Pro Leu Thr Gly Asp Thr Arg Leu Glu Leu Glu Leu Arg
995 1000 1005cct aca gga gag att gag cag tat tct gtc agc gca acc
tat gag ctc 3194Pro Thr Gly Glu Ile Glu Gln Tyr Ser Val Ser Ala Thr
Tyr Glu Leu 1010 1015 1020cag aga gag gac aga gcc ttg gtg gat acc
ctg aag ttt gta act caa 3242Gln Arg Glu Asp Arg Ala Leu Val Asp Thr
Leu Lys Phe Val Thr Gln 1025 1030 1035gca gaa ggt gcg aag cag act
gag gct acc atg aca ttc aaa tat aat 3290Ala Glu Gly Ala Lys Gln Thr
Glu Ala Thr Met Thr Phe Lys Tyr Asn 1040 1045 1050cgg cag agt atg
acc ttg tcc agt gaa gtc caa att ccg gat ttt gat 3338Arg Gln Ser Met
Thr Leu Ser Ser Glu Val Gln Ile Pro Asp Phe Asp1055 1060 1065
1070gtt gac ctc gga aca atc ctc aga gtt aat gat gaa tct act gag ggc
3386Val Asp Leu Gly Thr Ile Leu Arg Val Asn Asp Glu Ser Thr Glu Gly
1075 1080 1085aaa acg tct tac aga ctc acc ctg gac att cag aac aag
aaa att act 3434Lys Thr Ser Tyr Arg Leu Thr Leu Asp Ile Gln Asn Lys
Lys Ile Thr 1090 1095 1100gag gtc gcc ctc atg ggc cac cta agt tgt
gac aca aag gaa gaa aga 3482Glu Val Ala Leu Met Gly His Leu Ser Cys
Asp Thr Lys Glu Glu Arg 1105 1110 1115aaa atc aag ggt gtt att tcc
ata ccc cgt ttg caa gca gaa gcc aga 3530Lys Ile Lys Gly Val Ile Ser
Ile Pro Arg Leu Gln Ala Glu Ala Arg 1120 1125 1130agt gag atc ctc
gcc cac tgg tcg cct gcc aaa ctg ctt ctc caa atg 3578Ser Glu Ile Leu
Ala His Trp Ser Pro Ala Lys Leu Leu Leu Gln Met1135 1140 1145
1150gac tca tct gct aca gct tat ggc tcc aca gtt tcc aag agg gtg gca
3626Asp Ser Ser Ala Thr Ala Tyr Gly Ser Thr Val Ser Lys Arg Val Ala
1155 1160 1165tgg cat tat gat gaa gag aag att gaa ttt gaa tgg aac
aca ggc acc 3674Trp His Tyr Asp Glu Glu Lys Ile Glu Phe Glu Trp Asn
Thr Gly Thr 1170 1175 1180aat gta gat acc aaa aaa atg act tcc aat
ttc cct gtg gat ctc tcc 3722Asn Val Asp Thr Lys Lys Met Thr Ser Asn
Phe Pro Val Asp Leu Ser 1185 1190 1195gat tat cct aag agc ttg cat
atg tat gct aat aga ctc ctg gat cac 3770Asp Tyr Pro Lys Ser Leu His
Met Tyr Ala Asn Arg Leu Leu Asp His 1200 1205 1210aga gtc cct gaa
aca gac atg act ttc cgg cac gtg ggt tcc aaa tta 3818Arg Val Pro Glu
Thr Asp Met Thr Phe Arg His Val Gly Ser Lys Leu1215 1220 1225
1230ata gtt gca atg agc tca tgg ctt cag aag gca tct ggg agt ctt cct
3866Ile Val Ala Met Ser Ser Trp Leu Gln Lys Ala Ser Gly Ser Leu Pro
1235 1240 1245tat acc cag act ttg caa gac cac ctc aat agc ctg aag
gag ttc aac 3914Tyr Thr Gln Thr Leu Gln Asp His Leu Asn Ser Leu Lys
Glu Phe Asn 1250 1255 1260ctc cag aac atg gga ttg cca gac ttc cac
atc cca gaa aac ctc ttc 3962Leu Gln Asn Met Gly Leu Pro Asp Phe His
Ile Pro Glu Asn Leu Phe 1265 1270 1275tta aaa agc gat ggc cgg gtc
aaa tat acc ttg aac aag aac agt ttg 4010Leu Lys Ser Asp Gly Arg Val
Lys Tyr Thr Leu Asn Lys Asn Ser Leu 1280 1285 1290aaa att gag att
cct ttg cct ttt ggt ggc aaa tcc tcc aga gat cta 4058Lys Ile Glu Ile
Pro Leu Pro Phe Gly Gly Lys Ser Ser Arg Asp Leu1295 1300 1305
1310aag atg tta gag act gtt agg aca cca gcc ctc cac ttc aag tct gtg
4106Lys Met Leu Glu Thr Val Arg Thr Pro Ala Leu His Phe Lys Ser Val
1315 1320 1325gga ttc cat ctg cca tct cga gag ttc caa gtc cct act
ttt acc att 4154Gly Phe His Leu Pro Ser Arg Glu Phe Gln Val Pro Thr
Phe Thr Ile 1330 1335 1340ccc aag ttg tat caa ctg caa gtg cct ctc
ctg ggt gtt cta gac ctc 4202Pro Lys Leu Tyr Gln Leu Gln Val Pro Leu
Leu Gly Val Leu Asp Leu 1345 1350 1355tcc acg aat gtc tac agc aac
ttg tac aac tgg tcc gcc tcc tac agt 4250Ser Thr Asn Val Tyr Ser Asn
Leu Tyr Asn Trp Ser Ala Ser Tyr Ser 1360 1365 1370ggt ggc aac acc
agc aca gac cat ttc agc ctt cgg gct cgt tac cac 4298Gly Gly Asn Thr
Ser Thr Asp His Phe Ser Leu Arg Ala Arg Tyr His1375 1380 1385
1390atg aag gct gac tct gtg gtt gac ctg ctt tcc tac aat gtg caa gga
4346Met Lys Ala Asp Ser Val Val Asp Leu Leu Ser Tyr Asn Val Gln Gly
1395 1400 1405tct gga gaa aca aca tat gac cac aag aat acg ttc aca
cta tca tgt 4394Ser Gly Glu Thr Thr Tyr Asp His Lys Asn Thr Phe Thr
Leu Ser Cys 1410 1415 1420gat ggg tct cta cgc cac aaa ttt cta gat
tcg aat atc aaa ttc agt 4442Asp Gly Ser Leu Arg His Lys Phe Leu Asp
Ser Asn Ile Lys Phe Ser 1425 1430 1435cat gta gaa aaa ctt gga aac
aac cca gtc tca aaa ggt tta cta ata 4490His Val Glu Lys Leu Gly Asn
Asn Pro Val Ser Lys Gly Leu Leu Ile 1440 1445 1450ttc gat gca tct
agt tcc tgg gga cca cag atg tct gct tca gtt cat 4538Phe Asp Ala Ser
Ser Ser Trp Gly Pro Gln Met Ser Ala Ser Val His1455 1460 1465
1470ttg gac tcc aaa aag aaa cag cat ttg ttt gtc aaa gaa gtc aag att
4586Leu Asp Ser Lys Lys Lys Gln His Leu Phe Val Lys Glu Val Lys Ile
1475 1480 1485gat ggg cag ttc aga gtc tct tcg ttc tat gct aaa ggc
aca tat ggc 4634Asp Gly
Gln Phe Arg Val Ser Ser Phe Tyr Ala Lys Gly Thr Tyr Gly 1490 1495
1500ctg tct tgt cag agg gat cct aac act ggc cgg ctc aat gga gag tcc
4682Leu Ser Cys Gln Arg Asp Pro Asn Thr Gly Arg Leu Asn Gly Glu Ser
1505 1510 1515aac ctg agg ttt aac tcc tcc tac ctc caa ggc acc aac
cag ata aca 4730Asn Leu Arg Phe Asn Ser Ser Tyr Leu Gln Gly Thr Asn
Gln Ile Thr 1520 1525 1530gga aga tat gaa gat gga acc ctc tcc ctc
acc tcc acc tct gat ctg 4778Gly Arg Tyr Glu Asp Gly Thr Leu Ser Leu
Thr Ser Thr Ser Asp Leu1535 1540 1545 1550caa agt ggc atc att aaa
aat act gct tcc cta aag tat gag aac tac 4826Gln Ser Gly Ile Ile Lys
Asn Thr Ala Ser Leu Lys Tyr Glu Asn Tyr 1555 1560 1565gag ctg act
tta aaa tct gac acc aat ggg aag tat aag aac ttt gcc 4874Glu Leu Thr
Leu Lys Ser Asp Thr Asn Gly Lys Tyr Lys Asn Phe Ala 1570 1575
1580act tct aac aag atg gat atg acc ttc tct aag caa aat gca ctg ctg
4922Thr Ser Asn Lys Met Asp Met Thr Phe Ser Lys Gln Asn Ala Leu Leu
1585 1590 1595cgt tct gaa tat cag gct gat tac gag tca ttg agg ttc
ttc agc ctg 4970Arg Ser Glu Tyr Gln Ala Asp Tyr Glu Ser Leu Arg Phe
Phe Ser Leu 1600 1605 1610ctt tct gga tca cta aat tcc cat ggt ctt
gag tta aat gct gac atc 5018Leu Ser Gly Ser Leu Asn Ser His Gly Leu
Glu Leu Asn Ala Asp Ile1615 1620 1625 1630tta ggc act gac aaa att
aat agt ggt gct cac aag gcg aca cta agg 5066Leu Gly Thr Asp Lys Ile
Asn Ser Gly Ala His Lys Ala Thr Leu Arg 1635 1640 1645att ggc caa
gat gga ata tct acc agt gca acg acc aac ttg aag tgt 5114Ile Gly Gln
Asp Gly Ile Ser Thr Ser Ala Thr Thr Asn Leu Lys Cys 1650 1655
1660agt ctc ctg gtg ctg gag aat gag ctg aat gca gag ctt ggc ctc tct
5162Ser Leu Leu Val Leu Glu Asn Glu Leu Asn Ala Glu Leu Gly Leu Ser
1665 1670 1675ggg gca tct atg aaa tta aca aca aat ggc cgc ttc agg
gaa cac aat 5210Gly Ala Ser Met Lys Leu Thr Thr Asn Gly Arg Phe Arg
Glu His Asn 1680 1685 1690gca aaa ttc agt ctg gat ggg aaa gcc gcc
ctc aca gag cta tca ctg 5258Ala Lys Phe Ser Leu Asp Gly Lys Ala Ala
Leu Thr Glu Leu Ser Leu1695 1700 1705 1710gga agt gct tat cag gcc
atg att ctg ggt gtc gac agc aaa aac att 5306Gly Ser Ala Tyr Gln Ala
Met Ile Leu Gly Val Asp Ser Lys Asn Ile 1715 1720 1725ttc aac ttc
aag gtc agt caa gaa gga ctt aag ctc tca aat gac atg 5354Phe Asn Phe
Lys Val Ser Gln Glu Gly Leu Lys Leu Ser Asn Asp Met 1730 1735
1740atg ggc tca tat gct gaa atg aaa ttt gac cac aca aac agt ctg aac
5402Met Gly Ser Tyr Ala Glu Met Lys Phe Asp His Thr Asn Ser Leu Asn
1745 1750 1755att gca ggc tta tca ctg gac ttc tct tca aaa ctt gac
aac att tac 5450Ile Ala Gly Leu Ser Leu Asp Phe Ser Ser Lys Leu Asp
Asn Ile Tyr 1760 1765 1770agc tct gac aag ttt tat aag caa act gtt
aat tta cag cta cag ccc 5498Ser Ser Asp Lys Phe Tyr Lys Gln Thr Val
Asn Leu Gln Leu Gln Pro1775 1780 1785 1790tat tct ctg gta act act
tta aac agt gac ctg aaa tac aat gct ctg 5546Tyr Ser Leu Val Thr Thr
Leu Asn Ser Asp Leu Lys Tyr Asn Ala Leu 1795 1800 1805gat ctc acc
aac aat ggg aaa cta cgg cta gaa ccc ctg aag ctg cat 5594Asp Leu Thr
Asn Asn Gly Lys Leu Arg Leu Glu Pro Leu Lys Leu His 1810 1815
1820gtg gct ggt aac cta aaa gga gcc tac caa aat aat gaa ata aaa cac
5642Val Ala Gly Asn Leu Lys Gly Ala Tyr Gln Asn Asn Glu Ile Lys His
1825 1830 1835atc tat gcc atc tct tct gct gcc tta tca gca agc tat
aaa gca gac 5690Ile Tyr Ala Ile Ser Ser Ala Ala Leu Ser Ala Ser Tyr
Lys Ala Asp 1840 1845 1850act gtt gct aag gtt cag ggt gtg gag ttt
agc cat cgg ctc aac aca 5738Thr Val Ala Lys Val Gln Gly Val Glu Phe
Ser His Arg Leu Asn Thr1855 1860 1865 1870gac atc gct ggg ctg gct
tca gcc att gac atg agc aca aac tat aat 5786Asp Ile Ala Gly Leu Ala
Ser Ala Ile Asp Met Ser Thr Asn Tyr Asn 1875 1880 1885tca gac tca
ctg cat ttc agc aat gtc ttc cgt tct gta atg gcc ccg 5834Ser Asp Ser
Leu His Phe Ser Asn Val Phe Arg Ser Val Met Ala Pro 1890 1895
1900ttt acc atg acc atc gat gca cat aca aat ggc aat ggg aaa ctc gct
5882Phe Thr Met Thr Ile Asp Ala His Thr Asn Gly Asn Gly Lys Leu Ala
1905 1910 1915ctc tgg gga gaa cat act ggg cag ctg tat agc aaa ttc
ctg ttg aaa 5930Leu Trp Gly Glu His Thr Gly Gln Leu Tyr Ser Lys Phe
Leu Leu Lys 1920 1925 1930gca gaa cct ctg gca ttt act ttc tct cat
gat tac aaa ggc tcc aca 5978Ala Glu Pro Leu Ala Phe Thr Phe Ser His
Asp Tyr Lys Gly Ser Thr1935 1940 1945 1950agt cat cat ctc gtg tct
agg aaa agc atc agt gca gct ctt gaa cac 6026Ser His His Leu Val Ser
Arg Lys Ser Ile Ser Ala Ala Leu Glu His 1955 1960 1965aaa gtc agt
gcc ctg ctt act cca gct gag cag aca ggc acc tgg aaa 6074Lys Val Ser
Ala Leu Leu Thr Pro Ala Glu Gln Thr Gly Thr Trp Lys 1970 1975
1980ctc aag acc caa ttt aac aac aat gaa tac agc cag gac ttg gat gct
6122Leu Lys Thr Gln Phe Asn Asn Asn Glu Tyr Ser Gln Asp Leu Asp Ala
1985 1990 1995tac aac act aaa gat aaa att ggc gtg gag ctt act gga
cga act ctg 6170Tyr Asn Thr Lys Asp Lys Ile Gly Val Glu Leu Thr Gly
Arg Thr Leu 2000 2005 2010gct gac cta act cta cta gac tcc cca att
aaa gtg cca ctt tta ctc 6218Ala Asp Leu Thr Leu Leu Asp Ser Pro Ile
Lys Val Pro Leu Leu Leu2015 2020 2025 2030agt gag ccc atc aat atc
att gat gct tta gag atg aga gat gcc gtt 6266Ser Glu Pro Ile Asn Ile
Ile Asp Ala Leu Glu Met Arg Asp Ala Val 2035 2040 2045gag aag ccc
caa gaa ttt aca att gtt gct ttt gta aag tat gat aaa 6314Glu Lys Pro
Gln Glu Phe Thr Ile Val Ala Phe Val Lys Tyr Asp Lys 2050 2055
2060aac caa gat gtt cac tcc att aac ctc cca ttt ttt gag acc ttg caa
6362Asn Gln Asp Val His Ser Ile Asn Leu Pro Phe Phe Glu Thr Leu Gln
2065 2070 2075gaa tat ttt gag agg aat cga caa acc att ata gtt gta
gtg gaa aac 6410Glu Tyr Phe Glu Arg Asn Arg Gln Thr Ile Ile Val Val
Val Glu Asn 2080 2085 2090gta cag aga aac ctg aag cac atc aat att
gat caa ttt gta aga aaa 6458Val Gln Arg Asn Leu Lys His Ile Asn Ile
Asp Gln Phe Val Arg Lys2095 2100 2105 2110tac aga gca gcc ctg gga
aaa ctc cca cag caa gct aat gat tat ctg 6506Tyr Arg Ala Ala Leu Gly
Lys Leu Pro Gln Gln Ala Asn Asp Tyr Leu 2115 2120 2125aat tca ttc
aat tgg gag aga caa gtt tca cat gcc aag gag aaa ctg 6554Asn Ser Phe
Asn Trp Glu Arg Gln Val Ser His Ala Lys Glu Lys Leu 2130 2135
2140act gct ctc aca aaa aag tat aga att aca gaa aat gat ata caa att
6602Thr Ala Leu Thr Lys Lys Tyr Arg Ile Thr Glu Asn Asp Ile Gln Ile
2145 2150 2155gca tta gat gat gcc aaa atc aac ttt aat gaa aaa cta
tct caa ctg 6650Ala Leu Asp Asp Ala Lys Ile Asn Phe Asn Glu Lys Leu
Ser Gln Leu 2160 2165 2170cag aca tat atg ata caa ttt gat cag tat
att aaa gat agt tat gat 6698Gln Thr Tyr Met Ile Gln Phe Asp Gln Tyr
Ile Lys Asp Ser Tyr Asp2175 2180 2185 2190tta cat gat ttg aaa ata
gct att gct aat att att gat gaa atc att 6746Leu His Asp Leu Lys Ile
Ala Ile Ala Asn Ile Ile Asp Glu Ile Ile 2195 2200 2205gaa aaa tta
aaa agt ctt gat gag cac tat cat atc cgt gta aat tta 6794Glu Lys Leu
Lys Ser Leu Asp Glu His Tyr His Ile Arg Val Asn Leu 2210 2215
2220gta aaa aca atc cat gat cta cat ttg ttt att gaa aat att gat ttt
6842Val Lys Thr Ile His Asp Leu His Leu Phe Ile Glu Asn Ile Asp Phe
2225 2230 2235aac aaa agt gga agt agt act gca tcc tgg att caa aat
gtg gat act 6890Asn Lys Ser Gly Ser Ser Thr Ala Ser Trp Ile Gln Asn
Val Asp Thr 2240 2245 2250aag tac caa atc aga atc cag ata caa gaa
aaa ctg cag cag ctt aag 6938Lys Tyr Gln Ile Arg Ile Gln Ile Gln Glu
Lys Leu Gln Gln Leu Lys2255 2260 2265 2270aga cac ata cag aat ata
gac atc cag cac cta gct gga aag tta aaa 6986Arg His Ile Gln Asn Ile
Asp Ile Gln His Leu Ala Gly Lys Leu Lys 2275 2280 2285caa cac att
gag gct att gat gtt aga gtg ctt tta gat caa ttg gga 7034Gln His Ile
Glu Ala Ile Asp Val Arg Val Leu Leu Asp Gln Leu Gly 2290 2295
2300act aca att tca ttt gaa aga ata aat gat gtt ctt gag cat gtc aaa
7082Thr Thr Ile Ser Phe Glu Arg Ile Asn Asp Val Leu Glu His Val Lys
2305 2310 2315cac ttt gtt ata aat ctt att ggg gat ttt gaa gta gct
gag aaa atc 7130His Phe Val Ile Asn Leu Ile Gly Asp Phe Glu Val Ala
Glu Lys Ile 2320 2325 2330aat gcc ttc aga gcc aaa gtc cat gag tta
atc gag agg tat gaa gta 7178Asn Ala Phe Arg Ala Lys Val His Glu Leu
Ile Glu Arg Tyr Glu Val2335 2340 2345 2350gac caa caa atc cag gtt
tta atg gat aaa tta gta gag ttg acc cac 7226Asp Gln Gln Ile Gln Val
Leu Met Asp Lys Leu Val Glu Leu Thr His 2355 2360 2365caa tac aag
ttg aag gag act att cag aag cta agc aat gtc cta caa 7274Gln Tyr Lys
Leu Lys Glu Thr Ile Gln Lys Leu Ser Asn Val Leu Gln 2370 2375
2380caa gtt aag ata aaa gat tac ttt gag aaa ttg gtt gga ttt att gat
7322Gln Val Lys Ile Lys Asp Tyr Phe Glu Lys Leu Val Gly Phe Ile Asp
2385 2390 2395gat gct gtg aag aag ctt aat gaa tta tct ttt aaa aca
ttc att gaa 7370Asp Ala Val Lys Lys Leu Asn Glu Leu Ser Phe Lys Thr
Phe Ile Glu 2400 2405 2410gat gtt aac aaa ttc ctt gac atg ttg ata
aag aaa tta aag tca ttt 7418Asp Val Asn Lys Phe Leu Asp Met Leu Ile
Lys Lys Leu Lys Ser Phe2415 2420 2425 2430gat tac cac cag ttt gta
gat gaa acc aat gac aaa atc cgt gag gtg 7466Asp Tyr His Gln Phe Val
Asp Glu Thr Asn Asp Lys Ile Arg Glu Val 2435 2440 2445act cag aga
ctc aat ggt gaa att cag gct ctg gaa cta cca caa aaa 7514Thr Gln Arg
Leu Asn Gly Glu Ile Gln Ala Leu Glu Leu Pro Gln Lys 2450 2455
2460gct gaa gca tta aaa ctg ttt tta gag gaa acc aag gcc aca gtt gca
7562Ala Glu Ala Leu Lys Leu Phe Leu Glu Glu Thr Lys Ala Thr Val Ala
2465 2470 2475gtg tat ctg gaa agc cta cag gac acc aaa ata acc tta
atc atc aat 7610Val Tyr Leu Glu Ser Leu Gln Asp Thr Lys Ile Thr Leu
Ile Ile Asn 2480 2485 2490tgg tta cag gag gct tta agt tca gca tct
ttg gct cac atg aag gcc 7658Trp Leu Gln Glu Ala Leu Ser Ser Ala Ser
Leu Ala His Met Lys Ala2495 2500 2505 2510aaa ttc cga gag act cta
gaa gat aca cga gac cga atg tat caa atg 7706Lys Phe Arg Glu Thr Leu
Glu Asp Thr Arg Asp Arg Met Tyr Gln Met 2515 2520 2525gac att cag
cag gaa ctt caa cga tac ctg tct ctg gta ggc cag gtt 7754Asp Ile Gln
Gln Glu Leu Gln Arg Tyr Leu Ser Leu Val Gly Gln Val 2530 2535
2540tat agc aca ctt gtc acc tac att tct gat tgg tgg act ctt gct gct
7802Tyr Ser Thr Leu Val Thr Tyr Ile Ser Asp Trp Trp Thr Leu Ala Ala
2545 2550 2555aag aac ctt act gac ttt gca gag caa tat tct atc caa
gat tgg gct 7850Lys Asn Leu Thr Asp Phe Ala Glu Gln Tyr Ser Ile Gln
Asp Trp Ala 2560 2565 2570aaa cgt atg aaa gca ttg gta gag caa ggg
ttc act gtt cct gaa atc 7898Lys Arg Met Lys Ala Leu Val Glu Gln Gly
Phe Thr Val Pro Glu Ile2575 2580 2585 2590aag acc atc ctt ggg acc
atg cct gcc ttt gaa gtc agt ctt cag gct 7946Lys Thr Ile Leu Gly Thr
Met Pro Ala Phe Glu Val Ser Leu Gln Ala 2595 2600 2605ctt cag aaa
gct acc ttc cag aca cct gat ttt ata gtc ccc cta aca 7994Leu Gln Lys
Ala Thr Phe Gln Thr Pro Asp Phe Ile Val Pro Leu Thr 2610 2615
2620gat ttg agg att cca tca gtt cag ata aac ttc aaa gac tta aaa aat
8042Asp Leu Arg Ile Pro Ser Val Gln Ile Asn Phe Lys Asp Leu Lys Asn
2625 2630 2635ata aaa atc cca tcc agg ttt tcc aca cca gaa ttt acc
atc ctt aac 8090Ile Lys Ile Pro Ser Arg Phe Ser Thr Pro Glu Phe Thr
Ile Leu Asn 2640 2645 2650acc ttc cac att cct tcc ttt aca att gac
ttt gtc gaa atg aaa gta 8138Thr Phe His Ile Pro Ser Phe Thr Ile Asp
Phe Val Glu Met Lys Val2655 2660 2665 2670aag atc atc aga acc att
gac cag atg cag aac agt gag ctg cag tgg 8186Lys Ile Ile Arg Thr Ile
Asp Gln Met Gln Asn Ser Glu Leu Gln Trp 2675 2680 2685ccc gtt cca
gat ata tat ctc agg gat ctg aag gtg gag gac att cct 8234Pro Val Pro
Asp Ile Tyr Leu Arg Asp Leu Lys Val Glu Asp Ile Pro 2690 2695
2700cta gcg aga atc acc ctg cca gac ttc cgt tta cca gaa atc gca att
8282Leu Ala Arg Ile Thr Leu Pro Asp Phe Arg Leu Pro Glu Ile Ala Ile
2705 2710 2715cca gaa ttc ata atc cca act ctc aac ctt aat gat ttt
caa gtt cct 8330Pro Glu Phe Ile Ile Pro Thr Leu Asn Leu Asn Asp Phe
Gln Val Pro 2720 2725 2730gac ctt cac ata cca gaa ttc cag ctt ccc
cac atc tca cac aca att 8378Asp Leu His Ile Pro Glu Phe Gln Leu Pro
His Ile Ser His Thr Ile2735 2740 2745 2750gaa gta cct act ttt ggc
aag cta tac agt att ctg aaa atc caa tct 8426Glu Val Pro Thr Phe Gly
Lys Leu Tyr Ser Ile Leu Lys Ile Gln Ser 2755 2760 2765cct ctt ttc
aca tta gat gca aat gct gac ata ggg aat gga acc acc 8474Pro Leu Phe
Thr Leu Asp Ala Asn Ala Asp Ile Gly Asn Gly Thr Thr 2770 2775
2780tca gca aac gaa gca ggt atc gca gct tcc atc act gcc aaa gga gag
8522Ser Ala Asn Glu Ala Gly Ile Ala Ala Ser Ile Thr Ala Lys Gly Glu
2785 2790 2795tcc aaa tta gaa gtt ctc aat ttt gat ttt caa gca aat
gca caa ctc 8570Ser Lys Leu Glu Val Leu Asn Phe Asp Phe Gln Ala Asn
Ala Gln Leu 2800 2805 2810tca aac cct aag att aat ccg ctg gct ctg
aag gag tca gtg aag ttc 8618Ser Asn Pro Lys Ile Asn Pro Leu Ala Leu
Lys Glu Ser Val Lys Phe2815 2820 2825 2830tcc agc aag tac ctg aga
acg gag cat ggg agt gaa atg ctg ttt ttt 8666Ser Ser Lys Tyr Leu Arg
Thr Glu His Gly Ser Glu Met Leu Phe Phe 2835 2840 2845gga aat gct
att gag gga aaa tca aac aca gtg gca agt tta cac aca 8714Gly Asn Ala
Ile Glu Gly Lys Ser Asn Thr Val Ala Ser Leu His Thr 2850 2855
2860gaa aaa aat aca ctg gag ctt agt aat gga gtg att gtc aag ata aac
8762Glu Lys Asn Thr Leu Glu Leu Ser Asn Gly Val Ile Val Lys Ile Asn
2865 2870 2875aat cag ctt acc ctg gat agc aac act aaa tac ttc cac
aaa ttg aac 8810Asn Gln Leu Thr Leu Asp Ser Asn Thr Lys Tyr Phe His
Lys Leu Asn 2880 2885 2890atc ccc aaa ctg gac ttc tct agt cag gct
gac ctg cgc aac gag atc 8858Ile Pro Lys Leu Asp Phe Ser Ser Gln Ala
Asp Leu Arg Asn Glu Ile2895 2900 2905 2910aag aca ctg ttg aaa gct
ggc cac ata gca tgg act tct tct gga aaa 8906Lys Thr Leu Leu Lys Ala
Gly His Ile Ala Trp Thr Ser Ser Gly Lys 2915 2920 2925ggg tca tgg
aaa tgg gcc tgc ccc aga ttc tca gat gag gga aca cat 8954Gly Ser Trp
Lys Trp Ala Cys Pro Arg Phe Ser Asp Glu Gly Thr His 2930 2935
2940gaa tca caa att agt ttc acc ata gaa gga ccc ctc act tcc ttt gga
9002Glu Ser Gln Ile Ser Phe Thr Ile Glu Gly Pro Leu Thr Ser Phe Gly
2945 2950 2955ctg tcc aat aag atc aat agc aaa cac cta aga gta aac
caa aac ttg 9050Leu Ser Asn Lys Ile Asn Ser Lys His Leu Arg Val Asn
Gln Asn Leu 2960 2965 2970gtt tat gaa tct ggc tcc ctc aac ttt tct
aaa ctt gaa att caa tca 9098Val Tyr Glu Ser Gly Ser Leu Asn Phe Ser
Lys Leu Glu Ile Gln Ser2975 2980 2985 2990caa gtc gat tcc cag cat
gtg ggc cac agt gtt cta act gct aaa ggc 9146Gln Val Asp Ser Gln His
Val Gly His Ser Val Leu Thr Ala Lys Gly 2995 3000 3005atg gca ctg
ttt gga gaa ggg aag gca gag ttt act ggg agg cat gat 9194Met Ala Leu
Phe Gly Glu Gly Lys Ala Glu Phe Thr Gly Arg His Asp
3010 3015 3020gct cat tta aat gga aag gtt att gga act ttg aaa aat
tct ctt ttc 9242Ala His Leu Asn Gly Lys Val Ile Gly Thr Leu Lys Asn
Ser Leu Phe 3025 3030 3035ttt tca gcc cag cca ttt gag atc acg gca
tcc aca aac aat gaa ggg 9290Phe Ser Ala Gln Pro Phe Glu Ile Thr Ala
Ser Thr Asn Asn Glu Gly 3040 3045 3050aat ttg aaa gtt cgt ttt cca
tta agg tta aca ggg aag ata gac ttc 9338Asn Leu Lys Val Arg Phe Pro
Leu Arg Leu Thr Gly Lys Ile Asp Phe3055 3060 3065 3070ctg aat aac
tat gca ctg ttt ctg agt ccc agt gcc cag caa gca agt 9386Leu Asn Asn
Tyr Ala Leu Phe Leu Ser Pro Ser Ala Gln Gln Ala Ser 3075 3080
3085tgg caa gta agt gct agg ttc aat cag tat aag tac aac caa aat ttc
9434Trp Gln Val Ser Ala Arg Phe Asn Gln Tyr Lys Tyr Asn Gln Asn Phe
3090 3095 3100tct gct gga aac aac gag aac att atg gag gcc cat gta
gga ata aat 9482Ser Ala Gly Asn Asn Glu Asn Ile Met Glu Ala His Val
Gly Ile Asn 3105 3110 3115gga gaa gca aat ctg gat ttc tta aac att
cct tta aca att cct gaa 9530Gly Glu Ala Asn Leu Asp Phe Leu Asn Ile
Pro Leu Thr Ile Pro Glu 3120 3125 3130atg cgt cta cct tac aca ata
atc aca act cct cca ctg aaa gat ttc 9578Met Arg Leu Pro Tyr Thr Ile
Ile Thr Thr Pro Pro Leu Lys Asp Phe3135 3140 3145 3150tct cta tgg
gaa aaa aca ggc ttg aag gaa ttc ttg aaa acg aca aag 9626Ser Leu Trp
Glu Lys Thr Gly Leu Lys Glu Phe Leu Lys Thr Thr Lys 3155 3160
3165caa tca ttt gat tta agt gta aaa gct cag tat aag aaa aac aaa cac
9674Gln Ser Phe Asp Leu Ser Val Lys Ala Gln Tyr Lys Lys Asn Lys His
3170 3175 3180agg cat tcc atc aca aat cct ttg gct gtg ctt tgt gag
ttt atc agt 9722Arg His Ser Ile Thr Asn Pro Leu Ala Val Leu Cys Glu
Phe Ile Ser 3185 3190 3195cag agc atc aaa tcc ttt gac agg cat ttt
gaa aaa aac aga aac aat 9770Gln Ser Ile Lys Ser Phe Asp Arg His Phe
Glu Lys Asn Arg Asn Asn 3200 3205 3210gca tta gat ttt gtc acc aaa
tcc tat aat gaa aca aaa att aag ttt 9818Ala Leu Asp Phe Val Thr Lys
Ser Tyr Asn Glu Thr Lys Ile Lys Phe3215 3220 3225 3230gat aag tac
aaa gct gaa aaa tct cac gac gag ctc ccc agg acc ttt 9866Asp Lys Tyr
Lys Ala Glu Lys Ser His Asp Glu Leu Pro Arg Thr Phe 3235 3240
3245caa att cct gga tac act gtt cca gtt gtc aat gtt gaa gtg tct cca
9914Gln Ile Pro Gly Tyr Thr Val Pro Val Val Asn Val Glu Val Ser Pro
3250 3255 3260ttc acc ata gag atg tcg gca ttc ggc tat gtg ttc cca
aaa gca gtc 9962Phe Thr Ile Glu Met Ser Ala Phe Gly Tyr Val Phe Pro
Lys Ala Val 3265 3270 3275agc atg cct agt ttc tcc atc cta ggt tct
gac gtc cgt gtg cct tca 10010Ser Met Pro Ser Phe Ser Ile Leu Gly
Ser Asp Val Arg Val Pro Ser 3280 3285 3290tac aca tta atc ctg cca
tca tta gag ctg cca gtc ctt cat gtc cct 10058Tyr Thr Leu Ile Leu
Pro Ser Leu Glu Leu Pro Val Leu His Val Pro3295 3300 3305 3310aga
aat ctc aag ctt tct ctt cca cat ttc aag gaa ttg tgt acc ata
10106Arg Asn Leu Lys Leu Ser Leu Pro His Phe Lys Glu Leu Cys Thr
Ile 3315 3320 3325agc cat att ttt att cct gcc atg ggc aat att acc
tat gat ttc tcc 10154Ser His Ile Phe Ile Pro Ala Met Gly Asn Ile
Thr Tyr Asp Phe Ser 3330 3335 3340ttt aaa tca agt gtc atc aca ctg
aat acc aat gct gaa ctt ttt aac 10202Phe Lys Ser Ser Val Ile Thr
Leu Asn Thr Asn Ala Glu Leu Phe Asn 3345 3350 3355cag tca gat att
gtt gct cat ctc ctt tct tca tct tca tct gtc att 10250Gln Ser Asp
Ile Val Ala His Leu Leu Ser Ser Ser Ser Ser Val Ile 3360 3365
3370gat gca ctg cag tac aaa tta gag ggc acc aca aga ttg aca aga aaa
10298Asp Ala Leu Gln Tyr Lys Leu Glu Gly Thr Thr Arg Leu Thr Arg
Lys3375 3380 3385 3390agg gga ttg aag tta gcc aca gct ctg tct ctg
agc aac aaa ttt gtg 10346Arg Gly Leu Lys Leu Ala Thr Ala Leu Ser
Leu Ser Asn Lys Phe Val 3395 3400 3405gag ggt agt cat aac agt act
gtg agc tta acc acg aaa aat atg gaa 10394Glu Gly Ser His Asn Ser
Thr Val Ser Leu Thr Thr Lys Asn Met Glu 3410 3415 3420gtg tca gtg
gca aaa acc aca aaa gcc gaa att cca att ttg aga atg 10442Val Ser
Val Ala Lys Thr Thr Lys Ala Glu Ile Pro Ile Leu Arg Met 3425 3430
3435aat ttc aag caa gaa ctt aat gga aat acc aag tca aaa cct act gtc
10490Asn Phe Lys Gln Glu Leu Asn Gly Asn Thr Lys Ser Lys Pro Thr
Val 3440 3445 3450tct tcc tcc atg gaa ttt aag tat gat ttc aat tct
tca atg ctg tac 10538Ser Ser Ser Met Glu Phe Lys Tyr Asp Phe Asn
Ser Ser Met Leu Tyr3455 3460 3465 3470tct acc gct aaa gga gca gtt
gac cac aag ctt agc ttg gaa agc ctc 10586Ser Thr Ala Lys Gly Ala
Val Asp His Lys Leu Ser Leu Glu Ser Leu 3475 3480 3485acc tct tac
ttt tcc att gag tca tct acc aaa gga gat gtc aag ggt 10634Thr Ser
Tyr Phe Ser Ile Glu Ser Ser Thr Lys Gly Asp Val Lys Gly 3490 3495
3500tcg gtt ctt tct cgg gaa tat tca gga act att gct agt gag gcc aac
10682Ser Val Leu Ser Arg Glu Tyr Ser Gly Thr Ile Ala Ser Glu Ala
Asn 3505 3510 3515act tac ttg aat tcc aag agc aca cgg tct tca gtg
aag ctg cag ggc 10730Thr Tyr Leu Asn Ser Lys Ser Thr Arg Ser Ser
Val Lys Leu Gln Gly 3520 3525 3530act tcc aaa att gat gat atc tgg
aac ctt gaa gta aaa gaa aat ttt 10778Thr Ser Lys Ile Asp Asp Ile
Trp Asn Leu Glu Val Lys Glu Asn Phe3535 3540 3545 3550gct gga gaa
gcc aca ctc caa cgc ata tat tcc ctc tgg gag cac agt 10826Ala Gly
Glu Ala Thr Leu Gln Arg Ile Tyr Ser Leu Trp Glu His Ser 3555 3560
3565acg aaa aac cac tta cag cta gag ggc ctc ttt ttc acc aac gga gaa
10874Thr Lys Asn His Leu Gln Leu Glu Gly Leu Phe Phe Thr Asn Gly
Glu 3570 3575 3580cat aca agc aaa gcc acc ctg gaa ctc tct cca tgg
caa atg tca gct 10922His Thr Ser Lys Ala Thr Leu Glu Leu Ser Pro
Trp Gln Met Ser Ala 3585 3590 3595ctt gtt cag gtc cat gca agt cag
ccc agt tcc ttc cat gat ttc cct 10970Leu Val Gln Val His Ala Ser
Gln Pro Ser Ser Phe His Asp Phe Pro 3600 3605 3610gac ctt ggc cag
gaa gtg gcc ctg aat gct aac act aag aac cag aag 11018Asp Leu Gly
Gln Glu Val Ala Leu Asn Ala Asn Thr Lys Asn Gln Lys3615 3620 3625
3630atc aga tgg aaa aat gaa gtc cgg att cat tct ggg tct ttc cag agc
11066Ile Arg Trp Lys Asn Glu Val Arg Ile His Ser Gly Ser Phe Gln
Ser 3635 3640 3645cag gtc gag ctt tcc aat gac caa gaa aag gca cac
ctt gac att gca 11114Gln Val Glu Leu Ser Asn Asp Gln Glu Lys Ala
His Leu Asp Ile Ala 3650 3655 3660gga tcc tta gaa gga cac cta agg
ttc ctc aaa aat atc atc cta cca 11162Gly Ser Leu Glu Gly His Leu
Arg Phe Leu Lys Asn Ile Ile Leu Pro 3665 3670 3675gtc tat gac aag
agc tta tgg gat ttc cta aag ctg gat gta acc acc 11210Val Tyr Asp
Lys Ser Leu Trp Asp Phe Leu Lys Leu Asp Val Thr Thr 3680 3685
3690agc att ggt agg aga cag cat ctt cgt gtt tca act gcc ttt gtg tac
11258Ser Ile Gly Arg Arg Gln His Leu Arg Val Ser Thr Ala Phe Val
Tyr3695 3700 3705 3710acc aaa aac ccc aat ggc tat tca ttc tcc atc
cct gta aaa gtt ttg 11306Thr Lys Asn Pro Asn Gly Tyr Ser Phe Ser
Ile Pro Val Lys Val Leu 3715 3720 3725gct gat aaa ttc att act cct
ggg ctg aaa cta aat gat cta aat tca 11354Ala Asp Lys Phe Ile Thr
Pro Gly Leu Lys Leu Asn Asp Leu Asn Ser 3730 3735 3740gtt ctt gtc
atg cct acg ttc cat gtc cca ttt aca gat ctt cag gtt 11402Val Leu
Val Met Pro Thr Phe His Val Pro Phe Thr Asp Leu Gln Val 3745 3750
3755cca tcg tgc aaa ctt gac ttc aga gaa ata caa atc tat aag aag ctg
11450Pro Ser Cys Lys Leu Asp Phe Arg Glu Ile Gln Ile Tyr Lys Lys
Leu 3760 3765 3770aga act tca tca ttt gcc ctc aac cta cca aca ctc
ccc gag gta aaa 11498Arg Thr Ser Ser Phe Ala Leu Asn Leu Pro Thr
Leu Pro Glu Val Lys3775 3780 3785 3790ttc cct gaa gtt gat gtg tta
aca aaa tat tct caa cca gaa gac tcc 11546Phe Pro Glu Val Asp Val
Leu Thr Lys Tyr Ser Gln Pro Glu Asp Ser 3795 3800 3805ttg att ccc
ttt ttt gag ata acc gtg cct gaa tct cag tta act gtg 11594Leu Ile
Pro Phe Phe Glu Ile Thr Val Pro Glu Ser Gln Leu Thr Val 3810 3815
3820tcc cag ttc acg ctt cca aaa agt gtt tca gat ggc att gct gct ttg
11642Ser Gln Phe Thr Leu Pro Lys Ser Val Ser Asp Gly Ile Ala Ala
Leu 3825 3830 3835gat cta aat gca gta gcc aac aag atc gca gac ttt
gag ttg ccc acc 11690Asp Leu Asn Ala Val Ala Asn Lys Ile Ala Asp
Phe Glu Leu Pro Thr 3840 3845 3850atc atc gtg cct gag cag acc att
gag att ccc tcc att aag ttc tct 11738Ile Ile Val Pro Glu Gln Thr
Ile Glu Ile Pro Ser Ile Lys Phe Ser3855 3860 3865 3870gta cct gct
gga att gtc att cct tcc ttt caa gca ctg act gca cgc 11786Val Pro
Ala Gly Ile Val Ile Pro Ser Phe Gln Ala Leu Thr Ala Arg 3875 3880
3885ttt gag gta gac tct ccc gtg tat aat gcc act tgg agt gcc agt ttg
11834Phe Glu Val Asp Ser Pro Val Tyr Asn Ala Thr Trp Ser Ala Ser
Leu 3890 3895 3900aaa aac aaa gca gat tat gtt gaa aca gtc ctg gat
tcc aca tgc agc 11882Lys Asn Lys Ala Asp Tyr Val Glu Thr Val Leu
Asp Ser Thr Cys Ser 3905 3910 3915tca acc gta cag ttc cta gaa tat
gaa cta aat gtt ttg gga aca cac 11930Ser Thr Val Gln Phe Leu Glu
Tyr Glu Leu Asn Val Leu Gly Thr His 3920 3925 3930aaa atc gaa gat
ggt acg tta gcc tct aag act aaa gga aca ctt gca 11978Lys Ile Glu
Asp Gly Thr Leu Ala Ser Lys Thr Lys Gly Thr Leu Ala3935 3940 3945
3950cac cgt gac ttc agt gca gaa tat gaa gaa gat ggc aaa ttt gaa gga
12026His Arg Asp Phe Ser Ala Glu Tyr Glu Glu Asp Gly Lys Phe Glu
Gly 3955 3960 3965ctt cag gaa tgg gaa gga aaa gcg cac ctc aat atc
aaa agc cca gcg 12074Leu Gln Glu Trp Glu Gly Lys Ala His Leu Asn
Ile Lys Ser Pro Ala 3970 3975 3980ttc acc gat ctc cat ctg cgc tac
cag aaa gac aag aaa ggc atc tcc 12122Phe Thr Asp Leu His Leu Arg
Tyr Gln Lys Asp Lys Lys Gly Ile Ser 3985 3990 3995acc tca gca gcc
tcc cca gcc gta ggc acc gtg ggc atg gat atg gat 12170Thr Ser Ala
Ala Ser Pro Ala Val Gly Thr Val Gly Met Asp Met Asp 4000 4005
4010gaa gat gac gac ttt tct aaa tgg aac ttc tac tac agc cct cag tcc
12218Glu Asp Asp Asp Phe Ser Lys Trp Asn Phe Tyr Tyr Ser Pro Gln
Ser4015 4020 4025 4030tct cca gat aaa aaa ctc acc ata ttc aaa act
gag ttg agg gtc cgg 12266Ser Pro Asp Lys Lys Leu Thr Ile Phe Lys
Thr Glu Leu Arg Val Arg 4035 4040 4045gaa tct gat gag gaa act cag
atc aaa gtt aat tgg gaa gaa gag gca 12314Glu Ser Asp Glu Glu Thr
Gln Ile Lys Val Asn Trp Glu Glu Glu Ala 4050 4055 4060gct tct ggc
ttg cta acc tct ctg aaa gac aac gtg ccc aag gcc aca 12362Ala Ser
Gly Leu Leu Thr Ser Leu Lys Asp Asn Val Pro Lys Ala Thr 4065 4070
4075ggg gtc ctt tat gat tat gtc aac aag tac cac tgg gaa cac aca ggg
12410Gly Val Leu Tyr Asp Tyr Val Asn Lys Tyr His Trp Glu His Thr
Gly 4080 4085 4090ctc acc ctg aga gaa gtg tct tca aag ctg aga aga
aat ctg cag aac 12458Leu Thr Leu Arg Glu Val Ser Ser Lys Leu Arg
Arg Asn Leu Gln Asn4095 4100 4105 4110aat gct gag tgg gtt tat caa
ggg gcc att agg caa att gat gat atc 12506Asn Ala Glu Trp Val Tyr
Gln Gly Ala Ile Arg Gln Ile Asp Asp Ile 4115 4120 4125gac gtg agg
ttc cag aaa gca gcc agt ggc acc act ggg acc tac caa 12554Asp Val
Arg Phe Gln Lys Ala Ala Ser Gly Thr Thr Gly Thr Tyr Gln 4130 4135
4140gag tgg aag gac aag gcc cag aat ctg tac cag gaa ctg ttg act cag
12602Glu Trp Lys Asp Lys Ala Gln Asn Leu Tyr Gln Glu Leu Leu Thr
Gln 4145 4150 4155gaa ggc caa gcc agt ttc cag gga ctc aag gat aac
gtg ttt gat ggc 12650Glu Gly Gln Ala Ser Phe Gln Gly Leu Lys Asp
Asn Val Phe Asp Gly 4160 4165 4170ttg gta cga gtt act caa aaa ttc
cat atg aaa gtc aag cat ctg att 12698Leu Val Arg Val Thr Gln Lys
Phe His Met Lys Val Lys His Leu Ile4175 4180 4185 4190gac tca ctc
att gat ttt ctg aac ttc ccc aga ttc cag ttt ccg ggg 12746Asp Ser
Leu Ile Asp Phe Leu Asn Phe Pro Arg Phe Gln Phe Pro Gly 4195 4200
4205aaa cct ggg ata tac act agg gag gaa ctt tgc act atg ttc ata agg
12794Lys Pro Gly Ile Tyr Thr Arg Glu Glu Leu Cys Thr Met Phe Ile
Arg 4210 4215 4220gag gta ggg acg gta ctg tcc cag gta tat tcg aaa
gtc cat aat ggt 12842Glu Val Gly Thr Val Leu Ser Gln Val Tyr Ser
Lys Val His Asn Gly 4225 4230 4235tca gaa ata ctg ttt tcc tat ttc
caa gac cta gtg att aca ctt cct 12890Ser Glu Ile Leu Phe Ser Tyr
Phe Gln Asp Leu Val Ile Thr Leu Pro 4240 4245 4250ttc gag tta agg
aaa cat aaa cta ata gat gta atc tcg atg tat agg 12938Phe Glu Leu
Arg Lys His Lys Leu Ile Asp Val Ile Ser Met Tyr Arg4255 4260 4265
4270gaa ctg ttg aaa gat tta tca aaa gaa gcc caa gag gta ttt aaa gcc
12986Glu Leu Leu Lys Asp Leu Ser Lys Glu Ala Gln Glu Val Phe Lys
Ala 4275 4280 4285att cag tct ctc aag acc aca gag gtg cta cgt aat
ctt cag gac ctt 13034Ile Gln Ser Leu Lys Thr Thr Glu Val Leu Arg
Asn Leu Gln Asp Leu 4290 4295 4300tta caa ttc att ttc caa cta ata
gaa gat aac att aaa cag ctg aaa 13082Leu Gln Phe Ile Phe Gln Leu
Ile Glu Asp Asn Ile Lys Gln Leu Lys 4305 4310 4315gag atg aaa ttt
act tat ctt att aat tat atc caa gat gag atc aac 13130Glu Met Lys
Phe Thr Tyr Leu Ile Asn Tyr Ile Gln Asp Glu Ile Asn 4320 4325
4330aca atc ttc aat gat tat atc cca tat gtt ttt aaa ttg ttg aaa gaa
13178Thr Ile Phe Asn Asp Tyr Ile Pro Tyr Val Phe Lys Leu Leu Lys
Glu4335 4340 4345 4350aac cta tgc ctt aat ctt cat aag ttc aat gaa
ttt att caa aac gag 13226Asn Leu Cys Leu Asn Leu His Lys Phe Asn
Glu Phe Ile Gln Asn Glu 4355 4360 4365ctt cag gaa gct tct caa gag
tta cag cag atc cat caa tac att atg 13274Leu Gln Glu Ala Ser Gln
Glu Leu Gln Gln Ile His Gln Tyr Ile Met 4370 4375 4380gcc ctt cgt
gaa gaa tat ttt gat cca agt ata gtt ggc tgg aca gtg 13322Ala Leu
Arg Glu Glu Tyr Phe Asp Pro Ser Ile Val Gly Trp Thr Val 4385 4390
4395aaa tat tat gaa ctt gaa gaa aag ata gtc agt ctg atc aag aac ctg
13370Lys Tyr Tyr Glu Leu Glu Glu Lys Ile Val Ser Leu Ile Lys Asn
Leu 4400 4405 4410tta gtt gct ctt aag gac ttc cat tct gaa tat att
gtc agt gcc tct 13418Leu Val Ala Leu Lys Asp Phe His Ser Glu Tyr
Ile Val Ser Ala Ser4415 4420 4425 4430aac ttt act tcc caa ctc tca
agt caa gtt gag caa ttt ctg cac aga 13466Asn Phe Thr Ser Gln Leu
Ser Ser Gln Val Glu Gln Phe Leu His Arg 4435 4440 4445aat att cag
gaa tat ctt agc atc ctt acc gat cca gat gga aaa ggg 13514Asn Ile
Gln Glu Tyr Leu Ser Ile Leu Thr Asp Pro Asp Gly Lys Gly 4450 4455
4460aaa gag aag att gca gag ctt tct gcc act gct cag gaa ata att aaa
13562Lys Glu Lys Ile Ala Glu Leu Ser Ala Thr Ala Gln Glu Ile Ile
Lys 4465 4470 4475agc cag gcc att gcg acg aag aaa ata att tct gat
tac cac cag cag 13610Ser Gln Ala Ile Ala Thr Lys Lys Ile Ile Ser
Asp Tyr His Gln Gln 4480 4485 4490ttt aga tat aaa ctg caa gat ttt
tca gac caa ctc tct gat tac tat 13658Phe Arg Tyr Lys Leu Gln Asp
Phe Ser Asp Gln Leu Ser Asp Tyr Tyr4495 4500 4505 4510gaa aaa ttt
att gct gaa tcc aaa aga ttg att gac ctg tcc att caa 13706Glu Lys
Phe Ile Ala Glu Ser Lys Arg Leu Ile Asp Leu Ser Ile Gln 4515 4520
4525aac tac cac aca ttt ctg ata tac atc acg gag tta ctg aaa aag ctg
13754Asn Tyr His Thr Phe Leu Ile Tyr Ile Thr Glu Leu Leu Lys Lys
Leu 4530 4535 4540caa tca acc
aca gtc atg aac ccc tac atg aag ctt gct cca gga gaa 13802Gln Ser
Thr Thr Val Met Asn Pro Tyr Met Lys Leu Ala Pro Gly Glu 4545 4550
4555ctt act atc atc ctc taa ttttttaaaa gaaatcttca tttattcttc
13850Leu Thr Ile Ile Leu 4560ttttccaatt gaactttcac atagcacaga
aaaaattcaa actgcctata ttgataaaac 13910catacagtga gccagccttg
cagtaggcag tagactataa gcagaagcac atatgaactg 13970gacctgcacc
aaagctggca ccagggctcg gaaggtctct gaactcagaa ggatggcatt
14030ttttgcaagt taaagaaaat caggatctga gttattttgc taaacttggg
ggaggaggaa 14090caaataaatg gagtctttat tgtgtatcat a
14121421DNAArtificial SequencePCR Primer 4tgctaaaggc acatatggcc t
21523DNAArtificial SequencePCR Primer 5ctcaggttgg actctccatt gag
23628DNAArtificial SequencePCR Probe 6cttgtcagag ggatcctaac
actggccg 28719DNAArtificial SequencePCR Primer 7gaaggtgaag
gtcggagtc 19820DNAArtificial SequencePCR Primer 8gaagatggtg
atgggatttc 20920DNAArtificial SequencePCR Probe 9caagcttccc
gttctcagcc 20102354DNAMus musculus 10gaattccaac ttcctcacct
ctcacataca attgaaatac ctgcttttgg caaactgcat 60agcatcctta agatccaatc
tcctctcttt atattagatg ctaatgccaa catacagaat 120gtaacaactt
cagggaacaa agcagagatt gtggcttctg tcactgctaa aggagagtcc
180caatttgaag ctctcaattt tgattttcaa gcacaagctc aattcctgga
gttaaatcct 240catcctccag tcctgaagga atccatgaac ttctccagta
agcatgtgag aatggagcat 300gagggtgaga tagtatttga tggaaaggcc
attgagggga aatcagacac agtcgcaagt 360ttacacacag agaaaaatga
agtagagttt aataatggta tgactgtcaa agtaaacaat 420cagctcaccc
ttgacagtca cacaaagtac ttccacaagt tgagtgttcc taggctggac
480ttctccagta aggcttctct taataatgaa atcaagacac tattagaagc
tggacatgtg 540gcattgacat cttcagggac agggtcatgg aactgggcct
gtcccaactt ctcggatgaa 600ggcatacatt cgtcccaaat tagctttact
gtggatggtc ccattgcttt tgttggacta 660tccaataaca taaatggcaa
acacttacgg gtcatccaaa aactgactta tgaatctggc 720ttcctcaact
attctaagtt tgaagttgag tcaaaagttg aatctcagca cgtgggctcc
780agcattctaa cagccaatgg tcgggcactg ctcaaggacg caaaggcaga
aatgactggt 840gagcacaatg ccaacttaaa tggaaaagtt attggaactt
tgaaaaattc tctcttcttt 900tcagcacaac catttgagat tactgcatcc
acaaataatg aaggaaattt gaaagtgggt 960tttccactaa agctgactgg
gaaaatagac ttcctgaata actatgcatt gtttctgagt 1020ccccgtgccc
aacaagcaag ctggcaagcg agtaccagat tcaatcagta caaatacaat
1080caaaactttt ctgctataaa caatgaacac aacatagaag ccagtatagg
aatgaatgga 1140gatgccaacc tggatttctt aaacatacct ttaacaattc
ctgaaattaa cttgccttac 1200acggagttca aaactccctt actgaaggat
ttctccatat gggaagaaac aggcttgaaa 1260gaatttttga agacaacaaa
gcaatcattt gatttgagtg taaaggctca atataaaaag 1320aacagtgaca
agcattccat tgttgtccct ctgggtatgt tttatgaatt tattctcaac
1380aatgtcaatt cgtgggacag aaaatttgag aaagtcagaa acaatgcttt
acattttctt 1440accacctcct ataatgaagc aaaaattaag gttgataagt
acaaaactga aaattccctt 1500aatcagccct ctgggacctt tcaaaatcat
ggctacacta tcccagttgt caacattgaa 1560gtatctccat ttgctgtaga
gacactggct tccaggcatg tgatccccac agcaataagc 1620accccaagtg
tcacaatccc tggtcctaac atcatggtgc cttcatacaa gttagtgctg
1680ccacccctgg agttgccagt tttccatggt cctgggaatc tattcaagtt
tttcctccca 1740gatttcaagg gattcaacac tattgacaat atttatattc
cagccatggg caactttacc 1800tatgactttt cttttaaatc aagtgtcatc
acactgaata ccaatgctgg actttataac 1860caatcagata tcgttgccca
tttcctttct tcctcttcat ttgtcactga cgccctgcag 1920tacaaattag
agggaacatc acgtctgatg cgaaaaaggg gattgaaact agccacagct
1980gtctctctaa ctaacaaatt tgtaaagggc agtcatgaca gcaccattag
tttaaccaag 2040aaaaacatgg aagcatcagt gagaacaact gccaacctcc
atgctcccat attctcaatg 2100aacttcaagc aggaacttaa tggaaatacc
aagtcaaaac ccactgtttc atcatccatt 2160gaactaaact atgacttcaa
ttcctcaaag ctgcactcta ctgcaacagg aggcattgat 2220cacaagttca
gcttagaaag tctcacttcc tacttttcca ttgagtcatt caccaaagga
2280aatatcaaga gttccttcct ttctcaggaa tattcaggaa gtgttgccaa
tgaagccaat 2340gtatatctga attc 23541119DNAArtificial SequencePCR
Primer 11cgtgggctcc agcattcta 191221DNAArtificial SequencePCR
Primer 12agtcatttct gcctttgcgt c 211322DNAArtificial SequencePCR
Probe 13ccaatggtcg ggcactgctc aa 221420DNAArtificial SequencePCR
Primer 14ggcaaattca acggcacagt 201520DNAArtificial SequencePCR
Primer 15gggtctcgct cctggaagat 201627DNAArtificial SequencePCR
Probe 16aaggccgaga atgggaagct tgtcatc 271720DNAArtificial
SequenceAntisense Oligonucleotide 17ccgcaggtcc cggtgggaat
201820DNAArtificial SequenceAntisense Oligonucleotide 18accgagaagg
gcactcagcc 201920DNAArtificial SequenceAntisense Oligonucleotide
19gcctcggcct cgcggccctg 202020DNAArtificial SequenceAntisense
Oligonucleotide 20tccatcgcca gctgcggtgg 202120DNAArtificial
SequenceAntisense Oligonucleotide 21cagcgccagc agcgccagca
202220DNAArtificial SequenceAntisense Oligonucleotide 22gcccgccagc
agcagcagca 202320DNAArtificial SequenceAntisense Oligonucleotide
23cttgaatcag cagtcccagg 202420DNAArtificial SequenceAntisense
Oligonucleotide 24cttcagcaag gctttgccct 202520DNAArtificial
SequenceAntisense Oligonucleotide 25tttctgttgc cacattgccc
202620DNAArtificial SequenceAntisense Oligonucleotide 26ggaagaggtg
ttgctccttg 202720DNAArtificial SequenceAntisense Oligonucleotide
27tgtgctacca tcccatactt 202820DNAArtificial SequenceAntisense
Oligonucleotide 28tcaaatgcga ggcccatctt 202920DNAArtificial
SequenceAntisense Oligonucleotide 29ggacacctca atcagctgtg
203020DNAArtificial SequenceAntisense Oligonucleotide 30tcagggccac
caggtaggtg 203120DNAArtificial SequenceAntisense Oligonucleotide
31gtaatcttca tccccagtgc 203220DNAArtificial SequenceAntisense
Oligonucleotide 32tgctccatgg tttggcccat 203320DNAArtificial
SequenceAntisense Oligonucleotide 33gcagccagtc gcttatctcc
203420DNAArtificial SequenceAntisense Oligonucleotide 34gtatagccaa
agtggtccac 203520DNAArtificial SequenceAntisense Oligonucleotide
35cccaggagct ggaggtcatg 203620DNAArtificial SequenceAntisense
Oligonucleotide 36ttgagccctt cctgatgacc 203720DNAArtificial
SequenceAntisense Oligonucleotide 37atctggaccc cactcctagc
203820DNAArtificial SequenceAntisense Oligonucleotide 38cagacccgac
tcgtggaaga 203920DNAArtificial SequenceAntisense Oligonucleotide
39gccctcagta gattcatcat 204020DNAArtificial SequenceAntisense
Oligonucleotide 40gccatgccac cctcttggaa 204120DNAArtificial
SequenceAntisense Oligonucleotide 41aacccacgtg ccggaaagtc
204220DNAArtificial SequenceAntisense Oligonucleotide 42actcccagat
gccttctgaa 204320DNAArtificial SequenceAntisense Oligonucleotide
43atgtggtaac gagcccgaag 204420DNAArtificial SequenceAntisense
Oligonucleotide 44ggcgtagaga cccatcacat 204520DNAArtificial
SequenceAntisense Oligonucleotide 45gtgttaggat ccctctgaca
204620DNAArtificial SequenceAntisense Oligonucleotide 46cccagtgata
gctctgtgag 204720DNAArtificial SequenceAntisense Oligonucleotide
47atttcagcat atgagcccat 204820DNAArtificial SequenceAntisense
Oligonucleotide 48ccctgaacct tagcaacagt 204920DNAArtificial
SequenceAntisense Oligonucleotide 49gctgaagcca gcccagcgat
205020DNAArtificial SequenceAntisense Oligonucleotide 50acagctgccc
agtatgttct 205120DNAArtificial SequenceAntisense Oligonucleotide
51cccaataaga tttataacaa 205220DNAArtificial SequenceAntisense
Oligonucleotide 52tggcctacca gagacaggta 205320DNAArtificial
SequenceAntisense Oligonucleotide 53tcatacgttt agcccaatct
205420DNAArtificial SequenceAntisense Oligonucleotide 54gcatggtccc
aaggatggtc 205520DNAArtificial SequenceAntisense Oligonucleotide
55agtgatggaa gctgcgatac 205620DNAArtificial SequenceAntisense
Oligonucleotide 56atgagcatca tgcctcccag 205720DNAArtificial
SequenceAntisense Oligonucleotide 57gaacacatag ccgaatgccg
205820DNAArtificial SequenceAntisense Oligonucleotide 58gtggtgccct
ctaatttgta 205920DNAArtificial SequenceAntisense Oligonucleotide
59cccgagaaag aaccgaaccc 206020DNAArtificial SequenceAntisense
Oligonucleotide 60tgccctgcag cttcactgaa 206120DNAArtificial
SequenceAntisense Oligonucleotide 61gaaatcccat aagctcttgt
206220DNAArtificial SequenceAntisense Oligonucleotide 62agaagctgcc
tcttcttccc 206320DNAArtificial SequenceAntisense Oligonucleotide
63tcagggtgag ccctgtgtgt 206420DNAArtificial SequenceAntisense
Oligonucleotide 64ctaatggccc cttgataaac 206520DNAArtificial
SequenceAntisense Oligonucleotide 65acgttatcct tgagtccctg
206620DNAArtificial SequenceAntisense Oligonucleotide 66tatatcccag
gtttccccgg 206720DNAArtificial SequenceAntisense Oligonucleotide
67acctgggaca gtaccgtccc 206820DNAArtificial SequenceAntisense
Oligonucleotide 68ctgcctactg caaggctggc 206920DNAArtificial
SequenceAntisense Oligonucleotide 69agagaccttc cgagccctgg
207020DNAArtificial SequenceAntisense Oligonucleotide 70atgatacaca
ataaagactc 207120DNAArtificial SequenceAntisense Oligonucleotide
71attgtatgtg agaggtgagg 207220DNAArtificial SequenceAntisense
Oligonucleotide 72gaggagattg gatcttaagg 207320DNAArtificial
SequenceAntisense Oligonucleotide 73cttcaaattg ggactctcct
207420DNAArtificial SequenceAntisense Oligonucleotide 74tccaggaatt
gagcttgtgc 207520DNAArtificial SequenceAntisense Oligonucleotide
75ttcaggactg gaggatgagg 207620DNAArtificial SequenceAntisense
Oligonucleotide 76tctcaccctc atgctccatt 207720DNAArtificial
SequenceAntisense Oligonucleotide 77tgactgtcaa gggtgagctg
207820DNAArtificial SequenceAntisense Oligonucleotide 78gtccagccta
ggaacactca 207920DNAArtificial SequenceAntisense Oligonucleotide
79atgtcaatgc cacatgtcca 208020DNAArtificial SequenceAntisense
Oligonucleotide 80ttcatccgag aagttgggac 208120DNAArtificial
SequenceAntisense Oligonucleotide 81atttgggacg aatgtatgcc
208220DNAArtificial SequenceAntisense Oligonucleotide 82agttgaggaa
gccagattca 208320DNAArtificial SequenceAntisense Oligonucleotide
83ttcccagtca gctttagtgg 208420DNAArtificial SequenceAntisense
Oligonucleotide 84agcttgcttg ttgggcacgg 208520DNAArtificial
SequenceAntisense Oligonucleotide 85cctatactgg cttctatgtt
208620DNAArtificial SequenceAntisense Oligonucleotide 86tgaactccgt
gtaaggcaag 208720DNAArtificial SequenceAntisense Oligonucleotide
87gagaaatcct tcagtaaggg 208820DNAArtificial SequenceAntisense
Oligonucleotide 88caatggaatg cttgtcactg 208920DNAArtificial
SequenceAntisense Oligonucleotide 89gcttcattat aggaggtggt
209020DNAArtificial SequenceAntisense Oligonucleotide 90acaactggga
tagtgtagcc 209120DNAArtificial SequenceAntisense Oligonucleotide
91gttaggacca gggattgtga 209220DNAArtificial SequenceAntisense
Oligonucleotide 92accatggaaa actggcaact 209320DNAArtificial
SequenceAntisense Oligonucleotide 93tgggaggaaa aacttgaata
209420DNAArtificial SequenceAntisense Oligonucleotide 94tgggcaacga
tatctgattg 209520DNAArtificial SequenceAntisense Oligonucleotide
95ctgcagggcg tcagtgacaa 209620DNAArtificial SequenceAntisense
Oligonucleotide 96gcatcagacg tgatgttccc 209720DNAArtificial
SequenceAntisense Oligonucleotide 97cttggttaaa ctaatggtgc
209820DNAArtificial SequenceAntisense Oligonucleotide 98atgggagcat
ggaggttggc 209920DNAArtificial SequenceAntisense Oligonucleotide
99aatggatgat gaaacagtgg 2010020DNAArtificial SequenceAntisense
Oligonucleotide 100atcaatgcct cctgttgcag 2010120DNAArtificial
SequenceAntisense Oligonucleotide 101ggaagtgaga ctttctaagc
2010220DNAArtificial SequenceAntisense Oligonucleotide
102aggaaggaac tcttgatatt 2010320DNAArtificial SequenceAntisense
Oligonucleotide 103attggcttca ttggcaacac 2010420DNAArtificial
SequenceAntisense Oligonucleotide 104aggtgaggaa gttggaattc
2010520DNAArtificial SequenceAntisense Oligonucleotide
105ttgttccctg aagttgttac 2010620DNAArtificial SequenceAntisense
Oligonucleotide 106gttcatggat tccttcagga 2010720DNAArtificial
SequenceAntisense Oligonucleotide 107atgctccatt ctcacatgct
2010820DNAArtificial SequenceAntisense Oligonucleotide
108tgcgactgtg tctgatttcc
2010920DNAArtificial SequenceAntisense Oligonucleotide
109gtccctgaag atgtcaatgc 2011020DNAArtificial SequenceAntisense
Oligonucleotide 110aggcccagtt ccatgaccct 2011120DNAArtificial
SequenceAntisense Oligonucleotide 111ggagcccacg tgctgagatt
2011220DNAArtificial SequenceAntisense Oligonucleotide
112cgtccttgag cagtgcccga 2011320DNAArtificial SequenceAntisense
Oligonucleotide 113cccatatgga gaaatccttc 2011420DNAArtificial
SequenceAntisense Oligonucleotide 114catgcctgga agccagtgtc
2011520DNAArtificial SequenceAntisense Oligonucleotide
115gtgttgaatc ccttgaaatc 2011620DNAArtificial SequenceAntisense
Oligonucleotide 116ggtaaagttg cccatggctg 2011720DNAArtificial
SequenceAntisense Oligonucleotide 117gttataaagt ccagcattgg
2011820DNAArtificial SequenceAntisense Oligonucleotide
118catcagacgt gatgttccct 2011920DNAArtificial SequenceAntisense
Oligonucleotide 119tggctagttt caatcccctt 2012020DNAArtificial
SequenceAntisense Oligonucleotide 120ctgtcatgac tgccctttac
2012120DNAArtificial SequenceAntisense Oligonucleotide
121gcttgaagtt cattgagaat 2012220DNAArtificial SequenceAntisense
Oligonucleotide 122ttcctgagaa aggaaggaac 2012320DNAArtificial
SequenceAntisense Oligonucleotide 123tcagatatac attggcttca
2012420DNAArtificial SequenceAntisense Oligonucleotide
124tcgatctcct tttatgcccg 20
* * * * *