CA3236136A1

CA3236136A1 - Oligonucleotide compositions and methods of use thereof

Info

Publication number: CA3236136A1
Application number: CA3236136A
Authority: CA
Inventors: Michael John Byrne; Vinod VATHIPADIEKAL; Naoki Iwamoto; Chandra Vargeese; Lankai GUO; Andrew Guzior HOSS
Original assignee: Wave Life Sciences Pte Ltd
Current assignee: Wave Life Sciences Pte Ltd
Priority date: 2021-10-27
Filing date: 2021-10-27
Publication date: 2023-05-04
Also published as: AU2021471586A1; WO2023075766A1

Abstract

Among other things, the present disclosure provides RHO oligonucleotides, compositions, and methods. In some embodiments, provided oligonucleotides comprise nucleobase modifications, sugar modifications, intemucleotidic linkage modifications and/or patterns thereof, and have improved properties, activities and/or selectivities. In some embodiments, the present disclosure provides RHO oligonucleotides, compositions and methods for preventing and/or treating RHO-related conditions, disorders or diseases, such as retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).

Description

OLIGONUCLEOTIDE COMPOSITIONS AND METHODS OF USE THEREOF
BACKGROUND
100011 Oligonucleotides are useful in various applications, e.g., therapeutic, diagnostic, and/or research applications. For example, oligonucleotides targeting various genes can be useful for treatment of conditions, disorders or diseases related to such target genes.
SUMMARY

[0002] Among other things, the present disclosure provides technologies for designing, manufacturing and utilizing oligonucleotides and compositions. In some embodiments, the present disclosure provides useful patterns of internueleotidie linkages [e.g., types, modifications, and/or configuration (Rp or Sp) of chiral linkage phosphorus, etc.] which, when combined with one or more other structural elements described herein, e.g., nucleobase modifications (and patterns thereof), sugar modifications (and patterns thereof), additional chemical moieties (and patterns thereof), etc., can provide oligonucleotides and compositions with high activities and/or various desired properties, e.g., high selectivity, low toxicity, etc.

[0003] Particularly, the present disclosure encompasses the recognition that compositions of oligonucleotides wherein stereochemistry of one or more chiral internucleotidic linkages are not controlled (e.g., see nX for WV-34326 and WV-34327) can be particularly challenging to manufacture. Due to the existence of non-chirally controlled chiral internucleolidic linkages whose linkage phosphorus exists in both Rp and Sp in a composition, such compositions contain multiple stereoisomers: if there arc n non-chirally controlled linkage phosphorus, there can be up to 2" stereoisomers in a composition. For example, due to the three non-chirally controlled n001 linkages (nX), each of the WV-34326 and WV-34327 compositions contains 8 (23 = 8) stereoisomers in significant amounts (about 1/8). These stereoisomers, typically diastereomers as there are other chiral elements in oligonucleotides, may elute as a broad peak or several peaks during chromatographic purification (e.g., HPLC, UPLC, etc.).
Further, their peaks may overlap with those of impurities, e.g., peaks of oligonucleotides that contain one (N-1 mer) or two (N-2 mer) fewer nucleosides, each of which may themselves contain multiple stereoisomers and elute as broad peaks and/or multiple peaks. Thus, such oligonucleotide compositions can be very challenging to purify, and can lead to low purity products, low overall yields, high manufacturing costs, low consistency among batches, etc. Among other things, the present disclosure provides completely chirally controlled technologies (e.g., oligonucleotides, compositions, etc.) that address these challenges while maintaining and/or improving various properties and/or activities of oligonucleotides.
100041 In some embodiments the present disclosure provides oligonucleotides whose chiral intemucleotidic linkages are each independently controlled. In some embodiments, the present disclosure provides chirally controlled compositions of oligonucleotides wherein each chiral intemucleotidic linkage of the oligonucleotides is independently chirally controlled (completely chirally controlled oligonucleotide compositions). Compared to oligontieleotidc compositions wherein one or more chiral linkage phosphorus are not chirally controlled, completely chirally controlled oligonucleotide compositions contain a single major stereoisomer which elute as a single narrow peak during chromatographic purification which can significantly simplify purification processes. In some embodiments, stereoselective oligonucleotide preparation technologies provide higher yield and/or purity compared to non-stereoselective technologies (e.g., in some cases for n001), which contribute to higher overall yield, higher product purity, lower costs, etc. In some embodiments, completely chirally controlled oligonucleotide compositions provide one or more comparable and/or better properties and/or activities compared to reference oligonucleotide compositions comprising non-chirally controlled chiral intemucleotidic linkages. In some embodiments, the present disclosure provides completely chirally controlled oligonucleotide compositions (e.g.. WV
39023 and WV-48182) that CULE provide comparable or better properties andlor activities, and can be manufactured using simplified purification and/or quality control processes and/or with higher purity, higher yield, lower cost, andlor higher consistency, compared to reference oligonucleotidc compositions wherein one or more chiral linkage phosphorus are not chirally controlled (e.g., WV-34326 and WV
34327). Particularly, as demonstrated in Table Al, in some embodiments, riX
stereorandom linkages, such as those in 'WV-34326 and 'WV-34327, are replaced with nR, such as those in WV-39023 and WV-48182, to provide completely chirally controlled oligonucleotide compositions that maintains and/or improves various properties and/or activities and at the same time can be more readily purified and/or quality controlled., and can be manufactured with higher purity, higher yield, lower cost, and/or higher batch-to batch consistency.
100051 In some embodiments, technologies (e.g., oligonucleotides, compositions, methods, etc.) herein modulate levels of RHO (Rhodopsin) gene products (e.g., transcripts, proteins, etc.). Among other things, provided technologies can provide various advantages, such as high selectivity (e.g., less off-target effects), high allele-specificity (e.g., selectively reducing transcripts containing disease-associated mutation(s) and/or products encoded thereby over transcripts containing no or fewer disease-associated mutation(s) and/or products encoded thereby) and/or high activities (e.g., effectively reducing levels and/or activities of target gene products at low concentrations).
100061 In some embodiments, the present disclosure provides technologies that have high selectivity for a target nucleic acid over a reference nucleic acid. In some embodiments, a target nucleic acid is a transcript of one allele of a gene and a reference nucleic acid is a transcript of a different allele of the same gene. In some embodiments, a target nucleic acid is a transcript of a wild-type nucleic acid sequence (e.g., a wild-type RHO gene), and a reference nucleic acid is a transcript of a mutant nucleic acid sequence (e.g., a mutant RHO gene (e.g., comprising a P23H mutation). In some embodiments, a target nucleic acid is associated with a condition, disorder or disease, and a reference nucleic acid is less or is not associated with the condition, disorder or disease. In some embodiments, provided technologies selectively reduce levels, expression, and/or activities of target nucleic acids and/or products encoded thereby over those of reference nucleic acids and/or products encoded thereby. In some embodiments, when aligned with sequences of oligonucleotides of the present disclosure (or a portion thereof, e.g., a core region), sequences of reference nucleic acids contain one or more mismatches than those of target nucleic acids. In some embodiments, a target nucleic acid is fully complementary to the base sequence of an oligonucleotide (or a portion thereof, e.g., a core region) while a reference nucleic acid comprises one or more mismatches.
In some embodiments, a target nucleic acid sequence and a reference nucleic acid sequence differs at one or more sites, e.g., a mutation site, a single-nucleotide polymorphism (SNP) site, etc. In some embodiments, a target nucleic acid sequence and a reference nucleic acid sequence comprise a difference at a SNP site. In some embodiments, a site in a target nucleic acid is fully complementary to a site in an oligonucleotide of the present disclosure while the corresponding site in a reference nucleic acid is not. In some embodiments, a target nucleic acid sequence and a reference nucleic acid sequence comprise a difference at a point mutation site. In some embodiments, a point mutation site in a target nucleic acid is fully complementary to a site in an oligonucleotide of the present disclosure while the corresponding point mutation site in a reference nucleic acid is not. In some embodiments, a point mutation site is RHO P23H
mutation ([CCC] > H [CAC]).
100071 In some embodiments, a SNP is any SNP disclosed herein (e.g., in Table S2).
100081 In some embodiments, a SNP is SNP rs104893768. For this SNP, in some instances there is a C at this position in the wild-type (normal or non-disease-associated or less disease associated) RHO
mRNA, and/or A in the mutant (or disease-associated or more disease-associated) RHO mRNA. The presence of the mutant allele of this SNP yields the missense variant P [CCC]
> H [CAC], also known as P23H or RHO P23H mutation.
100091 The RHO P23H mutation can be a dominant negative and a toxic gain-of-function mutation. ER (endoplasmic reticulum)-retention of a Rhodopsin mutant with the P23H mutation (sometimes referenced as RHO P23H or RHOP23H or the like) can induce the unfolded protein response (UPR), aggregation of the misfolded mutant protein, and later apoptosis of rod and cone cells, and retinal degeneration, also known as retinitis pigmentosa.
100101 Wild-type Rhodopsin protein reportedly forms aggregates upon cellular accumulation.
Some mutations of rhodopsin such as the point mutation P23H result in greater aggregation, forming aggresomes. These aggregates reportedly cause progressive degeneration of retinal cells, leading to blindness in RP.
100111 In some embodiments, methods and compositions described herein provide for treating or delaying the onset or progression of diseases of the eye, e.g., a disorder that affects retinal cells, e.g., photoreceptor cells, including but not limited to a retinopathy or retinitis.
In some embodiments, methods and compositions discussed herein, provide for treating or delaying the onset or progression of a disease associating with RHO mutation (e.g., P23H) (e.g., a RHO-related disease, disorder or condition), e.g., by a RHO oligonucleotide. In some embodiments, provided RHO oligonucleotides are oligonucleotides targeting RHO, and can reduce levels of mutant RHO transcripts and/or one or more products encoded thereby. In some embodiments, a RHO oligonucleotide is useful for preventing, treating and delaying the onset or progression of a RHO-related condition, disorder and/or disease, including retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
100121 In some embodiments, a target nucleic acid is a wild-type or mutant RHO transcript which comprises a SNP (e.g., a SNP listed in Table S2).
100131 In some embodiments, the present disclosure pertains to a method of knocking down a pathogenic or disease-associated mutant (e.g., a mutant allele) of RHO in a cell or in a patient (e.g., a patient in need thereof), wherein the cell is heterozygous at a particular position (e.g., a SNP), and the method comprises the step of introducing into the cell or administering to the patient a RHO oligonucleotide which targets a particular allele of the particular position which is in phase with the pathogenic or disease-associated mutation.
100141 As a non-limiting example, at a first position, the genome of a patient may be heterozygous wild type/mutant, wherein the mutation is deleterious; for example, a patient may be heterozygous wild type/P23H; and at a second position, the patient is also heterozygous, wherein the second position is not necessarily linked to a RHO-related disease, disorder or condition; but one allele (e.g., allele 1 of position 2) for the second position is in phase with the wild-type variant of the first position, and a second allele (e.g., allele 2 of position 2) is in phase with the deleterious mutation in position 1; and a RHO
oligonucleotide can target allele 2 of position 2 and be capable of allele-specific knockdown of allele 2 of position 2, thereby also decreasing the expression, level and/or activity of a RHO gene transcript having the deleterious mutation.
100151 Various RHO SNPs are listed in Table S2. Any variant of any SNP listed therein can be an allele 1 or 2 of position 2.
100161 As a non-limiting example, the genome of a patient suffering from a susceptible to a RHO-related disease, disorder or condition can be heterozygous at position SNP
rs104893768, wherein an A
allele is associated with a deleterious mutation (P23H), but a C allele is considered wild-type (non-

4 pathogenic). The same patient may be heterozygous at another position, e.g., SNP rs2269736, which might be G, A, or C, all of which are reportedly considered benign. If, for example, the C allele of rs2269736 is in phase with (e.g., on the same chromosome as) the mutant allele of rs104893768; and if the A allele of rs2269736 is in phase with the wild-type allele of rs104893768, then a RHO
oligonucleotide which targets the C allele of rs2269736 (and also knocks down this allele), would also knock down (e.g., decrease the expression, level and/or activity of) the mutant allele.
100171 In the same manner, in some embodiments, a RHO
oligonucleotide has a base sequence which is complementary to and hybridizes with a sequence of a RHO gene target comprising a first variant of a SNP, wherein the RHO oligonucleotide is capable of mediating knock down of the allele of RHO
comprising the first variant of the SNP, and wherein the first variant of the SNP is in phase with a deleterious mutation in RHO, and wherein hybridization and knockdown occur in a cell, tissue, organ or patient which is heterozygous at the SNP.
100181 In some embodiments, a target nucleic acid is a transcript (e.g., a mutant RHO mRNA) that comprises SNP rs104893768, has an A at this SNP position, and is associated with a condition, disorder or disease [e.g., retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.)]. In some embodiments, a reference nucleic acid is a transcript (e.g., a wide-type RHO
mRNA) that comprises SNP rs104893768, has an C at this SNP position, and is less, or is not, associated with a condition, disorder or disease [e.g., retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.)].
100191 In some embodiments, a target nucleic acid is a RHO mRNA
that comprises the P23H
mutation. In some embodiments, a reference nuclic acid is a RHO mRNA that does not contain the P23H
mutation.
100201 In some embodiments, the base sequence of a RHO
oligonucleotide which targets SNP
rs104893768 (e.g., as those skilled in the art will appreciate, whose base sequence is complementary to a base sequence that comprises the SNP site and its characteristic surrounding sequences in the mRNA), or P23H mutation, is, comprises, or comprises at least 10 contiguous bases (e.g., 10-15, 10-20, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20) of the sequence of: GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GGLIACTCGAAGTC_IGCMCGT wherein each T can be independently substituted with U and vice versa. In some embodiments, the base sequence of such an oligonucleotide is or comprises , GGTACTCGAAGTGGCTGCGT, or GGTACTCGAAGTGGCUGCGU, wherein each T can be independently substituted with U and vice versa.
[0021] It has been reported that: SNP rs104893768 in Homo sapiens: Position: chr3:129528801 (GRCh38.p12); Alleles: C>A; Variation Type: SNV, Single Nucleotide Variation;
Gene: Consequence Missense Variant. rs104893768: Allele: A (allele ID: 28052) is associated with RCV000013887.17, Retinitis pigmentosa 4, Pathogenic; and RCV000490234.1, Pathogenic.
[0022] In some embodiments, a RHO oligonucleotide which targets rs104893768 (e.g., as those skilled in the art will appreciate, whose base sequence is complementary to a base sequence that comprises the SNP site and its characteristic surrounding sequences in the mRNA) has a base sequence which comprises at least 10 contiguous bases (e.g., 10-15, 10-20, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20) of the mutant or wild-type sequence of: GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GGIJACTCGAAGTGGCTGCGT wherein the nucleobase in the oligonucleotide that is complementary to the mutant isoform of rs104893768 in the mRNA is T (illustrated herein in bold, underlined), and wherein the nucleobase complementary to the wild-type isoform of the SNP would be G, wherein the at least 10 contiguous bases comprise the position of the SNP, and wherein each T can be independently substituted with U and vice versa.
[0023] In some embodiments, a target nucleic acid sequence is a RHO mRNA which comprises SNP rs104893768 and which is A in the mutant mRNA at this SNP position (and T
in the corresponding RHO oligonucleotide), and its allele is associated with retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, rctinitis pigmentosa, or autosomal dominant retinitis pigmentosa, etc.). In some embodiments, a RHO gene, gene transcript, protein or other gene product comprises the mutant variant of SNP
rs104893768 and has the mutation P23H.
[0024] In some embodiments, a mutant RHO (or a RHO variant) comprises a disease-associated mutation. In some embodiments, a disease-associated mutation is a mutation which is associated with a particular disease, disorder or condition (in the present disclosure, for example, a RHO-related disease, disorder or condition). In some embodiments, a disease-associated mutation may be found in the genome of a patient suffering from or susceptible to a particular disease, disorder or condition (in the present disclosure, for example, a RHO-related disease, disorder or condition), but is either absent or more rarely found in the genome of a patient who is not suffering from or susceptible to the disease, disorder or condition. In some embodiments, a mutant RHO comprises a mutant allele of one or more SNP (the allele on the same DNA strand or chromosome as the disease-associated mutations). In some embodiments, a mutant RHO comprises both a disease-associated mutation and a mutant allele of a particular SNP on the same chromosomal strand.
[0025] In some embodiments, a RHO oligonucleotide which targets SNP rs104893768 has a base sequence which comprises at least 10 contiguous bases of the mutant or wild-type sequence of:
GGTACTCGAAGTGGCUGCGU, and CiCiUA.CTCG.A.ACiTGGCTGCGT, wherein each T can be independently substituted with U and vice versa.
[0026] In some embodiments, the base sequence of a RHO
oligonucleotide which targets P23H is or comprises at least 10 (e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20) contiguous bases of GGTACTCGAAGTGGCUGCGU, wherein each T can be independently substituted with U
and vice versa.
In some embodiments, the base sequence of a RHO oligonucleotide which targets P23H is or comprises GGTACTCGAAGTGGCUGCGU, wherein each T can be independently substituted with U
and vice versa.
In some embodiments, the base sequence of a RHO oligonucleotide which targets P23H is or comprises GGTACTCGAAGTGGCUGCGU. In some embodiments, the base sequence of a RHO
oligonucleotide which targets P23H is GGTACTCGAAGTGGCUGCGU.
[0027] In some embodiments, the sequence of a provided RHO
oligonucleotide is fully complementary to a target nucleic acid sequence at a particular site, e.g., a SNP site (e.g., the sequence of the RHO oligonucleotide is complementary to the mutant isoform of the SNP), a mutation site (e.g., P23H
mutation), etc., and is not complementary to a reference nucleic acid sequence at the site (e.g., the sequence of the RHO oligonucleotide is not complementary to the wild-type isoform of the SNP/mutation site).
[0028] In some embodiments, a RHO oligonucleotide is allele-specific, wherein the oligonucleotide preferentially decreases the expression, level and/or activity of a mutant RHO target nucleic acid compared to a wild-type or reference RHO nucleic acid. In some embodiments, an allele-specific RHO oligonucleotide can selectively reduce the expression, level and/or activity of a mutant RHO target nucleic acid over a wild-type or reference RHO nucleic acid by at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 40, 50, 60, 70, 80, 90, 100 or more fold when measured by the percentage of reduction in the presence of the oligonucleotide compared to absence of the oligonucleotide (or presence of a reference oligonucleotide) (e.g., if reduction of expression, level and/or activity of a mutant RHO target nucleic acid is 90% and that of the wild-type is 10%, the selectivity is 90%/10% = 9). In some embodiments, an allele-specific RHO oligonucleotide can selectively reduce the expression, level and/or activity of a mutant RHO target nucleic acid over a wild-type or reference RHO
nucleic acid by at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 40, 50, 60, 70, 80, 90, 100 or more fold when measured by the remaining percentage in the presence of the oligonucleotide compared to absence of the oligonucleotide (or presence of a reference oligonucleotide) (e.g., if the remaining percentage of expression, level and/or activity of a mutant RHO target nucleic acid is 10%
in the presence of the oligonucleotide (100% when absence of the oligonucleotide (or presence of a reference oligonucleotide)) and that of the wild-type is 50%, the selectivity is 50%/10% = 5). In some embodiments, selectivity is assessed using IC50 under a condition (e.g., as shown in the Examples, if IC50 for a mutant transcript is about 0.5 uM and for a wild-type transcript is about 30 uM, the selectivity about 60 fold). In some embodiments, for an allele-specific oligonucleotide, selectivity is at least 3 fold. In some embodiments, for an allele-specific oligonucleotide, selectivity is at least 4 fold. In some embodiments, for an allele-specific oligonucleotide, selectivity is at least 5 fold. In some embodiments, for an allele-specific oligonucleotide, selectivity is at least 10 fold. As those skilled in the art will appreciate, various technologies may be utilized to assess oligonucleotide selectivity. In some embodiments, a useful technology is or comprises a reporter assay as described in the Examples. In some embodiments, an allele-specific RHO oligonucleotide can reduce the expression, level and/or activity of a mutant RHO target nucleic acid by at least 20%, 25%, 30%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95% compared to absence of the oligonucleotide (or presence of a reference oligonucleotide) at a concentration (e.g., those described in the Examples, e.g., about 0.04, 0.12, 0.37, 1.11, 3.33 or 10 uM, etc.). In some embodiments, a reduction is at least 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%. In some embodiments, the reduction is at least 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%. In some embodiments, an allele-specific RHO
oligonucleotide reduces the expression, level and/or activity of a wild-type or reference RHO target nucleic acid by no more than 20%, 25%, 30%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95% compared to absence of the oligonucleotide (or presence of a reference oligonucleotide) at a concentration (e.g., those described in the Examples, e.g., about 0.04, 0.12, 0.37, 1.11, 3.33 or 10 uM, etc.).
In some embodiments, the percentage is no more than 20%, 25%, 30%, 40%, 45%, or 50%. In some embodiments, the percentage is no more than about 30%.
100291 In some embodiments, a RHO oligonucleotide targets a RHO
target nucleic acid, but outside a region known to comprise a SNP or mutation. In some embodiments, such a RHO oligonucleotide can decrease the expression, level and/or activity of both the mutant and wild-type alleles of the RHO target nucleic acid. In some embodiments, such a RHO oligonucleotide is pan-specific and can effectively reduce the expression, level and/or activity of both mutant and wild-type RHO target nucleic acids. In some embodiments, selectivity of a pan-specific oligonucleotide is no more than 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9 or 2 fold. In some embodiments, a pan-specific oligonucleotide can reduce the expression, level and/or activity of a mutant and a wild-type RHO target nucleic acid by at least 20%, 25%, 30%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95% compared to absence of the oligonucleotide (or presence of a reference oligonucleotide) at a concentration (e.g., those described in the Examples, e.g., about 0.04, 0.12, 0.37, 1.11, 3.33 or 10 uM, etc.). In some embodiments, a pan-specific oligonucleotide can reduce the expression, level and/or activity of a mutant and a wild-type RHO target nucleic acid by at least 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95% compared to absence of the oligonucleotide (or presence of a reference oligonucleotide).
[0030]
In some embodiments, the base sequence of a RHO oligonucleotide is or comprises, or comprises a span of at least 10 contiguous bases of the sequence GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, or CTCGAAGTGGCTGCGT, or a span thereof (e.g., 10 contiguous bases), and which does not comprise a SNP in its base sequence, and wherein each T can be independently substituted with U and vice versa.
[0031]
In some embodiments, provided oligonucleotides and compositions are useful for preventing and/or treating various conditions, disorders or diseases, particularly RHO-related conditions, disorders or diseases, including retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). In some embodiments, provided oligonucleotides and compositions reduce levels of RHO transcripts (e.g., mRNA) and/or products encoded thereby. In some embodiments, provided oligonucleotides and compositions selectively reduce levels of RHO transcripts and/or products encoded thereby that are associated with retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). In some embodiments, provided oligonucleotides and compositions selectively reduce levels of RHO transcripts comprising disease-associated mutation(s) (e.g., 36 or more) and/or products encoded thereby.
[0032]
In some embodiments, the present disclosure provides RHO
oligonucleotides (e.g., oligonucleotides that can target a RHO gene) and compositions thereof that can reduce levels of RHO
transcripts (or products thereof). In some embodiments, RHO oligonucleotides comprise a sequence that is identical with or complementary to a portion (c.g., a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or more contiguous bases) of a RHO gene or a product encoded thereby (e.g., a RHO
mRNA). In some embodiments, RHO oligonucleotides and compositions thereof selectively reduce levels of RHO transcripts (or products thereof) that are associated with a condition, disorder or disease, e.g., retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
[0033]
Among other things, the present disclosure encompasses the recognition that controlling structural elements of oligonucleotides can have a significant impact on oligonucleotide properties and/or activities, including knockdown (e.g., a decrease in the activity, expression and/or level) of a RHO target gene (or a product thereof). In some embodiments, retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) is associated with the presence of mutant RHO
which comprises a disease-associated mutation(s). In some embodiments, knockdown is allele-specific (wherein the mutant allele of RHO is preferentially knocked down relative to the wild-type). In some embodiments, the knockdown is pan-specific (wherein both the mutant and wild-type alleles of RHO are significantly knocked down). In some embodiments, knockdown of a RHO target gene is mediated by RNase H and/or steric hindrance affecting translation. In some embodiments, knockdown of a RHO target gene is mediated by a mechanism involving RNA interference. In some embodiments, controlled structural elements of RHO oligonucleotides include but are not limited to: base sequence, chemical modifications (e.g., modifications of a sugar, base and/or intemucleotidic linkage) or patterns thereof, alterations in stereochemistry (e.g., stereochemistry of a backbone chiral internucleotidic linkage) or patterns thereof, structure of a first or second wing or core, and/or conjugation with an additional chemical moiety (e.g., a carbohydrate moiety, a targeting moiety, etc.). Particularly, in some embodiments, the present disclosure demonstrates that control of stereochemistry of backbone chiral centers (stereochemistry of linkage phosphorus), optionally with controlling other aspects of oligonucleotide design and/or incorporation of carbohydrate moieties, can greatly improve properties and/or activities of RHO
oligonucleotides.
[0034] In some embodiments, the present disclosure pertains to any RHO oligonucleotide which operates through any mechanism, and which comprises any sequence, structure or format (or portion thereof) described herein, wherein the oligonucleotide comprises at least one non-naturally-occurring modification of a base, sugar or intemucleotidic linkage.
[0035] In some embodiments, the present disclosure provides an oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides comprise at least one (e.g., 1-100, 1-50, 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37. 38, 39, 40,41, 42, 43, 44, 45, or more) chirally controlled intemucleotidic linkage [an intemucleotidic linkage whose linkage phosphorus is in or is enriched for the Rp or Sp configuration (e.g., 80-100%, 85%400%, 90%400%, 95%400%, or 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more of all oligonucleotides of the same constitution in the composition share the same stereochemistry at the linkage phosphorus) but not a random mixture of the Rp and Sp, such an intemucleotidic linkage also a "stereodefined intemucleotidic linkage", and such an oligonucleotide composition also a -stereodefined oligonucleotide compositionl, e.g., a phosphorothioate linkage whose linkage phosphorus is Rp or Sp. In some embodiments, the number of chirally controlled intemucleotidic linkages is 1-100, 1-50, 1-40, 1-35, 1-30, 1-25, 1-20, 5-100, 5-50, 5-40, 5-35, 5-30, 5-25, 5-20, 1, 2, 3, 4,

5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%, or 100% of all chiral intemucleotidic linkages are chirally controlled intemucleotidic linkages. In

6 some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%, or 100% of all intemucleotidic linkages are chirally controlled intemucleotidic linkages. In some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%, or 100% of all chiral intemucleotidic linkages are chirally controlled intemucleotidic linkages and are Sp. In some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, or 95%, or 100% of all internucleotidic linkages are chirally controlled intemucleotidic linkages and are Sp. In some embodiments, at least 1 internucleotidic linkage is chirally controlled internucleotidic linkage and is Rp. In some embodiments, at least 2 internucleotidic linkages are chirally controlled internucleotidic linkage and are Rp In some embodiments, at least 3 internucleotidic linkages are chirally controlled internucleotidic linkage and are Rp. In some embodiments, at least 4 intemucleotidic linkages are chirally controlled intemucleotidic linkage and are Rp. In some embodiments, at least 5 intemucleotidic linkages are chirally controlled intemucleotidic linkage and are Rp. In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises Rp(Sp)2. In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises SpRp(Sp)2. In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises (Rp)2. In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises Sp(Rp)2.
In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises (Sp)m(Rp)2. In some embodiments, pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core) is or comprises (Np)4(Rp)n(Sp)mly, wherein each oft, n, m, and y is independently as described herein.
100361 In some embodiments, the present disclosure demonstrates that oligonucleotides comprising an Rp chirally controlled internucleotidic linkage at certain positions, e.g., -3, -2, -1, +1, +2, or +3 position, relative to a differentiating position (a position whose base or whose complementary base can differentiate one nucleic acid from other nucleic acid(s) (e.g., a target nucleic acid and a reference nucleic acid, one allele from the other(s)), such as a point mutation site, a SNP
site, etc.) can provide high activities and/or selectivities and, in some embodiments, can be particularly useful for reducing levels of disease-associated transcripts and/or products encoded thereby. Unless otherwise specified, for Rp internucleotidic linkage positioning, "-" is counting from the nucleoside al a differentiating position toward the 5'-end of an oligonucleotide with the internucleotidic linkage at thc -1 position being thc internucleotidic linkage bonded to the 5'-carbon of the nucleoside at the differentiating position, and "+" is counting from the nucleoside at a differentiating position toward the 3'-end of an oligonucleotide with the intemucleotidic linkage at the +1 position being the intemucleotidic linkage bonded to the 3'-carbon of the nucleoside at the differentiating position. In some embodiments, Rp at ¨3 position provided increased activity and/or selectivity. In some embodiments, Rp at ¨2 position provided increased activity and/or selectivity. In some embodiments, Rp at ¨1 position provided increased activity and/or selectivity.
In some embodiments, Rp at +1 position provided increased activity and/or selectivity. In some embodiments, Rp at +2 position provided increased activity and/or selectivity. In some embodiments, Rp at +3 position provided increased activity and/or selectivity.
100371 In some embodiments, in a RHO oligonucleotide composition the RHO oligonucleotides comprise at least one chiral intemucleotidic linkage which is not chirally controlled (e.g., the RHO
oligonucleotide comprises a phosphorothioate intemucleotidic linkage which is not chirally controlled).
100381 In some embodiments, oligonucleotides comprise one or more (e.g., 1,2= 3,4, 5, 6, 7, 8, 9, or 10) non-negatively charged intemucleotidic linkages. In some embodiments, oligonucleotides comprise one or more (1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) neutral intemucleotidic linkages. In somc embodiments, a RHO
oligonucleotide comprises a non-negatively charged or neutral intemucleotidic linkage. In some embodiments, the present disclosure provides an oligonucleotide, wherein the base sequence of the oligonucleotide comprises at least 10 contiguous bases of a base sequence that is identical to or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one intemucleotidic linkage comprising a stereodefined linkage phosphorus, and wherein the oligonucleotide is capable of decreasing the level, expression and/or activity of a RHO target gene or a gene product thereof.
100391 In some embodiments, various optional additional moieties, such as carbohydrate moieties, targeting moieties, ctc., when incorporated into RHO oligonucleotides, can improve one or more properties and/or activities.
100401 In some embodiments, an additional chemical moiety is selected from: GalNAc, glucose, GluNAc (N-acetyl amine glucosamine) and anisamide moieties and derivatives thereof, or any additional chemical moiety described herein and/or known in the art. In some embodiments, an oligonucleotide can comprise two or more additional chemical moieties, wherein the additional chemical moieties are identical or non-identical, or are of the same category (e.g., carbohydrate moiety, sugar moiety, targeting moiety, etc.) or not of the same category. In some embodiments, certain additional chemical moieties facilitate delivery of oligonucleotides to desired cells, tissues and/or organs. In some embodiments, certain additional chemical moieties facilitate internalization of oligonucleotides. In some embodiments, certain additional chemical moieties increase oligonucleotide stability.
100411 In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition comprising a plurality of RHO oligonucleotides which share:
1) a common base sequence;

2) a common pattern of backbone linkages; and 3) a common pattern of backbone chiral centers, which composition is a substantially pure preparation of a single oligonucleotide in that a non-random or controlled level of the oligonucleotides in the composition have the common base sequence, the common pattern of backbone linkages, and the common pattern of backbone chiral centers.
100421 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of RHO oligonucleotides of a particular oligonucleotide type, which composition is chirally controlled in that it is enriched, relative to a substantially racemic preparation of oligonucleotides having the same base sequence, for oligonucleotides of the particular oligonucleotide type.
100431 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides capable of directing RHO knockdown, wherein oligonucleotides of the plurality are of a particular oligonucleotide type, which composition is enriched, relative to a substantially racemic preparation of oligonucleotides having the same base sequence, for oligonucleotides of the particular oligonucleotide type.
100441 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides capable of directing RHO knockdown, wherein oligonucleotides of the plurality are of a particular oligonucleotide type, which composition is enriched, relative to a substantially racemic preparation of oligonucleotides having the same base sequence, for oligonucleotides of the particular oligonucleotide type.
100451 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition of an oligonucleotide, wherein the composition is enriched for the oligonucleotide relative to any other stereoisomers of the oligonucleotide. In some embodiments, an enrichment is about or at least about 5, 10, 15, 20, 30, 40, 50, 60, 70, 80, 90, or 100 fold. In some embodiments, an oligonucleotide is a pharmaceutically acceptable salt.
100461 In some embodiments, a provided RHO oligonucleotide comprises one or more blocks. In some embodiments, a block comprises one or more consecutive nucleosides, and/or nucleotides, and/or sugars, or bases, and/or internucleotidic linkages which share a common chemistry (e.g., at least one common modification of sugar, base or internucleotidic linkage, or combination or pattern thereof, or pattern of stereochemistry) which is not present in an adjacent block, or vice versa. In some embodiments, a RHO oligonucleotide comprises three or more blocks, wherein the blocks on either end are not identical and the oligonucleotide is thus asymmetric. In some embodiments, a block is a wing or a core.
100471 In some embodiments, an oligonucleotide comprises at least one wing and at least one core, wherein a wing differs structurally from a core in that a wing of an oligonucleotide comprises a structure [e.g., stereochemistry, or chemical modification at a sugar, base or internucleotidic linkage (or pattern thereof), etc.] not present in the core, or vice versa. In some embodiments, the structure of an oligonucleotide comprises a wing-core-wing structure. In some embodiments, the structure of an oligonucleotide comprises a wing-core, core-wing, or wing-core-wing structure, wherein one wing differs in structure [e.g., stereochemistry, additional chemical moiety, or chemical modification at a sugar, base or internucleotidic linkage (or pattern thereof)] from the other wing and the core (for example, an asymmetrical oligonucleotide). In some embodiments, the structure of an oligonucleotide has or comprises a wing-core, core-wing, or wing-core-wing structure, and a block is a wing or core. In some embodiments, a core is also referenced to as a gap.
100481 In some embodiments, a wing comprises a sugar modification or a pattern thereof that is absent from a core. In some embodiments, a wing comprises a sugar modification that is absent from a core. In some embodiments, one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) sugars of a wing is/are independently modified. In some embodiments, each wing sugar is independently modified. In some embodiments, each sugar in a wing is the same. In some embodiments, at least one sugar in a wing is different from another sugar in the wing. In some embodiments, one or more sugar modifications and/or patterns of sugar modifications in a first wing of an oligonucleotide (e.g., a 5'-wing) is/are different from one or more sugar modifications and/or patterns of sugar modifications in a second wing of the oligonucleotide (e.g., a 3'-wing). In some embodiments, a modification is a 2'-OR modification, wherein R is as described herein. In some embodiments, R is optionally substituted C14 alkyl. In some embodiments, a modification is 2'-0Mc. In some embodiments, a modification is a 2'-M0E. In some embodiments, a modified sugar is a high-affinity sugar, e.g., a bicyclic sugar (e.g., a LNA sugar), 2.-M0E, etc. In some embodiments, a sugar of a 3'-wing is a high-affinity sugar. In some embodiments, a 3'-wing comprises one or more. e.g., 1,2, 3,4, 5, 6, 7, 8, 9, 10 or more high-affinity sugars. In some embodiments, each sugar of a 3'-wing is independently a high-affinity sugar. In some embodiments, a high-affinity sugar is a 2'-MOE sugar. In some embodiments, each sugar of a 3'-wing independently comprises 2'-M0E. In some embodiments, a high-affinity sugar is bonded to a non-negatively charged internucleotidic linkage.
In some embodiments, a high-affinity sugar is bonded to a neutral internucleotidic linkage. In some embodiments, a high-affinity sugar is bonded to two non-negatively charged internucleotidic linkages. In some embodiments, a high-affinity sugar is bonded to two neutral internucleotidic linkages. In some embodiments, a 5'-wing comprises 2-0Me modifications. In some embodiments, each 5'-wing sugar is 2'-0Me modified.
100491 In some embodiments, a wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) natural phosphate linkages. In some embodiments, a wing comprises one or more consecutive (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) natural phosphate linkages. In some embodiments, in a 5'-wing each intemucleotidic linkage linking two wing sugars is independently a natural phosphate linkage, except the intemucleotidic linkage linking the first and second wing sugar from the 5'-end of the 5'-wing (which can be a modified intemucleotidic linkage, optionally chirally controlled (e.g., a Rp phosphorothioate intemucleotidic linkage, a Sp phosphorothioate intemucleotidic linkage, etc.)). In some embodiments, in a 3'-wing each intemucleotidic linkage linking two wing sugars is independently a natural phosphate linkage, except the intemucleotidic linkage linking the first and second wing sugar from the 3'-end of the 3'-wing (which can be a modified intemucleotidic linkage, optionally chirally controlled (e.g., a Rp phosphorothioate intemucleotidic linkage, a Sp phosphorothioate intemucleotidic linkage, etc.)). In some embodiments, in a wing each wing sugar linked by a natural phosphate linkage independently comprises a 2'-OR modification. In some embodiments, R is optionally substituted methyl.
In some embodiments, R
is substituted methyl. In some embodiments, 2'-OR is 2'-M0E. In some embodiments, in a wing each intemucleotidic linkage linking two wing sugars is independently a modified intemucleotidic linkage, optionally chirally controlled. In some embodiments, in a wing each internucleotidic linkage linking two wing sugars is independently chirally controlled phosphorothioate intemucleotidic linkage. In some embodiments, in a wing each intemucleotidic linkage linking two wing sugars is independently chirally controlled Sp phosphorothioate intemucleotidic linkage. In some embodiments, in awing each sugar linked by a modified intemucleotidic linkage to another wing sugar is 2'-0Me modified.
100501 In some embodiments, a wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) non-negatively charged intemucleotidic linkages. In some embodiments, a 5'-wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) consecutive non-negatively charged intemucleotidic linkages. In some embodiments, a 5'-wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) non-negatively charged intemucleotidic linkages. In some embodiments, a 3'-wing comprises one or more (e.g., 1,2, 3, 4, 5, 6,7, 8, 9, or 10) consecutive non-negatively charged intemucleotidic linkages. In some embodiments, a 3'-wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) non-negatively charged intemucleotidic linkages.
In some embodiments, a wing comprises one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) consecutive non-negatively charged intemucleotidic linkages. In some embodiments, each intemucleotidic linkage of a wing is independently a non-negatively charged intemucleotidic linkage except the last intemucleotidic linkage if the wing is a 3'-wing, or the first intemucleotidic linkage if the wing is a 5'-wing. In some embodiments, a non-negatively charged intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, each non-negatively charged intemucleotidic linkage is independently a neutral intemucleotidic linkage. In some embodiments, as demonstrated herein, oligonucleotides that comprise wings comprising non-negatively charged intemucleotidic linkages can deliver high activities and/or selectivities. In some embodiments, for description of intemucleotidic linkages and patterns thereof (including stereochemical patterns), intemucleotidic linkages linking a wing nucleoside and a core nucleoside is considered part of the core. In some embodiments, an intemucleotidic linkage connecting a 5'-wing nucleoside and a core nucleoside is chirally controlled and is Rp. In some embodiments, an intemucleotidic linkage connecting a 5'-wing nucleoside and a core nucleoside is chirally controlled and is Sp. In some embodiments, an intemucleotidic linkage connecting a 3.-wing nucleoside and a core nucleoside is chirally controlled and is Rp. In some embodiments, an intemucleotidic linkage connecting a 3'-wing nucleoside and a core nucleoside is chirally controlled and is Sp.
100511 In some embodiments, a core sugar is a natural DNA sugar which comprises no substitution at the 2' position (two ¨H at 2'-carbon). In some embodiments, each core sugar is a natural DNA sugar which comprises no substitution at the 2' position (two ¨H at 2'-carbon).
100521 A differentiating position may be located at various locations of an oligonucleotide as demonstrated herein to provide activity and/or selectivity. In some embodiments, a differentiating position of a provided oligonucleotide is complementary to a characteristic sequence clement (e.g., SNP, mutation, etc.) which differentiates a target nucleic acid sequence from other sequences (e.g., reference nucleic acid sequences, other allele(s) of a target nucleic acid sequence, etc.) (such differentiating position may be referred to as a SNP or mutation location/site of a provided oligonucleotide).
In some embodiments, a SNP
is any RHO SNP listed in Table S2. In some embodiments, a differentiating position (e.g., a SNP location or mutation which differentiates a wild-type target sequence from a disease-associated or mutant sequence) is position 4, 5, 6, 7, 8,9, etc.., from the 5'-end of a core region. In some embodiments, the 4th, 5th, 6th, 7th, or 8th nucleobase of a core region (from the 5' end of a core) is characteristic of a sequence and differentiates a sequence from another sequence (e.g., a SNP, a mutation, etc.). In some embodiments, a differentiating position is position 4 from the 5'-end of a core region. In some embodiments, a differentiating position is position 5 from the 5'-end of a core region. In some embodiments, a differentiating position is position 6 from the 5'-end of a core region. In some embodiments, a differentiating position is position 7 from the 5'-end of a core region. In some embodiments, a differentiating position is position 8 from the 5'-end of a core region. In some embodiments, a differentiating position is position 9, 10, 11, 12, etc. from the 5'-end of an oligonucleotide. In some embodiments, a differentiating position is position 9 from the 5'-end of an oligonucleotide. In some embodiments, a differentiating position is position 10 from the 5'-end of an oligonucleotide. In some embodiments, a differentiating position is position 11 from the 5'-end of an oligonucleotide. In some embodiments, a differentiating position is position 12 from the 5'-end of an oligonucleotide.
100531 In some embodiments, an oligonucleotide or oligonucleotide composition is useful for preventing or treating a condition, disorder or disease. In some embodiments, a RHO oligonucleotide or RHO oligonucleotide composition is useful for a method of treatment of a RHO-related condition, disorder or disease, such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), in a subject in need thereof.
100541 In some embodiments, an oligonucleotide or oligonucleotide composition is useful for the manufacture of a medicament for treatment of a condition, disorder or disease, such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), in a subject in need thereof In some embodiments, a RHO oligonucleotide or RHO oligonucleotide composition is useful for the manufacture of a medicament for treatment of a RHO-related condition, disorder or disease, such as retinopathy (e .g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), in a subject in need thereof.
100551 In some embodiments, the present disclosure provides a pharmaceutical composition comprising a therapeutically effective amount of a provided oligonucleotide, which is optionally in a salt form. In some embodiments, an oligonucleotide is provided as its sodium salt form. In some embodiments, a pharmaceutical composition further comprises a pharmaceutically acceptable carrier.
100561 In some embodiments, the present disclosure provides methods for preventing, delaying the onset and/or development of, and/or treating a condition, disorder or disease, comprising administering to a subject susceptible thereto or suffering therefrom an effective amount of a provided oligonucleotide or a composition thereof. In some embodiments, a condition, disorder or disease is associated with a RHO
mutation. In some embodiments, a condition, disorder or disease is associated with a RHO P23H mutation.
In some embodiments, a condition, disorder or disease is retinopathy (c .g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). In some embodiments, an administered oligonucleotide can provide reduction of levels of RHO transcripts and/or products encoded thereby (e.g., proteins). In some embodiments, a subject has a RHO mutation (e.g., P23H; can be homozygous or heterozygous). In some embodiments, an administered oligonucleotide can provide selective reduction of levels of RHO transcripts and/or products encoded thereby (e.g., proteins) that are associated with the condition, disorder or disease (e.g., those containing P23H) over those that are less associated or not associated with the condition, disorder or disease.
DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS
100571 Technologies of the present disclosure may be understood more readily by reference to the following detailed description of certain embodiments.

Definitions 100581 As used herein, the following definitions shall apply unless otherwise indicated. For purposes of this disclosure, the chemical elements are identified in accordance with the Periodic Table of the Elements, CAS version, Handbook of Chemistry and Physics, 75th Ed.
Additionally, general principles of organic chemistry are described in "Organic Chemistry", Thomas Sorrell, University Science Books, Sausalito: 1999, and "March's Advanced Organic Chemistry", 5th Ed., Ed.:
Smith, M.B. and March, J., John Wiley & Sons, New York: 2001.
100591 As used herein in the present disclosure, unless otherwise clear from context, (i) the term "a" or "an" may be understood to mean "at least one"; (ii) the term "or" may be understood to mean "and/or"; (iii) the terms "comprising", "comprise", "including" (whether used with "not limited to" or not), and "include" (whether used with "not limited to" or not) may be understood to encompass itemized components or steps whether presented by themselves or together with one or more additional components or steps; (iv) the term -another- may be understood to mean at least an additional/second one or more; (v) the terms "about" and "approximately" may be understood to permit standard variation as would be understood by those of ordinary skill in the art; and (vi) where ranges are provided, endpoints are included.
100601 Unless otherwise specified, description of oligonucleotides and elements thereof (e.g., base sequence, sugar modifications, internucleotidic linkages, linkage phosphorus stereochemistry, etc.) is from 5' to 3'. Unless otherwise specified, oligonucleotides described herein may be provided and/or utilized in a salt form, particularly a pharmaceutically acceptable salt form. As those skilled in the art will appreciate, oligonucleotides may be in various forms, e.g., acid, base or salt forms. In some embodiments, individual oligonucleotides within a composition may be considered to be of the same constitution and/or structure even though, within such composition (e.g., a liquid composition), particular such oligonucleotides might be in different salt form(s) (and may be dissolved and the oligonucleotide chain may exist as an anion form when, e.g., in a liquid composition) at a particular moment in time. For example, those skilled in the art will appreciate that, at a given pH, individual internucleotidic linkages along an oligonucleotide chain may be in an acid (H) form, or in one of a plurality of possible salt forms (e.g., a sodium salt, or a salt of a different cation, depending on which ions might be present in the preparation or composition), and will understand that, so long as their acid forms (e.g., replacing all cations, if any, with H") are of the same constitution and/or structure, such individual oligonucleotides may properly be considered to be of the same constitution and/or structure.
100611 Aliphatic: As used herein, "aliphatic" means a straight-chain (i.e., unbranched) or branched, substituted or unsubstituted hydrocarbon chain that is completely saturated or that contains one or more units of unsaturation, or a substituted or unsubstituted monocyclic, bicyclic, or polycyclic hydrocarbon ring that is completely saturated or that contains one or more units of unsaturation (but not aromatic), or combinations thereof. In some embodiments, aliphatic groups contain 1-50 aliphatic carbon atoms. In some embodiments, aliphatic groups contain 1-20 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-10 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-9 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-8 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-7 aliphatic carbon atoms. In other embodiments, aliphatic groups contain 1-6 aliphatic carbon atoms. In still other embodiments, aliphatic groups contain 1-5 aliphatic carbon atoms, and in yet other embodiments, aliphatic groups contain 1, 2, 3, or 4 aliphatic carbon atoms.
Suitable aliphatic groups include, but are not limited to, linear or branched, substituted or unsubstituted alkyl, alkenyl, alkynyl groups and hybrids thereof such as (cycloalkyl)alkyl, (cycloalkenyl)alkyl or (cycloalkyl)alkenyl.

Alkenyl: As used herein, the term "alkenyl" refers to an aliphatic group, as defined herein, having one or more double bonds.

Alkyl: As used herein, the term -alkyl- is given its ordinary meaning in the art and may include saturated aliphatic groups, including straight-chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups.
In some embodiments, alkyl has 1-100 carbon atoms. In certain embodiments, a straight chain or branched chain alkyl has about 1-20 carbon atoms in its backbone (e.g., CI-Cm for straight chain, C2-C20 for branched chain), and alternatively, about 1-10. In some embodiments, cycloalkyl rings have from about 3-10 carbon atoms in their ring structure where such rings are monocyclic, bicyclic, or polycyclic, and alternatively about 5, 6 or 7 carbons in the ring structure. In some embodiments, an alkyl group may be a lower alkyl group, wherein a lower alkyl group comprises 1-4 carbon atoms (e.g., Ci-C4 for straight chain lower alkyls).

Alkynyl: As used herein, the term -alkynyl" refers to an aliphatic group, as defined herein, having one or more triple bonds.

Analog: The term "analog" includes any chemical moiety which differs structurally from a reference chemical moiety or class of moieties, but which is capable of performing at least one function of such a reference chemical moiety or class of moieties. As non-limiting examples, a nucleotide analog differs structurally from a nucleotide but performs at least one function of a nucleotide; a nucleobase analog differs structurally from a nucleobase but performs at least one function of a nucleobase; etc.

Animal: As used herein, the term -animal- refers to any member of the animal kingdom.
In some embodiments, "animal" refers to humans, at any stage of development.
In some embodiments, -animal" refers to non-human animals, at any stage of development. In certain embodiments, the non-human animal is a mammal (e.g., a rodent, a mouse, a rat, a rabbit, a monkey, a dog, a cat, a sheep, cattle, a primate and/or a pig). In some embodiments, animals include, but are not limited to, mammals, birds, reptiles, amphibians, fish and/or worms. In some embodiments, an animal may be a transgenic animal, a genetically-engineered animal and/or a clone.
100671 Antisense: The term "antisense", as used herein, refers to a characteristic of an oligonucleotide or other nucleic acid having a base sequence complementary or substantially complementary to a target nucleic acid to which it is capable of hybridizing.
In some embodiments, a target nucleic acid is a target gene mRNA. In some embodiments, hybridization is required for or results in at one activity, e.g., a decrease in the level, expression or activity of the target nucleic acid or a gene product thereof The term -antisense oligonucleotide-, as used herein, refers to an oligonucleotide complementary to a target nucleic acid. In some embodiments, an antisense oligonucleotide is capable of directing a decrease in the level, expression or activity of a target nucleic acid or a product thereof In some embodiments, an antisense oligonucleotide is capable of directing a decrease in the level, expression or activity of the target nucleic acid or a product thereof, via a mechanism that involves RNase H, steric hindrance and/or RNA interference.
100681 Aryl: The term "aryl", as used herein, used alone or as part of a larger moiety as in "aralkyl," "aralkoxy," or "aryloxyalkyl," refers to monocyclic, bicyclic or polycyclic ring systems having a total of five to thirty ring members, wherein at least one ring in the system is aromatic. In some embodiments, an aryl group is a monocyclic, bicyclic or polycyclic ring system having a total of five to fourteen ring members, wherein at least one ring in the system is aromatic, and wherein each ring in the system contains 3 to 7 ring members. In some embodiments, an aryl group is a biaryl group. The term "aryl" may be used interchangeably with the term "aryl ring." In certain embodiments of the present disclosure, "aryl" refers to an aromatic ring system which includes, but is not limited to, phenyl, biphenyl, naphthyl, binaphthyl, anthracyl and the like, which may bear one or more substituents. Also included within the scope of the term -aryl," as it is used herein, is a group in which an aromatic ring is fused to one or more non-aromatic rings, such as indanyl, phthalimidyl, naphthimidyl, phenanthridinyl, or tetrahydronaphthyl, and the like.
100691 Chiral control: As used herein, "chiral control" refers to control of the stereochemical designation of the chiral linkage phosphorus in a chiral intemucleotidic linkage within an oligonucleotide.
As used herein, a chiral intemucleofidic linkage is an intemucleotidic linkage whose linkage phosphorus is chiral. In some embodiments, a control is achieved through a chiral element that is absent from the sugar and base moieties of an oligonucleotide, for example, in some embodiments, a control is achieved through use of one or more chiral auxiliaries during oligonucleotide preparation as described in the present disclosure, which chiral auxiliaries often are part of chiral phosphoramidites used during oligonucleotide preparation. In contrast to chiral control, a person having ordinary skill in the art appreciates that conventional oligonucleotide synthesis which does not use chiral auxiliaries cannot control stereochemistry at a chiral intemucleotidic linkage if such conventional oligonucleotide synthesis is used to form the chiral internucleotidic linkage. In some embodiments, the stereochemical designation of each chiral linkage phosphorus in each chiral internucleotidic linkage within an oligonucleotide is controlled.
100701 Chirally controlled oligonucleotide composition: The terms -chirally controlled oligonucleotide composition", "chirally controlled nucleic acid composition", and the like, as used herein, refers to a composition that comprises a plurality of oligonucleotides (or nucleic acids) which share 1) a common base sequence, 2) a common pattern of backbone linkages, and 3) a common pattern of backbone phosphorus modifications, wherein the plurality of oligonucleotides (or nucleic acids) share the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled or stereodefined internucleotidic linkages, whose chiral linkage phosphorus is Rp or Sp in the composition ("stereodefined"), not a random Rp and Sp mixture as non-chirally controlled internucleotidic linkages).
Level of the plurality of oligonucleotides (or nucleic acids) in a chirally controlled oligonucleotide composition is pre-determined/controlled (e.g., through chirally controlled oligonucleotide preparation to stereoselectively form one or more chiral internucleotidic linkages). In some embodiments, about 1%-100%, (e.g., about 5%-100%, 10%400%, 20%-100%, 30%-100%, 40%-100%, 50%-100%, 60%400%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%, or at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in a chirally controlled oligonucleotide composition are oligonucleotides of the plurality. In some embodiments, about 1%-100%, (e.g., about 5%-100%, 10%-100%, 20%-100%, 30%-100%, 40%-100%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%, or at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in a chirally controlled oligonucleotide composition that share the common base sequence, the common pattern of backbone linkages, and the common pattern of backbone phosphorus modifications are oligonucleotides of the plurality. In some embodiments, a level is about 1%-100%, (e.g., about 5%400%, 10%-100%, 20%-100%, 30%400%, 40%-100%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%, or at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in a composition, or of all oligonucleotides in a composition that share a common base sequence (e.g., of a plurality of oligonucleotide or an oligonucleotide type), or of all oligonucleotides in a composition that share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone phosphorus modifications, or of all oligonucleotides in a composition that share a common base sequence, a common patter of base modifications, a common pattern of sugar modifications, a common pattern of internucleotidic linkage types, and/or a common pattern of internucleotidic linkage modifications. In some embodiments, the plurality of oligonucleotides share the same stereochemistry at about 1-50 (e.g., about 1-10, 1-20, 5-10, 5-20, 10-15, 10-20, 10-25, 10-30, or about 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20, or at least 1, 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20) chiral intemucleotidic linkages. In some embodiments, the plurality of oligonucleotides share the same stereochemistry at about 1%-100% (e.g., about 5%-100%, 10%-100%, 20%400%, 30%400%, 40%400%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100%, or at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99%) of chiral intemucleotidic linkages.
In some embodiments, oligonucleotides (or nucleic acids) of a plurality are of the same constitution. In some embodiments, level of the oligonucleotides (or nucleic acids) of the plurality is about 1%-100%, (e.g., about 5%-100%, 10%400%, 20%-100%, 30%-100%, 40%-100%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%, or at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides (or nucleic acids) in a composition that share the same constitution as the oligonucleotides (or nucleic acids) of the plurality. In some embodiments, each chiral internucleotidic linkage is a chiral controlled internucleotidic linkage, and the composition is a completely chirally controlled oligonucleotide composition. In some embodiments, oligonucleotides (or nucleic acids) of a plurality are structurally identical. In some embodiments, a chirally controlled intemucleotidic linkage has a diastereopurity of at least 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5%, typically at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5%. In some embodiments, a chirally controlled intemucleotidic linkage has a diastereopurity of at least 95%. In some embodiments, a chirally controlled internucleotidic linkage has a diastereopurity of at least 96%. In some embodiments, a chirally controlled internucleotidic linkage has a diastereopurity of at least 97%. In some embodiments, a chirally controlled intemucleotidic linkage has a diastereopurity of at least 98%. In some embodiments, a chirally controlled internucleotidic linkage has a diastereopurity of at least 99%. In some embodiments, a percentage of a level is or is at least (DS)", wherein DS is a diastereopurity as described in the present disclosure (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and nc is the number of chirally controlled internucleotidic linkages as described in the present disclosure (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more). In some embodiments, a percentage of a level is or is at least (DS)', wherein DS is 95%-100%. For example, when DS is 99% and nc is 10, the percentage is or is at least 90% ((99%)1 0.90 =

90%). In some embodiments, level of a plurality of oligonucleotides in a composition is represented as the product of the diastereopurity of each chirally controlled internucleotidic linkage in the oligonucleotides.
In some embodiments, diastereopurity of an internucleotidic linkage connecting two nucleosides in an oligonucleotide (or nucleic acid) is represented by the diastereopurity of an internucleotidic linkage of a dimer connecting the same two nucleosides, wherein the dimer is prepared using comparable conditions, in some instances, identical synthetic cycle conditions (e.g., for the linkage between Nx and Ny in an oligonucleotide ....NxNy....., the dimer is NxNy). In some embodiments, not all chiral internucleotidic linkages are chiral controlled internucleotidic linkages, and the composition is a partially chirally controlled oligonucleotide composition. In some embodiments, a non-chirally controlled internucleotidic linkage has a diastereopurity of less than about g0%, 75%, 70%, 65%, 60%, 55%, or of about 50%, as typically observed in stereorandom oligonucleotide compositions (e.g., as appreciated by those skilled in the art, from traditional oligonucleotide synthesis, e.g., the phosphoramidite method). In some embodiments, oligonucleotides (or nucleic acids) of a plurality are of the same type. In some embodiments, a chirally controlled oligonucleotide composition comprises non-random or controlled levels of individual oligonucleotide or nucleic acids types. For instance, in some embodiments a chirally controlled oligonucleotide composition comprises one and no more than one oligonucleotide type. In some embodiments, a chirally controlled oligonucleotide composition comprises more than one oligonucleotide type. In some embodiments, a chirally controlled oligonucleotide composition comprises multiple oligonucleotide types. In some embodiments, a chirally controlled oligonucleotide composition is a composition of oligonucleotides of an oligonucleotide type, which composition comprises a non-random or controlled level of a plurality of oligonucleotides of the oligonucleotide type.
100711 Comparable: The term "comparable- is used herein to describe two (or more) sets of conditions or circumstances that are sufficiently similar to one another to permit comparison of results obtained or phenomena observed. In some embodiments, comparable sets of conditions or circumstances are characterized by a plurality of substantially identical features and one or a small number of varied features. Those of ordinary skill in the art will appreciate that sets of conditions are comparable to one another when characterized by a sufficient number and type of substantially identical features to warrant a reasonable conclusion that differences in results obtained or phenomena observed under the different sets of conditions or circumstances are caused by or indicative of the variation in those features that are varied.
100721 Cycloaliphatic: The term "cycloaliphatic,- "carbocycle,-"carbocycly1,- -carbocyclic radical," and -carbocyclic ring," are used interchangeably, and as used herein, refer to saturated or partially unsaturated, but non-aromatic, cyclic aliphatic monocyclic. bicyclic, or polycyclic ring systems, as described herein, having, unless otherwise specified, from 3 to 30 ring members. Cycloaliphatic groups include, without limitation, cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptyl, cycloheptenyl, cyclooctyl, cyclooctenyl, norbomyl, adamantyl, and cyclooctadienyl. In some embodiments, a cycloaliphatic group has 3-6 carbons. In some embodiments, a cycloaliphatic group is saturated and is cycloalkyl. The term "cycloaliphatic" may also include aliphatic rings that are fused to one or more aromatic or nonaromatic rings, such as decahydronaphthyl or tetrahydronaphthyl. In some embodiments, a cycloaliphatic group is bicyclic. In some embodiments, a cycloaliphatic group is tricyclic.
In some embodiments, a cycloaliphatic group is polycyclic. In some embodiments, "cycloaliphatic" refers to C3-C6 monocyclic hydrocarbon, or C8-Cio bicyclic or polycyclic hydrocarbon, that is completely saturated or that contains one or more units of unsaturation, but which is not aromatic, that has a single point of attachment to the rest of the molecule, or a C9-C16 polycyclic hydrocarbon that is completely saturated or that contains one or more units of unsaturation, but which is not aromatic, that has a single point of attachment to the rest of the molecule.
100731 Dosing regimen: As used herein, a -dosing regimen" or "therapeutic regimen" refers to a set of unit doses (typically more than one) that are administered individually to a subject, typically separated by periods of time. In some embodiments, a given therapeutic agent has a recommended dosing regimen, which may involve one or more doses. In some embodiments, a dosing regimen comprises a plurality of doses each of which are separated from one another by a time period of the same length; in some embodiments, a dosing regimen comprises a plurality of doses and at least two different time periods separating individual doses. In some embodiments, all doses within a dosing regimen are of the same unit dose amount. In some embodiments, different doses within a dosing regimen are of different amounts. In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second dose amount different from the first dose amount. In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second dose amount same as the first dose amount.
100741 Gapmer: as used herein, the term -gapmer" refers to an oligonucleotide characterized in that it comprises a core flanked by a 5' and a 3' wing. In some embodiments, in a gapmer, at least one intemucleotidic phosphorus linkage of the oligonucleotide is a natural phosphate linkage. In some embodiments, more than one intemucleotidic phosphorus linkage of the oligonucleotide strand is a natural phosphate linkage. In some embodiments, a gapmer is a sugar modification gapmer, wherein each wing sugar independently comprises a sugar modification, and no core sugar comprises a sugar modification found in a wing sugar. In some embodiments, each core sugar comprises no modification and are 2.-unsubstituted (as in natural DNA). In some embodiments, each wing sugar is independently a 2'-modified sugar. In some embodiments, at least one wing sugar is a bicyclic sugar. In some embodiments, sugar units in each wing have the same sugar modification (e.g., 2--0Me (a 2--0Me wing), 2--MOE (a 2--MOE wing), etc.). In some embodiments, each wing sugar has the same modification. Core and wing can have various lengths. In some embodiments, awing is 2, 3, 4, 5, 6, 7, 8, 9, 10 or more nucleosides (in many embodiments, 3, 4, 5, or 6 or more) in length, and a core is 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more nucleosides (in many embodiments, 8, 9, 10, 11, 12, or more) in length. In some embodiments, an oligonucleotide comprises or consists of a wing-core-wing structure of 2-9-6, 3-9-3, 3-9-4, 3-9-5, 4-7-4, 4-9-4, 4-9-5, 4-10-5, 4-11-4, 4-11-5, 5-7-5, 5-8-6, 5-9-3, 5-9-5, 5-10-4, 5-10-5, 6-7-6, 6-8-5, or 6-9-2. In some embodiments, an oligonucleotide is a gapmer.
100751 Heteroaliphatic: The term -heteroaliphatic-, as used herein, is given its ordinary meaning in the art and refers to aliphatic groups as described herein in which one or more carbon atoms are independently replaced with one or more heteroatoms (e.g., oxygen, nitrogen, sulfur, silicon, phosphorus, and the like). In some embodiments, one or more units selected from C, CH, CH2, and CH3 are independently replaced by one or more heteroatoms (including oxidized and/or substituted forms thereof).
In some embodiments, a heteroaliphatic group is heteroalkyl. In some embodiments, a heteroaliphatic group is heteroalkenyl.
100761 Heteroalkyl: The term "heteroalkyl", as used herein, is given its ordinary meaning in the art and refers to alkyl groups as described herein in which one or more carbon atoms are independently replaced with one or more heteroatoms (e.g., oxygen, nitrogen, sulfur, silicon, phosphorus, and the like).
Examples of heteroalkyl groups include, but are not limited to, alkoxy, poly(ethylene glycol)-, alkyl-substituted amino, tetrahydrofuranyl, piperidinyl, morpholinyl, etc.
100771 Heteroaryl: The terms "heteroaryl" and "heteroar-", as used herein, used alone or as part of a larger moiety, e.g., "heteroaralkyl," or "heteroaralkoxy," refer to monocyclic, bicyclic or polycyclic ring systems having a total of five to thirty ring members, wherein at least one ring in the systcm is aromatic and at least one aromatic ring atom is a heteroatom. In some embodiments, a heteroaryl group is a group haying 5 to 10 ring atoms (i.e., monocyclic, bicyclic or polycyclic), in some embodiments 5, 6, 9, or 10 ring atoms. In some embodiments, a heteroaryl group has 6, 10, or 14 n electrons shared in a cyclic array; and having, in addition to carbon atoms, from one to five heteroatoms. Heteroaryl groups include, without limitation, thienyl, fiiranyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, isothiazolyl, thiadiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, indolizinyl, purinyl, naphthyridinyl, and pteridinyl. In some embodiments, a heteroatyl is a heterobiaryl group, such as bipyridyl and the like. The terms "heteroaryl" and "heteroar-", as used herein, also include groups in which a heteroaromatic ring is fused to one or more aryl, cycloaliphatic, or heterocyclyl rings, where the radical or point of attachment is on the heteroaromatic ring. Non-limiting examples include indolyl, isoindolyl, benzothienyl, benzofuranyl, dibenzofuranyl, indazolyl, benzimidazolyl, benzthiazolyl, quinolyl, isoquinolyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, 4H-quinolizinyl, carbazolyl, acridinyl, phenazinyl, phenothiazinyl, phenoxazinyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl, and pyrido[2,3-131-1,4-oxazin-3(4H)-one. A heteroaryl group may be monocyclic, bicyclic or polycyclic. The term "heteroaryl" may be used interchangeably with the terms "heteroaryl ring,"
"heteroaryl group," or "heteroaromatic," any of which terms include rings that are optionally substituted. The term "heteroaralkyl" refers to an alkyl group substituted by a heteroaryl group, wherein the alkyl and heteroaryl portions independently are optionally substituted.
100781 Heteroatom: The term -heteroatom", as used herein, means an atom that is not carbon or hydrogen. In some embodiments, a heteroatom is boron, oxygen, sulfur, nitrogen, phosphorus, or silicon (including oxidized forms of nitrogen, sulfur, phosphorus, or silicon; charged forms of nitrogen (e.g., quaternized forms, forms as in iminium groups, etc.), phosphorus, sulfur, oxygen; etc.). In some embodiments, a heteroatom is oxygen, sulfur or nitrogen.
100791 Heterocycle: As used herein, the terms "heterocycle,"
"heterocyclyl," "heterocyclic radical," and -heterocyclic ring", as used herein, are used interchangeably and refer to a monocyclic, bicyclic or polycyclic ring moiety (e.g., 3-30 membered) that is saturated or partially unsaturated and has one or more heteroatom ring atoms. In some embodiments, a heterocyclyl group is a stable 5- to 7-membered monocyclic or 7- to 10-membered bicyclic heterocyclic moiety that is either saturated or partially unsaturated, and having, in addition to carbon atoms, one or more, preferably one to four, heteroatoms, as defined above. When used in reference to a ring atom of a heterocycle, the term "nitrogen"
includes substituted nitrogen. As an example, in a saturated or partially unsaturated ring having 0-3 heteroatoms selected from oxygen, sulfur and nitrogen, the nitrogen may be N
(as in 3,4-dihydro-2H-pyrroly1), NIT (as in pyrrolidinyl), or +NR (as in N-substituted pyrrolidinyl). A heterocyclic ring can be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure and any of the ring atoms can be optionally substituted. Examples of such saturated or partially unsaturated heterocyclic radicals include, without limitation, tetrahydrofuranyl, tetrahydrothienyl, pyrrolidinyl, piperidinyl, pyrrolinyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl, decahydroquinolinyl, oxazolidinyl, piperazinyl, dioxanyl, dioxolanyl, diazepinyl, oxazepinyl, thiazepinyl, morpholinyl, and quinuclidinyl. The terms "heterocycle," "heterocyclyl," "heterocyclyl ring," "heterocyclic group," "heterocyclic moiety," and "heterocyclic radical," are used interchangeably herein, and also include groups in which a heterocyclyl ring is fused to one or more aryl, heteroaryl, or cycloaliphatic rings, such as indolinyl, 3H-indolyl, chromanyl, phenanthridinyl, or tetrahydroquinolinyl. A heterocyclyl group may be monocyclic, bicyclic or polycyclic. The term -heterocyclylalkyl- refers to an alkyl group substituted by a heterocyclyl, wherein the alkyl and heterocyclyl portions independently are optionally substituted.
100801 Homology: "Homology" or "identity" or "similarity" refers to sequence similarity between two nucleic acid molecules. Homology and identity can each be determined by comparing a position in each sequence which can be aligned for purposes of comparison. When an equivalent position in the compared sequences is occupied by the same base, then the molecules are identical at that position; when the equivalent site occupied by the same or a similar nucleic acid residue (e.g., similar in steric and/or electronic nature), then the molecules can be referred to as homologous (similar) at that position.
Expression as a percentage of homology/similarity or identity refers to a function of the number of identical or similar nucleic acids at positions shared by the compared sequences. In some embodiments, a sequence which is "unrelated" or "non-homologous" shares less than 40% identity, less than 35% identity, less than 30% identity, or less than 25% identity with a sequence described herein. In comparing two sequences, the absence of residues (amino acids or nucleic acids) or presence of extra residues also decreases the identity and homology/similarity. In some embodiments, polymeric molecules (e.g., oligonucleotides, nucleic acids, proteins, etc.) are considered to be "homologous" to one another if their sequences are at least 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99%
identical. In some embodiments, polymeric molecules are considered to be -homologous- to one another if their sequences are at least 25 A), 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99%
similar.
100811 In some embodiments, the term "homology" describes a mathematically based comparison of sequence similarities which is used to identify genes with similar functions or motifs. The nucleic acid sequences described herein can be used as a "query sequence" to perform a search against public databases, for example, to identify other family members, related sequences or homologs.
In some embodiments, such searches can be performed using the NBLAST and XBLAST programs (version 2.0) of Altschul, et al.
(1990) J. Mol. Biol. 215:403-10. In some embodiments, BLAST nucleotide searches can be performed with the NBLAST program, score=100, wordlength=12 to obtain nucleotide sequences homologous to nucleic acid molecules of the disclosure. In some embodiments, to obtain gapped alignments for comparison purposes, Gapped BLAST can be utilized as described in Altschul et al., (1997) Nucleic Acids Res. 25(17)3389-3402. When utilizing BLAST and Gapped BLAST programs, the default parameters of the respective programs (e.g., XBLAST and BLAST) can be used (See www.ncbi.nlm.nih.gov).
[0082] Identity: As used herein, the term "identity" refers to the overall relatedness between polymeric molecules, e.g., between nucleic acid molecules (e.g., oligonucleotides, DNA, RNA, etc.) and/or between polypeptide molecules. In some embodiments, polymeric molecules are considered to be "substantially identical" to one another if their sequences are at least 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99% identical. Calculation of the percent identity of two nucleic acid or polypeptide sequences, for example, can be performed by aligning the two sequences for optimal comparison purposes (e.g., gaps can be introduced in one or both of a first and a second sequences for optimal alignment and non-identical sequences can be disregarded for comparison purposes).
In certain embodiments, the length of a sequence aligned for comparison purposes is at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, or substantially 100%
of the length of a reference sequence. The nucleotides at corresponding positions are then compared. When a position in the first sequence is occupied by the same residue (e.g., nucleotide or amino acid) as the corresponding position in the second sequence, then the molecules are identical at that position. The percent identity between the two sequences is a function of the number of identical positions shared by the sequences, taking into account the number of gaps, and the length of each gap, which needs to be introduced for optimal alignment of the two sequences. The comparison of sequences and determination of percent identity between two sequences can be accomplished using a mathematical algorithm. For example, the percent identity between two nucleotide sequences can be determined using the algorithm of Meyers and Miller (CABIOS, 1989, 4: 11-17), which has been incorporated into the ALIGN
program (version 2.0). In some exemplary embodiments, nucleic acid sequence comparisons made with the ALIGN program use a PAM120 weight residue table, a gap length penalty of 12 and a gap penalty of 4. The percent identity between two nucleotide sequences can, alternatively, be determined using the GAP program in the GCG
software package using an NWSgapdna.CMP matrix.
100831 Intemucleotidic linkage: As used herein, the phrase -internucleotidic linkage" refers generally to a linkage linking nucleoside units of an oligonucleotide or a nucleic acid. In some embodiments, an internucleotidic linkage is a phosphodiester linkage, as extensively found in naturally occurring DNA and RNA molecules (natural phosphate linkage (-0P(=0)(OH)0-), which as appreciated by those skilled in the art may exist as a salt form). In some embodiments, an intemucleotidic linkage is a modified intemucleotidic linkage (not a natural phosphate linkage). In some embodiments, an intemucleotidic linkage is a "modified intemucleotidic linkage" wherein at least one oxygen atom or -OH
of a phosphodiester linkage is replaced by a different organic or inorganic moiety. In some embodiments, such an organic or inorganic moiety is selected from =S, =Se, =NR', -SR', -SeR', -N(R)2, B(R')3, -S-, -Se-, and -N(R')-, wherein each R' is independently as defined and described in the present disclosure. In some embodiments, an intemucleotidic linkage is a phosphotriester linkage, phosphorothioate linkage (or phosphorothioate diester linkage, -0P(=0)(SH)0-, which as appreciated by those skilled in the art may exist as a salt form), or phosphorothioate triester linkage. In some embodiments, a modified intemucleotidic linkage is a phosphorothioate linkage. In some embodiments, an intemucleotidic linkage is one of, e.g., PNA (peptide nucleic acid) or PMO (phosphorodiamidate Morpholino oligomer) linkage.
In some embodiments, a modified internucleotidic linkage is a non-negatively charged internucleolidic linkage. In some embodiments, a modified intemucleotidic linkage is a neutral intemucleotidic linkage (e.g., n001 in certain provided oligonucleotides). It is understood by a person of ordinary skill in the art that an intemucleotidic linkage may exist as an anion or cation at a given pH
due to the existence of acid or base moieties in the linkage. In some embodiments, a modified intemucleotidic linkages is a modified intemucleotidic linkages designated as s, s 1, s2, s3, s4, s5, s6, s7, s8, s9, s10, s11, s12, s13, s14, s15, s16, s17 and s18 as described in WO 2017/210647.
100841 In vitro: As used herein, the term "in vitro" refers to events that occur in an artificial environment, e.g., in a test tube or reaction vessel, in cell culture, etc., rather than within an organism (e.g., animal, plant and/or microbe).
100851 In vivo: As used herein, the term in vivo" refers to events that occur within an organism (e.g., animal, plant and/or microbe).
100861 Linkage phosphorus: as defined herein, the phrase "linkage phosphorus" is used to indicate that the particular phosphorus atom being referred to is the phosphorus atom present in the intemucleotidic linkage, which phosphorus atom corresponds to the phosphorus atom of a phosphodiester intemucleotidic linkage as occurs in naturally occurring DNA and RNA. In some embodiments, a linkage phosphorus atom is in a modified intemucleotidic linkage, wherein each oxygen atom of a phosphodiester linkage is optionally and independently replaced by an organic or inorganic moiety. In some embodiments, a linkage phosphorus atom is the P of Formula I as defined herein. In some embodiments, a linkage phosphorus atom is chiral. In some embodiments, a linkage phosphorus atom is achiral (e.g., as in natural phosphate linkages).
100871 Linker: The terms "linker", "linking moiety" and the like refer to any chemical moiety which connects one chemical moiety to another. As appreciated by those skilled in the art, a linker can be bivalent or trivalent or more, depending on the number of chemical moieties the linker connects. In some embodiments, a linker is a moiety which connects one oligonucleotide to another oligonucleotide in a multimer. In some embodiments, a linker is a moiety optionally positioned between the terminal nucleoside and the solid support or between the terminal nucleoside and another nucleoside, nucleotide, or nucleic acid. In some embodiments, in an oligonucleotide a linker connects a chemical moiety (e.g., a targeting moiety, a lipid moiety, a carbohydrate moiety, etc.) with an oligonucleotide chain (e.g., through its 5'-end, 3'-end, nucleobase, sugar, intemucleotidic linkage, etc.) 100881 Lower alkyl: The term "lower alkyl" refers to a CI4 straight or branched alkyl group.
Example lower alkyl groups are methyl, ethyl, propyl, isopropyl, butyl, isobutyl, and tert-butyl.
100891 Lower haloalkyl: The term -lower haloalkyl" refers to a C14 straight or branched alkyl group that is substituted with one or more halogen atoms.
100901 Modified nucleobase: The terms "modified nucleobase", "modified base" and the like refer to a chemical moiety which is chemically distinct from a nucleobase, but which is capable of performing at least one function of a nucleobase. In some embodiments, a modified nucleobase is a nucleobase which comprises a modification. In some embodiments, a modified nucleobase is capable of at least one function of a nucleobase, e.g., forming a moiety in a polymer capable of base-pairing to a nucleic acid comprising an at least complementary sequence of bases. In some embodiments, a modified nucleobase is substituted A, T, C, G, or U, or a substituted tautomer of A, T, C, G, or U. In some embodiments, a modified nucleobase in the context of oligonucleotides refer to a nucleobase that is not A, T, C, G or U.
100911 Modified nucleoside: The term "modified nucleoside" refers to a moiety derived from or chemically similar to a natural nucleoside, but which comprises a chemical modification which differentiates it from a natural nucleoside. Non-limiting examples of modified nucleosides include those which comprise a modification at the base and/or the sugar. Non-limiting examples of modified nucleosides include those with a 2' modification at a sugar. Non-limiting examples of modified nucleosides also include abasic nucleosides (which lack a nucleobase). In some embodiments, a modified nucleoside is capable of at least one function of a nucleoside, e.g., forming a moiety in a polymer capable of base-pairing to a nucleic acid comprising an at least complementary sequence of bases.
100921 Modified nucleotide: The term -modified nucleotide"
includes any chemical moiety which differs structurally from a natural nucleotide but is capable of performing at least one function of a natural nucleotide. In some embodiments, a modified nucleotide comprises a modification at a sugar, base and/or internucleotidic linkage. In some embodiments, a modified nucleotide comprises a modified sugar, modified nucleobase and/or modified internucleotidic linkage. In some embodiments, a modified nucleotide is capable of at least one function of a nucleotide, e.g., forming a subunit in a polymer capable of base-pairing to a nucleic acid comprising an at least complementary sequence of bases.
100931 Modified sugar: The term "modified sugar" refers to a moiety that can replace a sugar. A
modified sugar mimics the spatial arrangement, electronic properties, or some other physicochemical property of a sugar. In some embodiments, as described in the present disclosure, a modified sugar is substituted ribose or deoxyribose. In some embodiments, a modified sugar comprises a 2.-modification.
Examples of useful 2'-modification are widely utilized in the art and described herein. In some embodiments, a 2' -modification is 2' -OR, wherein R is optionally substituted C1_10 aliphatic. In some embodiments, a 2.-modification is 2.-OMe. In some embodiments, a 2f-modification is 2f-M0E. In some embodiments, a modified sugar is a bicyclic sugar (e.g., a sugar used in LNA, BNA, etc.). In some embodiments, in the context of oligonucleotides, a modified sugar is a sugar that is not ribose or deoxyribose as typically found in natural RNA or DNA.
100941 Nucleic acid: The term -nucleic acid", as used herein, includes any nucleotides and polymers thereof The term "polynucleotide", as used herein, refers to a polymeric form of nucleotides of any length, either ribonucleotides (RNA) or deoxyribonucleotides (DNA) or a combination thereof These terms refer to the primary structure of the molecules and, thus, include double- and single-stranded DNA, and double- and single-stranded RNA. These terms include, as equivalents, analogs of either RNA or DNA
comprising modified nucleotides and/or modified polynucleotides, such as, though not limited to, methylated, protected and/or capped nucleotides or polynucleotides. The terms encompass poly- or oligo-ribonucleotides (RNA) and poly- or oligo-deoxyribonucleotides (DNA); RNA or DNA derived from N-glycosides or C-glycosides of nucleobases and/or modified nucleobases; nucleic acids derived from sugars and/or modified sugars; and nucleic acids derived from phosphate bridges and/or modified intemucleotidic linkages. The term encompasses nucleic acids containing any combinations of nucleobases, modified nucleobases, sugars, modified sugars, phosphate bridges or modified intemucleotidic linkages. Examples include, and are not limited to, nucleic acids containing ribose moieties, nucleic acids containing deoxy-ribose moieties, nucleic acids containing both ribose and deoxynbose moieties, nucleic acids containing ribose and modified ribose moieties. Unless otherwise specified, the prefix poly- refers to a nucleic acid containing 2 to about 10,000 nucleotide monomer units and wherein the prefix oligo- refers to a nucleic acid containing 2 to about 200 nucleotide monomer units.
100951 Nucleobase: The term "nucleobase" refers to the parts of nucleic acids that are involved in the hydrogen-bonding that binds one nucleic acid strand to another complementary strand in a sequence specific manner. The most common naturally-occurring nucleobases are adenine (A), guanine (G), uracil (U), cytosine (C), and thymine (T). In some embodiments, a naturally-occurring nucleobases are modified adenine, guanine, uracil, cytosine_ or thymine. In some embodiments, a naturally-occurring nucleobases arc methylated adenine, guanine, uracil, cytosine, or thymine. In some embodiments, a nucleobasc comprises a heteroaryl ring wherein a ring atom is nitrogen, and when in a nucleoside, the nitrogen is bonded to a sugar moiety. In some embodiments, a nucleobase comprises a heterocyclic ring wherein a ring atom is nitrogen, and when in a nucleoside, the nitrogen is bonded to a sugar moiety. In some embodiments, a nucleobase is a "modified nucleobase," a nucleobase other than adenine (A), guanine (G), uracil (U), cytosine (C), and thymine (T). In some embodiments, a modified nucleobase is substituted A, T, C, G or U. In some embodiments, a modified nucleobase is a substituted tautomer of A, T, C, G, or U.
In some embodiments, a modified nucleobases is methylated adenine, guanine, uracil, cytosine, or thymine.
In some embodiments, a modified nucleobase mimics the spatial arrangement, electronic properties, or some other physicochemical property of the nucleobase and retains the property of hydrogen-bonding that binds one nucleic acid strand to another in a sequence specific manner. In some embodiments, a modified nucleobase can pair with all of the five naturally occurring bases (uracil, thymine, adenine, cytosine, or guanine) without substantially affecting the melting behavior, recognition by intracellular enzymes or activity of the oligonucleotide duplex. As used herein, the term "nucleobase"
also encompasses structural analogs used in lieu of natural or naturally-occurring nucleotides, such as modified nucleobases and nucleobase analogs. In some embodiments, a nucleobase is optionally substituted A, T, C, G, or U, or an optionally substituted tautomer of A, T, C, G, or U. In some embodiments, a "nucleobase" refers to a nucleobase unit in an oligonucleotide or a nucleic acid (e.g., A, T, C, G or U
as in an oligonucleotide or a nucleic acid).
100961 Nucleoside: The term "nucleoside" refers to a moiety wherein a nucleobase or a modified nucleobase is covalcntly bound to a sugar or a modified sugar. In some embodiments, a nucleoside is a natural nucleoside, e.g., adenosine, deoxyadenosine, guanosine, deoxyguanosine, thymidine, uridine, cytidine, or deoxycytidine. In some embodiments, a nucleoside is a modified nucleoside, e.g., a substituted natural nucleoside selected from adenosine, deoxyadenosine, guanosine, deoxyguanosine, thymidine, uridine, cytidine, and deoxycytidine. In some embodiments, a nucleoside is a modified nucleoside, e.g., a substituted tautomer of a natural nucleoside selected from adenosine, deoxyadenosine, guanosine, deoxyguanosine, thymidine, uridine, cytidine, and deoxycytidine. In some embodiments, a "nucleoside"
refers to a nucleoside unit in an oligonucleotide or a nucleic acid.
100971 Nucleoside analog: The term "nucleoside analog" refers to a chemical moiety which is chemically distinct from a natural nucleoside, but which is capable of performing at least one function of a nucleoside. In some embodiments, a nucleoside analog comprises an analog of a sugar and/or an analog of a nucleobase. In some embodiments, a modified nucleoside is capable of at least one function of a nucleoside, e.g., forming a moiety in a polymer capable of base-pairing to a nucleic acid comprising a complementary sequence of bases.
100981 Nucleotide: The term "nucleotide" as used herein refers to a monomeric unit of a polynucleotide that consists of a nucleobase, a sugar, and one or more internucleotidic linkages (e.g., phosphate linkages in natural DNA and RNA). The naturally occurring bases [guanine, (G), adenine, (A), cytosine, (C), thymine, (T), and uracil (U)] are derivatives of purine or pyrimidine, though it should be understood that naturally and non-naturally occurring base analogs are also included. The naturally occurring sugar is the pentose (five-carbon sugar) deoxyribose (which forms DNA) or ribose (which forms RNA), though it should be understood that naturally and non-naturally occurring sugar analogs are also included. Nucleotides arc linked via internucleotidic linkages to form nucleic acids, or polynucleotides.
Many internucleotidic linkages are known in the art (such as, though not limited to, phosphate, phosphorothioates, bora.nophosphates and the like). Artificial nucleic acids include PNAs (peptide nucleic acids), phosphotriesters, phosphorothionates, H-phosphonates, phosphoramidates, boranophosphates, methylphosphonates, phosphonoacetates, thiophosphonoacetates and other variants of the phosphate backbone of native nucleic acids, such as those described herein. In some embodiments, a natural nucleotide comprises a naturally occurring base, sugar and internucleotidic linkage. As used herein, the term "nucleotide" also encompasses structural analogs used in lieu of natural or naturally-occurring nucleotides, such as modified nucleotides and nucleotide analogs. In some embodiments, a "nucleotide"
refers to a nucleotide unit in an oligonucleotide or a nucleic acid.
100991 Oligonucleotide: The term "oligonucleotide" refers to a polymer or oligomer of nucleotides, and may contain any combination of natural and non-natural nucleobases, sugars, and internucleotidic linkages.
1001001 Oligonucleotides can be single-stranded or double-stranded. A single-stranded oligonucleotide can have double-stranded regions (formed by two portions of the single-stranded oligonucleotide) and a double-stranded oligonucleotide, which comprises two oligonucleotide chains, can have single-stranded regions for example, at regions where the two oligonucleotide chains are not complementary to each other. Example oligonucleotides include, but are not limited to structural genes, genes including control and termination regions, self-replicating systems such as viral or plasmid DNA, single-stranded and double-stranded RNAi agents and other RNA interference reagents (RNAi agents or iRNA agents), shRNA, antisense oligonucleotides, ribozymes, microRNAs, microRNA mimics, supermirs, aptamers, antimirs, antagomirs, Ul adaptors, triplex-forming oligonucleotides, G-quadruplex oligonucleotides, RNA activators, immuno-stimulatory oligonucleotides, and decoy oligonucleotides.
1001011 Oligonucleotides of the present disclosure can be of various lengths. In particular embodiments, oligonucleotides can range from about 2 to about 200 nucleosides in length. In various related embodiments, oligonucleotides, single-stranded, double-stranded, or triple-stranded, can range in length from about 4 to about 10 nucleosides, from about 10 to about 50 nucleosides, from about 20 to about 50 nucleosides, from about 15 to about 30 nucleosides, from about 20 to about 30 nucleosides in length. In some embodiments, the oligonucleotide is from about 9 to about 39 nucleosides in length. In some embodiments, the oligonucleotide is at least 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 nucleosides in length. In some embodiments, the oligonucleotide is at least 4 nucleosides in length. In some embodiments, the oligonucleotide is at least 5 nucleosides in length. In some embodiments, the oligonucleotide is at least 6 nucleosides in length. In some embodiments, the oligonucleotide is at least

7 nucleosides in length. In some embodiments, the oligonucleotide is at least

8 nucleosides in length. In some embodiments, the oligonucleotide is at least 9 nucleosides in length. In some embodiments, the oligonucleotide is at least 10 nucleosides in length. In some embodiments, the oligonucleotide is at least 11 nucleosides in length. In some embodiments, the oligonucleotide is at least 12 nucleosides in length. In some embodiments, the oligonucleotide is at least 15 nucleosides in length. In some embodiments, the oligonucleotide is at least 15 nucleosides in length. In some embodiments, the oligonucleotide is at least 16 nucleosides in length. In some embodiments, the oligonucleotide is at least 17 nucleosides in length. In some embodiments, the oligonucleotide is at least 18 nucleosides in length. In some embodiments, the oligonucleotide is at least 19 nucleosides in length. In sonic embodiments, the oligonucleotide is at least 20 nucleosides in length. In some embodiments, the oligonucleotide is at least 25 nucleosides in length. In some embodiments, the oligonucleotide is at least 30 nucleosides in length. In some embodiments, the oligonucleotide is a duplex of complementary strands of at least 18 nucleosides in length. In some embodiments, the oligonucleotide is a duplex of complementary strands of at least 21 nucleosides in length.
In some embodiments, each nucleoside counted in an oligonucleotide length independently comprises A, T, C, G, or U, or optionally substituted A, T, C, G, or U, or an optionally substituted tautomer of A, T, C, G or U.
1001021 Oligonucleotide type: As used herein, the phrase "oligonucleotide type" is used to define an oligonucleotide that has a particular base sequence, pattern of backbone linkages (i.e., pattern of internucleotidic linkage types, for example, phosphate, phosphorothioate, phosphorothioate triester, etc.), pattern of backbone chiral centers [i.e., pattern of linkage phosphorus stereochemistry (Rp/Sp)1, and pattern of backbone phosphorus modifications (e.g., pattern of "-XLR1" groups in Formula I as defined herein).
In some embodiments, oligonucleotides of a common designated "type" are structurally identical to one another.
1001031 One of skill in the art will appreciate that synthetic methods of the present disclosure provide for a degree of control during the synthesis of an oligonucleotide strand such that each nucleotide unit of the oligonucleotide strand can be designed and/or selected in advance to have a particular stereochemistry at the linkage phosphorus and/or a particular modification at the linkage phosphorus, and/or a particular base, and/or a particular sugar. In some embodiments, an oligonucleotide strand is designed and/or selected in advance to have a particular combination of stereocenters at the linkage phosphorus. In some embodiments, an oligonucleotide strand is designed and/or determined to have a particular combination of modifications at the linkage phosphorus. In some embodiments, an oligonucleotide strand is designed and/or selected to have a particular combination of bases. In some embodiments, an oligonucleotide strand is designed and/or selected to have a particular combination of one or more of the above structural characteristics. In some embodiments, the present disclosure provides compositions comprising or consisting of a plurality of oligonucleotide molecules (e.g., chirally controlled oligonucleotide compositions). In some embodiments, all such molecules are of the same type (i.e., are structurally identical to one another). In some embodiments, however, provided compositions comprise a plurality of oligonucleotides of different types, typically in pre-determined relative amounts.
1001041 Optionally Substituted: As described herein, compounds, e.g., oligonucleotides, of the disclosure may contain optionally substituted and/or substituted moieties. In general, the term "substituted," whether preceded by the term -optionally" or not, means that one or more hydrogens of the designated moiety are replaced with a suitable substituent. Unless otherwise indicated, an -optionally substituted" group may have a suitable substituent at each substitutable position of the group, and when more than one position in any given structure may be substituted with more than one substituent selected from a specified group, the substituent may be either the same or different at every position. In some embodiments, an optionally substituted group is unsubstituted. Combinations of substituents envisioned by this disclosure are preferably those that result in the formation of stable or chemically feasible compounds. The term "stable," as used herein, refers to compounds that are not substantially altered when subjected to conditions to allow for their production, detection, and, in certain embodiments, their recovery, purification, and use for one or more of the purposes disclosed herein.
Certain substituents are described below.

Suitable monovalent substituents on a substitutable atom, e.g., a suitable carbon atom, are independently halogen; -(CH2)0-4R ; -(CH2)0-40R ; -0(CH2)0-41V, -0-(CH2)0-4C(0)0R ; -(CH2)0_ 4CH(OR )2; -(CH2)0_413h, which may be substituted with R ; -(CH2)0-40(CH2)0_1Ph which may be substituted with R ; -CH=CHPh, which may be substituted with R ; -(CH2)0_40(CH2)0_1-pyridyl which may be substituted with 125'; -NO2; -CN; -N3; -(CH2)o_iN(W)2; -(CH2)0_4N(R
)C(0)R ; -N(R )C(S)R ;
-(CH2)0_4N(R1C(0)NR 2; -N(R )C(S)NR 2; -(CH2)0_4N(R )C(0)OR'; -N(R )N(R )C(0)R
;
-N(R )N(R )C(0)NR 2; -N(R )N(R )C(0)0R ; -(CH2)0_4C(0)R ; -C(S)R ; -(CH2)0_4C(0)0R ;
-(CH2)0_4C(0)SR ; -(CH2)0_4C(0)0SiR 3; -(CH2)0_40C(0)R ; -0C(0)(CH2)0_4SR , -SC(S)SR ;
-(CH2)0_4SC(0)R , -(CH2)0_4C(0)NR 2; -C(S)NR 2; -C(S)SR ; -(CH2)0_40C(0)NR 2; -C(0)N(OR )R ;
-C(0)C(0)R ; -C(0)CH2C(0)R ; -C(NOR )R ; -(CH2)0-4SSR ; -(CH2)0-4S(0)2R ; -(CH2)o-4S(0)20R ;
-(CH2)0_40S(0)2R ; -S(0)2NR 2; -(CH2)0_4S(0)R ; -N(R )S(0)2NR 2; -N(R )S(0)2R
; -N(OR )R ;
-C(NH)NR 2; -Si(R )3; -0Si(R13; -B(R )2; -0B(R )2; -0B(OR )2; -P(R )2; -P(OR
)2; -P(R )(OR );
-0P(R )2; -0P(OR )2; -0P(R )(0R ); -P(0)(R )2; -P(C)(OR )2; -0P(0)(R )2; -0P(0)(0R12;
-0P(0)(OR )(SR ); -SP(0)(R )2; -SP(0)(0R )2;
-N(W)P(0)(Ri2; -N(R )P(0)(0R12;
-P(R )2[B(R )3]; -P(OR )2[B(R )31; -0P(R )2[B(R )31; -0P(OR )2[B(R )31; -(C1-4 straight or branched alkylenc)O-N(R )2; or -(Ci_4 straight or branched alkylcnc)C(0)0-N(R )2, wherein each R may be substituted as defined herein and is independently hydrogen, C1_20 aliphatic, C1-20 heteroaliphatic having 1-heteroatoms independently selected from nitrogen, oxygen, sulfur, silicon and phosphorus, -CH2-(C6_14 aryl), -0(CH2)o-i(C6_14 aryl), -CH245-14 membered heteroaryl ring), a 5-20 membered, monocyclic, bicyclic, or polycyclic, saturated, partially unsaturated or aryl ring haying 0-5 heteroatoms independently selected from nitrogen, oxygen, sulfur, silicon and phosphorus, or, notwithstanding the definition above, two independent occurrences of R , taken together with their intervening atom(s), form a 5-20 membered, monocyclic, bicyclic, or polycyclic, saturated, partially unsaturated or aryl ring haying 0-5 heteroatoms independently selected from nitrogen, oxygen, sulfur, silicon and phosphorus, which may be substituted as defined below.

Suitable monovalent substituents on R (or the ring formed by taking two independent occurrences of R together with their intervening atoms), are independently halogen, -(CH2)0_2R', -(haloR'), -(CH2)0_20H, -(CH2)0_20R', -(CH2)0_2CH(0R')2; -0(haloR'), -CN, -N3, -(CH2)0_2C(0)R', -(CH2)0_2C(0)0H, -(CH2)0_2C(0)0Re, -(CH2)0_2S1e, -(CH2)0_2SH, -(CH2)0_2NH2, -(CH2)0_2NHR., -(CH2)0-2NRe2, -NO2, -SiRe3, -0SiRe3, -C(0)SR., -(C1-4 straight or branched alkylene)C(0)OR', or -SSR wherein each R' is unsubstituted or where preceded by "halo" is substituted only with one or more halogens, and is independently selected from C1_4 aliphatic, -CH2Ph, -0(CH2)0_11311, and a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur. Suitable divalent substituents on a saturated carbon atom of R include =0 and =S.

Suitable divalent substituents, e.g., on a suitable carbon atom, are independently the following: =0, =S, =NNR*2, =NNHC(0)R*, =NNHC(0)0R*, =NNHS(0)2R*, =NR*, =NOR*, -0(C(R*2))2-30-, or -S(C(R*2))2_3S-, wherein each independent occurrence of R* is selected from hydrogen, Ci_ 6 aliphatic which may be substituted as defined below, and an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur. Suitable divalent substituents that are bound to vicinal substitutable carbons of an "optionally substituted- group include: -0(CR*2)/_30-, wherein each independent occurrence of R7 is selected from hydrogen, C1_6 aliphatic which may be substituted as defined below, and an unsubstituted 5-6-membered saturated, partially unsaturated, and aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur.

Suitable substituents on the aliphatic group of R* are independently halogen, -R', -(haloR'), -OH, -OR', -0(haloR'), -CN, -C(0)0H, -C(0)OR', -NH2, -NHR', -NR'2, or -NO2, wherein each 12, is unsubstituted or where preceded by "halo" is substituted only with one or more halogens, and is independently C1_4 aliphatic, -CH2Ph, -0(CH2)0_11311, or a 5-6-membered saturated, partially unsaturated, or aryl ring haying 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur.

In some embodiments, suitable substituents on a substitutable nitrogen arc independently -R1", -NR1.2, -C(0)R1", -C(0)0R1", -C(0)C(0)R1", -C(0)CH2C(0)R1", -S(0)2R1", -S(0)2NR1-2, -C(S)NR1.2, -C(NH)NR1.2, or -N(R1")S(0)2R1"; wherein each Rt is independently hydrogen, C1-6 aliphatic which may be substituted as defined below, unsubstituted -0Ph, or an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur, or, notwithstanding the definition above, two independent occurrences of R1", taken together with their intervening atom(s) form an unsubstituted 3-12-membered saturated, partially unsaturated, or aryl mono-or bicyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur.

Suitable substituents on the aliphatic group of R are independently halogen, --(haloR'), -OH, -0(haloR'), -CN, -C(0)0H, -C(0)0R', -NH2, -NHR', -NR'2, or -NO2, wherein each le is unsubstituted or where preceded by "halo" is substituted only with one or more halogens, and is independently C1-4 aliphatic, -CH2Ph, -0(CH2)0_11311, or a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, and sulfur.

1001111 Oral: The phrases "oral administration" and "administered orally" as used herein have their art-understood meaning referring to administration by mouth of a compound or composition.
1001121 P-modification: as used herein, the term "P-modification"
refers to any modification at the linkage phosphorus other than a stereochemical modification. In some embodiments, a P-modification comprises addition, substitution, or removal of a pendant moiety covalently attached to a linkage phosphorus.
1001131 Parenteral: The phrases -parenteral administration" and -administered parenterally" as used herein have their art-understood meaning referring to modes of administration other than enteral and topical administration, usually by injection, and include, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal, and intrastemal injection and infusion.
1001141 Partially unsaturated: As used herein, the term -partially unsaturated" refers to a ring moiety that includes at least one double or triple bond. The term "partially unsaturated" is intended to encompass rings having multiple sites of unsaturation, but is not intended to include aryl or heteroaryl moieties, as herein defined.
1001151 Pharmaceutical composition: As used herein, the term -pharmaceutical composition"
refers to an active agent, formulated together with one or more pharmaceutically acceptable carriers. In some embodiments, an active agent is present in unit dose amount appropriate for administration in a therapeutic regimen that shows a statistically significant probability of achieving a predetermined therapeutic effect when administered to a relevant population. In some embodiments, pharmaceutical compositions may be specially formulated for administration in solid or liquid form, including those adapted for the following: oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, e.g., those targeted for buccal, sublingual, and systemic absorption, boluses, powders, granules, pastes for application to the tongue; parenteral administration, for example, by subcutaneous, intramuscular, intravenous or epidural injection as, for example, a sterile solution or suspension, or sustained-release formulation; topical application, for example, as a cream, ointment, or a controlled-release patch or spray applied to the skin, lungs, or oral cavity; intravaginally or intrarectally, for example, as a pessary, cream, or foam; sublingually; ocularly; transdermally; or nasally, pulmonary, and to other mucosal surfaces.
1001161 Pharmaceutically acceptable: As used herein, the phrase "pharmaceutically acceptable"
refers to those compounds, materials, compositions and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
1001171 Pharmaceutically acceptable carrier: As used herein, the term "pharmaceutically acceptable carrier" means a pharmaceutically-acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, or solvent encapsulating material, involved in carrying or transporting the subject compound from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be -acceptable" in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient. Some examples of materials which can serve as pharmaceutically-acceptable carriers include: sugars, such as lactose, glucose and sucrose;
starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil;
glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol;
esters, such as ethyl oleate and ethyl laurate; agar; buffering agents, such as magnesium hydroxide and aluminum hydroxide; alginic acid; pyrogen-free water; isotonic saline;
Ringer's solution; ethyl alcohol; pH
buffered solutions; polyesters, polycarbonates and/or polyanhydrides; and other non-toxic compatible substances employed in pharmaceutical formulations.
1001181 Pharmaceutically acceptable salt: The term "pharmaceutically acceptable salt", as used herein, refers to salts of such compounds that are appropriate for use in pharmaceutical contexts, i.e., salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge, et al. describes pharmaceutically acceptable salts in detail in J.
Pharmaceutical Sciences, 66: 1-19 (1977). In some embodiments, pharmaceutically acceptable salt include, but are not limited to, nontoxic acid addition salts, which are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid or with organic acids such as acetic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion exchange. In some embodiments, pharmaceutically acceptable salts include, but are not limited to, adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecylsulfate, ethane sulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemi sulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate salts, and the like. In some embodiments, a provided compound comprises one or more acidic groups, e.g., an oligonucleotide, and a pharmaceutically acceptable salt is an alkali, alkaline earth metal, or ammonium (e.g., an ammonium salt of N(R)3, wherein each R is independently defined and described in the present disclosure) salt. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. In some embodiments, a pharmaceutically acceptable salt is a sodium salt. In some embodiments, a pharmaceutically acceptable salt is a potassium salt. In some embodiments, a pharmaceutically acceptable salt is a calcium salt. In some embodiments, pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxylate, sulfate, phosphate, nitrate, alkyl having from 1 to 6 carbon atoms, sulfonate and aryl sulfonate. In some embodiments, a provided compound comprises more than one acid groups, for example, an oligonucleotide may comprise two or more acidic groups (e.g., in natural phosphate linkages and/or modified intemucleotidic linkages). In some embodiments, a pharmaceutically acceptable salt, or generally a salt, of such a compound comprises two or more cations, which can be the same or different. In some embodiments, in a pharmaceutically acceptable salt (or generally, a salt), all ionizable hydrogen (e.g., in an aqueous solution with a pKa no more than about 11, 10, 9, 8, 7, 6, 5, 4, 3, or 2; in some embodiments, no more than about 7; in some embodiments, no more than about 6; in some embodiments, no more than about 5; in some embodiments, no more than about 4; in some embodiments, no more than about 3) in the acidic groups are replaced with cations. In some embodiments, each phosphorothioate and phosphate group independently exists in its salt form (e.g., if sodium salt, ¨0¨P(0)(SNa)-0¨ and ¨0¨P(0)(0Na)-0¨, respectively). In some embodiments, each phosphorothioate and phosphate internucleotidic linkage independently exists in its salt form (e.g., if sodium salt, ¨0¨P(0)(SNa)-0¨ and ¨0¨P(0)(0Na)-0¨, respectively). In some embodiments, a pharmaceutically acceptable salt is a sodium salt of an oligonucleotide. In some embodiments, a pharmaceutically acceptable salt is a sodium salt of an oligonucleotide, wherein each acidic phosphate and modified phosphate group (e.g., phosphorothioate, phosphate, etc.), if any, exists as a salt form (all sodium salt).
1001191 Protecting group: The term "protecting group," as used herein, is well known in the art and includes those described in detail in Protecting Groups in Organic Synthesis, T. W. Greene and P. G.
M. Wuts, 3rd edition, John Wiley & Sons, 1999, the entirety of which is incorporated herein by reference.
Also included are those protecting groups specially adapted for nucleoside and nucleotide chemistry described in Current Protocols in Nucleic Acid Chcmistry, edited by Serge L.
Beaucage et al. 06/2012, the entirety of Chapter 2 is incorporated herein by reference. Suitable amino¨protecting groups include methyl carbamate, ethyl carbamante, 9¨fluorenylmethyl carbamate (Fmoc),

9¨(2¨sulfo)fluorenylmethyl carbamate, 9¨(2,7¨dibromo)fluoroenylmethyl carbamate, 2,7¨di¨t¨butyl¨[9¨(l 0,10¨dioxo-10,10,10,10-tetrahydrothioxanthylflmethyl carbamate (DBD-Tmoc), 4-methoxyphenacyl carbamate (Phenoc), 2,2,2-trichloroethyl carbamate (Troc), 2-trimethylsilylethyl carbamate (Teoc), 2-phenylethyl carbamate (hZ), 1-(1-adamanty1)-1-methylethyl carbamate (Adpoc), 1, 1-dimethy1-2-haloethyl carbamate, 1, 1-dimethyl-2,2-dibromoe thyl carbamate (DB-t-BOC), 1, 1-dimethy1-2,2,2-trichloroethyl carbamate (TCBOC), 1-methy1-1-(4-biphenylypethyl carbamate (Bpoc), 1-(3,5-di-t-butylpheny1)-1-methylethyl carbamate (t-Bumeoc), 2-(2'- and 4 '-pyridyl)ethyl carbamate (Pyoc), 2-(N,N-dicyclohexylcarboxamido)ethyl carbamate, t-butyl carbamate (BOC), 1-adamantyl carbamate (Adoc), vinyl carbamate (Voc), allyl carbamate (Alloc), 1-isopropylally1 carbamate (lpaoc), cinnamyl carbamate (Coc), 4-mtrocinnamyl carbamate (Noc), 8-quinoly1 carbamate, N-hydroxypiperidinyl carbamate, alkyldithio carbamate, benzyl carbam ate (Cbz), p-methoxybenzyl carbamate (Moz), p-nitobenzyl carbam ate, p-bromobenzyl carbamate, p-chlorobenzyl carbamate, 2,4-dichlorobenzyl carbamate, 4-methylsulfinylbenzyl carbamate (Msz), 9-anthrylmethyl carbamate, diphenylmethyl carbamate, 2-methylthioethyl carbamate, 2-methylsulfonylethyl carbamate, 2-(p-toluenesulfonypethyl carbamate, [2-(1,3-dithianyl)Imethyl carbamate (Dmoc), 4-methylthiophenyl carbamate (Mtpc), 2,4-dimethylthiophenyl carbamate (Bmpc), 2-phosphonioethyl carbamate (Peoc), 2-triphenylphosphonioisopropyl carbamate (Ppoc), 1,1-dimethy1-2-cyanoethyl carbamate, m-chloro-p-acyloxybenzyl carbamate, p-(dihydroxyboryl)benzyl carbamate, 5-benzisoxazolylmethyl carbamate, 2-(trifluoromethyl)-6-chromonylmethyl carbamate (Tcroc), m-nitrophenyl carbam ate, 3,5-dimethoxybenzyl carbam ate, o-nitrobenzyl carbamate, 3 ,4-dimethoxy-6-nitrobenzyl carbamate, phenyl(o-nitrophenyl)methyl carbamate, phenothiazinyl-

(10)-carbonyl derivative, N'-p-toluenesulfonylaminocarbonyl derivative, N'-phenylaminothiocarbonyl derivative, t-amyl carbamatc, S-benzyl thiocarbamatc, p-cyanobcnzyl carbamatc, cyclobutyl carbamatc, cyclohcxyl carbamatc, cyclopcntyl carbamatc, cyclopropylincthyl carbamatc, p-decyloxybenzyl carbamatc, 2,2-dimethoxycarbonylvinvl carbamate, o-(N,N-dimethylcarboxamido)benzyl carbamate, 1,1-dimethy1-3-(N,N-dimethylcarboxamido)propyl carbamate, 1,1-dimethylpropynyl carbamate, di(2-pyridyl)methyl carbamate, 2-furanylmethyl carbamate, 2-iodoethyl carbamate, isoborynl carbamate, isobutyl carbamate, isonicotinyl carbamate, p-(p.-methoxyphenylazo)benzyl carbamate, 1-methylcyclobutyl carbamate, 1-m ethyl cycl oh exyl carbam ate, 1 -methyl-1 -cycl opropylm ethyl carbam ate, 1 -methyl-1 -(3 ,5-dimethoxyphenyl)ethyl carbamate, 1-methyl-1-(p-phenylazophenypethyl carbamate, 1-methyl-l-phenylethyl carbamate, 1-methyl-1-(4-pyridypethyl carbamate, phenyl carbamate, p-(phenylazo)benzyl carbamate, 2,4,6-tri-t-butylphenyl carbamate, 4-(trimethylammonium)benzyl carbamate, 2,4,6-trimethylbenzyl carbamate, formamide, acetamide, chloroacetamide, trichloroacetamide, trifluoroacetamide, phenylacetamide, 3-phenylpropanamide, picolinamide, 3-pyridylcarboxamide, N-benzoylphenylalanyl derivative, benzamide, p-phenylbenzamide, o-nitophenylacetamide, o-nitrophenoxyacetamide, acetoacetamide, (N'-dithiobenzyloxycarbonylamino)acetamide, 3-(p-hydroxyphenyl)propanamide, 3-(o-nitrophenyl)propanamide, 2-methy1-2-(o-nitrophenoxy)propanamide, 2-methyl-2-(o-phenylazophenoxy)propanamide, 4-chlorobutanamide, 3-methy1-3-nitrobutanamide, o-nitrocinnamide, N-acetylmethionine derivative, o-nitrobenzamide, o-(benzoyloxymethyl)benzamide, 4,5-dipheny1-3-oxazolin-2-one, N-phthalimide, N-dithiasuccinimide (Dts), N-2,3-diphenyhualeimide, N-2,5-dimethylpyrrole, N-1,1,4,4-tetramethyldisilylazacyclopentane adduct (STABASE), 5-substituted 1,3-dimethy1-1,3,5-triazacyclohexan-2-one, 5-substituted 1,3-dibenzy1-1,3,5-triazacyclohexan-2-one, 1-substituted 3,5-dinitro-4-pyridone, N-methylamine, N-allylamine, N-12-(trimethylsilypethoxylmethylamme (SEM), N-3-acetoxypropylamme, N-(1-isopropy1-4-nitro-2-oxo-3-pyroolin-3-y0amine, quaternary ammonium salts, N-benzylamine, N-di(4-m eth oxyphenyOm ethyl am in e, N-5-diben zo suberyl am me, N-tri ph enyl m ethyl am i e (Tr), N- [(4-methoxyphenyl)diphenylmethyll amine (MMTr), N-9-phenylfluorenylamine (PhF), N-2,7-dichloro-9-fluorenylmethyleneamine, N-ferrocenylmethylamino (Fcm), N-2-picolylamino N'-oxide, N-1,1-dimethylthiomethylene amine , N-benzylidene amine, N-p-methoxybenzylideneamine, N-diphenylme thylene amine , N- [(2-py ridyl)me sityllmethyleneamine, N-(N',N'-dimethylaminomethylene)amine, N,N.-isopropylidenediamine, N-p-nitrobenzylideneamine, N-salicylideneamine, N-5-chlorosalicylideneamine, N-(5-chloro-2-hydroxyphenyl)phenylmethyleneamine, N-cyclohexylideneamine, N-(5 ,5-dimethy1-3-oxo- 1-cyclohexenyl)amine, N-borane derivative, N-diphenylborinic acid derivative, N-[phenyl(pentacarbonylchromium- or tungsten)carbonyllamine, N-copper chelate, N-zinc chelate, N-nitroamine, N-nitrosoamine, amine N-oxide, diphenylphosphinamide (Dpp), dimethylthiophosphinamide (Mpt), diphcnylthiophosphinamide (Ppt), dialkyl phosphoramidates, dibenzyl phosphoramidatc, diphenyl phosphoramidatc, benzene sulfonamide , o-nitrobenzenc sulfonamide (Nps), 2,4-dinitrobenzenesulfenamide, pentachlorobenzene sulfenamide , 2-nitro-4-methoxybenzenesulfenamide, triphenylmethylsulfenamide, 3-nitropyridinesulfenamide (Npys), p-toluene sulfonamide (Ts), benzenesulfonamide, 2,3 ,6,-trimethy1-4-methoxybenzene sulfonamide (Mtr), 2,4,6-trimethoxybenzenesulfonamide (Mtb), 2,6-dimethy1-4-methoxybenzenesulfonamide (Pme), 2,3,5,6-tetram ethyl-4-m eth oxyben zen e sul fon am i de (Mte), 4-rn ethoxybenzene sul fon am i de (Mb s), 2,4,6-trimethylbenzenesulfonamide (Mts), 2,6-dimethoxy-4-methylbenzenesulfonamide (iMds), 2,2,5,7,8-pentamethylchroman-6-sulfonamide (Pmc), methane sulfonamide (Ms), 13-trimethylsilylethanesulfonamide (SES), 9-anthracene sulfonamide, 4-(4',8'-dimethoxynaphthylmethyl)benzenesulfonamide (DNMB S), benzylsulfonamide, trifluoromethylsulfonamide, and phenacylsulfonamide.

Suitably protected carboxylic acids further include, but are not limited to, silyl-, alkyl-, alkenyl-, aryl-, and arylalkyl-protected carboxylic acids. Examples of suitable silyl groups include trimethylsilyl, triethylsilyl, t¨butyldimethylsilyl, t¨butyldiphenylsilyl, triisopropylsilyl, and the like.
Examples of suitable alkyl groups include methyl, benzyl, p¨methoxybenzyl, 3,4¨dimethoxybenzyl, trityl, t¨butyl, tetrahydropyran-2¨yl. Examples of suitable alkenyl groups include allyl. Examples of suitable aryl groups include optionally substituted phenyl, biphenyl, or naphthyl.
Examples of suitable arylalkyl groups include optionally substituted benzyl (e.g., p¨methoxybenzyl (MPM), 3,4¨dimethoxybenzyl, 0¨
nitrobenzyl, p¨nitrobenzyl, p¨halobenzyl, 2,6¨dichlorobenzyl, p¨cyanobenzyl), and 2¨ and 4¨picolyl.

Suitable hydroxyl protecting groups include methyl, methoxylmethyl (MOM), methylthiomethyl (MTM), t¨butylthiomethyl, (phenyldimethylsilypmethoxymethyl (SMOM), benzyloxymethyl (BOM), p¨methoxybenzyloxymethyl (PMBM), (4¨methoxyphenoxy)methyl (p¨AOM), guaiacolmethyl (GUM), t¨butoxymethyl, 4¨pentenyloxymethyl (POM), siloxymethyl, 2¨
methoxyethoxymethyl (MEM), 2,2,2¨trichloroethoxymethyl, bis(2¨chloroethoxy)methyl, 2¨
(trimethylsilypethoxymethyl (SEMOR), tetrahydropyranyl (THP), 3¨bromotetrahydropyranyl, tetrahydrothiopyranyl, 1¨methoxycyclohexyl, 4¨methoxytetrahydropyranyl (MTHP), 4¨
methoxytetrahydrothiopyranyl, 4¨methoxytetrahydrothiopyranyl S,S¨dioxide, 1-1(2¨chloro-4¨

methyl)pheny11-4¨methoxypiperidin-4¨y1 (CTMP), 1,4¨dioxan-2¨yl, tetrahydrofuranyl, tetrahydrothiofuranyl, 2,3 ,3a,4,5,6,7,7a¨octahydro-7, 8 , 8¨trimethy1-4,7¨methanobenzofitran-2¨yl, 1¨
ethoxyethyl, 1¨(2¨chloroethoxy)ethyl, 1¨methyl-1¨methoxyethyl, 1¨methyl-1¨benzyloxyethyl, 1¨
methy1-1¨benzyloxy-2¨fluoroethyl, 2,2,2¨trichloroethyl, 2¨trimethylsilylethyl, 2¨(phenylselenyl)ethyl, butyl, allyl, p¨chlorophenyl, p¨methoxyphenyl, 2,4¨dinitrophenyl, benzyl, p¨methoxybenzyl, dimethoxybenzyl, o¨nitrobcnzyl, p¨nitrobcnzyl, p¨halobcnzyl, 2,6¨dichlorobenzyl, p¨cyanobcnzyl, p¨
phenylbenzyl, 2¨picolyl, 4¨picolyl, 3¨methyl-2¨picoly1 N¨oxido, diphenylmethyl, p,p di ii itroben zhydryl , 5¨di ben zo suberyl , tri ph enyl m ethyl , a¨naphthyl di ph enyl m ethyl, p¨
methoxyphenyldiphenylmethyl, di(p¨methoxyphenyl)phenylmethyl, tri(p¨methoxyphenyl)methyl, 4¨(4'¨
bromophenacyloxyphenyl)diphenylmethyl, 4,4 ',4--tris(4,5¨dichlorophthalimidophenyl)methyl, 4,4 tri s (levulinoyloxyphenyl)methyl, 4,4' ,4 "¨tris(benzoyloxyphenyl)methyl, 3¨(imidazol¨ 1¨yl)bi s (4 ' ,4 ¨
dimethoxyphenyl)methyl, 1, 1¨bis(4¨methoxypheny1)¨ 1 '¨pyrenylmethyl, 9¨anthryl, 9¨(9¨
phenyOxanthenyl, 9¨(9¨phenyl¨ 1 0¨oxo)anthryl, 1 ,3¨benzodithiolan-2¨yl, benzisothiazolyl S, S¨dioxido, trimethylsilyl (TMS), triethylsilyl (TES), triisopropylsilyl (TIPS), dimethylisopropylsilyl (IPDMS), diethylisopropylsilyl (DEIPS), dimethylthexylsilyl, t¨butyldimethylsilyl (TBDMS), t¨butyldiphenylsilyl (TBDPS), tribenzylsilyl, tri¨p¨xylylsilyl, triphenylsilyl, diphenylmethylsily1 (DPMS), 1¨
butylmethoxyphenylsily1 (TBMPS), formate, benzoylformate, acetate, chloroacetate, dichloroacetate, trichloroacetate, trifluoroacetate, methoxyacetate, triphenylmethoxyacetate, phenoxyacetate, p¨
chlorophenoxyacetate, 3¨phenylpropionate, 4¨oxopentanoate (levulinate), 4,4¨(ethylenedithio)pentanoate (levul inoyl dithi oacetal), pi val oate, adamantoate, croton ate , 4¨m ethoxycrotonate, benzoate, p-phenylbenzoate, 2,4,6¨trimethylbenzoate (me sitoate), alkyl methyl carbonate, 9¨fluorenylmethyl carbonate (Fmoc), alkyl ethyl carbonate, alkyl 2,2,2¨trichloroethyl carbonate (Troc), 2¨
(trimethylsilypethyl carbonate (TMSEC), 2¨(phenylsulfonyl) ethyl carbonate (Psec), 2¨
(triphenylphosphonio) ethyl carbonate (Peoc), alkyl isobutyl carbonate, alkyl vinyl carbonate alkyl ally' carbonate, alkyl p¨nitrophenyl carbonate, alkyl benzyl carbonate, alkyl p¨methoxybenzyl carbonate, alkyl 3,4¨dimethoxybenzyl carbonate, alkyl o¨nitrobenzyl carbonate, alkyl p¨nitrobenzyl carbonate, alkyl S¨
benzyl thiocarbonate, 4¨ethoxy-1¨napththyl carbonate, methyl dithiocarbonate, 2¨iodobenzoate, 4¨
azido butyrate, 4¨nitro-4¨methylpentanoate, o¨(di bromomethyl ) benzoate, 2¨formyl benzenesulfonate, 2¨
(methylthiomethoxy)ethyl, 4¨(methylthiomethoxy)butyrate, 2¨(methylthiomethoxymethyl)benzoate, 2,6¨

di chloro-4¨m ethylphenoxyacetate, 2,6¨di chl oro-4¨( 1,1,3,3¨tetramethylbutyl)phenoxyacetate, .. 2,4¨
bis(1,1¨dimethylpropyl)phenoxyacetate, chlorodiphenylacetate, isobutyrate, monosuccinoate, (E)-2¨
methy1-2¨butenoate, o¨(methoxycarbonyl)benzoate, a¨naphthoate, nitrate, alkyl N,N,N',N'¨
tetramethylphosphorodiamidate, alkyl N¨phenylcarbamate, borate, dimethylphosphinothioyl, alkyl 2,4¨
dinitrophenylsulfenate, sulfate, methanesulfonate (mesylate), benzylsulfonate, and tosylate (Ts). For protecting 1,2¨ or 1,3¨diols, the protecting groups include methylene acetal, ethylidene acetal, 1¨t¨
butylethylidene ketal, 1¨phenylethylidene ketal, (4¨methoxyphenyl)ethylidene acetal, 2,2,2¨
trichloroethylidene acetal, acetonide, cyclopentylidene ketal, cyclohexylidene ketal, cycloheptylidene ketal, ben zyl i den e acetal, p¨methoxybenzyl i den e acetal, 2,4¨di m eth oxyben zyl i dene ketal, 3 ,4¨
dimethoxybenzylidene acetal, 2¨nitrobenzylidene acetal, methoxymethylene acetal, ethoxymethylene acetal, dimethoxymethylene ortho ester, 1¨methoxyethylidene ortho ester, 1¨ethoxyethylidine ortho ester, 1,2¨dimethoxycthylidenc ortho ester, a¨mcthoxybenzylidenc ortho c stcr, 1¨(N,N¨

dimethylamino)ethylidene derivative, a¨(N
,N '¨dimethylamino)benzylidcne derivative, 2¨

oxacyclopentylidene ortho ester, di¨t¨butylsilylene group (DTBS), 1,3¨( 1, 1,3 ,3¨
tetraisopropyldisiloxanylidene) derivative (TIPDS), tetra¨t¨butoxydisiloxane-1,3¨diylidene derivative (TBDS), cyclic carbonates, cyclic boronates, ethyl boronate, and phenyl boronate.

In some embodiments, a hydroxyl protecting group is acetyl, t-butyl, tbutoxymethyl, methoxymethyl, tetrahydropyranyl, 1 -ethoxyethyl, 1 -(2-chloroethoxy)ethyl, 2-trimethylsilylethyl, p-chlorophenyl, 2,4-dinitrophenyl, benzyl, benzoyl, p-phenylbenzoyl, 2,6-dichlorobenzyl, diphenylmethyl, p-nitrobenzyl, triphenylmethyl (trityl), 4,4'-dimethoxytrityl, trimethylsilyl, triethylsilyl, t-butyldimethylsilyl, 1-butyldiphenylsilyl, triphenylsilyl, triisopropylsilyl, benzoylformate, chloroacetyl, trichloroacctyl, trifluoroacctyl, pivaloyl, 9- fluorcnylmethyl carbonate, mcsylatc, tosylatc, triflatc, trityl, monomethoxytrityl (MMTr), 4,4'-dimethoxytrityl, (DMTr) and 4,4',4"-trimethoxytrityl (TMTr), 2-cyanoethyl (CE or Cne), 2-(trimethylsilypethyl (TSE), 2-(2-nitrophenyl)ethyl, 2-(4-cyanophenyl)ethyl 2-(4-nitrophenypethyl (NPE), 2-(4-nitrophenylsulfonyl)ethyl, 3,5-dichlorophenyl, 2,4-dimethylphenyl, 2-nitrophenyl, 4-nitrophenyl, 2,4,6-trimethylphenyl, 2-(2-nitrophenyl)ethyl, butylthiocarbonyl, 4,41,4"-tris(benzoyloxy)trityl, diphenylcarbamoyl, levulinyl, 2-(dibromomethyl)benzoyl (Dbmb), 2-(isopropylthiomethoxymethyDbenzoyl (Ptmt), 9-phenylxanthen-9-y1 (pixyl) or methoxyphenyOxanthine-9-y1 (MOX). In some embodiments, each of the hydroxyl protecting groups is, independently selected from acetyl, benzyl, t- butyldimethylsilyl, t-butyldiphenylsilyl and 4,4'-dimethoxytrityl. In some embodiments, the hydroxyl protecting group is selected from the group consisting of trityl, monomethoxytrityl and 4,4'-dimethoxytrityl group. In some embodiments, a phosphorous linkage protecting group is a group attached to the phosphorous linkage (e.g., an internucleotidic linkage) throughout oligonucleotide synthesis. In some embodiments, a protecting group is attached to a sulfur atom of an phosphorothioate group. In some embodiments, a protecting group is attached -to an oxygen atom of an internucleotide phosphorothioate linkage. In some embodiments, a protecting group is attached to an oxygen atom of the intemucleotide phosphate linkage. In some embodiments a protecting group is 2-cyanoethyl (CE or Cne), 2-trimethylsilylethyl, 2-nitroethyl, 2-sulfonylethyl, methyl, benzyl, o-nitrobenzyl, 2-(p-nitrophenyl)ethyl (NPE or Npe), 2-phenylethyl, 3-(N-tert-butylcarboxamido)-1-propyl, 4-oxopentyl, 4-methylthio-l-butyl, 2 -cyano- 1, 1 -dimethylethyl, 4-N-methylaminobutyl, 3 -(2 -pyridy1)- 1 -propyl, 2 4N-methyl-N-(2-pyridyl)Iaminoethyl, 2-(N-formyl,N-methyl)aminoethyl, or 44N-methyl-N-(2,2,2-trifluoroacetypaminolbutyl.
1001231 Subject: As used herein, the term "subject" or "test subject" refers to any organism to which a provided compound (e.g., a provided oligonucleotide) or composition is administered in accordance with the present disclosure e.g., for experimental, diagnostic, prophylactic and/or therapeutic purposes. Typical subjects include animals (e.g., mammals such as mice, rats, rabbits, non-human primates, and humans;
insects; worms; etc.) and plants. In some embodiments, a subject is a human.
In some embodiments, a subject may be suffering from and/or susceptible to a disease, disorder and/or condition.
1001241 Substantially: As used herein, the term "substantially"
refers to the qualitative condition of exhibiting total or near-total extent or degree of a characteristic or property of interest. A base sequence which is substantially complementary to a second sequence is not identical to the second sequence, but is mostly or nearly identical to the second sequence. In addition, one of ordinary skill in the biological and/or chemical arts will understand that biological and chemical phenomena rarely, if ever, go to completion and/or proceed to completeness or achieve or avoid an absolute result. The term -substantially" is therefore used herein to capture the potential lack of completeness inherent in many biological and/or chemical phenomena.
1001251 Sugar: The term "sugar" refers to a monosaccharide or polysaccharide in closed and/or open form. In some embodiments, sugars are monosaccharides. In some embodiments, sugars are polysaccharides. Sugars include, but are not limited to, ribose, deoxyribose, pentofuranose, pentopyranose, and hexopyranose moieties. As used herein, the term -sugar" also encompasses structural analogs used in lieu of conventional sugar molecules, such as glycol, polymer of which forms the backbone of the nucleic acid analog, glycol nucleic acid ("GNA"), etc. As used herein, the term "sugar" also encompasses structural analogs used in lieu of natural or naturally-occurring nucleotides, such as modified sugars and nucleotide sugars. In some embodiments, a sugar is a RNA or DNA sugar (ribose or deoxyribose). In some embodiments, a sugar is a modified ribose or deoxyribose sugar, e.g., 2'-modified, 5'-modified, etc. As described herein, in some embodiments, when used in oligonucleotides and/or nucleic acids, modified sugars may provide one or more desired properties, activities, etc. In some embodiments, a sugar is optionally substituted ribose or deoxyribose. In some embodiments, a "sugar.' refers to a sugar unit in an ol igonucl eoti de or a nucleic acid.

Susceptible to: An individual who is "susceptible to" a disease, disorder and/or condition is one who has a higher risk of developing the disease, disorder and/or condition than does a member of the general public. In some embodiments, an individual who is susceptible to a disease, disorder and/or condition is predisposed to have that disease, disorder and/or condition. In some embodiments, an individual who is susceptible to a disease, disorder and/or condition may not have been diagnosed with the disease, disorder and/or condition. In some embodiments, an individual who is susceptible to a disease, disorder and/or condition may exhibit symptoms of the disease, disorder and/or condition. In some embodiments, an individual who is susceptible to a disease, disorder and/or condition may not exhibit symptoms of the disease, disorder and/or condition. In some embodiments, an individual who is susceptible to a disease, disorder, and/or condition will develop the disease, disorder, and/or condition. In some embodiments, an individual who is susceptible to a disease, disorder, and/or condition will not develop the disease, disorder, and/or condition.

Therapeutic agent: As used herein, the term -therapeutic agent" in general refers to any agent that elicits a desired effect (e.g., a desired biological, clinical, or pharmacological effect) when administered to a subject. In some embodiments, an agent is considered to be a therapeutic agent if it demonstrates a statistically significant effect across an appropriate population. In some embodiments, an appropriate population is a population of subjects suffering from and/or susceptible to a disease, disorder or condition. In some embodiments, an appropriate population is a population of model organisms. In some embodiments, an appropriate population may be defined by one or more criterion such as age group, gender, genetic background, preexisting clinical conditions, prior exposure to therapy. In some embodiments, a therapeutic agent is a substance that alleviates, ameliorates, relieves, inhibits, prevents, delays onset of, reduces severity of, and/or reduces incidence of one or more symptoms or features of a disease, disorder, and/or condition in a subject when administered to the subject in an effective amount. In some embodiments, a "therapeutic agent" is an agent that has been or is required to be approved by a government agency before it can be marketed for administration to humans. In some embodiments, a "therapeutic agent" is an agent for which a medical prescription is required for administration to humans.
In some embodiments, a therapeutic agent is a provided compound, e.g., a provided oligonucleotide.
1001281 Therapeutically effective amount: As used herein, the term -therapeutically effective amount" means an amount of a substance (e.g., a therapeutic agent, composition, and/or formulation) that elicits a desired biological response when administered as part of a therapeutic regimen. In some embodiments, a therapeutically effective amount of a substance is an amount that is sufficient, when administered to a subject suffering from or susceptible to a disease, disorder, and/or condition, to treat, diagnose, prevent, and/or delay the onset of the disease, disorder, and/or condition. As will be appreciated by those of ordinary skill in this art, the effective amount of a substance may vary depending on such factors as the desired biological endpoint, the substance to be delivered, the target cell or tissue, etc. For example, the effective amount of compound in a formulation to treat a disease, disorder, and/or condition is the amount that alleviates, ameliorates, relieves, inhibits, prevents, delays onset of, reduces severity of and/or reduces incidence of one or more symptoms or features of the disease, disorder, and/or condition. In some embodiments, a therapeutically effective amount is administered in a single dose; in some embodiments, multiple unit doses are required to deliver a therapeutically effective amount.
1001291 Treat: As used herein, the term "treat," "treatment," or "treating" refers to any method used to partially or completely alleviate, ameliorate, relieve, inhibit, prevent, delay onset of, reduce severity of, and/or reduce incidence of one or more symptoms or features of a disease, disorder, and/or condition.
Treatment may be administered to a subject who does not exhibit signs of a disease, disorder, and/or condition. In some embodiments, treatment may be administered to a subject who exhibits only early signs of the disease, disorder, and/or condition, for example for the purpose of decreasing the risk of developing pathology associated with the disease, disorder, and/or condition.
1001301 Unit dose: The expression "unit dose" as used herein refers to an amount administered as a single dose and/or in a physically discrete unit of a pharmaceutical composition. In many embodiments, a unit dose contains a predetermined quantity of an active agent. In some embodiments, a unit dose contains an entire single dose of the agent. In some embodiments, more than one unit dose is administered to achieve a total single dose. In some embodiments, administration of multiple unit doses is required, or expected to be required, in order to achieve an intended effect. A unit dose may be, for example, a volume of liquid (e.g., an acceptable carrier) containing a predetermined quantity of one or more therapeutic agents, a predetermined amount of one or more therapeutic agents in solid form, a sustained release formulation or drug delivery device containing a predetermined amount of one or more therapeutic agents, etc. It will be appreciated that a unit dose may be present in a formulation that includes any of a variety of components in addition to the therapeutic agent(s). For example, acceptable carriers (e.g., pharmaceutically acceptable carriers), diluents, stabilizers, buffers, preservatives, etc., may be included as described infra. It will be appreciated by those skilled in the art, in many embodiments, a total appropriate daily dosage of a particular therapeutic agent may comprise a portion, or a plurality, of unit doses, and may be decided, for example, by the attending physician within the scope of sound medical judgment. In some embodiments, the specific effective dose level for any particular subject or organism may depend upon a variety of factors including the disorder being treated and the severity of the disorder; activity of specific active compound employed;
specific composition employed; age, body weight, general health, sex and diet of the subject; time of administration, and rate of excretion of the specific active compound employed; duration of the treatment;
drugs and/or additional therapies used in combination or coincidental with specific compound(s) employed, and like factors well known in the medical arts.
1001311 Unsaturated: The term "unsaturated," as used herein, means that a moiety has one or more units of unsaturation.
1001321 Wild-type: As used herein, the term "wild-type- has its art-understood meaning that refers to an entity having a structure and/or activity as found in nature in a "normal" (as contrasted with mutant, diseased, altered, etc.) state or context. Those of ordinary skill in the art will appreciate that wild type genes and polypeptides often exist in multiple different forms (e.g., alleles).
1001331 As those skilled in the art will appreciate, methods and compositions described herein relating to provided compounds (e.g., oligonucleotides) generally also apply to pharmaceutically acceptable salts of such compounds.
Description of Certain Embodiments 1001341 Oligonucleotides are useful tools for a wide variety of applications. For example, RHO
oligonucleotides are useful in therapeutic, diagnostic, and research applications, including the treatment of a variety of RHO-related conditions, disorders, and diseases, including retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). The use of naturally occurring nucleic acids (e.g., unmodified DNA or RNA) is limited, for example, by their susceptibility to endo- and exo-nucleases. As such, various synthetic counterparts have been developed to circumvent these shortcomings and/or to further improve various properties and activities.
These include synthetic oligonucleotides that contain chemical modifications, e.g., base modifications, sugar modifications, backbone modifications, etc., which, among other things, render these molecules less susceptible to degradation and improve other properties and/or activities. From a structural point of view, modifications to internucleotidic linkages can introduce chirality, and certain properties may be affected by configurations of linkage phosphorus atoms of oligonucleotides. For example, binding affinity, sequence specific binding to complementary RNA, stability to nucleases, cleavage of target nucleic acids, delivery, pharmacokinetics, etc. can be affected by, inter alia, chirality of backbone linkage phosphorus atoms. Among other things, the present disclosure provides technologies for controlling and/or utilizing various structural elements, e.g., sugar modifications and patterns thereof, nucleobase modifications and patterns thereof, modified intemucleotidic linkages and patterns thereof, linkage phosphorus stereochemistry and patterns thereof, additional chemical moieties (moieties that are not typically in an oligonucleotide chain) and patterns thereof, etc., and various combinations of one or more or all of such structural elements, in oligonucleotides.
With the capability to fully control structural elements of oligonucleotides, the present disclosure provides oligonucleotides comprising various structural features for assessing, optimizing, and/or improving properties and/or activities of oligonucleotides for various applications, e ., as therapeutic agents, probes, etc. For example, as demonstrated herein, provided oligonucleotides and compositions thereof are particularly powerful for reducing levels of transcripts (and products (e.g., proteins) encoded thereby) associated with various conditions, disorders or diseases.
[00135] In some embodiments, provided oligonucleotides are oligonucleotides targeting RHO, and can reduce levels of RHO transcripts and/or one or more products encoded thereby. Such oligonucleotides are particularly useful for preventing and/or treating RHO-related conditions, disorders and/or diseases, including retinopathy (c.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
[00136] In some embodiments, base sequences of RHO
oligonucleotides are identical or complementary to bases sequences of RI TO nucleic acids (e.g., RI TO genes or transcripts (e.g., mRNA (e.g., pre-mRNA or spliced RNA)) thereof In some embodiments, identity or complementarity is at least 85%, 90%, or 95%, and in many instances, 100% (when aligned for maximum homology/complementarity, there are no differences/mismatches between base sequences of RHO oligonucleotides and corresponding same-length portions of RHO nucleic acids (e.g., RHO genes, transcripts thereof, etc.)). In some embodiments, a RHO oligonucleotide comprises a sequence that is identical to or is completely or substantially complementary to 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, typically 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, contiguous bases of a RHO genomic sequence or a transcript therefrom (e.g., pre-mRNA, mRNA, etc.). In some embodiments, a RHO oligonucleotide comprises a sequence that is completely complementary to 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, typically 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, contiguous bases of a RHO
transcript. In some embodiments, an oligonucleotide that targets RHO can hybridize with a RHO
transcript (e.g., pre-mRNA, RNA, etc.) and can reduce the level of the RHO transcript and/or a protein encoded by the RHO transcript.
Those skilled in the art will appreciate that a "RHO oligonucleotide- may have a nucleotide sequence that is identical (or substantially identical) or complementary (or substantially complementary) to a RHO base sequence (e.g., a genomic sequence, a transcript sequence, a mRNA sequence, etc.) or a portion thereof. In some embodiments, a RHO oligonucleotide comprises a sequence that is identical to or is completely complementary to 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, typically 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, contiguous bases of a RHO genomic sequence or a transcript therefrom. In some embodiments, a RHO oligonucleotide comprises a sequence that is completely complementary to 10,

11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, typically 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more, contiguous bases of a RHO transcript. In some embodiments, matches are Watson-Crick base pairs.
1001371 In some embodiments, the present disclosure provides an oligonucleotide, e.g., a RHO
oligonucleotide, wherein the oligonucleotide has a base sequence which is or comprises at least 10 contiguous bases of a RHO sequence (e.g., a sequence of a RHO gene, transcript, etc.) disclosed herein, or of a sequence that is complementary to a RHO sequence disclosed herein, and wherein each T can be independently substituted with U and vice versa. In some embodiments, the present disclosure provides a RHO oligonucleotide as disclosed herein, e.g., in a Table. In some embodiments, the present disclosure provides a RHO oligonucleotide having a base sequence disclosed herein, e.g., in a Table, or a portion thereof comprising at least 10 contiguous bases, wherein the RHO
oligonucleotide is stereorandom or not chirally controlled, and wherein each T can be independently substituted with U and vice versa.
1001381 In some embodiments, internucleotidic linkages of an oligonucleotide comprise or consist of 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more chirally controlled internucleotidic linkages. In some embodiments, two or more chirally controlled internucleotidic linkages (e.g., 2-5, 2-10, 2-15, 2-20, 2-25, 2-30, 2-40, 2-50, or 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 more) are consecutive. In some embodiments, an oligonucleotide composition of the present disclosure comprises oligonucleotides of the same constitution, wherein one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,

12, 13, 14, 15, 16, 17, 18, 19, 20 or more) internucleotidic linkages are chirally controlled and one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more) internucleotidic linkages are stereorandom (not chirally controlled). In some embodiments, the present disclosure provides a RHO oligonucleotide composition wherein the RHO
oligonucleotides comprise at least one chirally controlled internucleotidic linkage. In some embodiments, the present disclosure provides a RHO oligonucleotide composition wherein the RHO oligonucleotides are stereorandom or not chirally controlled. In some embodiments, in a plurality of RHO oligonucleotide, at least one internucleotidic linkage is stereorandom and at least one internucleotidic linkage is chirally controlled.
1001391 In some embodiments, internucleotidic linkages of an oligonucleotide comprise or consist of one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more) negatively charged intemucleotidic linkages (e.g., phosphorothioate intemucleotidic linkages, natural phosphate linkages, etc.). In some embodiments, internucleotidic linkages of an oligonucleotide comprise or consist of one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more) negatively charged chiral intemucleotidic linkages (e.g., phosphorothioate intemucleotidic linkages). In some embodiments, intemucleotidic linkages of an oligonucleotide comprise or consist of one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,20 or more) non-negatively charged intemucleotidic linkages. In some embodiments, intemucleotidic linkages of an oligonucleotide comprise or consist of one or more (e.g., 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-40, 1-50, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,20 or more) neutral chiral intemucleotidic linkages. In some embodiments, the present disclosure pertains to a RHO
oligonucleotide which comprises at least one neutral or non-negatively charged internucleotidic linkage as described in the present disclosure.
In some embodiments, provided oligonucleotides comprise one or more natural phosphate linkages, one or more modified negatively charged intemucleotidic linkages (e.g., phosphorothioate intemucleotidic linkages), and one or more non-negatively charged intemucleotidic linkages (e.g., neutral intemucleotidic linkages such as n001). In some embodiments, provided oligonucleotides comprises one or more natural phosphate linkages, one or more phosphorothioate internucleotidic linkages and one or more non-negatively charged internucleotidic linkages (e.g., neutral intemucleotidic linkages such as n001). In some embodiments, each intemucleotidic linkage of an oligonucleotide is independently a natural phosphate linkage, a phosphorothioate internucleotidic linkage, and anon-negatively charged internucleotidic linkage.
In some embodiments, each internucleotidic linkage of an oligonucleotide is independently a natural phosphate linkage, a phosphorothioate intemucleotidic linkage, and n001. In some embodiments, each phosphorothioate intemucleotidic linkage is independently chirally controlled.
In some embodiments, one or more non-negatively charged intemucleotidic linkages, e.g., n001, are not chirally controlled. In some embodiments, each chiral intemucleotidic linkage is independently chirally controlled.
RHO (Rhodopsin) 1001401 In some embodiments, RHO refers to a gene or a gene product thereof (including but not limited to, a nucleic acid, including but not limited to a DNA or RNA, or a wild-type or mutant protein encoded thereby), from any species, and which may be known as: Rho or Rhodopsin or visual purple.
Various RHO sequences, including variants thereof, from human, mouse, rat, monkey, etc., are readily available to those of skill in the art. In some embodiments, RHO is a human or mouse RHO, which is wild-type or mutant.

1001411 Without wishing to be bound by any particular theory, the present disclosure notes that a mutation (e.g., a disease-associated mutation(s)) in RHO is reportedly a key factor in RHO-related diseases and disorders such as rctinopathy (c.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
1001421 In some embodiments, RHO is also referenced, known or identified as: Rhodopsin, RHO, Rho, rho, CSNBAD1, OPN2, RP4, visual purple; External IDs: OMIM: 180380; MGI:
97914;
HomoloGene: 68068; GeneCards: RHO; Orthologs: Species: Human: Entrez 6010;
Ensembl ENSG00000163914; UniProt P08100; RefSeq (mRNA) NM_000539; RefSeq (protein) NP
000530;
Location (UCSC) Chr 3: 129.53 ¨ 129.54 Mb; Species: Mouse: Entrez 212541;
Ensembl ENSMUSG00000030324; UniProt P15409; RefSeq (mRNA) NM_145383; RefSeq (protein) NP 663358;
Location (UCSC) Chr 6: 115.93 ¨ 115.94 Mb. In some cmbodimcnts, Rhodopsin is described as an opsin.
1001431 RHO (also known as visual purple) is reportedly a light-sensitive receptor protein involved in visual phototransduction. RHO is reportedly a biological pigment found in the rods of the retina and is a G-protein-coupled receptor (GPCR). It reportedly belongs to opsins. RHO is reportedly extremely sensitive to light, and thus enables vision in low-light conditions. When rhodopsin is exposed to light, it reportedly immediately photobleaches. In humans, it is reportedly regenerated fully in about 30 minutes, after which rods are more sensitive.
1001441 RHO reportedly can comprise two components, a protein molecule also called scotopsin and a covalently-bound cofactor called retinal. Scotopsin is reportedly an opsin, a light-sensitive G protein coupled receptor that embeds in the lipid bilayer of cell membranes using seven protein transmembrane domains. These domains reportedly form a pocket where the photoreactive chromophore, retinal, lies horizontally to the cell membrane, linked to a lysine residue in the seventh transmembrane domain of the protein. Thousands of rhodopsin molecules are reportedly found in each outer segment disc of the host rod cell. Retinal is reportedly produced in the retina from vitamin A, from dietary beta-carotene. Isomerization of 11-cis-retinal into all-trans-retinal by light sets off a series of conformational changes (bleaching') in the opsin, eventually leading it to a form called metarhodopsin II (Meta II), which activates an associated G
protein, transducin, to trigger a cyclic guanosine monophosphate (cGMP) second messenger cascade.
1001451 RHO of the rods reportedly most strongly absorbs green-blue light and, therefore, appears reddish-purple; it is also called "visual purple". It is responsible for monochromatic vision in the dark.
1001461 Several closely related opsins reportedly differ only in a few amino acids and in the wavelengths of light that they absorb most strongly. Humans reportedly have eight other opsins besides rhodopsin, as well as cryptochrome (light-sensitive, but not an opsin).
1001471 The photopsins are reportedly found in the cone cells of the retina and are the basis of color vision. They have absorption maxima for yellowish-green (photopsin I), green (photopsin II), and bluish-violet (photopsin III) light. The remaining opsin, melanopsin, is reportedly found in photosensitive ganglion cells and absorbs blue light most strongly.
1001481 In rhodopsin, the aldehyde group of retinal is reportedly covalently linked to the amino group of a lysine residue on the protein in a protonated Schiff base. When rhodopsin absorbs light, its retinal cofactor reportedly isomerizes from the 11-cis to the all-trans configuration, and the protein subsequently undergoes a series of relaxations to accommodate the altered shape of the isomerized cofactor.
The intermediates formed during this process were reportedly first investigated in the laboratory of George Wald, who received the Nobel prize for this research in 1967. The photoisomerization dynamics has reportedly been subsequently investigated with time-resolved IR spectroscopy and UVNis spectroscopy.
A first photoproduct called photorhodopsin reportedly forms within 200 femtoseconds after irradiation, followed within picoseconds by a second one called bathorhodopsin with distorted all-trans bonds. This intermediate can be trapped and studied at cryogenic temperatures, and was initially referred to as prelumirhodopsin. In subsequent intermediates lumirhodopsin and metarhodopsin I, the Schiff s base linkage to all-trans retinal reportedly remains protonated, and the protein retains its reddish color. The critical change that initiates the neuronal excitation reportedly involves the conversion of metarhodopsin I
to metarhodopsin 11, which is associated with deprotonation of the Schiff s base and change in color from red to yellow. The structure of rhodopsin has reportedly been studied in detail via x-ray crystallography on rhodopsin crystals. Several models (e.g., the bicycle-pedal mechanism, hula-twist mechanism) reportedly attempt to explain how the retinal group can change its conformation without clashing with the enveloping rhodopsin protein pocket.
1001491 Mutation of the rhodopsin gene is reportedly a major contributor to various retinopathies such as retinitis pigmentosa. In general, the disease-causing protein reportedly aggregates with ubiquitin in inclusion bodies, disrupts the intermediate filament network, and impairs the ability of the cell to degrade non-functioning proteins, which leads to photoreceptor apoptosis. Other mutations on rhodopsin reportedly lead to X-linked congenital stationary night blindness, mainly due to constitutive activation, when the mutations occur around the chromophore binding pocket of rhodopsin. Several other pathological states reportedly relating to rhodopsin have been discovered including poor post-Golgi trafficking, dysregulative activation, rod outer segment instability and arrestin binding.
1001501 RHO proteins and homologs and isoforms thereof in various species include: RHO, RHO
isoforms, including but not limited to variably or multiply-phosphorylated isoforms, including two forms of monophosphorylated and two diphosphorylated species of rhodopsin, and other species, containing up to five phosphates. Alternatively, spliced RHO transcript variants encoding different isoforms have been reported for this gene; in some embodiments, the present disclosure pertains to the use of a RHO

oligonucleotide in decreasing the expression, level and/or activity of any isoform or alternatively spliced transcript or variant of a RHO gene or a gene product thereof.
1001511 In some embodiments, a mutant RHO is designated mRho, muRho, m RHO, mu RHO, MU
RHO, or the like, wherein m or mu indicate mutant. In some embodiments, a wild type RHO is designated wild-type RHO, wtRho, wt RHO, WT RHO, WTRho, or the like, wherein wt indicates wild-type. In some embodiments, a mutant RHO comprises a deleterious or pathogenic mutation. In some embodiments, a mutant RHO comprises a P23H mutation.
1001521 In some embodiments, a human RHO is designated hRho or hRHO or hrho. In some embodiments, a mutant human RHO is designated mRho or mRho or mRHO or mRho or mrho. In some embodiments, when a mouse is utilized, a mouse RHO may be referred to as mRho or muRho or mRHO or muRHO or murho, as those skilled in the art will appreciate in view of the context.
1001531 In some embodiments, a RHO oligonucleotide is complementary to a portion of a RHO
nucleic acid sequence, e.g., a RHO gene sequence, a RHO transcript, a RHO mRNA
sequence, etc. In some embodiments, when a base sequence is aligned with a base sequence of a same-length portion of a RHO
nucleic acid sequence, there are no more than 1, 2, 3, 4, or 5 mismatches, and in many instances, no more than one or two mismatches (as demonstrated herein, in many instances, no mismatches). In some embodiments, a portion is or comprises 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, typically 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more contiguous nucleobases. In some embodiments, a portion is or comprises at least 15 contiguous nucleobases. In some embodiments, a portion is or comprises at least 16 contiguous nucleobases. In some embodiments, a portion is or comprises at least 17 contiguous nucleobases. In some embodiments, a portion is or comprises at least 18 contiguous nucicobascs. In some embodiments, a portion is or comprises at least 19 contiguous nucleobases. In some embodiments, a portion is or comprises at least 20 contiguous nucleobases. In some embodiments, the base sequence of such a portion is characteristic of RHO in that no other genomic or transcript sequences have the same sequence as the portion. In some embodiments, a portion of a nucleic acid, e.g., a gene, a transcript, an RNA (pre-mRNA, spliced mRNA, etc.), that is complimentary to an oligonucleotide is referred to as the target sequence of the oligonucleotide.
1001541 In some embodiments, a RHO gene sequence (or a portion thereof, e.g., complementary to a RHO oligonucleotide) is a RHO gene sequence (or a portion thereof) known in the art or reported in the literature. Certain nucleotide and amino acid sequences of a human RHO can be found in public sources, for example, one or more publicly available databases, e.g., GenBank, UniProt, OMEVI, etc. Those skilled in the art will appreciate that, for example, where a described nucleic acid sequence may be or include a genomic sequence, transcripts, splicing products, and/or encoded proteins, etc., may readily be appreciated from such genomic sequence.

[00155] In some embodiments, a RHO gene, mRNA or protein variant or isoform comprises a mutation. In some embodiments, a RHO gene, mRNA or protein is or a transcription or translation product of an alternatively spliced variant or isoform. Alternatively spliced transcript variants encoding different isofonns have been reported for the RHO gene. In some embodiments, a RHO
splicing variant is generated by an alternative splicing event not normally performed by a wild-type cell on a wild-type RHO gene. In some embodiments, a RHO variant or isoform comprises one or more fewer or extra or different exons compared to a wild-type RHO. In some embodiments, a RHO variant or isoform comprises a frameshift mutation, leading to a premature stop codon.
[00156] In some embodiments, a variant or isoform of RHO is incapable of performing at least one function, or has a decreased ability to perform at least one function, compared to a wild-type RHO.
[00157] In some embodiments, a variant or isoform of RHO is incapable of performing at least one function, or has a decreased ability to perfonn at least one function, compared to a wild-type RHO, wherein the function is any of: photoreceptor activity, signal transducer activity, metal ion binding, protein binding, G-protein coupled receptor activity, 11-cis retinal binding activity, or G-protein coupled photoreceptor activity, or a role in retina development in camera-type eye, sensory perception of light stimulus, signal transduction, response to stimulus, detection of light stimulus, absorption of visible light, cellular response to light stimulus, protein phosphorylation, response to light stimulus, regulation of rhodopsin mediated signaling pathway, retinoid metabolic process, phototransduction, phototransduction of visible light, phtoreceptor cell maintenance, visual perception, protein-chromophore linkage, G-protein coupled receptor signaling pathway, or rhodopsin-mediated signaling pathway, a component in double membrane discs in the out segments of rod photoccptor cells (ROS), preventing retinal degeneration, or another other function of RHO described herein or known in the art.
[00158] In some embodiments, a RHO gene (or a portion thereof with a sequence complementary to a RHO oligonucleotide) includes a single nucleotide polymorphism or SNP.
RHO SNPs have been reported and may be found at, for example, NCBI dbSNP (see, e.g., www.ncbi.nlm.nih.gov/snp). Non-limiting examples of SNPs within the RHO gene may be found at, NCBI dbSNP
Accession, and include, for example, those described herein. In some embodiments, a RHO
oligonucleotide targets a SNP allele which is on the same chromosome as the disease-associated mutation(s) and not present on the wild-type allele (which does not comprise the disease-associated mutation(s)).
[00159] Various RHO SNPs include:
Table S2. RHO SNPs.
rsID (SNP Position Alleles rsID Position Alleles number) rs1407074082 129531681 C / G rs1168144126 129531662 CIA

rs1007788678 129528679 C / G / T rs1369128697 129531665 A
/ G
rs559421777 129528682 C / T rs900199087 129531680 G
/ A
rs2269736 129528683 G / A / C rs1407074082 129531681 C
/ G
rs1354043935 129528684 C / T rs1304294353 129531682 C/T
rs1245135960 129528685 A / T rs562374398 129531684 A
/ G
rs753353276 129528698 G / A rs1364847643 129531701 G
/ A
rs754584217 129528699 G / A rs1027573459 129531708 C/T
rs1289056583 129528707 C/T rs1417383023 129531709 G
/ A
rs7984 129528708 A / G rs532949412 129531715 C/T
rs747620121 129528709 C/T rs139435571 129531716 G/A
rs771188148 129528710 G/A/T rs566186118 129531721 G/ A
rs746247806 129528716 G / C rs80263713 129531723 G
/ A
rs1184141164 129528718 C/T rs1207824529 129531727 C/T
rs1364447526 129528722 A / G rs1352623901 129531728 C/T
rs1444009632 129528723 G / A rs757524357 129531736 C/T
rs769954281 129528724 G / T rs1035021501 129531748 C/T
rs143193489 129528728 -IC rs370746434 129531751 A
/ G
rs1367626681 129528730 A / G rs1000193322 129531753 A
/ G
rs962827025 129528732 C / G rs991048116 129531758 G
/ C
rs1426348071 129528734 A / G rs1369759641 129531761 C/A
rs1293863853 129528736 G/A rs1223028434 129531766 G
/ T
rs972605266 129528741 G / A rs1031674551 129531770 C/T
rs1389590526 129528745 A / T rs764956905 129531771 G
/ A
rs144270441 129528747 A / G rs1158435325 129531774 C/T
rs145024369 129528749 G / A rs1452264662 129531778 T
/ G
rs919315991 129528750 G/ A rs946860061 129531781 C/T
rs768787274 129528751 C/T rs978249998 129531782 G
/ A
rs1312492810 129528753 C / T rs548932276 129531785 C/T
rs1361105199 129528760 C/A rs775382640 129531786 G
/ A
rs138142023 129528763 C / G / T rs1388489669 129531787 C/T
rs1251088622 129528764 G / A rs1040564520 129531790 G
/ A
rs767363145 129528766 G / C rs979934723 129531801 T
/ C
rs773022490 129528767 CIA rs900123746 129531813 G
/ C
rs1172673857 129528767 C / - rs1027522033 129531816 C/A
rs1198077854 129528768 C/T rs145310205 129531821 A
/ G
rs1239256015 129528769 C/T rs750220975 129531833 C/T
rs1456787939 129528775 C/T rs1048978598 129531845 A/C
rs104893786 129528777 A / G rs1351446086 129531847 C/T
rs201340914 129528780 C/T rs887712134 129531852 G
/ C
rs766112074 129528781 G / A / T rs1234342586 129531857 G
/ T
rs1387357649 129528782 A / G rs1369693779 129531868 C/T

rs104893769 129528783 C / T rs1456881458 129531870 C
/ G
rs753585848 129528784 G/ A / C rs1432472012 129531872 CIA
rs200946638 129528786 G / A / C rs1327321121 129531877 G
/ T
rs1372284722 129528788 G/ A rs952004771 129531878 C
/ G
rs757740913 129528790 G/ A rs1291091183 129531885 G/A
rs370401948 129528791 G/ A rs1380979002 129531889 TIC
rs746210043 129528792 TIC rs543124635 129531890 C
/ T
rs1451320951 129528794 C / T rs1014751301 129531891 G/A
rs552455660 129528795 G/A rs147640435 129531892 G/A
rs376111618 129528798 G/A rs1294754691 129531896 G/A
rs749567084 129528799 C / T rs1169815207 129531897 TIC
rs104893797 129528800 C / G rs1384632793 129531900 A
/ -rs104893768 129528801 CIA rs1246224503 129531901 A
/ G
rs768877243 129528805 C / G / T rs1242434982 129531905 T
/ G
rs774425557 129528806 G/ A / C rs1192172974 129531914 G/A
rs748211662 129528808 G/ A / T rs1487208664 129531923 G/A
rs1309373132 129528810 A / G rs538560123 129531927 G/A
rs966749682 129528811 CIA rs1259524394 129531928 C
/ G
rs560600890 129528812 CIA rs907065802 129531932 C
/ T
rs1553780837 129528816 NA rs1211576750 129531937 CCT / -rs1323411269 129528818 TIC rs755921724 129531949 C
/ -rs149084537 129528820 C / T rs1319651025 129531949 C/T
rs1245030121 129528823 C / T rs56120415 129531950 C/A/G/T
rs773077062 129528824 C / G / T rs975836054 129531951 C
/ G
rs1232548343 129528832 G/ C rs1217154881 129531955 G/A
rs1186151173 129528835 A /G rs1035517938 129531956 C
/ T
rs1259844494 129528836 TIC rs921704392 129531957 G
/ A
rs771123958 129528838 G/A rs1261172385 129531960 G/A
rs760515764 129528839 CIA rs1414727538 129531965 G/T
rs755171690 129528840 A / G rs1373641913 129531972 CIA
rs766344345 129528841 G/ C rs1331014044 129531976 A
/ G
rs776411064 129528848 A/C rs1410650567 129531977 GCGGG
CAGTG
GATGC
TGGGG CTGG
/ -rs759209103 129528851 C / T rs1419035138 129531978 C
/ T
rs927794488 129528854 G/A rs571916150 129531979 G/A
rs781550757 129528856 C / T rs932797144 129531993 G/
-rs538820015 129528857 G/A rs1049959434 129531994 G
/ A
rs748429090 129528861 A / G rs1188071105 129532000 G/A
rs1287941897 129528863 A/C rs199573532 129532002 C
/ T

rs774336493 129528864 TIC rs370441842 129532007 A
/ G
rs1289938976 129528865 G/ T rs1485320710 129532014 G/ A
rs104893770 129528866 TIC rs1022482420 129532020 G
/ A
rs1257389194 129528872 C / T rs996435947 129532021 T
/ G
rs756454203 129528877 C / T rs1413549934 129532024 T
/ G
rs534819675 129528878 G/ A rs1422389197 129532032 G/ C
rs1264758702 129528883 G/ A rs554315811 129532036 A/C
rs104893792 129528884 G/ C rs978344646 129532037 C
/ T
rs149079952 129528885 G/ C rs891812778 129532038 G/ A
rs926235922 129528887 T/C rs140851495 129532039 CIA
rs28933395 129528891 C / G rs966612186 129532042 C
/ G
rs755190538 129528893 A / G rs1337333486 129532047 A/C
rs1312862210 129528898 C / T rs1294300374 129532051 A/C
rs779029199 129528904 C / T rs1407628323 129532058 C
/ T
rs28933394 129528906 C / G / T rs1452945428 129532059 G/ A
rs112640710 129528907 G/ A rs1281818340 129532065 G
/ T
rs777849735 129528908 C / A / T rs1443011054 129532070 C
/ T
rs747002188 129528910 C / G rs751561815 129532076 G
/A
rs771007146 129528911 T/C rs975821631 129532078 G/ T
rs527236101 129528913 CIA rs1354066220 129532080 A
/ T
rs776504351 129528914 G/ A rs1329490519 129532081 T
/ G
rs1427114435 129528915 T/C rs1024381325 129532086 A/C
rs759425622 129528917 A / G rs111871140 129532087 T/C
rs769464362 129528918 C/A rs1396357078 129532090 C
/ G
rs367909246 129528919 C / G / T rs549470128 129532097 A/C
rs146936681 129528920 G/ A rs181387582 129532098 T/A
rs1323752581 129528933 A / G rs1411495217 129532101 A
/G
rs763566456 129528934 G/ A / T rs1178949302 129532102 T
/ -rs137883686 129528936 T / G rs749280021 129532105 CATCC TGT / -rs761101263 129528938 C / T rs1225199401 129532109 CTGT / -rs118173887 129528939 G/A rs1231831284 129532114 A
/ T
rs143559914 129528942 C/T rs780785077 129532122 A
/ G
rs755350955 129528943 G / A rs1027448730 129532128 A
/ G
rs1305158106 129528944 C / T rs150129519 129532129 C
/ T
rs398122525 129528950 AAC / - rs145248729 129532130 G/ A
rs779169631 129528951 A / G rs983404024 129532135 T/C
rs374902462 129528952 C/A rs1286935244 129532140 C
/ T
rs758491851 129528953 T/C rs55851525 129532152 G/ A
rs777943803 129528955 C / T rs1372614675 129532154 G/A
rs367633279 129528956 A / G rs1266369222 129532160 G/ T
rs1470359420 129528961 G/ A rs965725615 129532161 T/C

rs1405507439 129528962 C / T rs1443314566 129532169 C
/ T
rs1248203737 129528965 A/C rs976185389 129532177 G/A
rs1478248064 129528967 C / - rs921675840 129532181 GCGCT CG / -rs1463779730 129528968 C / T rs532967085 129532182 C
/ T
rs1176212506 129528971 G / T rs985591614 129532183 G/A/T
rs770941561 129528973 C / G / T rs1003128409 129532186 C
/ T
rs781325869 129528974 G / A rs1056526280 129532187 G
/ A
rs745643650 129528975 T / C rs1176266890 129532205 T
/ G
rs1017235221 129528978 C / T rs368819173 129532206 C
/ T
rs769544430 129528979 T / C rs1400567436 129532207 C
/ T
rs1423255875 129528980 G / T rs1469020356 129532210 A
/ G
rs1326147175 129528981 A / G rs1300540322 129532211 G
/ A
rs1284225815 129528982 C / T rs758844049 129532215 C
/ T
rs775191474 129528983 C / G rs376708009 129532219 C
/ A / T
rs1246150736 129528985 C / T rs766027021 129532223 C
/ G
rs1184850844 129528991 G / A rs747369599 129532225 G
/ A
rs104893771 129528993 T / A rs1338821704 129532226 G
/ A
rs1350780957 129528995 C / T rs1220849092 129532227 G
/ T
rs1057521112 129528996 T/C rs1259177526 129532229 C
/ G
rs104893772 129528999 G / A / C rs544766619 129532231 C
/ G
rs762451457 129529000 T / C rs776890381 129532236 C
/ A / T
rs104893790 129529002 G / A rs745920387 129532239 G
/ A
rs768298431 129529007 A / G rs1483633045 129532240 C
/ T
rs773808406 129529012 C / T rs104893776 129532253 A
/ G
rs104893796 129529014 C / T rs1271669044 129532257 C
/ -rs761338278 129529021 C / T rs189018030 129532260 C
/ T
rs1341056779 129529023 C/A rs775557680 129532261 G
/ A / C
rs766852589 129529026 C / G rs104893780 129532264 G
/ A
rs1252183229 129529028 C / T rs-1 129532269 NA
rs1357414784 129529031 C/A rs1402468701 129532271 A
/ G
rs143735182 129529032 A / G rs1236550448 129532273 T
/ C
rs1291957024 129529034 G/ A rs371288618 129532277 C/T
rs759945007 129529035 G / A rs145549270 129532278 G
/ A / T
rs1011170952 129529040 T / G rs527236100 129532282 G
/ A
rs149615742 129529042 C / T rs1424131846 129532283 G/A
rs144317206 129529043 G / A rs761562089 129532287 C
/ T
rs758484916 129529045 C / T rs104893779 129532288 G
/ A / T
rs778173978 129529048 C / T rs104893777 129532289 A
/ G
rs104893773 129529049 G / A / T rs1022242191 129532296 C
/ T
rs1488067054 129529051 G / A rs373974298 129532298 C
/ A / T
rs1442262560 129529052 C / T rs755674549 129532299 G
/ A / C

rs757449302 129529053 C/A rs1359176166 129532302 C
/ G
rs781266982 129529054 C / A / T rs1402455011 129532305 G
/ A
rs751153075 129529054 - / A rs765931092 129532306 C
/ A / T
rs1209988233 129529055 A / C / G rs141468335 129532307 C
/ T
rs1415160298 129529058 G / A / T rs758901694 129532308 G
/ A / C
rs104893787 129529062 G / A rs1374343616 129532313 TIC
rs745851408 129529065 A / G rs778170529 129532314 C
/ G
rs371461422 129529068 TIC rs756162630 129532314 CAA / -rs104893788 129529074 G / A / C rs368157839 129532317 C
/ G
rs1447750550 129529075 C / T rs777637179 129532318 A
/ G
rs1336351157 129529078 C/T rs147005807 129532320 C
/ T
rs148801522 129529080 T / A rs781375897 129532321 G
/ T
rs1454654794 129529084 C / T rs966207295 129532326 T
/ C
rs749137786 129529088 C / T rs1001583714 129532333 A
/ G
rs1476531540 129529090 G / A rs886057967 129532334 T
/ G
rs1356947962 129529091 G / T rs746029882 129532339 A
/ G
rs768251138 129529092 G / A / C rs104893782 129532340 T
/ G
rs1057518210 129529092 G / - rs113751838 129532344 C/G/T
rs79765751 129529093 C / A / T rs567288669 129532345 G
/ A
rs771637224 129529094 G / A rs1488045716 129532347 G
/ T
rs1198830014 129529102 C / T rs768616082 129532348 G
/ A / T
rs541163949 129529103 C / T rs371192803 129532350 C
/ T
rs372128112 129529104 G/A rs28933993 129532352 A/C
rs1423460306 129529104 G / - rs374685958 129532353 C
/ T
rs1459534591 129529105 G / T rs1435773040 129532358 C/A
rs376995477 129529106 G / - rs887633046 129532359 C
/ G
rsl 189010269 129529107 T / C rs1005150205 129532360 A
/ G
rs765781218 129529108 G / A rs368534414 129532362 C
/ A / T
rs375391319 129529116 G / C rs777851867 129532366 A
/ -rs763422574 129529119 G / A rs1422016730 129532366 A
/ T
rs369851208 129529121 G / T rs984572250 129532367 T
/ G
rs1359364310 129529123 A /G rs1299366616 129532369 A
/G
rs751894032 129529125 G / A rs1365280636 129532370 T
/ G
rs757395830 129529127 G / A rs766161322 129532379 T
/ G
rs767646428 129529128 C / G / T rs141956356 129532380 T/G
rs750519691 129529129 C / T rs759021503 129532390 G
/ A / C
rs372349714 129529130 C / T rs764633076 129532391 G
/ A
rs780060597 129529131 G / A rs752076372 129532393 C
/ T
rs1408274470 129529133 G / A rs1323701516 129532395 G
/ C
rs1325971237 129529135 G/ A rs746223530 129532398 C
/ T
rs1429888921 129529141 A/C rs781465927 129532399 G
/ A / T

rs749016955 129529142 G / A / T rs1286665566 129532400 T
/ G
rs1053329735 129529150 G / A rs1301777085 129532403 TIC
rs1425151130 129529151 G/A rs143003934 129532407 C
/ A / T
rs192412661 129529159 C / T rs780188527 129532408 G/A
rs185011073 129529160 G / A rs1248295015 129532413 G/A
rs564018441 129529166 G / A rs749356883 129532417 G
/ C
rs531077633 129529168 C/T rs56340615 129532420 C /
G / T
rs889556515 129529169 G/A rs376802160 129532421 G
/ A / C
rs1006944068 129529172 G / A rs1441016547 129532422 G/A
rs1038019804 129529185 C/A rs1256841395 129532423 G/A
rs1011138447 129529185 CCTTCTC / - rs368352202 129532425 C/A/G/T
rs1451948818 129529196 C/T rs372570611 129532426 G/A/C/T
rs775095233 129529201 G/A rs749155432 129532426 G
/ -rs546065873 129529207 T / C rs55915536 129532428 G/A/C/T
rs148110888 129529210 A / G/ T rs376727697 129532429 G/A
rs1003947341 129529217 C/T rs764590515 129532430 G
/ T
rs1240025893 129529218 C / G rs1350872553 129532431 G/A
rs1025604117 129529228 A / G rs913483379 129532433 G/A
rs1351451259 129529229 T / C rs369198420 129532435 G/A
rs896282715 129529235 C/A rs373118114 129532436 C/T
rs115345357 129529242 C/T rs768030547 129532437 G/A
rs959682812 129529248 C/T rs1314532127 129532439 C/T
rs1012342900 129529260 A / G rs1378322146 129532440 C
/ G
rs1024369421 129529264 C/T rs750763646 129532444 C/T
rs970189152 129529265 C/T rs756509737 129532445 G/A
rs1349141081 129529266 G / C rs376626260 129532448 T
/ A
rs75456752 129529267 G / C rs754064314 129532454 G/
A /C/T
rs76257822 129529268 G / C rs1368372506 129532455 G/A
rs1321477975 129529278 G / T rs376271158 129532456 T/A
rs980618653 129529281 C/T rs778794165 129532457 C/T
rs141844397 129529293 T / G rs1458865163 129532461 C
/ -rs765586234 129529296 A / G rs1178698486 129532462 C/T
rs373450899 129529303 C / G / T rs1420894712 129532463 C/T
rs988982108 129529309 C/T rs1236436231 129532464 C/T
rs972565823 129529315 T / C rs1178213438 129532469 A
/ T
rs1200531083 129529322 A / G rs1456628166 129532471 G/A
rs913494008 129529324 A / G / T rs370370574 129532478 C/T
rs1245384573 129529325 T / A rs927312739 129532479 G/A
rs879100706 129529327 C/T rs1472077837 129532484 C/T
rs934131532 129529329 C/T rs748269752 129532485 T
/ C
rs1267513138 129529331 T / C rs1414909936 129532496 G/A

rs1467341001 129529333 T / A rs539249995 129532497 G
/ A
rs763447187 129529342 A / G rs772086479 129532503 T
/ C / G
rs986948449 129529343 C / T rs1335310386 129532505 G
/ T
rs1405194008 129529344 A / G rs997805225 129532509 G
/ A
rs1263966091 129529355 TG / - rs1264782419 129532512 C
/ T
rs955355818 129529356 G/A rs373369517 129532514 C/G/T
rs986830009 129529364 G / C rs746773592 129532515 G
/ A
rs1334877177 129529366 T / G rs1464857862 129532518 T
/ A
rs529295739 129529369 A / G rs770701400 129532521 C
/ T
rs911401021 129529371 G / A rs367631575 129532522 G
/ A
rs1375588335 129529380 C / T rs1016029927 129532527 C
/ T
rs1319249372 129529381 G / A rs1338813260 129532535 C /G/T
rs1432285653 129529383 C / T rs547981493 129532536 G
/ A / T
rs1407721146 129529388 - / G rs1390478420 129532540 C/A
rs942450807 129529391 G / A rs774809893 129532546 A
/ T
rs1038560594 129529393 C / T rs374550929 129532547 G
/ A / T
rs560370759 129529394 G / A / T rs1217784259 129532550 G/T
rs144939863 129529401 A / G rs1364403778 129532552 A
/ G
rs1476005736 129529403 G / A rs767979610 129532561 C
/ G
rs929633130 129529404 G / T rs1273934052 129532566 C
/ T
rs569952875 129529405 A/C rs148222991 129532568 G
/ A
rs896419629 129529406 C / T rs761013258 129532569 A
/G
rs1013403650 129529411 G / A rs1437946997 129532575 G
/ A
rs766787635 129529416 G / A rs141185480 129532580 G/A/T
rs536977497 129529419 G / A rs104893783 129532581 G
/ A / T
rs529438885 129529422 T / C rs765519035 129532585 T
/ C / G
rs946853189 129529430 C / G rs1224848814 129532588 C
/ T
rs1202323610 129529431 C / T rs752805805 129532590 C
/ T
rs1252596172 129529433 C / T rs765438313 129532591 G
/ A / C
rs1276157724 129529436 C / T rs1207948458 129532593 A
/ G
rs1216139012 129529438 A /G rs1191932068 129532594 T/C
rs558877754 129529441 T / A rs756658659 129532595 G
/ T
rs73204245 129529442 C / T rs-1 129532595 NA
rs755085836 129529443 G / A rs1286718279 129532601 C
/ T
rs1384358972 129529446 C/A rs757219458 129532602 A
/ G
rs781460558 129529449 T / A / C rs1238756481 129532605 A
/ G
rs1056834120 129529460 CCAAG / - rs1478250192 129532608 G
/ A
rs1331239499 129529465 C/A rs371853220 129532613 C
/ T
rs1389991043 129529466 C / T rs150250946 129532614 G
/ A
rs1199960057 129529466 CT / - rs199583468 129532619 C/A
rs895163307 129529469 T / C rs1335011235 129532620 C
/ T

rs957332793 129529471 T / A rs121918590 129532626 TGC / -rs534810430 129529476 C / G / T rs1375981120 129532633 T/G
rs1385882841 129529478 T / G rs1399379654 129532634 G
/ A
rs988784553 129529486 C/A rs104893781 129532636 C
/ T
rs1020469708 129529492 T / G rs200826498 129532640 C
/ T
rs898615712 129529497 CAGACC / - rs200894277 129532641 G
/ A
rs1234834039 129529498 A / G rs768210562 129532646 C
/ T
rs1205546729 129529505 - / GCT rs201008735 129532647 G
/ A
GGGCA
CTGAG
GGAGA
rs553108022 129529506 G / A rs1417922380 129532649 G
/ C
rs987040087 129529510 G / C rs1396983168 129532658 C
/ T
rs1172707327 129529525 C / G rs761022507 129532659 A
/ G
rs201411679 129529527 G / A rs766943400 129532662 T
/ G
rs78872255 129529528 G / A / T rs776812466 129532664 C
/ T
rs541825239 129529534 C / G rs947228214 129532667 C/A
rs986746861 129529535 C / T rs377120794 129532685 C
/ T
rs569445278 129529539 C / T rs765350593 129532686 G
/ A / T
rs1394528411 129529540 C /A /T rs761500453 129532689 C
/ G
rs1427035391 129529550 T / C rs1488831597 129532693 T
/ C
rs1366765139 129529555 G/A rs753036982 129532701 A
/ T
rs1164108567 129529559 Al- rs1376126715 129532703 C
/ T
rs756306377 129529568 G / T rs758543619 129532705 T/A/ C
rs1364687022 129529570 G / C rs554753426 129532706 C
/ T
rs1244509367 129529571 G / T rs104893789 129532711 CIA
rs1406981060 129529572 G / T rs145004306 129532712 G
/ A
rs1472419291 129529574 A/C rs29001653 129532722 A
/ G
rs1284402553 129529577 G / C rs142285818 129532727 C
/ T
rs919680291 129529585 C / T rs781237162 129532728 G/
A /T
rs1250724706 129529593 A / G rs745616372 129532730 C
/ G / T
rs929602050 129529614 C / T rs779665096 129532731 G
/ A / T
rs1490806446 129529618 G / A rs768300463 129532734 A
/ T
rs1046784691 129529624 G / C rs778356027 129532743 C
/ T
rs989842922 129529627 T / C rs199701338 129532749 A
/ C / G
rs1222273563 129529628 C / T rs1303453819 129532754 T
/ C
rs917615940 129529629 G / A rs771322615 129532755 A
/ T
rs1228564325 129529632 C/A rs1238542520 129532757 C
/ G
rs556655422 129529633 C / T rs146391463 129532761 A
/ T
rs575161157 129529634 C / T rs759818475 129532762 T
/ A / C
rs546127355 129529637 C / T rs1553781406 129532765 NA
rs777559042 129529639 G / T rs998172502 129532766 C
/ T

rs1203121815 129529652 TIC rs139566602 129532769 G
/ A
rs1249104278 129529654 C / T rs1327446595 129532772 G
/ A
rs1368803877 129529655 C / G rs776014770 129532773 G
/ T
rs1490758813 129529656 C / T rs1475042732 129532776 C
/ -rs1456900243 129529659 TI- rs763223221 129532778 TIC
rs945820133 129529663 CI- rs762711356 129532783 C
/ A / T
rs1160019893 129529663 C / T rs770703927 129532784 G
/ -rs186719544 129529664 C / T rs1199889529 129532784 G
/ A
rs924141038 129529670 C / T rs200076128 129532789 G
/ T
rs1201927865 129529679 C / T rs1400301625 129532796 CIA
rs1045421768 129529681 C / T rs761990733 129532798 C
/ A / T
rs1267882076 129529687 G / A rs75783569 129532799 A /
G
rs1190541236 129529687 - / CCT rs750430777 129532802 G
/ A
rs905024147 129529691 C / G rs1454297160 129532806 C
/ T
rs544170990 129529696 CI- rs372010849 129532816 G
/ A / T
rs1489774710 129529696 C / T rs753665727 129532817 C
/ T
rs528662813 129529697 C / T rs560324786 129532818 G
/ A
rs540386305 129529698 G / A rs1192799558 129532827 C
/ T
rs139028150 129529699 C / T rs777625206 129532830 G
/ A / C
rs529338772 129529700 G / T rs937332103 129532831 G
/ A
rs551028346 129529701 T / G rs1437298068 129532836 G
/ A
rs1313142209 129529702 T/G rs369233304 129532864 C
/ G
rs1301083495 129529705 A / G rs181047668 129532865 C/A
rs1010299725 129529712 C / T rs909258142 129532867 T
/ G
rs569194631 129529714 G / A rs991779602 129532868 C
/ T
rs1426832307 129529721 A / G rs915839107 129532871 G
/ A
rs1303960511 129529724 A / G rs1197194560 129532873 T/ A
rs1434435452 129529725 CIA rs1364815089 129532880 C
/ T
rs1020226107 129529726 C / T rs940777503 129532888 T
/ G
rs1178849428 129529727 G / A rs947197037 129532903 C
/ A / T
rs529422419 129529731 G / A rs1357893715 129532928 G
/ C
rs955406718 129529736 C / T rs1285346882 129532937 C
/ T
rs778804021 129529737 G / A rs1294460125 129532942 C
/ T
rs1018943119 129529782 A / T rs542748394 129532948 A
/ G
rs1175100948 129529784 C / T rs1331072853 129532953 T/G
rs964211475 129529785 A / G rs186091794 129532963 G
/ C
rs745849174 129529794 G / T rs924475172 129532964 G
/ A
rs533358632 129529799 G / A rs933191288 129532970 C
/ T
rs1431334232 129529804 TIC rs1169663614 129532971 C
/ T
rs890979889 129529805 G / T rs1288268641 129532974 G
/ A
rs74578881 129529809 G / T rs1050320955 129533001 C
/ T

rs1464022886 129529824 C / T rs1182433925 129533003 G/T
rs775005384 129529828 A / G rs1472143913 129533007 G
/ C
rs1205158566 129529844 A / T rs754963794 129533021 T
/ G
rs1483379450 129529845 G / A rs1183487265 129533022 CAGGT
GGGAG AAGC
TC / -rs570714427 129529847 C / G rs889070870 129533027 G
/ A
rs1255704741 129529850 G / A rs1052570874 129533028 G
/ A
rs1360952243 129529861 G / T rs1197107837 129533029 G/ C
rs1018176602 129529867 C/A rs1000532131 129533034 G
/ A
rs1246288861 129529874 G / A rs901802259 129533035 C/A
rs951094548 129529875 G / C rs1228269550 129533042 C
/ G
rs964339101 129529876 A / T rs1208869736 129533047 A
/ C / G
rs1228399737 129529881 G / A rs531346738 129533054 G
/ A
rs1290534863 129529882 C / T rs1281367465 129533060 C
/ T
rs1011244966 129529895 A / G rs1447671364 129533069 AGTC / -rs1338799697 129529896 G / C rs1376394230 129533071 T
/ A
rs1396756083 129529902 A / G rs1329636114 129533072 C/G
rs1401810723 129529906 C / T rs933344851 129533077 G/A
rs1301998520 129529912 G/ A rs2855557 129533079 A /
G / T
rs1357015222 129529914 T / A rs889390884 129533080 C
/ T
rs1464333732 129529919 T/ A rs1185001327 129533082 C/T
rs551679853 129529929 T / A rs1368866095 129533085 G
/ T
rs1242472306 129529933 T / - rs1159773161 129533086 T/C
rs967085224 129529939 G / A rs1006504273 129533087 C
/ T
rs1448847236 129529943 C / G rs1037862444 129533088 G
/ A
rs1387723724 129529952 A / G rs1176459492 129533098 T
/ C
rs917581758 129529953 C / T rs958988786 129533102 C
/ T
rs1184673598 129529954 G / A rs565597965 129533105 G
/ A
rs1255073902 129529965 C/A rs1247665295 129533108 T
/ A
rs949072687 129529966 C / T rs1387127393 129533111 A
/G
rs750219764 129529979 G / C rs1457701979 129533113 A
/G
rs924083862 129529982 G / C rs984749754 129533115 A
/ G
rs768195502 129529984 C / G / T rs1240955090 129533125 G
/ A
rs1164482260 129529985 G / A rs1353148402 129533127 A/C
rs1275873599 129529990 G / T rs191009602 129533131 A
/ T
rs992766298 129529992 G / C rs1307277111 129533131 A
/ -rs992480823 129529996 A/C rs1387966572 129533133 A/G
rs571636757 129529998 C / T rs909234511 129533134 A/C
rs916832235 129529999 G / C rs1236776120 129533136 G
/ T
rs534820968 129530003 G / A rs898032106 129533144 C
/ T
rs1340002495 129530004 CCA / - rs993652617 129533158 G
/ A

rs1310803766 129530007 C/A rs1035450700 129533165 G/ A
rs936492822 129530008 A / G rs548091071 129533172 C
/ T
rs1054009367 129530010 G / A rs566301956 129533173 G
/ A
rs192461600 129530011 C / A / T rs1348020029 129533174 G/ A
rs1368664660 129530012 G/ A rs1300033375 129533179 G/T
rs1164441983 129530018 -/T rs1341450163 129533183 C
/ T
rs568169643 129530025 CIA rs1379174415 129533186 C/T
rs1472823133 129530031 C / T rs1012602093 129533187 G/ A
rs1367455258 129530039 C / T rs1282771985 129533191 G/A
rs1184946002 129530041 C / T rs1331895333 129533197 C
/ T
rs1473377384 129530044 TIC rs752248867 129533198 A
/ T
rs1360638002 129530049 A / G rs1190941811 129533206 A
/G
rs535230697 129530055 C / T rs182735834 129533210 A/C
rs1181951167 129530057 G/C rs187430296 129533225 C
/ T
rs1482334501 129530059 C / T rs978681828 129533229 G/ T
rs1292625061 129530060 T / G rs1463131161 129533230 C
/ T
rs1041822252 129530062 G/ A rs1205184873 129533232 A
/ G
rs1287584881 129530066 C / T rs1438208750 129533250 C
/ T
rs1263815511 129530069 T/G rs1256356401 129533252 TIC
rs1241377560 129530076 G/ A rs1050253507 129533256 CIA
rs2855552 129530082 T / G rs1185233895 129533259 G/ T
rs1288703258 129530083 C / G / T rs1284011618 129533265 T/ A
rs1348452172 129530084 T / G rs1365291770 129533266 TIC
rs575196456 129530087 C / T rs1236711758 129533271 C
/ T
rs1452647950 129530094 TIC rs1312974008 129533273 C
/ T
rs1018501151 129530101 TIC rs538825293 129533281 TIC
rs1047117281 129530105 TIC rs74435833 129533283 G/
A .. / T
rs1160956574 129530106 G/ A rs1279954881 129533291 A
/ G
rs538999065 129530113 A / G rs1400546315 129533297 A
/ G
rs558037874 129530127 C / T rs1359309784 129533300 A
/ G
rs1008053580 129530147 GI- rs537065273 129533303 G/ T
rs1039984223 129530161 C / T rs1467166302 129533306 G/ A
rs1027145519 129530162 G / A rs1359374123 129533310 G
/ A
rs1200179703 129530167 GTT/- rs988597337 129533311 G/ A
rs1213585726 129530168 TIC rs1411362216 129533320 C
/ T
rs573163746 129530169 T / G rs1431743805 129533323 A
/ G
rs982527490 129530173 C / T rs923393987 129533325 C
/ G / T
rs1210704588 129530174 TIC rs933295383 129533329 T
/ A
rs146389280 129530178 C / T rs1455647531 129533332 A/G
rs73863103 129530180 G/A/C rs1009251610 129533335 A
/ G
rs1226864693 129530183 TIC rs558503555 129533336 C
/ T

rs1326800808 129530201 TIC rs1261718625 129533342 A
/ T
rs1242592588 129530216 TIC rs1213072953 129533356 A/C
rs1276412304 129530231 A / G rs1483659732 129533358 C
/ T
rs1437027442 129530235 T / G rs1050400032 129533359 C
/ G
rs1330485529 129530236 G / A rs910586928 129533374 G
/ A
rs1471957665 129530238 TTGA / - rs906286941 129533380 T
/ G
rs1021271948 129530242 T/ A rs1304820785 129533388 C
/ G / T
rs1409206433 129530254 C / G rs116351742 129533390 C/A/G/T
rs1400451879 129530260 T / G rs1397252875 129533391 G
/ A
rs980862798 129530262 C / T rs867577959 129533405 C
/ T
rs1157595571 129530265 A/ G rs1301829625 129533409 G
/ A
rs2855553 129530268 G / A rs1254209060 129533416 G
/ A
rs1455365585 129530276 TIC rs748989122 129533423 G
/ A
rs1427627078 129530277 G / T rs1395665289 129533428 TIC
rs926330760 129530278 G / A rs772528490 129533429 C
/ G
rs936569686 129530283 G / A / T rs993692054 129533430 T
/ A
rs574163826 129530290 G / A rs1352666271 129533440 G
/ A
rs1376454149 129530293 C / T rs1465469785 129533442 G
/ A
rs139374423 129530294 A / G rs1229581864 129533443 C
/ G
rs913734629 129530296 A / G rs1422105627 129533444 G
/ A
rs1247554748 129530298 G / A rs2625964 129533463 T /
A
rs945214053 129530301 TIC rs1057258150 129533466 A
/ G
rs544423048 129530309 A / G rs962326560 129533491 G
/ A
rs1206997948 129530311 CIA rs895547273 129533492 C
/ T
rs1444350185 129530317 CTT / - rs538581410 129533493 G
/ A
rs1280428587 129530318 TIC rs1180299189 129533497 G
/ A
rs1219612108 129530319 TIC rs1481757170 129533498 A
/G
rs1379898909 129530326 C / T rs1022578791 129533501 C
/ T
rs1344102691 129530327 C / T rs780494657 129533502 G
/ A / T
rs562999077 129530343 G / A rs746121931 129533504 G
/ C
rs1443986428 129530351 C / G rs553775083 129533513 A
/ G
rs1230611312 129530356 TIC rs572252938 129533521 A
/ G
rs1365270538 129530359 C / T rs1256072074 129533526 G
/ A
rs1319315167 129530360 TIC rs1000029963 129533528 C
/ T
rs1432353191 129530361 C / G rs569161209 129533533 C
/ T
rs891224636 129530365 G / A rs561052129 129533534 G
/ A
rs992298293 129530368 G / A rs1252428841 129533546 C
/ T
rs533370883 129530371 G / A rs747418983 129533547 G
/ A / C
rs551759609 129530375 C / G rs1054086365 129533552 A
/ G
rs1171019870 129530376 C/A rs778587340 129533558 A/C
rs944030796 129530380 TIC rs775579127 129533559 AGCAC
ACTGT GGGC

/ -rs969581772 129530384 C / G / T rs747582133 129533563 C
/ T
rs1186791085 129530385 G / A rs1443931644 129533565 C
/ T
rs980808987 129530387 GTTAT TTCAT rs771682972 129533567 G /
A
TTC CC / -rs1221785801 129530390 A / G rs781539793 129533568 T
/ C
rs1285128834 129530395 A / G rs746332355 129533570 G
/ A
rs1040092068 129530401 C / T rs1264004508 129533575 C
/ G
rs1209735595 129530402 G / A rs954807098 129533577 C
/ T
rs1441632815 129530404 G/ A rs1358934207 129533578 T
/ C / G
rs564388429 129530409 G / C rs770432635 129533580 G
/ C
rs774967666 129530419 A / G rs755540170 129533581 C
/ T
rs912645736 129530423 A / G rs775945120 129533582 C/A
rs1202926964 129530427 C/A rs763455152 129533583 C
/ G
rs779747890 129530437 G / A rs2071092 129533585 G /
A
rs996155575 129530443 A / G rs774698907 129533587 C
/ T
rs1212313979 129530457 C / T rs761784827 129533593 C
/ G
rs1262644778 129530464 A / G rs767573351 129533594 C
/ T
rs1380772693 129530471 A/C rs750473517 129533598 T
/ C
rs1440728660 129530474 T / C rs374334512 129533599 G
/ C
rs1284392006 129530478 C / T rs543521798 129533602 T
/ C
rs200054443 129530483 CATTAGGAIG rs1399079770 129533604 C / I
/ -rs1027281365 129530488 G/ A rs766326902 129533611 C
/ T
rs1373966487 129530505 A/C rs753609310 129533612 G
/ A / T
rs944123514 129530506 AACAC rs1064793749 129533617 T
/ -ACACAC
ACACA
CACAC
ACACA C / -rs1310245123 129530506 - / AC / ACAC / rs1396630102 ACACAC /
ACACA CAC
rs146327704 129530507 AC / - rs754809715 129533619 C
/ G / T
rs762150760 129530507 ACAC / - rs778536018 129533621 T
/ A
rs1181480449 129530507 ACACAC / - rs752455127 129533623 C
/ G
rs1471943001 129530507 ACACA rs1239004607 129533625 C
/ T
CACAC AC / -rs1255058178 129530508 CIA rs138831590 129533630 C
/A /T
rs1039506093 129530509 A/C rs777274073 129533632 A
/ C / G
rs761682198 129530509 AC / - rs1316267671 129533633 T/A
rs1469959658 129530511 ACACA rs1200800092 129533636 G
/ A
CACAC
ACACA

CACAC ACA /
rs1273801833 129530516 -/A rs1251916916 129533639 G/A
rs1202404945 129530522 C / - rs142771862 129533640 C
/ T
rs1322995057 129530522 - / ACA rs756663175 129533641 G
/ A
CACAC A
rs1289987340 129530523 ACACA rs780743370 129533642 G
/ C
CACAC A / -rs1180546861 129530523 - / CC rs1264835715 129533648 A
/ G
rs1227317514 129530524 Cl- rs527236102 129533648 ACCC / -rs1431900174 129530524 - / A / AC rs749663446 129533650 C
/ G
ACACA
rs1481072835 129530526 Cl- rs1476179838 129533652 A
/ C / T
rs1176304531 129530526 - / A / AC A / rs368995053 ACA CA
rs1182924383 129530528 C/- rs1422707451 129533655 G
/ C
rs1350488300 129530528 CAC / - rs548113513 129533661 C
/ T
rs899681814 129530528 CACAC AAC / rs200095648 129533662 G /
A / C
rs1403779259 129530528 CACAC rs1373092759 129533663 A
/ G
AACAC / -rs1399464043 129530528 - / A / ACA rs773295145 129533666 A / T
rs1411113214 129530530 C/- rs1300633110 129533668 G
/ A
rs1250888081 129530530 - / A rs760792843 129533669 C
/ T
rs1175399101 129530531 ACA/- rs766275471 129533679 C
/ T
rs60744548 129530531 - / A rs201989308 129533680 G
/ A / C
rs370601606 129530532 C/A rs759316820 129533681 TIC
rs773127460 129530532 CAAC / - rs144211117 129533685 C/A /T
rs1246741626 129530532 CAAC AC / - rs148748781 129533690 C / T
rs750974086 129530532 CAACA CAC / rs559747229 129533691 G /
A / C
rs1220213959 129530532 CAACA rs142322202 129533692 G
/ A
CACAC / -rs1332092021 129530532 CAACA rs183318466 129533696 C/A /T
CACAC ACAC
/ -rs1228696723 129530532 - / AA rs1200695176 129533697 G
/ A
rs138115019 129530533 A/C rs1486594657 129533700 C
/ G
rs766932095 129530533 A / - rs104893778 129533701 C
/ T
rs1305320311 129530533 AACA / - rs749753555 129533703 G
/ A / C
rs60120581 129530533 - / AC / A CAC / rs104893795 A CACAC /
ACAC ACAC /
ACACA
CACAC /
ACACAC

ACACAC / A
CACAC
ACACAC AC!
AC ACACAC
ACACA CAC /
ACACA
CACAC
ACACA CAC!
ACACA
CACAC
ACACA
CACAC!
ACACA
CACAC
ACACA CACA
CAC / ACACA
CACAC
ACACA
CACAC ACAC
/ C / CAAAAC /
CAAC /
CAACAC /
CAACA CAC!
CAACA
CACAC!
CAACA
CACACAC /
CAACA
CACACA CAC
/ CAC!
CACAAC /
CACAA
rs867450441 129530534 A/C rs29001637 129533710 C /
T
rs1259209102 129530534 AC / - rs29001566 129533711 C/A/G/T
rs1446254145 129530534 ACAC / - rs779296525 129533712 G
/ A
rs1483781822 129530534 ACACAC / - rs1187838977 129533714 C/A
rs1255832125 129530534 ACACA CAC / rs867005068 129533722 C /
T
rs1209285268 129530534 ACACA rs748483575 129533724 G
/ A
CACAC / -rs1344976756 129530534 ACACA rs1286150902 129533725 C
/ T
CACAC AC! -rs1298358258 129530534 ACACA rs1215381293 129533731 A
/ T
CACACA
CACAC / -rs1004394301 129530535 CIA rs1432291926 129533733 T/C/G
rs1011477724 129530535 C/- rs747215789 129533735 TG
/ -rs1396884956 129530535 -/A rs1234400824 129533739 G
/ A
rs1329123541 129530537 C/- rs772316842 129533741 C
/ T

rs1353498371 129530544 A/C rs1435838714 129533742 G
/ A
rs1439550769 129530545 - / AA rs773347364 129533744 C
/ T
rs1379548548 129530548 - / CACACA rs1402429783 129533745 T / G
CACAACC
rs1024704718 129530549 C/A rs962322955 129533746 A
/ G
rs570795323 129530549 - / AA / ACAA / rs1297633277 ACACAA /
ACACA
CACACA
CACACAA
rs1169200718 129530552 A / G rs548460589 129533750 G
/ A / C
rs1461018190 129530555 C/A rs113310993 129533751 C
/ T
rs1370910820 129530559 C / T rs759406692 129533752 G
/ A
rs1189174445 129530565 C/A rs1426158544 129533754 C/T
rs970863466 129530567 C/A rs1367145272 129533756 C
/ G
rs1257173881 129530567 - / ACAA rs886057968 129533758 C
/ T
rs866387343 129530569 A/C rs375306799 129533759 A
/ C / G
rs1222852881 129530570 A/C rs2071093 129533761 C/A/T
rs1033753020 129530580 C/T rs1348719352 129533767 C/T
rs957767431 129530581 G / A rs763794994 129533768 A/C
rs903131767 129530583 G / A rs751311620 129533769 C/A
rs1216344354 129530586 C/T rs1355119221 129533772 T/C/G
rs1205155690 129530590 G / - rs986177595 129533776 C
/ G
rs998517009 129530593 C/A rs552237368 129533786 C
/ T
rs1267314379 129530600 G / C rs369102407 129533804 C/T
rs989317594 129530602 C/T rs1310287805 129533805 G
/ A
rs1245706191 129530603 C / G rs1191655979 129533806 C/T
rs1321379369 129530606 C/T rs1268188022 129533807 C/A
rs1273792671 129530607 TI- rs963347381 129533810 T
/ C
rs377157554 129530612 T / C rs973381824 129533815 A/C
rs77154523 129530616 T / C rs76288565 129533821 C/A/G/T
rs1203244525 129530617 C/T rs534695614 129533822 G
/ A / C
rs1271560435 129530623 C/T rs376184299 129533828 A
/ G
rs1308560636 129530627 A / G rs989333591 129533829 C/T
rs1390809098 1295306281/C rs913808639 129533830 A
/ G / I
rs1393623254 129530636 G / A rs886057969 129533833 G
/ A
rs767654426 129530639 C / T rs1278192906 129533833 G
/ -rs1490601539 129530640 G / A rs1342358879 129533834 G/A
rs1416686900 129530649 A / G rs917384196 129533836 T
/ G
rs752830466 129530654 T / C rs1168397592 129533841 A
/ -rs1199366735 129530659 C/T rs948896484 129533842 A
/ T
rs546852513 129530666 C / G rs927658993 129533842 AT / -rs1473773483 129530681 C / G rs1491118185 129533842 -/T
rs1253057494 129530686 - / CTCC rs1402264965 129533843 T
/ -rs1181644601 129530694 G / T rs1363313275 129533843 TT / -rs1013090672 129530695 C / G / T rs1192866487 129533843 TTT / -rs969508648 129530696 G / A rs1474100936 129533856 TIC
rs1168047248 129530697 T / A rs796247959 129533857 TT
/ -rs867279546 129530698 G / T rs796098464 129533858 T
/ -rs1271477680 129530703 C / T rs1238730903 129533858 T
/ A
rs1230542126 129530705 C / T rs1187750228 129533859 A
/ -rs974240725 129530709 -IC rs1369075898 129533859 A
/ T
rs1418157003 129530710 C / T rs62267563 129533861 G /
T
rs1238160463 129530712 C / T rs1240931894 129533879 C
/ T
rs911753205 129530716 C / T rs554039303 129533884 C
/ T
rs1027184412 129530718 C / G rs1200908059 129533893 G
/ C
rs751084368 129530721 TIC rs1294586919 129533897 G
/ T
rs1386815018 129530722 C / T rs1389388209 129533902 A/C
rs944108470 129530724 T / A rs112963101 129533914 C
/ T
rs1039824365 129530725 C / G rs1044096166 129533916 C
/ G
rs899831224 129530727 C / G / T rs1384504293 129533921 ACCT / -rs1413069583 129530743 C / T rs202215179 129533923 C
/ T
rs1158379876 129530748 C / T rs386665775 129533923 CTACT / TG
rs1365999819 129530754 G/ A rs935776976 129533927 TIC
rs1469007434 129530766 CIA rs1365555627 129533927 -/ G
rs568202024 129530769 TIC rs536467893 129533931 C
/ T
rs1321522954 129530773 CIA rs1227169787 129533932 TIC
rs1200252369 129530777 T / G rs886057970 129533942 C
/ T
rs1328189703 129530793 A / G rs773291833 129533943 G
/ A
rs1048645997 129530795 CIA rs891491842 129533946 C
/ G
rs1251285870 129530798 C / T rs2410 129533950 A /
G
rs1210762726 129530799 C / T rs766225946 129533958 C
/ T
rs756285704 129530802 C / T rs1029997992 129533959 G
/ A
rs1004490446 129530807 TIC rs1400759640 129533960 G
/ A
rs1284647593 129530809 TIC rs562985533 129533970 CIA
rs1025132463 129530811 T/ A rs1169819656 129533975 C
/T
rs912562061 129530812 - / G rs759322778 129533994 C
/ A / T
rs1204307378 129530813 GI- rs1006762563 129534002 C
/ T
rs764208456 129530814 G / C / T rs1487459358 129534003 G
/ A
rs535635302 129530815 G / T rs1037912093 129534006 G
/ T
rs921374781 129530818 G/A/T rs1006744824 129534018 C
/ T
rs947191845 129530821 T / G rs1211979809 129534020 G
/ C
rs1400408135 129530822 G / T rs1382991179 129534026 G
/ A

rs1342079756 129530829 Cl- rs55941599 129534031 C/T
rs375593312 129530840 G / A rs1458449459 129534037 TIC
rs553392884 129530841 G / T rs963441852 129534041 G
/ A
rs1297666027 129530842 G / A rs1237976705 129534046 G
/ A
rs1262343887 129530843 G / T rs973516304 129534056 C
/ T
rs113823926 129530844 TIC rs1202986126 129534063 G
/ A
rs780707497 129530848 TI- rs1450380650 129534065 G
/ T
rs778533886 129530851 T / C rs1291281286 129534075 G
/ C
rs747855401 129530853 A / T rs1227793264 129534076 G
/ A
rs369893168 129530855 C/T rs1357452660 129534083 A
/ G
rs772533932 129530857 C / G / T rs545193682 129534085 A/C
rs746563423 129530859 T / G rs1026310752 129534090 C
/ G
rs1454233776 129530864 A/C rs1311669495 129534108 G/T
rs957907715 129530865 C/T rs1241182098 129534123 T
/ C
rs568571580 129530866 T / C rs1377314852 129534133 G
/ C
rs776101913 129530867 G / A rs188052820 129534143 A
/ G
rs763402049 129530868 C/A rs993793446 129534154 C/A
rs764607760 129530873 C/T rs886057971 129534158 C
/ G / T
rs774865494 129530878 G / A rs145921862 129534159 G/A
rs762059468 129530879 A / G rs1166122252 129534169 C/T
rs895489077 129530885 C/T rs1404175084 129534171 A
/ G
rs1384283117 129530886 C/T rs1382867094 129534172 C/T
rs1399039412 129530888 T / C rs148165044 129534185 A
/ G
rs146311684 129530895 C/G/T rs1439951941 129534187 T
/ C
rs747643955 129530895 CT / - rs1269556656 129534187 TGATAT
GGAGC AGT /
rs1246476415 129530904 C/T rs954668655 129534191 A
/ G
rs1553781140 129530906 NA rs948866852 129534192 T
/ C
rs1022655604 129530910 C/A rs1456836682 129534193 G
/ A
rs372812523 129530913 C / A / T rs540632143 129534195 A
/ T
rs766196737 129530914 G / A rs1017665289 129534202 G/ A
rs104893775 129530917 C/T rs78163008 129534206 T
/ C
rs104893774 129530918 G/A/T rs1433947193 129534214 C/A
rs886041233 129530918 GG / TT rs1318045824 129534218 G
/ A
rs1057522760 129530919 G / A / T rs989713390 129534220 C/T
rs200248198 129530922 C / A / T rs1020816340 129534227 T
/ C
rs778626065 129530923 G / A rs1489867195 129534231 CTC / -rs1213823882 129530928 G / C rs1288292362 129534241 A
/ G
rs752496804 129530942 T / A / G rs935745844 129534258 C
/ G
rs1488892105 129530946 C/T rs369408405 129534260 G
/ T
rs1222453447 129530950 T / A rs912859855 129534264 C/T

rs1269229442 129530952 CIA rs1353232788 129534268 C/T
rs200165530 129530953 C / T rs933661466 129534269 G
/ A
rs746468201 129530954 G / A rs1311742715 129534270 A
/G
rs1342580020 129530955 C / T rs1369471699 129534273 C/T
rs139502149 129530958 C/T rs1275311432 129534274 G/A
rs780408367 129530959 G / A rs1404280839 129534277 G
/ A
rs931275670 129530960 G / A rs1363120335 129534278 C/A
rs1297879534 129530961 G / A rs1299462326 129534280 A/C
rs104893791 129530962 G / A / C rs1050996886 129534285 G
/ A
rs1171093745 129530964 G/C rs1344221731 129534290 C/T
rs1381050525 129530966 A / G rs1156571156 129534292 A/G
rs1420195862 129530968 C/T rs927899533 129534296 G
/ A
rs1433023778 129530971 G / A rs889686368 129534297 A
/ G
rs1418964117 129530972 C/T rs1230131282 129534298 -/ GT
rs1302502291 129530973 C / G rs1006838285 129534303 G
/ T
rs774816413 129530977 A / G rs1479726854 129534313 A
/ G
rs762290223 129530978 T / C rs990449127 129534314 TG
/ -rs557301477 129530981 G/A/C/T rs755654296 129534315 G
/ C
rs760667657 129530982 C/T rs558624347 129534329 A
/ -rs200207070 129530983 G / A rs1038200438 129534334 G
/ C
rs144339478 129530993 C/T rs898370434 129534344 A
/ G
rs151063543 129530994 C/A rs1259117244 129534348 G
/ A
rs869320618 129530996 G / A rs886057972 129534351 G
/ A
rs759406789 129530997 G / C rs1313687544 129534353 A
/ T
rs745759264 129530998 G / C rs1279103243 129534354 C
/ G
rs765193154 129531000 C/G/T rs1465369340 129534356 G
/ A
rs556019320 129531003 G / A rs909632533 129534358 T
/ C
rs104893793 129531005 C / A / T rs886057973 129534363 G
/ C
rs1046717534 129531006 G / A rs1280078792 129534366 A
/ G
rs1351316742 129531008 T/C rs1400072056 129534367 A
/ G
rs777283396 129531009 G / T rs1360660046 129534369 G
/ A
rs1255285319 129531014 GCGCC / - rs763728621 129534376 A
/ G
rs751280060 129531015 C/T rs1286711401 129534383 C/T
rs574202023 129531016 G / A rs1449821629 129534387 T
/ A
rs780682812 129531018 C/T rs1359424642 129534397 A
/ G
rs377687329 129531019 G / A rs747159750 129534405 A
/ -rs1553781176 129531023 NA rs1208347093 129534408 A
/ G
rs104893794 129531025 C/T rs1240512478 129534411 A
/ T
rs769236224 129531028 C / T rs1468624776 129534420 T
/ A
rs779609930 129531030 C/T rs941152137 129534426 TIC
rs139731264 129531031 G/A rs531691276 129534433 C/T

rs1461270517 129531032 C/A rs1182873038 129534439 G
/ C
rs149722668 129531033 C / T rs1427934792 129534440 A/C
rs527236103 129531034 G / A rs868784437 129534443 T
/ C
rs760894205 129531038 G / T rs1026823657 129534453 A
/ G
rs562853201 129531042 C / T rs898016351 129534455 A
/ -rs776654836 129531044 G / A rs753496233 129534459 T
/ C
rs1354028828 129531048 A/C rs1014689707 129534463 G
/ A / T
rs759637818 129531049 T / C rs1202779984 129534469 C
/ T
rs765139791 129531053 A/C rs1474540077 129534477 T
/ C
rs1310373565 129531054 C / T rs1321237779 129534478 G
/ T
rs1324015340 129531058 G / A rs1259833253 129534479 G
/ A
rs752695098 129531061 G / A rs1024333938 129534482 C/A
rs375044079 129531064 G / A rs1219183346 129534497 T/ A
rs1316474875 129531066 G / A rs1306377685 129534500 C
/ G
rs763887860 129531069 G / A rs1292787618 129534501 T
/ A
rs1407241381 129531070 A / G rs1161955182 129534506 A/T
rs374788784 129531072 G / A rs1397321795 129534512 G
/ C
rs556049666 129531073 C / T rs1412073721 129534515 A/C
rs751312906 129531074 T / C rs1456194676 129534521 G
/ -rs895760966 129531075 C / T rs1379431095 129534524 C
/ T
rs545440059 129531076 C / G / T rs1156301240 129534525 T
/ C
rs749929388 129531077 G / A / C rs1051986521 129534527 G
/ A
rs779560689 129531078 G / C rs970272260 129534538 G
/ A
rs1372241746 129531081 G/A rs1360610364 129534543 C
/ T
rs748723598 129531082 C / T rs890717725 129534548 A
/ G
rs1463878766 129531084 C / G rs886057974 129534556 A
/ T
rs964869603 129531088 G / A rs1371889254 129534557 G
/ A
rs1480922923 129531110 -IA rs1007523809 129534558 G
/ A
rs974618733 129531115 C/A rs1424527733 129534564 A
/ G
rs1044079158 129531117 A / G rs2625969 129534566 A
/ G
rs776124711 129531118 G/ A rs1384837365 129534568 T
/ A
rs781681710 129531121 G/T rs1017653970 129534572 G
/ A
rs560500100 129531123 G / A rs1459764142 129534580 A
/ G
rs921326502 129531125 C/A rs1239814998 129534582 C/A
rs1273393381 129531126 T / C rs893871699 129534584 G
/ A
rs1232361259 129531139 T / C rs1011016953 129534585 A/G/T
rs1333073685 129531148 A / G rs1021477770 129534598 G
/ -rs751167062 129531159 C / - rs1321799497 129534600 G
/ A
rs1290603751 129531159 C/A rs980356319 129534601 G
/ A / T
rs1224783217 129531160 C / T rs1379524731 129534603 A/C
rs184850373 129531165 T / A rs886057975 129534605 G
/ C

rs1337907729 129531166 G/ A rs1310410853 129534606 G/ A
rs984237144 129531176 G/ C rs1376639826 129534608 G/ A
rs994553550 129531179 A / G / T rs926123122 129534610 C
/ T
rs1288103396 129531181 G/ A rs1288827122 129534611 G/A/C
rs908539146 129531183 G/ T rs1458412420 129534612 G/ T
rs940006295 129531191 C / T rs981919115 129534614 G/A
rs35822883 129531192 A / G rs756986191 129534618 G/
A
rs1460444620 129531203 C / G rs1329945487 129534629 A/C
rs1419551493 129531207 C / T rs2855558 129534630 A /
G
rs1407137682 129531220 A/C rs959322448 129534631 T
/ A / C
rs189786911 129531224 G/ A rs1182244003 129534636 G/ T
rs1020274333 129531229 G/ A rs548089979 129534641 A
/ C /G
rs1253095866 129531233 C / G rs60645924 129534643 T /
C
rs1212604913 129531242 G/ T rs933776948 129534659 C
/ T
rs1466882199 129531244 G/ T rs529674071 129534666 T
/ C
rs1270355603 129531245 C / T rs918343259 129534672 G/
T
rs1216921404 129531246 C / T rs368910470 129534677 A
/ G
rs1316735386 129531251 G/ T rs929455758 129534679 G/
A
rs938152581 129531264 C / T rs1051933883 129534683 C
/ T
rs1221492219 129531269 C / T rs886057976 129534688 C
/ T
rs1371749392 129531271 T / C rs942590356 129534689 T
/ C
rs143977825 129531273 C / T rs141951118 129534691 C/T
rs1438934322 129531274 - / A rs1253242607 129534694 T
/ -rs1055281862 129531278 C/G/T rs943633700 129534696 C
/ T
rs1454094767 129531284 C / T rs369445725 129534700 A
/ G
rs1028332793 129531290 C / T rs1039036712 129534700 -/ T
rs148627764 129531292 G/ C rs570565774 129534703 T
/ C
rs568632402 129531295 C / T rs1156347795 129534704 G/ A
rs978856569 129531300 A / G rs1158219076 129534705 G/ A
rs866616372 129531301 A / G rs528482125 129534709 A
/ G
rs1010603965 129531307 A/C rs1452714353 129534726 IC / -rs1042159674 129531308 A / G rs751475771 129534726 TCTC / -rs924712150 129531316 A / G rs1200863832 129534734 C/A
rs539172762 129531319 C / T rs1480704342 129534735 C
/ T
rs551043575 129531320 G/ A rs994419734 129534752 T
/ G
rs1186809728 129531333 C / T rs1047784296 129534753 C
/ G
rs1485740219 129531335 C / T rs1489022460 129534754 T
/ C
rs1259352458 129531340 G/ A rs1414709663 129534759 C
/ G
rs1212780835 129531342 - / T rs886505372 129534761 C
/ G
rs1177039502 129531343 T / A rs1014370009 129534768 C
/ G
rs1406966931 129531346 T / C rs748689832 129534771 G/
T

rs1279641372 129531351 C /A /T rs1348918732 129534775 C
/ G
rs1232154332 129531351 - / G rs1258164184 129534777 A/C
rs1285674805 129531352 G / - rs551828590 129534795 C/A/G/T
rs1381874878 129531352 G/A rs970072766 129534799 TIC
rs566173741 129531353 G/A rs1001703259 129534807 A
/ G
rs1360930042 129531354 G/ C rs1341225551 129534811 TIC
rs992708114 129531355 G/ T rs1003329675 129534812 C
/ G / T
rs1465553433 129531356 G/A rs192710452 129534814 C
/ T
rs917150600 129531363 C / T rs959269065 129534816 C
/ T
rs1375966150 129531370 C / T rs3733148 129534817 G/A/T
rs948667607 129531387 A / G rs989406033 129534827 A
/ G
rs1008527089 129531388 G/A rs913426403 129534830 T
/ A / C
rs1320828933 129531398 CAC / - rs1191972988 129534834 A/ T
rs1044005909 129531402 T / C rs772137360 129534844 C
/ G
rs1398986167 129531403 TCC / - rs1369756734 129534846 G
/ C
rs1019250947 129531404 C / T rs962375748 129534854 C
/ T
rs920274594 129531409 T / C rs972816716 129534859 T
/ -rs964678553 129531411 C / G rs886057977 129534862 C
/ T
rs1183990031 129531413 G/ T rs918301481 129534863 G/A/T
rs562439338 129531421 TI- rs1207825783 129534878 AA / -rs1257395589 129531432 C / T rs987627051 129534880 A
/ G
rs6803468 129531436 G/ T rs1275763569 129534886 G/ C
rs555790621 129531441 G/ T rs569761830 129534897 T
/ A / C
rs951896447 129531445 C/A rs1180229643 129534901 C/A
rs73204247 129531451 C / T rs763538125 129534909 C
/ A / T
rs572406990 129531462 C / T rs1453013711 129534912 T
/ C
rs1311107090 129531463 G/A rs35649104 129534912 - /
G
rs556769049 129531465 T / C rs538744995 129534918 T
/ C
rs1315161368 129531472 C / T rs3733149 129534926 G/ A
/ C
rs997111072 129531477 G/A rs1420184640 129534931 C
/ T
rs6803484 129531483 G/A rs946701532 129534940 -/ T
rs1312180049 129531484 A / G rs1474181983 129534946 C/T
rs968685580 129531485 G / A / C rs1392939922 129534952 A
/ G
rs1397930176 129531486 A / G rs1042822020 129534953 G/A
rs77530178 129531487 T/A/C rs1461112461 129534959 C
/ -rs1203954886 129531490 G/A rs1450936021 129534960 C
/ T
rs2855556 129531493 A / T rs1200962380 129534967 C
/ T
rs1032164151 129531516 A / G rs774496991 129534973 T
/ C
rs554303709 129531518 T / C rs1272994648 129534974 -/ G
rs144222821 129531520 G/A rs1369690965 129534976 C
/ T
rs542966841 129531522 A / T rs973956027 129534978 A/C

rs917097122 129531524 TIC rs1003611523 129534986 C
/ T
rs764277444 129531529 A / G rs919859410 129534989 C
/ T
rs915408640 129531538 C / G rs113312341 129534996 G
/ T
rs946889355 129531549 CIA rs1047324551 129535012 A
/G
rs879648140 129531554 C/A rs1245547481 129535021 A
/G
rs920536110 129531555 C / T rs1012047887 129535022 CIA
rs147761866 129531556 C /T rs1381715030 129535022 C
/ -rs1335170531 129531565 C / T rs1016815544 129535032 G/A
rs1431359617 129531575 C /T rs1355038365 129535050 C
/ G
rs1231341641 129531580 C /G rs962948896 129535061 C
/ G / T
rs902287169 129531582 C / T rs112302797 129535065 C
/ T
rs529156413 129531587 C / T rs1163781599 129535067 C/G/T
rs944350253 129531588 C / T rs1383053992 129535068 T/G
rs772222838 129531594 C / T rs754349343 129535080 G
/ A
rs1337492670 129531601 G/ T rs950177366 129535092 G/
A
rs1174134742 129531602 T/A rs1025763585 129535109 C
/ T
rs930299608 129531608 T / C rs1232742504 129535128 C
/ G
rs1393777151 129531627 C /T rs955092673 129535131 A
/ G
rs544155208 129531637 T / C rs1274334066 129535134 G
/ T
rs1374834362 129531645 -IC rs1453347943 129535149 C
/ T
rs1327488625 129531648 C / G rs558693495 129535158 T
/ A
rs1040022905 129531654 A / G rs552362456 129535173 NA
rs1462732242 129531659 T / C rs576980794 129535317 NA
rs187923166 129535319 NA
1001601 In some embodiments, target sequences of RHO
oligonucleotides comprise a SNP. In some embodiments, base sequences of RHO oligonucleotides are identical or complementary (e.g., with no more than 1, 2, or 3 differences/mismatches, and often with no differences/mismatches when aligned) to base sequences comprising SNPs. In some embodiments, as demonstrated herein, compositions of the present disclosure can selectively reduce levels, activities, etc. of transcripts of alleles associated with various conditions, disorders or diseases (in many instances, SNP alleles on the same chromosome as elements associated with conditions, disorders or diseases (e.g., SNPs, mutations, other sequence varations, etc. associated with conditions, disorders or diseases (e.g., P23H)) and/or products encoded (e.g., proteins) thereby compared to transcripts of alleles less or not associated with various conditions, disorders or diseases (e.g., a wild-type allele) and/or products encoded thereby.
1001611 In some embodiments, provided technologies can modulate one or more of RHO functions, e.g., through modulating expression, level and/or activity of a RHO transcript or a product thereof. In some embodiments, a RHO oligonucleotide is capable of decreasing the expression, level and/or activity of a RHO transcript or a gene product thereof, wherein an activity is an ability of RHO to perform any known function, including but not limited to those described herein or known in the art.
1001621 Without wishing to be bound by any particular theory, the present disclosure notes that wild-type RHO may have at least one function which is not yet reported in the scientific literature.
1001631 In some embodiments, a RHO oligonucleotide is capable of decreasing the expression, level and/or activity of RHO, wherein an activity of RHO is a reported function of RHO.
1001641 RHO is reportedly expressed in several tissues including the retina and other tissues. In some embodiments, the present disclosure pertains to the use of a RHO
oligonucleotide to decrease the expression, level and/or activity of a RHO gene or a gene product thereof in any of these tissues, or in a cell derived from any of these tissues.
1001651 RHO is reportedly distributed in various tissues, icnluding but not limited to: Blood; Whole Blood; Monocytes; Myeloid; NK Cells; T cells; Dentritic Cells; B Cells; B
lymphoblasts; Endothelial;
Cerebellum Peduncles; Cerebellum; Globus Pallidus Pons; Subthalamic Nucleus;
Temporal Lobe;
Occipital Lobe; Cingulate Cortex; Medulla Oblongata; Parietal lobe; Caudate nucleus; Thalamus; Fetal brain; Hypothalamus; Spinal cord; Prefrontal Cortex; Amygdala; brain; Whole brain; Skeletal Muscle;
Tongue; Superior Cervical Ganglion; Trigeminal Ganglion; Skin;
Atrioventricular Node; Ciliary Ganglion;
Dorsal Root Ganglion; Ovary; Appendix; Uterus corpus; Heart; Liver; Early Erythroid; Placenta; Lung;
Prostate; Thyroid; Lymphoma Burkitt's; Leukemia promyelocytic; Lymphoma;
Leukemia chronic myelogenous; Leukemia lymphoblastic; Cardiac Myocytes; Smooth Muscle;
Bronchial Epithelial Cells;
Colorectal adenocarcinoma; Testis; Testis Germ Cell; Testis lntersitial;
Testis Leydig Cell; Testis Seminiferous Tubule; Pancreas; Pancreatic Islet; Adipocyte; Uterus; Fetal Thyroid; Fetal lung; Pituitary;
Salivary gland; Trachea; Olfactory bulb; Adrenal cortex; Bone marrow; Thymus;
Lymph node; Tonsil;
Fetal Liver; and Kidney. In some embodiments, the present disclosure pertains to the use of a RHO
oligonucleotide in decreasing the expression, level, and/or activity of a RHO
gene or a gene product thereof, in any of these tissues. In some embodiments, a RHO oligonucleotide further comprises an additional chemical moiety which increases delivery to and/or entrance into a particular cell type or tissue or organ.
In some embodiments, the present disclosure pertains to the use of a RHO
oligonucleotide in decreasing the expression, level, and/or activity of a RHO gene or a gene product thereof, in any of these tissues in a human patient in need thereof (e.g., a human patient suffering from or susceptible to a RHO-related disease, disorder or condition). In some embodiments, the present disclosure pertains to a method of treatment or amelioration of a RHO-related disease, disorder or condition, comprising the step of decreasing the expression, level or activity of a RHO gene or a gene product thereof, in any of these tissues in a human patient in need thereof. In various embodiments described herein, a RHO gene or gene product thereof is a mutant or comprises a mutation, including but not limited to a P23H
mutation.

1001661 In some embodiments, the present disclosure pertains to a method of administration of an USH2A oligonucleotide to a subject/patient suffering from or susceptible to an USH2A-related disease, disorder, or condition, wherein the disease, disorder or condition manifests (e.g., is characterized by at least one symptom in) (A) the eye; and (B) another tissue in the body that expresses USH2A. In some embodiments, the present disclosure pertains to a method of administration of an USH2A oligonucleotide to a subject/patient suffering from or susceptible to an USH2A-related disease, disorder, or condition, wherein the disease, disorder or condition manifests (e.g., is characterized by at least one symptom in) (A) the eye; and (B) another tissue in the body that expresses USH2A, wherein the USH2A oligonucleotide is administered to (A) the eye; and (B) the another tissue in the body that expresses USH2A. In some embodiments, the present disclosure pertains to a method of administration of an USH2A oligonucleotide to a subject/patient suffering from or susceptible to an USH2A-related disease, disorder, or condition, wherein the disease, disorder or condition manifests (e.g., is characterized by at least one symptom in) (A) the eye; and (B) another tissue in the body that expresses USH2A, wherein the USH2A oligonucleotide is administered to (A) the eye; and (B) the another tissue in the body that expresses USH2A, wherein a first USH2A oligonucleotide administered to (A) the eye is in a formulation and/or delivered via a method and/or comprises an additional chemical moiety suitable for administration to the eye; and a second USH2A
oligonucleotide administered to (B) the another tissue in the body that expresses USH2A is in a formulation and/or delivered via a method and/or comprises an additional chemical moiety suitable for administration to the another tissue in the body that expresses USH2A.
1001671 Additional information about RHO and related retinopathies and additional information related to RHO, RHO P23H, and related tools, techniques, methods, cells, animal models, etc., are provided in the scientific literature, including but not limited to: al-Maghtheh M, Gregory C, Inglehearn C, Hardcastle A, Bhattacharya S (1993). "Rhodopsin mutations in autosomal dominant retinitis pigmentosa". Human Mutation. 2(4): 249-55. doi:10.1002/humu.1380020403.; Andreasson S. Ehinger B, Abrahamson M, Fex G (September 1992). "A six-generation family with autosomal dominant retinitis pigmentosa and a rhodopsin gene mutation (arginine-135-leucine)". Ophthalmic Paediatrics and Genetics. 13 (3): 145-53.
doi:10.3109/13816819209046483.; Bownds D, Wald G (January 1965). "Reaction of the rhodopsin chromophore with sodium borohydride". Nature. 205 (4968): 254-7.
Bibcode:1965Natur.205..254B.
doi:10.1038/205254a0.; Bryant DA, Frigaard NU (November 2006). "Prokaryotic photosynthesis and phototrophy illuminated". Trends in Microbiology. 14 (11): 488-96. doi :
10.1016/j .tim.2006.09.001.;
Chabre M, le Maire M (July 2005). "Monomeric G-protein-coupled receptor as a functional unit".
Biochemistry. 44 (27): 9395-403. doi:10.1021/bi050720o.; Dryja IP. Hahn LB, Cowley GS, McGee TL, Berson EL (October 1991). "Mutation spectrum of the rhodopsin gene among patients with autosomal dominant retinitis pigmentosa". Proceedings of the National Academy of Sciences of the United States of America. 88 (20): 9370-4. Bibcode:1991PNAS...88.9370D.
doi:10.1073/pnas.88.20.9370.; Edwards SC
(July 1995). "Involvement of cGMP and calcium in the photoresponse in vertebrate photoreceptor cells".
The Journal of the Florida Medical Association. 82 (7): 485-8.; Encyclopedia of the Neurological Sciences.
Academic Press. 29 April 2014. pp. 441; Farrar GJ, Findlay JB, Kumar-Singh R, Kenna P. Humphries MM, Sharpe E, Humphries P (December 1992). "Autosomal dominant retinitis pigmentosa: a novel mutation in the rhodopsin gene in the original 3q linked family". Human Molecular Genetics. 1 (9): 769-71.
doi:10.1093/hmg/1.9.769.; Fishman GA, Stone EM, Gilbert LD, Sheffield VC (May 1992). "Ocular findings associated with a rhodopsin gene codon 106 mutation. Glycine-to-arginine change in autosomal dominant retinitis pigmentosa". Archives of Ophthalmology. 110 (5): 646-53.
doi:10.1001/archopht.1992.01080170068026.; Foley LE, Gegear RJ, Reppeit SM
(June 2011). "Human cryptochrome exhibits light-dependent magneto sensitivity'. Nature Communications. 2: 356.
Bibcode:2011NatCo...2E.356F. doi:10.1038/ncomms1364.; Fujiki K, Hotta Y, Hayakawa M, Sakuma H, Shiono T, Noro M, Sakuma T, Tamai M, Hikiji K, Kawaguchi R (June 1992). "Point mutations of rhodopsin gene found in Japanese families with autosomal dominant retinitis pigmentosa (ADRP)". The Japanese Journal of Human Genetics. 37 (2): 125-32. doi:10.1007/BF01899733.; Gal A, Artlich A, Ludwig M, Niemeyer G, Olek K, Schwinger E, Schinzel A (October 1991). "Pro-347-Arg mutation of the rhodopsin gene in autosomal dominant retinitis pigmentosa". Genomics. 11 (2): 468-70.
doi:10.1016/0888-7543(91)90159-C.; Gao SQ, Nagpal J, Schneider MW, Kozjak-Pavlovic V. Nagel G, Gottschalk A (July 2015). "Optogenetic manipulation of cGMP in cells and animals by the tightly light-regulated guanylyl-cyclase opsin CyclOp". Nature Communications. 6 (8046): 8046.
Bibcode:2015NatCo...6E8046G.
doi:10.1038/ncomms9046.; Garriga P. Manyosa J (September 2002). "Thc cyc photorcceptor protein rhodopsin. Structural implications for retinal disease". FEBS Letters. 528 (1-3): 17-22.
doi:10.1016/S0014-5793(02)03241-6.; Giese AC (24 September 2013).
Photophysiology: General Principles; Action of Light on Plants. Elsevier. p. 9.; Gulati S, Jastrzebska B, Banerjee S. Placeres AL, Miszta P. Gao S. Gunderson K. Tochtrop GP, Filipek S. Katayama K, Kiser PD, Mogi M, Stewart PL, Palczewski K (March 2017). "Photocyclic behavior of rhodopsin induced by an atypical isomerization mechanism". Proceedings of the National Academy of Sciences. 114 (13): E2608-15.
doi:10.1073/pnas.1617446114.; Heck M, Schadel SA, Maretzki D, Bartl FJ, Ritter E, Palczewski K, Hofmann KP (January 2003). "Signaling states of rhodopsin. Formation of the storage form, metarhodopsin III, from active metarhodopsin II". The Journal of Biological Chemistry. 278 (5): 3162-9.
doi:10.1074/jbc.M209675200.; Hofmann KP, Heck M (1996). "Light-induced protein-protein interactions on the rod photoreceptor disc membrane". In Lee AG (ed.). Rhodopsin and G-Protein Linked Receptors, Part A (Vol 2, 1996) (2 Vol Set). Greenwich, Conn: JAI Press. pp. 141-198.;
Humphries P. Kenna P. Farrar GJ (May 1992). "On the molecular genetics of retinitis pigmentosa". Science.
256 (5058): 804-8.

Bibcode:1992Sci...256..804H. doi:10.1126/science.1589761.; Inglehearn CF, Keen TJ, Bashir R, Jay M, Fitzke F, Bird AC, Crombie A, Bhattacharya S (April 1992). "A completed screen for mutations of the rhodopsin gene in a panel of patients with autosomal dominant retinitis pigmentosa". Human Molecular Genetics. 1(1): 41-5. doi:10.1093/hmg/1.1.41.; Ingleheam CF, Lester DH, Bashir R, Atif U, Keen TJ, Sertedaki A, Lindsey J, Jay M, Bird AC, Fan-ar GJ (March 1992). "Recombination between rhodopsin and locus D3S47 (C17) in rhodopsin retinitis pigmentosa families". American Journal of Human Genetics. 50 (3): 590-7.; Jacobson SG, Kemp CM, Sung CH, Nathans J (September 1991).
"Retinal function and rhodopsin levels in autosomal dominant retinitis pigmentosa with rhodopsin mutations". American Journal of Ophthalmology. 112 (3): 256-71. doi:10.1016/s0002-9394(14)76726-1.; Keen TJ, Inglehearn CF, Lester DH, Bashir R, Jay M, Bird AC, Jay B, Bhattacharya SS (September 1991).
"Autosomal dominant retinitis pigmentosa: four new mutations in rhodopsin, one of them in the retinal attachment site". Genomics. 11 (1): 199-205. doi:10.1016/0888-7543(91)90119-Y.; Kolb H, Fernandez E, Nelson R, Jones BW (1 March 2010). "Webvision: Photoreceptors". University of Utah. Archived from the original on 16 August 2000.;
Litmann BJ, Mitchell DC (1996). "Rhodopsin structure and function". In Lee AG
(ed.). Rhodopsin and G-Protein Linked Receptors, Part A (Vol 2, 1996) (2 Vol Set). Greenwich, Conn:
JAI Press. pp. 1-32.;
Matthews RG, Hubbard R, Brown PK, Wald G (November 1963). "Tautomeric forms of metarhodopsin".
The Journal of General Physiology. 47 (2): 215-40. doi:10.1085/jgp.47.2.215.;
Mendes HF, van der Spuy J, Chapple JP, Cheetham ME (April 2005). "Mechanisms of cell death in rhodopsin retinitis pigmentosa:
implications for therapy". Trends in Molecular Medicine. 11 (4): 177-85.
doi:10.1016/j.molmed.2005.02.007.; Nakamichi H, Okada T (June 2006).
"Crystallographic analysis of primary visual photochemistry". Angewandte Chemie. 45 (26): 4270-3.
doi:10.1002/anie.200600595.;
Olsson JE, Gordon JW, Pawlyk BS, Roof D, Hayes A, Molday RS, Mukai S, Cowley GS, Bcrson EL, Dryja TP (November 1992). "Transgenic mice with a rhodopsin mutation (Pro23His): a mouse model of autosomal dominant retinitis pigmentosa". Neuron. 9 (5): 815-30.
doi:10.1016/0896-6273(92)90236-7.;
Perception (2008), Guest Editorial Essay, Perception, p. 1; Robinson PR, Cohen GB, Zhukovsky EA, Oprian DD (October 1992). "Constitutively active mutants of rhodopsin".
Neuron. 9 (4): 719-25.
doi :10.1016/0896-6273(92)90034-B.; Rogers K. "Rhodopsin". Encyclopxdia Britannica. Britannica.com.
Retrieved 30 January 2016.; Saliba RS, Munro PM, Luthert PJ, Cheetham ME (July 2002). "The cellular fate of mutant rhodopsin: quality control, degradation and aggresome formation". Journal of Cell Science.
115 (Pt 14): 2907-18.; Scheib U, Broser M, Constantin OM, Yang S, Gao S, Mukherjee S, et al. (May 2018). "Rhodopsin-cyclases for photocontrol of cGMP/cAMP and 2.3 A structure of the adenylyl cyclase domain". Nature Communications. 9 (1): 2046. Bibcode:2018NatCo...9.2046S.
doi:10.1038/s41467-018-04428-w.; Scheib U, Stehfest K, Gee CE, Korschen HG, Fudim R, Oertner TG, Hegemann P (August 2015). "The rhodopsin-guanylyl cyclase of the aquatic fungus Blastocladiella emersonii enables fast optical control of cGMP signaling". Science Signaling. 8 (389): rs8.
doi:10.1126/scisignal.aab0611.; Schreiber M, Sugihara M, Okada T, Buss V (June 2006). "Quantum mechanical studies on the crystallographic model of bathorhodopsin". Angewandte Chemie. 45 (26): 4274-7.
doi:10.1002/anie.200600585.; Sheffield VC, Fishman GA, Beck JS, Kimura AE, Stone EM (October 1991). "Identification of novel rhodopsin mutations associated with retinitis pigmentosa by GC-clamped denaturing gradient gel electrophoresis". American Journal of Human Genetics. 49 (4): 699-706.; Stuart JA, Brige RR (1996).
"Characterization of the primary photochemical events in bacteriorhodopsin and rhodopsin". In Lee AG (ed.).
Rhodopsin and G-Protein Linked Receptors, Part A (Vol 2, 1996) (2 Vol Set). Greenwich, Conn: JAI
Press. pp. 33-140.; Sung CH, Davenport CM, Hennessey JC, Maumenee IH, Jacobson SG, Heckenlively JR, Novvakowski R, Fishman G, Gouras P, Nathans J (August 1991). "Rhodopsin mutations in autosomal dominant retinitis pigmentosa".
Proceedings of the National Academy of Sciences of the United States of America. 88 (15): 6481-5.
Bibcode:1991PNAS...88.6481S. doi:10.1073/pnas.88.15.6481.; Terakita A (2005).
"The opsins". Genome Biology. 6 (3): 213. doi:10.1186/gb-2005-6-3-213.; The Nobel Foundation. "The Nobel Prize in Physiology or Medicine 1967". Nobelprize.org. Nobel Media AB 2014. Retrieved 12 December 2015.;
Weingart 0 (September 2007). "The twisted C11=C12 bond of the rhodopsin chromophore--a photochemical hot spot". Journal of the American Chemical Society. 129 (35):
10618-9.
doi:10.1021/ja071793t.; Yoshizawa T, Wald G (March 1963). "Pre-lumirhodopsin and the bleaching of visual pigments". Nature. 197 (Mar 30): 1279-86. Bibcode:1963Natur.197.1279Y.
doi:10.1038/1971279a0.; Saito et al. 2008 Clin. Ophth. 2: 821-828; Sakami et al. 2013 Hum. Mol. Genet.
23: 1723-1741; Sizova et al. 2014 Cell. Signal. 26: 665; Tam et al. 2006 Inv.
Ophth. Vis. Sci. 47: 3234;
Vasireddy et al. 2011 PLoS One 6, e21193; Whyte et al. 2011 Mol. Rcprod. Dev.
78: 879-891; Gorbatyuk et al. 2010 Proc. Natl. Acad. Sci. US 107: 5961; Hacri et al. 2012 PLoS ONE 1, c30101; Fernandez-Sanchez et al. Invest. Ophth. Vis. Sci. 52: 4998; Baid et al. 2011 PLoS ONE 6, e24616;
Orhan et al. 2015 PLoS
ONE 0127319. Roof et al. 1994 Invest. Opth. Vis. Sci. 35: 12; Ozaki et al.
2013 PLoS ONE 8, e71650;
Lewin etal. 2014 Additional Perspectives on Retinal Disorders, et. Pierce et al., Cold Spring Harb Perspect Med 4: a017400; Giannelli et al. Hum. Mol. Genet. 27: 760-779; Cai et al. 2014 Invest. Ophth. Vis. Sci.
55: 7417; Adekeye et al. 2014 PLoS ONE 9, 013871; Cheri et al. 2014 J. Biol.
Chem. 289: 9288; WO
2016/138353, WO 2017/044649, WO 2017/186739, and WO 2018/201146; Berson EL
(1990). "Ocular findings in a form of retinitis pigmentosa with RHO gene defect". Trans Am Ophthalmol Soc. 88: 355-388; Berson EL, Rosner B, Sandberg MA, Dryja TP (1991). "Ocular findings in patients with autosomal dominant retinitis pigmentosa and a RHO gene defect (Pro-23-His)". Arch Ophthalmol. 109 (1): 92-101;
Berson EL, Rosner B, Sandberg MA, Weigel-DiFranco C, Dryja TP (1991). "Ocular findings in patients with autosomal dominant retinitis pigmentosa and RHO, proline-347-leucine". Am J Ophthalmol. 111(5):
614-623; Brill, E; Malanson, K. M.; Radu, R. A.; Boukharov, N. V.; Wang, Z;
Chung, H. Y.; Lloyd, M.

B.; Bok, D; Travis, G. H.; Obin, M; Lem, J (2007). "A Novel Form of Transducin-Dependent Retinal Degeneration: Accelerated Retinal Degeneration in the Absence of Rod Transducin". Investigative Ophthalmology & Visual Science. 48 (12): 5445-5453; Brill, E; Malanson, K. M.;
Radu, R. A.; Boukharov, N. V.; Wang, Z; Chung, H. Y.; Lloyd, M. B.; Bok, D; Travis, G. H.; Obin, M;
Lem, J (2007). "A Novel Form of Transducin-Dependent Retinal Degeneration: Accelerated Retinal Degeneration in the Absence of Rod Transducin". Investigative Ophthalmology & Visual Science. 48 (12): 5445-5453; Brill, E; Malanson, K. M.; Radu, R. A.; Boukharov, N. V.; Wang, Z; Chung, H. Y.; Lloyd, M. B.;
Bok, D; Travis, G. H.; Obin, M; Lem, J (2007). "A Novel Form of Transducin-Dependent Retinal Degeneration:
Accelerated Retinal Degeneration in the Absence of Rod Transducin". Investigative Ophthalmology &
Visual Science. 48 (12):
5445-5453; Chang GQ, Hao Y, Wong F (1993)_ "Apoptosis: final common pathway of photoreceptor death in rd, rds, and RHO mutant mice". Neuron. 11(4): 595-605; Chen CK, Burns ME, Spencer M, et al. (1999).
"Abnormal photoresponses and light-induced apoptosis in rods lacking RHO
kinase". Proc Natl Acad Sci USA. 96 (7): 3718-3722; Chen J; Shi G; Concepcion FA; Xie G; Oprian D; et al.
(2006). "Stable RHO/arrestin complex leads to retinal degeneration in a transgenic mouse model of autosomal dominant retinitis pigmentosa". J Neurosci. 26 (46): 11929-11937; Chinchore, Yashodhan;
Mitra, Amitavo; Dolph, Patrick J. (2009). "Accumulation of RHO in Late Endosomes Triggers Photoreceptor Cell Degeneration".
PLoS Genetics. 5 (2): e1000377; Chuang JZ, Vega C, Jun W, Sung CH; Vega; Jun:
Sung (2004). "Structural and functional impairment of endocytic pathways by retinitis pigmentosa mutant Rhoarrestin complexes".
J Clin Invest. 114 (1): 131-140; Dejneka NS, Bennett J (2001). "Gene therapy and retinitis pigmentosa:
advances and future challenges". BioEssays. 23 (7): 662-668; Dryja TP (1992).
"Doyne Lecture: RHO and autosomal dominant retinitis pigmentosa". Eye. 6: 1-10; Dryja TP, McGee TL, Reichel E, Hahn LB, Cowley GS, Yandell DW, Sandberg MA, Berson EL, et al. (1990). "A point mutation of the RHO gene in one form of retinitis pigmentosa". Nature. 343 (6256): 364-366; Dryja TP; Hahn LB; Cowley GS; McGee TL; Berson EL (1991). "Mutation spectrum of the RHO gene among patients with autosomal dominant retinitis pigmentosa". Proc Nat! Acad Sci U S A. 88 (20): 9370-9374; Dryja TP;
McGee TL; Hahn LB; et al. (1990). "Mutations within the RHO gene in patients with autosomal dominant retinitis pigmentosa". N
Engl J Med. 323 (19): 1302-1307; Dryja TP; McGee TL; Reichel E; Hahn LB;
Cowley GS; et al. (1990).
"A point mutation of the RHO gene in one form of retinitis pigmentosa".
Nature. 343 (6256): 364-366;
Dryja, T. P.; McEvoy, J. A.; McGee, T. L.; Berson, E. L. (Sep 2000). "Novel RHO mutations Gly114Val and Gln184Pro in dominant retinitis pigmentosa". Invest Ophthalmol Vis Sci.
41(10): 3124-7; Fishman GA, Stone EM, Gilbert LD, Kenna P. Sheffield VC; Stone; Gilbert; Kenna;
Sheffield (1991). "Ocular findings associated with a RHO gene codon 58 transversion mutation in autosomal dominant retinitis pigmentosa". Arch Ophthalmol. 109 (10): 1387-1393; Fishman GA, Stone EM, Gilbert LD, Sheffield VC;
Stone; Gilbert; Sheffield (1992). "Ocular findings associated with a RHO gene codon 106 mutation:

glycine-to-arginine change in autosomal dominant retinitis pigmentosa". Arch Ophthalmol. 110 (5): 646-653; Fishman GA, Stone EM, Sheffield VC, Gilbert LD, Kimura AE; Stone;
Sheffield; Gilbert; Kimura (1992). "Ocular findings associated with RHO gene codon 17 and codon 182 transition mutations in dominant retinitis pigmentosa". Arch Ophthalmol. 110 (1): 54-62; Fishman GA, Vandenburgh K, Stone EM, Gilbert LD, Alexander KR, Sheffield VC (1992). "Ocular findings associated with RHO gene codon 267 and 190 mutations in autosomal dominant retinitis pigmentosa". Arch Ophthalmol. 110 (11): 1582-1588; Heckenlively JR, Rodriguez IA, Daiger SP (1991). "Autosomal dominant sectoral retinitis pigmentosa: two families with transversion mutation in codon 23 of RHO". Arch Ophthalmol. 109 (1): 84-91; Horn M; Humphries P; Kunisch M; et al. (1992). "Deletions in exon 5 of the human RHO gene causing a shift in the reading frame and autosomal dominant retinitis pigmentosa". Hum Genet 90 (3): 255-257;
Jacobson SG, Kemp CM, Cideciyan AV, Macke JP, Sung CH, Nathans J (1994).
"Phenotypes of stop codon and splice site RHO mutations causing retinitis pigmentosa". Invest Ophthalmol Vis Sci. 35 (5): 2521-2534; Lee, E. S.; Flannery, J. G. (2007). "Transport of Truncated RHO and Its Effects on Rod Function and Degeneration". Investigative Ophthalmology & Visual Science. 48 (6): 2868-2876; Lee, E. S.; Flannery, J.
G. (2007). "Transport of Truncated RHO and Its Effects on Rod Function and Degeneration". Investigative Ophthalmology & Visual Science. 48 (6): 2868-2876; Lem J, Fain GL (2004).
"Constitutive opsin signaling: night blindness or retinal degeneration?". Trends Mol Med. 10 (4):
150-157; Menon, S. T., Han, M. & Sakmar, T. P. (2001) Physiol. Rev. 81,1659-1688; Orem NR, Dolph PT; Dolph (2002). "Epitope masking of rhabdomeric RHO during endocytosis-induced retinal degeneration".
Mol Vis. 8: 455-461;
Pannarale MR; Grammatico B; Iannaccone A; et al. (1996). "Autosomal dominant retinitis pigmentosa associated with an Arg-135-Trp point mutation of the RHO gene: clinical features and longitudinal observations". Ophthalmology. 103 (9): 1443-1452; Rivolta, C., Sharon, D., DeAngelis, M. M. & Dryja, T. P. (2002) Hum. Mol. Genet. 11,1219-1227; Sandberg MA, Weigel-DiFranco C, Dryja TP, Berson EL
(1995). "Clinical expression correlates with location of RHO mutation in dominant retinitis pigmentosa".
Invest Ophthalmol Vis Sci. 36 (9): 1934-1942; Satoh AK, Ready DF; Ready (2005). "Arrestinl mediates light-dependent RHO endocytosis and cell survival". Curr Biol. 15 (19): 1722-1733; Sohocki, M. M.;
Daiger, S. P.; Bowne, S. J.; Rodriquez, J. A.; Northrup, H; Heckenlively, J.
R.; Birch, D. G.; Mintz-Hittner, H; Ruiz, R. S.; Lewis, R. A.; Saperstein, D. A.; Sullivan, L. S. (2001).
"Prevalence of Mutations Causing Retinitis Pigmentosa and Other Inherited Retinopathies". Human Mutation. 17 (1): 42-51; Sohocki, M. M.;
Daiger, S. P.; Bowne, S. J.; Rodriquez, J. A.; Northrup, II; IIeckenlively, J.
R.; Birch, D. G.; Mintz-Ilittner, H; Ruiz, R. S.; Lewis, R. A.; Saperstein, D. A.; Sullivan, L. S. (2001).
"Prevalence of Mutations Causing Retinitis Pigmentosa and Other Inherited Retinopathies". Human Mutation. 17 (1): 42-51; Sullivan LS, Daiger SP; Daiger (1996). "Inherited retinal degeneration: exceptional genetic and clinical heterogeneity".
Mol Med Today. 2 (9): 380-386; Sung C-H, Schneider BG, Agarwal N, Papermaster DS, Nathans J.

Functional heterogeneity of mutant Rhos responsible for autosomal dominant retinitis pigmentosa" Proc Natl Acad Sci U S A 1991;88:8840-8844; Sung C-H; Davenport CM; Hennessey JC;
et al. (1991). "RHO
mutations in autosomal dominant retinitis pigmentosa". Proc Natl Acad Sci U S
A. 88 (15): 6481-6485;
Sung CH; Schneider BG; Agarvval N; et al. (1991). "Functional heterogeneity of mutant Rhos responsible for autosomal dominant retinitis pigmentosa". Proc Natl Acad Sci USA. 88 (19):
8840-8844; Taylor JP, Hardy J, Fischbeck KH; Hardy; Fischbeck (2002). "Toxic proteins in neurodegenerative disease". Science.
296 (5575): 1991-1995; Weleber RG, Murphey WH, Rodriguez JA, Lovrien EW, Litt M, Daiger SP (1991).
"Phenotypic expression of Pro-23-His mutation of RHO in a large family with autosomal dominant re-hints pigmentosa [abstractr. Invest Ophthalmol Vis Sci. 32: 913; Xu J, Dodd RL, Makin CL, Simon MI, Baylor DA, Chen .1 (1997). "Prolonged photoresponses in transgenic mouse rods lacking arrestin". Nature. 389 (6650): 505-509; and Yuan, L; Kawada, M; Havlioglu, N; Tang, H; Wu, J. Y.
(2005). "Mutations in PRPF31 Inhibit Pre-mRNA Splicing of RHO Gene and Cause Apoptosis of Retinal Cells". Journal of Neuroscience. 25 (3): 748-757. In some embodiments, an additional therapeutic agent or method includes but is not limited to any treatment described in any of these documents; and a tool, technique, a cell or animal model useful for the evaluation of an oligonucleotide can include but is not limited to a tool, technique, cell or animal model described in any of these documents.
RHO and RHO-Related Conditions, Disorders or Diseases 1001681 A RHO-related disease, disorder or condition is any of various conditions, disorders or diseases are associated with a mutation(s) in RHO; or, any disease, disorder or condition wherein at least one symptom is ameliorated by or the delayed in onset by a decrease in the expression, level and/or activity of a mutant HO gene or a gene product thereof; such a disease, disorder or condition includes retinopathy.
Among other things, provided technologies are useful for treating or preventing a RHO-related-disorder or -disease, including but not limited to, a retinopathy or retinitis pigmentosa.
As appreciated by those skilled in the art, two events or entities are "associated" with one another if the presence, level and/or form of one (e.g., a RHO mutation) is correlated with that of the other (e.g., a condition, disorder or disease). For example, a particular entity (e.g., polypeptide, genetic signature, metabolite, microbe, etc) is considered to be associated with a particular disease, disorder, or condition, if its presence, level and/or form correlates with incidence of and/or susceptibility to the disease, disorder, or condition (e.g., across a relevant population).
1001691 In some embodiments, a retinopathy is retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa (RP), or autosomal dominant retinitis pigmentosa (adRP). In some embodiments, adRP is also referenced as Retinitis pigmentosa 4 (RP4) or Retinitis pigmentosa, RHO-related. Retinal degeneration is a retinopathy which reportedly relates to the deterioration of the retina caused by the progressive death of its cells. There are reportedly several reasons for and/or symptoms of retinal degeneration or retinitis pigmentosa, including artery or vein occlusion, diabetic retinopathy, R.L.F. / R.O.P. (retrolental fibroplasia / retinopathy of prematurity), or disease (usually hereditary). Reportedly, these may present in many different ways such as impaired vision, night blindness, retinal detachment, light sensitivity, tunnel vision, and loss of peripheral vision to total loss of vision, retinitis pigmentosa (RP) is an important example of a retinal degenerative disease.
1001701 Retinitis pigmentosa (RP) reportedly comprises a heterogeneous group of inherited neurodegenerative retinal disorders characterized by progressive peripheral vision loss and night vision difficulties, subsequently leading to central vision impairment. More than 100 different mutations in the rhodopsin-encoding gene (RHO) are reportedly associated with RP, together accounting for 30% to 40%
of autosomal dominant cases. The P23H mutation in this gene is reportedly one of the most prevalent causes of RP. Most RP-causing mutations in the RHO gene, including P23H (RHO
P23H), reportedly can cause misfolding and retention of rhodopsin in the endoplasmic reticulum of transfected cultured cells.
These studies also reportedly suggest that the mechanism of RP involves a cellular stress response, the final common pathway of which is programmed photoreceptor cell death, or apoptosis.
1001711 Inherited retinal degenerative disorders in humans reportedly exhibit genetic and phenotypic heterogeneity in their underlying causes and clinical outcomes.
Reportedly, a wide variety of causes have been attributed to retinal degeneration, such as disruption of genes that are involved in phototransduction, biosynthesis and folding of the RHO molecule, and the structural support of the retina.
Mutations in the RHO gene reportedly account for a significant minority of all cases of autosomal dominant retinitis pigmentosa (adRP) in North America.
1001721 Mutations in the RHO that affect its folding, trafficking and/or activity are among the most commonly reported causes of retinal degeneration in afflicted paticnts. A
single base-substitution at the codon position 23 in the human opsin gene (P23H) is reportedly the most common cause of ADRP in American patients. ADRP due to RHO mutations reportedly has a wide range of clinical presentation and severity. Before 1991, phenotypic evidence pointed to different subsets of ADRP with varying prognoses.
Molecular classification of ADRP and further sub-classification based on the region of the mutation in the RHO gene reportedly allowed better prediction of a particular disease course.
But even within these specific subsets, the prognosis is reportedly influenced by the specific mutation itself.
1001731 There are many mechanisms of retinal degeneration reportedly attributed to RHO
mutations or mutations that involve or affect the function of RHO. One mechanism of retinal degeneration is reportedly RHO overexpression. Another reported mechanism, whereby a mutation causes a truncated RHO, was found to affect rod function and increased the rate of photoreceptor degeneration.

[00174] Photoreceptor cell death is reportedly the eventual outcome of retinal degeneration.
Without proper function of the photoreceptor cells, vision is reportedly not possible. Reportedly, irreversible loss of these cells has been attributed as a cause of blindness in many retinal degenerative disorders, including RP. The exact mechanism of photoreceptor cell death is reportedly not clearly understood. Among potential causes is reportedly the endocytosis of stable complexes formed between RHO and its regulatory protein arrestin in certain mutants.
1001751 Various studies have also reported that over-expression of RHO itself (mutations in genes involved in the termination of RHO signaling activity have been shown to cause degeneration by persistent activation of the phototransduction cascade) causes photoreceptor cell death and may induce photoreceptor cell loss in transgenic animals expressing truncated RHO. Yet another mechanism may reportedly be prolonged photoreceptor responses and also abnormal RHO deactivation may induce outer segment shortening and eventual photoreceptor death. In RP photoreceptor cell death is reported to occur by programmed cell death or apoptosis.
[00176] Retinitis pigmentosa is reportedly a progressive neurodegenerative disorder. Autosomal dominant RP reportedly accounts for approximately 15% of these cases.
Autosomal dominant retinitis pigmentosa (ADRP) is a genetically heterogeneous group of inherited retinal degenerations that cause blindness in humans.
[00177] RP reportedly begins with death of rod photoreceptor cells, which are the only cells in the retina to express RHO and which express it as their most abundant protein.
Eventually, loss of rod cells reportedly leads to loss of cone cells (cone photoreceptors), the mainstay of human vision.
[00178] Symptoms of RP reportedly include loss of sensitivity to dim light, abnormal visual function, and characteristic bone spicule deposits of pigment in the retina.
Affected individuals reportedly progressively lose visual field and visual acuity, and photoreceptor cell death can ultimately lead to blindness. A prominent early clinical feature of retinitis pigmentosa is reportedly the loss of night vision as a result of death of rod photoreceptor cells. Proper expression of the wild-type RHO gene is reportedly essential for the development and sustained function of photoreceptor cells.
1001791 In some embodiments, administration of a RHO
oligonucleotide improves, preserves, or prevents worsening of visual function; visual field; photoreceptor cell function; electroretinogram (ERG) response such as full field ERG measuring retina wide function, dark adapted ERG measuring scotopic rod function, or light adapted ERG measuring photopic cone function; visual acuity; and/or vision-related quality of life. In some embodiments, administration of a RHO oligonucleotide inhibits, prevents, or delays progression of photoreceptor cell loss and/or deterioration of the retina outer nuclear layer (ONL).
[00180] Symptoms of retinopathy that can be ameliorated, abated or delayed in onset by a RHO
oligonucleotide include any symptom of retinopathy described herein or known in the art.

1001811 In some embodiments, a RHO oligonucleotide, when administered to a patient suffering from or susceptible to retinopathy, is capable of reducing at least one symptom of retinopathy and/or capable of delaying or preventing the onset, worsening, and/or reducing the rate and/or degree of worsening of at least one symptom of retinopathy.
1001821 In some embodiments, a symptom of a RHO-related disease, disorder or condition [e.g., Usher Syndrome Type IIA (2A), atypical Usher syndrome, or nonsyndromic retinitis pigmentosa] is any symptom described herein, including but not limited to: blindness, night blindness (nyctalopia), photopsia, loss of peripheral vision, progressive visual loss, retinitis pigmentosa, onset of night blindness, onset of visual field loss, decline in or loss of visual field, decline in or loss of visual acuity, abnormal eye fundus, increase in death of photoreceptors, loss of mid-peripheral visual field, anatomical abnormalities in the central retina, visual hallucinations, animated visual hallucinations, Charles Bonnet syndrome, photophobia, chromatopsia, aggregation of wild-type and/or mutant Rho protein, loss of rod cells, loss of cone cells, retinal degeneration, increase in mTor levels, accumulation of Rhodopsin in an outer nuclear layer and within the photoreceptor synaptic terminal, Rhodopsin-mediated cellular damage, and apoptosis of cells in the eye, including but not limited to, the retina.
1001831 In some embodiments, the symptoms of a patient suffering from or susceptible to a USH2A-related disease, disorder or condition can be evaluated using any method known in the art, including but not limited to: functional acuity score (FAS); functional field score (FFS); and functional vision score (FVS); Snellen visual acuity; Goldmann visual field area (V4c white test light), and 30-Hz (cone) full-field electroretinogram amplitude, electroretinogram (ERG), analysis of tissue samples, and light and/or immunofluorescence microscopy, immunofluorescence microscopy, immunohistochemistry and confocal microscopy, and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) assay, and optical coherence tomography (OCT).
1001841 In some embodiments, the present disclosure pertains to a method of administering a therapeutic amount of a RHO oligonucleotide to a patient suffering from or susceptible to retinopathy.
1001851 In some embodiments, a patient is heterozygous, comprising both a mutant and a wild-type RHO allele.
1001861 In some embodiments, a subject comprises a SNP, wherein at least one allele of the SNP
is on the same copy of a chromosome, gene and/or transcript that is associated with a condition, disorder or disease (e.g., comprising a mutation such as P23H). In some embodiments, one allele of the SNP is on the same copy of a chromosome, gene and/or transcript that is less or is not associated with a condition, disorder or disease (e.g., does not contain P23H). In some embodiments, as described herein, provided technologies can selectively reduce levels of transcripts (and/or products encoded thereby such as proteins) from an allele that is associated with a condition, disorder or disease (e.g., in transcripts comprising P23H) over an allele that is not or is less associated with a condition, disorder or disease. In some embodiments, selectivity is at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 500, 1000, 2000, 5000, or fold, e.g., as measured by IC50-1/1050-2 using an available technology (e.g., luciferase assay, cell lines, etc. as described herein), wherein IC50-1 is an IC50 for an allele that is not or is less associated with a condition, disorder or disease (e.g., no P23H), and IC50-2 is an IC50 for an allele that is associated with a condition, disorder or disease (e.g., comprising P23H). Certain selective oligonucleotide compositions and technologies useful for assessing them are described in the Examples. In some embodiments, a SNP is SNP
rs104893768. In some embodiments, an A allele of rs104893768 is associated with a condition, disorder or disease. Those skilled in the art reading the present disclosure will appreciate that many other alleles of various SNPs can also be targeted_ [00187] In some embodiments, a patient is homozygous, wherein both RHO alleles are mutant.
[00188] In some cmbodimcnts, a patient has two alleles of RHO
which arc both mutant but diffcrcnt from each other.
[00189] In some embodiments, a RHO oligonucleotide capable of decreasing the level, activity and/or expression of a RHO gene (e.g., a RHO gene comprising a disease-associated mutation) is useful in a method of preventing or treating a RHO-related condition, disorder or disease, e.g., retinopathy.
[00190] In some embodiments, the present disclosure provides methods for preventing or treating a RHO-related condition, disorder or disease, by administering to a subject suffering from or susceptible to such a condition, disorder or disease a therapeutically effective amount of a provided RHO oligonucleotide or a composition thereof. In some embodiments, an oligonucleotide is a chirally controlled oligonucleotide.
In some embodiments, an oligonucleotide is a chirally pure oligonucleotide. In some embodiments, a composition is a chirally controlled oligonucleotide composition. In some embodiments, a composition is a pharmaceutical composition. In some embodiments, in a composition oligonucleotides are independently in salt forms (e.g., sodium salts).
[00191] In some embodiments, the present disclosure pertains to a method of decreasing the expression, level and/or activity of a mutant RHO gene or a gene product thereof in a body cell, tissue or organ affected by a RHO-related disorder.
[00192] In some embodiments, a body cell, tissue or organ affected by a RHO-related disorder does not exhibit normal function in an organism comprising a mutant RHO gene.
[00193] In some embodiments, the present disclosure encompasses a method of decreasing the level, expression and/or activity of a mutant RHO in a body cell, tissue or organ affected by a RHO-related disorder.
[00194] In some embodiments, the present disclosure pertains to the use of a RHO oligonucleotide in the treatment of any RHO-related disorder, disease or condition.

Oligonucleotides 1001951 Among other things, the present disclosure provides oligonucleotides of various designs, which may comprises various nucleobases and patterns thereof, sugars and patterns thereof, intemucleotidic linkages and patterns thereof, and/or additional chemical moieties and patterns thereof as described in the present disclosure. In some embodiments, provided oligonucleotides are RHO
oligonucleotides. In some embodiments, provided RHO oligonucleotides can direct a decrease in the expression, level and/or activity of a RHO gene and/or one or more of its products (e.g., transcripts, mRNA, proteins, etc.). In some embodiments, provided RHO oligonucleotides can direct a decrease in the expression, level and/or activity of a RHO gene and/or one or more of its products in any cell of a subject or patient. In some embodiments, a cell is a any cell that normally expresses RHO or produces RHO protein. In some embodiments, provided RHO oligonucleotides can direct a decrease in the expression, level and/or activity of a RHO target gene or a gene product and has a base sequence which consists of, comprises, or comprises a portion (e.g., a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or more contiguous bases) of the base sequence of a RHO
oligonucleotide disclosed herein, wherein each T can be independently substituted with U and vice versa, and the oligonucleotide comprises at least one non-naturally-occurring modification of a base, sugar and/or internucleotidic linkage.
1001961 In some embodiments, a provided oligonucleotide, e.g., a RHO oligonucleotide, comprises one or more carbohydrate moieties. In some embodiments, a provided oligonucleotide, e.g., a RHO
oligonucleotide, comprises one or more lipid moieties. In some embodiments, a provided oligonucleotide, e.g., a RHO oligonucleotide, comprises one or more targeting moieties. Non-limiting examples of such additional chemical moieties which can be conjugated to an oligonucleotide chain are described herein.
1001971 In some embodiments, provided oligonucleotides can direct a decrease in the expression, level and/or activity of a target gene, e.g., a RHO target gene, or a product thereof. In some embodiments, provided oligonucleotides can direct a decrease in the expression, level and/or activity of a RHO target gene or a product thereof via RNase H-mediated knockdown. In some embodiments, provided oligonucleotides can direct a decrease in the expression, level and/or activity of a RHO target gene or a product thereof by sterically blocking translation after binding to a RHO
target gene mRNA, and/or by altering or interfering with mRNA splicing. Regardless, however, the present disclosure is not limited to any particular mechanism. In some embodiments, the present disclosure provides oligonucleotides, compositions, methods, etc., capable of operating via double-stranded RNA
interference, single-stranded RNA interference, RNase H-mediated knock-down, steric hindrance of translation, or a combination of two or more such mechanisms.
1001981 In some embodiments, a RHO oligonucleotide is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO.
1001991 In some embodiments, a RHO oligonucleotide is allele-specific and is capable of mediating allele-specific knockdown of RHO, for example, a decrease in the expression, level and/or activity of a mutant RHO (e.g., P23H), to a greater extent than a wild-type RHO (e.g., without P23H). In some embodiments, a RHO oligonucleotide is allele-specific and is capable of mediating allele-specific knockdown of RHO, for example, a decrease in the expression, level and/or activity of P23H RHO, to a greater extent than RHO that does not contain P23H. In some embodiments, a RHO
oligonucleotide is allele-specific and is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO, to a greater extent than a wild-type RHO, in an in vivo assay.
1002001 In some embodiments, a RHO oligonucleotide is allele-specific and is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO, to a greater extent than a wild-type RHO, at a concentration of about 10 nM in an in vivo assay.
1002011 In some embodiments, a RHO oligonucleotide is allele-specific and is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO, to a greater extent than a wild-type RHO, at a concentration of at any concentration betwen about 1 nM and about 10 nM (inclusive) in an in vivo assay.
1002021 In some embodiments, a RHO oligonucleotide capable of allele-specific knockdown (e.g., a decrease in the expression, level, and/or activity) of RHO [e.g., a greater knockdown of a mutant allele of RHO compared to knockdown of a wild-type allele of RHO at a particular concentration (e.g., in vitro)].
1002031 In some embodiments, a RHO oligonucleotide capable of knocking down (decreasing) the expression, level and/or activity of a wild-type and/or mutant RHO has any structure (or a portion thereof) illustrated in Figure 23 (Figure 23A, B, C or D).
1002041 In some embodiments, a RHO oligonucleotide capable of allele-specific knockdown of RHO. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023, and WV-48182.
1002051 In some embodiments, a RHO oligonucleotide is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO via a mechanism involving mRNA degradation and/or steric hindrance of translation of a mutant RHO mRNA.
1002061 In some embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides, are antisense oligonucleotides (AS0s); they have a base sequence which is antisense to the target nucleic acid sequence. In some embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides, are double-stranded siRNAs. In sonic embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides, are single-stranded siRNAs. In some embodiments, a RHO oligonucleotide described herein or a variant thereof can be combined with (e.g., annealed to) a complementary (or at least partially complementary) oligonucleotide to create a siRNA; in some embodiments, the siRNA can comprise a double-stranded region and zero, one or two overhangs (e.g, 3' overhangs and/or 5' overhangs).
Provided oligonucleotides and compositions thereof may be utilized for many purposes. For example, provided RHO oligonucleotides can be co-administered or be used as part of a treatment regimen along with one or more treatment for retinopathy or a symptom thereof, including but not limited to: aptamers, lncRNAs, lncRNA inhibitors, antibodies, peptides, small molecules, other oligonucleotides to RHO or other targets, and/or other agents capable of inhibiting the expression of a RHO transcript, reducing the level and/or activity of a RHO gene product, and/or inhibiting the expression of a gene or reducing a gene product thereof which increases the expression, activity and/or level of a RHO transcript or a RHO gene product, or a gene or gene product which is associated with a RHO-related disorder.
1002071 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a structural element or a portion thereof described herein, e.g., in a text, a Table or Figure, etc. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a base sequence (or a portion thereof) described herein, wherein each T can be independently substituted with U and vice versa, a chemical modification or a pattern of chemical modifications (or a portion thereof), and/or a format or a portion thereof described herein. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has a base sequence which comprises the base sequence (or a portion thereof) wherein each T can be independently substituted with U, pattern of chemical modifications (or a portion thereof), and/or a format of an oligonucleotide disclosed herein, e.g., in a Table or in the Figures, or otherwise disclosed herein. In some embodiments, such oligonucleotides, e.g., RHO oligonucleotides reduce expression, level and/or activity of a gene, e.g., a RHO gene, or a gene product thereof.
1002081 Among other things, provided oligonucleotides may hybridize to their target nucleic acids (e.g., pre-mRNA, mature mRNA, etc.). For example, in some embodiments, a RHO
oligonucleotide can hybridize to a RHO nucleic acid derived from a DNA strand (either strand of the RHO gene). In some embodiments, a RHO oligonucleotide can hybridize to a RHO transcript. In some embodiments, a RHO
oligonucleotide can hybridize to a RHO nucleic acid in any stage of RNA
processing, including but not limited to a pre-mRNA or a mature mRNA. In some embodiments, a RHO
oligonucleotide can hybridize to any element of a RHO nucleic acid or its complement, including but not limited to: a promoter region, an enhancer region, a transcriptional stop region, a translational start signal, a translation stop signal, a coding region, a non-coding region, an exon, an intron, an intron/exon or exon/intron junction, the 5' UTR, or the 3' UTR.
1002091 In some embodiments, an oligonucleotide hybridizes to two or more variants of transcripts derived from a sense strand. In some embodiments, a RHO oligonucleotide hybridizes to two or more variants of RHO derived from the sense strand. In some embodiments, a RHO
oligonucleotide hybridizes to all variants of RHO derived from the sense strand.
[00210] In some embodiments, a RHO target of a RHO oligonucleotide is a RHO RNA which is not a mRNA.
[00211] In some embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides, contain increased levels of one or more isotopes. In some embodiments, provided oligonucleotides are labeled, e.g., by one or more isotopes of one or more elements, e.g., hydrogen, carbon, nitrogen, etc. In some embodiments, provided oligonucleotides in provided compositions, e.g., oligonucleotides of a plurality of a composition, comprise base modifications, sugar modifications, and/or internucleotidic linkage modifications, wherein the oligonucleotides contain an enriched level of deuterium. In some embodiments, provided oligonucleotides are labeled with deuterium (replacing -1H with -2H) at one or more positions.
In some embodiments, one or more 'H of an oligonucleotide chain or any moiety conjugated to the oligonucleotide chain (e.g., a targeting moiety, etc.) is substituted with 2H.
Such oligonucleotides can be used in compositions and methods described herein.
[00212] In some embodiments, the present disclosure provides an oligonucleotide composition comprising a plurality of oligonucleotides which:
1) have a common base sequence complementary to a target sequence (e.g., a RHO
target sequence) in a transcript; and 2) comprise one or more modified sugar moieties and/or modified internucleotidic linkages.
[00213] In some embodiments, oligonucleotides, e.g., RHO
oligonucleotides, having a common base sequence may have the same pattern of nucleoside modifications, e.g.
sugar modifications, base modifications, etc. In some embodiments, a pattern of nucleoside modifications may be represented by a combination of locations and modifications. In some embodiments, a pattern of backbone linkages comprises locations and types (e.g., phosphate, phosphorothioate, substituted phosphorothioate, etc.) of each internucleotidic linkage.
[00214] Oligonucleotides of the present disclosure can comprise various modified internucleotidic linkages. In some embodiments, an intemucleotidic linkage has the structure of formula I, I-a, I-b, I-c, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, or II-d-2, or a salt form thereof, as described in US 9394333, US 9744183, US 9605019, US 9598458, US
9982257, US 10160969, US 10479995, US 2020/0056173, US 2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US 2019/0375774, WO 2018/223056, WO 2018/223073, WO
2018/223081, WO
2018/237194, WO 2019/032607, WO 2019/055951, WO 2019/075357, WO 2019/200185, WO
2019/217784, and/or WO 2019/032612 the internucleotidic linkages (e.g., those of Formula I, I-a, I-b, or I-c, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, II-d-2, etc.,) of each of which are independently incorporated herein by reference.

[00215] In some embodiments, oligonucleotides of a plurality, e.g., in provided compositions, are of the same oligonucleotide type. In some embodiments, oligonucleotides of an oligonucleotide type have a common pattern of sugar modifications. In some embodiments, oligonucleotides of an oligonucleotide type have a common pattern of base modifications. In some embodiments, oligonucleotides of an oligonucleotide type have a common pattern of nucleoside modifications. In some embodiments, oligonucleotides of an oligonucleotide type have the same constitution. In some embodiments, oligonucleotides of an oligonucleotide type are identical. In some embodiments, oligonucleotides of a plurality are identical. In some embodiments, oligonucleotides of a plurality share the same constitution.
[00216] In some embodiments, as exemplified herein, oligonucleotides, e.g., RHO
oligonucleotides, are chiral controlled, comprising one or more chirally controlled internucleotidic linkages.
In some embodiments, provided oligonucleotides are stereochemically pure. In some embodiments, provided oligonucleotides arc substantially separated from othcr stercoisomers.
[00217] In some embodiments, oligonucleotides, e.g., RHO
oligonucleotides, comprise one or more modified nucleobases, one or more modified sugars, and/or one or more modified internucleotidic linkages.
[00218] In some embodiments, oligonucleotides, e.g., RHO
oligonucleotides, comprise one or more modified sugars. In some embodiments, oligonucleotides of the present disclosure comprise one or more modified nucleobases. Various modifications can be introduced to a sugar and/or nucleobase in accordance with the present disclosure. For example, in some embodiments, a modification is a modification described in US 9006198. In some embodiments, a modification is a modification described in US 9394333, US
9744183, US 9605019, US 9982257, US 20170037399, US 20180216108, US
20180216107, US 9598458, WO 2017/062862, WO 2018/067973, WO 2017/160741, WO 2017/192679, WO
2017/210647, or WO
2018/098264, the sugar, base, and internucleotidic linkage modifications of each of which are independently incorporated herein by reference.
[00219] As used in the present disclosure, in some embodiments, "one or more" is 1-200, 1-150, 1-100, 1-90, 1-80, 1-70, 1-60, 1-50, 1-40, 1-30, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, "one or more" is one. In some embodiments, "one or more" is two. In some embodiments, "one or more" is three. In some embodiments, "one or more" is four.
In some embodiments, "one or more" is five. In some embodiments, "one or more"
is six. In some embodiments, -one or more" is seven. In some embodiments, "one or more" is eight. In some embodiments, "one or more" is nine. In some embodiments, "one or more" is ten.
In some embodiments, one or more" is at least one. In some embodiments, one or more" is at least two. In some embodiments, "one or more" is at least three. In some embodiments, "one or more" is at least four. In some embodiments, "one or more" is at least five. In some embodiments, "one or more" is at least six. In some embodiments, -one or more" is at least seven. In some embodiments, -one or more" is at least eight. In some embodiments, -one or more" is at least nine. In some embodiments, "one or more" is at least ten.
[00220] As used in the present disclosure, in some embodiments, "at least one" is 1-200, 1-150, 1-100, 1-90, 1-80, 1-70, 1-60, 1-50, 1-40, 1-30, or 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, at least one" is one. In some embodiments, "at least one" is two. In some embodiments, -at least one" is three. In some embodiments, "at least one" is four.
In some embodiments, -at least one" is five. In some embodiments, -at least one" is six. In some embodiments, "at least one- is seven. In some embodiments, "at least one- is eight. In some embodiments, "at least one" is nine. In some embodiments, "at least one" is ten.
[00221] In some embodiments, a RHO oligonucleotide is or comprises a RHO oligonucleotide described in a Table or Figure.
[00222] As demonstrated in the present disclosure, in some embodiments, a provided oligonucleotide (e.g., a RHO oligonucleotide) is characterized in that, when it is contacted with the transcript in a knockdown system, knockdown of its target (e.g., a RHO
transcript for a RHO
oligonucleotide, a mutant RHO transcript comprising disease-associated mutation(s), etc.) is improved relative to that observed under reference conditions (e.g., selected from the group consisting of absence of the composition, presence of a reference composition, and combinations thereof). In some embodiments, knockdown is increased 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18,19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000 fold or more.
[00223] In some embodiments, oligonucleotides are provided as salt forms. In some embodiments, oligonucleotides are provided as salts comprising negatively-charged intemucleotidic linkages (e.g., phosphorothioate intemucleotidic linkages, natural phosphate linkages, etc.) existing as their salt forms. In some embodiments, oligonucleotides are provided as pharmaceutically acceptable salts. In some embodiments, oligonucleotides are provided as metal salts. In some embodiments, oligonucleotides are provided as sodium salts. In some embodiments, oligonucleotides are provided as metal salts, e.g., sodium salts, wherein each negatively-charged intemucleotidic linkage is independently in a salt form (e.g., for sodium salts, -0-P(0)(SNa)-0- for a phosphorothioate intemucleotidic linkage, -0-P(0)(0Na)-0- for a natural phosphate linkage, etc.).
Base Sequences [00224] In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a base sequence described herein or a portion (e.g., a span of 5-50, 5-40, 5-30, 5-20, or 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or at least 10, at least 15, contiguous nucleobases) thereof with 0-5 (e.g., 0, 1, 2, 3, 4 or 5) mismatches, wherein each T can be independently substituted with U
and vice versa. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a base sequence described herein, or a portion thereof, wherein a portion is a span of at least 10 contiguous nucleobases, or a span of at least 15 contiguous nucleobases with 1-5 mismatches. In some embodiments, provided oligonucleotides comprise a base sequence described herein, or a portion thereof, wherein a portion is a span of at least 10 contiguous nucleobases, or a span of at least 10 contiguous nucleobases with 1-5 mismatches, wherein each T can be independently substituted with U and vice versa. In some embodiments, base sequences of oligonucleotides comprise or consists of 10-50 (e.g., about or at least 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 30, 35, 40, 45; in some embodiments, at least 15; in some embodiments, at least 16;
in some embodiments, at least 17; in some embodiments, at least 18; in some embodiments, at least 19; in some embodiments, at least 20; in some embodiments, at least 21; in some embodiments, at least 22; in some embodiments, at least 23; in some embodiments, at least 24; in some embodiments, at least 25) contiguous bases of a base sequence that is identical to or complementary to a base sequence of a RHO
gene or a transcript (e.g., mRNA) thereof. In some embodiments, the base sequence of an oligonucleotide is or comprises a sequence that is complementary to a target sequence in a RHO
gene or a transcript thereof In some embodiments, the complementary sequence is 10. 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 or more nucleobases in length. In some embodiments, the target sequence is a characteristic sequence of a nucleic acid sequence (e.g., of a RHO gene or a transcript thereof) in that it defines the nucleic acid sequence over others in a relevant organism; for example, the characteristic sequence is not in other genomic nucleic acid sequences (e.g., genes) or transcripts thereof in a relevant organism (e.g., for human RHO, its characteristic sequence not in other human nucleic acid sequences or transcripts thereof). In some embodiments, a characteristic sequence of a transcript defines that transcript over other transcripts in a relevant organism;
for example, in some embodiments, the characteristic sequence is not in transcripts that arc transcribed from a different nucleic acid sequence (e.g., a different gene). In some embodiments, transcript variants from a nucleic acid sequence (e.g., mRNA variants of a gene) may share a common characteristic sequence that defines them from, e.g., transcripts of other genes. In some embodiments, a characteristic sequence in a transcript defines the transcript from other transcript(s) of the same nucleic acid sequence (e.g., a gene) and/or other alleles of the nucleic acid sequence. In some embodiments, a characteristic sequence defines a particular allele (and/or transcripts thereof) over other allele(s) (and/or transcripts thereof) as described herein. In some embodiments, as described herein, a SNP may define a disease-associated allele over another allele which is not, or is less, associated with the disease. A
characteristic sequence may be of various lengths; for example, in some embodiments, it comprises 10. 11, 12,

13, 14, 15, 16, 17, 18, 19 or 20 or more nucleobases. In some embodiments, a RHO oligonucleotide comprises a sequence that is identical or complementary to a characteristic sequence of a RHO gene or a transcript thereof.
1002251 In certain embodiments, a base sequence of a RHO
oligonucleotide is at least about 50%, about 60%, about 70%, about 75%, about 80%, about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, or about 99%, or 100%
complementary to a target nucleic acid sequence (e.g., a RNA sequence).
1002261 In some embodiments, a base sequence of a RHO
oligonucleotide is complementary to an allele of a SNP (e.g., one associated with a condition, disorder or disease).
In some embodiments, a base sequence of RHO oligonucleotide is complementary to one allele of a SNP (e.g., one associated with a condition, disorder or disease) and not the other alleles (e.g., those less or not associated with a condition, disorder or disease). In some embodiments, transcripts comprising a SNP allele that is associated with a condition, disorder or disease comprises a mutation associated with a condition, disorder or disease. In some embodiments, a mutation is P23H (e.g., P [CCC] > H [CAC]). In some embodiments, a SNP is rs104893768. In some embodiments, a base sequence of an oligonucleotide is complementary to an A
allele (having a corresponding T in the base sequence) and not the other alleles of rs104893768 (e.g., a C
allele).
1002271 In some embodiments, a base sequence is complementary to a target nucleic acid (e.g., a transcript) at a mutation site encoding a P23H mutation (H [CAC]) and is not complementary to the wild type (P [CCC]).
[00228] In some embodiments, a provided oligonucleotide comprises a mismatch (e.g., a G:U
mismatch) when aligned with its target nucleic acid sequence, e.g., as described in the examples below. In some embodiments, such oligonucleotide can still effectively reduce levels of transcripts of its target nucleic acid sequence (and/or products encoded thereby), but have significantly reduced undesired reduction of levels of transcripts of non-target nucleic acid sequences (and/or products encoded thereby). In some embodiments, such a mismatch is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more nucleobases away from a nucleobase that is complementary to the nucleobase of a characteristic sequence element, e.g., a SNP, a point mutation, etc.; in some embodiments, such a mismatch is 1 nucleobase away (next to the nucicobasc that is complementary to the nucleobase of a characteristic sequence element, e.g., a SNP, a point mutation, etc.);
in some embodiments, such a mismatch is at least 2 nucleobases away; in some embodiments, such a mismatch is at least 3 nucleobases away; in some embodiments, such a mismatch is at least 4 nucleobases away; in some embodiments, such a mismatch is at least 5 nucleobases away.
1002291 In some embodiments, the present disclosure pertains to an oligonucleotide that targets a first gene target and knocks down the first gene target (e.g., decreases the expression, level and/or activity of the gene target or a gene product thereof); in some embodiments, the first target is RHO.
[00230] In some embodiments, the present disclosure pertains to:
an oligonucleotide capable of knocking down a first gene target, wherein the ability of the oligonucleotide to knock down a second gene target is decreased by replacing one or more bases in the oligonucleotide with a base that would participate in G:U basepairing with the second gene target.
1002311 In some embodiments, the present disclosure pertains to a method related to an oligonucleotide that targets and knocks down a first gene target, wherein the method pertains to reducing the ability of the oligonucleotide to target and knock down to a second gene target, wherein knocking down the second gene target is not desirable, and wherein reduction of the ability of the oligonucleotide to knock down the second gene target is mediated by replacement of one or more bases in the oligonucleotide with a base that would participate in G:U basepairing with a particular position in the second target.
1002321 In some embodiments, the present disclosure pertains to a method of reducing the ability of an oligonucleotide targeting a first gene target to knock down a second gene target, comprising the step of replacing one or more bases in the oligonucleotide with a base that would participate in G:U basepairing with the second target.
1002331 For example, an oligonucleotide can be designed to knock down RHO, where the oligonucleotide has zero mismatches to the target RHO sequence, but also, for example, 2 mismatches from a second gene sequence (e.g., an off-target gene sequence). For example, the oligonucleotide hybridizing to and knocking down the off-target gene sequence can be undesirable if the off-target gene is necessary or beneficial for the proper functioning of a particular cell, tissue or organ.
If the oligonucleotide comprises a base which bonds via Watson-Crick basepairing to a corresponding base in the desired RHO target sequence, that base can be replaced by a base which would participate in G:U
base-pairing with the desired RHO target sequence. Without wishing to be bound by any particular theory, the present disclosure notes that G:U basepairing is reportedly weaker than Watson-Crick basepairing, but the decrease in the strength of one base pair should still allow hybridization of the oligonucleotide to the target sequence, thereby mediating knockdown of the RHO target. However, the replacement of the base with a base that participates in G:U basepairing would also decrease the ability of the oligonucleotide to hybridize to the off-target gene sequence, which already (in this example) has 2 mismatches from the oligonucleotide. The combination of the two mismatches and the newly-introduced G:U may decrease the ability of the oligonucleotide to hybridize to the off-target sequence, thereby reducing the ability of the oligonucleotide to knock-down the off-target gene.
1002341 As a non-limiting example, an example mutant RHO target sequence has one mismatch (bold, underlined) from the wild-type sequence and two mismatches from the sequence of an off-target gene, IRF2BPL. Knocking down IRF2BPL in at least some cases may be undesirable.
Genomic sequence: Number of mismatches Mutant RHO 5' -ACGCAGCCACTTCGAGTACC-3 0 WT RHO 5' -ACGCAGCCCCTTCGAGTACC- 3 1 1002351 As a non-limiting example, a RHO oligonucleotide (1) is designed with perfect complementarity (0 mismatches) to the mutant RHO sequence, 1 mismatch from the wild-type RHO
sequence, and 2 mismatches from the off-target IRF2BPL sequence. In some cases, but not necessarily all, it is possible but not certain that two mismatches may not be sufficient to completely prevent the oligonucleotide from hybridizing to and knocking down IRF2BPL.
OLIGONUCLEOTIDE 1: Number of mismatches 3f-TGCGTCGGTGAAGCTCATGG-5' 3f-UGCGUCGGTGAAGCTCATGG-5' Mutant RHO 5 -ACGCAGCCACTTCGAGTACC- 3 0 IRF2BPL 5f-GCGCAGCCGCTTCGAGTACC-3 2 1002361 In some embodiments, a base in oligonucleotide 1 is replaced by a base capable of mediating G:U (wobble) basepairing with a corresponding base in the mutant RHO
sequence (which is the same in the wt RHO and IRF2BPL. Introducing the G:U basepair (underlined, not bold) into the oligonucleotide decreases its ability to hybridize to the mutant RHO, the wt RHO and the off-target gene.
However, in some embodiments, a single G:U basepair does not substantially decrease the ability of the oligonucleotide to hybridize to and knock down the mutant RHO gene target. In addition, the single G:U
basepair will further decrease the ability of the oligonucleotide to hybridize to and knock down the wt RHO
or the off-target gene, thus mitigating an off-target effect.
OLIGONUCLEOTIDE 2 (1 G:U): Number of mismatches 3f-TGCGTUGGTGAAGCTCATGG-5' Mutant RHO 5f-ACGCAGCCACTTCGAGTACC-3 0 + 1 G:U
WT RHO 5 -ACGCAGCCCCTTCGAGTACC- 3 1 + 1 G:U
IRF2BPL 5 -GCGCAGCCGCTTCGAGTACC- 3 2 + 1 G:U
1002371 In some embodiments, the replacement of two bases with bases capable of mediating G:U
basepairing with the mutant RHO target can also substantially decrease the ability of the oligonucleotide to hybridize to and knockdown the wt RHO and off-target gene, without preventing the oligonucleotide from knocking down the mutant RHO.
1002381 For example, two bases in oligonucleotide 1 are replaced by bases which can participate in G:U basepairing with the target sequence:
OLIGONUCLEOTIDE 3 (2 G:U): Number of mismatches 3' GUGT CGGT GAAGUT CATGG- 5 Mutant RHO 5 -ACGCAGCCACTTCGAGTACC- 3 0 + 2 G:U
WT RHO 5 -ACGCAGCOCCTICGAGTACC- 3 1 + 2 G:U
IRF2BPL 5f-GCGCAGCCGCTICGAGTACC-3 2 + 2 G:U
[00239]
For example, two bases in oligonucleotide 1 are replaced by bases which can participate in G:U basepairing with the target sequence:
OLIGONUCLEOTIDE 3 (1 G:U)(1 A:U):
Number of mismatches 3f-UGCGUCGGTGAAGCTCATGG-5' Mutant RHO 5 -ACGCAGCCACTTCGAGTACC- 3 0 + 2 G:U
WT RHO 5 -ACGCAGCOCCTICGAGTACC- 3 1 + 2 G:U
IRF2BPL 5f-GCGCAGCCGCTICGAGTACC-3 2 + 2 G:U

In some embodiments, a mismatch is in a core. In some embodiments, a mismatch is in a wing. In some embodiments, when an oligonucleotide is aligned with its target sequence, there is a wobble basepairing. In some embodiments, when an oligonucleotide is aligned with its target sequence, there is a G:U pairing.
[00241]
In some embodiments, a RHO oligonucleotide capable of knocking down mutant RHO has a number of mismatches from the off-target gene CHST6.
[00242]
In some embodiments, a RHO oligonucleotide has 2 mismatches from the off-target gene CHST6.
[00243]
In some embodiments, a RHO oligonucleotide has 2 mismatches from the off-target gene CHST6, and one or more bases of the RHO oligonucleotide are replaced with a base capable of mediating G:U basepairing with the mutant RHO and the off-target gene.
[00244]
In some embodiments, the present disclosure pertains to a RHO
oligonucleotide, wherein the RHO oligonucleotide is capable of mediating an allele-specific decrease in the expression, level and/or activity of a mutant RHO gene target or a gene product thereof.
[00245]
In some embodiments, the present disclosure pertains to a RHO
oligonucleotide, wherein the RHO oligonucleotide is capable of mediating an allele-specific decrease in the expression, level and/or activity of a mutant RHO gene target or a gene product thereof, wherein base sequence of the oligonucleotide is, comprises, or comprises at least 15 contiguous bases of, the base sequence of any RHO
oligonucleotide disclosed herein, except that at least one base in the oligonucleotide is replaced by a base capable of mediating G:U basepairing with the mutant RHO target sequence.
1002461 In some embodiments, the present disclosure pertains to a RHO oligonucleotide, wherein the RHO oligonucleotide is capable of mediating an allele-specific decrease in the expression, level and/or activity of a mutant RHO gene target or a gene product thereof, wherein base sequence of the oligonucleotide is, comprises, or comprises at least 15 contiguous bases of, the base sequence of any RHO
oligonucleotide disclosed herein, except that one base in the oligonucleotide is replaced by a base capable of mediating G:U basepairing with the mutant RHO target sequence.
1002471 In some embodiments, the present disclosure pertains to a RHO oligonucleotide, wherein the RHO oligonucleotide is capable of mediating an allele-specific decrease in the expression, level and/or activity of a mutant RHO gene target or a gene product thereof, wherein base sequence of the oligonucleotide is, comprises, or comprises at least 15 contiguous bases of, the base sequence of any RHO
oligonucleotide disclosed herein, except that two bases in the oligonucleotide are replaced by a base capable of mediating G:U basepairing with the mutant RHO target sequence.
1002481 In some embodiments, the present disclosure pertains to a RHO oligonucleotide, wherein the RHO oligonucleotide is capable of mediating an allele-specific decrease in the expression, level and/or activity of a mutant RHO gene target or a gene product thereof, wherein base sequence of the oligonucleotide is, comprises, or comprises at least 15 contiguous bases of, the base sequence of any RHO
oligonucleotide disclosed herein, except that three bases in the oligonucleotide are replaced by a base capable of mediating G:U basepairing with the mutant RHO target sequence.
1002491 Base sequences of provided oligonucleotides, as appreciated by those skilled in the art, typically have sufficient length and complementarity to their targets, e.g., RNA transcripts (e.g., pre-mRNA, mature mRNA, etc.) to mediate target-specific knockdown. In some embodiments, the base sequence of a RHO oligonucleotide has a sufficient length and identity to a RHO transcript target to mediate target-specific knockdown. In some embodiments, a RHO oligonucleotide is complementary to a portion of a RHO transcript (an RHO transcript target sequence). In some embodiments, the base sequence of a RHO oligonucleotide has 90% or more identity with the base sequence of an oligonucleotide disclosed in a Table, wherein each T can be independently substituted with U and vice versa. In some embodiments, the base sequence of a RHO oligonucleotide has 95% or more identity with the base sequence of an oligonucleotide disclosed in a Table, wherein each T can be independently substituted with U and vice versa. In some embodiments, the base sequence of a RHO oligonucleotide comprises a continuous span of 15 or more bases of an oligonucleotide disclosed in a Table, wherein each T
can be independently substituted with U and vice versa, except that one or more bases within the span are abasic (e.g., a nucleobase is absent from a nucleotide). In some embodiments, the base sequence of a RHO
oligonucleotide comprises a continuous span of 19 or more bases of a RHO
oligonucleotide disclosed herein, except that one or more bases within the span are abasic (e.g., a nucleobase is absent from a nucleotide). In some embodiments, the base sequence of a RHO oligonucleotide comprises a continuous span of 19 or more bases of an oligonucleotide disclosed herein, wherein each T can be independently substituted with U and vice versa, except for a difference in the 1 or 2 bases at the 5' end and/or 3' end of the base sequences.
1002501 In some embodiments, a base sequence of an oligonucleotide is, comprises, or comprises 10-20, e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous bases of GGTACTCGAAGTGGCUGCGU, wherein each T may be independently replaced with U and vice versa.
In some embodiments, a base sequence of an oligonucleotide is, comprises, or comprises 10-20, e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous bases of GGTACTCGAAGTGGCUGCGU, wherein each T may be independently replaced with U and vice versa. In some embodiments, a base sequence comprises one of these sequence. In some embodiments, a base sequence is one of these sequence.
1002511 In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which comprises the base sequence of any oligonucleotide disclosed herein, wherein each T may be independently replaced with U and vice versa.
1002521 In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is the base sequence of any oligonucleotide disclosed herein, wherein each T may be independently replaced with U and vice versa.
1002531 In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which comprises at least 15 contiguous bases of the base sequence of any oligonucleotide disclosed herein, wherein each T may be independently replaced with U and vice versa.
1002541 In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 90% identical to the base sequence of any oligonucleotide disclosed herein, wherein each T may be independently replaced with U and vice versa. In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 90% identical to GGTACTCGAAGTGGCUGCGU, wherein each T may be independently replaced with U and vice versa.
In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 90% identical to GGTACTCGAAGTGGCUGCGU.
1002551 In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 95% identical to the base sequence of any oligonucleotide disclosed herein, wherein each T may be independently replaced with U and vice versa. In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 95% identical to GGTACTCGAAGTGGCUGCGU, wherein each T may be independently replaced with U and vice versa.
In some embodiments, the present disclosure pertains to an oligonucleotide having a base sequence which is at least 95% identical to GGTACTCGAAGTGGCUGCGU.
1002561 In some embodiments, a base sequence of an oligonucleotide is, comprises, or comprises 10-20, e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous bases of the base sequence of any oligonucleotide described herein, wherein each T may be independently replaced with U and vice versa.
1002571 In some embodiments, a RHO oligonucleotide is any RHO
oligonucleotide provided herein.
1002581 In some embodiments, an oligonucleotide is WV-39023. In some embodiments, an oligonucleotide is WV-48182.
1002591 In some embodiments, the base sequence of a RHO
oligonucleotide is complementary to that of a RHO transcript or a portion thereof 1002601 In some embodiments, a RHO target gene is an allele of the RHO gene. In some embodiments, a RHO oligonucleotide is allele-specific and is designed to target a specific allele of RHO
(e.g., an allele associated with a RHO-associated condition, disorder or disease).
1002611 Wild-type RHO performs many functions, some of which may not yet be identified. In some embodiments, it is preferable that a RHO oligonucleotide can mediate allele-specific knockdown, wherein the RHO oligonucleotide decreases the expression, activity and/or level of a mutant RHO gene or a gene product thereof to a greater extent as described herein relative to a wild-type RHO gene or a gene product thereof. In some embodiments, the present disclosure provides allele-specific technologies that can selectively reduce decreases the expression, activity and/or level of a mutant RHO gene or a gene product thereof relative to a wild-type RHO gene (or a RHO gene that is not, or is less, associated with a condition, disorder or disease) or a gene product thereof.
1002621 In some embodiments, the base sequence of an oligonucleotide fully complements the sequence of a RHO transcript (or a portion thereof) from an allele associated with a condition, disorder or disease and is not fully complement the sequence of a RHO transcript (or a portion thereof) less or not associated with a condition, disorder or disease. In some embodiments, a disorder-associated allele of RHO
comprises a SNP, mutation or other sequence variation and the RHO
oligonucleotide is designed to complement this sequence. In some embodiments, a RHO SNP is any SNP listed in Table S2. In some embodiments, base sequence of an oligonucleotide complement one allele of a SNP and not the others. In some embodiments, base sequence of an oligonucleotide complement one allele of a SNP, which allele is on the same DNA strand of disease-associated mutation(s). In some embodiments, the base sequence of an oligonucleotide is fully complementary to the sequence of a RHO transcript (or a portion thereof) from an allele comprising disease-associated mutation(s) and is not fully complementary to the sequence of a RHO
transcript (or a portion thereof) from an allele comprising a corresponding wild-type (or not disease-associated) sequence. In some embodiments, a RHO oligonucleotide is pan-specific and designed to target all alleles of RHO (e.g., all or most known alleles of RHO comprise the same sequence, or a sequence complementary thereto, within the span of bases recognized by the RHO
oligonucleotide). In some embodiments, an oligonucleotide reduces expressions, levels and/or activities of both wild-type RHO and mutant RHO, and/or transcripts and/or products thereof 1002631 In some embodiments, a RHO oligonucleotide comprises a base sequence or portion (e.g., a portion comprising 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 nucleobases) thereof described in the Tables, wherein each T may be independently replaced with U and vice versa, and/or a sugar, nucleobase, and/or intemucleotidic linkage modification and/or a pattern thereof described in the Tables, and/or an additional chemical moiety (in addition to an oligonucleotide chain, e.g., a target moiety, a lipid moiety, a carbohydrate moiety, etc.) described in the Tables.
1002641 In some embodiments, the terms "complementary," "fully complementary" and -substantially complementary" may be used with respect to the base matching between an oligonucleotide (e.g., a RHO oligonucleotide) and a target sequence (e.g., a RHO target sequence), as will be understood by those skilled in the art from the context of their use. As a non-limiting example, if a target sequence has, for example, abase sequence of 5' -GUGCUAGUAGCCAACCCCC-3', an oligonucleotide with abase sequence of 5'-GGGGGTTGGCTACTAGCAC-3' is complementary (fully complementary) to such a target sequence. It is noted that substitution of T for U, or vice versa, generally does not alter the amount of complementarity. As used herein, an oligonucleotide that is "substantially complementary" to a target sequence is largely or mostly complementary but not 100% complementary. In some embodiments, a sequence (e.g., a RHO oligonucleotide) which is substantially complementary has 1, 2, 3, 4 or 5 mismatches when aligned to its target sequence. In some embodiments, a RHO
oligonucleotide has a base sequence which is substantially complementary to a RHO target sequence. In some embodiments, a RHO
oligonucleotide has a base sequence which is substantially complementary to the complement of the sequence of a RHO oligonucleotide disclosed herein. As appreciated by those skilled in the art, in some embodiments, sequences of oligonucleotides need not be 100% complementary to their targets for the oligonucleotides to perform their functions (e.g., knockdown of target nucleic acids. In some embodiments, homology, sequence identity or complementarity is 60%-100%, e.g., about or at least 60%, 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%, or 100%. In some embodiments, a provided oligonucleotide has 75%-100% (e.g., about or at least 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%, or 100%) sequence complementarity to a target region (e.g., a target sequence) within its target nucleic acid. In some embodiments, the percentage is about 80% or more. In some embodiments, the percentage is about 85% or more. In some embodiments, the percentage is about 90% or more. In some embodiments, the percentage is about 95% or more. For example, a provided oligonucleotide which is 20 nucleobases long will have 90 percent complementarity if 18 of its 20 nucleobases are complementary. Typically when determining complementarity, A
and T (or U) are complementary nucleobases and C and G are complementary nucleobases.
1002651 In some embodiments, the present disclosure provides a RHO
oligonucleotide comprising a sequence found in an oligonucleotide described in a Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein one or more U is independently and optionally replaced with T or vice versa. In some embodiments, a RHO oligonucleotide can comprise at least one T and/or at least one U. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 50%
identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 60% identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 70% identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 80% identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO
oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 90% identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide described in a Table, wherein the said sequence has over 95% identity with the sequence of the oligonucleotide described in the Table. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising the sequence of an oligonucleotide disclosed in a Table. In some embodiments, the present disclosure provides a RHO oligonucleotide whose base sequence is the sequence of an oligonucleotide disclosed in a Table, wherein each T may be independently replaced with U and vice versa. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a sequence found in an oligonucleotide in a Table, wherein the oligonucleotides have a pattern of backbone linkages, pattern of backbone chiral centers, and/or pattern of backbone phosphorus modifications of the same oligonucleotide or another oligonucleotide in a Table herein.
1002661 Among other things, the present disclosure presents, in Table Al, and elsewhere, various oligonucleotides and/or compositions thereof, each of which has a defined base sequence. In some embodiments, the present disclosure, the present disclosure provides an oligonucleotide whose base sequence which is, comprises, or comprises a portion of the base sequence of an oligonucleotide disclosed herein, e.g., in a Table, e.g., Table Al herein, wherein each T may be independently replaced with U and vice versa. In some embodiments, the disclosure provides an oligonucleotide having a base sequence which is, comprises, or comprises a portion of the base sequence of an oligonucleotide disclosed herein, e.g., in a Table, wherein each T may be independently replaced with U and vice versa, wherein the oligonucleotide further comprises a chemical modification, stereochemistry, format, an additional chemical moiety described herein (e.g., a targeting moiety, lipid moiety, carbohydrate moiety, etc.), and/or another structural feature 1002671 In some embodiments, a "portion" (e.g., of a base sequence or a pattern of modifications) is at least 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 monomeric units long (e.g., for a base sequence, at least 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 bases long). In some embodiments, a -portion- of a base sequence is at least 5 bases long. In some embodiments, a "portion- of a base sequence is at least 10 bases long. In some embodiments, a -portion" of a base sequence is at least 15 bases long. In some embodiments, a "portion" of a base sequence is at least 20 bases long. In some embodiments, a portion of a base sequence is 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or more contiguous (consecutive) bases.
In some embodiments, a portion of a base sequence is 15 or more contiguous (consecutive) bases.
1002681 In some embodiments, the present disclosure provides an oligonucleotide (e.g., a RHO
oligonucleotide) whose base sequence is a base sequence of an oligonucleotide in a Table or a portion thereof, wherein each T may be independently replaced with U and vice versa.
In some embodiments, the present disclosure provides a RHO oligonucleotide of a sequence of an oligonucleotide in a Table, wherein the oligonucleotide is capable of directing a decrease in the expression, level and/or activity of a RHO gene or a gene product thereof As appreciated by those skilled in the art, in provided base sequence, each U
may be optionally and independently replaced by T or vice versa, and a sequence can comprise a mixture of U and T. In some embodiments, C may be optionally and independently replaced with 5mC.
1002691 In some embodiments, a portion is a span of at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 total nucleotides. In some embodiments, a portion is a span of at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 total nucleotides with 0-3 mismatches. In some embodiments, a portion is a span of at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 total nucleotides with 0-3 mismatches, wherein a span with 0 mismatches is complementary and a span with 1 or more mismatches is a non-limiting example of substantial complementarity. In some embodiments, a base comprises a portion characteristic of a nucleic acid (e.g., a gene) in that the portion is identical or complementary to a portion of the nucleic acid or a transcript thereof, and is not identical or complementary to a portion of any other nucleic acid (e.g., a gene) or a transcript thereof in the same genome. In some embodiments, a portion is characteristic of human RHO. In some embodiments, a portion is characteristic of human mRho.
1002701 In some embodiments, a provided oligonucleotide, e.g., a RHO oligonucicotidc, has a length of no more than about 49, 45, 40, 30, 35, 25, or 23 total nucleotides as described herein. In some embodiments, wherein the sequence recited herein starts with a U or T at the 5'-end, the U can be deleted and/or replaced by another base. In some embodiments, an oligonucleotide has a base sequence which is or comprises or comprises a portion of the base sequence of an oligonucleotide in a Table, wherein each T
may be independently replaced with U and vice versa, which has a format or a portion of a format disclosed herein.
1002711 In some embodiments, oligonucleotides, e.g., RHO
oligonucleotides are stereorandom. In some embodiments, oligonucleotides, e.g., RHO oligonucleotides, are chirally controlled. In some embodiments, an oligonucleotide, c.g., a RHO oligonucleotide, is chirally pure (or -stereopure", "stereochemically pure-), wherein the oligonucleotide exists as a single stereoisomeric form (in many cases a single diastereoisomeric (or "diastereomeric") form as multiple chiral centers may exist in an oligonucleotide, e.g., at linkage phosphorus, sugar carbon, etc.). As appreciated by those skilled in the art, a chirally pure oligonucleotide is separated from its other stereoisomeric forms (to the extent that some impurities may exist as chemical and biological processes, selectivities and/or purifications etc. rarely, if ever, go to absolute completeness). In a chirally pure oligonucleotide, each chiral center is independently defined with respect to its configuration (for a chirally pure oligonucleotide, each internucleotidic linkage is independently stereodefined or chirally controlled). In contrast to chirally controlled and chirally pure oligonucleotides which comprise stereodefined linkage phosphorus, racemic (or "stereorandom-, "non-chirally controlled") oligonucleotides comprising chiral linkage phosphorus, e.g., from traditional phosphoramidite oligonucleotide synthesis without stereochemical control during coupling steps in combination with traditional sulfurization (creating stereorandom phosphorothioate internucleotidic linkages), refer to a random mixture of various stereoisomers (typically diastereoisomers (or "diastereomers") as there are multiple chiral centers in an oligonucleotide;
e.g., from traditional oligonucleotide preparation using reagents containing no chiral elements other than those in nucleosides and linkage phosphorus). For example, for A*A*A wherein * is a phosphorothioate internucleotidic linkage (which comprises a chiral linkage phosphorus), a racemic oligonucleotide preparation includes four diastereomers 122 = 4, considering the two chiral linkage phosphorus, each of which can exist in either of two configurations (Sp or Rp)1: A *S A *S A, A *S A *R A, A *R A *S A, and A
*R A *R A, wherein *S
represents a Sp phosphorothioate internucleotidic linkage and *R represents a Rp phosphorothioate internucleotidic linkage. For a chirally pure oligonucleotide, e.g., A *S A *S
A, it exists in a single stereoisomeric form and it is separated from the other stereoisomers (e.g., the diastereomers A *S A *R A, A *RA *S A, and A *R A *RA). In some embodiments, a Rp phosphorothioate is rendered as *S or * S.
In some embodiments, a Rp phosphorothioate is rendered as *R or * R.
1002721 In some embodiments, oligonucleotides, e.g., RHO
oligonucleotides, comprise 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more stereorandom internucleotidic linkages (mixture of Rp and Sp linkage phosphorus at the intemucleotidic linkage, e.g., from traditional non-chirally controlled oligonucleotide synthesis). In some embodiments, oligonucleotides, e.g., RHO oligonucleotides, comprise one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24,25 or more) chirally controlled intemucleotidic linkages (Rp or Sp linkage phosphorus at the intemucleotidic linkage, e.g., from chirally controlled oligonucleotide synthesis). In some embodiments, an internucleotidic linkage is a phosphorothioate internucleotidic linkage. In some embodiments, an internucleotidic linkage is a stereorandom phosphorothioate internucleotidic linkage. In some embodiments, an intemucleotidic linkage is a chirally controlled phosphorothioate intemucleotidic linkage.
1002731 Among other things, the present disclosure provides technologies for preparing chirally controlled (in some embodiments, stereochemically pure) oligonucleotides. In some embodiments, oligonucleotides are stereochemically pure. In some embodiments, oligonucleotides of the present disclosure are about 5%-100%, 10%-100%, 20%-100%, 30%-100%, 40%-100%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100%, or at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99%, pure. In some embodiments, intemucleotidic linkages of oligonucleotides comprise or consist of one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,

14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more) chirally controlled chiral internucleotidic linkages, each of which independently has a diastereopurity of at least 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5%, typically at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%
or 99.5%. In some embodiments, a chiral intemucleotidic linkage has a diastereopurity of at least 95%. In some embodiments, a chiral intemucleotidic linkage has a diastereopurity of at least 96%. In some embodiments, a chiral internucleotidic linkage has a diastereopurity of at least 97%. In some embodiments, a chiral intemucleotidic linkage has a diastereopurity of at least 98%. In some embodiments, a chiral intemucleotidic linkage has a diastereopurity of at least 99%. In some embodiments, oligonucleotides of the present disclosure, e.g., RHO oligonucleotides, have a diastereopurity of (DS)cm, wherein DS is a diastereopurity as described in the present disclosure (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and CIL is the number of chirally controlled intemucleotidic linkages (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,22, 23, 24, 25 or more). In some embodiments, DS is 95%-100%. In some embodiments, each phosphorothioate internucleotidic linkage is independently chirally controlled. In some embodiments, each internucleotidic linkage is independently chirally controlled. In some embodiments, one or more chiral internucleotidic linkages, e.g., one or more neutral internucleotidic linkages (e.g., n001) is not chirally controlled.
1002741 In some embodiments, internucleotidic linkages of oligonucleotides comprise or consist of one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more) chirally controlled chiral internucleotidic linkages, each of which independently comprises a linkage phosphorus chiral center with de (diastereomeric excess) of at least 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%
or 99.5%, typically at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5%. In some embodiments, de is at least 90%. In some embodiments, de is at least 95%. In some embodiments, de is at least 96%. In some embodiments, de is at least 97%. In some embodiments, de is at least 98%. In some embodiments, de is at least 99%. In some embodiments, oligonucleotides of the present disclosure, e.g., RHO oligonucleotides, have a diastereopurity of (DS)cm, wherein DS is a diastereopurity as described in the present disclosure (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and CIL is the number of chirally controlled internucleotidic linkages (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more). In some embodiments, oligonucleotides of the present disclosure, e.g., RHO
oligonucleotides, have a diastereopurity of (DS)', wherein DS is 90%400% (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and CIL is the number of chirally controlled internucleotidic linkages (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more). In some embodiments, oligonucleotides ofthe present disclosure, e.g., RHO oligonucleotides, have a diastereopurity of (DS)', wherein DS is a diastereopurity as described in the present disclosure (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and CIL is the number of chiral internucleotidic linkages (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more).
n some embodiments, oligonucleotides of the present disclosure, e.g., RHO
oligonucleotides, have a diastereopurity of (DS)', wherein DS is 90%400% (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more) and CIL is the number of chiral internucleotidic linkages (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 5-50, 5-40, 5-30, 5-25, 5-20, 1, 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more).1n some embodiments, DS is 95%-100%. In some embodiments, each phosphorothioate internucleotidic linkage is independently chirally controlled. In some embodiments, each internucleotidic linkage is independently chirally controlled. In some embodiments, one or more chiral internucleotidic linkages, e.g., one or more neutral internucleotidic linkages (e.g., n001) is not chirally controlled.
1002751 As examples, certain RHO oligonucleotides comprising certain example base sequences, nucleobase modifications and patterns thereof, sugar modifications and patterns thereof, internucleotidic linkages and patterns thereof, linkage phosphorus stereochemistry and patterns thereof, linkers, and/or additional chemical moieties, and compositions thereof, are presented in Tables Al, below. Among other things, these oligonucleotides and compositions may be utilized to target a RHO transcript, e.g., to reduce the level of a RHO transcript and/or a product thereof, and may be utilized to treat a condition, disorder or disease associated with RHO (e.g., one associated with P23H mutation). In some embodiments, a condition, disorder or disease is retinitis pigmentosa.
Table Al. Example Oligonucleotides/Compositions.
Oligo-Stereochemistry /
Description Base Sequence nucleotide Linkage WV-39023 Geo*SGeon.001RTeoAeou001Rm5Ceo SP' S cicamziPCGAA SRO aRSS SS SS S
m5C*SG*SA*SA*SG* ST* SG*RG* SC Sm GTGGC UGCGU SRSSS SnRS
II* SmG* Sin5 Ceon001 RmG*SmU
W V-48 I 82. Goo" SGc:on001RIcoAcon00111m5 C co'" ST* S GGTACTCGAA SnRODRSS SS
SS S
m.5C' SG* SA* SAX SG* ST* SG*RG* SC' Sm. GTGGCUGCGU SRSS SS SnR
II* SmG Sm5 Ceo* SnIGn00 I RinU
WV-15562 tn-LI*SGeon00 1 Rra5Ceon001Rm5 Ceon00 I R UGCCAGGCTG SnRaRnRSSRSS
mA* SG* SG* RC* ST* SG*RG* ST* ST*RA* S OTTATGACLIC RS SRSSS S S S
T*SmG*SmA*SmC*SmU*SmC
WV-34326 Goo*Sck on 00 1 TecAclon 00 I rn5Cclo*ST" Sm5 GGTACTCGA A SnX0nXSS SS
SS
C*SG*SA*SA* 50* ST* SG* RG* SC*SniU* S GIGGCUGCGIJ SSRSSSSnXS
inG" Sm5 Ceon00 .1mti Sra WV-34327 Geo* SGcion001TeoAcion001m5 Ccio * ST* Sm5 GGTACTCGAA SnX0nXSS SS SS
C* SG*S.ASA*SG*ST* SG* H(* SC* Sn S GTGGCLJGCGII SSRSSSSSnX
mG* Sm5 Coo* SInGn001raU
Notes:
Spaces in Table Al are utilized for formatting and readability, e.g., S nX nX
nX R SSSSS SSRSSSSOS
illustrates the same Stereochemistry / Linkage as SrEX0r3XSS SS SS SSRS SS
SSnX ; * S and *S both indicate a phosphorothioate intemucleotidic linkage wherein the linkage phosphonts has Sp configuration (S); etc.
Description, Base Sequence and Stereochemistry/Linkage, due to their length, may be divided into multiple lines in Table Al. Unless otherwise specified, all oligonucleotides in Table Al are single-stranded. As appreciated by those skilled in the art, nucleoside units are unmodified and contain unmodified nucleobases and 2'-deoxy sugars unless otherwise indicated with modifications (e.g., modified with m, m5, eo, etc.); linkages, unless otherwise indicated, are natural phosphate linkages; and acidic/basic groups may independently exist in their salt forms. Moieties and modifications in oligonucleotides (or other compounds, e.g., those useful for preparing provided oligonucleotides comprising these moieties or modifications):
m: 2'-0Me;
m5 (or m5C): methyl at 5-position of C (nucleobase is 5-methylcytosine);
m5Ceo: 5-methyl 2'-0-methoxyethyl C;
eo: 2'-MOE (2'¨OCH2C1-1/0CH3);
0, PO: phosphodiester (phosphate). It can be an end group (or a component thereof), or a linkage, e.g., a linkage between a linker and an oligonucleotide chain, an internucleotidic linkage (a natural phosphate linkage), etc. Phosphodiesters are typically indicated with "0" in the Stereochemistry/Linkage column and are typically not marked in the Description column (if it is an end group, e.g., a 5'-end group, it is indicated in the Description and typically not in Stereochemistry/Linkage); if no linkage is indicated in the Description column, it is typically a phosphodiester unless otherwise indicated. Note that a phosphate linkage between a linker (e.g., L001) and an oligonucleotide chain may not be marked in the Description column, and may not be indicated with "0" in the Stereochemistry/Linkage column;
*, PS: Phosphorothioate. It can be an end group (if it is an end group, e.g., a 5=-end group, it is indicated in the Description and typically not in Stereochemistry/Linkage), or a linkage, e.g., a linkage between linker (e.g., L001) and an oligonucleotide chain, an internucleotidic linkage (a phosphorothioate internucleotidic linkage), etc.; * (as opposed to * R or * S) indicates a phosphorothioate which is not chirally controlled;
R, Rp: Phosphorothioate in the Rp configuration. Note that * R in Description indicates a single phosphorothioatc linkage in the Rp configuration;
S. Sp: Phosphorothioatc in the Sp configuration. Note that * S in Description indicates a single phosphorothioate linkage in the Sp configuration;
X: stereorandom phosphorothioate;
JUIN
1\1 C),N.õ..
I
0, n001: ss" ;and nX: stereorandom n001;
nR or n001R: n001 in Rp configuration; and nS or n001S: n001 in Sp configuration.
Lengths 1002761 As appreciated by those skilled in the art, oligonucleotides can be of various lengths to provide desired properties and/or activities for various uses. Many technologies for assessing, selecting and/or optimizing oligonucleotide length are available in the art and can be utilized in accordance with the present disclosure. As demonstrated herein, in many embodiments, provided oligonucleotides are of suitable lengths to hybridize with their targets and reduce levels of their targets and/or an encoded product thereof. In some embodiments, an oligonucleotide is long enough to recognize a target nucleic acid (e.g., a RHO mRNA). In some embodiments, an oligonucleotide is sufficiently long to distinguish between a target nucleic acid and other nucleic acids (e.g., a nucleic acid having a base sequence which is not RHO) to reduce off-target effects. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, is sufficiently short to reduce complexity of manufacture or production and to reduce cost of products.
1002771 In some embodiments, the base sequence of an oligonucleotide is about 10-500 nucleobases in length. In some embodiments, a base sequence is about 10-500 nucleobases in length. In some embodiments, a base sequence is about 10-50 nucleobases in length. In some embodiments, a base sequence is about 15-50 nucleobases in length. In some embodiments, a base sequence is from about 15 to about 30 nucleobases in length. In some embodiments, a base sequence is from about 10 to about 25 nucleobases in length. In some embodiments, a base sequence is from about 15 to about 22 nucleobases in length. In some embodiments, abase sequence is about 10, 11, 12, 13, 14, 15, 16_ 17, 18, 19, 20, 21, 22, 23, 24, or 25 nucleobases in length. In some embodiments, a base sequence is at least 12 nucleobases in length. In some embodiments, a base sequence is at least 13 nucleobases in length. In some embodiments, a base sequence is at least 14 nucleobases in length. In some embodiments, a base sequence is at least 15 nucleobases in length. In some embodiments, a base sequence is at least 16 nucleobases in length. In some embodiments, a base sequence is at least 17 nucleobases in length. In some embodiments, a base sequence is at least 18 nucleobases in length. In some embodiments, a base sequence is at least 19 nucleobases in length. In some embodiments, a base sequence is at least 20 nucleobases in length. In some embodiments, a base sequence is at least 21 nucleobases in length. In some embodiments, a base sequence is at least 22 nucleobases in length. In some embodiments, a base sequence is at least 23 nucleobases in length. In some embodiments, a base sequence is at least 24 nucleobases in length. In some embodiments, a base sequence is at least 25 nucleobases in length. In some embodiments, a base sequence is

15 nucleobases in length. In some embodiments, a base sequence is 16 nucleobases in length. In some embodiments, a base sequence is 17 nucleobases in length. In some embodiments, a base sequence is 18 nucleobases in length. In some embodiments, a base sequence is 19 nucleobases in length. In some embodiments, a base sequence is 20 nucleobases in length. In some embodiments, a base sequence is 21 nucicobascs in length. In some embodiments, a base sequence is 22 nucleobases in length. In some embodiments, a base sequence is 23 nucleobases in length. In some embodiments, a base sequence is 24 nucleobases in length. In some embodiments, a base sequence is 25 nucleobases in length. In some other embodiments, a base sequence is at least 30 nucleobases in length. In some other embodiments, a base sequence is a duplex of complementary strands of at least 18 nucleobases in length. In some other embodiments, a base sequence is a duplex of complementary strands of at least 21 nucleobases in length. In some embodiments, each nucleobase independently comprises an optionally substituted monocyclic, bicyclic or polycyclic ring wherein at least one ring atom is nitrogen. In some embodiments, each nucleobase is independently optionally substituted adenine, cytosine, guanosine, thymine, or uracil, or an optionally substituted tautomer of adenine, cytosine, guanosine, thymine, or uracil.
Re2ions, Win2s and Cores [00278] In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises several regions, each of which independently comprises one or more consecutive nucleosides and optionally one or more internucleotidic linkages. In some embodiments, a region differs from its neighboring region(s) in that it contains one or more structural feature that are different from those corresponding structural features of its neighboring region(s). Example structural features include nucleobase modifications and patterns thereof, sugar modifications and patterns thereof, internucleotidic linkages and patterns thereof (which can be internucleotidic linkage types (e.g._ phosphate, phosphorothioate, phosphorothioate triester, neutral internucleotidic linkage, etc.) and patterns thereof, linkage phosphorus modifications (backbone phosphorus modifications) and patterns thereof (e.g., pattern of ¨XLR1 if internucleotidic linkages having the structure of formula I), backbone chiral center (linkage phosphorus) stereochemistry and patterns thereof [e.g., combination of Rp and/or Sp of chirally controlled internucleotidic linkages (sequentially from 5' to 3'), optionally with non-chirally controlled internucleotidic linkages and/or natural phosphate linkages, if any (e.g., StiXOnXSSSSSSSSRSSSSSnX)]. In some embodiments, a region comprises a chemical modification (e.g., a sugar modification, base modification, internucleotidic linkage, or stereochemistry of internucleotidic linkage) not present in its neighboring region(s). In some embodiments, a region lacks a chemical modification present in its neighboring regions(s).
[00279] In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises or consists of two or more regions. In some embodiments, an oligonucleotide comprises or consists of three or more regions. In some embodiments, an oligonucleotide comprises or consists of two neighboring regions, wherein one region is designated as a wing region and the other a core region. The structure of such an oligonucleotide comprises or consists of a wing-core or core-wing structure. In some embodiments, an oligonucleotide comprises or consists of three neighboring regions, wherein one region is flanked by two neighboring regions. In some embodiments, the middle region is designated as the core region, and each of the flanking region a wing region (a 5'-wing if connected to the 5'-end of the core, a 3'-wing if connected to the 3'-end of the core). The structure of such an oligonucleotide comprises or consists of a wing-core-wing structure.
1002801 In some embodiments, a first region (e.g., a wing) differs from a second region (e.g., a core) in that the first region contains sugar modification(s) or pattern thereof absent from the second region.
In some embodiments, a first (e.g., wing) region comprises a sugar modification absent from a second (e.g., core) region. In some embodiments, a sugar modification is a 2'-modification.
In some embodiments, a 2'-modification is 2'-OR, wherein R is optionally substituted C1_6 aliphatic.
In some embodiments, a 2'-modification is 2'-OR, wherein R is optionally substituted C1_6 alkyl. In some embodiments, a 2'-modification is 2'-M0E. In some embodiments, a 2'-modification is 2'-0Me. In some embodiments, a modified sugar is a bicyclic sugar, e.g., a LNA sugar. In some embodiments, each sugar in a region is independently modified. In some embodiments, each sugar of a region (e.g., a wing) independently comprises a modification, which can be the same or different from each other.
In some embodiments, each sugar of a region (e.g., a wing) comprises the same modification, e.g., 2'-modification as described in the present disclosure. In some embodiments, sugars of a region (e.g., a core) are not modified. In some embodiments, each sugar of a region (e.g., a core) is a non-modified DNA sugar (with two ¨H at the 2'-position). In some embodiments, the structure of a provided oligonucleotide comprises or consists of a wing-core, core-wing, or wing-core-wing structure, wherein each wing independently comprises one or more sugar modifications, and each sugar in the core is a natural DNA sugar (with two ¨H at the 2'-position).
1002811 Additionally or alternatively, a first region (e.g., a wing) can contain internucleotidic linkage(s) or pattern thereof that differs from another region (e.g., a core or another wing). In some embodiments, a region (e.g., a wing) comprises two or more consecutive natural phosphate linkages. In some embodiments, a region (e.g., a core) comprises no consecutive natural phosphate linkages. In some embodiments, the structure of a provided oligonucleotide comprises or consists of a wing-core, core-wing, or wing-core-wing structure, wherein at least one wing independently comprises two or more consecutive natural phosphate linkages, and the core comprises no consecutive natural phosphate linkages. In some embodiments, in a wing-core-wing structure, each wing independently comprises two or more consecutive internucleotidic linkages. Unless otherwise noted, for the purpose of stereochemistry of wing-core-wing structures, internucleotidic linkages connecting a core with a wing are included in the core (e.g., see above).
1002821 In some embodiments, a region is a 5'-wing, a 3.-wing, or a core. In some embodiments, the 5'-wing is to the 5' end of the oligonucleotide, the 3'-wing is to the 3'-end of the oligonucleotide and the core is between the 5'-wing and the 3'-wing, and the oligonucleotide comprises or consists of a wing-core-wing structure or format. In some embodiments, a core comprises a span of contiguous natural DNA
sugars (2'-deoxyribose). In some embodiments, a core comprises a span of at least 5 contiguous natural DNA sugars (2'-deoxyribose). In some embodiments, a core comprises a span of at least 10 contiguous natural DNA sugars (2'-deoxyribose). In some embodiments, a core is referenced as a gap. In some embodiments, an oligonucleotide which comprises or consists of a wing-core-wing structure is described as a gapmer. In some embodiments, the structure of a provided oligonucleotide comprises or consists of a wing-core structure. In some embodiments, the structure of a provided oligonucleotide comprises or consists of a core-wing structure. Non-limiting examples of oligonucleotides having a core-wing structure include WV-39023, and WV-48182. In some embodiments, the structure of an oligonucleotide comprises or consists of an oligonucleotide chain which comprises or consists of wing-core-wing, wing-core, or wing-core, wherein the oligonucleotide chain is conjugated to an additional chemical moiety optionally through a linker as described in the present disclosure. In some embodiments, the present disclosure provides oligonucleotides that target RHO and have a structure that comprises one or two wings and a core, and comprise or consist of a wing-core-wing, core-wing, or wing-core structure.
1002831 Ribonuclease H (RNase H, e.g., RNase H1, RNase H2, etc.) reportedly recognizes a structure comprising a hybrid of RNA and DNA (e.g., a heteroduplex), and cleaves the RNA. In some embodiments, an oligonucleotide comprising a span of contiguous natural DNA
sugars (2'-deoxyribose, e.g., in a core region) is capable of annealing to a RNA such as a mRNA to form a heteroduplex; and this heteroduplex structure is capable of being recognized by RNase H and the RNA
cleaved by RNase H. In some embodiments, a core of a provide oligonucleotide comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more contiguous natural DNA sugars, and the core is capable of annealing specifically to a target transcript [e.g., a RHO transcript (e.g., pre-mRNA, mature mRNA, etc.)]; and the formed structure is capable of being recognized by RNase H and the transcript cleaved by RNasc H. In some embodiments, a core of a provided oligonucleotide comprises 5 or more contiguous DNA sugars.
1002841 Regions, e.g., wings, cores, etc., can be of various suitable lengths. In some embodiments, a region (e.g., a wing, a core. etc.) contains 1, 2, 3, 4, 5, 6, 7, 8. 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,20, 21, 22, 23, 24, 25 or more nucleobases. As described in the present disclosure, in some embodiments, each nucleobase independently comprises an optionally substituted monocyclic, bicyclic or polycyclic ring, which ring has at least one nitrogen ring atom; in some embodiments, each nucleobase is independently optionally substituted A, T, C, G or U, or a substituted tautomer of A, T, C, G or U. In some embodiments, the number is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 for a wing. In some embodiments, the number is 1 for a wing.
In some embodiments, the number is 2 for a wing. In some embodiments, the number is 3 for a wing. In some embodiments, the number is 4 for a wing. In some embodiments, the number is 5 for a wing. In some embodiments, the number is 6 for a wing. In some embodiments, the number is 7 for a wing. In some embodiments, the number is 8 for a wing. In some embodiments, the number is 9 for a wing. In some embodiments, the number is 10 for a wing. In some embodiments, each wing of a wing-core-wing structure independently has a length as described in the present disclosure.
In some embodiments, the two wings are of the same length. In some embodiments, the two wings are of different length. In some embodiments, the number is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or more for a core. In some embodiments, the number is 1 for a core. In some embodiments, the number is 2 for a core. In some embodiments, the number is 3 for a core. In some embodiments, the number is 4 for a core. In some embodiments, the number is 5 for a core. In some embodiments, the number is 6 for a core. In some embodiments, the number is 7 for a core. In some embodiments, the number is 8 for a core. In some embodiments, the number is 9 for a core. In some embodiments, the number is 10 for a core. In some embodiments, the number is 11 for a core. In some embodiments, the number is 12 for a core. In some embodiments, the number is 13 for a core. In some embodiments, the number is 14 for a core. In some embodiments, the number is 15 for a core.
1002851 In some embodiments, a wing-core-wing is described as "X-Y-Z", where "X" represents the length of the 5' wing (as number of nucleobases), "Y" represents the length of the core (as number of nucleobases), and "Z" represents the length of the 3 wing (as number of nucleobases). Example embodiments of X, Y, and Z include those lengths described as numbers (e.g., above) and exemplified in oligonucleotide species (e.g., in Table Al). In some embodiments, the two wings are of the same or different lengths and/or have the same or different modifications or patterns of modifications. In some preferred embodiments, Y is between 8 and 15. In some embodiments, X, Y or Z
can each independently be 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30 or more. In some embodiments, each of X, Y and Z is independently 1-30. In some embodiments, X-Z-Z is 5-10-5, 5-10-4, 4-10-4, 4-10-3, 3-10-3, 2-10-2, 5-9-5, 5-9-4, 4-9-5, 5-8-5, 5-8-4, 4-8-5, 5-7- 5, 4-7-5, 5-7-4, or 4-7-4. In some embodiments, the structure of a provided oligonucleotide comprises or is a wing-core or core-wing structure of, for example, 5-10, 8-4, 4-12, 12-4, 3-14, 16-2, 18-1, 10-3, 2-10, 1-10, 8-2, 2-13, 5-13, 5-8, or 6-8. In some embodiments, a wing or a core is a block, and a wing-core, core-wing, or wing-core-wing structure is a blockmer comprising two or three blocks.
1002861 In some embodiments, the structure of a provided oligonucleotide comprises or is a wing-core-wing-structure, wherein the length (in nucleobases) of the first wing is represented by X, the length of the core is represented by Y and the length of the second wing is represented by Z, wherein X-Y-Z is 1-5-1, 1-6-1, 1-7-1, 1-8-1, 1-9-1, 1-10-1, 1-11-1, 1-12-1, 1-13-1, 1-14-1, 1-15-1, 1-16-1, 1-17-1, 1-18-1, 1-19-1, 1-20-1, 1-5-2, 1-6-2, 1-7-2, 1-8-2, 1-9-2, 1-10-2, 1-11-2, 1-12-2, 1-13-2, 1-14-2, 1-15-2, 1-16-2, 1-17-2, 1-18-2, 1-19-2, 1-20-2, 1-5-3, 1-6-3, 1-7-3, 1-8-3, 1-9-3, 1-10-3, 1-11-3, 1-12-3, 1-13-3, 1-14-3, 1-15-3, 1-

16-3, 1-17-3, 1-18-3, 1-19-3, 1-20-3, 1-5-4, 1-6-4, 1-7-4, 1-8-4, 1-9-4, 1-10-4, 1-11-4, 1-12-4, 1-13-4, 1-14-4, 1-15-4, 1-16-4, 1-17-4, 1-18-4, 1-19-4, 1-20-4, 1-5-5, 1-6-5, 1-7-5, 1-8-5, 1-9-5, 1-10-5, 1-11-5, 1-12-5, 1-13-5, 1-14-5, 1-15-5, 1-16-5, 1-17-5, 1-18-5, 1-19-5, 1-20-5, 2-5-1, 2-6-1, 2-7-1, 2-8-1, 2-9-1, 2-10-1, 2-12-1, 2-12-1, 2-13-1, 2-14-1, 2-15-1, 2-16-1, 2-17-1, 2-18-1, 2-19-1, 2-20-1, 2-5-2, 2-6-2, 2-7-2, 2-8-2, 2-9-2, 2-10-2, 2-12-2, 2-12-2, 2-13-2, 2-14-2, 2-15-2, 2-16-2, 2-17-2, 2-18-2, 2-19-2, 2-20-2, 2-5-3, 2-6-3, 2-7-3, 2-8-3, 2-9-3, 2-10-3, 2-12-3, 2-12-3, 2-13-3, 2-14-3, 2-15-3, 2-16-3, 2-17-3, 2-18-3, 2-19-3, 2-20-3, 2-5-4, 2-6-4, 2-7-4, 2-8-4, 2-9-4, 2-10-4, 2-12-4, 2-12-4, 2-13-4, 2-14-4, 2-15-4, 2-16-4, 2-17-4, 2-18-4, 2-19-4, 2-20-4, 2-5-5, 2-6-5, 2-7-5, 2-8-5, 2-9-5, 2-10-5, 2-12-5, 2-12-5, 2-13-5, 2-14-5, 2-15-5, 2-16-5, 2-17-5, 2-18-5, 2-19-5, 2-20-5, 3-5-1, 3-6-1, 3-7-1, 3-8-1, 3-9-1, 3-10-1, 3-13-1, 3-14-1, 3-13-1, 3-14-1, 3-15-1, 3-16-1, 3-17-1, 3-18-1, 3-19-1, 3-20-1, 3-5-2, 3-6-2, 3-7-2, 3-8-2, 3-9-2, 3-10-2, 3-13-2, 3-14-2, 3-13-2, 3-14-2, 3-15-2, 3-16-2, 3-17-2, 3-18-2, 3-19-2, 3-20-2, 3-5-3, 3-6-3, 3-7-3, 3-8-3, 3-9-3, 3-10-3, 3-13-3, 3-14-3, 3-13-3, 3-14-3, 3-15-3, 3-16-3, 3-17-3, 3-18-3, 3-19-3, 3-20-3, 3-5-4, 3-6-4, 3-7-4, 3-8-4, 3-9-4, 3-10-4, 3-13-4, 3-14-4, 3-13-4, 3-14-4, 3-15-4, 3-16-4, 3-17-4, 3-18-4, 3-19-4, 3-20-4, 3-5-5, 3-6-5, 3-7-5, 3-8-5, 3-9-5, 3-10-5, 3-13-5, 3-14-5, 3-13-5, 3-14-5, 3-15-5, 3-16-5, 3-17-5, 3-18-5, 3-19-5, 3-20-5, 4-5-1, 4-6-1, 4-7-1, 4-8-1, 4-9-1, 4-10-1, 4-14-1, 4-14-1, 4-13-1, 4-14-1, 4-15-1, 4-16-1, 4-17-1, 4-18-1, 4-19-1, 4-20-1, 4-5-2, 4-6-2, 4-7-2, 4-8-2, 4-9-2, 4-10-2, 4-14-2, 4-14-2, 4-13-2, 4-14-2, 4-15-2, 4-16-2, 4-17-2, 4-18-2, 4-19-2, 4-20-2, 4-5-3, 4-6-3, 4-7-3, 4-8-3, 4-9-3, 4-10-3, 4-14-3, 4-14-3, 4-13-3, 4-14-3, 4-15-3, 4-16-3, 4-17-3, 4-18-3, 4-19-3, 4-20-3, 4-5-4, 4-6-4, 4-7-4, 4-8-4, 4-9-4, 4-10-4, 4-14-4, 4-14-4, 4-13-4, 4-14-4, 4-15-4, 4-16-4, 4-17-4, 4-18-4, 4-19-4, 4-20-4, 4-5-5, 4-6-5, 4-7-5, 4-8-5, 4-9-5, 4-10-5, 4-14-5, 4-14-5, 4-13-5, 4-14-5, 4-15-5, 4-16-5, 4-17-5, 4-18-5, 4-19-5, 4-20-5, 5-5-1, 5-6-1, 5-7-1, 5-8-1, 5-9-1, 5-10-1, 5-15-1, 5-12-1, 5-13-1, 5-14-1, 5-15-1, 5-16-1, 5-17-1, 5-18-1, 5-19-1, 5-20-1, 5-5-2, 5-6-2, 5-7-2, 5-8-2, 5-9-2, 5-10-2, 5-15-2, 5-12-2, 5-13-2, 5-14-2, 5-15-2, 5-16-2, 5-17-2, 5-18-2, 5-19-2, 5-20-2, 5-5-3, 5-6-3, 5-7-3, 5-8-3, 5-9-3, 5-10-3, 5-15-3, 5-12-3, 5-13-3, 5-14-3, 5-15-3, 5-16-3, 5-17-3, 5-18-3, 5-19-3, 5-20-3, 5-5-4, 5-6-4, 5-7-4, 5-8-4, 5-9-4, 5-10-4, 5-15-4, 5-12-4, 5-13-4, 5-14-4, 5-15-4, 5-16-4, 5-17-4, 5-18-4, 5-19-4, 5-20-4, 5-5-5, 5-6-5, 5-7-5, 5-8-5, 5-9-5, 5-10-5, 5-15-5, 5-12-5, 5-13-5, 5-14-5, 5-15-5, 5-16-5, 5-17-5, 5-18-5, 5-19-5, 5-20-5, 1-5-6, 1-6-6, 1-7-6, 1-8-6, 1-9-6, 1-10-6, 1-11-6, 1-12-6, 1-13-6, 1-14-6, 1-15-6, 1-16-6, 1-17-6, 1-18-6, 1-19-6, 1-20-6, 2-5-6, 2-6-6, 2-7-6, 2-8-6, 2-9-6, 2-10-6, 2-11-6, 2-12-6, 2-13-6, 2-14-6, 2-15-6, 2-16-6, 2-17-6, 2-18-6, 2-19-6, 2-20-6, 3-5-6, 3-6-6, 3-7-6, 3-8-6, 3-9-6, 3-10-6, 3-11-6, 3-12-6, 3-13-6, 3-14-6, 3-15-6, 3-16-6, 3-17-6, 3-18-6, 3-19-6, 3-20-6, 4-5-6, 4-6-6, 4-7-6, 4-8-6, 4-9-6, 4-10-6, 4-11-6, 4-12-6, 4-13-6, 4-14-6, 4-15-6, 4-16-6, 4-17-6, 4-18-6, 4-19-6,4-20-6, 5-5-6, 5-6-6, 5-7-6, 5-8-6, 5-9-6, 5-10-6, 5-11-6, 5-12-6, 5-13-6, 5-14-6, 5-15-6, 5-16-6, 5-17-6, 5-18-6, 5-19-6, 5-20-6, 6-5-6, 6-6-6, 6-7-6, 6-8-6, 6-9-6, 6-10-6, 6-11-6, 6-12-6, 6-13-6, 6-14-6, 6-15-6, 6-16-6, 6-17-6, 6-18-6, 6-19-6, 6-20-6, 7-5-6, 7-6-6, 7-7-6, 7-8-6, 7-9-6, 7-10-6, 7-11-6, 7-12-6, 7-13-6, 7-14-6, 7-15-6, 7-16-6, 7-17-6, 7-18-6, 7-19-6, 7-20-6, 1-5-7, 1-6-7, 1-7-7, 1-8-7, 1-9-7, 1-10-7, 1-11-7, 1-12-7, 1-13-7, 1-14-7, 1-15-7, 1-16-7, 1-17-7, 1-18-7, 1-19-7, 1-20-7, 2-5-7, 2-6-7, 2-7-7, 2-8-7, 2-9-7, 2-10-7, 2-11-7, 2-12-7, 2-13-7, 2-14-7, 2-15-7, 2-16-7, 2-17-7, 2-18-7, 2-19-7, 2-20-7, 3-5-7, 3-6-7, 3-7-7, 3-8-7, 3-9-7, 3-10-7, 3-11-7, 3-12-7, 3-13-7, 3-14-7, 3-15-7, 3-16-7, 3-17-7, 3-18-7, 3-19-7, 3-20-7, 4-5-7, 4-6-7, 4-7-7, 4-8-7, 4-9-7, 4-10-7, 4-11-7, 4-12-7, 4-13-7, 4-14-7, 4-15-7, 4-16-7, 4-17-7, 4-18-7, 4-19-7,4-20-7, 5-5-7, 5-6-7, 5-7-7, 5-8-7, 5-9-7, 5-10-7, 5-11-7, 5-12-7, 5-13-7, 5-14-7, 5-15-7, 5-16-7, 5-17-7, 5-18-7, 5-19-7, 5-20-7, 6-5-7, 6-6-7, 6-7-7, 6-8-7, 6-9-7, 6-10-7, 6-11-7, 6-12-7, 6-13-7, 6-14-7, 6-15-7, 6-16-7, 6-17-7, 6-18-7, 6-19-7, 6-20-7, 7-5-7, 7-6-7, 7-7-7, 7-8-7, 7-9-7, 7-10-7, 7-11-7, 7-12-7, 7-13-7, 7-14-7, 7-15-7, 7-16-7, 7-17-7, 7-18-7, 7-19-7, or 7-20-7.
1002871 In some embodiments, a wing comprises one or more sugar modifications. In some embodiments, each sugar in a wing is independently modified. In some embodiments, each wing sugar in an oligonucleotide is independently modified. In some embodiments, each modified sugar independently comprises a 2'-modification (e.g., 2'-OR wherein R is optionally substituted C1_6 aliphatic, a LNA sugar, etc.). In some embodiments, a first wing comprises a sugar modification that is absent from a second wing (in some embodiments, a first wing is a 5'-wing and a second wing is a 3'-wing; in some embodiments, a first wing is a 3'-wing and a second wing is a 5'-wing). In some embodiments, each sugar modification in a wing is the same. In some embodiments, a wing comprises different sugar modifications, e.g., different 2'-modifications. In some embodiments, a wing comprises different 2'-OR
modifications, wherein each R
is independently optionally substituted C1_6 aliphatic. In some embodiments, 2'-OR is 2'-0Me. In some embodiments, 2'-OR is 2'-M0E. In some embodiments, each sugar in a wing is a 2'-MOE modified sugar (e.g., 5'-wings in certain oligonucleotides in the Tables). In some embodiments, each sugar in a wing is a 2'-0Me modified sugar. In some embodiments, a wing comprises one or more 2'-0Me modified sugars and one or more 2'-MOE modified sugars. In some embodiments, a wing is a 5'-wing. In some embodiments, a wing is a 3'-wing.
1002881 In some embodiments, the two wings of a wing-core-wing structure comprise different sugar modifications (and the oligonucleotide has or comprises an "asymmetric"
format). In some embodiments, sugar modifications provide improved stability and/or annealing properties compared to absence of sugar modifications.
1002891 In some embodiments, certain sugar modifications, e.g., 2'-M0E, provide more stability under certain conditions than other sugar modifications, e.g., T-OMe. In some embodiments, a wing comprises 2'-MOE modifications. In some embodiments, each nucleoside unit of a wing comprising a pyrimidine base (e.g., C, U, T, etc.) comprises a 2'-MOE modification. In some embodiments, each sugar unit of a wing comprises a 2'-MOE modification. In some embodiments, each nucleoside unit of a wing comprising a purine base (e.g., A, G, etc.) comprises no 2'-MOE modification (e.g., each such nucleoside unit comprises 2'-0Me, or no 2'-modification, etc.). In some embodiments, each nucleoside unit of a wing comprising a purine base comprises a 2'-0Me modification. In some embodiments, each internucleotidic linkage at the 3'-position of a sugar unit comprising a 2'-MOE modification is a natural phosphate linkage.
1002901 In some embodiments, a wing comprises no 2'-MOE
modifications. In some embodiments, a wing comprises 2f-OMe modifications. In some embodiments, each nucleoside unit of a wing independently comprises a 2'-0Me modification.
1002911 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein one wing comprises a 2'-0Me sugar modification and the other wing comprises a bicyclic sugar. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing structure, wherein one wing comprises 2'-0Me and the other wing comprises a bicyclic sugar, and the majority of the sugars in the core are natural DNA sugars (with no substitution at the 2'-position).
1002921 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise 2'-0Me and the majority of the sugars in the other wing are independently bicyclic sugars. In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise 2'-0Me and the majority of the sugars in the other wing are independently bicyclic sugars, and the majority of the sugars in the core arc natural DNA sugars.
1002931 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise 2'-0Me and, in the other wing, at least one sugar is a bicyclic sugar and at least one sugar comprises 2'-0Me. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing stnicture, wherein the majority of the sugars in one wing comprise 2'-0Me and, in the other wing, at least one sugar is a bicyclic sugar and at least one sugar comprises 2'-0Me, and the majority of the sugars in the core are natural DNA
sugars.
1002941 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing are bicyclic sugars and, in the other wing, at least one sugar is a bicyclic sugar and at least one sugar comprises 2'-0Me. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing are independently bicyclic sugars and, in the other wing, at least one sugar is a bicyclic sugar and at least one sugar comprises 2'-0Me, and the majority of the sugars in the core are natural DNA sugars.
1002951 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing comprises 2'-0Me and each sugar in the other wing is independently a bicyclic sugar. In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing comprises 2'-0Me and each sugar in the other wing is independently a bicyclic sugar, and the majority of the sugars in the core are natural DNA sugars.
1002961 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing is independently a bicyclic sugar, each sugar in the other wing comprises 2'-0Me, and each sugar in the core is a natural DNA sugar.
1002971 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein one wing comprises a bicyclic sugar and the other wing comprises 2.-M0E. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing structure, wherein one wing comprises a bicyclic sugar and the other wing comprises 2'-M0E, and the majority of the sugars in the core are natural DNA sugars.
1002981 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing are independently bicyclic sugars and the majority of the sugars in the other wing comprise 2'-M0E. In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise are independently bicyclic sugars and the majority of the sugars in the other wing comprise 2'-MOE, and the majority of the sugars in the core are natural DNA sugars.
1002991 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing are independently bicyclic sugars and, in the other wing, at least one sugar comprises 2'-MOE and at least one sugar is a bicyclic sugar. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing are independently bicyclic sugars and, in the other wing, at least one sugar comprises 2'-MOE and at least one sugar is a bicyclic sugar, and the majority of the sugars in the core are natural DNA sugars.
1003001 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise 2'-MOE and, in the other wing, at least one sugar comprises 2'-MOE and at least one sugar is a bicyclic sugar. In some embodiments, the structure of a RHO oligonucleotide comprises a wing-core-wing structure, wherein the majority of the sugars in one wing comprise 2.-MOE and, in the other wing, at least one sugar comprises 2'-MOE and at least onc sugar is a bicyclic sugar, and the majority of the sugars in the core are natural DNA sugars.
1003011 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing is independently a bicyclic sugar and each sugar in the other wing independently comprises 2'-M0E. In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing is independently a bicyclic sugar and each sugar in the other wing of the oligonucleotide comprises 2'-M0E, and the majority of the sugars in the core are natural DNA sugars.
1003021 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing-core-wing structure, wherein each sugar in one wing comprises 2'-M0E, each sugar in the other wing is independently a bicyclic sugar, and each sugar in the core is a natural DNA sugar.
1003031 In some embodiments, a bicyclic sugar is a LNA, a cEt or a BNA sugar.
1003041 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, has a wing-core-wing structure. In some embodiments, a core comprises 1 or more natural DNA
sugars. In some embodiments, a core comprises 5 or more consecutive natural DNA sugars. In some embodiments, the core comprises 5-10, 5-15, 5-20, 5-25, 5-30, or 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or more natural DNA
sugars which are optionally consecutive. In some embodiments, the core comprises 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or more consecutive natural DNA sugars. In some embodiments, a core comprises 10 or more natural DNA sugars. In some embodiments, a core comprises 10 or more consecutive natural DNA
sugars. In some embodiments, the core is able to hybridize to a target mRNA, forming a duplex structure recognizable by RNase H, such that RNase H is able to cleave the mRNA.

In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has a wing-core-wing structure and has an asymmetrical format.

In some embodiments, in an oligonucleotide having an asymmetrical format, one wing differs from another in the sugar modifications or pattern thereof, or the backbone internucleotidic linkages or pattern thereof, or the backbone chiral centers or pattern thereof In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an asymmetrical format in that one wing comprises a different sugar modification than the other wing. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, has an asymmetrical format in that one wing comprises a different pattern of sugar modifications than the other wing.

In some embodiments, a mixmer is an oligonucleotide wherein the various sugars of the oligonucleotide comprise at least two different types of sugars, wherein the regions comprising one type of sugar are not readily divided by sugar type into two or three distinct regions (e.g., a wing-core or wing-core-wing), as the types of sugars are mixed. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, is a mixmcr. In some embodiments, an oligonucleotide comprising at least one chirally controlled internucleotidic linkage is a mixmer.

In some embodiments, the pattern of sugars in an oligonucleotide is or comprises a sequence of: DI)D13, D1313D, DDDI), DDDD, DDD,13DDD, 131)DD, 13DD-D, D431313, DDDD, DDDD, DDDD, DDDD, DDDD, DDDD, DDDD, DDDD, DDDD, DDDDD, DDDDDD, DDDDDDD, DDDDDDDD, DI4DODDDDD, DI4DDDDDDDD, DDDDDDDDDDD, DDDDDDD-DDDDD, DD, DOD, DDDD, DDDDD, DODDDD, ODODDDD, DDDODDDD, DDDDDDDDD, DDDDODDDR, DDDDDDDDDDD, DDDDDDDDDDDD, DDDDDDDDDDDDD, wherein D is 2'-deoxyribose (unmodified DNA sugar) and D is a sugar which is not a 2'-deoxyribose.

In some embodiments, the pattern of sugars in an oligonucleotide is or comprises a sequence of: DLDL, DLLD, DDDL, DDLD, DLDD, LDDD, LDDL, LLDD, LDLD, DLDL, DDDD, LLLL, DDLD, DDLL, DLLL, LDLL, LLDL, LLLD, LLDL, LLDLD, LLDLDD, LLDLDDL, LLDLDDLD, LLDLDDLDL, LLDLDDLDLD, LLDLDDLDLDD, LLDLDDLDLDDL, LL, DLL, DDLL, LDDLL, DLDDLL, LDLDDLL, DLDLDDLL, DDLDLDDLL, DDLDLDDLL, DLDDLDLDDLL, LDLDDLDLDDLL, LLDLDDLDLDDLL, LLDLDDLDLDDLL, wherein L is LNA sugar modification, and D is 2'-deoxyribose (unmodified DNA sugar).
1003101 Among other things, 2'-modifications and/or modified internucleotidic linkages can be utilized either individually or in combination to fine-tune properties, e.g., stability, and/or activities of oligonucleotides. In some embodiments, modified (non-natural) intemucleotidic linkages (which are not natural phosphate linkage or salt forms thereof), such as phosphorothioate linkages (phosphorothioate diester linkages), can be utilized to improve properties, e.g., stability (e.g., by using Sp phosphorothioate linkages), of an oligonucleotide. In some embodiments, in an oligonucleotide, e.g., a RHO oligonucleotide, a particular modified intemucleotidic linkage can be used in combination with a particular sugar to achieve desired properties and/or activities. In some embodiments, a wing comprises no 2'-MOE modifications, and each intemucleotidic linkage between nucleoside units of the wing is a modified intemucleotidic linkage. In some embodiments, a wing comprises no 2'-MOE modifications, each nucleoside unit of the wing comprise a 2'-0Me modification, and each intemucleotidic linkage between nucleoside units of the wing is a modified intemucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is a phosphorothioate linage. In some embodiments, a modified intemucleotidic linkage is a chirally controlled intemucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is a chirally controlled intemucleotidic linkage wherein the linkage phosphorus is of Sp configuration. In some embodiments, a modified intemucleotidic linkage is a chirally controlled intemucleotidic linkage wherein the linkage phosphorus is of Rp configuration. In some embodiments, a modified intemucleotidic linkage is a Sp phosphorothioate linkage. In some embodiments, a modified intemucleotidic linkage is a Rp phosphorothioate linkage. In some embodiments, such a wing is a 5 '-wing. In some embodiments, such a wing is a 3'-wing.
1003111 In some embodiments, a region, e.g., a wing, of an oligonucleotide, e.g., a RHO
oligonucleotide, comprises one or more, e.g., 1, 2, 3, 4, 5, 6 or more, natural phosphate linkages. In some embodiments, a wing comprises one or more, e.g., 1, 2, 3, 4, 5, 6 or more, consecutive natural phosphate linkages. In some embodiments, the number of natural phosphate linkage is 1.
In some embodiments, the number of natural phosphate linkages is 2. In some embodiments, the number of natural phosphate linkages is 3. In some embodiments, the number of natural phosphate linkages is 4. In some embodiments, the number of natural phosphate linkages is 5. In some embodiments, the number of natural phosphate linkages is 6. In some embodiments, 2 natural phosphate linkages are consecutive. In some embodiments, 3 natural phosphate linkages are consecutive. In some embodiments, 4 natural phosphate linkages are consecutive.
In some embodiments, 5 natural phosphate linkages are consecutive. In some embodiments, 6 natural phosphate linkages are consecutive. In some embodiments, all natural phosphate linkages in a wing are consecutive. In some embodiments, a wing comprises one or more natural phosphate linkages (in some embodiments, one or more consecutive natural phosphate linkages as described herein) and one or more modified intemucleotidic linkages. In some embodiments, the first internucleotidic linkage and/or the last intemucleotidic linkage of a wing is a modified intemucleotidic linkage. In some embodiments, the first intemucleotidic linkage (counting from 5' to 3') of a 5' wing (to the 5'-end of a core) is a modified intemucleotidic linkage. In some embodiments, the last intemucleotidic linkage (counting from 5' to 3') of a 3' wing (to the 3'-end of a core) is a modified intemucleotidic linkage.
In some embodiments, a wing contains one and no more than one modified intemucleotidic linkage (all the other intemucleotidic linkages are natural phosphate linkages). In some embodiments, the single modified intemucleotidic linkage is the first intemucleotidic linkage of a wing if the wing is a 5'-wing, or the last intemucleotidic linkage of the wing if the wing is a 3 '-wing . In some embodiments, the single modified intemucleotidic linkage of a wing is the first internucleotidic linkage of the oligonucleotide if the wing is a 5 '-wing, and/or the last intemucleotidic linkage of the oligonucleotide if the wing is a 3'-wing. In some embodiments, the last internucleotidic linkage of a 5 '-wing is a natural phosphate linkage, and/or the first intemucleotidic linkage of a 3'-wing is a natural phosphate linkage. In some embodiments, a modified intemucleotidic linkage is Sp. In some embodiments, a modified intemucleotidic linkage is Rp. In some embodiments, a modified intemucleotidic linkage is a phosphorothioate linkage. In some embodiments, a modified intemucleotidic linkage is a Sp phosphorothioate linkage. In some embodiments, a modified intemucleotidic linkage is a Rp phosphorothioate linkage. In some embodiments, a natural phosphate linkage is bonded to at least one sugar which is a bicyclic sugar or a sugar comprising 2'-M0E. In some embodiments, a natural phosphate linkage is bonded to two sugars each of which is independently a bicyclic sugar or a sugar comprising 2'-MOE. In some embodiments, one or both sugars bonded to a natural phosphate linkage arc independently bicyclic sugars. In some cmbodimcnts, one or both sugars bonded to a natural phosphate linkage independently comprise 2' -MOE.
1003121 In some embodiments, a wing comprises one and only one modified intemucleotidic linkages, and each other intemucleotidic linkages linking two wing nucleosides in independently a natural phosphate linkage. In some embodiments, in a 5' -wing (to the 5' of a core), the first intemucleotidic linkage from the 5'-end is a modified intemucleotidic linkage. In some embodiments, in a 3'-wing (to the 3' of a core), the first intemucleotidic linkage from the 3'-end is a modified intemucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is chirally controlled and is Sp. In some embodiments, a modified internucleotidic linkage is chirally controlled and is Rp. In some embodiments, a modified internucleotidic linkage is a chirally controlled Sp phosphorothioatc internucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is a chirally controlled Rp phosphorothioate intemucleotidic linkage. Among other things, the present disclosure demonstrates that Rp intemucleotidic linkages can be utilized as the 5'-end and/or the 3'-end intemucleotidic linkages despite that in some cases they are less stable than corresponding Sp intemucleotidic linkages, e.g., toward nuclease activities.

In some embodiments, each intemucleotidic linkage linking two sugars comprising 2'-OR', wherein R' is optionally substituted alkyl, is independently a natural phosphate linkage, except the S.-end and the 3.-end intemucleotidic linkages, which are independently optionally chirally controlled modified intemucleotidic linkages (e.g., in some embodiments, chirally controlled phosphorothioate intemucleotidic linkages). In some embodiments, each wing sugar modification, if any, is independently 2'-OR', wherein R' is optionally C1_6 substituted alkyl. In some embodiments, each wing sugar independently comprises a 2'-OR' modification, wherein R' is optionally C1-6 substituted alkyl. In some embodiments, each sugar comprising a 2'-OR' modification, wherein R' is optionally C1_6 substituted alkyl, is a sugar in a wing. In some embodiments, each modified sugar of an oligonucleotide independently comprises a 2'-OR' modification, wherein R' is optionally C1_6 substituted alkyl. In some embodiments, R' is methyl.

In some embodiments, a wing comprises one or more modified intemucleotidic linkages.
In some embodiments, a wing comprises one or more modified intemucleotidic linkages in addition to one or more natural phosphate linkages. In some embodiments, 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 or more, or 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% or more, or all intemucleotidic linkages that are bonded to two wing sugars are independently modified intemucleotidic linkages. In some embodiments, a modified intemucleotidic linkage is a phosphorothioate intemucleotidic linkage. In some embodiments, a wing comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more phosphorothioate intemucleotidic linkages. In some embodiments, a modified internucleotidic linkage is a non-negatively charged internucleotidic linkage as described herein. In some embodiments, a wing comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more non-negatively charged intemucleotidic linkages. In some embodiments, a wing comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more phosphorothioate intemucleotidic linkages and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more non-negatively charged intemucleotidic linkages. In some embodiments, each intemucleotidic linkage bonded to two wing sugars is independently selected from a phosphorothioate intemucleotidic linkage, a non-negatively charged intemucleotidic linkage and a natural phosphate linkage. In some embodiments, each intemucleotidic linkage bonded to two wing sugars is independently selected from a phosphorothioate intemucleotidic linkage and a non-negatively charged intemucleotidic linkage.
In some embodiments, a non-negatively charged intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, a non-negatively charged intemucleotidic linkage is n001. In some embodiments, each phosphorothioate internucleotidic linkage is independently chi rally controlled. In some embodiments, one or more or all non-negatively charged intemucleotidic linkages are not chirally controlled.

In some embodiments, the first intemucleotidic linkage of a 5'-wing is a phosphorothioate intemucleotidic linkage. In some embodiments, the first intemucleotidic linkage of a 5'-wing is a phosphorothioate intemucleotidic linkage which is chirally controlled and is Sp. In some embodiments, an intemucleotidic linkage between two internal 5'-wing nucleosides (not the first and the last) is a non-negatively charged internucleotidic linkage. In some embodiments, an intemucleotidic linkage between two internal 5'-wing nucleosides (not the first and the last) is a natural phosphate linkage. In some embodiments, each 5'-wing intemucleotidic linkage is independently selected from a phosphorothioate intemucleotidic linkage, a non-negatively charged intemucleotidic linkage (e.g., n001) and a natural phosphate linkage. In some embodiments, the first intemucleotidic linkage is the only phosphorothioate internucleotidic linkage in a 5'-wing. In some embodiments, it is Sp. In some embodiments, the last intemucleotidic linkage of a 3.-wing is a phosphorothioate intemucleotidic linkage. In some embodiments, the last internucleotidic linkage of a 3 ' -wing is a ph o sphoroth oate internucleotidic linkage which is chirally controlled and is Sp. In some embodiments, the last intemucleotidic linkage of a 3'-wing is a non-negatively charged intemucleotidic linkage, e.g., n001.
1003161 In some embodiments, a wing comprises one or more Sp chirally controlled modified intemucleotidic linkages. In some embodiments, at least 50%, 60%, 70%, 80%, or 90%, or all chirally controlled phosphorothioate intemucleotidic linkages are Sp. In some embodiments, at least 50%, 60%, 70%, 80%, or 90%, or all phosphorothioate intemucleotidic linkages are chirally controlled and are Sp. In some embodiments, a wing comprises one or more Rp chirally controlled phosphorothioate intemucleotidic linkages. In some embodiments, at least 50%, 60%, 70%, 80%, or 90%, or all chirally controlled non-negatively charged intemucleotidic linkages, e.g., n001, are Rp. In some embodiments, at least 50%, 60%, 70%, 80%, or 90%, or all non-negatively charged intemucleotidic linkages, e.g., n001, arc chirally controlled and are Rp. In some embodiments, at least 50%, 60%, 70%, 80%, or 90%, or all non-negatively charged intemucleotidic linkages, e.g., n001, are not chirally controlled.
1003171 In some embodiments, an intemucleotidic linkage bonded to a modified sugar and a natural DNA sugar is a modified intemucleotidic linkage as described herein. In some embodiments, an intemucleotidic linkage bonded to a wing sugar and a core sugar is a modified intemucleotidic linkage as described herein. In some embodiments, as described herein, a modified intemucleotidic linkage is a phosphorothioate intemucleotidic linkage. In some embodiments, it is chirally controlled and is Rp. In some embodiments, it is chirally controlled and is Sp. In some embodiments, an intemucleotidic linkage bonded to a 5'-wing sugar and a core sugar is chirally controlled and is Rp.
In some embodiments, an intemucleotidic linkage bonded to a S.-wing sugar and a core sugar is chirally controlled and is Sp. In some embodiments, an intemucleotidic linkage bonded to a 3'-wing sugar and a core sugar is chirally controlled and is Rp. In some embodiments, an intemucleotidic linkage bonded to a 3'-wing sugar and a core sugar is chirally controlled and is Sp. In some embodiments, an intemucleotidic linkage bonded to a wing sugar and a core sugar is included in a pattern of backbone chiral centers (linkage phosphorus) of a core.

1003181 In some embodiments, a core is differentiated from a first or second wing by the modification(s) of sugar(s) or combination(s) or pattern(s) thereof.
1003191 In some embodiments, an intemucleotidic linkage bonded to a wing nucleoside and a core nucleoside is considered one of the core internucleotidic linkages, for example, when describing types, modifications, numbers, and/or patterns of core internucleotidic linkages. In some embodiments, each internucleotidic linkage bonded to a wing nucleoside and a core nucleoside is considered one of the core internucleotidic linkages, for example, when describing types, modifications, numbers, and/or patterns of core internucleotidic linkages.
1003201 In some embodiments, a wing comprises no natural phosphate linkages, and each internucleotidic linkage of the wing is independently a modified internucleotidic linkage. In some embodiments, a modified internucleotidic linkage is chiral and chirally controlled. In some embodiments, a modified internucleotidic linkage is a phosphorothioate linkage. In some embodiments, a modified internucleotidic linkage is a phosphorothioate linkage. In some embodiments, each internucleotidic linkage in a wing is a modified internucleotidic linkage. In some embodiments, each internucleotidic linkage in a wing is a phosphorothioate linkage. In some embodiments, each internucleotidic linkage in a wing is a Sp phosphorothioate internucleotidic linkage. In some embodiments, a modified internucleotidic linkage is a Sp phosphorothioate linkage. In some embodiments, in a wing-core-wing structure, one wing (e.g., the 5' wing) comprises one or more natural phosphate linkages as described in the present disclosure (in some embodiments, one or more consecutive natural phosphate linkages), and the other wing (e.g., the 3'-wing) contains no natural phosphate linkages as described in the present disclosure.
1003211 In some embodiments, the structure of a RHO
oligonucleotide comprises or consists of a wing-core-wing structure, wherein one wing comprises 2'-OR modifications wherein R is optionally substituted C1_6 alkyl (e.g., 2'-M0E), while the other wing comprises no modifications of the same structure as a modification of the first wing, or a lower level (e.g., by number and/or percentage) of such modifications; additionally or alternatively, one wing comprises natural phosphate linkages while the other wing comprises no natural phosphate linkages or a lower level (e.g., by number and/or percentage) of natural phosphate linkages; additionally or alternatively, one wing may comprise a certain type of modified internucleotidic linkages (e.g., phosphorothioate internucleotidic linkage) while the other wing comprises no such type of modified internucleotidic linkages or a lower level (e.g., by number and/or percentage) of the type of modified internucleotidic linkages; additionally or alternatively, one wing may comprise chiral modified internucleotidic linkages comprising linkage phosphorus atoms of a particular configuration (e.g., Rp or Sp), while the other wing comprises no or a lower level of chiral modified internucleotidic linkages comprising linkage phosphorus atoms of the particular configuration;
alternatively or additionally, each wing may comprise a different pattern of sugar modification, internucleotidic linkages, and/or backbone chiral centers. In some embodiments, one wing comprises one or more natural phosphate linkages and one or more 2'-OR modifications wherein R is not ¨H or ¨Me, and the other wing comprises no natural phosphate linkages and no 2'-OR modifications wherein R is not ¨H or ¨Me. In some embodiments, one wing comprises one or more natural phosphate linkages and one or more 2'-MOE
modifications, and each internucleotidic linkage in the other wing is a phosphorothioate linkage and each sugar of the other wing comprises a 2'-0Me modification. In some embodiments, one wing comprises one or more natural phosphate linkages and one or more 2'-MOE modifications, and each internucleotidic linkage in the other wing is a Sp phosphorothioate linkage and each sugar of the other wing comprises 2'-0Me modification.
1003221 In some embodiments, the structure of a RHO
oligonucleotide comprises or consists of a wing-core-wing structure in an asymmetrical format, wherein a first wing and a second wing independently has a pattern of internucleotidic linkages which is or comprises PS, PO, PS-PS, PS-PO, PO-PS, PO-PO, PO-PS-PS, PS-PO-PO-PO-PS, PS-PO-PO-PS, PS-PS-PS-PS, PS-PS-PS-PS-PS, PS-nX-nX-nX-PS, or a pattern of internucleotidic linkages of a wing of an oligonucleotide in Table Al, wherein the patterns of internucleotidic linkages of the first and second wing are different, wherein PS represents a phosphorothioate linkage, PO represents a natural phosphate linkage, and nX
(or Xn) represents a non-negatively charged internucleotidic linkage. In some embodiments, the structure of an oligonucleotide comprises or consists of a wing-core-wing structure in an asymmetrical format, wherein a first wing and a second wing independently has a pattern of stereochemistry of internucleotidic linkages which is or comprises 0, SR, Sp, Rp, Sp-0, Rp-0, 0-Sp, O-Rp, 0-0-0, Sp-0-0, Rp-0-0, Rp-0-0-0-Rp, Rp-0-0-Rp-Rp, Rp-O-Rp-O-Rp, Rp-Rp-O-O-Rp, Sp-0-0-0-Sp, Sp-Sp-Sp-Sp, Sp-Sp-Sp-Sp, Sp-Sp-Sp-Sp-Sp, Sp-nX-nX-nX-Sp, SR-0-0-0-SR, SR-SR-SR-SR, SR-SR-SR-SR-SR, SR-nX-nX-nX-SR, or a pattern of stereochemistry of internucleotidic linkages of a wing of an oligonucleotide in Table Al, wherein the pattern of stereochemistry of internucleotidic linkages of the first and second wing are different, and wherein SR represents a linkage phosphorus of an internucleotidic linkage being stereorandom (e.g., not chirally controlled), 0 represents a linkage phosphorus of a natural phosphate linkage being achiral, Sp represents an internucleotidic linkage being in the Sp configuration, Rp represents an intemucleotidic linkage being in the Rp configuration, and each nX independently represents stereochemistry of the linkage phosphorus of a non-negatively charged internucleotidic linkage which is independently chirally controlled (in the Rp or Sp configuration) or stereorandom. In some embodiments of an oligonucleotide having an asymmetrical format, the first wing is the 5' wing and the second wing is the 3'-wing. In some embodiments of an oligonucleotide having an asymmetrical format, the first wing is the 3.
wing and the second wing is the S.-wing. In some embodiments, the first and second wings are of the same or different lengths.
1003231 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, having an asymmetrical structure (e.g., wherein one wing differs chemically from another wing in sugar modifications and/or patterns thereof, internucleotidic linkage types and/or stereochemistry, etc.) has improved properties and/or activities compared to an oligonucleotide having the same base sequence but a different structure (e.g., a symmetric structure wherein both wings have the same pattern of chemical modifications, or a different asymmetrical structure). As used in the present disclosure, in some embodiments, improved activity includes improved decrease of the expression, activity, and/or level or a gene or gene product. In some embodiments, improved activity is improved delivery to a cellular nucleus. In some embodiments, improved activity is improved delivery to a cellular nucleus and one wing in an oligonucleotide having an asymmetrical structure comprises 2'4 or two or more 2'-F. In some embodiments, improved activity is improved delivery to a cellular nucleus and one wing in an oligonucleotide having an asymmetrical structure comprises 2'-MOE or two or more 2'-M0E. In some embodiments, improved activity is improved delivery to a cellular nucleus and one wing in an oligonucleotide having an asymmetrical structure comprises 2'-0Me or two or more 2'-0Me. In some embodiments, improved activity is improved delivery to a cellular nucleus and one wing in an oligonucleotide having an asymmetrical structure comprises a bicyclic sugar or two or more bicyclic sugars. In some embodiments, the other wing does not contain such sugar modifications.
[00324] In some embodiments, a core of an oligonucleotide, e.g., a RHO oligonucleotide, comprises no more than 1, 2, 3, 4, or 5, or no more than 10%, 20%, 30%, 40%, or 50%, or no sugars comprising a 2'-OR modification wherein R is optionally substituted C1_6 aliphatic. In some embodiments, a core of an oligonucleotide, e.g., a RHO oligonucleotide, comprises no 2'-substitution, and each sugar is a natural sugar found in natural unmodified DNA.
[00325] In some embodiments, no less than 70%, 80%, 90% or 100% of internucleotidic linkages in a core are independently modified internucleotidic linkages. In some embodiments, no less than 60%, 70%, 80%, or 90% of internucleotidic linkages in a core are independently modified internucleotidic linkages of Sp configuration, and the core comprises 1, 2, 3, 4, 5, or 6 internucleotidic linkages independently selected from modified internucleotidic linkages of Rp configuration and natural phosphate linkages. In some embodiments, a core comprises 1 or 2 internucleotidic linkages independently selected from modified internucleotidic linkages of Rp configuration and natural phosphate linkages. In some embodiments, a core comprises 1 and no more than 1 internucleotidic linkage selected from a modified internucleotidic linkage of Rp configuration and a natural phosphate linkage, and the rest internucleotidic linkages of the core are independently modified internucleotidic linkages of Sp configuration. In some embodiments, a core comprises 2 and no more than 2 intemucleotidic linkages each independently selected from a modified internucleotidic linkage of Rp configuration and a natural phosphate linkage, and the rest internucleotidic linkages of the core are independently modified internucleotidic linkages of Sp configuration. In some embodiments, a core comprises 1 and no more than 1 natural phosphate linkage, and the rest internucleotidic linkages in the core are independently modified internucleotidic linkages of Sp configuration. In some embodiments, a core comprises 2 and no more than 2 natural phosphate linkages, and the rest internucleotidic linkages are independently modified internucleotidic linkages of Sp configuration. In some embodiments, a core comprises 1 and no more than 1 modified internucleotidic linkage of Rp configuration, and the rest internucleotidic linkages are independently modified internucleotidic linkages of Sp configuration. In some embodiments, a core comprises 2 and no more than 2 modified internucleotidic linkages of Rp configuration, and the rest internucleotidic linkages are independently modified internucleotidic linkages of Sp configuration.
In some embodiments, internucleotidic linkages that are not modified internucleotidic linkages of Sp configuration (e.g., each and every pair of two natural phosphate linkages, two modified internucleotidic linkages of Rp configuration, or one natural phosphate linkage and one modified internucleotidic linkage) are separated by two or more modified internucleotidic linkages of Sp configuration. For example, in RSSRSSSSRSS, the Rp internucleotidic linkages (R) are separated by at least two Sp internucleotidic linkages (S). In some embodiments, a modified internucleotidic linkage is a phosphorothioate linkage.

In some embodiments, as described herein, patterns of backbone chiral centers of a core or of an oligonucleotide comprises one or more RpSpSp or (Sp)tRp(Sp)m units, wherein each of t and m is independently as described herein. In some embodiments, m is 2 or more. In some embodiments, each of t and m is independently 2 or more. In some embodiments, at least one or each Rp intemucleotidic linkage of such units is independently bonded to two core sugars. In some embodiments, an Rp of an RpSpSp or (Sp)tRp(Sp)m unit is at a +1, +2, +3, -1, -2, or -3 position relative to a differentiating position (a position whose nucleobase or whose complementary nucleobase can differentiate a target sequence (e.g., comprising Rho P23H mutation) from other sequences (e.g., comprising no Rho P23H mutation such as a wild type sequence)). Unless otherwise specified, for Rp internucleotidic linkage positioning, is counting from the nucleoside at a differentiating position toward the 5'-end of an oligonucleotide with the internucleotidic linkage at the ¨1 position being the internucleotidic linkage bonded to the 5'-carbon of the nucleoside at the differentiating position, and "+" is counting from the nucleoside at a differentiating position toward the 3'-end of an oligonucleotide with the internucleotidic linkage at the +1 position being the internucleotidic linkage bonded to the 3'-carbon of the nucleoside at the differentiating position. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at +1 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at +2 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at +3 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at -1 position and m is 2 or more.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at -2 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises Rp(Sp)m, wherein the Rp is at -3 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at +1 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at +2 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at +3 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at -1 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at -2 position and m is 2 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a portion (e.g., a core) thereof is or comprises (Sp)tRp(Sp)m, wherein the Rp is at -3 position and m is 2 or more. In some embodiments, t is 1. In some embodiments, t is 2. In some embodiments, t is 2 or more. In some embodiments, t is 1-10 (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10). In some embodiments, m is 2. In some embodiments, m is 2 or more. In some embodiments, m is 2-10 (e.g., 2, 3, 4, 5, 6, 7, 8, 9, or 10). In some embodiments, Rp of Rp(Sp)m or (Sp)tRp(Sp)m is the 1st, 2nd, 3rd, 4th, 5th, 6th, 7111, 8th, 9111, 10th, 11th, 12th, 13th, 14th, 15th, 16th, 17th, 18th, 19th or 20th intemucleotidic linkage of an oligonucleotide or a portion (e.g., a core) thereof. In somc cmbodimcnts, it is the 3rd, 4th, 5th, 6th, 7th, 8th, 9th, 10th 1 th, 12th, 131h, 14th, 15th, le, 17th, 18th, 19th or 2-th u internucleotidic linkage of a core (the l' intemucleotidic linkage being the intemucleotidic linkage bonded to a 5'-wing sugar and a core sugar). In some embodiments, it is the 51h of a core. In some embodiments, it is the 6"
of a core. In some embodiments, it is the 7th of a core. In some embodiments, it is the 8th of a core. In some embodiments, it is the 9th of a core. In some embodiments, it is the 10th of a core. In some embodiments, it is the 5d1 of an oligonucleotide. In some embodiments, it is the 6th of an oligonucleotide. In some embodiments, it is the 7th of an oligonucleotide. In some embodiments, it is the 8th of an oligonucleotide. In some embodiments, it is the 9111 of an oligonucleotide. In some embodiments, it is the 10111 of an oligonucleotide. In some embodiments, it is the 1 lth of an oligonucleotide. In some embodiments, it is the 12th of an oligonucleotide.
In some embodiments, it is the 13111 of an oligonucleotide. In some embodiments, it is the 14th of an oligonucleotide. In some embodiments, it is the 15th of an oligonucleotide.
1003271 In some embodiments, a nucleobase at a differentiating position is complementary to a differentiating element/characteristic sequence element in a target sequence (e.g., a particular SNP allele, a mutation, etc.) is at position 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or 15 of a core (from 5' to 3', the first nucleobase of the core is at position 1). In some embodiments, a position is 5. In some embodiments, a position is 6. In some embodiments, a position is 7. In some embodiments, a position is 8. In some embodiments, a position is 9. In some embodiments, a position is 10. In some embodiments, such a nucleobase is at position 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 of an oligonucleotide (the first nucleobase from the 5'-end of an oligonucleotide is at position 1). In some embodiments, a position is 5. In some embodiments, a position is 6. In some embodiments, a position is 7. In some embodiments, a position is 8. In some embodiments, a position is 9. In some embodiments, a position is 10. In some embodiments, a position is 11. In some embodiments, a position is 12. In some embodiments, a position is 13. In some embodiments, a position is 14. In some embodiments, a position is 15. In some embodiments, a position is 16. In some embodiments, a position is 17. In some embodiments, a position is 18. In some embodiments, a position is 19. In some embodiments, a position is 20.
[00328] As described herein, core and wings can be of various lengths. In some embodiments, a core comprises no less than 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 nucleobases. In some embodiments, a wing comprises no less than 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 nucleobases. In some embodiments, awing comprises no more than 2, 3, 4, 5, 6,7, 8, 9, or 10 nucleobases. In some embodiments, for a wing-core-wing structure, both wings are of the same length, for example, of 5 nucleobases. In some embodiments, the two wings are of different lengths. In some embodiments, a core is no less than 40%, 45%, 50%, 60%, 70%, 80%, or 90% of total oligonucleotide length as measured by percentage of nucleoside units within the core over all nucleoside units of the oligonucleotide chain.
In some embodiments, a core is no less than 50% of total oligonucleotide length.
[00329] In some embodiments, a region, e.g., a wing, a core, etc.
is a block. In some embodiments, a region is a sugar modification block in that all sugars in the region are the same.
1003301 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, is a gapmer.
[00331] In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, is a hemimer. In some embodiments, a hemimer is an oligonucleotide wherein a 5'-end or a 3'-end region has a sequence that possesses a structure feature that the rest of the oligonucleotide does not have. In some embodiments, a 5 '-end or a 3 '-end region comprises 2 to 20 nucleosides. In some embodiments, the number of nucleosides in a 5'-end or a 3'-end region is 2 to 20. In some embodiments, a structural feature is a base modification.
In some embodiments, a structural feature is a sugar modification. In some embodiments, a structural feature is a P-modification. In some embodiments, a structural feature is stereochemistry of linkage phosphorus. In some embodiments, a structural feature is or comprises a base modification, a sugar modification, a P-modification, or linkage phosphorus stereochemistry, or combinations thereof. In some embodiments, a hemimer is an oligonucleotide in which each sugar moiety of the 5'-end region shares a common modification. In some embodiments, a hemimer is an oligonucleotide in which each sugar moiety of the 3'-end region shares a common modification. In some embodiments, a common sugar modification of the 5' or 3'-end region is not shared by any other sugar moieties in the oligonucleotide. In some embodiments, an example hemimer is an oligonucleotide comprising a sequence of substituted or unsubstituted 2'-0-alkyl sugar modified nucleosides, bicyclic sugar modified nucleosides, (3-D-ribonucleosides or P-D-deoxyribonucleosides (for example 2'-MOE modified nucleosides, and LNATM or ENA' m bicyclic sugar modified nucleosides) at one terminus region and a sequence of nucleosides with a different sugar moiety (such as a substituted or unsubstituted 2.-0-alkyl sugar modified nucleosides, bicyclic sugar modified nucleosides or natural ones) at the other terminus region. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, or a portion thereof comprises one or more: unimer, altmer, blockmer, gapmer, hemimer, and/or skipmer. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, is or comprises a combination of one or more: unimer, altmer, blockmer, gapmer, and/or skipmer. In some embodiments, an altmer is a stereoaltmer. P-modification altmer, or linkage altmer. In some embodiments, an altmer is a sugar modification altmer, which comprises two alternating types of sugars, wherein either: (a) one type of sugar comprises no modification and the other type comprises a modification; or (b) the two alternating types comprise different modifications. In some embodiments, a unimer is a stereounimer, P-modification unimer, linkage unimer, or sugar modification unimer. For instance, in some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, is both an altmer and a gapmer. In some embodiments, a provided nucleotide is both a gapmer and a skipmer. One of skill in the art will recognize that numerous other combinations of patterns arc available.
In some embodiments, a hemimer structure provides advantageous benefits. In some embodiments, provided oligonucleotides arc 5.-hemimers that comprises modified sugars in a 5.-end sequence. In some embodiments, provided oligonucleotides are 5'-hemimers that comprises modified 2f-modified sugars in a 5' -end sequence.
1003321 In some embodiments, an oligonucleotide consists of a wing-core-wing structure, wherein the core comprises 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more consecutive natural DNA sugars and each sugar in the core is a natural DNA sugar, each of the 5.
and 3' wings independently comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more modified sugars and each sugar in the wings is independently a modified sugar, and the oligonucleotide optionally comprises one or more additional chemical moieties optionally linked to the oligonucleotide chain (e.g., at sugar, nucleobase, and/or internucleotidic linkage) through one or more linkers. In some embodiments, each sugar modification in a wing is the same. In some embodiments, all wing sugar modifications are the same.
1003331 In some embodiments, a wing is 2'-MOE wing in which each sugar independently 5, 0 4' , 2, 1' comprises 2'-MOE modification. In some embodiments, in a wing each sugar is R2s wherein R2s is ¨OCH2CH2OCH3. In some embodiments, such a wing is a 5'-wing. In some embodiments, such a wing is a 3'-wing. In some embodiments, in a 5'-wing each internucleotidic linkage linking two wing sugars is independently a natural phosphate linkage, except that the internucleotidic linkage linking the first and second sugars from the 5'-end of a 5'-wing is a modified intemucleotidic linkage, optionally chirally controlled. In some embodiments, the intemucleotidic linkage linking the first and second sugars from the '-end of a 5 '-wing is a chirally controlled phosphorothioate internucleotidic linkage. In some embodiments, it is Rp. In some embodiments, it is Sp. In some embodiments, in a 3'-wing each intemucleotidic linkage linking two wing sugars is independently a natural phosphate linkage, except that the intemucleotidic linkage linking the first and second sugars from the 3'-end of a 3'-wing is a modified intemucleotidic linkage, optionally chirally controlled. In some embodiments, the intemucleotidic linkage linking the first and second sugars from the 3'-end of a 3'-wing is a chirally controlled phosphorothioate intemucleotidic linkage. In some embodiments, it is Rp. In some embodiments, it is Sp. In some embodiments, each 5'-wing sugar is independently R25 wherein R2s is ¨OR, wherein R is as 5, 4' , 2, 1' described herein and is not ¨H. In some embodiments, each 5 '-wing sugar is independently R2s wherein R2' is ¨OCH2CH2OCH3. In some embodiments, each 3'-wing sugar is independently 5, 0 4' 1' R2s wherein R2s is ¨OR, wherein R is as described herein and is not ¨H. In some embodiments, R2s is ¨OCH2CH2OCH3. In some embodiments, R2s is ¨0Me. In some embodiments, each internucleotidic linkage linking two wing sugars wherein R2s is ¨0Me is independently a modified intemucleotidic linkage.
In some embodiments, a modified intemucleotidic linkage is a chirally controlled intemucleotidic linkage.
In some embodiments, it is a chirally controlled phosphorothioate intemucleotidic linkage. In some embodiments, it is a chirally controlled Sp phosphorothioate intemucleotidic linkage. In some 4' , 2, 1' embodiments, each core sugar is independently R2s wherein R2s is ¨H.
1003341 In some embodiments, the internucleotidic linkage linking a 5 '-wing sugar and a core sugar is a chirally controlled internucleotidic linkage. In some embodiments, it is a chirally controlled phosphorothioate internucleotidic linkage. In some embodiments, it is Rp. In some embodiments, it is Sp.
In some embodiments, the internucleotidic linkage linking a 3'-wing sugar and a core sugar is a chirally controlled internucleotidic linkage. In some embodiments, it is a chirally controlled phosphorothioate internucleotidic linkage. In some embodiments, it is Rp. In some embodiments, it is Sp.
1003351 Non-limiting examples of oligonucleotides having a wing-core-wing format include: WV-39023, and WV-48182.
1003361 Non-limiting examples of oligonucleotides haying a wing-core-wing format, wherein the first wing comprises a sugar modification which is also present in the second wing, include: WV-39023, and WV-48182.
1003371 In some embodiments, the structure of a RHO
oligonucleotide is or comprise a wing-core structure. Non-limiting examples of such a RHO oligonucleotide include but arc not limited to: WV-39023, and WV-48182.
1003381 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first or second wings each independently comprise at least one 2'-0Me modified sugar.
1003391 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first or second wings each independently comprise at least one 2'-MOE
modified sugar. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023, and WV-48182.
1003401 In some embodiments, the structure of a RHO
oligonucleotide comprises or consists of an asymmetrical format. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023, and WV-48182.
1003411 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein a first wing comprises at least one 2'-MOE and no 2'-0Me and a second wing comprises at least one 2.-0Me. .In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein a first wing comprises at least one 2'-MOE and a second wing comprises at least one 2'-0Me and at least one 2'-M0E. In some embodiments, the structure of a RHO oligonucleotide is or comprises a wing-core-wing structure, wherein a first wing comprises at least one 2'-MOE and no 2'-0Me and a second wing comprises at least one 2.-OMe and at least one 2'-M0E.
In some embodiments, a first wing comprises one or more phosphorothioate intemucleotidic linkages and one or more non-negatively charged intemucleotidic linkages (e.g., neutral intemucleotidic linkages such as n001). In some embodiments, a first wing comprises one or more natural phosphate linkages, one or more phosphorothioate intemucleotidic linkages and one or more non-negatively charged intemucleotidic linkages (e.g., neutral intemucleotidic linkages such as n001).
1003421 In some embodiments, the structure of a RHO
oligonucleotide is or comprises an asymmetrical format, wherein the structure of the oligonucleotide is a wing-core-wing structure, wherein the format of the first wing is different from that of the second wing. In some embodiments, the structure of a RHO oligonucleotide is or comprises an asymmetrical format, wherein the structure of the oligonucleotide is a wing-core-wing structure, wherein the first and second wings differ in sugar modification (or combinations or patterns thereof) and/or in intemucleotidic linkages (or combinations or patterns thereof). In some embodiments, the structure of a RHO oligonucleotide is or comprises an asymmetrical format, wherein the structure of the oligonucleotide is a wing-core-wing structure, wherein the first and second wings differ in sugar modification (or combinations or patterns thereof).
1003431 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises one type of sugar, and the other comprises that type and a second type. In some embodiments, this is a non-limiting example of a RHO
oligonucleotide having an asymmetrical format.
1003441 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises a first type of sugar but not a second type of sugar, and the other comprises the second type of sugar but not the first type of sugar. In some embodiments, this is a non-limiting example of a RHO oligonucleotide having an asymmetrical format.
1003451 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises a neutral or non-negatively charged intemucleotidic linkage and the other wing does not comprise a neutral or non-negatively charged intemucleotidic linkage. In some embodiments, the structure of a RHO oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wings each independently comprise at least one neutral or non-negatively charged intemucleotidic linkage. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023, and WV-48182. In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein at least one wing comprises a neutral or non-negatively charged intemucleotidic linkage. Non-limiting examples of such a RHO
oligonucleotide include but are not limited to: WV-39023, and WV-48182. In some embodiments, a RHO
oligonucicotidc comprises at least one neutral or non-negatively charged intemucleotidic linkage. Non-limiting examples of such a RHO

oligonucleotide include but are not limited to: WV-39023 and WV-48182. In some embodiments, a RHO
oligonucleotide comprises at least two adjacent neutral or non-negatively charged internucleotidic linkages.
In some embodiments, a RHO oligonucleotide comprises at least two neutral or non-negatively charged internucleotidic linkages none of which are adjacent to each other. Non-limiting examples of such a RHO
oligonucleotide include but are not limited to: WV-39023 and WV-48182.
[00346] In some embodiments, the structure of a RHO
oligonucleotide comprises a core and at least one wing, wherein the core comprises 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more consecutive 2' -deoxyribose sugars.
[00347] In some embodiments, the structure of a RHO
oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 5 consecutive 2'-deoxyribose sugars. In some embodiments, the structure of a RHO oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 6 consecutive 2'-dcoxyribosc sugars. In some embodiments, the structure of a RHO oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 7 consecutive 2' -deoxyribose sugars. In some embodiments, the structure of a RHO oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 8 consecutive 2'-deoxyribose sugars.
In some embodiments, the structure of a RHO oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 9 consecutive 2'-deoxyribose sugars. In some embodiments, the structure of a RHO oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 10 consecutive 2'-deoxyribose sugars. In some embodiments, the structure of a RHO oligonucleotide is or comprises a wing-core-wing structure, wherein the oligonucleotide comprises at least one neutral or non-negatively charged internucleotidic linkage. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023 and WV-48182.
[00348] In some embodiments, a RHO oligonucleotide comprises at least three different types of internucleotidic linkages. Non-limiting examples of such a RHO oligonucleotide include but arc not limited to: WV-39023 and WV-48182.
[00349] In some embodiments, a RHO oligonucleotide comprises: at least one natural phosphate intemucleotidic linkage; at least one phosphorothioate, and at least one neutral or non-negatively charged internucleotidic linkage. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023 and WV-48182. In some embodiments, a RHO oligonucleotide comprises: at least one natural phosphate internucleotidic linkage; at least one phosphorothioate which is chirally controlled; and at least one neutral or non-negatively charged internucleotidic linkage. Non-limiting examples of such a RHO oligonucleotide include but are not limited to: WV-39023 and WV-48182. In some embodiments, a RHO oligonucleotide comprises: at least one natural phosphate internucleotidic linkage; at least one phosphorothioate; and at least one neutral or non-negatively charged internucleotidic linkage which is chirally controlled.
[00350] In some embodiments, a RHO oligonucleotide comprises: at least one natural phosphate internucleotidic linkage; at least one phosphorothioatc which is chirally controlled; and at least one neutral or non-negatively charged internucleotidic linkage which is chirally controlled.
[00351] In some embodiments, the structure of a RHO
oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 12 consecutive 2'-deoxyribose sugars.
[00352] In some embodiments, the structure of a RHO
oligonucleotide comprises a core and at least one wing, wherein the core comprises at least 14 consecutive 2' -deoxyribose sugars.
[00353] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise at least 2 different types of sugars.
[00354] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise 2'-DNA sugar (a natural 2'-deoxyribose) and a sugar comprising 2'-modification.
[00355] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise 2'-DNA sugar (a natural 2'-deoxyribose) and a 2'-0Me sugar.
[00356] In some embodiments, a RHO oligonucleotide comprises at least one natural 2.-dcoxyribosc sugar (unmodified DNA sugar), at least one LNA sugar and at least one T-MOE sugar.
[00357] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise a natural 2'-deoxyribose (unmodified DNA sugar), a LNA sugar and 2'-MOE sugar.
[00358] In some embodiments, a RHO oligonucleotide comprises at least one natural 2'-deoxyribose (unmodified DNA sugar), at least one LNA sugar and at least one 2' -0Me sugar.
[00359] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise a natural 2'-deoxyribose (unmodified DNA sugar), a LNA sugar and 2'-0Me sugar.
[00360] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise at least 3 different types of sugars (e.g., selected from unmodified sugars and modified sugars with various modifications).
[00361] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises at least one 2'-F sugar and the other wing comprises at least one 2'-MOE sugar.
[00362] In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein at least one wing comprises one or more (1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) LNA sugars.
1003631 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise one or more 2'-MOE sugars and one or more LNA sugars.
1003641 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise one or more LNA sugars.
1003651 In some embodiments, the structure of a RHO
oligonucleotidc is or comprises a wing-core-wing structure, wherein one wing comprises one or more LNA sugars and one or more 2.-MOE sugars and the other wing comprises one or more LNA sugars and one or more 2'-0Me sugars.
1003661 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises 2'-MOE and 2'-F sugars, and the other wing comprises a 2'-MOE sugar.
1003671 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises a natural 2'-deoxyribose (unmodified DNA sugar), a LNA
sugar, and a 2.-MOE sugar.
1003681 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises at least 3 different types of sugars.
1003691 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise a natural 2.-deoxyribose (unmodified DNA sugar) and at least 1 modified sugar (compared to 2'-deoxyribose (unmodified DNA sugar)).
1003701 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise a natural 2'-deoxyribose (unmodified DNA sugar) and at least 2 sugar modifications.
1003711 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing, wherein the wing comprises at least 3 different types of sugars.
1003721 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 1 base(s).
1003731 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 2 base(s).
1003741 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 3 base(s).
1003751 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 4 base(s).

1003761 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing is 5 base(s).
1003771 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 6 base(s).
1003781 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing comprises at least 7 base(s).
1003791 In some embodiments, the structure of a RHO
oligonucleotide comprises a wing, wherein the wing is an 8 base(s).
1003801 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein the first and second wing each comprise two different types of sugars.
1003811 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises at least one 2'-MOE sugar and the other wing comprises at least one 2.-0Me sugar.
1003821 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises a 2'-F sugar and one wing comprises a 2'-0Me sugar.
1003831 In some embodiments, the structure of a RHO
oligonucicotidc is or comprises a wing-core-wing structure, wherein one wing comprises a natural 2.-deoxyribose (unmodified DNA sugar) and at least one modified sugar.
1003841 In some embodiments, the structure of a RHO
oligonucleotide is or comprises a wing-core-wing structure, wherein one wing comprises a natural 2'-deoxyribose (unmodified DNA sugar) and at least two modified sugars.
1003851 In some embodiments, a core region comprises a sequence complementary to a characteristic sequence element which differentiates a target nucleic acid sequence from other sequences, e.g., one allele of a differentiating position, e.g., a SNP location, a mutation site, etc. In some embodiments, a core region comprises a sequence complementary to one allele of a SNP or a mutation (e.g., disease-associated mutation(s) in a RHO gene) but is not complementary to other alleles of a SNP or the wild type or another form of mutation which is not or is less associated with a condition, disorder or disease. In some embodiments, for SNP or a point mutation such a sequence is one nucleobase. In some embodiments, a core region comprises a nucleobase complementary to an allele of a SNP which is on the same strand/chromosome as disease-associated mutation(s) in a RHO gene. In some embodiments, a core region comprises a nucleobase complementary to a mutation (e.g., a RHO mutation (e.g., P23H)) which is associated with a condition, disorder or disease. Among other things, the present disclosure demonstrates that properties and/or activities of oligonucleotides may be modulated through positioning of such a nucleobase. In some embodiments, a position of such a nucleobase is position 4, 5, 6, 7 or 8 counting from the 5'-end of a core region (the first nucleoside of the core region from the 5'-end being position 1). In some embodiments, a position is position 4 from the 5'-end of a core region.
In some embodiments, a position is position 5 from the 5'-end of a core region. In some embodiments, a position is position 6 from the 5'-end of a core region. In some embodiments, a position is position 7 from the 5'-end of a core region.
In some embodiments, a position is position 8 from the 5'-end of a core region. In some embodiments, a position of such a nucleobase is position 7, 8, 9, 10, 11 or 12 counting from the 5'-end of an oligonucleotide (the first nucleoside of the oligonucleotide from the 5 '-end being position 1). In some embodiments, a position is position 7 from the 5'-end of an oligonucleotide. In some embodiments, a position is position 8 from the 5'-end of an oligonueleotide. In some embodiments, a position is position 9 from the 5'-end of an oligonucleotide. In some embodiments, a position is position 10 from the 5'-end of an oligonucleotide.
In some embodiments, a position is position 11 from the 5'-end of an oligonucleotide. In some embodiments, an oligonucleotide comprises a 5'-end wing comprising 5 and no more than 5 nucleosides.
In some embodiments, each wing sugar is 2'-modified. In some embodiments, each wing sugar is 2'-0Me modified. In some embodiments, each core sugar independently comprises no 2'-OR modification, wherein R is as described in the present disclosure. In some embodiments, each core sugar is independently an unmodified DNA sugar.
1003861 In some embodiments, a wing may comprise one or more high-affinity sugars. In some embodiments, a 3'-wing comprises a high-affinity sugar. In some embodiments, each sugar in a 3'-wing is independently a high-affinity sugar. High-affinity sugars arc widely known in the art and may be utilized in accordance with the present disclosure. In some embodiments, a high affinity sugar is a 2' -MOE
modified sugar. In some embodiments, a high-affinity sugar is a LNA sugar. In some embodiments, compared to a 3'-wing, a 5'-wing comprises no or fewer high-affinity sugars.
In some embodiments, compared to a 3'-wing, a 5'-wing comprises no or fewer high-affinity sugars present in the 3'-wing. For example, in some embodiments, a 5'-wing comprises no 2'-MOE modified sugar while each 3'-wing sugar is 2'-MOE modified. In some embodiments, each 5'-wing sugar is 2'-0Me modified, while each 3'-wing sugar is 2'-MOE modified.
1003871 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, may comprise any first wing, core and/or second wing, as described herein or known in the art.
1003881 In some embodiments, an oligonucleotide which has a base sequence which is, comprises or comprises a span of a RHO oligonucleotide sequence disclosed herein can comprise a first wing, core and/or second wing, as described herein or known in the art.
Internucleotidic Linkages [00389] In some embodiments, oligonucleotides comprise base modifications, sugar modifications, and/or intemucleotidic linkage modifications. Various intemucleotidic linkages can be utilized in accordance with the present disclosure to link units comprising nucleobases, e.g., nucleosides. In some embodiments, RHO oligonucleotides comprise both one or more modified internucleotidic linkages and one or more natural phosphate linkages. As widely known by those skilled in the art, natural phosphate linkages are widely found in natural DNA and RNA molecules; they have the structure of -0P(0)(OH)0-, connect sugars in the nucleosides in DNA and RNA, and may be in various salt forms, for example, at physiological pH (about 7.4), natural phosphate linkages are predominantly exist in salt forms with the anion being -0P(0)(0-)0-. A modified intemucleotidic linkage, or a non-natural phosphate linkage, is an intemucleotidic linkage that is not natural phosphate linkage or a salt form thereof. Modified intemucleotidic linkages, depending on their structures, may also be in their salt forms. For example, as appreciated by those skilled in the art, phosphorothioate intemucleotidic linkages which have the structure of -0P(0)(SH)0- may be in various salt forms, e.g., at physiological pH (about 7.4) with the anion being -0P(0)(S)0-.
[00390] In some embodiments, an oligonucleotide comprises an intemucleotidic linkage which is a modified intemucleotidic linkage, e.g., phosphorothioate, phosphorodithioate, methylphosphonate, phosphoroamidate, thiophosphate, 3'-thiophosphate, or 5'-thiophosphate.
[00391] In some embodiments, a modified intemucleotidic linkage is a chiral intemucleotidic linkage which comprises a chiral linkage phosphorus. In some embodiments, a chiral intemucleotidic linkage is a phosphorothioate linkage. In some embodiments, a chiral internucleotidic linkage is a non-negatively charged internucleotidic linkage. In some embodiments, a chiral intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, a chiral intemucleotidic linkage is chirally controlled with respect to its chiral linkage phosphorus. In some embodiments, a chiral intemucleotidic linkage is stereochemically pure with respect to its chiral linkage phosphorus. In some embodiments, a chiral intemucleotidic linkage is not chirally controlled. In some embodiments, a pattern of backbone chiral centers comprises or consists of positions and linkage phosphorus configurations of chirally controlled intemucleotidic linkages (Rp or SP) and positions of achiral intemucleotidic linkages (e.g., natural phosphate linkages).
1003921 In some embodiments, an oligonucleotide comprises a modified intemucleotidic linkage (e.g., a modified intemucleotidic linkage having the structure of Formula I, I-a, I-b, or I-c, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, II-d-2, etc., or a salt form thereof) as described in US 9394333, US 9744183, US 9605019, US 9598458, US 9982257, US 10160969, US
10479995, US
2020/0056173, US 2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US
2019/0249173, US 2019/0375774, WO 2018/223056, WO 2018/223073, WO 2018/223081, WO

2018/237194, WO 2019/032607, WO 2019/055951, WO 2019/075357, WO 2019/200185, WO
2019/217784, and/or WO 2019/032612, the intemucleotidic linkages (e.g., those of Formula I, I-a, I-b, or I-c, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, II-d-2, etc.,) of each of which are independently incorporated herein by reference. In some embodiments, a modified intemucleotidic linkage is a non-negatively charged intemucleotidic linkage.
In some embodiments, provided oligonucleotides comprise one or more non-negatively charged intemucleotidic linkages. In some embodiments, a non-negatively charged intemucleotidic linkage is a positively charged intemucleotidic linkage. In some embodiments, a non-negatively charged intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, the present disclosure provides oligonucleotides comprising one or more neutral intemucleotidic linkages. In some embodiments, a non-negatively charged intemucleotidic linkage or a neutral intemucleotidic linkage (e.g., one of Formula I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, II-d-2, etc.) is as described in US 9394333, US
9744183, US 9605019, US 9598458, US 9982257, US 10160969, US 10479995, US
2020/0056173, US
2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US
2019/0375774, WO 2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO
2019/032607, WO 2019/055951, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612. In some embodiments, a non-negatively charged intemucleotidic linkage or neutral intemucleotidic linkage is one of Formula I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, II-d-2, etc. as described in WO 2018/223056, WO
2019/032607, WO 2019/075357, WO
2019/032607, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612, such intemucleotidic linkages of each of which are independently incorporated herein by reference.
[00393] In some embodiments, provided oligonucleotides comprise one or more non-negatively charged intemucleotidic linkages. In some embodiments, a non-negatively charged intemucleotidic linkage can improve the delivery and/or activity (e.g., ability to decrease the level, activity and/or expression of a target gene or a gene product thereof) of an oligonucleotide.
[00394] In some embodiments, a non-negatively charged intemucleotidic linkage has the structure of or -0P(=W)(-N(R")2)-0-, wherein:
W is 0 or S;
each R" is independently R' or each R. is independently -R, -C(0)R, -C(0)0R, or -S(0)2R;
each R is independently -H, or an optionally substituted group selected from Ci_3() aliphatic, C1-30 heteroaliphatic having 1-10 heteroatoms, C6-30 aryl, C6-30 arylaliphatic. C6-30 arylheteroaliphatic having 1-heteroatoms, 5-30 membered heteroaryl having 1-10 heteroatoms, and 3-30 membered heterocyclyl having 1-10 heteroatoms, or:

two R groups are optionally and independently taken together to form a covalent bond, or:
two or more R groups on the same atom are optionally and independently taken together with the atom to form an optionally substituted, 3-30 membered monocyclic, bicyclic or polycyclic ring having, in addition to the atom, 0-10 heteroatoms, or:
two or more R groups on two or more atoms are optionally and independently taken together with their intervening atoms to form an optionally substituted, 3-30 membered monocyclic, bicyclic or polycyclic ring having, in addition to the intervening atoms, 0-10 heteroatoms.
[00395] In some embodiments, W is 0. In some embodiments, W is S.
[00396] In some embodiments, R" is R'. In some embodiments, R" is ¨N(R')2.
[00397] In some embodiments, a non-negatively charged internucleotidic linkage has the structure of ¨0P(=0)(¨N=C(N(W)2)2-0¨. In some embodiments, a R' group of one N(R') 2 is R, a R' group of the other N(R')1 is R, and the two R groups are taken together with their intervening atoms to form an optionally substituted ring, e.g., a 5-membered ring as in n001. In some embodiments, each R' is independently R, wherein each R is independently optionally substituted C1_6 aliphatic.
[00398] In some embodiments, a non-negatively charged internucleotidic linkage has the structure of [00399] In some embodiments, R' is R. In some embodiments, R' is H. In some embodiments, R' is ¨C(0)R. In some embodiments, R' is ¨C(0)0R. In some embodiments, R' is ¨S(0)2R.
1004001 In some embodiments, R" is ¨NHR'. In some embodiments, ¨N(R')2 is ¨NHR'.
[00401] As described herein, some embodiments, R is H. In some embodiments, R
is optionally substituted C1_6 aliphatic. In some embodiments, R is optionally substituted C1_6 alkyl. In some embodiments, R is methyl. In some embodiments, R is substituted methyl. In some embodiments, R is ethyl. In some embodiments, R is substituted ethyl.
[00402] In some embodiments, as described herein, a non-negatively charged internucleotidic linkage is a neutral intemucleotidic linkage.
1004031 In some embodiments, a modified internucleotidic linkage (e.g., a non-negatively charged internucleotidic linkage) comprises optionally substituted triazolyl In some embodiments, a modified intemucleotidic linkage (e.g., a non-negatively charged intemucleotidic linkage) comprises optionally substituted alkynyl. In some embodiments, a modified intemucleotidic linkage comprises a triazole or alkyne moiety. In some embodiments, a triazole moiety, e.g., a triazolyl group, is optionally substituted.
In some embodiments, a triazole moiety, e.g., a triazolyl group) is substituted. In some embodiments, a triazole moiety is unsubstituted. In some embodiments, a modified intemucleotidic linkage comprises an optionally substituted cyclic guanidine moiety. In some embodiments, a modified intemucleotidic linkage \
W
comprises an optionally substituted cyclic guanidine moiety and has the structure of: .5N
'P
\ \

, or , wherein W is 0 or S. In some embodiments, W is 0. In some embodiments, W is S. In some embodiments, a non-negatively charged intemucleotidic linkage is stereochemically controlled.
1004041 In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 3-20 membered heterocyclyl or heteroaryl group having 1-10 heteroatoms. In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 3-20 membered heterocyclyl or heteroaryl group having 1-10 heteroatoms, wherein at least one heteroatom is nitrogen. In some embodiments, such a heterocyclyl or heteroaryl group is of a 5-membered ring. In some embodiments, such a heterocyclyl or heteroaryl group is of a 6-membered ring.
1004051 In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 5-20 membered heterocyclyl group having 1-10 heteroatoms. In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 5-20 membered heterocyclyl group having 1-10 heteroatoms, wherein at least one heteroatom is nitrogen. In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 5-6 membered heterocyclyl group having 1-4 heteroatoms, wherein at least one heteroatom is nitrogen. In some embodiments, a non-negatively charged intemucleotidic linkage comprises an optionally substituted 5-membered heterocyclyl group having 1-4 heteroatoms, wherein at least one heteroatom is nitrogen. In some embodiments, at least two heteroatoms are nitrogen. In some embodiments, a heterocyclyl group is directly bonded to a linkage phosphorus. In some embodiments, a heterocyclyl group is bonded to a linkage phosphorus through a linker, e.g., =N¨ when the heterocyclyl group is part of a guanidine moiety who directed bonded to a linkage phosphorus through its =N¨. In some embodiments, a non-negatively charged N
r intemucleotidic linkage comprises an optionally substituted HNi group. In some embodiments, a non-N
r negatively charged intemucleotidic linkage comprises an substituted HNi group.
In some embodiments, a non-negatively charged intemucleotidic linkage comprises a R
group. In some embodiments, each R' is independently optionally substituted C1-6 alkyl. In some embodiments, each R' is independently methyl.

In some embodiments, an oligonucleotide comprises different types of intemucleotidic phosphorus linkages. In some embodiments, a chirally controlled oligonucleotide comprises at least one natural phosphate linkage and at least one modified (non-natural) intemucleotidic linkage. In some embodiments, an oligonucleotide comprises at least one natural phosphate linkage and at least one phosphorothioate. In some embodiments, an oligonucleotide comprises at least one non-negatively charged intemucleotidic linkage. In some embodiments, an oligonucleotide comprises at least one natural phosphate linkage and at least one non-negatively charged intemucleotidic linkage. In some embodiments, an oligonucleotide comprises at least one phosphorothioate intemucleotidic linkage and at least one non-negatively charged intemucleotidic linkage. In some embodiments, an oligonucleotide comprises at least one phosphorothioate intemucleotidic linkage, at least one natural phosphate linkage, and at least one non-negatively charged intemucleotidic linkage. In some embodiments, oligonucleotides comprise one or more, e.g., 1-50, 1-40, 1-30, 1-20, 1-15, 1-10, 1. 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,20 or more non-negatively charged intemucleotidic linkages. In some embodiments, a non-negatively charged internucleotidic linkage is not negatively charged in that at a given pH in an aqueous solution less than 50%, 40%, 40%, 30%, 20%, 10%, 5%, or 1% of the intemucleotidic linkage exists in a negatively charged salt form. In some embodiments, a pH is about pH 7.4. In some embodiments, a pH is about 4-9. In some embodiments, the percentage is less than 10%. In some embodiments, the percentage is less than 5%. In some embodiments, the percentage is less than 1%. In some embodiments, an intemucleotidic linkage is a non-negatively charged intemucleotidic linkage in that the neutral form of the intemucleotidic linkage has no pKa that is no more than about 1, 2, 3, 4, 5, 6, or 7 in water. In some embodiments, no pKa is 7 or less.
In some embodiments, no pKa is 6 or less. In some embodiments, no pKa is 5 or less. In some embodiments, no pKa is 4 or less. In some embodiments, no pKa is 3 or less. In some embodiments, no pKa is 2 or less. In some embodiments, no pKa is 1 or less. In some embodiments, pKa of the neutral form of an intemucleotidic linkage can be represented by pKa of the neutral form of a compound having the \ 0 cx structure of CH3-the intemucleotidic linkage-CH3. For example, pKa of -1*- can be N>_N .õ..0C H3 represented by pKa 0 OCH3. In some embodiments, anon-negatively charged intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, a non-negatively charged intemucleotidic linkage is a positively-charged intemucleotidic linkage. In some embodiments, a non-negatively charged intemucleotidic linkage comprises a guanidine moiety. In some embodiments, a non-negatively charged intemucleotidic linkage comprises a heteroaryl base moiety.
In some embodiments, a non-negatively charged intemucleotidic linkage comprises a triazole moiety. In some embodiments, a non-negatively charged internucleotidic linkage comprises an alkynyl moiety.
[00407]
Without wishing to be bound by any particular theory, the present disclosure notes that a neutral intemucleotidic linkage can be more hydrophobic than a phosphorothioate intemucleotidic linkage (PS), which can be more hydrophobic than a natural phosphate linkage (PO).
Typically, unlike a PS or PO, a neutral intemucleotidic linkage bears less charge. Without wishing to be bound by any particular theory, the present disclosure notes that incorporation of one or more neutral intemucleotidic linkages into an oligonucleotide may increase oligonucleotides' ability to be taken up by a cell and/or to escape from endosomes. Without wishing to be bound by any particular theory, the present disclosure notes that incorporation of one or more neutral intemucleotidic linkages can be utilized to modulate melting temperature of duplexes formed between an oligonucleotide and its target nucleic acid.
[00408] Without wishing to be bound by any particular theory, the present disclosure notes that incorporation of one or more non-negatively charged intemucleotidic linkages, e.g., neutral intemucleotidic linkages, into an oligonucleotide may be able to increase the oligonucleotide's ability to mediate a function such as gene knockdown. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide capable of mediating knockdown of level of a nucleic acid or a product encoded thereby comprises one or more non-negatively charged intemucleotidic linkages. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide capable of mediating knockdown of expression of a target gene comprises one or more non-negatively charged intemucleotidic linkages.
[00409]
In many embodiments, as demonstrated extensively, oligonucleotides of the present disclosure comprise two or more different intemucleotidic linkages. In some embodiments, an oligonucleotide comprises a phosphorothioate intemucleotidic linkage and a non-negatively charged intemucleotidic linkage. In some embodiments, an oligonucleotide comprises a ph o sph oroth oate intemucleotidic linkage, a non-negatively charged intemucleotidic linkage, and a natural phosphate linkage. In some embodiments, a non-negatively charged intemucleotidic linkage is a neutral intemucleotidic linkage. In some embodiments, a non-negatively charged intemucleotidic linkage is n001. In some embodiments, each phosphorothioate intemucleotidic linkage is independently chirally controlled.
In some embodiments, each chiral modified intemucleotidic linkage is independently chirally controlled.
In some embodiments, at least 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 chiral intemucleotidic linkage are independently chirally controlled.
1004101 A typical connection, as in natural DNA and RNA, is that an internucleotidic linkage forms bonds with two sugars (which can be either unmodified or modified as described herein). In many embodiments, as exemplified herein an intemucleotidic linkage forms bonds through its oxygen atoms or heteroatoms with one optionally modified ribose or deoxyribose at its 5' carbon, and the other optionally modified ribose or deoxyribose at its 3' carbon. In some embodiments, each nucleoside units connected by an intemucleotidic linkage independently comprises a nucleobase which is independently an optionally substituted A, T, C. G, or U, or an optionally substituted tautomer of A, T, C, G or U.
[00411] In some embodiments, a modified intemucleotidic linkage has the structure of -0-P(-0)(-R)-0-, wherein R is as described herein. In some embodiments, R is optionally substituted C1_6 aliphatic. In some embodiments, R is methyl. In some embodiments, R is ethyl.
[00412] As appreciated by those skilled in the art, many other types of intemucleotidic linkages may be utilized in accordance with the present disclosure, for example, those described in U.S. Pat. Nos. 3,687,808;
4,469,863; 4,476,301; 5,177,195; 5,023,243; 5,034,506; 5,166,315; 5,185,444;
5,188,897; 5,214,134;
5,216,141; 5,235,033; 5,264,423; 5,264,564; 5,276,019; 5,278,302; 5,286,717;
5,321,131; 5,399,676;
5,405,938; 5,405,939; 5,434,257; 5,453,496; 5,455,233; 5,466,677; 5,466,677;
5,470,967; 5,476,925;
5,489,677; 5,519,126; 5,536,821; 5,541,307; 5,541,316; 5,550,111; 5,561,225;
5,563,253; 5,571,799;
5,587,361; 5,596,086; 5,602,240; 5,608,046; 5,610,289; 5,618,704, 5,623,070;
5,625,050; 5,633,360;
5,64,562; 5,663,312; 5,677,437; 5,677,439; 6,160,109; 6,239,265; 6,028,188;
6,124,445; 6,169,170;
6,172,209; 6,277,603; 6,326,199; 6,346,614; 6,444,423; 6,531,590; 6,534,639;
6,608,035; 6,683,167;
6,858,715; 6,867,294; 6,878,805; 7,015,315; 7,041,816; 7,273,933; 7,321,029;
or RE39464. In some embodiments, a modified intemucleotidic linkage is one described in US
9394333, US 9744183, US
9605019, US 9598458, US 9982257, US 10160969, US 10479995, US 2020/0056173, US
2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US
2019/0375774, WO
2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO 2019/032607, WO
2019/055951, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612, the nucleobases, sugars, intemucleotidic linkages, chiral auxiliaries/reagents, and technologies for oligonucleotide synthesis (reagents, conditions, cycles, etc.) of each of which is independently incorporated herein by reference.
[00413] In some embodiments, an oligonucleotide comprises one or more nucleotides that independently comprise a phosphorus modification prone to "autorelease" under certain conditions. That is, under certain conditions, a particular phosphorus modification is designed such that it self-cleaves from the oligonucleotide to provide, e.g., a natural phosphate linkage. Certain examples of such phosphorus modification groups can be found in US 9982257. In some embodiments, an autorelease group is characterized by the ability to deliver an agent to the internucleotidic phosphorus linker, which agent facilitates further modification of the phosphorus atom such as, e.g., desulfurization. In some embodiments, the agent is water and the further modification is hydrolysis to form a natural phosphate linkage.
1004141 In some embodiments, provided oligonucleotides or regions thereof comprises alternating phosphodiester (PO) and phosphorothioate (PS) internucleotidic linkages, e.g., I(P0)(PS)Jx, I(PS)(PO)Jx, etc., wherein x is 1-50. In some embodiments, an oligonucleotide or a region thereof, e.g., a 5'-wing, comprises or consists of a pattern of backbone linkages (internucleotidic linkages) of (PM)(PO/PN)t, (PM)(PO)t, or (PM)(PN)t, wherein each PM is independently a modified internucleotidic linkage, each PN
is independently a non-negatively charged internucleotidic linkage, and t is 1-50. In some embodiments, an oligonucleotide or a region thereof, e.g., a 3'-wing, comprises or consists of a pattern of backbone linkages (internucleotidic linkages) of (PO/PN)m(PM), (PO)m(PM), or (PN)m(PM), wherein m is 1-50, and each other variable is independently as described in the present disclosure. In some embodiments, an oligonucleotide comprises or consists of a pattern of backbone linkages (internucleotidic linkages) of (PM)(PO/PN)t(PM)n(PO/PN)m(PM), (PM)(PN)t(PM)n(PO)m(PM), (PM)(PO)t(PM)n(PN)m(PM), (PM)(PO)t(PM)n(PO)m(PM), or (PM)(PN)t(PM)n(PN)m(PM), wherein n is 1-50, and each other variable is as described in the present disclosure. In some embodiments, a PM is a PS.
In some embodiments, each PM is a PS. In some embodiments, a PN is n001. In some embodiments, each PN is n001.
1004151 In some embodiments, t is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, t is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, t is 1-10, 1-15, 1-20, 1-25, 1-30, 2-10, 2-15, 2-20, 2-25, 2-30, 5-10, 5-15, 5-20, 5-25, 5-30, 8-10, 8-15, 8-20, 8-25, 8-30, 10-15, 10-20, 10-25, or 10-30. In some embodiments, t is 1-3. 1-4, 1-5, 1-10, 2-3, 2-5, 2-6, or 2-10. In some embodiments, t is 1. In some embodiments, t is 2. In some embodiments, t is 3. In some embodiments, t is 4. In some embodiments, t is 5. In some embodiments, t is 6.
In some embodiments, t is 7. In some embodiments, t is 8. In some embodiments, t is 9. In some embodiments, t is 10. In some embodiments, t is 11. In some embodiments, t is 12. In some embodiments, t is 13. In some embodiments, t is 14. In some embodiments, t is 15. In some embodiments, t is 16. In some embodiments, t is 17. In some embodiments, t is 18. In some embodiments, t is 19. In some embodiments, t is 20.
1004161 In some embodiments, m is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, m is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, m is 1-10, 1-15, 1-20, 1-25, 1-30, 2-10, 2-15, 2-20, 2-25, 2-30, 5-10, 5-15, 5-20, 5-25, 5-30, 8-10, 8-15, 8-20, 8-25, 8-30, 10-15, 10-20, 10-25, or 10-30. In some embodiments, m is 1-3, 1-4, 1-5, 1-10, 2-3, 2-5, 2-6, or 2-10. In some embodiments, m is 1. In some embodiments, m is 2. In some embodiments, m is 3.

In some embodiments, m is 4. In some embodiments, m is 5. In some embodiments, m is 6. In some embodiments, m is 7. In some embodiments, m is 8. In some embodiments, m is 9.
In some embodiments, m is 10. In some embodiments, m is 11. In some embodiments, m is 12. In some embodiments, m is 13.
In some embodiments, m is 14. In some embodiments, m is 15. In some embodiments, m is 16. In some embodiments, m is 17. In some embodiments, m is 18. In some embodiments, m is 19. In some embodiments, m is 20.
[00417] In some embodiments, t = m. In some embodiments, t> m. In some embodiments, t < m.
In some embodiments, n is 1-10, 1-15, 1-20, 1-25, 1-30, 2-10, 2-15, 2-20, 2-25, 2-30, 5-10, 5-15, 5-20, 5-25, 5-30, 8-10, 8-15, 8-20, 8-25, 8-30, 10-15, 10-20, 10-25, or 10-30. In some embodiments, n is 1, 2, 3, 4, 5,6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, n is 1. In some embodiments, n is 2. In some embodiments, n is 3. In some embodiments, n is 4. In some embodiments, n is 5. In some embodiments, n is 6. In some embodiments, n is 7.
In some embodiments, n is 8. In some embodiments, n is 9. In some embodiments, n is 10. In some embodiments, n is 11. In some embodiments, n is 12. In some embodiments, n is 13. In some embodiments, n is 14. In some embodiments, n is 15. In some embodiments, n is 16. In some embodiments, n is

17. In some embodiments, n is 18. In some embodiments, n is 19. In some embodiments_ n is 20.
[00418] Examples of certain patterns can be found, e.g., in oligonucleotides in Table Al.
[00419] Various types of intemucleotidic linkages may be utilized in combination of other structural elements, e.g., sugars, to achieve desired oligonucleotide properties and/or activities. For example, the present disclosure routinely utilizes modified internucleolidic linkages and modified sugars, optionally with natural phosphate linkages and natural sugars, in designing oligonucleotides.
In some embodiments, the present disclosure provides an oligonucleotide comprising one or more modified sugars. In some embodiments, the present disclosure provides an oligonucleotide comprising one or more modified sugars and one or more modified intemucleatidic linkages, one or more of which arc natural phosphate linkages.
Oligonucleotide Compositions [00420] Among other things, the present disclosure provides various oligonucleotide compositions.
In some embodiments, the present disclosure provides oligonucleotide compositions of oligonucleotides described herein. In some embodiments, an oligonucleotide composition, e.g., a RHO oligonucleotide composition, comprises a plurality of an oligonucleotide described in the present disclosure. In some embodiments, an oligonucleotide composition, e.g., a RHO oligonucleotide composition, is chirally controlled. In some embodiments, an oligonucleotide composition, e.g., a RHO
oligonucleotide composition, is not chirally controlled (stereorandom).
[00421] Linkage phosphorus of natural phosphate linkages is achiral. Linkage phosphorus of many modified internucleotidic linkages, e.g., phosphorothioate internucleotidic linkages, are chiral. In some embodiments, during preparation of oligonucleotide compositions (e.g., in traditional phosphoramidite oligonucleotide synthesis), configurations of chiral linkage phosphorus are not purposefully designed or controlled, creating non-chirally controlled (stereorandom) oligonucleotide compositions (substantially racemic preparations) which are complex, random mixtures of various stereoisomers (diastereoisomers) -for oligonucleotides with n chiral internucleotidic linkages (linkage phosphorus being chiral), typically 2' stereoisomers (e.g., when n is 10, 210 =1,032; when n is 20, 220 = 1,048,576).
These stereoisomers have the same constitution, but differ with respect to the pattern of stereochemistry of their linkage phosphorus.
1004221 In some embodiments, stereorandom oligonucleotide compositions have sufficient properties and/or activities for certain purposes and/or applications. In some embodiments, stereorandom oligonucleotide compositions can be cheaper, easier and/or simpler to produce than chirally controlled oligonucleotide compositions. However, stereoisomers within stereorandom compositions may have different properties, activities, and/or toxicities, resulting in inconsistent therapeutic effects and/or unintended side effects by stereorandom compositions, particularly compared to certain chirally controlled oligonucleotide compositions of oligonucleotides of the same constitution.
1004231 In some embodiments, the present disclosure encompasses technologies for designing and preparing chirally controlled oligonucleotide compositions. In some embodiments, the present disclosure provides chirally controlled oligonucleotide compositions, e.g., of many oligonucleotides in Table Al which contain S and/or R in their stereochemistry/linkage. In some embodiments, a chirally controlled oligonucleotide composition comprises a controlled/pre-determined (not random as in stereorandom compositions) level of a plurality of oligonucleotides, wherein the oligonucleotides share the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled internucleotidic linkages). In some embodiments, the oligonucleotides share the same pattern of backbone chiral centers (stereochemistry of linkage phosphorus). In some embodiments, a pattern of backbone chiral centers is as described in the present disclosure. In some embodiments, the oligonucleotides are structural identical.
1004241 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common pattern of backbone linkages, and 3) the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17,

18, 19, 20, or more) chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality.
1004251 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common patter of backbone linkages, and 3) a common pattern of backbone chiral centers, which pattern comprises at least one Sp, wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality.
1004261 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common patter of backbone linkages, and 3) a common pattern of backbone chiral centers, which pattern comprises at least one Rp, wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality.
1004271 In some embodiments, oligonucleotides of a plurality are of the same constitution. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides are of a common constitution, and share the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more) chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides of the common constitution, for oligonucleotides of the plurality.
1004281 In some embodiments, oligonucleotides of a plurality are structurally identical. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides are structurally identical, and share the same linkage phosphorus stereochemistry at one or more (e.g., 1-50. 1-40, 1-30, 1-25, 1-20, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more) chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides of the same constitution as the oligonucleotides of the plurality, for oligonucleotides of the plurality.

In some embodiments, they share the same stereochemistry independently 5-50 or more, e.g., 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 or more chiral intemucleotidic linkages. In some embodiments, oligonucleotides of the plurality share the same stereochemistry at each phosphorothioate intemucleotidic linkage.

In some embodiments, the present disclosure provides an oligonucleotide has the structure of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceon001RmG*SmU or a salt thereof. In some embodiments, a provided oligonucleotide is of a purity as described herein, e.g., (DS)' wherein DS is as described herein and nc is 18.
In some embodiments, DS is 90%-100% (e.g., 0%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%). In some embodiments, DS
is 95%400%.

In some embodiments, the present disclosure provides a chirally controlled composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceon001RmG*SmU or a salt thereof, wherein the composition is enriched, relative to a substantially racemic preparation of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceon001RmG*SmU or a salt thereof, for oligonucleotides of the plurality.

In some embodiments, the present disclosure provides a composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon0OIRTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
SmG* Sm5 Ceon001RmG*SmU or a salt thereof, wherein about or at least about (e.g., 10%-100%, 10%-95%, 20%-90%, 30%-90%, 40%-90%, 50%-90%, 50%-80%, about or at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in the composition that share the base sequence of an oligonucleotide of the plurality are oligonucleotides of the plurality.

In some embodiments, the present disclosure provides a composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceon001RmG*SmU or a salt thereof, wherein about or at least about (e.g., 10%-100%, 10%-95%, 20%-90%, 30%-90%, 40%-90%, 50%-90%, 50%-80%, about or at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.

[00434]
In some embodiments, the present disclosure provides a composition comprising an oligonucleotide Geo* SGeon001RTeoAcon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
SmG* Sm5 Ceon001RmG*SmU or a salt thereof, wherein each chiral linkage phosphorus of the oligonucleotide independently has a de of about or at least about 80%400%
85%-100%, 90%-100%, 90%-98%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%).
[00435]
In some embodiments, the present disclosure provides an oligonucleotide has the structure of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
SmG* Sm5 Ceo*SmGn001RmU or a salt thereof. In some embodiments, a provided oligonucleotide is of a purity as described herein, e.g., (DS)" wherein DS is as described herein and nc is 18.
In some embodiments, DS is 90%-100% (e.g., 0%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%). In some embodiments, DS
is 95%-100%.
[00436]
In some embodiments, the present disclosure provides a chirally controlled composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon00 1RTeoAeon00 1Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC*
SmU* SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, wherein the composition is enriched, relative to a substantially racemic preparation of Geo* SGeon00 1RTeoAeon00 1Rm5 Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC*
SmU* SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, for oligonucleotides of the plurality.
[00437]
In some embodiments, the present disclosure provides a composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, wherein about or at least about (e.g., 10%-100%, 10%-95%, 20%-90%, 30%-90%, 40%-90%, 50%-90%, 50%-80%, about or at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in the composition that share the base sequence of an oligonucleotide of the plurality are oligonucleotides of the plurality.

In some embodiments, the present disclosure provides a composition comprising a plurality of oligonucleotides, each of which independently has the structure of Geo* SGeon00IRTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, wherein about or at least about (e.g., 10%-100%, 10%-95%, 20%-90%, 30%-90%, 40%-90%, 50%-90%, 50%-80%, about or at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
[00439] In some embodiments, the present disclosure provides a composition comprising an oligonucleotide Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, wherein each chiral linkage phosphorus of the oligonucleotide independently has a de of about or at least about 80%400% (e.g., 85%400%, 90%400%, 90%-98%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%).
[00440] In some embodiments, an enrichment relative to a substantially racemic preparation is that at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of all oligonucleotides in the composition are oligonucleotide of the plurality. In some embodiments, an enrichment relative to a substantially racemic preparation is that at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of all oligonucleotides in the composition that share the common base sequence are oligonucleotides of the plurality. In some embodiments, at least about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of all oligonucleotides in the composition that share the common constitution are oligonucleotides of the plurality. In some embodiments, the percentage is at least about 10%. In some embodiments, the percentage is at least about 20%. In some embodiments, the percentage is at least about 30%. In some embodiments, the percentage is at least about 40%. In some embodiments, the percentage is at least about 50%. In some embodiments, the percentage is at least about 60%. In some embodiments, the percentage is at least about 70%. In some embodiments, the percentage is at least about 75%. In some embodiments, the percentage is at least about 80%. In some embodiments, the percentage is at least about 85%. In some embodiments, the percentage is at least about 90%. In some embodiments, the percentage is at least about 91%. In some embodiments, the percentage is at least about 92%. In some embodiments, the percentage is at least about 93%. In some embodiments, the percentage is at least about 94%. In some embodiments, the percentage is at least about 95%. In some embodiments, the percentage is at least about 96%. In some embodiments, the percentage is at least about 97%. In some embodiments, the percentage is at least about 98%. In some embodiments, the percentage is at least about 99%. As appreciated by those skilled in the art, various forms of an oligonucleotide may be properly considered to have the same constitution and/or structure, and various forms of oligonucleotides sharing the same constitution may be properly considered to have the same constitution.
[00441] Levels of oligonucleotides of a plurality in chirally controlled oligonucleotide compositions are controlled. In contrast, in non-chirally controlled (or stereorandom, racemic) oligonucleotide compositions (or preparations), levels of oligonucleotides are random and not controlled.

In some embodiments, a level of the oligonucleotides of a plurality in a chirally controlled oligonucleotide composition is about 1%-100%, (e.g., about 5%400%, 10%400%, 20%-100%, 30%400%, 40%-100%, 50%-100%, 60%-100%, 70%-100%, 80-100%, 90-100%, 95-100%, 50%-90%, or about 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%, or at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%) of all oligonucleotides in the chirally controlled oligonucleotide composition, or of all oligonucleotides in the chirally controlled oligonucleotide composition that share the common base sequence as the oligonucleotides of the plurality, or of all oligonucleotides in the chirally controlled oligonucleotide composition that share the common base sequence and pattern of backbone linkages as the oligonucleotides of the plurality, or of all oligonucleotides in the chirally controlled oligonucleotide composition that share the common base sequence, pattern of backbone linkages as and pattern of backbone phosphorus modifications as the oligonucleotides of the plurality, or of all oligonucleotides in the chirally controlled oligonucleotide composition that share the same constitution as oligonucleotides of the plurality.
In some embodiments, an enrichment relative to a substantially racemic preparation is a level described herein.
[00442] In some embodiments, a level as a percentage (e.g., a controlled level, a pre-determined level, an enrichment) is or is at least (DS)", wherein DS is 90%400%, and nc is the number of chirally controlled intemucleotidic linkages as described in the present disclosure (e.g., 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more). In some embodiments, each chiral intemucleotidic linkage is independently chirally controlled and nc is the number of chiral intemucleofidic linkage. In some embodiments, each chiral intemucleotidic linkage is chirally controlled, and nc is the number of chiral intemucleotidic linkage. In some embodiments, DS is 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5% or more. In some embodiments, DS is or is at least 90%. In some embodiments, DS is or is at least 91%. In some embodiments, DS is or is at least 92%. In some embodiments, DS is or is at least 93%. In some embodiments, DS is or is at least 94%. In some embodiments, DS is or is at least 95%. In some embodiments, DS is or is at least 96%. In some embodiments, DS is or is at least 97%. In some embodiments, DS is or is at least 98%. In some embodiments, DS is or is at least 99%. In some embodiments, a level (e.g., a controlled level, a pre-determined level, an enrichment) is a percentage of all oligonucleotides in a composition that share the same constitution, wherein the percentage is or is at least (DS)". For example, when DS is 99% and nc is 10, the percentage is or is at least 90% ((99%)10 ,==, 0.90 =
90%). As appreciated by those skilled in the art, in a stereorandom preparation the percentage is typically about 1/2' - when nc is 10, the percentage is about 1/2") 0.001 = 0.1%.
[00443] In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:

1) a common base sequence, 2) a common pattern of backbone linkages, and 3) the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) chiral intemucleotidic linkages (chirally controlled intemucleotidic linkages), wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides in the composition that share the common base sequence and pattern of backbone linkages is at least (DS)", wherein DS is 90%400%, and nc is the number of chirally controlled intemucleotidic linkages.
1004441 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common patter of backbone linkages, and 3) a common pattern of backbone chiral centers, which pattern comprises at least one Sp, wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides in the composition that share the common base sequence and pattern of backbone linkages is at least (DS)', wherein DS is 90%400%, and nc is the number of chirally controlled intemucleotidic linkages.
1004451 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common patter of backbone linkages, and 3) a common pattern of backbone chiral centers, which pattern comprises at least one Rp, wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides in the composition that share the common base sequence and pattern of backbone linkages is at least (DS)', wherein DS is 90%-100%, and nc is the number of chirally controlled intemucleotidic linkages.
1004461 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, each of which is independently Geo* SGeon00IRTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceon001RmG*SmU or a salt thereof, wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality is at least (DS)', wherein DS
is 90%-100%, and nc is 18.
1004471 In some embodiments, an oligonucleotide composition is a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, each of which is independently Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG* RG* SC*
SmU* SmG* Sm5 Ceo*SmGn001RmU or a salt thereof, wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality is at least (DS)', wherein DS
is 90%400%, and nc is 18.
1004481 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides are of a common constitution, and share the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1,2, 3,4, 5, 6,7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) chiral intemucleotidic linkages (chirally controlled intemucleotidic linkages), wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides of the same constitution in the composition is at least (DS)', wherein DS is 90%-100%, and nc is the number of chirally controlled intemucleotidic linkages.
1004491 In some embodiments, oligonucleotides of the plurality are of different salt forms. In some embodiments, oligonucleotides of the plurality comprise one or more forms, e.g., various pharmaceutically acceptable salt forms, of a single oligonucleotide. In some embodiments, oligonucleotides of the plurality comprise one or more forms, e.g., various pharmaceutically acceptable salt forms, of two or more oligonucleotides. In some embodiments, oligonucleotides of the plurality comprise one or more forms, e.g., various pharmaceutically acceptable salt forms, of 2Ncc oligonucleotides, wherein NCC is the number of non-chirally controlled chiral intemucleotidic linkages. In some embodiments, the 21`cc oligonucleotides have relatively similar levels within a composition as, e.g., none of them are specifically enriched using chirally controlled oligonucleotide synthesis.
1004501 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides are structurally identical, and share the same linkage phosphorus stercochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) chiral intemucleotidic linkages (chirally controlled intemucleotidic linkages), wherein the percentage of the oligonucleotides of the plurality within all oligonucleotides of the same constitution as the oligonucleotides of the plurality in the composition is at least (DS)", wherein DS is 90%-100%, and nc is the number of chirally controlled intemucleotidic linkages.
1004511 In some embodiments, level of a plurality of oligonucleotides in a composition can be determined as the product of the diastereopuritv of each chirally controlled intemucleotidic linkage in the oligonucleotides. In some embodiments, diastereopurity of an intemucleotidic linkage connecting two nucleosides in an oligonucleotide (or nucleic acid) is represented by the diastereopurity of an intemucleotidic linkage of a dimer connecting the same two nucleosides, wherein the dimer is prepared using comparable conditions, in some instances, identical synthetic cycle conditions (e.g., for the linkage between Nx and Ny in an oligonucleotide ....NxNy .. , the dimer is NxNy).
1004521 In some embodiments, all chiral internucleotidic linkages are chiral controlled, and the composition is a completely chirally controlled oligonucleotide composition.
In some embodiments, not all chiral intemucleotidic linkages are chiral controlled intemucleotidic linkages, and the composition is a partially chirally controlled oligonucleotide composition. In some embodiments, at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of all chiral intemucleotidic linkages are chirally controlled. In some embodiments, at least 50%, 60%, 70%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of all chiral internucleotidic linkages are chirally controlled.
[00453] Oligonucleotides may comprise or consist of various patterns of backbone chiral centers (patterns of stereochemistry of chiral linkage phosphorus). Certain useful patterns of backbone chiral centers are described in the present disclosure. In some embodiments, a plurality of oligonucleotides share a common pattern of backbone chiral centers, which is or comprises a pattern described in the present disclosure (e.g., as in "Linkage Phosphorus Stereochemistry and Patterns Thereof', a pattern of backbone chiral centers of a chirally controlled oligonucleotide in Table Al, etc.).
[00454] In some embodiments, a chirally controlled oligonucleotide composition is chirally pure (or stereopure, stereochemically pure) oligonucleotide composition, wherein the oligonucleotide composition comprises a plurality of oligonucleotides, wherein the oligonucleotides are identical [including that each chiral element of the oligonucleotides, including each chiral linkage phosphorus, is independently defined (stereodefined) J, and the composition does not contain other stereoisomers. A chirally pure (or stereopure, stereochemically pure) oligonucleotide composition of an oligonucleotide stereoisomer does not contain other stereoisomers (as appreciated by those skilled in the art, one or more unintended stercoisomers may exist as impuritics - example purities are descried in the present disclosure).
1004551 Chirally controlled oligonucleotide compositions can demonstrate a number of advantages over stereorandom oligonucleotide compositions. Among other things, chirally controlled oligonucleotide compositions are more uniform than corresponding stereorandom oligonucleotide compositions with respect to oligonucleotide structures. By controlling stereochemistry, compositions of individual stereoisomers can be prepared and assessed, so that chirally controlled oligonucleotide composition of stereoisomers with desired properties and/or activities can be developed. In some embodiments, chirally controlled oligonucleotide compositions provides better delivery, stability, clearance, activity, selectivity, and/or toxicity profiles compared to, e.g., corresponding stereorandom oligonucleotide compositions. In some embodiments, chirally controlled oligonucleotide compositions provide better efficacy, fewer side effects, and/or more convenient and effective dosage regimens. Among other things, patterns of backbone chiral centers as described herein can be utilized to provide controlled cleavage of oligonucleotide targets (e.g., transcripts such as pre-mRNA, mature mRNA, etc.; including control of cleavage sites, rate and/or extent of cleavage at cleavage sites, and/or overall rate and extent of cleavage, etc.) and greatly increased target selectivity.
In some embodiments, chirally controlled oligonucleotide compositions of oligonucleotides comprising certain patterns of backbone chiral centers can differentiate sequences with nucleobase difference at very few positions, in some embodiments, at single position (e.g., at SNP site, point mutation site, etc.).

In some embodiments, the present disclosure provides a stereorandom oligonucleotide composition, e.g., a stereorandom RHO oligonucleotide composition. In some embodiments, the present disclosure provides a stereorandom RHO oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO gene or a gene product thereof. In some embodiments, the present disclosure provides a stereorandom RHO oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO gene or a gene product thereof, and wherein the base sequence of the RHO oligonucleotides is, comprises, or comprises a span (e.g., at least 10 or 15 contiguous bases) of a base sequence disclosed herein (e.g., a base sequence in Table Al, wherein each T
may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a stereorandom RHO oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO
gene or a gene product thereof, and wherein the base sequence of the RHO
oligonucleotides is or comprises a base sequence disclosed herein (e.g., a base sequence in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a stereorandom RHO oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO
gene or a gene product thereof, and wherein the base sequence of the RHO
oligonucleotides is a base sequence disclosed herein (e.g., a base sequence in Table Al, wherein each T
may be independently replaced with U and vice versa).

Non-limiting examples of stereopure (or chirally controlled) oligonucleotide compositions, e.g., stereopure (or chirally controlled) RHO oligonucleotide compositions, are described herein, including but not limited to: WV-39023 and WV-48182.

In some embodiments, an oligonucleotide composition comprises a plurality of oligonucleotides, one or more intemucleotidic linkages of which which are stereocontrolled (chirally controlled) and one or more intemucleotidic linkages which are stereorandom.
In some embodiments, a RHO oligonucleotide composition comprises a plurality of oligonucleotides, one or more intemucleotidic linkages of which are stereocontrolled (chirally controlled) and one or more intemucleotidic linkages which are stereorandom.

In some embodiments, an oligonucleotide composition comprises a plurality of oligonucleotides, one or more internucleotidic linkages of which are stereocontrolled (e.g., chirally controlled) and one or more internucleotidic linkages which are stereorandom.
1004601 As understood by a person having ordinary skill in the art, stereorandom or (substantially) racemic preparations/non-chirally controlled oligonucleotide compositions are typically prepared without chiral control, e.g., without using chiral auxiliaries, chiral modification reagents, and/or chiral catalysts that can provide high stereoselectivity (e.g., 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 99.5%
or more; in some embodiments, 95%, 96%, 97%, 98%, 99% or 99.5% or more; in some embodiments, 97%, 98%, 99% or 99.5% or more; in some embodiments, 98%, 99% or 99.5% or more) at linkage phosphorus during oligonucleotide synthesis. In some embodiments, in a substantially racemic (or chirally uncontrolled) preparation of oligonucleotides, coupling steps are not chirally controlled in that the coupling steps are not specifically conducted to provide enhanced stereoselectivity. An example substantially racemic preparation of oligonucleotides / non-chirally controlled oligonucleotide composition is a preparation of phosphorothioate oligonucleotides through traditional phosphoramidite oligonucleotide synthesis and sulfurization with non-chiral sulfurization reagents such as tetraethylthiuram disulfide or (TETD), 3H-1, 2-bensodithio1-3-one 1, 1-dioxide (BDTD), etc., which are well-known processes. Various methods for making stereorandom oligonucleotide compositions / substantially racemic preparations of oligonucleotides are widely known and practiced in the art and can be utilized for preparing such compositions and preparations of the present disclosure.
1004611 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., chirally controlled RHO oligonucleotide composition. In some embodiments, provided chirally controlled oligonucleotide compositions comprise a plurality of oligonucleotides, e.g., RHO
oligonucleotides, of the same constitution, and have one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10,5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6,7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) internucleotidic linkages. In some embodiments, a plurality of oligonucleotides, e.g., in a chirally controlled oligonucleotide composition, is a plurality of an oligonucleotide selected from Table Al, wherein the oligonucleotide comprises at least one Rp or Sp linkage phosphorus in a chirally controlled internucleotidic linkage. In some embodiments, a plurality of oligonucleotides, e.g., in a chirally controlled oligonucleotide composition, is a plurality of an oligonucleotide selected from Table Al, wherein each phosphorothioate internucleotidic linkage in the oligonucleotide is independently chirally controlled (each phosphorothioate internucleotidic linkage is independently Rp or Sp). In some embodiments, an oligonucleotide composition, e .g ., a RHO oligonucleotide composition is a substantially pure preparation of a single oligonucleotide in that oligonucleotides in the composition that are not the single oligonucleotide are impurities from the preparation process of the single oligonucleotide, in some case, after certain purification procedures. In some embodiments, a single oligonucleotide is an oligonucleotide of Table Al, wherein each chiral internucleotidic linkage of the oligonucleotide is chirally controlled (e.g., indicated as S or R but not X in "Stereochemistry/Linkage").
1004621 In some embodiments, a chirally controlled oligonucleotide composition can have, relative to a corresponding stereorandom oligonucleotide composition, increased activity and/or stability, increased delivery, and/or decreased ability to elicit adverse effects such as complement, TLR9 activation, etc. In some embodiments, a stereorandom (non-chirally controlled) oligonucleotide composition differs from a chirally controlled oligonucleotide composition in that its corresponding plurality of oligonucleotides do not contain any chirally controlled internucleotidic linkages but the stereorandom oligonucleotide composition is otherwise identical to the chirally controlled oligonucleotide composition.
1004631 In some embodiments, the present disclosure pertains to a chirally controlled RHO
oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO gene or a gene product thereof.
1004641 In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO gene or a gene product thereof, and comprises a plurality of oligonucleotides which share a common base sequence that is, comprises, or comprises a span (e.g., at least 10 or 15 contiguous bases) of a base sequence disclosed herein (e.g., in Table Al, wherein each T may be independently replaced with U and vice versa).
In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO gene or a gene product thereof, and comprises a plurality of oligonucleotides which share a common base sequence that is or comprises a base sequence disclosed herein (e.g., in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a chirally controlled RHO oligonucleotide composition which is capable of decreasing the level, activity or expression of a RHO
gone or a gcnc product thereof, and comprises a plurality of oligonucicotidcs which share a common base sequence that is a base sequence disclosed herein (e.g., in Table Al, wherein each T may be independently replaced with U and vice versa).
1004651 In some embodiments, a provided chirally controlled oligonucleotide composition is a chirally controlled RHO oligonucleotide composition comprising a plurality of RHO oligonucleotides. In some embodiments, a chirally controlled oligonucleotide composition is a chirally pure (or "stereochemically pure") oligonucleotide composition. In some embodiments, the present disclosure provides a chirally pure oligonucleotide composition of an oligonucleotide in Table Al, wherein each chiral internucleotidic linkage of the oligonucleotide is independently chirally controlled (Rp or Sp, e.g., can be determined from R or S but not X in -Stereochemistry/Linkage"). As appreciated by those skilled in the art, in a chirally controlled or chirally pure composition of an oligonucleotide, the percentage of the oligonucleotide in the composition is significantly higher [e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 30, 35, 40=45, 50, 60, 70, 80, 90, 100, 103, 104, 105 or more, or 10', 15', 20', 25', 30', 35, 40", 45", 50, 60, 70, 80", 90", 100" or more, fold of the percentage of another stereoisomer, wherein nc is the number of chirally controlled internucleotidic linkage(s)]
than any other possible stereoisomers, which may exist in the composition as impurities. As one of ordinary skill in the art will understand, chemical selectivity rarely, if ever, achieves completeness (absolute 100%). In some embodiments, a chirally pure oligonucleotide composition comprises a plurality of oligonucleotides, wherein oligonucleotides of the plurality are structurally identical and all have the same structure (the same stereoisomeric form; in the context of oligonucleotide, typically the same diastereomeric form as typically multiple chiral centers exist in an oligonucleotide), and the chirally pure oligonucleotide composition does not contain any other stereoisomers (in the context of oligonucleotide.
typically diastereomers as typically multiple chiral centers exist in an oligonucleotide; to the extent, e.g., achievable by stereoselective preparation). As appreciated by those skilled in the art, stereorandom (or "racemic", "non-chirally controlled") oligonucleotide compositions are random mixtures of many stereoisomers (e.g., Ti diastereoisomers wherein n is the number of chiral linkage phosphorus for oligonucleotides in which other chiral centers (e.g., carbon chiral centers in sugars) are chirally controlled each independently existing in one configuration and only chiral linkage phosphorus centers are not chirally controlled).
1004661 Certain data showing properties and/or activities of chirally controlled oligonucleotide composition, e.g., chirally controlled RHO oligonucleotide compositions in decreasing the level, activity and/or expression of a RHO target gene or a gene product thereof, arc shown in, for example, the Examples section of this document.
1004671 In some embodiments, the present disclosure provides an oligonucleotide composition comprising oligonucleotides that comprise at least one chiral linkage phosphorus. In some embodiments, the present disclosure provides a RHO oligonucleotide composition comprising RHO oligonucleotides that comprise at least one chiral linkage phosphorus. In some embodiments, the present disclosure provides a RHO oligonucleotide composition in which the RHO oligonucleotides comprise a chirally controlled phosphorothioate internucleotidic linkage, wherein the linkage phosphorus has a Rp configuration. In some embodiments, the present disclosure provides a RHO oligonucleotide composition in which the RHO
oligonucleotides comprise a chirally controlled phosphorothioate internucleotidic linkage, wherein the linkage phosphorus has a Sp configuration.
1004681 In some embodiments, compared to reference oligonucleotide compositions, provided chirally controlled oligonucleotide compositions (e.g., chirally controlled RHO oligonucleotide compositions) are surprisingly effective. In some embodiments, desired biological effects (e.g., as measured by decreased levels of mRNA, proteins, etc. whose levels are targeted for reduction) can be enhanced by more than 5, 10, 15, 20, 25, 30, 40, 50, or 100 fold (e.g., as measured by remaining levels of mRNA, proteins, etc.). In some embodiments, a change is measured by decrease of an undesired mRNA
level compared to a reference condition. In some embodiments, a change is measured by increase of a desired mRNA level compared to a reference condition. In some embodiments, a change is measured by decrease of an undesired mRNA level compared to a reference condition. In some embodiments, a reference condition is absence of treatment, e.g., by a chirally controlled oligonucleotide composition. In some embodiments, a reference condition is a corresponding stereorandom composition of oligonucleotides having the same constitution.
1004691 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, wherein the linkage phosphorus of at least one chirally controlled intemucleotidic linkage is Sp. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO
oligonucleotide composition, wherein the majority of linkage phosphorus of chirally controlled intemucleotidic linkages are Sp. In some embodiments, about 50%-100%, 55%-100%, 60%-100%, 65%-100%, 70%-100%, 75%-100%, 80%-100%, 85%-100%, 90%-100%, 55%-95%, 60%-95%, 65%-95%, or about 55%, 60%, 65%, 70%, 75%, 80%, 85 /0_ 90%, 95%, 97%, 99% or more, of all chirally controlled internucicotidic linkages (or of all chiral internucicotidic linkages, or of all internucicotidic linkages) arc Sp. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, wherein the majority of chiral intemucleotidic linkages are chirally controlled and arc Sp at their linkage phosphorus. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, wherein each chiral intemucleotidic linkage is chirally controlled and each chiral linkage phosphorus is Sp. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., chirally controlled RHO oligonucleotide composition, wherein at least one chirally controlled intemucleotidic linkage has a Rp linkage phosphorus.
In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, wherein at least one chirally controlled intemucleotidic linkage comprises a Rp linkage phosphorus and at least one chirally controlled intemucleotidic linkage comprises a Sp linkage phosphorus.
1004701 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, wherein at least two chirally controlled intemucl eoti di c linkages have different linkage phosphorus stereochemistry and/or different P-modifications relative to one another, wherein a P-modification is a modification at a linkage phosphorus. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, wherein at least two chirally controlled internucleotidic linkages have different stereochemistry relative to one another, and the pattern of the backbone chiral centers of the oligonucleotides is characterized by a repeating pattern of alternating stereochemisty.
1004711 In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a natural phosphate linkage. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a phosphorothioate internucleotidic linkage. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual intemucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a natural phosphate linkage and a phosphorothioate internucleotidic linkage. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a phosphorothioate triester internucleotidic linkage. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a natural phosphate linkage and a phosphorothioate triester internucleotidic linkage. In certain embodiments, the present disclosure provides a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein with in each of the oligonucleotides at least two individual internucleotidic linkages have different P-modifications relative to one another, and each of the oligonucleotide comprises a phosphorothioate internucleotidic linkage and a phosphorothioate triester in ternucle o tidic linkage.
1004721 In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, comprising a plurality of oligonucleotides which share a common base sequence that is the base sequence of an oligonucleotide disclosed herein, wherein at least one internucleotidic linkage is chirally controlled. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, comprising a plurality of oligonucleotides which share a common base sequence that is the base sequence of an oligonucleotide disclosed herein, wherein at least one internucleotidic linkage is chirally controlled, and at least one internucleotidic linkage has the structure of formula I or a salt form thereof. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, comprising a plurality of oligonucleotides which share a common base sequence that is the base sequence of an oligonucleotide disclosed herein, wherein at least one internucleotidic linkage is chirally controlled, and each chirally controlled internucleotidic linkage has the structure of formula I or a salt form thereof. In some embodiments, the present disclosure provides a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, comprising a plurality of oligonucleotides which share a common base sequence that is the base sequence of an oligonucleotide disclosed herein, wherein each modified internucleotidic linkage has the structure of formula I or a salt form thereof. In some embodiments, at least one internucleotidic linkage has the structure of Formula I-c. In some embodiments, each modified internucleotidic linkage independently has the structure of Formula I-c. In some embodiments, each internucleotidic linkage has the structure of formula I-c.
In some embodiments, a chirally controlled internucleotidic linkage is a chirally controlled phosphorothioate internucleotidic linkage. In some embodiments, each chirally controlled internucleotidic linkage is a chirally controlled phosphorothioate internucleotidic linkage.
Stereochemistry and Patterns of Backbone Chiral Centers 1004731 In contrast to natural phosphate linkages, linkage phosphorus of chiral modified internucleotidic linkages, e.g., phosphorothioate internucleotidic linkages, are chiral. Among other things, the present disclosure provides technologies (e.g., oligonucleotides, compositions, methods, etc.) comprising control of stereochemistry of chiral linkage phosphorus in chiral internucleotidic linkages. In some embodiments, as demonstrated herein, control of stereochemistry can provide improved properties and/or activities, including desired stability, reduced toxicity, improved reduction of target nucleic acids, etc. In some embodiments, the present disclosure provides useful patterns of backbone chiral centers for oligonucleotides and/or regions thereof, which pattern is a combination of stereochemistry of each chiral linkage phosphorus (Rp or Sp) of chiral linkage phosphorus, indication of each achiral linkage phosphorus (Op, if any), etc. from 5. to 3.. In some embodiments, patterns of backbone chiral centers can control cleavage patterns of target nucleic acids when they are contacted with provided oligonucleotides or compositions thereof in a cleavage system (e.g., in vitro assay, cells, tissues, organs, organisms, subjects, etc.). In some embodiments, patterns of backbone chiral centers improve cleavage efficiency and/or selectivity of target nucleic acids when they are contacted with provided oligonucleotides or compositions thereof in a cleavage system.
1004741 In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof comprises or is (Np)n(0p)m, wherein Np is Rp or Sp, Op represents a linkage phosphorus being achiral (e.g., as for the linkage phosphorus of natural phosphate linkages), and each of n and m is independently as defined and described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (Sp)n(0p)m, wherein each variable is independently as defined and described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (Rp)n(0p)m, wherein each variable is independently as defined and described in the present disclosure.
In some embodiments, n is 1. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (Sp)(0p)m, wherein m is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (Rp)(0p)m, wherein m is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is or comprises (Np)n(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is or comprises (Sp)n(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is or comprises (Rp)n(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is or comprises (Sp)(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is or comprises (Rp)(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is (Sp)(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is (Rp)(0p)m. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is (Sp)(0p)m, wherein Sp is the linkage phosphorus configuration of the first intemucleotidic linkage of the oligonucleotide from the 5'-end. In some embodiments, the pattern of backbone chiral centers of a 5'-wing is (Rp)(0p)m, wherein Rp is the linkage phosphorus configuration of the first internucleotidic linkage of the oligonucleotide from the 5'-end. In some embodiments, as described in the present disclosure, m is 2; in some embodiments, m is 3; in some embodiments, m is 4;
in some embodiments, m is 5; in some embodiments, m is 6.
[00475] In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof comprises or is (0p)m(Np)n, wherein Np is Rp or Sp, Op represents a linkage phosphorus being achiral (e.g., as for the linkage phosphorus of natural phosphate linkages), and each of n and in is independently as defined and described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (0p)m(Sp)n, wherein each variable is independently as defined and described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (0p)m(Rp)n, wherein each variable is independently as defined and described in the present disclosure.
In some embodiments, n is 1. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (0p)m(Sp), wherein m is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof comprises or is (0p)m(Rp), wherein in is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, the pattern of backbone chiral centers of a 3'-wing is or comprises (0p)m(Np)n. In some embodiments, the pattern of backbone chiral centers of a 3'-wing is or comprises (0p)m(Sp)n. In some embodiments, the pattern of backbone chiral centers of a 3'-wing is or comprises (0p)m(Rp)n. In some embodiments, the pattern of backbone chiral centers of a 3.-wing is or comprises (0p)m(Sp). In some embodiments, the pattern of backbone chiral centers of a 3'-wing is or comprises (0p)m(Rp). In some embodiments, the pattern of backbone chiral centers of a 3'-wing is (0p)m(Sp). In some embodiments, the pattern of backbone chiral centers of a 3'-wing is (0p)m(Rp). In some embodiments, the pattern of backbone chiral centers of a 3'-wing is (0p)m(Sp), wherein Sp is the linkage phosphorus configuration of the last internucleotidic linkage of the oligonucleotide from the 5'-end. In some embodiments, the pattern of backbone chiral centers of a 3'-wing is (0p)m(Rp), wherein Rp is the linkage phosphorus configuration of the last internucleotidic linkage of the oligonucleotide from the 5'-end. In some embodiments, as described in the present disclosure, m is 2; in some embodiments, m is 3; in some embodiments, m is 4;
in some embodiments, m is 5; in some embodiments, m is 6.
1004761 In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is (Sp)m(Rp/Op)n or (Rp/Op)n(Sp)m, wherein each variable is independently as described in the present disclosure.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises or is (Sp)m(Rp)n or (Rp)n(Sp)m, wherein each variable is independently as described in the present disclosure.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises (Sp)m(Rp)n, wherein each variable is independently as described in the present disclosure. For example, in some embodiments, n is 1; in some embodiments, n is 2; in some embodiments, m is 1; in some embodiments, m is greater than 1; in some embodiments, m is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises (Rp)n(Sp)m, wherein each variable is independently as described in the present disclosure. For example, in some embodiments, n is 1; in some embodiments, n is 2; in some embodiments, m is 1; in some embodiments, m is greater than 1; in some embodiments, m is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises or is (Sp)m(0p)n or (0p)n(Sp)m, wherein each variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is (Np)t[(Rp/Op)n(Sp)mly or [(Rp/Op)n(Sp)mly(Np)t, wherein y is 1-50, and each other variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises or is (Np)t[(Rp)n(Sp)mly or [(Rp)n(Sp)m]y(Np)t, wherein each variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is [(Rp/Op)n(Sp)mly(Rp)k, [(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)m[y(Rp)k, wherein k is 1-50, and each other variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises or is [(0p)n(Sp)mly(Rp)k, [(0p)n(Sp)mly. (Sp)t[(0p)n(Sp)mly, (Sp)t[(0p)n(Sp)mly(Rp)k, wherein each variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region thereof (e.g., a core) comprises or is [(Rp)n(Sp)m]y(Rp)k, [(Rp)n(Sp)mly, (Sp)t[(Rp)n(Sp)m]y, (Sp)t[(Rp)n(Sp)mly(Rp)k, wherein each variable is independently as described in the present disclosure. In some embodiments, an oligonucleotide comprises a core region. In some embodiments, an oligonucleotide comprises a core region, wherein each sugar in the core region does not contain a 2'-OR', wherein RI is as described in the present disclosure. In some embodiments, an oligonucleotide comprises a core region, wherein each sugar in the core region is independently a natural DNA sugar. In some embodiments, the pattern of backbone chiral centers of the core comprises or is (Rp)(Sp)m. In some embodiments, the pattern of backbone chiral centers of the core comprises or is (0p)(Sp)m. In some embodiments, thc pattern of backbone chiral centers of the core comprises or is (Np)t[(Rp/Op)n(Sp)m[y or [(Rp/Op)n(Sp)m[y(Np)t. In some embodiments, thc pattern of backbone chiral centers of the core comprises or is (Np)t[(Rp/Op)n(Sp)mly or [(Rp/Op)n(Sp)mly(Np)t. In some embodiments, the pattern of backbone chiral centers of the core comprises or is (Np)t[(Rp)n(Sp)mly or [(Rp)n(Sp)mly(Np)t. In some embodiments, the pattern of backbone chiral centers of a core comprises or is [(Rp/Op)n(Sp)mly(Rp)k, [(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)m]y, (Sp)t[(Rp/Op)n(Sp)inly(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core comprises or is [(0p)n(Sp)mly(Rp)k, [(0p)n(Sp)mly, (Sp)t[(0p)n(Sp)mly, (Sp)t[(0p)n(Sp)mly(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core comprises or is [(Rp)n(Sp)m]y(Rp)k, [(Rp)n(Sp)m]y, (Sp)t[(Rp)n(Sp)mly, or (Sp)t[(Rp)n(Sp)mly(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core comprises [(Rp)n(Sp)m]y(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core comprises [(Rp)n(Sp)m]y(Rp). In some embodiments, a pattern of backbone chiral centers of a core comprises [(Rp)n(Sp)mly. In some embodiments, a pattern of backbone chiral centers of a core comprises (Sp)t[(Rp)n(Sp)mly. In some embodiments, a pattern of backbone chiral centers of a core comprises (Sp)t[(Rp)n(Sp)m]y(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core comprises (Sp)t[(Rp)n(Sp)mly(Rp). In some embodiments, a pattern of backbone chiral centers of a core is [(Rp)n(Sp)m]y(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core is [(Rp)n(Sp)m]y(Rp). In some embodiments, a pattern of backbone chiral centers of a core is [(Rp)n(Sp)mly.
In some embodiments, a pattern of backbone chiral centers of a core is (Sp)t[(Rp)n(Sp)mly. In some embodiments, a pattern of backbone chiral centers of a core is (Sp)t[(Rp)n(Sp)mly(Rp)k. In some embodiments, a pattern of backbone chiral centers of a core is (Sp)t[(Rp)n(Sp)mly(Rp). In some embodiments, each n is 1. In some embodiments, each t is 1. In some embodiments, t is 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, each oft and n is 1. In some embodiments, each m is 2 or more. In some embodiments, k is 1. In some embodiments, k is 2-10.

In some embodiments, a pattern of backbone chiral centers comprises or is (Sp)m(Rp)n, (Rp)n(Sp)m, (Np)t(Rp)n(Sp)m, (Sp)t(Rp)n(Sp)m, (Np)t[(Rp)n(Sp)m12, (Sp)t[(Rp)n(Sp)m]2, (Np)t(Op)n(Sp)m, (Sp)t(Op)n(Sp)m, (Np)t[(0p)n(Sp)m12, or (Sp)t[(0p)n(Sp)m12.
In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)m(Op/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)1-5(0p/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)2-5(0p/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)2(0p/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)3 (0p/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)4(0p/Rp)n(Sp)m. In some embodiments, a pattern is (Np)t(Op/Rp)n(Sp)5 (0p/Rp)n(Sp)m.

In some embodiments, Np is Sp. In some embodiments, (Op/Rp) is Op. In some embodiments, (Op/Rp) is Rp. In some embodiments, Np is Sp and (Op/Rp) is Rp.
In some embodiments, Np is Sp and (Op/Rp) is Op. In some embodiments, Np is Sp and at least one (Op/Rp) is Rp, and at least one (Op/Rp) is Op. In some embodiments, a pattern of backbone chiral centers comprises or is (Rp)n(Sp)m, (Np)t(Rp)n(Sp)m, or (Sp)t(Rp)n(Sp)m, wherein m > 2. In some embodiments, a pattern of backbone chiral centers comprises or is (Rp)n(Sp)m, (Np)t(Rp)n(Sp)m, or (Sp)t(Rp)n(Sp)m, wherein n is 1, at least one t >1, and at least one m > 2.

In some embodiments, oligonucleotides comprising core regions whose patterns of backbone chiral centers starting with Rp can provide high activities and/or improved properties. In some embodiments, oligonucleotides comprising core regions whose patterns of backbone chiral centers ending with Rp can provide high activities and/or improved properties. In some embodiments, oligonucleotides comprising core regions whose patterns of backbone chiral centers starting with Rp provide high activities (e.g., target cleavage) without significantly impacting its properties, e.g., stability. In some embodiments, oligonucleotides comprising core regions whose patterns of backbone chiral centers ending with Rp provide high activities (e.g., target cleavage) without significantly impacting its properties, e.g., stability. In some embodiments, patterns of backbone chiral centers start with Rp and end with Sp. In some embodiments, patterns of backbone chiral centers start with Rp and end with Rp. In some embodiments, patterns of backbone chiral centers start with Sp and end with Rp. Typically, for patterns of backbone chiral centers internucleotidic linkages connecting core nucleosides and wing nucleosides are included in the patterns of the core regions. In many embodiments as described in the present disclosure (e.g., various oligonucleotides in Table Al), the wing sugar connected by such a connecting internucleotidic linkage has a different structure than the core sugar connected by the same connecting internucleotidic linkage (e.g., in some embodiments, the wing sugar comprises a 2'-modification while the core sugar does not contain the same 2.-modification or have two ¨H at the 2' position). In some embodiments, the wing sugar comprises a sugar modification that the core sugar does not contain. In some embodiments, the wing sugar is a modified sugar while the core sugar is a natural DNA sugar. In some embodiments, the wing sugar comprises a sugar modification at the 2' position (less than two ¨H at the 2' position), and the core sugar has no modification at the 2'-position (two ¨H at the 2' position).
[00480]
As demonstrated herein, in some embodiments, introducing additional Rp internucleotidic linkages (e.g., in addition to a Rp linkage linking two core sugars, which are optionally unmodified and are optionally at or near characteristic sequence, e.g., a SNP site) can improve activity and/or selectivity of an oligonucleotide. In some embodiments, as demonstrated herein, an additional Rp internucleotidic linkage links a sugar containing no 2' -substituent (e.g., a core sugar) and a sugar comprising a 2'-modification (e.g., 2'-OR', wherein R' is optionally substituted C1_6 aliphatic (e.g., 2'-0Me, 2'-M0E, etc.), which can be a wing sugar). In some embodiments, an internucleotidic linkage linking a sugar containing no 2'-substituent to the 5'-end (e.g., to the 3'-carbon of the sugar) and a sugar comprising a 2'-modification to the 3'-end (e.g., to the 5'-carbon of the sugar) is a Rp internucleotidic linkage. In some embodiments, an internucleotidic linkage linking a sugar containing no 2'-substituent to the 3'-end (e.g., to the 5'-carbon of the sugar) and a sugar comprising a 2'-modification to the 5'-end (e.g., to the 3'-carbon of the sugar) is a Rp internucleotidic linkage. In some embodiments, each internucleotidic linkage linking a sugar containing no 2'-substituent and a sugar comprising a 2'-modification is independently a Rp internucleotidic linkage.
In some embodiments, a Rp internucleotidic linkage is a Rp phosphorothioate internucleotidic linkage.
[00481]
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is (0p)[(Rp/Op)n(Sp)mly(Rp)k(Op), (0p)[(Rp/Op)n(Sp)mly(Op), (0p)(Sp)tl(Rp/Op)n(Sp)mly(Op), or (0p)(Sp)tl(Rp/Op)n(Sp)mly(Rp)k(Op), wherein k is 1-50, and each other variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, comprises or is (0p)[(Rp/Op)n(Sp)mly(Rp)k(Op), (0p)[(Rp/Op)n(Sp)mly(Op), (0p)(Sp)tl(Rp/Op)n(Sp)mly(Op), or (0p)(Sp)t[(Rp/Op)n(Sp)mly(Rp)k(Op), wherein each of f, g, h and j is independently 1-50, and each other variable is independently as described in the present disclosure, and the oligonucleotide comprises a core region whose pattern of backbone chiral centers comprises or is [(Rp/Op)n(Sp)mly(Rp)k, [(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)mly, or (Sp)t1(Rp/Op)n(Sp)mly(Rp)k as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers is or comprises (Op)(Rp/Op)n(Sp)mly(Rp)k(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)1(Rp/Op)n(Sp)m1y(Rp)(0p). In some embodiments, a pattern of backbone chiral centers is or comprises (Op)(Rp/Op)n(Sp)mly(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)t[(Rp/Op)n(Sp)mly(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)t(Rp/Op)n(Sp)m]y(Rp)k(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)t(Rp/Op)n(Sp)m]y(Rp)(0p). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)1(Rp)n(Sp)m]y(Rp)k(Op).
In some embodiments, a pattern of backbone chiral centers is or comprises (0p)[(Rp)n(Sp)mly(Rp)(0p).
In some embodiments, a pattern of backbone chiral centers is or comprises (Op)(Rp)n(Sp)mly(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)4(Rp)n(Sp)mly(Op).
In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)t[(Rp)n(Sp)mly(Rp)k(Op). In some embodiments, a pattern of backbone chiral centers is or comprises (0p)(Sp)t(Rp)n(Sp)mly(Rp)(0p). In some embodiments, each n is 1. In some embodiments, k is 1. In some embodiments, k is 2-10.

In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is (Np)f(0p)g1(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j, (Np)f(0p)g[(Rp/Op)n(Sp)m]y(Op)h(Np)j, (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)mly(Op)h(Np)j, or (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)m]y(Rp)k(Op)h(Np)j, wherein each off, g, 11 and j is independently 1-50, and each other variable is independently as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, comprises or is (Np)f(0p)g1(Rp/Op)n(Sp)m_ly(Rp)k(Op)h(Np)j, (Np)f(0p)g [(Rp/Op)n(Sp)m]y(0p)h(Np)j , (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)m]y(Op)h(Np)j, or (Np)f(0p)g(Sp)t1(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j, and the oligonucleotide comprises a core region whose pattern of backbone chiral centers comprises or is [(Rp/Op)n(Sp)mly(Rp)k, [(Rp/Op)n(Sp)mly, (Sp)4(Rp/Op)n(Sp)mly, or (Sp)t(Rp/Op)n(Sp)mly(Rp)k as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, is (Np)f(0p)g[(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j, (Np)f(0p)g[(Rp/Op)n(Sp)m]y(Op)h(Np)j, (Np)f(0p)g(Sp)t1(Rp/Op)n(Sp)mly(Op)h(Np)j, or (Np)f(0p)g(Sp)t1(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j, and the oligonucleotide comprises a core region whose pattern of backbone chiral centers comprises or is [(Rp/Op)n(Sp)mly(Rp)k, [(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)mly, or (Sp)t(Rp/Op)n(Sp)mly(Rp)k as described in the present disclosure. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g[(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)0(Rp/Op)n(Sp)mly(Rp)(0p)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g[(Rp/Op)n(Sp)mly(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)mly(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)m1y(Rp)k(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(SO(Rp/Op)n(Sp)mly(Rp)(0p)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g[(Rp)n(Sp)mly(Rp)k(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)d(Rp)n(Sp)rnly(Rp)(0p)h(Np)j In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g[(Rp)n(Sp)mly(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(Sp)4(Rp)n(Sp)mly(Op)h(Np)j.
In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(Sp)t[(Rp)n(Sp)m]y(Rp)k(Op)h(Np)j. In some embodiments, a pattern of backbone chiral centers is or comprises (Np)f(0p)g(Sp)4(Rp)n(Sp)mly(Rp)(0p)h(Np)j. In some embodiments, at least one Np is Sp. In some embodiments, at least one Np is Rp. In some embodiments, the 5' most Np is Sp.
In some embodiments, the 3' most Np is Sp. In some embodiments, each Np is Sp.
In some embodiments, (Np)f(0p)g[(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j is (Sp)(0p)g[(Rp)n(Sp)mly(Rp)k(Op)h(Sp). In some embodiments, (Np)f(0p)0(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j is (Sp)(0p)g[(Rp)n(Sp)mly(Rp)(0p)h(Sp).
In some embodiments, a pattern of backbone chiral center of an oligonucleotide is or comprises (Sp)(0p)g[(Rp)n(Sp)mly(Rp)(0p)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucicotidc is (Sp)(0p)g1(Rp)n(Sp)mly(Rp)(0p)h(Sp). In some embodiments, (Np)f(0p)g[(Rp/Op)n(Sp)mly(Op)h(Np)t is (Sp)(0p)g[(Rp)n(Sp)mly(0p)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucleotide is or comprises (Sp)(0p)0(Rp)n(Sp)mly(Op)h(Sp).
In some embodiments, a pattern of backbone chiral center of an oligonucleotide is (Sp)(0p)g[(Rp)n(Sp)mly(Op)h(Sp). In some embodiments, (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)mly(Op)li(Np)j is (Sp)(0p)g(Sp)t(Rp)n(Sp)mly(Op)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucleotide is or comprises (Sp)(0p)g(Sp)t(Rp)n(Sp)mly(Op)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucleotide is (Sp)(0p)g(Sp)t(Rp)n(Sp)mly(Op)h(Sp). In some embodiments, (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j is (Sp)(0p)g(Sp)4(Rp)n(Sp)mly(Rp)k(Op)h(Sp). In some embodiments, (Np)f(0p)g(Sp)4(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j is (Sp)(0p)g(Sp)t1(Rp)n(Sp)mly(Rp)(0p)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucleotide is or comprises (Sp)(0p)g(Sp)t1(Rp)n(Sp)mly(Rp)(0p)h(Sp). In some embodiments, a pattern of backbone chiral center of an oligonucleotide is (Sp)(0p)g(Sp)t[(Rp)n(Sp)mly(Rp)(0p)h(Sp).
In some embodiments, each n is 1. In some embodiments, f is 1. In some embodiments, g is 1. In some embodiments, g is greater than 1. In some embodiments, g is 2. In some embodiments, g is 3. In some embodiments, g is 4. In some embodiments, g is 5. In some embodiments, g is 6.
In some embodiments, g is 7. In some embodiments, g is 8. In some embodiments, g is 9. In some embodiments, g is 10. In some embodiments, h is 1. In some embodiments, h is greater than 1. In some embodiments, h is 2. In some embodiments, h is 3. In some embodiments, h is 4. In some embodiments, h is 5. In some embodiments, h is 6. In some embodiments, h is 7. In some embodiments, h is 8.
In some embodiments, h is 9. In some embodiments, h is 10. In some embodiments, j is 1. In some embodiments, k is 1. In some embodiments, k is 2-10.

In some embodiments, a pattern of backbone chiral centers of an oligonucleotide, e.g., a RHO oligonucleotide, or a region thereof (e.g., a core) comprises or is [(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)mly, (Sp)t[(Rp/Op)n(Sp)mlyRp, [(Rp/Op)n(Sp)mly(Rp)k, (Sp)t[(Rp/Op)n(Sp)mly(Rp)k, (Sp)t[(Rp/Op)n(Sp)mly(Rp)k(Op)h, (Sp)t[(Rp/Op)n(Sp)mly(Rp)k(Op)h(Np)j, wherein each variable is independently as described in the present disclosure.

In some embodiments, in a provided pattern of backbone chiral centers, at least one (Rp/Op) is Rp. In some embodiments, at least one (Rp/Op) is Op. In some embodiments, each (Rp/Op) is Rp. In some embodiments, each (Rp/Op) is Op. In some embodiments, at least one of [(Rp)n(Sp)m]y or [(Rp/Op)n(Sp)mly of a pattern is RpSp. In some embodiments, at least one of [(Rp)n(Sp)mly or [(Rp/Op)n(Sp)mly of a pattern is or comprises RpSpSp. In some embodiments, at least one of [(Rp)n(Sp)m]y or [(Rp/Op)n(Sp)mly in a pattern is RpSp, and at least one of [(Rp)n(Sp)m]y or [(Rp/Op)n(Sp)m[y in a pattern is or comprises RpSpSp. For example, in some embodiments, [(Rp)n(Sp)m]y in a pattern is (RpSp)[(Rp)n(Sp)ml(y_1); in some embodiments, [(Rp)n(Sp)m]y in a pattern is (RpSp)[RpSpSp(Sp)(n_2)][(Rp)n(Sp)ml(y_2). In some embodiments, (Sp)t[(Rp)n(Sp)m]y(Rp) is (Sp)t(RpSp)[(Rp)n(Sp)m10-0(Rp). In some embodiments, (Sp)t[(Rp)n(Sp)m]y(Rp) is (Sp)t(RpSp)[RpSpSp(Sp)(1n-2)][(Rp)n(Sp)ml(y_2)(Rp). In some embodiments, each [(Rp/Op)n(Sp)m] is independently [Rp(Sp)ml. In some embodiments, the first Sp of (Sp)t represents linkage phosphorus stereochemistry of the first internucleotidic linkage of an oligonucleotide from 5' to 3'. In some embodiments, the first Sp of (Sp)t represents linkage phosphorus stereochemistry of the first intemucleotidic linkage of a region from 5' to 3', e.g., a core. In some embodiments, the last Np of (Np)j represents linkage phosphorus stereochemistry of the last internucleotidic linkage of the oligonucleotide from 5' to 3'. In some embodiments, the last Np is Sp.

In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a 5'-wing) is or comprises Sp(Op)3. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a 5'-wing) is or comprises Rp(Op)3. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a 3'-wing) is or comprises (0p)3Sp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a 3'-wing) is or comprises (0p)3Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a core) is or comprises Rp(Sp)4Rp(Sp)4Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a core) is or comprises (Sp)5Rp(Sp)4Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a core) is or comprises (Sp)5Rp(Sp)5. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide or a region (e.g., of a core) is or comprises Rp(Sp)4Rp(Sp)3.
In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Np(Op)3Rp(Sp)4Rp(Sp)4Rp(Op)3Np. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Np(Op)3(Sp)5Rp(Sp)4Rp(Op)3Np. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Np(Op)3(Sp)5Rp(Sp)5(0p)3Np. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Np(Op)3Rp(Sp)4Rp(Sp)5(0p)3Np. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Sp(Op)3Rp(Sp)4Rp(Sp)4Rp(Op)3Sp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Sp(Op)3(Sp)3Rp(Sp)4Rp(Op)3Sp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Sp(Op)3(Sp)3Rp(Sp)3(0p)3Sp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Sp(Op)3Rp(Sp)4Rp(Sp)5(0p)3Sp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Rp(Op)3Rp(Sp)41tp(Sp)4Rp(Op)3Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Rp(Op)3(Sp)5Rp(Sp)4Rp(Op)3Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Rp(Op)3(Sp)5Rp(Sp)5(0p)3Rp. In some embodiments, a pattern of backbone chiral centers of an oligonucleotide is or comprises Rp(Op)3Rp(Sp)4Rp(Sp)3(0p)3Rp. In some embodiments, for an Rp immediately preceding or after Op, that Rp internucleotidic linkage is bonded to a sugar comprising a 2'-MOE modification.
1004861 In some embodiments, m is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, in a pattern of backbone chiral centers each m is independently 2 or more. In some embodiments, each m is independently 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, each m is independently 2-3, 2-5, 2-6, or 2-10. In some embodiments, m is 2. In some embodiments, m is 3. In some embodiments, m is 4. In some embodiments, m is 5.
In some embodiments, m is 6. In some embodiments, m is 7. In some embodiments, m is 8. In some embodiments, m is 9. In some embodiments, m is 10. In some embodiments, where there are two or more occurrences of m, they can be the same or different, and each of them is independently as described in the present disclosure.
1004871 In some embodiments, y is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, y is 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, y is 1. In some embodiments, y is 2. In some embodiments, y is 3. In some embodiments, y is 4. In some embodiments, y is 5. In some embodiments, y is 6. In some embodiments, y is 7.
In some embodiments, y is 8. In some embodiments, y is 9. In some embodiments, y is 10.
1004881 In some embodiments, t is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, each t is independently 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. In some embodiments, t is 2 or more. In some embodiments, t is 1. In some embodiments, t is 2. In some embodiments, t is 3. In some embodiments, t is 4. In some embodiments, t is 5.
In some embodiments, t is 6. In some embodiments, t is 7. In somc cmbodimcnts, t is 8. In some embodiments, t is 9. In some embodiments, t is 10. In some embodiments, where there are two or more occurrences oft, they can be the same or different, and each of them is independently as described in the present disclosure.
1004891 In some embodiments, n is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, n is 1. In some embodiments, n is 2. In some embodiments, n is 3. In some embodiments, n is 4. In some embodiments, n is 5. In some embodiments, n is 6. In some embodiments, n is 7. In some embodiments, n is 8. In some embodiments, n is 9.
In some embodiments, n is 10. In some embodiments, where there are two or more occurrences of n, they can be the same or different, and each of them is independently as described in the present disclosure. In many embodiments, in a pattern of backbone chiral centers, at least one occurrence of n is 1; in some cases, each n is 1.
1004901 In some embodiments, k is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, k is 1. In some embodiments, k is 2. In some embodiments, k is 3. In some embodiments, k is 4. In some embodiments, k is 5. In some embodiments, k is 6. In some embodiments, k is 7. In some embodiments, k is 8. In some embodiments, k is 9.
In some embodiments, k is 10.
1004911 In some embodiments, f is 1-20. In some embodiments, f is 1-10. In some embodiments, f is 1-5. In some embodiments, f is 1, 2, 3, 4, 5, 6, 7, 8=9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, f is 1. In some embodiments, f is 2. In some embodiments, f is 3. In some embodiments, f is 4. In some embodiments, f is 5. In some embodiments, f is 6. In some embodiments, f is 7. In some embodiments, f is 8. In some embodiments, f is 9.
In some embodiments, f is 10.
1004921 In some embodiments, g is 1-20. In some embodiments, g is 1-10. In some embodiments, g is 1-5. In some embodiments, g is 2-10. In some embodiments, g is 2-5. In some embodiments, g is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, g is 1. In some embodiments, g is 2. In some embodiments, g is 3. In some embodiments, g is 4. In some embodiments, g is 5. In some embodiments, g is 6. In some embodiments, g is 7.
In some embodiments, g is 8. In some embodiments, g is 9. In some embodiments, g is 10.
1004931 In some embodiments, h is 1-20. In some embodiments, h is 1-10. In some embodiments, h is 1-5. In some embodiments, h is 2-10. In some embodiments, h is 2-5. In some embodiments, h is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, h is 1. In some embodiments, h is 2. In some embodiments, h is 3. In some embodiments, h is 4. In some embodiments, h is 5. In some embodiments, h is 6. In some embodiments, h is 7.
In some embodiments, h is 8. In some embodiments, h is 9. In some embodiments, h is 10.
1004941 In some embodiments, j is 1-20. In some embodiments, j is 1-10. In some embodiments, j is 1-5. In some embodiments, j is 1, 2, 3, 4, 5,6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25. In some embodiments, j is 1. In some embodiments, j is 2. In some embodiments, j is 3. In some embodiments, j is 4. In some embodiments, j is 5. In some embodiments, j is 6. In some embodiments, j is 7. In some embodiments, j is 8. In some embodiments, j is 9.
In some embodiments, j is 10.
[00495] In some embodiments, at least one n is 1, and at least one m is no less than 2. In some embodiments, at least one n is 1, at least one t is no less than 2, and at least one m is no less than 3. In some embodiments, each n is 1. In some embodiments, t is 1. In some embodiments, at least one t> 1. In some embodiments, at least one 1> 2. In some embodiments, at least one t> 3. In some embodiments, at least one t> 4. hi some embodiments, at least one m> 1. In some embodiments, at least one m > 2. In some embodiments, at least one m > 3. In some embodiments, at least one m> 4. In some embodiments, a pattern of backbone chiral centers comprises one or more achiral natural phosphate linkages. In some embodiments, the sum of m, t, and n (or m and n if no tin a pattern) is no less than 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20. In some embodiments, the sum is 5. In some embodiments, the sum is 6.
In some embodiments, the sum is 7. In some embodiments, the sum is 8. In some embodiments, the sum is 9. In some embodiments, the sum is 10. In some embodiments, the sum is 11.
In some embodiments, the sum is 12. In some embodiments, the sum is 13. In some embodiments, the sum is 14. In some embodiments, the sum is 15.
1004961 In some embodiments, in a pattern described herein each Rp and Sp independently represents linkage phosphorus configuration of a phosphorothioate internucleotidic linkage. In some embodiments, in a pattern described herein for a core region, each Rp and Sp independently represents linkage phosphorus configuration of a phosphorothioate internucleotidic linkage.
1004971 In some embodiments, a number of linkage phosphorus in chirally controlled intemucleotidic linkages are Sp. In some embodiments, at least 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% of chirally controlled intemucleotidic linkages have Sp linkage phosphorus. In some embodiments, at least 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% of chirally controlled phosphorothioate intemucleotidic linkages have Sp linkage phosphorus. In some embodiments, at least 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% of all chiral intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% of all chiral intemucleotidic linkages are chirally controlled phosphorothioate intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% of all intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, the percentage is at least 20%. In some embodiments, the percentage is at least 30%. In some embodiments, the percentage is at least 40%. In some embodiments, the percentage is at least 50%.
In some embodiments, the percentage is at least 60%. In some embodiments, the percentage is at least 65%. In some embodiments, the percentage is at least 70%. In some embodiments, the percentage is at least 75%. In some embodiments, the percentage is at least 80%. In some embodiments, the percentage is at least 90%. In some embodiments, the percentage is at least 95%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least intemucleotidic linkages are chirally controlled internucleotidic linkages having Sp linkage phosphorus.
In some embodiments, at least 6 intemucleotidic linkages arc chirally controlled intcmucicotidic linkages having Sp linkage phosphorus. In some embodiments, at least 7 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 8 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 9 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 10 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 11 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 12 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 13 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 14 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 15 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Sp linkage phosphorus. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Rp linkage phosphorus. In some embodiments, no more than 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 intemucleotidic linkages are chirally controlled intemucleotidic linkages having Rp linkage phosphorus. In some embodiments, one and no more than one intemucleotidic linkage in an oligonucleotide is a chirally controlled intemucleotidic linkage having Rp linkage phosphorus. In some embodiments, 2 and no more than 2 intemucleotidic linkages in an oligonucleotide are chirally controlled intemucleotidic linkages having Rp linkage phosphorus. In some embodiments, 3 and no more than 3 intemucleotidic linkages in an oligonucleotide are chirally controlled intemucleotidic linkages having Rp linkage phosphorus. In some embodiments, 4 and no more than 4 intemucleotidic linkages in an oligonucleotide are chirally controlled intemucleotidic linkages having Rp linkage phosphorus. In some embodiments, 5 and no more than 5 intemucleotidic linkages in an oligonucleotide are chirally controlled internucleotidic linkages having Rp linkage phosphorus.
[00498] In some embodiments, all, essentially all or most of the intemucleotidic linkages in an oligonucleotide are in the Sp configuration (e.g., about 50%-100%, 55%-100%, 60%-100%, 65%-100%, 70%-100%, 75%-100%, 80%-100%, 85%400%, 90%400%, 55%-95%, 60%-95%, 65%-95%, or about 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 99% or more of all chirally controlled intemucleotidic linkages, or of all chiral intemucleotidic linkages, or of all intemucleotidic linkages in the oligonucleotide) except for one or a minority of intemucleotidic linkages (e.g., 1, 2, 3, 4, or 5, and/or less than 50%, 45%, 40%, 35%, 30%, 25%, 20%, 15%, 10%, or 5% of all chirally controlled intemucleotidic linkages, or of all chiral intemucleotidic linkages, or of all intemucleotidic linkages in the oligonucleotide) being in the Rp configuration. In some embodiments, all, essentially all or most of the intemucleotidic linkages in a core are in the Sp configuration (e.g., about 50%400%, 55%400%, 60%400%, 65%400%, 70%400%, 75%400%, 80%400%, 85%400%, 90%400%, 55%-95%, 60%-95%, 65%-95%, or about 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 99% or more of all chirally controlled intemucleotidic linkages, or of all chiral intemucleotidic linkages, or of all intemucleotidic linkages, in the core) except for one or a minority of intemucleotidic linkages (e.g., 1, 2, 3, 4, or 5, and/or less than 50%, 45%, 40%, 35%, 30%, 25%, 20%, 15%, 10%, or 5% of all chirally controlled intemucleotidic linkages, or of all chiral intemucleotidic linkages, or of all intemucleotidic linkages, in the core) being in the Rp configuration. In some embodiments, all, essentially all or most of the intemucleotidic linkages in the core arc a phosphorothioatc in the Sp configuration (c.g., about 50%-100%, 55%-100%, 60%-100%, 65%-100%, 70%-100%, 75%-100%, 80%-100%, 85%-100%, 90%-100%, 55%-95%, 60%-95%, 65%-95%, or about 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 99% or more of all chirally controlled internucleotidic linkages, or of all chiral internucleotidic linkages, or of all internucleotidic linkages, in the core) except for one or a minority of intemucleotidic linkages (e.g., 1, 2, 3, 4, or 5, and/or less than 50%, 45%, 40%, 35%, 30%, 25%, 20%, 15%, 10%, or 5% of all chirally controlled intemucleotidic linkages, or of all chiral intemucleotidic linkages, or of all intemucleotidic linkages, in the core) being a phosphorothioate in the Rp configuration. In some embodiments, each internucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration. In some embodiments, each intemucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration.
1004991 In some embodiments, an oligonucleotide comprises one or more Rp intemucleotidic linkages. In some embodiments, an oligonucleotide comprises one and no more than one Rp intemucleotidic linkages. In some embodiments, an oligonucleotide comprises two or more Rp intemucleotidic linkages. In some embodiments, an oligonucleotide comprises three or more Rp intemucleotidic linkages. In some embodiments, an oligonucleotide comprises four or more Rp intemucleotidic linkages. In some embodiments, an oligonucleotide comprises five or more Rp intemucleotidic linkages. In some embodiments, about 5%-50% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 5%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 10%-40% of all chirally controlled internucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 15%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 20%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 25%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 30%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp. In some embodiments, about 35%-40% of all chirally controlled intemucleotidic linkages in an oligonucleotide are Rp.
1005001 In some embodiments, the base sequence of an oligonucleotide or a region thereof, e.g., a core region, comprises a sequence that is complementary to a characteristic sequence element which differentiates a target nucleic acid sequence from other sequences, e.g.,one allele of a differentiating position, e.g., a SNP, a mutation, etc. In some embodiments, such a complementary sequence consists of one nucleobase, e.g., for a differentiating single nucleobase such as SNP, point mutation, single nucleobase sequence difference (e.g., between two different genes), etc. In some embodiments, a characteristic sequence element corresponds to P23H mutation in RHO. Among other things, the present disclosure demonstrates that positioning of Rp internucleotidic linkages relative to a differentiating position (and/or complementary sequences thereof) can improve one or more of activities, properties and/or selectivities of oligonucleotides. In some embodiments, the present disclosure provides useful positioning of Rp internucleotidic linkages. In some embodiments, an Rp internucleotidic linkage is at position -4, -3, -2, -1, +1, +2, +3, or +4 relative to a sequence that is complementary to a characteristic sequence element, e.g., one allele of a differentiating position, a point mutation, etc. In some embodiments, an Rp internucleotidic linkage is at position -4, -3, -2, -1, +1, +2, +3, or +4 relative to a nucleobase (counting 5' to 3', the internucleotidic linkage bonded to 5'-carbon of the nucleobase is -1, and 3'-carbon +1) that is complementary to a differentiating nucleobase (e.g., of a SNP, a point mutation, etc.). In some embodiments, Rp is at -4. In some embodiments, Rp is at -3. In some embodiments, Rp is at -2. In some embodiments, Rp is at -1. In some embodiments, Rp is at +1. In some embodiments, Rp is at +2. In some embodiments, Rp is at +3. In some embodiments, Rp is at +4. In some embodiments, each internucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration, and the one phosphorothioate in the Rp configuration has a position relative to the SNP/mutation in the core (e.g., -1, +1, +2. +3, etc.). In some embodiments, an Rp internucleotidic linkage is at position -4, -3, -2, -1, +1, +2, +3, or +4 relative to a nucleobase that is complementary to an allele of an SNP at the SNP position or a point mutation. In some embodiments, the position is -4. In some embodiments, the position is -3. In some embodiments, the position is -2. In some embodiments, the position is -1. In some embodiments, the position is +1. In some embodiments, the position is +2. In some embodiments, the position is +3. In some embodiments, the position is +4. In some embodiments, such an Rp internucleotidic linkage is in a core region. In some embodiments, the position of an Rp internucleotidic linkage in a core is -4, -3, -2, -1, +1, +2, +3, or +4 (counting 5' to 3') relative to the nucleobase which is or recognizes (e.g., is complementary to) a SNP rs104893768 variant (e.g., A). In some embodiments, the position of an Rp internucleotidic linkage in a core is -1, +1, +2, or +3 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant. In some embodiments, the position of an Rp internucleotidic linkage in a core is -1 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant. In some embodiments, the position of an Rp internucleotidic linkage in a core is +1 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP
rs104893768 variant. In some embodiments, the position of an Rp internucleotidic linkage in a core is +2 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP
rs104893768 variant. In some embodiments, the position of an Rp internucleotidic linkage in a core is +3 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant. In some embodiments, an Rp internucleotidic linkage is an Rp phosphorothioate internucleotidic linkage.
In some embodiments, as demonstrated herein, an oligonucleotide is complementary to an allele of a SNP
that is associated with a condition, disorder or disease and not complementary to other alleles that is not associated or less associated with the condition, disorder or disease. In some embodiments, a SNP is a SNP
in RHO. In some embodiments, a SNP is a SNP in RHO as described herein. In some embodiments, a SNP is a SNP in RHO, and an oligonucleotide is complementary to an allele of a SNP that is associated with a RHO-related condition, disorder or disease, e.g., retinopathy (e .g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) (such allele in many cases is on the same DNA strand/chromosome of disease-associated mutation(s)). In some embodiments, a SNP is rsSNP
rs104893768. In some embodiments, a SNP is rs104893768. In some embodiments, a SNP rs104893768 variant is A. Other SNPs that may be targeted are described herein and/or known in the art. In some embodiments, a Rp is the Rp of Rp(Sp)m wherein m is 2 or more as described herein, and wherein Rp(Sp)m is, or is a portion of, a pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core). In some embodiments, a Rp is the Rp of Rp(Sp)2 wherein Rp(Sp)2 is, or is a portion of, a pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core). In some embodiments, a Rp is the Rp of (Sp)tRp(Sp)m wherein m is 2 or more as described herein, t is as described herein, and (Sp)tRp(Sp)m is, or is a portion of, a pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core). In some embodiments, a Rp is the Rp of (Sp)tRp(Sp)2 wherein t is as described herein, and (Sp)tRp(Sp)2 is, or is a portion of, a pattern of backbone chiral centers of an oligonucleotide or a portion thereof (e.g., a core). In some embodiments, t is 2. In some embodiments, t is 2 or more. In some embodiments, the present disclosure pertains to a RHO oligonucleotide, wherein the position of an Rp internucleotidic linkage is -3 (counting 5' to 3') relative to the nucleobase which is or which recognizes a SNP rs104893768 variant. In some embodiments, an oligonucleotide is WV-39023. In some embodiments, an oligonucleotide is WV-48182 .
1005011 In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP (e.g., a nucleobase complementary to a SNP in a target nucleic acid sequence), including but not limited to a SNP
described herein, and all, essentially all or most of the internucleotidic linkages in the core (e.g., about 50%400%, 55%400%, 60%-100%, 65%400%, 70%400%, 75%400%, 80%400%, 85%400%, 90%400%, 55%-95%, 60%-95%, 65%-95%, or about 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 99% or more of all chirally controlled internucleotidic linkages, or of all chiral internucleotidic linkages, or of all internucleotidic linkages, in the core) are in the Sp configuration except for one or a minority of internucleotidic linkages (e.g., 1, 2, 3, 4, or 5, and/or less than 50%, 45%, 40%, 35%, 30%, 25%, 20%, 15%, 10%, or 5% of all chirally controlled internucleotidic linkages, or of all chiral internucleotidic linkages, or of all internucleotidic linkages, in the core) which are in the Rp configuration. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having awing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and all, essentially all or most of the internucleotidic linkages in the core are a phosphorothioate in the Sp configuration except for one or a minority of internucleotidic linkages which are a phosphorothioate in the Rp configuration. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and each intemucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and each intemucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and each intemucleotidic linkage in the core is a phosphorothioate in the Sp configuration except for one phosphorothioate in the Rp configuration, and the one phosphorothioate in the Rp configuration has a position relative to the SNP in the core (e.g., the Rp is -1, +1, +2, +3, etc.
to the SNP). In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of the an intemucleotidic linkage in the Rp configuration in the core is -4, -3, -2, -1, +1, +2, +3, or +4 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant.
In some embodiments, the core of an oligonucleotide, e.g., a RHO
oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of a phosphorothioate intemucleotidic linkage in the Rp configuration in the core is -4, -3, -2, -1, +1, +2, +3, or +4 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP
rs104893768 variant. In some embodiments, the position is -1, +1, +2, or +3 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of a phosphorothioate in the Rp configuration in the core is -1 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of a phosphorothioate in the Rp configuration in the core is +1 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP
rs104893768 variant. In some embodiments, the core of an oligonucleotide, e.g., a RII0 oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of a phosphorothioate in the Rp configuration in the core is +2 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP
rs104893768 variant. In some embodiments, the core of an oligonucleotide, e.g., a RHO oligonucleotide, having a wing-core-wing structure has a sequence which comprises a SNP, including but not limited to a SNP described herein, and the position of a phosphorothioate in the Rp configuration in the core is +3 (counting 5' to 3') relative to the nucleobase which is or recognizes a SNP rs104893768 variant.
1005021 As demonstrated in the present disclosure, position of Rp, among other things, may improve properties, activities and/or selectivities of oligonucleotides. In some embodiments, as shown herein, improvement of the ability of a RHO oligonucleotide to decrease the level, expression and/or activity of a RHO target gene (or to perform allele-specific knockdown of the level, expression and/or activity of a mutant RHO target gene), or a gene product thereof, was achieved by designed positioning of a single chiral intemucleotidic linkage (e.g., a phosphorothioate) in the Rp configuration relative to the SNP. In some cases, a relatively inactive oligonucleotide composition, wherein the base sequence of the core comprises a base which is or targets a SNP rs104893768 variant, and wherein the oligonucleotide composition is stereorandom, can be converted into a more active or highly active oligonucleotide composition by converting the oligonucleotide, including the core, into a chirally controlled or stereopure composition, wherein all, essentially all, or most of the intemucleotidic linkages are in the Sp configuration except for one or a minority of intemucleotidic linkages in the Rp configuration as described herein. In some cases, an oligonucleotide comprising a core, wherein the base sequence of the core comprises a base which is or targets a SNP rs104893768 variant, and all, essentially all, or most of the intemucleotidic linkages in the core are in the Sp configuration except for one or a minority of intemucleotidic linkages in the Rp configuration, can be converted into a more active or highly active oligonucleotide by altering the position of one or more (in some cases, one) intemucleotidic linkages in the Rp configuration relative to the SNP. In some cases, a relatively inactive oligonucleotide comprising a core, wherein the base sequence of the core comprises a base which is or targets a SNP rs104893768 variant, and all of the intemucleotidic linkages in the core are in the Sp configuration except for one intemucleotidic linkage in the Rp configuration, can be converted into a more active or highly active oligonucleotide by moving the placement of the one intemucleotidic linkage in the Rp configuration relative to the SNP.
[00503] In some embodiments, instead of an Rp intemucleotidic linkage, a natural phosphate linkage may be similarly utilized, optionally with a modification, e.g., a sugar modification (e.g., a 5'-modification such as les as described herein). In some embodiments, a modification improves stability of a natural phosphate linkage.
1005041 In some embodiments, the present disclosure provides an oligonucleotide having a pattern of backbone chiral centers as described herein. In some embodiments, oligonucleotides in a chirally controlled oligonucleotide composition share a common pattern of backbone chiral centers as described herein.
1005051 In some embodiments, at least about 25% of the intemucleotidic linkages of an oligonucleotide, e.g., a RHO oligonucleotide, are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 30% of the intemucleotidic linkages of an oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 40% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 50% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 60% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 65% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 70% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 75% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 80% of the internucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 85% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 90% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus. In some embodiments, at least about 95% of the intemucleotidic linkages of a provided oligonucleotide are chirally controlled and have Sp linkage phosphorus.
[00506]
In some embodiments, the present disclosure provides chirally controlled oligonucleotide compositions, e.g., chirally controlled RHO oligonucleotide compositions, wherein the composition comprises a non-random or controlled level of a plurality of oligonucleotides, wherein oligonucleotides of the plurality share a common base sequence, and share the same configuration of linkage phosphorus independently at 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 or more chiral intemucleotidic linkages.
[00507]
In some embodiments, provided oligonucleotides comprise 2-30 chirally controlled intemucleotidic linkages. In some embodiments, provided oligonucleotide compositions comprise 5-30 chirally controlled intemucleotidic linkages. In some embodiments, provided oligonucleotide compositions comprise 10-30 chirally controlled intemucleotidic linkages.
In some embodiments, provided oligonucleotide compositions comprise 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 or more chirally controlled intemucleotidic linkages.
[00508]
In some embodiments, about 1-100% of all intemucleotidic linkages are chirally controlled intemucleotidic linkages. In some embodiments, a percentage is about 5%400%.
In some embodiments, a percentage is at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 965, 96%, 98%, or 99%. In some embodiments, a percentage is about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 965, 96%, 98%, or 99%.

In some embodiments, a pattern of backbone chiral centers in an oligonucleotide, e.g., a RHO oligonucleotide, comprises a pattern of i -is-i -is-i , is-i -is-i , is-i -is_io_is, is_io_is_io_is_io, is_io_is_io_is_io_is_io, is_io_is_is_is_io, is_is_io_is_is_is_io_is_is, is_is_is_io_is_io_is_is_is, is_is_is_is_io_is_ io_is_is_is_is, is_is_is_is_is, is_is_is_is_is_is, is_is_is_is_is_is_is, is_is_is_is_is_is_is_is, is_is_is_is_is_is_is_is_is, or wherein is represents an internucleotidic linkage in the Sp configuration; i represents an achiral intemucleotidic linkage; and ir represents an internucleotidic linkage in the Rp configuration.
[00510]
In some embodiments, an internucleotidic linkage in the Sp configuration (having a Sp linkage phosphorus) is a phosphorothioate internucleotidic linkage. In some embodiments, an achiral internucleotidic linkage is a natural phosphate linkage. In some embodiments, an internucleotidic linkage in the Rp configuration (having a Rp linkage phosphorus) is a phosphorothioate internucleotidic linkage.
In some embodiments, each internucleotidic linkage in the Sp configuration is a phosphorothioate internucleotidic linkage. In some embodiments, each achiral internucleotidic linkage is a natural phosphate linkage. In some embodiments, each internucleotidic linkage in the Rp configuration is a phosphorothioate internucleotidic linkage. In some embodiments, each internucleotidic linkage in the Sp configuration is a phosphorothioate internucleotidic linkage, each achiral internucleotidic linkage is a natural phosphate linkage, and each internucleotidic linkage in the Rp configuration is a phosphorothioate internucleotidic linkage.
[00511]
In some embodiments, a pattern of backbone chiral centers (e.g., a pattern of backbone chiral centers in an oligonucleotide, e.g., a RHO oligonucleotide or in a core or a wing or in two wings of an oligonucleotide, e.g., a RHO oligonucleotide) comprises a pattern of OpSpOpSpOp, OpSpSpSpOp, OpSpSpSpOpSp, SpOpSpOp, SpOpSpOp, SpOpSpOpSp, SpOpSpOpSpOp, SpOpSpOpSpOpSpOp, SpOpSpSpSpOp, SpSpOpSpSpSpOpSpSp, SpSpSpOpSpOpSpSpSp, SpSpSpSpOpSpOpSpSpSpSp, SpSpSpSpSp, SpSpSpSpSpSp, SpSpSpSpSpSpSp, SpSpSpSpSpSpSpSp, SpSpSpSpSpSpSpSpSp, or RpRpRp, wherein each Rp and Sp is independently the linkage phosphorus configuration of a chirally controlled internucleotidic linkage (in some embodiments, each Rp and Sp is independently the linkage phosphorus configuration of a chirally controlled phosphorothioate internucleotidic linkage), and each Op independently represents linkage phosphorus being achiral in a natural phosphate linkage.
[00512]
In some embodiments, an internucleotidic linkage bonded to a wing nucleoside and a core nucleoside is considered one of the core internucleotidic linkages, for example, when describing types, modifications, numbers, and/or patterns of core internucleotidic linkages. In some embodiments, each internucleotidic linkage bonded to a wing nucleoside and a core nucleoside is considered one of the core internucleotidic linkages, for example, when describing types, modifications, numbers, and/or patterns of core internucleotidic linkages. In some embodiments, a core internucleotidic linkage is bonded to two core nucleosides. In some embodiments, a core internucleotidic linkage is bonded to a core nucleoside and a wing nucleoside. In some embodiments, each core internucleotidic linkage is independently bonded to two core nucleosides, or a core nucleoside and a wing nucleoside. In some embodiments, each wing internucleotidic linkage is independently bonded to two wing nucleosides.
1005131 In some embodiments, at least about 25% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 30% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers.
In some embodiments, at least about 50% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 60% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 70% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 80% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 85% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 90% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 92% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 94% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 95% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, at least about 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, greater than about 99% of the oligonucleotides in a composition share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers. In some embodiments, purity of a composition may be expressed as the percentage of oligonucleotides in a composition that share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers.

In some embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides, in chirally controlled oligonucleotide compositions each comprise different types of intemucleotidic linkages. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least one modified intemucleotidic linkage. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least two modified intemucleotidic linkages.
In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least three modified intemucleotidic linkages. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least four modified intemucleotidic linkages. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least five modified intemucleotidic linkages. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 modified intemucleotidic linkages. In some embodiments, a modified intemucleotidic linkage is a phosphorothioate intemucleotidic linkage.
In some embodiments, each modified intemucleotidic linkage is a phosphorothioate intemucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is a non-negatively charged intemucleotidic linkage. In some embodiments, a modified intemucleotidic linkage is a neutral internucleotidic linkage. In some embodiments, a modified intcmucleotidic linkage is n001. In some embodiments, each modified intemucleotidic linkage is independently phosphorothioate or a neutral intemucleotidic linkage. In some embodiments, each modified intemucleotidic linkage is independently phosphorothioate or n001. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 consecutive modified intemucleotidic linkages. In some embodiments, provided oligonucleotides comprise at least one natural phosphate linkage and at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 consecutive phosphorothioate intemucleotidic linkages.

In some embodiments, oligonucleotides comprise two or more types of intemucleotidic linkages. In some embodiments, oligonucleotides comprise two or more types of modified intemucleotidic linkages. In some embodiments, oligonucleotides comprise one or more natural phosphate linkages and one or more types of modified intemucleotidic linkages. In some embodiments, modified intemucleotidic linkages are independently chiral intemucleotidic linkages. In some embodiments, oligonucleotides comprises natural phosphate linkages and two or more types of modified intemucleotidic linkages. In some embodiments, modified internucleotidic linkages are ph o sphoroth i oate internucleotidic linkages. In some embodiments, modified intemucleotidic linkages are non-negatively charged intemucleotidic linkages. In some embodiments, modified intemucleotidic linkages are neutral intemucleotidic linkages. In some embodiments, non-negatively charged internucleotidic linkages or neutral internucleotidic linkages are n001. In some embodiments, oligonucleotides comprises one or more natural phosphate linkages and one or more phosphorothioate intemucleotidic linkages. In some embodiments, oligonucleotide comprises one or more natural phosphate linkages, one or more negatively charged modified intemucleotidic linkages (e.g., phosphorothioate intemucleotidic linkages) and one or more non-negatively charged intemucleotidic linkages (e.g., neutral intemucleotidic linkages such as n001). In some embodiments, each chiral intemucleotidic linkage is independently chirally controlled. In some embodiments, each phosphorothioate intemucleotidic linkage is independently chirally controlled. In some embodiments, one or more chiral internucleotidic linkages, e.g., n001, are not chirally controlled.
1005161 In some embodiments, a modified linkage comprises a chiral auxiliary, which, for example, is used to control the stereoselectivity of a reaction, e.g., a coupling reaction in an oligonucleotide synthesis cycle.
1005171 In some embodiments, oligonucleotides arc linked to a solid support. In some embodiments, a solid support is a support for oligonucleotide synthesis. In some embodiments, a solid support comprises glass. In some embodiments, a solid support is CPG
(controlled pore glass). In some embodiments, a solid support is polymer. In some embodiments, a solid support is polystyrene. In some embodiments, the solid support is Highly Crosslinked Polystyrene (HCP). In some embodiments, the solid support is hybrid support of Controlled Pore Glass (CPG) and Highly Cross-linked Polystyrene (HCP). In some embodiments, a solid support is a metal foam. In some embodiments, a solid support is a resin. In some embodiments, oligonucleotides are cleaved from a solid support.
1005181 In some embodiments, purity, particularly stereochemical purity, and particularly diastereomeric purity of many oligonucleotides and compositions thereof wherein all other chiral centers in the oligonucleotides but the chiral linkage phosphorus centers have been stereodefined (e.g., carbon chiral centers in the sugars, which are defined in, e.g., phosphoramidites for oligonucleotide synthesis), can be controlled by stereoselectivity (as appreciated by those skilled in this art, diastereoselectivity in many cases of oligonucleotide synthesis wherein the oligonucleotide comprise more than one chiral centers) at chiral linkage phosphorus in coupling steps when forming chiral intemucleotidic linkages. In some embodiments, a coupling step has a stereoselectivity (diastereoselectivity when there are other chiral centers) of 60% at the linkage phosphorus. After such a coupling step, the new intemucleotidic linkage formed may be referred to have a 60% stereochemical purity (for oligonucleotides, typically diastereomeric purity in view of the existence of other chiral centers). In some embodiments, each coupling step independently has a stereoselectivity of at least 60%. In some embodiments, each coupling step independently has a stereoselectivity of at least 70%. In some embodiments, each coupling step independently has a stereoselectivity of at least 80%. In some embodiments, each coupling step independently has a stereoselectivity of at least 85%. In some embodiments, each coupling step independently has a stereoselectivity of at least 90%. In some embodiments, each coupling step independently has a stereoselectivity of at least 91%. In some embodiments, each coupling step independently has a stereoselectivity of at least 92%. In some embodiments, each coupling step independently has a stereoselectivity of at least 93%. In some embodiments, each coupling step independently has a stereoselectivity of at least 94%. In some embodiments, each coupling step independently has a stereoselectivity of at least 95%. In some embodiments, each coupling step independently has a stereoselectivity of at least 96%. In some embodiments, each coupling step independently has a stereoselectivity of at least 97%. In some embodiments, each coupling step independently has a stereoselectivity of at least 98%. In some embodiments, each coupling step independently has a stereoselectivity of at least 99%. In some embodiments, each coupling step independently has a stereoselectivity of at least 99.5%. In some embodiments, each coupling step independently has a stereoselectivity of virtually 100%. In some embodiments, a coupling step has a stereoselectivity of virtually 100% in that each detectable product from the coupling step analyzed by an analytical method (e.g., NMR, HPLC, etc.) has the intended stereoselectivity.
In some embodiments, a chirally controlled intemucleotidic linkage is typically formed with a stereoselectivity of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99.5% or virtually 100% (in some embodiments, at least 90%; in some embodiments, at least 95%; in some embodiments, at least 96%; in some embodiments, at least 97%;
in some embodiments, at least 98%; in some embodiments, at least 99%). In some embodiments, a chirally controlled intemucleotidic linkage has a stereochemical purity (typically diastereomeric purity for oligonucleotides with multiple chiral centers) of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99.5% or virtually 100% (in some embodiments, at least 90%; in some embodiments, at least 95%; in some embodiments, at least 96%; in some embodiments, at least 97%; in some cmbodimcnts, at least 98%; in some embodiments, at least 99%) at its chiral linkage phosphorus. In some embodiments, each chirally controlled intemucleotidic linkage independently has a stereochemical purity (typically diastereomeric purity for oligonucleotides with multiple chiral centers) of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99.5% or virtually 100% (in some embodiments, at least 90%; in some embodiments, at least 95%; in some embodiments, at least 96%; in some embodiments, at least 97%; in some embodiments, at least 98%; in some embodiments, at least 99%) at its chiral linkage phosphorus. In some embodiments, a non-chirally controlled intemucleotidic linkage is typically formed with a stereoselectivity of less than 60%, 70%, 80%, 85%, or 90% (in some embodiments, less than 60%; in some embodiments, less than 70%; in some embodiments, less than 80%; in some embodiments, less than 85%; in some embodiments, less than 90%). In some embodiments, each non-chirally controlled intemucleotidic linkage is independently formed with a stereoselectivity of less than 60%, 70%, 80%, 85%, or 90% (in some embodiments, less than 60%;
in some embodiments, less than 70%; in some embodiments, less than 80%; in some embodiments, less than 85%; in some embodiments, less than 90%). In some embodiments, a non-chirally controlled internucleotidic linkage has a stereochemical purity (typically diastereomeric purity for oligonucleotides with multiple chiral centers) of less than 60%, 70%, 80%, 85%, or 90% (in some embodiments, less than 60%; in some embodiments, less than 70%; in some embodiments, less than 80%;
in some embodiments, less than 85%; in some embodiments, less than 90%) at its chiral linkage phosphorus. In some embodiments, each non-chirally controlled internucleotidic linkage independently has a stereochemical purity (typically diastereomeric purity for oligonucleotides with multiple chiral centers) of less than 60%, 70%, 80%, 85%, or 90% (in some embodiments, less than 60%; in some embodiments, less than 70%; in some embodiments, less than 80%; in some embodiments, less than 85%; in some embodiments, less than 90%) at its chiral linkage phosphorus.

In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 couplings of a monomer (as appreciated by those skilled in the art in many embodiments a phosphoramidite for oligonucleotide synthesis) independently have a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90% [for oligonucleotide synthesis, typically diastereoselectivity with respect to formed linkage phosphorus chiral center(s)]. In some embodiments, at least one coupling has a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least two couplings independently have a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least three couplings independently have a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least four couplings independently have a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least five couplings independently have a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, each coupling independently has a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, each non-chirally controlled internucleotidic linkage is independently formed with a stereoselectivity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, a stereoselectivity is less than about 60%. In some embodiments, a stereoselectivity is less than about 70%. In some embodiments, a stereoselectivity is less than about 80%. In some embodiments, a stereoselectivity is less than about 90%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 couplings independently have a stereoselectivity less than about 90%. In some embodiments, at least one coupling has a stereoselectivity less than about 90%. In some embodiments, at least two couplings have a stereoselectivity less than about 90%. In some embodiments, at least three couplings have a stereoselectivity less than about 90%. In some embodiments, at least four couplings have a stcrcoselectivity less than about 90%. In some embodiments, at least five couplings have a stereoselectivity less than about 90%. In some embodiments, each coupling independently has a stereoselectivity less than about 90%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 couplings independently have a stereoselectivity less than about 85%. In some embodiments, each coupling independently has a stereoselectivity less than about 85%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 couplings independently have a stereoselectivity less than about 80%. In some embodiments, each coupling independently has a stereoselectivity less than about 80%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 couplings independently have a stereoselectivity less than about 70%. In some embodiments, each coupling independently has a stereoselectivity less than about 70%.
1005201 In some embodiments, in stereorandom (or racemic) preparations (or stereorandom/non-chirally controlled oligonucleotide compositions), at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 chiral intemucleotidic linkages of the oligonucleotides independently have a stereochemical purity (typically diastereomeric purity for oligonucleotides comprising multiple chiral centers) less than about 60%, 70%, 80%, 85%, or 90% with respect to chiral linkage phosphorus of the intemucleotidic linkage(s). In some embodiments, at least one intemucleotidic linkage has a diastereomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least two intemucleotidic linkages independently have a diastereomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least three intemucleotidic linkages independently have a diastercomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least four intemucleotidic linkages independently have a diastereomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, at least five intemucleotidic linkages independently have a diastereomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, each intemucleotidic linkages independently has a diastereomeric purity less than about 60%, 70%, 80%, 85%, or 90%. In some embodiments, a diastereomeric purity is less than about 60%. In some embodiments, a diastereomeric purity is less than about 70%. In some embodiments, a diastereomeric purity is less than about 80%. In some embodiments, a diastereomeric purity is less than about 85%. In some embodiments, a diastereomeric purity is less than about 90%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,22, 23, 24, or 25 intemucleotidic linkages independently have a diastereomeric purity less than about 90%. In some embodiments, at least one internucleotidic linkage has a diastereomeric purity less than about 90%. In some embodiments, at least two intemucleotidic linkages independently have a diastereomeric purity less than about 90%. In some embodiments, at least three internucleolidic linkages independently have a diastereomeric purity less than about 90%. In some embodiments, at least four intemucleotidic linkages independently have a diastereomeric purity less than about 90%. In some embodiments, at least five intemucleotidic linkages independently have a diastereomeric purity less than about 90%. In some embodiments, each chiral intemucleotidic linkage intemucleotidic linkage independently has a diastereomeric purity less than about 90%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 intemucleotidic linkages independently have a diastereomeric purity less than about 85%. In some embodiments, each chiral intemucleotidic linkage independently has a diastereomeric purity less than about 85%. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 intemucleotidic linkages independently have a diastereomeric purity less than about 80%. In some embodiments, each chiral intemucleotidic linkage independently has a diastereomeric purity less than about 80%.
1005211 In some embodiments, at least 5%400% of all chiral elements of provided oligonucleotides each independently have a diastereomeric purity as described herein. In some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100% of all chiral elements each independently have a diastereomeric purity as described herein. In some embodiments, at least 5%400% of all chiral phosphorus centers each independently have a diastereomeric purity as described herein. In some embodiments, at least 5%, 10%, 15%, 20%, 25%, 30%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100% of all chiral linkage phosphorus each independently have a diastereomeric purity as described herein. In some embodiments, provided oligonucleotides, e.g., oligonucleotidcs of a plurality in provided chirally controlled oligonucleotide compositions have a diastereomeric purity as described herein.
1005221 In some embodiments, a stereochemical purity, e.g., diastereomeric purity, is about 60%-100%. In some embodiments, a diastereomeric purity, is about 60%-100%. In some embodiments, the percentage is at least 60%, 65%, 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 93%, 95%, 96%, 97%, 98%, or 99%. In some embodiments, the percentage is at least 80%, 85%, 90%, 91%, 92%, 93%, 93%, 95%, 96%, 97%, 98%, or 99%. In some embodiments, the percentage is at least 90%, 91%, 92%, 93%, 93%, 95%, 96%, 97%, 98%, or 99%. In some embodiments, a diastereomeric purity is at least 60%. In some embodiments, a diastereomeric purity is at least 70%. In some embodiments, a diastereomeric purity is at least 80%. In some embodiments, a diastereomeric purity is at least 85%. In some embodiments, a diastereomeric purity is at least 90%. In some embodiments, a diastereomeric purity is at least 91%. In some embodiments, a diastereomeric purity is at least 92%. In some embodiments, a diastereomeric purity is at least 93%. In some embodiments, a diastereomeric purity is at least 94%.
In some embodiments, a diastereomeric purity is at least 95%. In some embodiments, a diastereomeric purity is at least 96%. In some embodiments, a diastereomeric purity is at least 97%. In some embodiments, a diastereomeric purity is at least 98%. In some embodiments, a diastereomeric purity is at least 99%.
In some embodiments, a diastereomeric purity is at least 99.5%.
1005231 In some embodiments, compounds of the present disclosure (e.g., oligonucleotides, chiral auxiliaries, etc.) comprise multiple chiral elements (e.g., multiple carbon and/or phosphorus (e.g., linkage phosphorus of chiral intemucleotidic linkages) chiral centers). In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9 or more chiral elements of a provided compound (e.g., an oligonucleotide) each independently have a diastereomeric purity as described herein. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9 or more chiral carbon centers of a provided compound each independently have a diastereomeric purity as described herein. In some embodiments, at least 1, 2, 3, 4, 5, 6, 7, 8, 9 or more chiral phosphorus centers of a provided compound each independently have a diastereomeric purity as described herein. In some embodiments, each chiral element independently has a diastereomeric purity as described herein. In some embodiments, each chiral center independently has a diastereomeric purity as described herein. In some embodiments, each chiral carbon center independently has a diastereomeric purity as described herein. In some embodiments, each chiral phosphorus center independently has a diastereomeric purity as described herein. In some embodiments, each chiral phosphorus center independently has a diastereomeric purity of at least 90%, 91%, 92%, 93%, 93%, 95%, 96%, 97%, 98%, or 99% or more.
[00524] As understood by a person having ordinary skill in the art, in some embodiments, diastereoselectivity of a coupling or diastereomeric purity of a chiral linkage phosphorus center can be assessed through the diastereoselectivity of a dimer formation or diastereomeric purity of a dimer prepared under the same or comparable conditions, wherein the dimer has the same 5'-and 3'-nucleosides and intemucleotidic linkage.
[00525] Various technologies can be utilized for identifying or confirming stereochemistry of chiral elements (e.g., configuration of chiral linkage phosphorus) and/or patterns of backbone chiral centers, and/or for assessing stereoselectivity (e.g., diastereoselectivity of couple steps in oligonucleotide synthesis) and/or stereochemical purity (e.g., diastereomeric purity of intemucleotidic linkages, compounds (e.g., oligonucleotides), etc.). Example technologies include NMR [e.g., 1D (one-dimensional) and/or 2D (two-dimensional) II-1-31P HETCOR (heteronuclear correlation spectroscopy)], HPLC, RP-HPLC, mass spectrometry, LC-MS, and cleavage of intemucleotidic linkages by stereospecific nucleases, etc., which may be utilized individually or in combination. Example useful nucleases include benzonase, micrococcal nuclease, and svPDE (snake venom phosphodiesterase), which are specific for certain intemucleotidic linkages with Rp linkage phosphorus (e.g., a Rp phosphorothioate linkage); and nuclease Pl, mung bean nuclease, and nuclease SI, which are specific for intemucleotidic linkages with Sp linkage phosphorus (e.g., a Sp phosphorothioate linkage). Without wishing to be bound by any particular theory, the present disclosure notes that, in at least some cases, cleavage of oligonucleotides by a particular nuclease may be impacted by structural elements, e.g., chemical modifications (e.g., 2'-modifications of a sugars), base sequences, or stereochemical contexts. For example, it is observed that in some cases, benzonase and micrococcal nuclease, which are specific for internucleotidic linkages with Rp linkage phosphorus, were unable to cleave an isolated Rp phosphorothioate internucleotidic linkage flanked by Sp phosphorothioate internucleotidic linkages.
1005261 In some embodiments, oligonucleotides sharing a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers share a common pattern of backbone phosphorus modifications and a common pattern of base modifications.
In some embodiments, oligonucleotide compositions sharing a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers share a common pattern of backbone phosphorus modifications and a common pattern of nucleoside modifications. In some embodiments, oligonucleotides share a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers have identical structures. In some embodiments, in a composition an oligonucleotide exists in one form, e.g., a pharmaceutically acceptable salt form such as a sodium salt form. In some embodiments, in a composition an oligonucleotide exisits in two or more forms, e.g., two or more pharmaceutically acceptable salt forms.
1005271 In some embodiments, the present disclosure provides an oligonucleotide composition comprising a plurality of oligonucleotides capable of directing RHO knockdown, wherein oligonucleotides of the plurality are of a particular oligonucleotide type, which composition is chirally controlled in that it is enriched, relative to a substantially racemic preparation of oligonucleotides having the same base sequence, for oligonucleotides of the particular oligonucleotide type.
1005281 In some embodiments, oligonucleotides having a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers have a common pattern of backbone phosphorus modifications and a common pattern of base modifications.
In somc embodiments, oligonucleotides having a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers have a common pattern of backbone phosphorus modifications and a common pattern of nucleoside modifications. In some embodiments, oligonucleotides having a common base sequence, a common pattern of backbone linkages, and a common pattern of backbone chiral centers have identical structures.
1005291 In some embodiments, the present disclosure provides RHO
oligonucleotide compositions comprising a plurality of oligonucleotides. In some embodiments, the present disclosure provides RHO
oligonucleotide compositions comprising a plurality of oligonucleotides, wherein at least one oligonucleotide comprises a chirally controlled internucleotidic linkage. In some embodiments, the present disclosure provides RHO oligonucleotide compositions comprising a plurality of oligonucleotides, wherein none of the oligonucleotides comprises a chirally controlled internucleotidic linkage. In some embodiments, the present disclosure provides chirally controlled oligonucleotide compositions of RHO
oligonucleotides. In some embodiments, the present disclosure provides a RHO
oligonucleotide whose base sequence is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide whose base sequence comprises a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al). In some embodiments, the present disclosure provides a RHO
oligonucleotide whose base sequence comprises 15 contiguous bases of a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each '1 may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide which has a base sequence comprising 15 contiguous bases with 0-3 mismatches of a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide composition wherein the RHO oligonucleotides comprise at least one chiral intemucleotidic linkage which is not chirally controlled. In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a non-chirally controlled chiral intemucleotidic linkage, wherein the base sequence of the RHO oligonucleotide comprises a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa).
In some embodiments, the present disclosure provides a RHO oligonucleotide composition comprising a non-chirally controlled chiral intemucleotidic linkage, wherein the base sequence of the RHO
oligonucleotide is a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a non-chirally controlled chiral intemucleotidic linkage, wherein the base sequence of the RHO
oligonucleotide comprises 15 contiguous bases of a base sequence that is or is complementary to a RHO
sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a non-chirally controlled chiral intemucleotidic linkage, wherein the base sequence of the RHO
oligonucleotides comprises 15 contiguous bases with 0-3 mismatches of a base sequence that is or is complementary to a RI TO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa).
In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a chirally controlled chiral intemucleotidic linkage, wherein the base sequence of the RHO oligonucleotide comprises a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide composition comprising a chirally controlled chiral internucleotidic linkage, wherein the base sequence of the RHO oligonucleotide is a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a chirally controlled chiral internucleotidic linkage, wherein the base sequence of the RHO
oligonucleotide comprises 15 contiguous bases of a base sequence that is or is complementary to a RHO
sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa). In some embodiments, the present disclosure provides a RHO oligonucleotide comprising a chirally controlled chiral internucleotidic linkage, wherein the base sequence of the RHO
oligonucleotides comprises 15 contiguous bases with 0-3 mismatches of a base sequence that is or is complementary to a RHO sequence disclosed herein or a portion thereof (e.g., various bases sequences in Table Al, wherein each T may be independently replaced with U and vice versa).
1005301 In some embodiments, oligonucleotides of the same oligonucleotide type have a common pattern of backbone phosphorus modifications and a common pattern of nucleoside modifications. In some embodiments, oligonucicotides of the same oligonucleotide type have a common pattern of sugar modifications. In some embodiments, oligonucleotides of the same oligonucleotide type have a common pattern of base modifications. In some embodiments, oligonucleotides of the same oligonucleotide type have a common pattern of nucleoside modifications. In some embodiments, oligonucicotides of the same oligonucleotide type have the same constitution. In many embodiments, oligonucleotides of the same oligonucleotide type are identical.
1005311 In some embodiments, a plurality of oligonucleotides or oligonucleotides of a particular oligonucleotide type in a provided oligonucleotide composition are RHO
oligonucleotides. In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition comprising a plurality of RHO oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence;
2) a common pattern of backbone linkages; and 3) the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality.

[00532] In some embodiments, as used herein, "one or more" or "at least one" is 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1,2, 3,4, 5, 6,7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more.
[00533] In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence;
2) a common pattern of backbone linkages; and 3) a common pattern of backbone chiral centers, which composition is a substantially pure preparation of a single oligonucleotide in that at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 93%, 95%, 96%, 97%, 98%, or 99%
of the oligonucleotides in the composition have the common base sequence, the common pattern of backbone linkages, and the common pattern of backbone chiral centers.
[00534] In some embodiments, an oligonucleotide type is further defined by: 4) additional chemical moiety, if any.
[00535] In some embodiments, the percentage is at least about 10%.
In some embodiments, the percentage is at least about 20%. In some embodiments, the percentage is at least about 30%. In some embodiments, the percentage is at least about 40%. In some embodiments, the percentage is at least about 50%. In some embodiments, the percentage is at least about 60%. In some embodiments, the percentage is at least about 70%. In some embodiments, the percentage is at least about 75%. In some embodiments, the percentage is at least about 80%. In some embodiments, the percentage is at least about 85%. In some embodiments, the percentage is at least about 90%. In some embodiments, the percentage is at least about 91%. In some embodiments, the percentage is at least about 92%. In some embodiments, the percentage is at least about 93%. In some embodiments, the percentage is at least about 94%. In some embodiments, the percentage is at least about 95%. In some embodiments, the percentage is at least about 96%. In some embodiments, the percentage is at least about 97%. In some embodiments, the percentage is at least about 98%. In some embodiments, the percentage is at least about 99%. In some embodiments, the percentage is or is greater than (DS)", wherein DS and nc are each independently as described in the present disclosure.
[00536] In some embodiments, a plurality of oligonucleotides, e.g., RHO oligonucleotides, share the same constitution. In some embodiments, a plurality of oligonucleotides, e.g., RHO oligonucleotides, are identical (the same stereoisomer). In some embodiments, a chirally controlled oligonucleotide composition, e.g., a chirally controlled RHO oligonucleotide composition, is a stereopure oligonucleotide composition wherein oligonucleotides of the plurality are identical (the same stereoisomer), and the composition does not contain any other stereoisomers. Those skilled in the art will appreciate that one or more other stereoisomers may exist as impurities as processes, selectivities, purifications, etc. may not achieve completeness.
1005371 In some embodiments, a provided composition is characterized in that when it is contacted with a target nucleic acid le.g., a RHO transcript (e.g., pre-mRNA, mature mRNA, other types of RNA, etc. that hybridizes with oligonucleotides of the composition)I, levels of the target nucleic acid and/or a product encoded thereby is reduced compared to that observed under a reference condition. In some embodiments, a reference condition is selected from the group consisting of absence of the composition, presence of a reference composition, and combinations thereof. In some embodiments, a reference condition is absence of the composition. In some embodiments, a reference condition is presence of a reference composition. In some embodiments, a reference composition is a composition whose oligonucleotides do not hybridize with the target nucleic acid. In some embodiments, a reference composition is a composition whose oligonucleotides do not comprise a sequence that is sufficiently complementary to the target nucleic acid. In some embodiments, a provided composition is a chirally controlled oligonucleotide composition and a reference composition is a non-chirally controlled oligonucleotide composition which is otherwise identical but is not chirally controlled (e.g., a racemic preparation of oligonucleotides of the same constitution as oligonucleotides of a plurality in the chirally controlled oligonucleotide composition).
1005381 In some embodiments, the present disclosure provides a chirally controlled RHO
oligonucleotide composition comprising a plurality of RHO oligonucleotides capable of directing RHO
knockdown, wherein the oligonucleotides share:
1) a common base sequence, 2) a common pattern of backbone linkages, and 3) the same linkage phosphorus stereochemistry at one or more (e.g., 1-50, 1-40, 1-30, 1-25, 1-20, 1-15, 1-10, 5-50, 5-40, 5-30, 5-25, 5-20, 5-15, 5-10, 1, 2, 3, 4. 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, or more) chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality, the oligonucleotide composition being characterized in that, when it is contacted with a RHO
transcript in a RHO knockdown system, knockdown of the transcript is improved relative to that observed under reference conditions selected from the group consisting of absence of the composition, presence of a reference composition, and combinations thereof.
1005391 As noted above and understood in the art, in some embodiments, the base sequence of an oligonucleotide may refer to the identity and/or modification status of nucleoside residues (e.g., of sugar and/or base components, relative to standard naturally occurring nucleotides such as adenine, cytosine, guanosine, thymine, and uracil) in the oligonucleotide and/or to the hybridization character (i.e., the ability to hybridize with particular complementary residues) of such residues.

As demonstrated herein, oligonucleotide structural elements (e.g., patterns of sugar modifications, backbone linkages, backbone chiral centers, backbone phosphorus modifications, etc.) and combinations thereof can provide surprisingly improved properties and/or bioactivities.

In some embodiments, oligonucleotide compositions are capable of reducing the expression, level and/or activity of a target gene or a gene product thereof In some embodiments, oligonucleotide compositions are capable of reducing in the expression, level and/or activity of a target gene or a gene product thereof by sterically blocking translation after annealing to a target gene mRNA, by cleaving mRNA (pre-mRNA or mature mRNA), and/or by altering or interfering with mRNA splicing. In some embodiments, provided RHO oligonucleotide compositions are capable of reducing the expression, level and/or activity of a RHO target gene or a gene product thereof In some embodiments, provided RHO
oligonucleotide compositions are capable of reducing in the expression, level and/or activity of a RHO
target gene or a gene product thereof by sterically blocking translation after annealing to a RHO target gene mRNA, by cleaving RHO mRNA (pre-mRNA or mature mRNA), and/or by altering or interfering with mRNA splicing.

In some embodiments, an oligonucleotide composition, e.g., a RHO
oligonucleotide composition, is a substantially pure preparation of a single oligonucleotide stereoisomer, e.g., a RHO
oligonucleotide stereoisomer, in that oligonucleotides in the composition that are not of the oligonucleotide stereoisomer are impurities from the preparation process of said oligonucleotide stereoisomer, in some case, after certain purification procedures.

In some embodiments, the present disclosure provides oligonucleotides and oligonucleotide compositions that are chirally controlled, and in some embodiments, ste re opure . For instance, in some embodiments, a provided composition contains non-random or controlled levels of one or more individual oligonucleotide types. In some embodiments, oligonucleotides of the same oligonucleotide type are identical.
Su2ars Various sugars, including modified sugars, can be utilized in accordance with the present disclosure. In some embodiments, the present disclosure provides sugar modifications and patterns thereof optionally in combination with other structural elements (e.g., internucleotidic linkage modifications and patterns thereof, pattern of backbone chiral centers thereof, etc.) that when incorporated into oligonucleotides can provide improved properties and/or activities.
1005451 The most common naturally occurring nucleosides comprise ribose sugars (e.g., in RNA) or deoxyribose sugars (e.g., in DNA) linked to the nucleobases adenosine (A), cytosine (C), guanine (G), thymine (T) or uracil (U). In some embodiments, a sugar, e.g., various sugars in many oligonucleotides in Table Al (unless otherwise notes), is a natural DNA sugar (in DNA nucleic acids or oligonucleotides, having the structure of , wherein a nucleobase is attached to the l' position, and the 3' and 5' positions arc connected to internucleotidic linkages (as appreciated by those skilled in the art, if at the 5'-end of an oligonucleotide, the 5' position may be connected to a '-end group (e.g., ¨OH), and if at the 3'-end of an oligonucleotide, the 3' position may be connected to a 3'-end group (e.g., ¨OH). In some embodiments, a sugar is a natural RNA sugar (in RNA nucleic acids or oligonucleotides, having the 4 5 3 C)IsyT
structure of OH ,wherein a nucleobase is attached to the l' position, and the 3' and 5' positions are connected to intemucleotidic linkages (as appreciated by those skilled in the art, if at the 5 '-end of an oligonucleotide, the 5' position may be connected to a 5'-end group (e.g., ¨OH), and if at the 3' -end of an oligonucleotide, the 3' position may be connected to a 3'-end group (e.g., ¨OH). In some embodiments, a sugar is a modified sugar in that it is not a natural DNA sugar or a natural RNA sugar. Among other things, modified sugars may provide improved stability. In some embodiments, modified sugars can be utilized to alter and/or optimize one or more hybridization characteristics. In some embodiments, modified sugars can be utilized to alter and/or optimize target recognition. In some embodiments, modified sugars can be utilized to optimize Tm. In some embodiments, modified sugars can be utilized to improve oligonucleotide activities.

Sugars can be bonded to internucleotidic linkages at various positions.
As non-limiting examples, internucleotidic linkages can be bonded to the 2', 3', 4' or 5' positions of sugars. In some embodiments, as most commonly in natural nucleic acids, an internucleotidic linkage connects with one sugar at the 5' position and another sugar at the 3' position unless otherwise indicated.
[00547]
In some embodiments, a sugar is an optionally substituted natural DNA
or RNA sugar. In 5' some embodiments, a sugar is optionally substituted ¨
. In some embodiments, the 2' position is optionally substituted. In some embodiments, a sugar is . In some embodiments, a sugar R5s 0 Ri s 5, 0 ..ftniv ________________________________ R2s R3s R2s has the structure of or R2s , wherein each of Ris, R3s, R4s, and R5' is independently -H, a suitable substituent or suitable sugar modification (e.g., those described in US
9394333, US 9744183, US 9605019, US 9982257, US 20170037399, US 20180216108, US 20180216107, US 9598458, WO 2017/062862, WO 2018/067973, WO 2017/160741, WO 2017/192679, WO

2017/210647, WO 2018/098264, WO 2018/022473, WO 2018/223056, WO 2018/223073, WO
2018/223081, WO 2018/237194, WO 2019/032607, W02019/032612, WO 2019/055951, and/or WO
2019/075357, the substituents, sugar modifications, descriptions of Rls, R2s, R3s, R4s, and R5s, and modified sugars of each of which are independently incorporated herein by reference).
In some embodiments, each of Ris, R2s, R3s, R4s, and R5s is independently Rs, wherein each Rs is independently -F, -Cl, -Br, -I, -CN, -N3, -NO, -NO2, -Ls-R', -Ls-OR', -Ls-SR', -Ls-N(R)2, -0-Ls-OR', -0-Ls-SR', or _O-Ls-N(R)2, wherein each R' is independently as described herein, and Ls is a covalent bond or optionally substituted bivalent C1-6 aliphatic or heteroaliphatic having 1-4 heteroatoms. In some embodiments, a sugar has the 5' 0 R4s 2s structure of RIn some embodiments, R4s is -H. In some embodiments, a sugar has the dv- r-12s structure of r rµ , wherein R-/s is -H, halogen, or -OR, wherein R is optionally substituted C1-6 aliphatic. In some embodiments, R2' is -H. In some embodiments, R2' is -F. In some embodiments, R2' is -0Me. In some embodiments, R2' is -OCH2CH20Me.
5' o R4s 1005481 In some embodiments, a sugar has the structure of R2s , wherein R2' and R4s are taken together to form -Ls-, wherein Ls is a covalent bond or optionally substituted bivalent C1-6 aliphatic or heteroaliphatic having 1-4 heteroatoms. In some embodiments, each heteroatom is independently selected from nitrogen, oxygen or sulfur). In some embodiments, Ls is optionally substituted C2-0-CH2-C4. In some embodiments, LS is C2-0-CH2-C4. In some embodiments, Ls is C2-0-(R)-CH(CH2CH3)-C4. In some embodiments, LS is C2-0-($)-CH(CH2CH3)-C4.

In some embodiments, a modified sugar contains one or more substituents at the 2' position (typically one substituent, and often at the axial position) independently selected from ¨F; ¨CF3, ¨CN, ¨N3, ¨NO, ¨NO2, ¨OR', ¨SR', or ¨N(R')2, wherein each R' is independently described in the present disclosure, and in some embodiments, optionally substituted C1_10 aliphatic; ¨0¨(C1¨C10 alkyl), ¨S¨(C1¨C10 alkyl), ¨
NH¨(C1¨C10 alkyl), or ¨N(CI¨C10 alky02; ¨0¨(C2¨C10 alkenyl), ¨S¨(C2¨C10 alkenyl), ¨NH¨(C2¨C10 alkenyl), or ¨N(C2¨CI0 alkeny1)2; ¨0¨(C2¨CI0 alkynyl), ¨S¨(C2¨Cto alkynyl), ¨NH¨(C2¨Cto alkynyl), or ¨
N(C2¨Cio alkyny02; or ¨0--(Ci¨Cio alkylene)-0--(CI¨Cto alkyl), ¨0¨(Ci¨Cio alkylene)¨NH¨(Ci¨Cio alkyl) or ¨0¨(Ci¨Cio alkylene)¨NH(Ci¨Cio alky1)2, ¨NH¨(Ci¨C10 alkylene)-0¨(Cf¨Clo alkyl), or ¨N(Ci¨
Cio alkyl)¨(Ci¨Cio alkylene)-0¨(Ci¨Cio alkyl), wherein each of the alkyl, alkylene, alkenyl and alkynyl is independently and optionally substituted. In some embodiments, a substituent is ¨0(CH2).0CH3, ¨
0(CH3)6N1-13, MOE, DMAOF, or DMA EOF, wherein n is from 1 to about 10.
1005501 In some embodiments, the 2'-OH of a ribose is replaced with a group selected from ¨H, ¨F; ¨
CF3, ¨CN, ¨N3, ¨NO, ¨NO2, ¨OR', ¨SR', or ¨N(R')2, wherein each R' is independently described in the present disclosure; ¨0¨(Ci¨C10 alkyl), ¨S¨(Cf¨Cio alkyl), ¨NH¨(Ci¨Cio alkyl), or ¨N(CI¨Cto alky02; ¨0¨
(C2¨Cto alkenyl), ¨S¨(C2¨CI0 alkenyl), ¨NH¨(C2¨C10 alkenyl), or ¨N(C2¨CI0 alkeny1)2; ¨0¨(C2¨Cto alkynyl), ¨S¨(C2¨C 10 alkynyl), ¨NH¨(C3¨Cio alkynyl), or ¨N(C2¨Cio alkyny1)3;
or ¨0--(Ci¨Cio alkylene)-0--(C i¨C 10 alkyl), ¨0¨(Ci¨Cio alkylene)¨NH¨(Ci¨Cio alkyl) or ¨0¨(Ci¨Cio alkylene)¨NH(Ci¨Cio alky1)2, ¨NH¨(C1¨C10 alkylenc)-0¨(CI¨C10 alkyl), or ¨N(C1¨C10 alkyl)¨(Ci¨Ct0 alkylene)-0¨(Ct¨Ct0 alkyl), wherein each of the alkyl, alkylene, alkenyl and alkynyl is independently and optionally substituted.
In some embodiments, the 2'¨OH is replaced with ¨H (deoxyribose). In some embodiments, the 2'¨OH is replaced with ¨F. In some embodiments, the 2'¨OH is replaced with ¨OR'. In some embodiments, the 2'¨
OH is replaced with ¨0Me. In some embodiments, the 2'¨OH is replaced with ¨OCH2CH20Me.
1005511 In some embodiments, a sugar modification is a 2'-modification. In some embodiments, 2'-modifications include but are not limited to 2'¨OR, wherein R is as described herein. In some embodiments, R is optionally substituted C1_6 aliphatic. In some embodiments, a modification is 2'¨OR, wherein R is optionally substituted C1_6 alkyl. In some embodiments, a modification is 2'-0Me. In some embodiments, a modification is 2'-M0E. In some embodiments, a 2'-modification is S-cEt. In some embodiments, a modified sugar is an LNA sugar. In some embodiments, a 2'-modification is ¨F.
1005521 In some embodiments, a sugar modification replaces a sugar moiety with another cyclic or acyclic moiety. Examples of such moieties are widely known in the art, including but not limited to those used in morpholino (optionally with its phosphorodiamidate linkage), glycol nucleic acids, etc.
1005531 In some embodiments, one or more of the sugars of an RHO
oligonucleotide are modified. In some embodiments, each sugar of an oligonucleotide or a portion thereof (e.g., a wing) is independently modified. In some embodiments, a modified sugar comprises a 2'-modification.
In some embodiments, each modified sugar independently comprises a 2.-modification. In some embodiments, a 2.-modification is 2'-OR, wherein R is optionally substituted C1_6 aliphatic. In some embodiments, a 2'-modification is a 2'-0Me. In some embodiments, a 2'-modification is a 2.-M0E. In some embodiments, a 2'-modification is an LNA sugar modification. In some embodiments, a 2'-modification is 2'-F.
In some embodiments, each sugar modification is independently a2'-modification. In some embodiments, each sugar modification is independently 2'-OR. In some embodiments, each sugar modification is independently 2'-OR, wherein R is optionally substituted C1-6 alkyl. In some embodiments, each sugar modification is 2'-0Me. In some embodiments, each sugar modification is 2'-M0E. In some embodiments, each sugar modification is independently 2'-0Me or 2'-M0E. In some embodiments, each sugar modification is independently 2'-OMe, 2.-M0E, or a LNA sugar.
[00554] As those skilled in the art will appreciate, modifications of sugars, nucleobases, internucleotidic linkages, etc. can and are often utilized in combination in oligonucleotides, e.g., see various oligonucleotides in Table Al. For example, a combination of sugar modification and nucleobase modification is 2'-F (sugar) 5-methyl (nucleobase) modified nucleosides. In some embodiments, a combination is replacement of a ribosyl ring oxygen atom with S and substitution at the 2'-position.
[00555] In some embodiments, a sugar is one described in US 9394333, US
9744183, US 9605019, US
9598458, US 9982257, US 10160969, US 10479995, US 2020/0056173, US
2018/0216107, US
2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US 2019/0375774, WO
2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO 2019/032607, WO
2019/055951, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612, the sugars of each of which is incorporated herein by reference.
[00556] Various additional sugars useful for preparing oligonucleotides or analogs thereof are known in the art and may be utilized in accordance with the present disclosure.
Nucleobases [00557] Various nucleobases may be utilized in provided oligonucleotides in accordance with the present disclosure. In some embodiments, a nucleobase is a natural nucleobase, the most commonly occurring ones being A, T. C, G and U. In some embodiments, a nucleobase is a modified nucleobase in that it is not A, T, C, G or U. In some embodiments, a nucleobase is optionally substituted A, T, C, G or U, or a substituted tautomer of A T, C, G or U. In some embodiments, a nucleobase is optionally substituted A, T, C, G or U, e.g., 5mC, 5-hydroxymethyl C, etc. In some embodiments, a nucleobase is alkyl-substituted A, T, C, G or U. In some embodiments, a nucleobase is A. In some embodiments, a nucleobase is T. In some embodiments, a nucleobase is C. In some embodiments, a nucleobase is G. In some embodiments, a nucleobase is U. In some embodiments, a nucleobase is 5mC. In some embodiments, a nucleobase is substituted A, T, C, G or U. In some embodiments, a nucleobase is a substituted tautomer of A, T, C, G or U. In some embodiments, substitution protects certain functional groups in nucleobases to minimize undesired reactions during oligonucleotide synthesis. Suitable technologies for nucleobase protection in oligonucleotide synthesis are widely known in the art and may be utilized in accordance with the present disclosure. In some embodiments, modified nucleobases improves properties and/or activities of oligonucleotides. For example, in many cases, 5mC may be utilized in place of C to modulate certain undesired biological effects, e.g., immune responses. In some embodiments, when determining sequence identity, a substituted nucleobase having the same hydrogen-bonding pattern is treated as the same as the unsubstrtuted nucleobase, e.g., 5mC may be treated the same as C [e.g., an oligonucleotide having 5mC in place of C (e.g., AT5mCG) is considered to have the same base sequence as an oligonucleotide having C
at the corresponding location(s) (e.g., ATCG)]
1005581 In some embodiments, an oligonucleotide comprises one or more A, T, C, G or U. In some embodiments, an oligonucleotide comprises one or more optionally substituted A, T, C, G or U. In some embodiments, an oligonucleotide comprises one or more 5-methylcytidine, 5-hydroxymethylcytidine, 5-formylcytosine, or 5-carboxylcytosine. In some embodiments, an oligonucleotide comprises one or more 5-methylcytidine. In some embodiments, each nucleobase in an oligonucleotide is selected from the group consisting of optionally substituted A, T, C, G and U, and optionally substituted tautomers of A, T, C, G
and U. In some embodiments, each nucleobase in an oligonucleotide is optionally protected A, T, C, G and U. In some embodiments, each nucleobase in an oligonucleotide is optionally substituted A, T, C, G or U.
In some embodiments, each nucleobase in an oligonucleotide is selected from the group consisting of A, T, C, G, U, and 5mC.
[00559] In some embodiments, a nucleobase is optionally substituted 2AP or DAP. In some embodiments, a nucleobase is optionally substituted 2AP. In some embodiments, a nucleobase is optionally substituted DAP. In some embodiments, a nucleobase is 2AP. In some embodiments, a nucleobase is DAP.
[00560] In some embodiments, a nucleobase is a natural nucleobase or a modified nucleobase derived from a natural nucleobase. Examples include uracil, thymine, adenine, cytosine, and guanine optionally having their respective amino groups protected by acyl protecting groups, 2-fluorouracil, 2-fluorocytosine, 5-bromouracil, 5-iodouracil, 2,6-diaminopurine, azacytosine, pyrimidine analogs such as pseudoisocytosine and pseudouracil and other modified nucleobases such as 8-substituted purines, xanthine, or hypoxanthine (the latter two being the natural degradation products). Certain examples of modified nucleobases are disclosed in Chiu and Rana, RNA, 2003, 9, 1034-1048, Limbach et al. Nucleic Acids Research, 1994, 22, 2183-2196 and Revankar and Rao, Comprehensive Natural Products Chemistry, vol. 7, 313. In some embodiments, a modified nucleobase is substituted uracil, thymine, adenine, cytosine, or guanine. In some embodiments, a modified nucleobase is a functional replacement, e.g., in terms of hydrogen bonding and/or base pairing, of uracil, thymine, adenine, cytosine, or guanine. In some embodiments, a nucleobase is optionally substituted uracil, thymine, adenine, cytosine, 5-methylcytosine, or guanine. In some embodiments, a nucleobase is uracil, thymine, adenine, cytosine, 5-methylcytosine, or guanine.

In some embodiments, a provided oligonucleotide comprises one or more 5-methylcytosine.
In some embodiments, the present disclosure provides an oligonucleotide whose base sequence is disclosed herein, e.g., in Table Al, wherein each T may be independently replaced with U
and vice versa, and each cytosine is optionally and independently replaced with 5-methylcytosine or vice versa. As appreciated by those skilled in the art, in some embodiments, 5mC may be treated as C with respect to base sequence of an oligonucleotide - such oligonucleotide comprises a nucleobase modification at the C position (e.g., see various oligonucleotides in Table Al). In description of oligonucleotides, typically unless otherwise noted, nucleobases, sugars and internucleotidic linkages are non-modified.

In some embodiments, a modified base is optionally substituted adenine, cytosine, guanine, thymine, or uracil, or a tautomer thereof In some embodiments, a modified nucleobase is a modified adenine, cytosine, guanine, thymine or uracil, modified by one or more modifications by which:
(1) a nucleobase is modified by one or more optionally substituted groups independently selected from acyl, halogen, amino, azide, alkyl, alkenyl, alkynyl, aryl, heteroalkyl, heteroalkenyl, heteroalkynyl, heterocyclyl, heteroaryl, carboxyl, hydroxyl, biotin, avidin, streptavidin, substituted silyl, and combinations thereof;
(2) one or more atoms of a nucleobase are independently replaced with a different atom selected from carbon, nitrogen and sulfur;
(3) one or more double bonds in a nucleobase are independently hydrogenated;
or (4) one or more aryl or heteroaryl rings are independently inserted into a nucleobase.

In some embodiments, a modified nucleobase is a modified nucleobase known in the art, e.g., W02017/210647. In some embodiments, modified nucicobascs arc expanded-size nucicobascs in which one or more aryl and/or heteroaryl rings, such as phenyl rings, have been added. In some embodiments, a modified nucleobase is a protected A, T, C, G, U, 5mC, etc., which are suitable for oligonucleotide synthesis. Various nucleobase protection technologies are available and can be utilized in accordance with the present disclosure.

In some embodiments, a modified nucleobase is selected from 5-substituted pyrimidines, 6-azapyrimidines. alkyl or alkynyl substituted pyrimidines, alkyl substituted purines, and N-2. N-6 and 0-6 substituted purines.
In certain embodiments, modified nucleobases are selected from 2-aminopropyladenine, 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, methylguaninc, 6-N- methyladcninc, 2-propyladcninc, 2-thiouracil, 2-thiothyminc and 2-thiocytosinc, 5-propynyl (¨CC-CH3) uracil, 5-propynylcytosine, 6-azouracil, 6-azocytosine, 6-azothymine, 5-ribosyluracil (pseudouracil), 4- thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl, 8-aza and other 8-substituted purines, 5-halo, particularly 5 -bromo, 5 -trifluoromethyl, 5 -halouracil, and 5-halocytosine, 7-methylguanine, 7-methyladenine, 2-F-adenine, 2-aminoadenine, 7-deazaguanine, 7-deazaadenine, 3-deazaguanine, 3 -deazaadenine, 6-N- benzoyladenine, 2-N-isobutyrylguanine, 4-N-benzoylcytosine, benzoyluracil, 5-methyl 4-N-benzoylcytosine, 5-methyl 4-N-benzoyluracil, universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases. In some embodiments, modified nucleobases are tricyclic pyrimidines, such as 1,3-diazaphenoxazine-2-one, 1,3-diazaphenothiazine-2-one or 9(2-aminoethoxy)-1,3-diazaphenoxazine-2- one (G-clamp). In some embodiments, modified nucleobases are those in which the purine or pyrimidine base is replaced with other heterocycles, for example, 7-deaza-adenine, 7-deazaguanosine, 2-arninopyridine or 2- pyridone.
1005651 In some embodiments, a modified nucleobase is substituted. In some embodiments, a modified nucleobase is substituted such that it contains, e.g., heteroatoms, alkyl groups, or linking moieties connected to fluorescent moieties, biotin or avidin moieties, or other protein or peptides. In some embodiments, a modified nucleobase is a "universal base- that is not a nucleobase in the most classical sense, but that functions similarly to a nucleobase. One example of a universal base is 3-nitropyrrole.

In some embodiments, nucleosides that can be utilized in provided technologies comprise modified nucleobases and/or modified sugars, e .g 4-acetyl cyti di n e; 5 -(earboxyhydroxyl methyOuri di n e ;
2 ' -0 -methylcytidine ; 5 -carboxymethylaminomethy1-2-thiouridine; 5 -carboxymethylaminomethyluridine ;
dihydrouridine; 2' -0-methylpseudouridine; beta,D-galactosylqueosine; 2' -0-methylguanosine;
i sopentenyladeno sine ; 1 -methyladeno sine ; 1 -methylp seudouridine ; 1 -methylguano sine ; 1-methylino sine ;
2,2-dimethylguano sine ; 2-methyladeno sine ; 2-methylguano sine ; N7-methylguanosine ; 3 -methyl-cytidine ;
-methylcytidine; 5 -hydroxymethylcytidine; 5 -formylcytosine ; 5 -carboxylcyto sine ; N6-methyladeno sine ;
7-methylguano sine ; 5 -methylaminoethyluridine;
5 -methoxyaminomethy1-2-thiouridine: beta,D-mannosylqueosine; 5 -methoxycarbonylmethyluridine;
5 -methoxyuridine; 2-methylthio-N6-isopentenyladenosine; N-((9-beta,D-ribofuranosy1-2-methylthiopurine-6-yl)carbamoyl)threonine; N-49-beta,D-ribofuranosylpurine-6-y1)-N-methylcarbamoypthreonine; uridine-5 -oxyacetic acid methylester;
uridine-5 -oxyacetic acid (v); pseudouridine; queosine; 2-thiocytidine; 5 -methy1-2-thiouridine; 2-thio uridine ; 4-thiouridine ; 5 -methyl uridine ; 2 ' -0-methy1-5 -me thyluridine ; and 2' -0-methyl uridine In some embodiments, a nucleobase, e.g., a modified nucleobase comprises one or more biomolecule binding moieties such as e.g., antibodies, antibody fragments, biotin, avidin, streptavidin, receptor ligands, or chelating moieties. In other embodiments, a nucleobase is 5-bromouracil, 5-iodouracil, or 2,6-diaminopurine. In some embodiments, a nucleobase comprises substitution with a fluorescent or biomolecule binding moiety. In some embodiments, a substituent is a fluorescent moiety. In some embodiments, a substituent is biotin or avidin.

[00568] In some embodiments, a nucleobase is one described in US 9394333, US
9744183, US
9605019, US 9598458, US 9982257, US 10160969, US 10479995, US 2020/0056173, US
2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US
2019/0375774, WO
2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO 2019/032607, WO
2019/055951, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612, the nucleobases of each of which is incorporated herein by reference.
Additional Chemical Moieties [00569] In some embodiments, a RHO oligonucleotide comprises one or more additional chemical moieties. Various additional chemical moieties, e.g., targeting moieties, carbohydrate moieties, lipid moieties, etc. are known in the art and can be utilized in accordance with the present disclosure to modulate properties and/or activities of RHO oligonucleotides, e.g., stability, half life, activities, delivery, pharmacodynamics properties, pharmacokinetic properties, etc. In some embodiments, certain additional chemical moieties facilitate delivery of oligonucleotides to desired cells, tissues and/or organs, including but not limited the cells of the central nervous system. In some embodiments, certain additional chemical moieties facilitate internalization of oligonucleotides. In some embodiments, certain additional chemical moieties increase oligonucleotide stability. In some embodiments, the present disclosure provides technologies for incorporating various additional chemical moieties into oligonucleotides. In some embodiments, oligonucleotides are conjugated with various other agents, e.g., peptides, proteins, carbohydrates, oligonucleotides, therapeutic agents, etc.
[00570] In some embodiments, an additional chemical moiety is capable of improving the stability and/or delivery of a RHO oligonucleotide, e.g., to a particular tissue, organ or body part, or throughout the entire patient's body.
[00571] In some embodiments, additional chemical moieties are carbohydrate moieties, targeting moieties, etc., which, when incorporated into oligonucleotides, can improve one or more properties. In some embodiments, an additional chemical moiety is selected from glucose, GluNAc (N-acetyl amine glucosamine) and anisamide moieties.
[00572] In some embodiments, an additional chemical moiety is a targeting moiety. In some embodiments, an additional chemical moiety is or comprises a carbohydrate moiety. In some embodiments, an additional chemical moiety is or comprises a lipid moiety. In some embodiments, an additional chemical moiety is or comprises a ligand moiety for, e.g., cell receptors such as a sigma receptor, an asialoglycoprotein receptor, etc. In some embodiments, a ligand moiety is or comprises an anisamide moiety, which may be a ligand moiety for a sigma receptor. In some embodiments, an additional chemical moiety is or comprises a ligand moiety for an asialoglycoprotein receptor.

1005731 In some embodiments, an additional chemical moiety is or comprises a GalNAc moiety.
[00574]
Certain useful additional chemical moieties are described in US
9394333, US 9744183, US
9605019, US 9598458, US 9982257, US 10160969, US 10479995, US 2020/0056173, US
2018/0216107, US 2019/0127733, US 10450568, US 2019/0077817, US 2019/0249173, US
2019/0375774, WO
2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO 2019/032607, WO
2019/055951, WO 2019/075357, WO 2019/200185, WO 2019/217784, and/or WO
2019/032612, the additional chemical moieties of each of which are incorporated herein by refrence.
Production of 01i2onucleotides and Compositions Among other things, the present disclosure encompasses the recognition that production of oligonucleotide compositions wherein one or more chiral internucleotidic linkages (e.g., non-negatively charged internucleotidic linkages such as n001) are stereorandom can be associated with various challenges.
In some embodiments, purification processes of such compositions are complicated and can lead to low purity and/or low yield. For example, during HPLC or UPLC purification, such oligonucleotide compositions may elute as broad peaks or multiple peaks due to the existence of multiple major stereoisomers, for example, for WV-34326 and WV-34327, each 8 major stereoisomers as they each contain three stereorandom internucleotidic linkages (3 nX and 23 = 8). Such broad peaks or multiple peaks may overlap with peaks of impurities, for example, those of N-1 mers and N-2 mers, each of which may contain multiple stereoisomers due to the existence of stereorandom chiral internucleotidic linkages, rendering purification and quality control very complicated and in some cases not as thorough or even impractical.
In many instances, such compositions arc not as extensively purified, characterized and/or quality-controlled, and products may be provided with relatively low purity, yield, and/or batch-to-batch consistency and high cost.

In some embodiments, the present disclosure addresses these challenges by providing completely chirally controlled oligonucleotide compositions of single stereoisomers (in the context of oligonucleotides, typically single diastereomers), e.g., WV-39023 and WV-48182, which maintain or improve properties and/or activities of oligonucleotides but can be more readily and thoroughly purified, characterized and/or quality-controlled compared to reference oligonucleotide compositions wherein one or more chiral internucleotidic linkages are not chirally controlled (e.g., WV-34326 and WV-34327). In some embodiments, single stereoisomers of such completely chirally controlled oligonucleotide compositions elute as single narrow peaks during purification, making them easier to be separated from various impurities, e.g., N-1 mers, N-2 mers, etc. In some embodiments, provided technologies significantly simplify processes of purification, characterization and/or quality control and/or improves results thereof. In some embodiments, manufactured products of provided completely chirally controlled oligonucleotide compositions have improved purity, yield, and/or consistency, etc., and/or lowered production cost.

Various methods can be utilized for production of oligonucleotides and compositions and can be utilized in accordance with the present disclosure. For example, traditional phosphoramidite chemistry can be utilized to prepare stereorandom oligonucleotides and compositions, and certain reagents and chirally controlled technologies can be utilized to prepare chirally controlled oligonucleotide compositions, e.g., as described in US 9982257, US 20170037399, US
20180216108, US 20180216107, US 9598458, WO 2017/062862, WO 2018/067973, WO 2017/160741, WO 2017/192679, WO

2017/210647, WO 2018/098264, WO 2018/223056, WO 2018/237194, WO 2019/055951, WO
2019/200185, or WO 2020/191252, the reagents and methods of each of which is incorporated herein by reference.

In some embodiments, chirally controlled/stercoselective preparation of oligonucleotides and compositions thereof comprise utilization of a chiral auxiliary, e.g., as part of monomeric phosphoramidites. Examples of such chiral auxiliary reagents and phosphoramidites are described in US
9982257, US 20170037399, US 20180216108, US 20180216107, US 9598458, WO
2017/062862, WO
2018/067973, WO 2017/160741, WO 2017/192679, WO 2017/210647, WO 2018/098264, WO
2018/223056, WO 2018/237194, WO 2019/055951, WO 2019/200185, or WO
2020/191252, the chiral auxiliary reagents and phosphoramidites of each of which are independently incorporated herein by HO FIN HO HN
MePh2Si i.õ
,,,, .
"3 reference. In some embodiments, a chiral auxiliary is or MePh2S (DP SE
HO HN
HO HN-\
Ph Rile chiral auxiliaries). In some embodiments, a chiral auxiliary is or Me . In some HO HN HO HN) embodiments, a chiral auxiliary is Ph or Ph'sµ
,, . In some embodiments, a chiral auxiliary HO HN-\ HO HN
PhO2S PhO2S
is or (PSM chiral auxiliaries).

In some embodiments, chirally controlled preparation technologies, including oligonucleotide synthesis cycles, reagents and conditions are described in US
9982257, US 20170037399, US 20180216108, US 20180216107, US 9598458, WO 2017/062862, WO 2018/067973, WO

2017/160741, WO 2017/192679, WO 2017/210647, WO 2018/237194, WO 2019/055951, WO
2019/200185, or WO 2020/191252, the oligonucleotide synthesis methods, cycles, reagents (including various phosphoramidites for chirally controlled and non-chirally controlled synthesis) and conditions of each of which are independently incorporated herein by reference. In some embodiments, a useful oligonucleotide synthesis cycle using DPSE chiral auxiliaries is depicted below, wherein each of BAI, BA, and BA3 is independently a suitable nucleobase (in some embodiments, protected for oligonucleotide synthesis), RLP is ¨Ls¨R', and each other variables is independently as described in the present disclosure.
In some embodiments, H¨ORLP is a chiral auxiliary as described herein. In some embodiments, H¨OR'P
is a chiral auxiliary as described herein, wherein ¨NH¨ is replaced with ¨N(¨C(0)¨R)¨, wherein R is as described herein. In some embodiments, R is optionally substituted C1_6 aliphatic. In some embodiments, R is methyl.
DMTrO
0 R2' + CMIMT
De-blocking MePh2Si (Detritylati on) DMTrO HO WA2 oupIing DMTrO BA3 Tf90 -R2s inversion R2s vv. ,,0 R2s r-NH2 "
R I-P0 0¨ 113A, R" 0 0 BA, MePh2Si 0-1A2 ¨1c24 R2s c.7%,,0 R2' w,ps,.0 R2' RLPO 0 BA, DMTrO ¨ ,E3A3 0,0 R2s NAc ,, BA2 DMTrO I3A3 Capping-1 MePh2Si---7 W, R2' molficOon NAc p (Thiolabon) Capping-2 0 2s w, 0,0 R
RLPO;

w, R2s R2s RLPO;
7c241 cr0 R2s 1005801 Once synthesized, provided oligonucleotides and compositions are typically further purified. Suitable purification technologies are widely known and practiced by those skilled in the art, including but not limited to those described in US 9982257, US 20170037399, US
20180216108, US
20180216107, US 9598458, WO 2017/062862, WO 2018/067973, WO 2017/160741, WO
2017/192679, WO 2017/210647, WO 2018/098264, WO 2018/223056, WO 2018/237194, WO
2019/055951, WO
2019/200185, or WO 2020/191252, the purification technologies of each of which are independently incorporated herein by reference.

[00581] In some embodiments, a cycle comprises or consists of coupling, capping, modification and deblocking. In some embodiments, a cycle comprises or consists of coupling, capping, modification, capping and dcblocking. These steps arc typically performed in the order they arc listed, but in some embodiments, as appreciated by those skilled in the art, the order of certain steps, e.g., capping and modification, may be altered. If desired, one or more steps may be repeated to improve conversion, yield and/or purity as those skilled in the art often perform in syntheses. For example, in some embodiments, coupling may be repeated; in some embodiments, modification (e.g., oxidation to install =0, sulfurization to install =S, etc.) may be repeated; in some embodiments, coupling is repeated after modification which can convert a P(III) linkage to a P(V) linkage which can be more stable under certain circumstances, and coupling is routinely followed by modification to convert newly formed P(III) linkages to P(V) linkages.
In some embodiments, when steps are repeated, different conditions may be employed (e.g., concentration, temperature, reagent, time, etc.).
1005821 Technologies for formulating provided oligonucleotides and/or preparing pharmaceutical compositions, e.g., for administration to subjects via various routes, are readily available in the art and can be utilized in accordance with the present disclosure, e.g., those described in US 9982257, US
20170037399, US 20180216108, US 20180216107, US 9598458, WO 2017/062862, WO
2018/067973, WO 2017/160741, WO 2017/192679, WO 2017/210647, WO 2018/098264, WO
2018/223056, WO
2018/237194, WO 2019/055951, WO 2019/200185, or WO 2020/191252 and references cited therein.
Biological Applications [00583] As appreciated by those skilled in the art, oligonucleotides are useful for multiple purposes.
In some embodiments, provided technologies (e.g., oligonucleotides, compositions, methods, etc.) are useful for reducing levels and/or activities of various transcripts (e.g., RNA) and/or products encoded thereby (c.g., proteins). In some embodiments, provided technologies reduce levels and/or activities RNA, e.g., RHO RNA transcripts. In some embodiments, provided oligonucleotides and compositions provide improved knockdown of transcripts, e.g., RHO transcripts, compared to a reference condition selected from the group consisting of absence of the oligonucleotide or composition, presence of a reference oligonucleotide or composition, and combinations thereof Certain example applications and/or methods for using and making various oligonucleotides are described in US 9394333, US
9744183, US 9605019, US 9982257, US 20170037399, US 20180216108, US 20180216107, US 9598458, WO
2017/062862, WO
2018/067973, WO 2017/160741, WO 2017/192679, WO 2017/210647, WO 2018/098264, WO
2018/223056, or WO 2018/237194.
[00584] For example, in some embodiments, a provided oligonucleotide is a RHO oligonucleotide capable of mediating a decrease in the expression, activity and/or level of a RHO gene product. An improvement mediated by a RHO oligonucleotide can be an improvement of any desired biological functions, including but not limited to treatment and/or prevention of a RHO-related disorder or a symptom thereof.
1005851 In some embodiments, a provided compound, e.g., oligonucleotide, and/or compositions thereof, can modulate activities and/or functions of a target gene. In some embodiments, a target gene is a gene with respect to which expression and/or activity of one or more gene products (e.g., RNA and/or protein products) are intended to be altered. In many embodiments, a target gene is intended to be inhibited.
Thus, when an oligonucleotide as described herein acts on a particular target gene, presence and/or activity of one or more gene products of that gene are altered when the oligonucleotide is present as compared with when it is absent. In some embodiments, a target gene is RHO.
[00586] In some embodiments, a target sequence is a sequence of a gene or a transcript thereof to which an oligonucicotide hybridizes. In some embodiments, a target sequence is fully complementary or substantially complementary to a sequence of an oligonucleotide, or of consecutive residues therein (e.g., an oligonucleotide includes a target-binding sequence that is an exact complement of a target sequence).
In some embodiments, a small number of differences/mismatches is tolerated between (a relevant portion of) an oligonucleotide and its target sequence. In many embodiments, a target sequence is present within a target gene. In many embodiments, a target sequence is present within a transcript (e.g., an mRNA and/or a pre-mRNA) produced from a target gene. In some embodiments, a target sequence is a RHO target sequence which is a sequence of a RHO gene or a transcript thereof to which a RHO oligonucleotide hybridizes.
[00587] In some embodiments, provided oligonucleotides and compositions are useful for treating various conditions, disorders or diseases, by reducing levels and/or activities of transcripts and/or products encoded thereby that are associated with the conditions, disorders or diseases. In some embodiments, the present disclosure provides methods for preventing or treating a condition, disorder or disease, comprising administering to a subject susceptible to or suffering from a condition, disorder or disease a provided oligonucleotide or composition thereof In some embodiments, a provided oligonucleotide or oligonucleotides in a provided composition are of a base sequence that is or is complementary to a portion of a transcript, which transcript is associated with a condition, disorder or disease. In some embodiments, a base sequence is such that it selectively bind to a transcript, e.g., a RHO
transcript, associated with a condition, disorder or disease over other transcripts that are not associated with the same condition, disorder or disease. In some embodiments, a condition, disorder or disease is associated with RHO. In some embodiments, a condition, disorder or disease is retinitis pigmentosa.
[00588] In some embodiments, in a method of treating a disease by administering a composition comprising a plurality of oligonucleotides sharing a common base sequence, which base sequence is complementary to a target sequence in a target transcript, the present disclosure provides an improvement that comprises administering as the oligonucleotide composition a chirally controlled oligonucleotide composition as described in the present disclosure, characterized in that, when it is contacted with the target transcript in a knockdown system, knockdown of the transcript is improved relative to that observed under a reference condition selected from the group consisting of absence of the composition, presence of a reference composition, and combinations thereof In some embodiments, a reference composition is a racemic preparation of oligonucleotides of the same sequence or constitution.
In some embodiments, a target transcript is a RHO transcript.
1005891 In some embodiments, provided oligonucleotides can bind to a transcript, and improve knockdown of the transcript (e.g., a RHO RNA). In some embodiments, provided oligonucleotides, e.g., RHO oligonucleotides, improve knockdown, e.g., RHO knockdown, with efficiency greater than a comparable oligonucleotide under one or more suitable conditions.
1005901 In some embodiments, a provided improved knockdown, e.g., of a RHO transcript, is at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190% more than, or 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 30, 40, 50 or more fold of, that of a comparable oligonucleotide or composition (e.g., one with no chiral control of linkage phosphorus stereochemistry) under one or more suitable conditions. In some embodiments, knockdown efficiency is measured by remaining target transcript.
1005911 In some embodiments, expression or level of a target gene or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by administration of a provided oligonucleotide or composition thereof, e.g., at certain oligonucleotide concentrations (e.g., 1 nM, 5 nM, 10 nM, 100 nM, 500 nM, 1 uM, 5 uM, etc.) in, e.g., various suitable assay (e.g., in vitro cell-based assays, assays described in the Examples, etc.). In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by administration of an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by RNase H-mediated knockdown directed by an oligonucleotide, e.g., a RHO
oligonucleotide or a composition thereof In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by administration of an oligonucleotide, e.g., a RHO oligonucleotide, in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by knockdown directed by an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by RNase H-mediated knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by administration of an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by RNase H-mediated knockdown directed by an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by administration of an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof at an oligonucleotidc, e.g., a RHO
oligonucleotide, concentration of 1 uM or less in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof at an oligonucleotide, e.g., a RHO
oligonucleotide, concentration of 1 uM or less in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95% by RNase H-mediated knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 1 uM or less in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by administration of an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 10 uM or less in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by knockdown directed by an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 10 uM or less in a cell(s) in vitro. In some embodiments, expression or level of a target gene, e.g., RHO, or a gene product thereof is decreased by at least about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, or 95%
by RNase H-mediated knockdown directed by an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 10 uM or less in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof is capable of mediating a decrease in the expression or level of a target gene, e.g., RHO, or a gene product thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 1 nm or less in a cell in vitro. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof is capable of mediating a decrease in the expression or level of a target gene, e.g., RHO, or a gene product thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 5 nm or less in a cell in vitro.
In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, or a composition thereof is capable of mediating a decrease in the expression or level of a target gene, e.g., RHO, or a gene product thereof at an oligonucleotide, e.g., a RHO oligonucleotide, concentration of 10 nm or less in a cell in vitro.
1005921 In some embodiments, activity of a provided oligonucleotide or oligonucleotide composition may be assessed by IC50 which is the inhibitory concentration to decrease expression or level of a target gene or a gene product thereof by 50% in a suitable condition, e.g., cell-based in vitro assays, assays described in the Examples, etc. In some embodiments, provided oligonucleotides or compositions have an IC50 no more than 0.001, 0.01, 0.1, 0.5, 1, 2, 5, 10, 50, 100, 200, 500 or 1000 nM. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an IC50 of no more than about 10 nM
in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, has an IC50 of no more than about 5 nM in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, has an IC50 of no more than about 2 nM in a cell(s) in vitro.
In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an IC50 of no more than about 1 nM in a cell(s) in vitro.
In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an IC50 of no more than about 0.5 nM in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an IC50 of no more than about 0.1 nM in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO oligonucicotidc, has an 1050 of no more than about 0.01 nM in a cell(s) in vitro. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, has an IC50 of no more than about 0.001 nM in a cell(s) in vitro.
1005931 In some embodiments, the pattern of stereochemistry of a provided RHO oligonucleotide comprises a pattern of stereochemistry described herein or any portion thereof. In some embodiments, an oligonucleotide comprises a pattern of stereochemistry described herein and is capable of directing RNase H-mediated knockdown. In some embodiments, a provided RHO oligonucleotide comprises a pattern of stereochemistry described herein and is capable of directing RNase H-mediated RHO knockdown.
1005941 In some embodiments, a provided RHO oligonucleotide comprises a modification or pattern of modification described herein. In some embodiments, a provided RHO
oligonucleotide comprises a pattern of modification described herein and is capable of directing RNase H-mediated RHO
knockdown. In some embodiments, a modification or pattern of modification is a modification or pattern of modification of sugar modifications, e.g., modifications at the 2' position of sugars (e.g., 2'-F, 2'-0Me, 2'-M0E, etc.).
1005951 Among other things, provided technologies can provide high selectivity (e.g., among various alleles, among nucleic acids from different genetic locations (and/or transcripts thereof) but sharing similar sequences, etc.). As demonstrated herein, in some embodiments, technologies of the present disclosure provides allele specificity. For example, in some embodiments, provided technologies can selectively reduce levels of transcripts from a particular allele over another allele of the same sequence. In some embodiments, the present disclosure provides a method for suppression of a transcript from a target nucleic acid sequence for which one or more similar nucleic acid sequences exist within a population, each of the target and similar sequences contains a specific characteristic sequence element that defines the target sequence relative to the similar sequences, the method comprising contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide, or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines the target nucleic acid sequence. In some embodiments, wherein when the oligonucleotide, or the oligonucleotide composition, is contacted with a system comprising transcripts of both the target nucleic acid sequence and a similar nucleic acid sequences, transcripts of the target nucleic acid sequence are suppressed at a greater level than a level of suppression observed for a similar nucleic acid sequence. In some embodiments, suppression of the transcripts of the target nucleic acid sequence is 1.1-100, 2-100, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, or 10, or more fold of suppression observed for a similar nucleic acid sequence (e.g., a different allele, a different gene, etc., and/or transcripts thereof). In some embodiments, a target nucleic acid sequence is a RHO
sequence. In some embodiments, a target sequence comprises P23H mutation. In some embodiments, a target nucleic acid sequence is associated with (or more associated with compared to a similar nucleic acid sequence) a condition, disorder or disease as described herein, e.g.
retinopathy. In some embodiments, the present disclosure provides a method for allele-specific suppression of a transcript from a target nucleic acid sequence for which a plurality of alleles exist within a population, each of which contains a specific characteristic sequence element that defines the allele relative to other alleles of the same target sequence, the method comprising contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines a particular allele. In some embodiments, when the oligonucleotide, or the oligonucleotide composition, is contacted with a system comprising transcripts of both the target allele and another allele of the same nucleic acid sequence, transcripts of the particular allele are suppressed at a greater level than a level of suppression observed for another allele of the same nucleic acid sequence. In some embodiments, suppression of the transcripts of the particularly allele is 1.1-100, 2-100, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, or 10, or more fold of suppression observed for another allele. In some embodiments, a target nucleic acid sequence is a RHO sequence. In some embodiments, transcripts of the particular allele are associated with (or more associated with compared to transcripts of another allele) a condition, disorder or disease as described herein, e.g. retinopathy. In some embodiments, a characteristic sequence element comprises a SNP. In some embodiments, a SNP is SNP rs104893768. In some embodiments, a SNP is rs104893768. As those skilled in the art will appreciate, selective reduction of transcripts (and/or products thereof) associated with conditions, disorders or diseases while maintaining those that are not, or are less, associated with conditions, disorders or diseases can provide a number of advantages, for example, providing disease prevention and/or treatment while maintaining one or more desired biological functions (which may provide, among other things, fewer or less severe side effects).

In some embodiments, as demonstrated herein, selectivity is at least 10 fold, or 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 500, 1000, 2000, 5000 fold or more in a system, e.g. a reporter assay or other assays (e.g., cell-based assays) described herein. In some embodiments, selectivity is assessed by ratio of an IC50 for one nucleic acid (e.g., a wild-type transcript or a transcript less associated with a condition, disorder or disease (e.g., a RHO transcript without P23H mutation)) and an IC50 for a target nucleic acid (e.g., a transcript associated with a condition, disorder or disease (e.g., a RHO transcript comprising P23H
mutation)) under comparable conditions.
In some embodiments, provided technologies (e.g., oligonucleotides, compositions, methods, etc.) can provide unexpectedly high selectivity compared to a reference technology (e.g., comparable oligonucleotides and/or compositions with no chiral control). In some embodiments, oligonucleotides in a reference composition, or reference oligonucleotides, have similar or identical base sequences as those in provided technologies but are not chirally controlled. In some embodiments, oligonucleotides in a reference composition, or reference oligonucleotides, share the same base sequences as those in provided technologies but are not chirally controlled. In some embodiments, oligonucleotides in a reference composition, or reference oligonucleotides, share the same constitutions as those in provided technologies but are not chirally controlled. In some embodiments, selectivity of a provided technology is at least 2, 3, 4, 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 500, 1000, 2000, 5000 or more fold compared to a reference technology (e.g., as measured by the ratio of a selectivity of a provided technology to that of a reference technology under comparable conditions; e.g., if selectivity of a provided technology is 1000 (e.g., if IC50 for a target mutant nucleic acid is 1 nm, and IC50 for a wild-type non-target nucleic acid is 1000 nm), that of a reference technology is 10, the fold is 100).
In some embodiments, a fold is at least 2. In some embodiments, a fold is at least 5. In some embodiments, a fold is at least 10. In some embodiments, a fold is at least 50. In some embodiments, a fold is at least 100. In some embodiments, a provided oligonucleotide or composition thereof can effectively reduce levels of mutant RHO protein (e.g., at least 50%, 60%, 70% or more reduction of a mutant RHO protein) while maintaining levels of wild-type RHO protein (e.g. at least 70%, 75%, 80%, 85%, 90%, 95%, or more wild-type RHO protein remaining) in a system (e.g. in retinopathy-affected cell).
In some embodiments, provided oligonucleotides are stable in various biological systems, e.g. in mouse brain homogenates (e.g., at least 70%, 75%, 80%, 85%, 90%, 95%, or more remaining after 1, 2, 3, 4, 5, 6, 7, or 8 days). In some embodiments, provided oligonucleotides are of low toxicity. In some embodiments, provided oligonucleotides and compositions thereof, e.g., chirally controlled oligonucleotides and compositions thereof, do not significant activate TLR9 (e.g., when compared to reference oligonucleotides and compositions thereof (e.g., corresponding stereorandom oligonucleotides and compositions thereof)). In some embodiments, provided oligonucleotides and compositions thereof, e.g., chirally controlled oligonucleotides and compositions thereof, do not significant induce complement activation (e.g., when compared to reference oligonucleotides and compositions thereof (e.g., corresponding stcrcorandom oligonucleotides and compositions thereof)).
Tar2etin2 a Disease-associated Allele 1005971 Among other things, oligonucleotides of the present disclosure can provide high specificity. For example, in some embodiments, an oligonucleotide targeting RHO is capable of mediating allele-specific knockdown, wherein the mutant, disease-associated allele of RHO (or a gene product thereof) is knocked down to a greater extent than an allele that is not associated or less associated, e.g., a wild-type allele. In some embodiments, a disease-associated allele comprises disease-associated mutation(s), e.g., P23H in RHO. In some embodiments, allele-specific knockdown is achieved with a RHO
oligonucleotide which targets the disease-associated mutation of the disease-associated RHO allele.
1005981 In some embodiments, for the treatment of an autosomal dominant disease, such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), in which one mutated copy of a gene is sufficient to cause disease, selectively targeting transcripts, e.g., mRNA, corresponding to the disease-causing allele is preferred. In some embodiments, a strategy to achieve this end involves using an oligonucleotide, e.g., a RHO oligonucleotide, capable of targeting a SNP, e.g., a RHO
SNP, where one variant of a SNP associates with a condition, disorder or disease at high frequency. In some embodiments, a variant of a SNP associated with a condition, disorder or disease may be referred to as a mutation.
1005991 In some embodiments, a SNP is a variation in a single nucleotide that occurs at a specific position in the genome, where each variation is present to some appreciable degree within a population (e.g., >1%). In some embodiments, the terms "single nucleotide polymorphism"
and "SNP", as used herein, refer to a single nucleotide variation among genomes of individuals of the same species. For example, at a specific base position in the human genome, the base C may appear in most individuals, but in an appreciable minority of individuals, the position is occupied by base A. There is an SNP at this specific base position, and the two possible nucleotide variations - C or A - are said to be alleles (or variants or isoforms) for this base position. In some embodiments, there are only two different alleles. In some embodiments, a SNP is triallelic in which three different base variations may coexist within a population.
Hodgkinson et al. 2009 Genetics 1. doi:10.4172/2157-7145.1000107. In some embodiments, a SNP may be a single nucleotide deletion or insertion. In general, SNPs may occur relatively frequently in genomes and contribute to genetic diversity. In some embodiments, the location of a SNP is flanked by highly conserved sequences. In some embodiments, an individual may be homozygous or heterozygous for an allele at each SNP site. A heterozygous SNP allele can be a differentiating polymorphism. A SNP may be targeted, optionally with selectivity as demonstrated herein, with an oligonucleotide.
1006001 Large collections of confirmed and annotated SNPs are publicly available (e.g., The SNP
Consortium, National Center for Biotechnology Information, Cold Spring Harbor Laboratory) [Sachidanandam et al. 2001 Nature 409: 928-933; The 1000 Genomes Project Consortium 2010 Nature 467: 1061-73 and Corrigendum; Kay et al. 2015 Mol. Ther. 23: 1759-17711.
1006011 Many SNPs in the RHO gene (e.g., RHO SNPs) are reportedly associated with disease chromosomes and have strong linkage associations with the deleterious, disease-associated mutation(s). It has been reported that many SNPs highly associated with a disease-associated mutation(s) do not segregate independently and are in Linkage Disequilibrium with each other. Among other things, the present disclosure recognizes that strong association between specific RHO SNPs and/or mutation(s) and various conditions, disorders or diseases provides an attractive therapeutic opportunity for the treatment of such conditions, disorders or diseases (e.g., retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), e.g., through antisense therapy.
Furthermore, the association of specific SNPs combined with high rates of heterozygosity in retinopathy patients provides suitable targets for allele-specific knockdown of the mutant gene product.
1006021 In some embodiments, one variant of a RHO SNP may be more associated with a condition, disorder or disease. In some embodiments, a variant of a SNP is also designated an isoform of a SNP. In some embodiments, a RHO oligonucleotide targets a variant of a SNP which is more associated with a condition, disorder or disease, and the RHO oligonucleotide is capable of mediating allele-specific inhibition (or suppression), wherein the level, expression and/or activity of the mutant RHO allele [comprising a disease-associated mutation(s)] is decreased preferentially relative to the level, expression and/or activity of the wild-type RHO allele (which does not comprise a disease-associated mutation(s)).
[00603] In some embodiments, prior to treating a subject with a RHO oligonucleotide which targets a particular variant of a particular SNP or a mutation, and which is capable of mediating allele-specific knockdown of the mutant RHO, a genetic analysis of the subject is performed to determine which variant of the targeted SNP the subject has, or whether the subject has the targeted mutation.
1006041 At a given gene locus on a pair of autosomal chromosomes, a diploid organism (e.g., a human being) inherits one allele of the gene from the mother and another allele of the gene from the father.
At a heterozygous gene locus, two parents contribute different alleles (e.g., one A and one a). Without additional processing, it may be impossible to tell which parent contributed which allele. Such genotype data that is not attributed to a particular parent is referred to as unphased genotype data. Typically, initial genotype readings obtained from genotyping chips are often in an unphased form.
[00605] Many sequencing procedures can reveal that an individual has sequence variability at particular positions. For example, at one position (e.g., a SNP), the individual may have a C in one copy of the gene and a G on the other. For a separate position (e.g., a different SNP), the individual may have an A in one copy and a U in the other. Because many sequencing techniques involve fragmentation of the nucleic acid template, depending on the sequencing technique used, it may not be possible to determine, for example, if the C and A or C and U are on the same chromosome. Phasing information will provide information on the arrangement of the different alleles on the different chromosomes.
[00606] As noted by Laver et al., phasing is also important in pharmacogenetics, transplant HLA
typing and disease association mapping. Laver et al. 2016 Nature Scientific Reports 6:21746 DOT:
10.1038/srep21746. Phasing of allelic variants is important for clinical interpretation of the genome, population genetic analysis, and functional genomic analysis of allelic activity. The phasing of rare and de novo variants is crucial for identifying putative causal variants in clinical genetics applications, for example by distinguishing compound heterozygotes from two variants on the same allele.
[00607] In some embodiments, a RHO oligonucleotide targets a portion of a RHO transcript, e.g., mRNA, comprising a position of a SNP. Many RHO SNPs are known in the art. In some embodiments, a provided oligonucleotide, e.g., a RHO oligonucleotide, targets a portion of a RHO transcript comprising a mutation, e.g., P23H (P [CCC] > H [CAC]). In some embodiments, a provided oligonucleotide is complementary to the mutation [Al but not to [C].
1006081 In some embodiments of a method for treatment of retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), a patient is afflicted with retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) characterized by a disease-associated mutation(s)in one allele of the RHO gene, and the patient is administered a therapeutically effective amount of a RHO oligonucleotide, wherein the RHO
targets a RHO SNP (e.g., a portion of a RHO mRNA comprising the position of a SNP) variant which is associated with the condition, disorder or disease.
1006091 In some embodiments, an oligonucleotide comprises a sequence that is complementary to an SNP allele associated with a condition, disorder or disease. In some embodiments, a RHO
oligonucleotide targets a RHO site which is SNP rs104893768. In some embodiments, an oligonucleotide is complementary to the A allele of SNP rs104893768. In some embodiments, an oligonucleotide comprises a sequence that is complementary to a point mutation, e.g., P23H (P [CCC] > H
[CAC]) in RHO.
1006101 In some embodiments, a RHO oligonucleotide targets a RHO
site which is selected from any of the following SNPs: rs104893768.
1006111 In some embodiments, a RHO oligonucleotide targets a RHO
site which is selected from any of the following SNPs: rs104893768.
1006121 At least one of SNPs has been reported as being difficult to target with an oligonucleotide to reduce expression, level and/or activity of RHO or a product thereof, especially with selectivity for mutant RHO. Among other things, the present disclosure provides technologies, e.g., oligonucleotides, compositions, methods, etc., for targeting such difficult SNPs (and others) to reduce expression, level and/or activity of RHO or a product thereof, in many cases, selectively of mutant RHO
or a product thereof.
1006131 In some embodiments, a targeted RHO SNP is rs104893768.
1006141 In some embodiments, RHO oligonucleotides targeting SNP
rs104893768 (or the corresponding wild-type position) include, as non-limiting examples: WV-39023, and WV-48182, and any oligonucleotide comprising at least 10 consecutive bases of the sequence of any of these oligonucleotides which spans the SNP (or the corresponding wild-type position).
1006151 In some embodiments, RHO oligonucleotides targeting SNP
rs104893768 (or the corresponding wild-type position) include, as non-limiting examples: WV-39023, and WV-48182, and any oligonucleotide comprising at least 10 consecutive bases of the sequence of any of these oligonucleotides which spans the SNP (or the corresponding wild-type position).
1006161 In some embodiments, a targeted RHO SNP is intronic. In some embodiments, a targeted RHO SNP is exonic.
1006171 In some embodiments, a RHO oligonucleotide targets a SNP
which is intronic.
1006181 In some embodiments, a RHO oligonucleotide targets an intronic RHO SNP and has a base sequence comprising the SNP (or the complement of a base sequence comprising the SNP) or has a base sequence comprising a wild-type base corresponding to the SNP (or the complement thereof).
1006191 In some embodiments, a base bascpairing to a base at a SNP
site (a SNP base; a base basepairing to a SNP base a SNP-pairing base) in a transcript, e.g., a RHO
mRNA, can be located at various position of an oligonucleotide, e.g., a RHO oligonucleotide. In some embodiments, a SNP-pairing base is located at position 1, 2, 3, 4, 5, 6, 7, 8, 9, 19, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 (counting from the 5' end) of an oligonucleotide. In some embodiments, the position 1 (counting from the 5' end) is also designated Pl; the position 2 (counting from the 5' end) is also designated P2; etc. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at position 1, 2, 3, 4, 5, 6, 7, 8, 9, 19, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 (counting from the 5' end).
1006201 In some embodiments, a RHO oligonucleotide has a SNP at position 12 (counting from 5' to 3'). In some embodiments, a RHO oligonucleotide has a SNP at position 11 (counting from 5' to 3'). In some embodiments, a RHO oligonucleotide has a SNP at position 10 (counting from 5' to 3'). In some embodiments, a RHO oligonucleotide has a SNP at position 9 (counting from 5' to 3'). In some embodiments, a RHO oligonucleotide has a SNP at position 8 (counting from 5' to 3'). In some embodiments, a RHO oligonucleotide has a SNP at position 7 (counting from 5' to 3'). In some embodiments, an oligonucleotide is WV-39023. In some embodiments, an oligonucleotide is WV-48182.
1006211 In some embodiments, a base that base-pairs to a nucleic acid at a SNP can be considered either a SNP-pairing base or a SNP. For example, if a SNP is A in the gene, a gene transcript having a T
in the corresponding position can be considered either a SNP or a SNP-pairing base. An oligonucleotide having A at that position can be considered to be a SNP-pairing base (as it can base-pair with the gene transcript having a T at the corresponding position), or it may simply be considered a SNP. In some embodiments, a SNP-pairing base is a SNP.
1006221 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P1 (of the oligonucleotide, wherein the position is counted as a number of bases from 5' to 3'). In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P2 (e.g., the second position of the oligonucleotide, wherein the position is counted as a number of bases from 5' to 3'). In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P3. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P4. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P5. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P6. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P7. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P8. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P9. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P10 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P11. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P12. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P13. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P14. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P15. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P16. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P17. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P18. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P19. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P20. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing basc at Position P21. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P22. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P23. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P24. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P25. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P26. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P27. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P28. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P29. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P30.
1006231 In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P7. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P8. In some embodiments, an oligonucleotide, e.g., a RHO
oligonucleotide, comprises a SNP-pairing base at Position P9. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P10. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P11. In some embodiments, an oligonucleotide, e.g., a RHO oligonucleotide, comprises a SNP-pairing base at Position P12. In some embodiments, an oligonucleotide is WV-39023. In some embodiments, an oligonucleotide is WV-48182.
1006241 In some embodiments, the present disclosure pertains to any oligonucleotide comprising a sequence of any oligonucleotide or comprising a span of 10 or more consecutive bases of the sequence of any oligonucleotide disclosed herein, wherein any one or more bases is replaced by inosine.
Phasing 1006251 Various techniques can be used to determine if a particular SNP allele is on the same chromosome as a disease-associated sequence, e.g., disease-associated mutation(s) for RHO. Typically, if the SNP allele and the disease-associated mutation(s) are on the same chromosome, a RHO oligonucleotide that targets that SNP allele can also "target" the disease-associated mutation(s), thereby allowing a decrease in the expression, level and/or activity of the RHO allele with the disease-associated mutation(s). In such a way, for example, a RHO oligonucleotide can be used in a treatment for a RHO-related disorder such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). A RHO
oligonucleotide targeting a SNP can thus preferentially decrease the expression, level and/or activity of a mutant allele of RHO compared to the wild-type allele.
1006261 Humans, among other living things, arc diploid, and determining the linkage of alleles of genetic loci on the same or different chromosomes is desirable for phasing techniques. The sequences on corresponding chromosomes are known as haplotypes. The process of determining which alleles are on which chromosomes is known as phasing, haplotype phasing or haplotyping.
Phasing information is useful in patient stratification, forensics and various other applications in the treatment of RHO-related diseases and disorders such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.)s. For additional general information about phasing, see, for example: Twehey et al. 2011 Nat. Rev. Genet. 12: 215-223; and Glusman et al. 2014 Genome Med.
6:73.
1006271 Phasing data can be important in allele-specific therapies for diseases such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). In some diseases, a genetic lesion such as a deleterious repeat, deletion, insertion, inversion or other mutation has been identified, such as a mutant (and disease-associated) RHO allele(s). In some patients, one allele of a gene such as RHO can comprise a disease-associated mutation(s) at a genetic locus, while the other allele is normal, wild-type or otherwise not disease-associated. In some embodiments, an allele-specific therapy can target an allele of RHO comprising a disease-associated mutation(s), but not the corresponding wild-type allele. In some embodiments, an allele-specific therapy can target a RHO
allele comprising a disease-associated mutation(s) at a particular locus, such as a disease-associated mutation(s) (or a disease-associated mutation(s)), but not by directly targeting the locus, but rather by targeting a different locus on the mutant allele. As a non-limiting example, an allele-specific therapy can target an allele comprising a disease-associated mutation(s) at a locus by targeting a different locus in the same allele, such as a SNP (single nucleotide polymorphism) in the same gene.
1006281 As a non-limiting example, some disease-associated genetic lesions may be difficult to target or otherwise not readily amenable to targeting. As a non-limiting example, some genes such as mutant RHO comprise a disease-associated (deleterious) mutation; in some cases, such as retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.). However, if a particular SNP variant exists on the same allele as the disease-associated mutation but not on the wild-type allele, that SNP variant can be used to target an allele-specific therapy which targets the mutant allele but not the wild-type allele.
1006291 As a non-limiting example, phasing data for an individual indicates if a particular SNP is in phase (e.g., on the same chromosome) as the lesion and thus that SNP can be targeted with a therapeutic nucleic acid. The therapeutic can then target the mutant gene, while not targeting the wild-type allele.
Obtaining the phasing data to target only the mutant allele can be especially useful if expression of the wild-type allele is essential.
1006301 As another non-limiting example, phasing information is useful if it is known that an individual has both a wild-type and a mutant allele of each of two genetic loci on the same gene. Phasing information will reveal if both copies of the gene each have one mutant allele, or if one copy of the gene has two mutations, while the other is wild-type at both alleles.
1006311 In some embodiments, the present disclosure presents, inter alia, various methods for phasing genetic loci on a nucleic acid template. As non-limiting examples, the present disclosure presents methods for phasing a genetic locus such as a genetic lesion (such as an inversion, fusion, deletion, insertion or other mutation) and another genetic locus (such as a SNP) on a chromosome;
the two genetic loci can be in the same gene, or in different genes.

[00632] In a non-limiting example, an example patient may have retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, rctinitis pigmcntosa, autosomal dominant retinitis pigmcntosa, etc.), which is linked to a disease-associated mutation in the RHO gene. In some embodiments, the patient may be under consideration for treatment with an allele-specific therapeutic (e.g., an antisense oligonucleotide or RNAi agent) which recognizes a particular allelic variant of a genetic locus in the RHO gene (which is outside a deleterious or pathogenic mutation), as a non-limiting example, a SNP. If phasing reveals that the same chromosome of the patient comprises both the deleterious or pathogenic mutation and the particular allelic variant of a genetic locus (e.g., a SNP) recognized by the allele-specific therapeutic, then the patient is eligible for treatment with the allele-specific therapeutic.
[00633] In some embodiments, phasing is performed using blood samples. In one procedure, blood samples were obtained from 3 healthy donors, and peripheral blood mononuclear cells (PBMCs) were isolated.
[00634] In some embodiments, phasing of a SNP allele and a disease-associated mutation can be performed using sequencing.
[00635] Various methods for phasing are known in the art, including but not limited to those described in: W02018/022473; and Berger et al. 2015 Res. Comp. Mol. Biol.
9029: 28-29; Castel et al.
2015 Genome Biol. 16: 195; Castel et al. 2016 phASER: Long range phasing and haplotypic expression from RNA sequencing, doi: http://dx.doi.org/10.1101/039529; Delaneau et al.
2012 Nat. Methods 9: 179-181; Garg et al. 2016 Read-Based Phasing of Related Individuals; Hickey et al.
2011 Genet. Select. Evol.
43:12; Kuleshov et al. 2014 Nat. Biotech. 32: 261-266; Laver et al. 2016 Nature Scientific Reports 6:21746 DOT: 10.1038/srep21746; O'Connell et al. 2014 PLoS ONE 10: e1004234; Regan et al. 2015 PloS ONE
10: e0118270; Roach et al. 2011 Am. J. Hum. Genet. 89: 382-397; and Yang et al. 2013 Bioinformatics 29:
2245-2252. In some embodiments, sequencing, particularly sequencing that can produce long single reads, can be utilized for phasing.
Pan-specific RHO oligonucleotides [00636] In some embodiments, a RHO oligonucleotide can effectively reduce expression, level, and/or activity of transcripts from two or more or all alleles and/or products thereof (e.g., by targeting a shared base sequence). In some embodiments, a RHO oligonucleotide can effectively reduce expression, level, and/or activity of both mutant and wild-type RHO transcripts and/or products thereof. In some embodiments, a RHO oligonucleotide reduces expression, level, and/or activity of both mutant and wild-type RHO alleles or products thereof without significant selectivity. In some embodiments, a RHO
oligonucleotide does not target a region comprising a SNP; e.g., the RHO
oligonucleotide is completely complementary to a sequence in a RHO gene or mRNA which is present in all, essentially all, or nearly all human beings. In some embodiments, a RHO oligonucleotide targets a sequence shared by both wild-type and mutant RHO. In some embodiments, a RHO oligonucleotide is complementary to a sequence shared by both wild-type and mutant RHO.
1006371 Such a RHO oligonucleotide can be considered as a pan-specific RHO oligonucleotide.
While a pan-specific RHO oligonucleotide does not distinguish significantly between the wild-type and mutant alleles of RHO with significant selectivity (e.g., 2 or more fold), it may be useful in sufficiently lowering the expression, level and/or activity of the mutant RHO allele (while, in at least some cases, concomitantly lowering the expression, level and/or activity of the wild-type RHO allele). In some embodiments, a pan-specific RHO oligonucleotide is capable of mediating a decrease in the expression, level and/or activity of a mutant RHO gene or a gene product thereof which is sufficient to ameliorate, prevent, or delay the onset of retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) or at least one symptom thereof, while simultaneously the pan-specific RHO
oligonucleotide does not decrease the expression, level and/or activity of the wild-type gene or a gene product enough to cause a deleterious effect in the subject or patient.
1006381 Example reductions in levels, activities and/or expression of a RHO target gene or a gene product thereof as mediated by various RHO oligonucleotides, some of which are pan-specific, are described herein.
1006391 In some embodiments, a RHO oligonucleotide does not target a SNP or mutation. In some embodiments, a base sequence does not comprise a SNP or mutation, or a sequence complementary to a SNP or mutation.
1006401 In some embodiments, a RHO oligonucleotide has a base sequence which is not characterized by a known SNP or mutation; in some embodiments, such an oligonucleotide can knock down both wild-type and mutant RHO, and in some embodiments, such an oligonucleotide is a pan-specific oligonucleotide.
1006411 In some embodiments, the present disclosure pertains to an oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides are pan-specific RHO
oligonucleotides which comprise at least one chirally controlled intemucleotidic linkage. In some embodiments, a chirally controlled intemucleotidic linkage is a chirally controlled phosphorothioate intemucleotidic linkage. In some embodiments, a chirally controlled intemucleotidic linkage is a Sp chirally controlled phosphorothioate intemucleotidic linkage. In some embodiments, a chirally controlled intemucleotidic linkage is a Rp chirally controlled ph o sph oroth oate intemucleotidic linkage. In some embodiments, the oligonucleotides comprise at least one Sp chirally controlled phosphorothioate internucleotidic linkage, and at least one Rp chirally controlled internucleotidic linkage.
Characterization and Assessment 1006421 In some embodiments, properties and/or activities of provided oligonucleotides, e.g., RHO
oligonucleotides, and compositions thereof can be characterized and/or assessed using various technologies available to those skilled in the art, e.g., biochemical assays (e.g., RNase H
assays), cell based assays, animal models, clinical trials, etc.
1006431 In some embodiments, a method of identifying and/or characterizing an oligonucleotide composition, e.g., a RHO oligonucleotide composition, comprises steps of:
providing at least one composition comprising a plurality of oligonucleotides;
and assessing delivery relative to a reference composition.
1006441 In some embodiments, the present disclosure provides a method of identifying and/or characterizing an oligonucleotide composition, e.g., a RHO oligonucleotide composition, comprises steps of:
providing at least one composition comprising a plurality of oligonucleotides;
and assessing cellular uptake relative to a reference composition.
1006451 In some embodiments, the present disclosure provides a method of identifying and/or characterizing an oligonucleotide composition, e.g., a RHO oligonucleotide composition, comprises steps of:
providing at least one composition comprising a plurality of oligonucleotides;
and assessing reduction of transcripts of a target gene and/or a product encoded thereby relative to a reference composition.
1006461 In some embodiments, oligonucleotides and compositions thereof are assessed for both potency and selectivity. In some embodiments, the present disclosure provides a method comprising:
administering an oligonucleotide or an oligonucleotide composition to a system expressing or comprising RHO transcripts encoding P23H mutation and RHO transcripts encoding no P23H mutation;
and assessing levels of the RHO transcripts encoding P23H mutation and RHO
transcripts encoding no P23H mutation;
wherein the oligonucleotide or oligonucleotide composition selectively reduce levels of the RHO
transcripts encoding P23H mutation over RHO transcripts encoding no P23H
mutation.
1006471 In some embodiments, a system is or comprising a cell. In some embodiments, a system is or comprising a tissue. In some embodiments, a system is or comprising an organ. In some embodiments, a system is or comprising an organism. In some embodiments, a system is a subject. In some embodiments, a system is a human. In some embodiments, a system comprise genetic sequences encoding P23H mutation.
1006481 In some embodiments, properties and/or activities of oligonucleotides, e.g., RHO
oligonucleotides, and compositions thereof are compared to reference oligonucleotides and compositions thereof, respectively.
1006491 In some embodiments, a reference oligonucleotide composition is a stereorandom oligonucleotide composition. In some embodiments, a reference oligonucleotide composition is a stereorandom composition of oligonucleotides of which all internucleotidic linkages are phosphorothioate.
In some embodiments, a reference oligonucleotide composition is a DNA
oligonucleotide composition with all phosphate linkages. In some embodiments, a reference composition comprise a plurality of reference oligonucleotides, which share the same constitution as oligonucleotides of a plurality in a provided chirally controlled oligonucleotide composition but have fewer or no chirally controlled internucleotidic linkages.
In some embodiments, a reference composition comprise a plurality of reference oligonucleotides, which share the same constitution as oligonucleotides of a plurality in a provided chirally controlled oligonucleotide composition but have a different pattern of backbone chiral centers. In some embodiments, a reference oligonucleotide composition is otherwise identical to a provided chirally controlled oligonucleotide composition except that it is not chirally controlled. In some embodiments, a reference oligonucleotide composition is otherwise identical to a provided chirally controlled oligonucleotide composition except that it has a different pattern of stereochemistry. In some embodiments, a reference oligonucleotide composition is similar to a provided oligonucleotide composition except that it has a different modification of one or more sugar, base, and/or internucleotidic linkage, or pattern of modifications. In some embodiments, an oligonucleotide composition is stereorandom and a reference oligonucleotide composition is also stereorandom, but they differ in regards to sugar and/or base modification(s) or patterns thereof 1006501 In some embodiments, a reference composition is a composition of oligonucleotides having the same base sequence and the same chemical modifications. In some embodiments, a reference composition is a composition of oligonucleotides having the same base sequence and the same pattern of chemical modifications. In some embodiments, a reference composition is a non-chirally controlled (or stereorandom) composition of oligonucleotides having the same base sequence and chemical modifications.
In some embodiments, a reference composition is a non-chirally controlled (or stereorandom) composition of oligonucleotides of the same constitution but is otherwise identical to a provided chirally controlled oligonucleotide composition.
1006511 In some embodiments, the suffix "r" is appended to the designation of a stereorandom oligonucleotide composition. In some embodiments, the suffix "p" is appended to the designation of a chirally-controlled (or stereopure) oligonucleotide composition. The suffixes "r" and "p" are optional.

1006521 In some embodiments, a reference composition is a composition of oligonucleotides having the same base sequence but different chemical modifications, including but not limited to chemical modifications described herein. In some embodiments, a reference composition is a composition of oligonucleotides having the same base sequence but different patterns of intemucleotidic linkages and/or stereochemistry of intemucleotidic linkages and/or chemical modifications.
1006531 Various methods are known in the art for detection of gene products, the expression, level and/or activity of which may be altered after introduction or administration of a provided oligonucleotide.
For example, transcripts and their knockdown can be detected and quantified with qPCR, and protein levels can be determined via Western blot.
1006541 In some embodiments, assessment of efficacy of oligonucleotides can be performed in biochemical assays or in vitro in cells. In some embodiments, provided oligonucleotides can be introduced to cells via various methods available to those skilled in the art, e.g., gymnotic delivery, transfection, lipofection, etc.
1006551 In some embodiments, the efficacy of a putative RHO
oligonucleotide can be tested in vitro.
1006561 In some embodiments, the efficacy of a putative RHO
oligonucleotide can be tested in vitro using any known method of testing the expression, level and/or activity of a RHO gene or gene product thereof.
1006571 In some embodiments, a RHO oligonucleotide is tested in a cell or animal model of retinopathy.
1006581 In some embodiments, a cell model of retinopathy is a cell comprising a wild-type and/or mutant RHO gene. In some embodiments, a cell model or animal model which comprises a wild-type RHO
gene can be used as a control in an experiment involving the knockdown of a mutant RHO gene in a corresponding cell model or animal model. In some embodiments, wherein a RHO
oligonucleotide is designed to knock down both wild-type and mutant RHO alleles (e.g., a pan-specific RHO oligonucleotide), a cell model and/or animal model comprising a wild-type and/or mutant RHO
allele can be used to evaluate the ability of the RHO oligonucleotide to knock down RHO.
1006591 In some embodiments, a cell is retinopathy patient-derived cell.
1006601 In some embodiments, a cell is retinopathy patient-derived fibroblast.
1006611 In some embodiments, a cell is a COS-7 cells expressing RHO P23H.
1006621 In some embodiments, a cell is a human retinal pigmented epithelial cell line (ARPE-19).
1006631 In some embodiments, a RHO gene or protein that is used in various studies and evaluations is a fluorescently tagged Rhodopsin, Rho-EGFP.

1006641 Many technologies for assessing activities and/or properties of oligonucleotides in animals are known and practiced by those skilled in the art and can be utilized in accordance with the present disclosure. In some embodiments, evaluation of an oligonucleotide can be performed in an animal. Various animals may be used to assess properties and activities of provided oligonucleotides and compositions thereof 1006651 Identification of the RHO gene has allowed for the development of animal models of the disease, including transgenic RHO rats and mice carrying mutated human or mouse forms of the gene.
Models include mice carrying at least a portion of the human gene, which contains the disease-associated mutation(s) (or the wild-type equivalent). Animal models typically have at least some shared features with the human disease. These mice have allowed for the testing of a number of different therapeutic agents for the prevention, amelioration and treatment of retinopathy using a number of endpoints. Useful compounds may function by a number of different mechanisms.
1006661 Various animal models of retinopathy have been reported in the literature. For information related to cells, cell lines, animal models, including but not limited to mice, rats and flies, and various experimental procedures suitable for the study of RHO, and/or the analysis of RHO oligonucleotides, see those noted herein or in the relevant art. Various model organisms have reportedly been used in the study of RHO function. Any of these model organisms can be used to analyze the activity or other properties of a RHO oligonucleotide.
1006671 RHO animal models (including those with both or either wild-type RHO and RHO P23H) include:
1006681 Homozygous breeders of transgenic rats carrying RHO
mutation P23H (line 2, albino); and heterozygous P23H rats produced by mating homozygous breeders with wild-type Sprague Dawley rats.
1006691 A RHO P23H line-3 rat model.
1006701 A Sprague-Dawley rat comprising a wild-type RHO or RHO
P23H gene.
1006711 A knock-in RHO P23H mouse model.
1006721 A transgenic mouse model which comprises a normal RHO, e.g., NHR-A or NHR-E.
1006731 A transgenic Xenopus laevis model of RP.
1006741 A genetically modified pig expressing RHO P23H.
1006751 A nematode model comprising a wild-type RHO or RHO P23H
gene.
1006761 In some embodiments, wherein an oligonucleotide, e.g., a RHO oligonucleotide, which targets a particular SNP variant, it may be desirable to test the oligonucleotide in a particular test animal.
However, it may also be the case that the test animal may not have in its genome the complement of that SNP variant. In such a case, it may be desirable to construct an oligonucleotide which is identical to the RHO oligonucleotide to be tested except that it has a SNP variant which is complementary to the SNP
variant in the test animal. Such an oligonucleotide can be termed, for example, a surrogate of the RHO
oligonucleotide to be tested. In some embodiments, a provided RHO
oligonucleotide is identical to any RHO oligonucleotide described herein, or any oligonucleotide which comprises at least 10 contiguous bases thereof, except that the oligonucleotide comprises a different SNP variant than that described herein.
1006771 In some embodiments, an animal model administered an oligonucleotide, e.g., a RHO
oligonucleotide, can be evaluated for safety and/or efficacy.
1006781 In some embodiments, the effect(s) of administration of an oligonucleotide to an animal can be evaluated, including any effects on behavior, inflammation, and toxicity. In some embodiments, following dosing, animals can be observed for signs of toxicity including trouble grooming, lack of food consumption, and any other signs of lethargy. In some embodiments, in a mouse model of retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), following administration of a RHO oligonucleotide, the animals can be monitored for timing of onset of a rear paw clasping phenotype.
1006791 In some embodiments, following administration of a RHO
oligonucleotide to an animal, the animal can be sacrificed and analysis of tissues or cells can be performed to determine changes in mutant or wild-type RHO, or other biochemical or other changes. In some embodiments, following necropsy, liver, heart, lung, kidney, and spleen can be collected, fixed, and processed for histopathological evaluation (standard light microscopic examination of hematoxylin and eosin-stained tissue slides).
1006801 In some embodiments, following administration of an oligonucleotide, e.g., a RHO
oligonucleotide, to an animal, behavioral changes can be monitored or assessed. In some embodiments, such an assessment can be performed using a technique described in the scientific literature.
1006811 Various effects of testing in animals described herein can also be monitored in human subjects or patients following administration of a RHO oligonucleotide.
1006821 In addition, the efficacy of a RHO oligonucleotide in a human patient can be measured by evaluating, after administration of the oligonucleotide, any of various parameters known in the art, including but not limited to a reduction in a symptom of retinopathy, or a decrease in the rate of worsening of a symptom of retinopathy.
1006831 In some embodiments, following human treatment with an oligonucleotide, or contacting a cell or tissue in vitro with an oligonucleotide, cells and/or tissues are collected for analysis.
1006841 In some embodiments, in various cells and/or tissues, target nucleic acid levels can be quantitated by methods available in the art, many of which can be accomplished with commercially available kits and materials. Such methods include, e.g., Northern blot analysis, competitive polymerase chain reaction (PCR), quantitative real-time PCR, etc. RNA analysis can be performed on total cellular RNA or poly(A)+ mRNA. Probes and primers are designed to hybridize to a nucleic acid to be detected.
Methods for designing real-time PCR probes and primers are well known and widely practiced in the art.
For example, to detect and quantify RHO RNA, an example method comprises isolation of total RNA (e.g., including mRNA) from a cell or animal treated with an oligonucleotide or a composition and subjecting the RNA to reverse transcription and/or quantitative real-time PCR, for example, as described herein, or in:
Moon et al. 2012 Cell Metab. 15: 240-246.

In some embodiments, protein levels can be evaluated or quantitated in various methods known in the art, e.g., enzyme-linked immunosorbent assay (ELISA), Western blot analysis (immunoblotting), immunocytochemistry, fluorescence-activated cell sorting (FACS), immunohistochemistry, immunoprecipitation, protein activity assays (for example, caspase activity assays), and quantitative protein assays. Antibodies useful for the detection of mouse, rat, monkey, and human proteins are commercially available or can be generated if needed. For example, various RHO antibodies have been reported in the literature. Antibodies to RHO are also commercially available, e.g., from GeneTex (Irvine, CA), LifeSpan BioSciences (Seattle, WA), Abeam (Cambridge, MA), etc.

Various technologies are available and/or known in the art for detecting levels of oligonucleotides or other nucleic acids.
Such technologies are useful for detecting provided oligonucleotides, e.g., RHO oligonucleotides, when administered to assess, e.g., delivery, cell uptake, stability, distribution, etc.

In some embodiments, selection criteria are used to evaluate the data resulting from various assays and to select particularly desirable oligonucleotides, e.g., desirable RHO oligonucleotidcs, with certain properties and activities. In some embodiments, selection criteria include an ICso of less than about nM, less than about 5 nM or less than about 1 nM. In some embodiments, selection criteria for a stability assay include at least 50% stability at least 50% of an oligonucleotide is still remaining and/or detectable]
at Day 1. In some embodiments, selection criteria for a stability assay include at least 50% stability at Day 2. In some embodiments, selection criteria for a stability assay include at least 50% stability at Day 3. In some embodiments, selection criteria for a stability assay include at least 50% stability at Day 4. In some embodiments, selection criteria for a stability assay include at least 50%
stability at Day 5. In some embodiments, selection criteria for a stability assay include at least 80% at least 80% of the oligonucleotide remains] at Day 5.

In some embodiments, a target gene, e.g., RHO, is a wild-type gene. In some embodiments, a target gene comprises one or more mutations. In some embodiments, a target gene comprises a mutation associated with a disorder. In some embodiments, a mutation is a single nucleotide polymorphism (SNP).
In some embodiments, base sequences of provided oligonucleotides are complementary to target sequences in transcripts comprising a mutation or SNP associated with a condition, disorder or disease. In some embodiments, provided oligonucleotides and compositions selectively reduce levels of transcripts comprising a mutation or SNP associated with a condition, disorder or disease and/or products encoded thereby relative to wild-type transcripts and/or transcripts less associated with a condition, disorder or disease and/or products encoded thereby. In many embodiments, provided oligonucleotides are complementary to transcripts comprising mutations or SNPs associated with conditions, disorders or diseases at the mutation or SNP sites while they have mismatches when hybridizing to wild-type or less associated transcripts at the sites corresponding to the mutations or SNPs. In some embodiments, a mutation or SNP is located 0, 1, 2, 3 or 4 internucleotidic linkages from a Rp or Op internucleotidic linkage when a transcript comprising the mutation or SNP is hybridized with a provided oligonucleotide.
1006891 In some embodiments, efficacy of a RHO oligonucleotide is assessed directly or indirectly by monitoring, measuring or detecting a change in a condition, disorder or disease or a biological pathway associated with RHO.
1006901 In some embodiments, efficacy of a RHO oligonucleotide is assessed directly or indirectly by monitoring, measuring or detecting a change in a biochemical phenomenon associated with retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), including but not limited to accumulation of complexes comprising mutant RHO protein comprising a P23H mutation, or fragments thereof.
1006911 In some embodiments, efficacy of a RHO oligonucleotide is assessed directly or indirectly by monitoring, measuring or detecting a changc in a response to be affected by RHO knockdown.
1006921 In some embodiments, a provided oligonucleotide (e.g., a RHO oligonucleotide) can by analyzed by a sequence analysis to determine what other genes [e.g., genes which are not a target gene (e.g., RHO)] have a sequence which is complementary to the base sequence of the provided oligonucleotide (e.g., the RHO oligonucleotide) or which have 0, 1, 2 or more mismatches from the base sequence of the provided oligonucleotide (e.g., the RHO oligonucleotide). Knockdown, if any, by the oligonucleotide of these potential off-targets can be determined to evaluate potential off-target effects of an oligonucleotide (e.g., a RHO oligonucleotide). In some embodiments, an off-target effect is also termed an unintended effect and/or related to hybridization to a bystander (non-target) sequence or gene.
1006931 Oligonucleotides which have been evaluated and tested for efficacy in knocking down RHO have various uses, e.g., in treatment or prevention of a RHO-related condition, disorder or disease or a symptom thereof.
1006941 In some embodiments, a RHO oligonucleotide which has been evaluated and tested for its ability to provide a particular biological effect (e.g., reduction of level, expression and/or activity of a RHO

target gene or a gene product thereof) can be used to treat, ameliorate and/or prevent a RHO-related condition, disorder or disease.
RHO-Related Conditions, Disorders or Diseases 1006951 In some embodiments, provided oligonucleotides and compositions thereof are capable of providing a decrease in the expression and/or level of a mutant RHO target gene or a gene product thereof.
In some embodiments, a provided oligonucleotide or composition targets a RHO
gene and is useful for treatment of RHO-related conditions, disorders or diseases. In some embodiments, the present disclosure provides oligonucleotides and compositions for preventing and/or treating RHO-related conditions, disorders or diseases. In some embodiments, the present disclosure provides methods for preventing and/or treating RHO-related conditions, disorders or diseases, comprising administering to a subject susceptible thereto or suffering therefrom a therapeutically effective amount of a provided RHO oligonucleotide or a composition thereof. RHO-related conditions, disorders or diseases are extensively described in the art. In some embodiments, RHO-related conditions, disorders or diseases are associated with P23H mutation P
ICCC] > H [CAC]. In some embodiments, a RHO-related condition, disorder or disease is retinitis pigmentosa.
1006961 In some embodiments, the present disclosure provides a method for preventing a condition, disorder or disease in a subject, comprising administering or delivering to the subject an effective amount of an oligonucleotide or a composition, wherein the condition, disorder or disease is associated with RHO
P23II mutation, and the subject comprises RI 10 P23II mutation. In some embodiments, the present disclosure provides a method for treating a condition, disorder or disease in a subject, comprising administering or delivering to the subject an effective amount of an oligonucleotide or a composition, wherein the condition, disorder or disease is associated with RHO P23H
mutation, and the subject comprises RHO P23H mutation. In some embodiments, an oligonucleotide is WV-39023. In some embodiments, an oligonucleotide is WV-48182. In some embodiments, a composition is completely chirally controlled oligonucleotide composition of WV-39023. In some embodiments, a composition is completely chirally controlled oligonucleotide composition of WV-48182. In some embodiments, an oligonucleotide is provided as a pharmaceutically composition and is provided in one or more forms including one or more pharmaceutically acceptable salt forms in a composition.
In some embodiments, severity of a symptom of a condition, disorder or disease is reduced. In some embodiments, progression of a condition, disorder or disease is slowed or prevented. In some embodiments, a condition, disorder or disease is retinitis pigmentosa. In some embodiments, a condition, disorder or disease is autosomal dominant retinitis pigmentosa. In some embodiments, a condition, disorder or disease is autosomal dominant retinitis pigmentosa associated with RHO P23H mutation. In some embodiments, provided technologies maintains or improve retinal cell functions.
[00697] In some embodiments, a mutant RHO gene, gene target, protein, or other gene product, has the mutation P23H or RHO P23H. In some embodiments, the RHO P23H mutation (also referenced as RhoP23H or the RhoP23H allele) leads to a misfolded protein that is characterized by abnormal glycosylation pattern, abnormal disulfide bond formation and oligomerization.
In RP patients with the RHO P23H allele, retinal degeneration is characterized by the initial disorganization and shortening of rod outer segments, followed by the loss of rod photoreceptors and the ensuing death of cone cells. Similar findings are observed in various RhoP23H animal models.
[00698] In some embodiments, a RHO-related condition, disorder or disease is a condition, disorder or disease that is related to, caused by and/or associated with abnormal or excessive activity, level and/or expression, or abnormal tissue or inter- or intracellular distribution, of a RHO gene or a gene product thereof In some embodiments, a RHO-related condition, disorder or disease is associated with RHO if the presence, level and/or form of transcription of a RHO region, a RHO transcript and/or a product encoded thereby correlates with incidence of and/or susceptibility to the condition, disorder or disease (e.g., across a relevant population). In some embodiments, a RHO-related condition, disorder or disease is a condition, disorder or disease in which reduction of the level, expression and/or activity of a RHO gene or a product thereof ameliorates, prevents and/or reduces the severity of the condition, disorder or disease.
[00699] Examples of RHO-related conditions, disorders or diseases include retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant re tini fis pigmentosa, etc.).
[00700] In some embodiments, retinitis pigmentosa includes but is not limited to autosomal dominant retinitis pigmentosa (adRP or ADRP), or X-linked retinitis pigmentosa (x1RP or XLRP or XRP).
[00701] Two classes of adRP were reported. Class A patients reportedly lost retinal function over the entire retina and reported the onset of night blindness early in life. In contrast, class B patients reportedly exhibited a milder phenotype, normal rod activation kinetics, and preserved rod outer segment length, with anomalies in the rod visual cycle that were mutation specific. Photoreceptor degeneration in subclass B1 was reportedly not homogenous, and some patients showed an inferior to superior progression of disease.
[00702] Among other things, the present disclosure provides methods of using oligonucleotides disclosed herein which are capable of targeting RHO for treating and/or manufacturing a treatment for a RHO-related condition, disorder or disease. In some embodiments, a base sequence of a RHO
oligonucleotide or a single-stranded RNAi agent can comprise or consist of a base sequence which has a specified maximum number of mismatches (e.g., 1, 2, 3, etc.) from a specified base sequence.
Treatment of RHO-Related Conditions, Disorders or Diseases 1007031 In some embodiments, the present disclosure provides a RHO
oligonucleotide which targets RHO (e.g., a RHO oligonucleotide comprising a RHO target sequence or a sequence complementary to a RHO target sequence). In some embodiments, the present disclosure provides a RHO oligonucleotide which directs target-specific knockdown of RHO. In some embodiments, the present disclosure provides a RHO oligonucleotide which directs target-specific knockdown of RHO mediated by RNase H and/or RNA interference. Various oligonucleotides capable of targeting RHO are provided herein. In some embodiments, the present disclosure provides methods for preventing and/or treating RHO-related conditions, disorders or diseases using provided RHO oligonucleotides and compositions thereof In some embodiments, the present disclosure provides oligonucleotides and compositions thereof for use as medicaments, e.g., for RHO-related conditions, disorders or diseases. In some embodiments, the present disclosure provides oligonucleotides and compositions thereof for use in the treatment of RHO-related conditions, disorders or diseases. In some embodiments, the present disclosure provides oligonucleotides and compositions thereof for the manufacture of medicaments for the treatment of RHO-related conditions, disorders or diseases.
1007041 In some embodiments, the present disclosure provides a method for preventing, treating or ameliorating a RHO-related condition, disorder or disease in a subject susceptible thereto or suffering therefrom, comprising administering to the subject a therapeutically effective amount of a RHO
oligonucleotide or a pharmaceutical composition thereof.
1007051 In some embodiments, the present disclosure provides a method for treating or ameliorating a RHO-related condition, disorder or disease in a subject suffering therefrom, comprising administering to the subject a therapeutically effective amount of a RHO oligonucleotide or a pharmaceutical composition thereof 1007061 In some embodiments, the present disclosure provides methods for preventing or treating retinitis pigmentosa, comprising administering to a subject susceptible thereto or suffering therefrom a provided oligonucleotide or a composition thereof.
1007071 In some embodiments, an oligonucleotide or composition is administered as a pharmaceutical composition comprising an effective amount of an oligonucleotide or composition and a pharmaceutically acceptable carrier. In some embodiments, a composition is chirally controlled. In some embodiments, a composition comprises one or more pharmaceutically acceptable salt forms of an oligonucleotide. In some embodiments, a composition is a liquid composition.
In some embodiments, a liquid composition has an about neutral pH (e.g., around pH 7). In some embodiments, a liquid composition has a pH of about 7.4. In some embodiments, a liquid composition comprises a buffer.
1007081 In some embodiments, a RHO-related condition, disorder or disease is retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
[00709] In some embodiments, the present disclosure provides a method for reducing RHO gene expression in a cell, comprising: contacting the cell with a RHO
oligonucleotide or a composition thereof.
In some embodiments, the present disclosure provides a method for reducing the level of a RHO transcript in a cell, comprising: contacting the cell with a RHO oligonucleotide or a composition thereof In some embodiments, the present disclosure provides a method for reducing the level of a RHO protein in a cell, comprising: contacting the cell with a RHO oligonucleotide or a composition thereof In some embodiments, provided methods selectively reduce levels of RHO transcripts and/or products encoded thereby that are related to conditions, disorders or diseases.
[00710] In some embodiments, the present disclosure provides a method for decreasing RHO gene expression in a mammal in need thereof, comprising administering to the mammal a nucleic acid-lipid particle comprising a provided RHO oligonucleotide or a composition thereof [00711] In some embodiments, the present disclosure provides a method for in vivo delivery of a RHO oligonucleotide, comprising administering to a mammal a RHO
oligonucleotide or a composition thereof.
[00712] In some embodiments, a mammal is a human. In some embodiments, a mammal is susceptible to or afflicted with and/or suffering from a RHO-related condition, disorder or disease. In some embodiments, a mammal susceptible to a RHO-related condition, disorder or disease has a familial history of such a condition, disorder or disease, and/or has been genetically tested and determined to comprise a disease-associated mutation in the RHO gene.
[00713] In some embodiments, a subject or patient suitable for treatment of a RHO-related condition, disorder or disease, such as retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.), can be identified or diagnosed by a health care professional.
[00714] In some embodiments, a symptom of retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) is any symptom listed herein.
[00715] In some embodiments, a provided oligonucleotide or a composition thereof prevents, treats, ameliorates, or slows progression of a RHO-related condition, disorder or disease, or at least one symptom of a RHO-related condition, disorder or disease.
1007161 In some embodiments, a method of the present disclosure is for the treatment of retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) in a subject wherein the method comprises administering to a subject a therapeutically effective amount of a RHO

oligonucleotide or a pharmaceutical composition thereof.
1007171 In some embodiments, a provided method reduces at least one symptom of retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) wherein the method comprises administering to a subject a therapeutically effective amount of a RHO oligonucleotide or a pharmaceutical composition thereof.
1007181 In some embodiments, the present disclosure provides a method for treating and/or ameliorating one or more symptoms associated with a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising administering to the mammal a therapeutically effective amount of a RHO oligonucleotide or a composition thereof. In some embodiments, the present disclosure provides a method for reducing susceptibility to a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising: administering to the mammal a therapeutically effective amount of a RHO oligonucleotide or a composition thereof In some embodiments, the present disclosure provides a method for preventing or delaying the onset of a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising: administering to the mammal a therapeutically effective amount of a RHO oligonucleotide or a composition thereof In some embodiments, the present disclosure provides a method for treating and/or ameliorating one or more symptoms associated with a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising:
administering to the mammal a therapeutically effective amount of a nucleic acid-lipid particle comprising a RHO oligonucleotide. In some embodiments, the present disclosure provides a method for reducing susceptibility to a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising: administering to the mammal a therapeutically effective amount of a nucleic acid-lipid particle comprising a RHO
oligonucleotide. In some embodiments, the present disclosure provides a method for preventing or delaying the onset of a RHO-related condition, disorder or disease in a mammal in need thereof, the method comprising: administering to the mammal a therapeutically effective amount of a nucleic acid-lipid particle comprising a RHO oligonucleotide. In some embodiments, a mammal is a human. In some embodiments, a mammal is susceptible to, afflicted with and/or suffering from a RHO-related condition, disorder or disease.
1007191 In some embodiments, administration of a RHO
oligonucleotide to a patient or subject is capable of mediating any one or more of: slowing retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) progression, delaying the onset of retinopathy or at least one symptom thereof, improving one or more indicators of retinopathy, and/or increasing the survival time or lifespan of the patient or subject.

1007201 In some embodiments, slowing disease progression relates to the prevention of, or delay in, a clinically undesirable change in one or more clinical parameters in an individual susceptible to or suffering from retinopathy, such as those described herein. It is well within the abilities of a physician to identify a slowing of disease progression in an individual susceptible to or suffering from retinopathy, using one or more of the disease assessment tests described herein. Additionally, it is understood that a physician may administer to the individual diagnostic tests other than those described herein to assess the rate of disease progression in an individual susceptible to or suffering from retinopathy.
1007211 In some embodiments, delaying the onset of retinopathy or a symptom thereof relates to delaying one or more undesirable changes in one or more indicators of retinopathy that are negative for retinopathy. A physician may use family history of retinopathy or comparisons to other retinopathy patients with similar genetic profile to determine an expected approximate age of retinopathy onset to retinopathy to determine if onset of rctinopathy is delayed.
1007221 In some embodiments, indicators of retinopathy include parameters employed by a medical professional, such as a physician, to diagnose or measure the progression of retinopathy.
1007231 In some embodiments, an improvement in an indicator of retinopathy relates to the absence of an undesirable change, or the presence of a desirable change, in one or more indicators of retinopathy.
In one embodiment, an improvement in an indicator of retinopathy is evidenced by the absence of a measurable change in one or more indicators of retinopathy. In another embodiment, an improvement in an indicator of retinopathy is evidenced by a desirable change in one or more indicators of retinopathy.
1007241 In some embodiments, a slowing of disease progression may further comprise an increase in survival time in an individual susceptible to or suffering from retinopathy. In some embodiments, an increase in survival time relates to mean increasing the survival of an individual suffering from retinopathy, relative to an approximate survival time based upon retinopathy progression and/or family history of retinopathy. A physician can use one or more of the disease assessment tests described herein to predict an approximate survival time of an individual susceptible to or suffering from retinopathy. A physician may additionally use the family history of an individual susceptible to or suffering from retinopathy or comparisons to other retinopathy patients with similar genetic profile (e.g., disease-associated mutation(s)) to predict expected survival time.
1007251 In some embodiments, the present disclosure provides a method of inhibiting RHO
expression in a cell, the method comprising: (a) contacting the cell with a RHO oligonucleotide; and (b) maintaining the cell produced in step (a) for a time sufficient to obtain degradation of a mRNA transcript of a RHO gene, thereby inhibiting expression of the RHO gene in the cell. In some embodiments, RHO
expression is inhibited by at least 30%.
1007261 In some embodiments, the present disclosure provides a method of treating a condition, disorder or disease mediated by RHO expression comprising administering to a human susceptible to or suffering therefrom a therapeutically effective amount of a RHO
oligonucleotide or a composition thereof.
In some embodiments, administration causes a decrease in the expression, activity and/or level of a RHO
transcript. In some embodiments, administration is associated with a decrease in the expression, activity and/or level of a RHO transcript. In some embodiments, administration is followed by a decrease in the expression, activity and/or level of a RHO transcript.
1007271 In some embodiments, the present disclosure provides a RHO
oligonucleotide for use in a subject to treat a RHO-related condition, disorder or disease. In some embodiments, a RHO-related condition, disorder or disease is selected from retinopathy (e.g., retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
1007281 In somc embodiments, a subject is administered an oligonucleotide, e.g., a RHO
oligonucleotide, or a composition thereof and an additional agent and/or method, e.g., an additional therapeutic agent and/or method.
1007291 In some embodiments, an additional therapeutic agent and/or method is any described or referenced in: Nguyen et al. 2014 Retinal Degenerative Diseases pp 471-476, or WO/2019/075320, W0/2019/009265, W0/2018/232227, WO/2018/213278, WO/2018/208703, WO/2018/201146, WO/2018/182527, WO/2018/172961, W0/2018/169090, WO/2018/167510, WO/2018/107226, WO/2018/100054, WO/2018/096196, W0/2018/085644, WO/2018/030389, WO/2018/009562, W0/2018/002873, WO/2017/201425, WO/2017/151823, WO/2017/144611, WO/2017/123710, WO/2017/121766, WO/2017/106364, WO/2017/048731, WO/2017/044649, WO/2017/042584, WO/2016/191645, WO/2016/145345, WO/2016/144892, WO/2016/138353, WO/2016/130460, W0/2016/077467, WO/2016/077422, WO/2016/073931, WO/2016/073829, WO/2016/017980, WO/2016/017831, WO/2016/014353, WO/2016/001693, WO/2015/160893, WO/2015/143418, W0/2015/134812, WO/2015/126972, W0/2015/110556, WO/2015/105064, WO/2015/042281, W0/2015/020522, W0/2015/001379, W0/2014/180996, WO/2014/130869, W0/2014/129466, WO/2014/100361, WO/2014/066836, WO/2014/066835, WO/2014/058464, WO/2014/011210, W0/2013/134867, WO/2013/112448, W0/2013/053719, WO/2012/167109, WO/2012/148994, WO/2012/148930, WO/2012/145708, WO/2012/135498, WO/2012/100142, WO/2012/043891, W0/2012/024404, WO/2011/149012, WO/2011/149010, WO/2011/133964, WO/2011/095475, W0/2011/025734, W0/2010/150564, W0/2010/130418, WO/2010/099436, WO/2010/097201, W0/2010/032073, W0/2010/005533, WO/2009/111169, WO/2009/102021, W0/2009/089399, WO/2009/083188, WO/2009/083185, WO/2009/047640, WO/2009/046446, WO/2009/018333, W0/2008/135536, WO/2008/125908, WO/2008/124151, WO/2008/111497, WO/2008/013983, WO/2007/131180, WO/2007/094669, WO/2007/014327, WO/2007/011880, WO/2007/011674, WO/2006/101634, WO/2006/086452, WO/2006/077824, WO/2005/120544, WO/2005/110114, W0/2005/079815, WO/2005/074981, WO/2005/023311, WO/2004/096146, WO/2004/043480, WO/2004/030693, WO/2003/105678, WO/2003/082081, WO/2003/047525, or WO/2003/007979, WO/2003/004058.
[00730] In some embodiments, an oligonucleotide or composition thereof can be administered alone or in combination with one or more additional therapeutic agents and/or treatment. When administered in combination each component may be administered at the same time or sequentially in any order at different points in time. In some embodiments, each component may be administered separately but sufficiently closely in time so as to provide the desired therapeutic effect. In some embodiments, provided oligonucleotides and additional therapeutic components are administered concurrently. In some embodiments, provided oligonucleotides and additional therapeutic components are administered as one composition. In some embodiments, at a time point a subject being administered is exposed to both provided oligonucleotides and additional components at the same time.
[00731] In some embodiments, an additional therapeutic agent or method is capable of preventing, treating, ameliorating or slowing the progress of a neurological condition, disorder or disease. In some embodiments, an additional therapeutic agent or method is capable of preventing, treating, ameliorating or slowing the progress of a RHO-related condition, disorder or disease. In some embodiments, an additional therapeutic agent or method may "indirectly" decrease the expression, activity and/or level of RHO, e.g., by knocking down a gene or gene product which can increases the expression, activity and/or level of RI 10.
[00732] In some embodiments, an additional therapeutic agent is physically conjugated to an oligonucleotide, e.g., a RHO oligonucleotide. In some embodiments, an additional agent is a RHO
oligonucleotide. In some embodiments, a provided oligonucleotide is physically conjugated with an additional agent which is a RHO oligonucleotide. In some embodiments, additional agent oligonucleotides have base sequences, sugars, nucleobases, internucleotidic linkages, patterns of sugar, nucleobase, and/or intemucleotidic linkage modifications, patterns of backbone chiral centers, etc., or any combinations thereof, as described in the present disclosure, wherein each T may be independently replaced with U and vice versa. In some embodiments, an additional oligonucleotide targets RHO. In some embodiments, a RHO oligonucleotide is physically conjugated to a second oligonucleotide which can decrease (directly or indirectly) the expression, activity and/or level of RHO, or which is useful for treating a RHO-related condition, disorder or disease. In some embodiments, a first RHO
oligonucleotide is physically conjugated to a second RHO oligonucleotide, which can be identical to the first RHO
oligonucleotide or not identical, and which can target a different or the same or an overlapping sequence as the first RHO oligonucleotide.
1007331 In some embodiments, a provided oligonucleotide, e.g., a RHO oligonucleotide, may be administered with one or more additional (or second) therapeutic agent for retinopathy.
[00734] In some embodiments, an additional therapeutic agent comprises a treatment for one or more symptoms of retinopathy.
[00735] In some embodiments, an additional treatment is a treatment intended to reduce or eliminate a symptom of retinopathy, including but not limited to a symptom listed herein.
[00736] In some embodiments, a subject is administered a RHO
oligonucleotide and an additional therapeutic agent, wherein the additional therapeutic agent is an agent described herein or known in the art which is useful for treatment of a RHO-related condition, disorder or disease.
[00737] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a traditional medicine used in China or other locations in Asia for treatment of blindness and other eye ailments.
1007381 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound derived from bear bile.
[00739] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
tauroursodeoxycholic acid.
[00740] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
Valproic acid.
[00741] In some embodiments, RP is associated with inflammation.
[00742] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an agent which reduces inflammation.
[00743] In some embodiments, an additional therapeutic agent is, as a non-limiting example: gene therapy.
[00744] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
encapsulating cells releasing a neurotrophic factor(s).
[00745] In some embodiments, an additional therapeutic agent is, as a non-limiting example: stem cell transplantation.
[00746] In sonic embodiments, an additional therapeutic agent is, as a non-limiting example:
LEDGF1-326.
1007471 In some embodiments, an additional therapeutic agent is, as a non-limiting example: an inhibitor of mitochondrialp.-calpain.
[00748] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a peptide inhibitor of mitochondrial .t-calpain.
[00749] In some embodiments, an additional therapeutic agent is, as a non-limiting example: Tat-itCL (HIV-Nit) 1007501 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a composition or compound which reduces protein aggregation.
[00751] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a composition or compound which reduces aggregation of wild-type or mutant Rho protein.
[00752] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
Curcumin.
[00753] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a chaperone.
[00754] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
Grp78/BiP.
[00755] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
proinsulin.
[00756] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a ribozyme or other small nucleic acid (e.g., an antisense oligonucleotide, single- or double-stranded siRNA
or RNAi agent, etc.) targeting opsin.
[00757] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an rAAV delivered ribozyme targeting opsin.
[00758] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
Transplantation of Photoreceptor and Total Neural Retina.
[00759] In some embodiments, an additional therapeutic agent is, as a non-limiting example: Gene therapy.
[00760] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
Transplantation of syngeneic Schwann cells to the retina.
[00761] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
CRISPR/Cas9 genome surgery.
[00762] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
tauroursodeoxycholic acid.
[00763] In some embodiments, an additional therapeutic agent is, as a non-limiting example:
tauroursodeoxycholic acid or a derivative thereof.
[00764] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 11-cis-retinal or a derivative thereof.
[00765] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 11-cis-retinal or a derivative thereof or a compound described in WO/2018/201146.
1007661 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a meganuclease.
1007671 In some embodiments, an additional therapeutic agent is, as a non-limiting example: an indene derivative.
1007681 In some embodiments, an additional therapeutic agent is, as a non-limiting example: an indene derivative described in EP3176163.
1007691 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a Pyrazolopyridazinc or a derivative thereof.
1007701 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a Pyrazolopyridazine or a derivative thereof described in U.S. Pat. No. 9925187.
1007711 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
gasdermin, gasdermin A, gasdermin B, gasdermin C, gasdermin D, DFNA5 or DFNB59 (or pejvakin), or a derivative of any of these compounds.
1007721 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a methanone derivative and/or a benzo-thiophene derivative.
1007731 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a methanone derivative described in WO/2016/017831.
1007741 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a RDCVF1 or a RDCVF2 protein or a nucleic acid encoding the same.
1007751 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a PRO polypeptide.
1007761 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a beta- or gamma-diketone or an analog or derivative thereof 1007771 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a retinoic acid receptor agonistic action (such as tamibarotene, tamibarotene methyl ester, tamibarotene ethyl ester, tazarotcnc, tazarotcnic acid, adapalenc, palovalotene, rctinol, isotrctinoin, alitretinoin, etretinate, acitretin, and bexarotene) or a salt thereof 1007781 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a tetra- or pentapeptide.
1007791 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a tetra- or pentapeptide described in US20180353565.
1007801 In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound capable of inhibiting YHLNhl.
[00781] In some embodiments, an additional therapeutic agent is, as a non-limiting example: N-acetylcysteine amide.
[00782] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 1,2,4-oxadiazole benzoic acid compounds.
[00783] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 3-15-(2-fluoropheny1)-11 ,2,4 Joxadiazol-3-ylibenzoic acid.
[00784] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 7,8-dihydroxyflavone (DHF).
[00785] In some embodiments, an additional therapeutic agent is, as a non-limiting example: 9- or 11-cis retinyl ester.
[00786] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a benzaldehyde compound.
[00787] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound described in U.S. Pat. App. No. US20110224200.
[00788] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound described in W02010150564.
[00789] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound or a combination of lutein, zeaxanthin, glutathione, and/or alpha lipoic acid.
[00790] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a compound or medicament described in Chinese Patent App. No. 201510118534.9.
[00791] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a method or composition described in US20160058825.
[00792] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a phthalazinone pyrazole derivative.
[00793] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a proteasomal inhibitor selected from the group consisting of MG-132, lactocystin, clastolactocystin beta lactone, PSI, MG-115, MG101, N-acetyl-Leu-Leu-Met-CHO, N-carbobenzoyl-Gly-Pro-Phe-Leu-CHO, N-carbobenzoyl-Gly-Pro-Ala-Phe-CHO, or N-carbobenzoyl-Leu-Leu-Phe-CHO or a salt thereof [00794] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a proteasomal inhibitor selected from the group consisting of MG-132, lactocystin, clastolactocystin beta lactone, PSI, MG-115, MG101, N-acetyl-Leu-Leu-Met-CHO, N-carbobenzoyl-Gly-Pro-Phe-Leu-CHO, N-carbobenzoyl-Gly-Pro-Ala-Phe-CHO, or N-carbobenzoyl-Leu-Leu-Phe-CHO or a salt thereof, in combination with a compound selected from the group consisting of 11-cis-retinal, 9-cis-retinal or a 7-ring locked isomer of 11-cis retinal.
[00795] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a pyridine-3-carbaldehyde-0-(piperidin-1-yl-propy1)-oxime derivative.
[00796] In some embodiments, an additional therapeutic agent is, as a non-limiting example: a serine palmitoyltransferase inhibitor.
[00797] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an alphal receptor blocker.
[00798] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an apoptosis suppressing agent.
[00799] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an apoptosis suppressing agent containing (R)-1-(benzofuran-2-y1)-2-propylaminopentane or its pharmacologically permissible salt, hydrate or solvate.
[00800] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an aromatic-cationic peptide.
[00801] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an aromatic-cationic peptide represented by the formula D-Arg-2',6'-Dmt-Lys-Phe-NH2 (SS-31) or Phe-D-Arg-Phe-Lys-NH2 (SS-20)..
[00802] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an IL-6 inhibitor, an APOE inhibitor and/or a Fas activator.
[00803] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an indazole derivative.
[00804] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an Inhibitor of TGF-R-signaling.
[00805] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an isoquinoline sulfonyl derivative.
[00806] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an opioid antagonist.
[00807] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an SIP receptor agonist.
[00808] In some embodiments, an additional therapeutic agent is, as a non-limiting example: an SIP receptor agonist such as 2-amino-242-(4-octylphenvOethyllpropane-1,3-diol and (2R)-2-amino-443-(4-cyclohexyloxybuty1)-benzo [b1thien-6-y1]-2-methylbutan- 1 -ol .

1008091 In some embodiments, an additional therapeutic agent is, as a non-limiting example: benzo-thiophene derivative.
1008101 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
dopamine and/or serotonin receptor antagonist.
1008111 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
fragments of the histone deacetylase 4 (HDAC4) gene lacking the enzymatic domain.
1008121 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
geranylgeranylacetone.
1008131 In some embodiments, an additional therapeutic agent is, as a non-limiting example: insulin, IGF-1, and/or chlorin e6.
1008141 In some embodiments, an additional therapeutic agent is, as a non-limiting example: N-acetylcysteine amide (NACA)..
1008151 In some embodiments, an additional therapeutic agent is, as a non-limiting example: nut and/or seed oils, walnut oil, almond oil, avocado oil, pistachio oil and/or flaxseed oil, or any combination thereof.
1008161 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
pigment epithelium-derived factor (PEDF) and/or docosahexaenoic acid (DHA).
1008171 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
somatostatin-28, somatostatin-14, somatostatin-13, prosomatostatin, octreotide, lanreotide, vapreotide, pasireotide, seglitide, or cortistatin or any of their pharmaceutically acceptable salts.
1008181 In some embodiments, an additional therapeutic agent is, as a non-limiting example:
xanthophyll.
1008191 In some embodiments, an additional therapeutic agent is, as a non-limiting example: A
composition capable of preventing, delaying and/or decreasing any symptom of a retinopathy.
1008201 In some embodiments, an additional therapeutic agent is, as a non-limiting example: A
siRNA. In some embodiments, an additional therapeutic agent is a siRNA
delivered into the eye. In some embodiments, an oligonucleotide and/or an additional therapeutic agent is delivered by intravitreal injection.
1008211 In some embodiments, prior to the dose administration, a mydriatic (1% tropicamide) is instilled in the eye, followed by a topical anesthetic.
1008221 In some embodiments, an additional therapeutic treatment is, as a non-limiting example: a method of editing a RHO gene. In some embodiments, an additional therapeutic treatment is, as a non-limiting example: a method of editing a RHO gene in a cell, comprising the steps of: introducing into the cell one or more DNA endonucleases to effect one or more single-strand or double-strand breaks within or near the RHO gene that result(s) in permanent deletion of a P23H mutation in the RHO gene or replacement of one or more nucleotide bases, or one or more exons and/or introns within or near the RHO gene, thereby restoring the RHO gene function.
1008231 In some embodiments, an additional therapeutic agent is, as a non-limiting example: An oligonucleotide.
1008241 In some embodiments, a second or additional therapeutic agent is administered to a subject prior, simultaneously with, or after, a RHO oligonucleotide. In some embodiments, a second or additional therapeutic agent is administered multiple times to a subject, and a RHO
oligonucleotide is also administered multiple times to a subject, and the administrations are in any order.
1008251 In some embodiments, an improvement may include decreasing the expression, activity and/or level of a gene or gene product which is too high in a disease state;
increasing the expression, activity and/or level of a gene or gene product which is too low in the disease state;
and/or decreasing the expression, activity and/or level of a mutant and/or disease-associated variant of a gene or gene product.
1008261 In some embodiments, a RHO oligonucleotide useful for treating, ameliorating and/or preventing a RHO-related condition, disorder or disease can be administered (e.g., to a subject) via any method described herein or known in the art.
1008271 In some embodiments, provided oligonucleotides, e.g., RHO
oligonucleotides are administered as pharmaceutical composition, e.g., for treating, ameliorating and/or preventing RHO-related conditions, disorders or diseases. In some embodiments, provided oligonucleotides comprise at least one chirally controlled intemucleotidic linkage. In some embodiments, provided oligonucleotide compositions are chirally controlled.
1008281 In some cases, patients with retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.) reportedly can further suffer from an additional, associated disorder or disease or complication, such as pulmonary complications, including but not limited to pneumonia, difficulties with vision and/or locomotion, and/or cachexia. In some embodiments, an additional therapeutic agent includes a treatment for an additional, associated disorder or disease or complication.
1008291 In some cases, patients who have been administered an oligonucleotide as a medicament may experience certain side effects or adverse effects, including:
thrombocytopenia, renal toxicity, glomerulonephritis, and/or coagulation abnormalities; genotoxicity, repeat-dose toxicity of target organs and pathologic effects; dose response and exposure relationships; chronic toxicity; juvenile toxicity;
reproductive and developmental toxicity; cardiovascular safety; injection site reactions; cytokine response complement effects; immunogenicity; and/or carcinogenicity. In some embodiments, an additional therapeutic agent is administered to counter-act a side effect or adverse effect of administration of a RHO
oligonucleotide. In some embodiments, a particular RHO oligonucleotide has a reduced capability of eliciting a side effect or adverse effect, compared to a different RHO
oligonucleotide.
1008301 In some embodiments, an additional therapeutic agent can be administered to the patient in order to control or alleviate one or more side effects or adverse effects associated with administration of an oligonucleotide.
1008311 In some embodiments, an oligonucleotide and one or more additional therapeutic agent are administered to a patient (in any order), wherein the additional therapeutic agent can be administered to the patient in order to control or alleviate one or more side effects or adverse effects associated with administration of the oligonucleotide.
1008321 In some embodiments, an oligonucleotide and one or more additional therapeutic agent are administered to a patient (in any order), wherein the additional therapeutic agent can be administered to the patient in order to control or alleviate one or more side effects or adverse effects associated with administration of the oligonucleotide, and wherein the oligonucleotide targets RHO.
1008331 In some embodiments, an oligonucleotide composition and one or more additional therapeutic agent are administered to a patient (in any order), wherein the additional therapeutic agent can be administered to the patient in order to control or alleviate one or more side effects or adverse effects associated with administration of the oligonucleotide composition, and wherein the oligonucleotide composition is chirally controlled or comprises at least one chirally controlled intemucleotidic linkage (including but not limited to a chirally controlled phosphorothioate).
Administration of Oligonucleotides and Compositions 1008341 Many delivery methods, regimen, etc. can be utilized in accordance with the present disclosure for administering provided oligonucleotides and compositions thereof (typically pharmaceutical compositions for therapeutic purposes), including various technologies known in the art.
1008351 In some embodiments, a RHO oligonucleotide or composition is delivered to an eye. In some embodiments, oligonucleotides and compositions are administered to one or both eyes of a subject.
1008361 In some embodiments, a RHO oligonucleotide (and, optionally, an additional therapeutic agent, is delivery to the eye or the retina using any method, device or composition described herein or known in the art. Non-limiting examples of documents describing various methods, devices and compositions useful for delivering a RHO oligonucleotide (and optionally, an additional therapeutic agent) to the eye or the retina include: patents and patent applications US6416777, US6299895, US5725493, US5443505, EP1473003, US20170073674, US20170173183, US20180169131, US20180250370, W02018055134. In some embodiments, a RHO oligonucleotide (and, optionally, an additional therapeutic agent, is delivery to the eye or the retina using any method, device or composition described herein or known in the art, including but not limited to: a drug delivery device, an ophthalmic drug delivery device, a device and method for treating ophthalmic diseases, a method of intravitreal medicine delivery, or a biocompatible ocular implant. In some embodiments, delivery of a RHO
oligonucleotide (and, optionally, an additional therapeutic agent) to the retina is by injection of a RHO
oligonucleotide (and, optionally, an additional therapeutic agent) to the sub-retinal space of the retina. In some embodiments, a RHO
oligonucleotide (and, optionally, an additional therapeutic agent) are administered in one or more locations in the sub-retinal space of the retina. In some embodiments, systemic modes of administration of a RHO
oligonucleotide (and, optionally, an additional therapeutic agent) include oral and parenteral routes. In some embodiments, parenteral routes include, as non-limiting examples: intravenous, intrarte ri al, intramuscular, intradermal, subcutaneous, intranasal, and intraperitoneal routes. In some embodiments, an oligonucleotide or additional therapeutic agent administered systemically may be modified or formulated to target the an oligonucleotide and an optional additional therapeutic agent to the eye. In some embodiments, local modes of administration of a RHO oligonucleotide (and, optionally, an additional therapeutic agent) include, as non-limiting examples, intraocular, intraorbital, subconjuctival, intravitreal, subretinal, transscleral or introcochlear routes. In some embodiments, significantly smaller amounts of the RHO oligonucleotide (and, optionally, an additional therapeutic agent) may exert an effect when administered locally (for example, intravitreally) compared to when administered systemically (for example, intravenously). In some embodiments, local modes of administration can reduce or eliminate the incidence of potentially toxic side effects that may occur when therapeutically effective amounts of a component are administered systemically. In some embodiments, an oligonucleotide and an optional additional therapeutic agent are delivered subrctinally, e.g., by subretinal injection. In some embodiments, subretinal injections may be made directly into the macular, e.g., submacular injection. In some embodiments, an oligonucleotide and an optional additional therapeutic agent are delivered by intravitreal injection. In some embodiments, intravitreal injection reportedly has a relatively low risk of retinal detachment. In some embodiments, nanoparticle or viral, e.g., AAV vector, is delivered intravitreally. In some embodiments, an AAV vector with multiple tyrosine-to-phenylalanine modifications can reportedly infect many cell types following intravitreal or subretinal injection. In some embodiments, intracochlear injections may be made in the vicinity of inner and/or outer hair cells. In some embodiments, methods for administration of agents to the eye are known in the medical arts and can be used to administer an oligonucleotide and an optional additional therapeutic agent. Exemplary methods include intraocular injection (e.g., retrobulbar, subretinal, submacular, intravitreal and intrachoridal), iontophoresis, eye drops, intraocular implantation (e.g., intravitreal, sub-Tenons and subconjunctival) and intracochlear injection. In some embodiments, administration may be provided as a periodic bolus (for example, subretinally, intravenously, intravitreally or by intracochlear injection) or as continuous infusion from an internal reservoir (for example, from an implant disposed at an intra- or extra-ocular location (see, U.S. Pat. Nos.
5,443,505 and 5,766,242)) or from an external reservoir (for example, from an intravenous bag). Components may be administered locally, for example, by continuous release from a sustained release drug delivery device immobilized to an inner wall of the eye or via targeted transscleral controlled release into the choroid (see, for example, PCT/US00/00207, PCT/US02/14279, Ambati et al. (2000) INVEST. OPHTHALMOL. VIS.
SCI.41 :
1181-1185, and Ambati et al. (2000) INVEST. OPHTHALMOL. VIS. SCI.41: 1186-1191). A variety of devices suitable for administering an oligonucleotide and an optional additional therapeutic agent locally to the inside of the eye are known in the art. See, for example, U.S. Pat.
Nos. 6,251,090, 6,299,895, 6,416,777, 6,413,540, and PCT/US00/28187. In some embodiments, an oligonucleotide and an optional additional therapeutic agent can be formulated to permit release over a prolonged period of time. In some embodiments, a release system can include a matrix of a biodegradable material or a material which releases the incorporated an oligonucleotide and an optional additional therapeutic agent by diffusion. In some embodiments, the an oligonucleotide and an optional additional therapeutic agent can be homogeneously or heterogeneously distributed within the release system. In some embodiments, a variety of release systems may be useful, however, the choice of the appropriate system will depend upon rate of release required by a particular application. In some embodiments, a non-degradable or degradable release systems is used. In some embodiments, suitable release systems include polymers and polymeric matrices, non-polymeric matrices, or inorganic and organic excipients and diluents such as, but not limited to, calcium carbonate and sugar (for example, trehalose). In some embodiments, release systems may be natural or synthetic. In some embodiments, the release system material can be selected so that an oligonucleotide and an optional additional therapeutic agent having different molecular weights arc released by diffusion through or degradation of the material. In some embodiments, synthetic, biodegradable polymers include as non-limiting examples: polyamides such as poly(amino acids) and poly(peptides);
polyesters such as poly(lactic acid), poly(glycolic acid), poly(lactic-co-glycolic acid), and poly(caprolactone); poly(anhydrides);
polyorthoesters; polycarbonates; and chemical derivatives thereof (substitutions, additions of chemical groups, for example, alkyl, alkylene, hydroxylations, oxidations, and other modifications routinely made by those skilled in the art), copolymers and mixtures thereof. In some embodiments, synthetic, non-degradable polymers include, as non-limiting examples: polyethers such as poly(ethylene oxide), poly(ethylene glycol), and poly(tetramethylene oxide); vinyl polymers-polyacrylates and polymethacrylates such as methyl, ethyl, other alkyl, hydroxyethyl methacrylate, acrylic and methacrylic acids, and others such as poly(vinyl alcohol), poly(vinyl pyrolidone), and poly(vinyl acetate);
poly(urethanes); cellulose and its derivatives such as alkyl, hydroxyalkyl, ethers, esters, nitrocellulose, and various cellulose acetates; polysiloxanes; and any chemical derivatives thereof (substitutions, additions of chemical groups, for example, alkyl, alkylene, hydroxylations, oxidations, and other modifications routinely made by those skilled in the art), copolymers and mixtures thereof.
In some embodiments, poly(lactide-co-glycolide) microsphere can also be used for intraocular injection. In some embodiments, the microspheres are composed of a polymer of lactic acid and glycolic acid, which are structured to form hollow spheres. In some embodiments, the spheres can be approximately 15-30 microns in diameter and can be loaded with an oligonucleotide and an optional additional therapeutic agent.

In some embodiments, an oligonucleotide composition, e.g., a RHO
oligonucleotide composition, is administered at a dose and/or frequency lower than that of an otherwise comparable reference oligonucleotide composition and has comparable or improved effects.
In some embodiments, a chirally controlled oligonucleotide composition is administered at a dose and/or frequency lower than that of a comparable, otherwise identical stereorandom reference oligonucleotide composition and with comparable or improved effects, e.g., in improving the knockdown of the target transcript.

In some embodiments, the present disclosure recognizes that properties and activities, e.g., knockdown activity, stability, toxicity, etc. of oligonucleotides and compositions thereof can be modulated and optimized by chemical modifications and/or stereochemistry. In some embodiments, the present disclosure provides methods for optimizing oligonucleotide properties and/or activities through chemical modifications and/or ste re och em stry .
In some embodiments, the present disclosure provides oligonucleotides and compositions thereof with improved properties and/or activities. Without wishing to be bound by any theory, due to, e.g., their better activity, stability, delivery, distribution, toxicity, pharmacokinetic, pharmacodynamics and/or efficacy profiles, Applicant notes that provided oligonucleotides and compositions thereof in some embodiments can be administered at lower dosage and/or reduced frequency to achieve comparable or better efficacy, and in some embodiments can be administered at higher dosage and/or increased frequency to provide enhanced effects.

In some embodiments, provided technologies can provide long-lasting effects, e.g., for 1, 2, 3, 4, 5, 6 or more months after administration (e.g., intravitreal injection). In some embodiments, reduction of levels and/or activities of target transcripts and/or products encoded thereby may be observed 1, 2, 3, 4, 5, 6 or more months after administration (e.g., intravitreal injection). In some embodiments, provided technologies can be administered with no more than two doses per year. In some embodiments, provided technologies are administered two doses per year. In some embodiments, provided technologies are administered through intravitreal injection.

In some embodiments, it was observed that provided oligonucleotides and compositions thereof did not significantly induce TLR3 and/or TLR9 activation.

In some embodiments, the present disclosure provides, in a method of administering an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, the improvement comprising administering an oligonucleotide comprising a plurality of oligonucleotides that is characterized by improved delivery relative to a reference oligonucleotide composition of the same common base sequence.
1008421 In some embodiments, provided oligonucleotides, compositions and methods provide improved delivery. In some embodiments, provided oligonucleotides, compositions and methods provide improved cytoplasmatic delivery. In some embodiments, improved delivery is to a population of cells. In some embodiments, improved delivery is to a tissue. In some embodiments, improved delivery is to an organ. In some embodiments, improved delivery is to an organism, e.g., a patient or subject. Example structural elements (e.g., chemical modifications, stereochemistry, combinations thereof, etc.), oligonucleotides, compositions and methods that provide improved delivery are extensively described in the present disclosure.
1008431 Various dosing regimens can be utilized to administer oligonucleotides and compositions of the present disclosure. In some embodiments, multiple unit doses are administered, separated by periods of time. In some embodiments, a given composition has a recommended dosing regimen, which may involve one or more doses. In some embodiments, a dosing regimen comprises a plurality of doses each of which are separated from one another by a time period of the same length; in some embodiments, a dosing regimen comprises a plurality of doses and at least two different time periods separating individual doses.
In some embodiments, all doses within a dosing regimen are of the same unit dose amount. In some embodiments, different doses within a dosing regimen are of different amounts.
In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second dose amount different from the first dose amount. In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second (or subsequent) dose amount that is the same as or different from the first dose (or another prior dose) amount.
In some embodiments, a dosing regimen comprises administering at least one unit dose for at least one day.
In some embodiments, a dosing regimen comprises administering more than one dose over a time period of at least one day, and sometimes more than one day. In some embodiments, a dosing regimen comprises administering multiple doses over a time period of at least a week. In some embodiments, the time period is at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40 or more (e.g., about 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100 or more) weeks. In some embodiments, a dosing regimen comprises administering one dose per week for more than one week. In some embodiments, a dosing regimen comprises administering one dose per week for 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40 or more (e.g., about 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100 or more) weeks. In some embodiments, a dosing regimen comprises administering one dose every two weeks for more than two week period. In some embodiments, a dosing regimen comprises administering one dose every two weeks over a time period of 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40 or more (e.g., about 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100 or more) weeks. In some embodiments, a dosing regimen comprises administering one dose per month for one month. In some embodiments, a dosing regimen comprises administering one dose per month f or more than one month. In some embodiments, a dosing regimen comprises administering one dose per month for 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or more months. In some embodiments, a dosing regimen comprises administering one dose per week for about 10 weeks. In some embodiments, a dosing regimen comprises administering one dose per week for about 20 weeks. In some embodiments, a dosing regimen comprises administering one dose per week for 26 weeks. In some embodiments, a dosing regimen comprises administering one dose per week for about 30 weeks. In some embodiments, a chirally controlled oligonucleotide composition is administered according to a dosing regimen that differs from that utilized for a non-chirally controlled (e.g., stereorandom) oligonucleotide composition of the same sequence, and/or of a different chirally controlled oligonucleotide composition of the same sequence. In some embodiments, a chirally controlled oligonucleotide composition is administered according to a dosing regimen that is reduced as compared with that of a chirally uncontrolled (e.g., stereorandom) oligonucleotide composition of the same sequence in that it achieves a lower level of total exposure over a given unit of time, involves one or more lower unit doses, and/or includes a smaller number of doses over a given unit of time. In some embodiments, a chirally uncontrolled oligonucleotide is administered according to a dosing regimen that extends for a longer period of time than does that of a chirally uncontrolled (e.g., stereorandom) oligonucleotide composition of the same sequence Without wishing to be limited by theory, Applicant notes that in some cmbodimcnts, thc shorter dosing regimen, and/or longer time periods between doses, may be due to the improved stability, bioavailability, and/or efficacy of a chirally controlled oligonucleotide composition. In some embodiments, with their improved delivery (and other properties), provided compositions can be administered in lower dosages and/or with lower frequency to achieve biological effects, for example, clinical efficacy.
Pharmaceutical Compositions 1008441 In some embodiments, the present disclosure provides pharmaceutical compositions comprising or delivering a provided compound, e.g., an oligonucleotide, or a pharmaceutically acceptable salt thereof, and a pharmaceutical carrier. In some embodiments, for therapeutic and clinical purposcs, oligonucleotides of the present disclosure are provided as pharmaceutical compositions.
1008451 In some embodiments, the present disclosure pertains to a RHO oligonucleotide or oligonucleotide composition comprising a pharmaceutically acceptable carrier suitable for delivery to the eye.

In some embodiments, an oligonucleotide is delivered by intravitreal injection. In some embodiments, prior to intravitreal injection, a mydriatic (e.g., 1%
tropicamidc) is instilled in the eye, followed by a topical anesthetic.

As appreciated by those skilled in the art, oligonucleotides of the present disclosure can be provided in various forms, e.g., acid, base and/or salt forms. In some embodiments, oligonucleotides can be in acid forms, e.g., for natural phosphate linkages, in the form of ¨0P(0)(OH)0¨; for phosphorothioate internucleotidic linkages, in the form of ¨0P(0)(SH)0¨; etc. In some embodiments, provided oligonucleotides can be in salt forms, e.g., for natural phosphate linkages, in the form of ¨0P(0)(0Na)0¨
in sodium salts; for phosphorothioate internucleotidic linkages, in the form of ¨0P(0)(SNa)0¨ in sodium salts; etc. Unless otherwise noted, oligonucleotides of the present disclosure can exist in acid, base and/or salt forms. In some embodiments, in a pharmaceutical composition an oligonucleotide may exist in one or multiple forms, in some embodiments, including one or more pharmaceutically acceptable salt forms. In some embodiments, oligonucleotides are dissolved in liquid compositions.

When used as therapeutics, a provided oligonucleotide, e.g., a RHO
oligonucleotide, or oligonucleotide composition thereof is typically administered as a pharmaceutical composition. In some embodiments, a pharmaceutical composition is suitable for administration of an oligonucleotide to an area of a body affected by a condition, disorder or disease. In some embodiments, a pharmaceutical composition comprises a therapeutically effective amount of a provided oligonucleotide or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable inactive ingredient. In some embodiments, a pharmaceutically acceptable inactive ingredient is selected from pharmaceutically acceptable diluents, pharmaceutically acceptable excipients, and pharmaceutically acceptable carriers. In some embodiments, a pharmaceutically acceptable inactive ingredient is a pharmaceutically acceptable carrier.

In some embodiments, a provided oligonucleotide is formulated for administration to and/or contact with a body cell and/or tissue expressing its target. For example, in some embodiments, a provided RHO oligonucleotide is formulated for administration to a body cell and/or tissue expressing RHO. In some embodiments, such a body cell and/or tissue are a neuron or a cell and/or tissue of the eye.
In some embodiments, broad distribution of oligonucleotides and compositions may be achieved with intraparenchymal administration, intrathecal administration, or intracerebroventricular administration.

In some embodiments, the pharmaceutical composition is formulated for intravenous injection, oral administration, buccal administration, inhalation, nasal administration, topical administration, ophthalmic administration or otic administration.
In some embodiments, the pharmaceutical composition is a tablet, a pill, a capsule, a liquid, an inhalant, a nasal spray solution, a suppository, a suspension, a gel, a colloid, a dispersion, a suspension, a solution, an emulsion, an ointment, a lotion, an eye drop or an ear drop.
[00851] In some embodiments, the present disclosure provides a pharmaceutical composition comprising chirally controlled oligonucleotide or composition thereof, in admixture with a a pharmaceutically acceptable inactive ingredient (e.g., a pharmaceutically acceptable excipient, a pharmaceutically acceptable carrier, etc.). One of skill in the art will recognize that the pharmaceutical compositions include pharmaceutically acceptable salts of provided oligonucleotide or compositions. In some embodiments, a pharmaceutical composition is a chirally controlled oligonucleotide composition. In some embodiments, a pharmaceutical composition is a stereopure oligonucleotide composition.
[00852] In some embodiments, the present disclosure provides salts of oligonucleotides and pharmaceutical compositions thereof. In some embodiments, a salt is a pharmaceutically acceptable salt.
In some embodiments, a pharmaceutical composition comprises an oligonucleotide, optionally in its salt form, and a sodium salt. In some embodiments, a pharmaceutical composition comprises an oligonucleotide, optionally in its salt form, and sodium chloride. In some embodiments, each hydrogen ion of an oligonucleotide that may be donated to a base (e.g., under conditions of an aqueous solution, a pharmaceutical composition, etc.) is replaced by a non-t cation. For example, in some embodiments, a pharmaceutically acceptable salt of an oligonucleotide is an all-metal ion salt, wherein each hydrogen ion (for example, of ¨OH, ¨SH, etc.) of each intemucleotidic linkage (e.g., a natural phosphate linkage, a phosphorothioate internucleotidic linkage, etc.) is replaced by a metal ion.
Various suitable metal salts for pharmaceutical compositions are widely known in the art and can be utilized in accordance with the present disclosure. In some embodiments, a pharmaceutically acceptable salt is a sodium salt. In some embodiments, a pharmaceutically acceptable salt is magnesium salt. In some embodiments, a pharmaceutically acceptable salt is a calcium salt. In some embodiments, a pharmaceutically acceptable salt is a potassium salt. In some embodiments, a pharmaceutically acceptable salt is an ammonium salt (cation N(R)4 ). In some embodiments, a pharmaceutically acceptable salt comprises one and no more than one types of cation. In some embodiments, a pharmaceutically acceptable salt comprises two or more types of cation. In some embodiments, a cation is Li, Na, K, Mg2+ or Ca2+. In some embodiments, a pharmaceutically acceptable salt is an all-sodium salt. In some embodiments, a pharmaceutically acceptable salt is an all-sodium salt, wherein each internucleotidic linkage which is a natural phosphate linkage (acid form ¨0¨P(0)(OH)-0¨), if any, exists as its sodium salt form (-0¨P(0)(0Na)-0¨), and each internucleotidic linkage which is a phosphorothioate internucleotidic linkage (acid form ¨0¨P(0)(SH)-0¨), if any, exists as its sodium salt forni (-0¨P(0)(SNa)-0¨).
[00853] Various technologies for delivering nucleic acids and/or oligonucleotides are known in the art can be utilized in accordance with the present disclosure. For example, a variety of supramolecular nanocarriers can be used to deliver nucleic acids. Example nanocarriers include, but are not limited to liposomes, cationic polymer complexes and various polymeric compounds.
Complexation of nucleic acids with various polycations is another approach for intracellular delivery; this includes use of PEGylated polycations, polyethyleneamine (PEI) complexes, cationic block co-polymers, and dendrimers. Several cationic nanocarriers, including PEI and polyamidoamine dendrimers help to release contents from endosomes. Other approaches include use of polymeric nanoparticles, microspheres, liposomes, dendrimers, biodegradable polymers, conjugates, prodrugs, inorganic colloids such as sulfur or iron, antibodies, implants, biodegradable implants, biodegradable microspheres, osmotically controlled implants, lipid nanoparticles, emulsions, oily solutions, aqueous solutions, biodegradable polymers, poly(lactide-coglycolic acid), poly(lactic acid), liquid depot, polymer micelles, quantum dots and lipoplexes In some embodiments, an ol gonucl eoti de is conjugated to another molecule.
1008541 In therapeutic and/or diagnostic applications, compounds, e.g., oligonucleotides, of the disclosure can be formulated for a variety of modes of administration, including systemic and topical or localized administration. Techniques and formulations generally may be found in Remington, The Science and Practice of Pharmacy (20th ed. 2000).
1008551 Provided oligonucleotides and compositions thereof are effective over a wide dosage range. For example, in the treatment of adult humans, dosages from about 0.01 to about 1000 mg, from about 0.5 to about 100 mg, from about 1 to about 50 mg per day, and from about 5 to about 100 mg per day are examples of dosages that may be used. Exact dosages may depend upon routes of administration, forms in which provided compounds, e.g., oligonucleotides, are administered, subjects to be treated, conditions, disorders or diseases to be treated, body weights of the subjects to be treated, and/or preferences and experiences of physicians.
1008561 Pharmaceutically acceptable salts for basic moieties are generally well known to those of ordinary skill in the art, and may include, e.g., acetate, benzenesulfonate, besylate, benzoate, bicarbonate, bitartrate, bromide, calcium edetate, carnsylate, carbonate, citrate, edetate, edisylate, estolate, esylate, fumarate, gluceptate, gluconate, glutamate, glycollvlarsanilate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isethionate, lactate, lactobionate, malate, maleate, mandelate, mesylate, mucate, napsylate, nitrate, pamoate (embonate), pantothenate, phosphate/diphosphate, polygalacturonate, salicylate, stearate, subacetate, succinate, sulfate, tannate, tartrate, or teoclate. Other pharmaceutically acceptable salts may be found in, for example, Remington, The Science and Practice of Pharmacy (20th ed. 2000). Preferred pharmaceutically acceptable salts include, for example, acetate, benzoate, bromide, carbonate, citrate, gluconate, hydrobromide, hydrochloride, maleate, mesylate, napsylate, pamoate (embonate), phosphate, salicylate, succinate, sulfate, or tartrate.
1008571 In some embodiments, provided oligonucleotides are formulated in pharmaceutical compositions described in WO 2005/060697, WO 2011/076807 or WO 2014/136086.
1008581 Depending on the specific conditions, disorders or diseases being treated, provided agents, e.g., oligonucleotides, may be formulated into liquid or solid dosage forms and administered systemically or locally. Provided oligonucleotides may be delivered, for example, in a timed- or sustained- low release form as is known to those skilled in the art. Techniques for formulation and administration may be found in Remington, The Science and Practice of Pharmacy (20th ed. 2000). Suitable routes may include oral, buccal, by inhalation spray, sublingual, rectal, transdermal, vaginal, transmucosal, nasal or intestinal administration; parenteral delivery, including intramuscular, subcutaneous, intramedullary injections, as well as intrathecal, direct intraventricular, intravenous, intra-articullar, intra-stemal, intra-synovial, intra-hepatic, intralesional, intracranial, intraperitoneal, intranasal, or intraocular injections or another mode of delivery.
1008591 For injection, provided agents, e.g., oligonucleotides may be formulated and diluted in aqueous solutions, such as in physiologically compatible buffers such as Hank's solution, Ringer's solution, or physiological saline buffer. For such transmucosal administration, penetrants appropriate to the barrier to be permeated are used in the formulations. Such penetrants are generally known in the art and can be utilized in accordance with the present disclosure.
1008601 Use of pharmaceutically acceptable carriers to formulate compounds, e.g., provided oligonucleotides, for the practice of the disclosure into dosages suitable for various mods of administration is well known in the art. With proper choice of carrier and suitable manufacturing practice, compositions of the present disclosure, e.g., those formulated as solutions, may be administered via various routes, e.g., parenterally, such as by intravenous injection.
1008611 In some embodiments, a composition comprising an oligonucleotide, e.g., a RHO
oligonucleotide, further comprises any or all of: calcium chloride dihydrate, magnesium chloride hexahydrate, potassium chloride, sodium chloride, sodium phosphate dibasic anhydrous, sodium phosphate, monobasic dihydrate, and/or water for Injection. In some embodiments, a composition further comprises any or all of: calcium chloride dihydrate (0.21 mg) USP, magnesium chloride hexahydrate (0.16 mg) USP, potassium chloride (0.22 mg) USP, sodium chloride (8.77 mg) USP, sodium phosphate dibasic anhydrous (0.10 mg) USP, sodium phosphate monobasic dihydrate (0.05 m g) USP, and Water for Injection USP.
1008621 In some embodiments, a composition comprising an oligonucleotide further comprises any or all of: cholesterol, (6Z,9Z,28Z,31Z)-heptatriaconta-6,9,28,31-tetraen-19-y1-4-(dimethylamino) butanoate(DLin-MC3-DMA), 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), alpha-(3'-{ 11,2-di (myri styl oxy)propan oxy] carbonyl am in o propy1)-omega-methoxy, polyoxyethyl en e (PEG2000-C-DMG), potassium phosphate monobasic anhydrous NF, sodium chloride, sodium phosphate dibasic heptahydrate, and Water for Injection. In some embodiments, the pH of a composition comprising an oligonucleotide, e.g., a RHO oligonucleotide, is ¨7Ø In some embodiments, a composition comprising an oligonucleotide further comprises any or all of: 6.2 mg cholesterol USP, 13.0 mg (6Z,9Z,28Z,312)-heptatriaconta-6,9,28,31-tetraen-19-y1-4-(dimethylamino) butanoate(DLin-MC3-DMA), 3.3 mg 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), 1.6 mg a-(3'-{[1,2-di(myristyloxy)propanoxy]
carbonylamino}propy1)-w-methoxy, polyoxyethylene(PEG2000-C-DMG), 0.2 mg potassium phosphate monobasic anhydrous NF, 8.8 mg sodium chloride USP, 2.3 mg sodium phosphate dibasic heptahydrate USP, and Water for Injection USP, in an approximately 1 mL total volume.
[00863] Provided compounds, e.g., oligonucleotides, can be formulated readily using pharmaceutically acceptable carriers well known in the art into dosages suitable for oral administration. In some embodimentsõ such carriers enable provided oligonucleotides to be formulated as tablets, pills, capsules, liquids, gels, syrups, slurries, suspensions and the like, for, e.g., oral ingestion by a subject (e.g., patient) to be treated.
1008641 For nasal or inhalation delivery, provided compounds, e.g., oligonucleotides, may be formulated by methods known to those of skill in the art, and may include, e.g., examples of solubilizing, diluting, or dispersing substances such as saline, preservatives, such as benzyl alcohol, absorption promoters, and fluorocarbons.
[00865] In certain embodiments, oligonucleotides and compositions are delivered to the CNS. In certain embodiments, oligonucleotides and compositions are delivered to the cerebrospinal fluid. In certain embodiments, oligonucleotides and compositions are administered to the brain parenchyma. In certain embodiments, oligonucleotides and compositions arc delivered to an animal/subject by intrathecal administration, or intracerebroventricular administration. Broad distribution of oligonucleotides and compositions may be achieved with methods of administration described herein and/or known in the art.
[00866] In certain embodiments, parenteral administration is by injection, by, e.g., a syringe, a pump, etc. In certain embodiments, an injection is a bolus injection. In certain embodiments, an injection is administered directly to a tissue or location, such as striatum, caudate, cortex, hippocampus and/or cerebellum.
[00867] In certain embodiments, methods of specifically localizing provided compounds, e.g., oligonucleotides, such as by bolus injection, may decrease median effective concentration (EC50) by a factor of 20, 25, 30, 35, 40, 45 or 50. In certain embodiments, a targeted tissue is brain tissue. In certain embodiments, a targeted tissue is striatal tissue. In certain embodiments, decreasing EC50 is desirable because it reduces the dose required to achieve a pharmacological result in a patient in need thereof.
[00868] In certain embodiments, a provided oligonucleotide is delivered by injection or infusion once every month, every two months, every 90 days, every 3 months, every 6 months, twice a year or once a year.
1008691 Pharmaceutical compositions suitable for use in the present disclosure include compositions wherein the active ingredients, e.g., oligonucleotides, are contained in effective amounts to achieve their intended purposes. Determination of the effective amounts is well within the capability of those skilled in the art, especially in light of the detailed disclosure provided herein.
1008701 In addition to active ingredients, pharmaceutical compositions may contain suitable pharmaceutically acceptable carriers comprising excipients and auxiliaries which facilitate processing of an active compound into preparations which can be used pharmaceutically.
Preparations formulated for oral administration may be in the form of tablets, dragees, capsules, or solutions.
1008711 In some embodiments, pharmaceutical compositions for oral use can be obtained by combining an active compound with solid excipients, optionally grinding a resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries, if desired, to obtain tablets or dragee cores. Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl-cellulose, sodium carboxymethyl-cellulose (CMC), and/or polyvinylpyrrolidone (PVP: povidone). If desired, disintegrating agents may be added, such as the cross-linked polyvinylpyrrolidone, agar, or alginic acid or a salt thereof such as sodium alginate.
1008721 In some embodiments, dragee cores are provided with suitable coatings. For this purpose, concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinylpyrrolidone, carbopol gel, polyethylene glycol (PEG), and/or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures. Dye-stuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.
1008731 Pharmaceutical preparations that can be used orally include push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin, and a plasticizer, such as glycerol or sorbitol. Push-fit capsules can contain active ingredients, e.g., oligonucleotides, in admixture with fillers such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers.
In soft capsules, active compounds, e.g., oligonucleotides, may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols (PEGs). In addition, stabilizers may be added.
1008741 In some embodiments, a provided composition comprises a lipid. In some embodiments, a lipid is conjugated to an active compound, e.g., an oligonucleotide. In some embodiments, a lipid is not conjugated to an active compound. In some embodiments, a lipid comprises a C10-C40 linear, saturated or partially unsaturated, aliphatic chain. In some embodiments, a lipid comprises a C10-C40 linear, saturated or partially unsaturated, aliphatic chain, optionally substituted with one or more C14 aliphatic group. In some embodiments, the lipid is selected from the group consisting of lauric acid, myristic acid, palmitic acid, stearic acid, oleic acid, linoleic acid, alpha-linolenic acid, gamma-linolenic acid, docosahexaenoic acid (cis-DHA), turbinaric acid and dilinoleyl alcohol. In some embodiments, an active compound is a provided oligonucleotide. In some embodiments, a composition comprises a lipid and an an active compound, and further comprises another component which is another lipid or a targeting compound or moiety. In some embodiments, a lipid is an amino lipid; an amphipathic lipid;
an anionic lipid; an apolipoprotein; a cationic lipid; a low molecular weight cationic lipid; a cationic lipid such as CLinDMA
and DLinDMA; an ionizable cationic lipid; a cloaking component; a helper lipid; a lipopeptide; a neutral lipid; a neutral zwitterionic lipid; a hydrophobic small molecule; a hydrophobic vitamin; a PEG-lipid; an uncharged lipid modified with one or more hydrophilic polymers; phospholipid;
a phospholipid such as 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine; a stealth lipid; a sterol; a cholesterol; a targeting lipid; or another lipid described herein or reported in the art suitable for pharmaceutical uses. In some embodiments, a composition comprises a lipid and a portion of another lipid capable of mediating at least one function of another lipid. In some embodiments, a targeting compound or moiety is capable of targeting a compound (e.g., an oligonucleotide) to a particular cell or tissue or subset of cells or tissues. In some embodiments, a targeting moiety is designed to take advantage of cell- or tissue-specific expression of particular targets, receptors, proteins, or another subcellular component. In some embodiments, a targeting moiety is a ligand (e.g., a small molecule, antibody, peptide, protein, carbohydrate, aptamer, etc.) that targets a composition to a cell or tissue, and/or binds to a target, receptor, protein, or another subcellular component.
1008751 Certain example lipids for delivery of an active compound, e.g., an oligonucleotide, allow (e.g., do not prevent or interfere with) the function of an active compound.
In some embodiments, a lipid is lauric acid, myristic acid, palmitic acid, stearic acid, oleic acid, linoleic acid, alpha-linolenic acid, gamma-linolenic acid, docosahexaenoic acid (cis-DHA), turbinaric acid or dilinoleyl alcohol.
1008761 As described in the present disclosure, lipid conjugation, such as conjugation with fatty acids, may improve one or more properties of oligonucleotides.
1008771 In some embodiments, a composition for delivery of an active compound, e.g., an oligonucleotide, is capable of targeting an active compound to particular cells or tissues as desired. In some embodiments, a composition for delivery of an active compound is capable of targeting an active compound to a muscle cell or tissue. In some embodiments, the present disclosure provides compositions and methods related to delivery of active compounds, wherein the compositions comprise an active compound and a lipid. In various embodiments to a muscle cell or tissue, a lipid is selected from lauric acid, myristic acid, palmitic acid, stearic acid, oleic acid, linoleic acid, alpha-linolenic acid, gamma-linolenic acid, docosahexaenoic acid (cis-DHA), turbinaric acid and dilinoleyl alcohol.
1008781 In some embodiments, a RHO oligonucleotide is delivered to the eye, or a cell or tissue or portion thereof, via a delivery method or composition designed for delivery of nucleic acids to the eye, or a cell or tissue or portion thereof.

In some embodiments, a RHO oligonucleotide is delivered via a method or composition described in any of: Buyens et al. J. Control Release 2012, 158; 362-70; Couto LB, High KA. Viral vector-mediated RNA interference. Curr. Opin. Pharmacol. 2010, 5; 534-542; Gomes da Silva et al. Acc. Chem.
Res. 2012, 45; 1163-71; Grijalvo etal. 2014 Expert Opinion on Therapeutic Patents 24(7); Montana et al.
Bioconjug. Chem. 2007, 18; 302-8; Moshfeghi et al. Expert Opin. Investig.
Drugs 2005, 14; 671-682;
Muller et al. Curr. Drug Discov. Technol. 2011, 8; 207-27; Semple et al. Nat.
Biotechnol. 2010, 28; 172-6;
Soutschek et al. Nature 2004, 432; 173-8; Templeton N. Cationic liposomes as in vivo delivery vehicles.
Biosci. Rep. 2002, 22; 283-95; Trabulo et al. Curr. Pharm. Des. 2013, 19; 2895-923; Troiber et al.
Bioconjug. Chem. 2011, 22; 1737-52; Yousefi et al. J. Control Release 2013, 170; 209-18; Zhi et al.
Bioconjug. Chem. 2013, 24; 487-519; Zhou et al. Pharmaceuticals 2013, 6; 85-107; Zimmermann et al.
Nature 2006. 441; 111-4; Khorkova et al. Nature Biotechnology volume 35, pages 249-263 (2017), Kritika Goyal, Veena Koul, Yashveer Singh, and Akshay Anand, Central Nervous System Agents in Medicinal Chemistry 14, 2014, 43-59; Aviiiel et al. J Nucleic Acids. 2011; 2011: 586935;
Passini et al. Sci. Transl.
Med. 2011 Mar 2; 3(72): 72ra18; Chen et al. Front. Neurosci. 30 August 2017;
Juliano et al. Nucleic Acids Research, Volume 44, Issue 14, 19 August 2016, Pages 6518-6548; and/or any of the published patent applications: EP2822600; US 20090264506; US 20170080100; US20100144845; US
20180030443;
US20100055168; US20100055169; US20100254901 US2010234282; US2010311654;
US2011003754;
US20110281787; US2012027861; US2012142765; US20122007795; US2012230938;
US20130183379;
US2013281658; US9938526; W02010017328; W02010039088; W02010045584;
W02010056403;
W02010085665; W02010088565; W02010111466; W02010129672 W02010135207;
W02011005566;
W02011017456; W02011022460; W02011028850; W02011045747; W02011053989;
W02011055888; W02011064552; W02011109698; W02011115555;
W02011115862;
W02011116152; W02011120053; W02011120953; W02011126937 W02011126974;
W02011135138;
W02011135141; W02011143008; W02011153120; W02011163121; W0201153493;
W02012009448;
W02012024396; W02012030745; W02012044638; W02012054365; W02012061259;
W02012061402; W02012068187; W02012082574; W02012089352; W02012099755;
W02012101235; W02012113846; W02012119051; W02012142480; W02012150960;
W02012162210; W02012173994; W02012176138; W02013016157; W02013030569;
W02013032643; W02013040295; W02013044116; W02013049328; W02013070010;
W02013075035; W02013082286; W02013086207; W02013086322; W02013086354;
W02013101983; W02013110679; W02013110679; W02013110680; W02013116126;
W02013123217; W02013126564;. W0201314854 I ; W02013148736;
W02013155493;

W02013158579; W02013160773; W02013166121; and/or W02013170386.

In some embodiments, a RHO oligonucleotide is delivered via a composition comprising any one or more of, or a method of delivery involving the use of any one or more of: transferrin receptor-targeted nanoparticle; cationic liposome-based delivery strategy; cationic liposome; polymeric nanoparticle; viral carrier; retrovirus; adeno-associated virus; stable nucleic acid lipid particle; polymer;
cell-penetrating peptide; lipid; dendrimer; neutral lipid; cholesterol; lipid-like molecule; fusogenic lipid;
hydrophilic molecule; polyethylene glycol (PEG) or a derivative thereof;
shielding lipid; PEGylated lipid;
PEG-C-DMSO; PEG-C-DMSA; DSPC; ionizable lipid; a guanidinium-based cholesterol derivative; ion-coated nanoparticle; metal-ion coated nanoparticle; manganese ion-coated nanoparticle; angubindin-1;
nanogel; incorporation of the RHO into a branched nucleic acid structure;
and/or incorporation of the RHO
into a branched nucleic acid structure comprising 2, 3, 4 or more oligonucleotides.

In some embodiments, a composition comprising an oligonucleotide is lyophilized. In some embodiments, a composition comprising an oligonucleotide is lyophilized, and the lyophilized oligonucleotide is in a vial. In some embodiments, the vial is back filled with nitrogen. In some embodiments, the lyophilized oligonucleotide composition is reconstituted prior to administration. In some embodiments, the lyophilized oligonucleotide composition is reconstituted with a sodium chloride solution prior to administration. In some embodiments, the lyophilized oligonucleotide composition is reconstituted with a 0.9% sodium chloride solution prior to administration. In some embodiments, reconstitution occurs at the clinical site for administration. In some embodiments, in a lyophilized composition, an oligonucleotide composition is chirally controlled or comprises at least one chirally controlled internucleotidic linkage and/or the oligonucleotide targets RHO.
EXEMPLIFICATION

Certain examples of provided technologies (compounds (oligonucleotides, reagents, etc.), compositions, methods (methods of preparation, use, assessment, etc.), etc.) were presented herein.
EXAMPLE 1. Oligonucleotide Synthesis Various technologies for preparing oligonucleotides and oligonucleotide compositions (both stereorandom and chirally controlled) are known and can be utilized in accordance with the present disclosure, including, for example, those in US 9394333. US 9744183, US
9605019, US 9598458, US
9982257, US 10160969, US 10479995, US 2020/0056173, US 2018/0216107, US
2019/0127733, US
10450568, US 2019/0077817, US 2019/0249173, US 2019/0375774, WO 2018/223056, WO 2018/223073, WO 2018/223081, WO 2018/237194, WO 2019/032607, WO 2019/055951, WO
2019/075357, WO
2019/200185, WO 2019/217784, and/or WO 2019/032612, the methods and reagents of each of which are incorporated herein by reference.
1008841 In some embodiments, the present disclosure provides completely chirally controlled oligonucleotide compositions, e.g., WV-39023 and WV-48182. Such oligonucleotide compositions were prepared using suitable chiral auxiliaries, e.g., DPSE and PSM chiral auxiliaries, to control stereoselectivity of each chiral linkage phosphorus. Certain useful synthetic procedures are described below as examples.
1008851 Preparation of WV-39023 and WV-48182.
1008861 WV-39023 and WV-48182 are stereodefined oligonucleotides, 20 nucleotides in length with a mixed PS/PO/PN (n001) linkage backbone. In some preparations, a phosphodiester (PO) linkage was formed using a cya.noethyl amidite, fifteen chiral phosphorothioate (PS) (14 Sp and 1 Rp) linkages were each independently formed with DPSE chiral amidites and three chiral phosphoroamidate PN linkages (n001) (Rp) linkages were each independently formed using PSM chiral auxiliary amidites. 2'-modifications include 2'-MOE and 2'-0Me-modified nucleotides located at 5' and/or 3' wings.
Deoxynucleosides are located in core regions.
1008871 General procedure for the synthesis of WV-39023 and WV-48182 (25 ,uniol scale) 1008881 For chiral PS linkages, DPSE amidites are used and for chiral PN
linkages, PSM amidites are used. An automated solid-phase synthesis of chiral-oligos was performed according to the cycles shown below: regular amidite cycle, for PO linkages; DPSE amidite cycle, for chiral PS linkages; and PSM amidite cycle, for chiral PN n001 linkages.
Regular Amidite Synthetic Cycle for PO linkages step operation reagents and solvent volume waiting time 1 detritylation 3% TCA / DCM 10 mL 65 s 0.2M monomer /20% IBN-MeCN 0.5 mL
2 coupling 8 min 0.5M CMIMT / MeCN 1.0 mL
3 oxidation 50mM I2 / pyridine-H20 (9:1, v/v) 2.0 mL
1 min 20% Ac20, 30% 2,6-lutidine / MeCN 1.0 mL
4 cap-2 45 s 20% MeIm / MeCN 1.0 mL
DPSE Amidite Synthetic Cycle for chiral PS linkages step operation reagents and solvent volume waiting time 1 detritylation 3% TCA / DCM 10 mL 65 s 0.2M monomer/ 20% IBN-MeCN 0.5 mL
2 coupling 8 min 0.5M CMIMT / MeCN 1.0 mL
3 cap-1 20% Ac20, 30% 2,6-lutidine / MeCN 2.0 mL
2 min 4 sulfurization 0.2M XH / pyridine 2.0 mL 6 min 20% Ac20, 30% 2,6-lutidine / MeCN 1.0 mL
5 cap-2 45 s 20% MeIm / MeCN 1.0 mL
PSM Amidite Synthetic Cycle for chiral PN n001 linkages step operation reagents and solvent volume waiting time 1 detritylation 3% TCA / DCM 10 mL 65 s 0.2M monomer! 20% IBN-MeCN 0.5 mL
2 coupling 8 min 0.5M CMIMT / MeCN 1.0 mL
3 cap-1 20% Ac20, 30% 2,6-lutidine / MeCN 2.0 mL
2 min 4 imidation 0.5M ADIH reagent! MeCN 2.0 mL 6 min 20% Ac20, 30% 2,6-lutidine / MeCN 1.0 mL
5 cap-2 45 s 20% MeIm / MeCN 1.0 mL
1008891 The preparation includes 15 DPSE and 3 PSM cycles.
1008901 After completion of the synthesis, oligonucleotides were removed from solid support.
Various technologies are available and can be utilized as described herein, e.g., those described in WO 2019/200185, WO 2019/217784, and/or WO 2019/032612, etc. In some embodiments, CPG solid support was dried and transferred into 50 mL plastic tube. CPG was treated with IX desilylation reagent (2.5 mL; 100 uL/umol) for 3 h at 28 C, then added conc. NH3 (5.0 mL; 200 uL/umol) for 16 h at 45 C.
The reaction mixture was cooled to room temperature and the CPG was separated by membrane filtration, washed with 15 mL of H20. The crude material (filtrate) was analyzed and characterized by LTQ and RP-UPLC.
1008911 As described herein, completely chirally controlled oligonucleotide compositions such as WV-39023 and WV-48182 can provide various advantages. For example, they maintain or improve oligonucleotide properties and/or activities, simplify various processes such as purification, characterization, quality control, etc., and can be manufactured with improved product quality and/or lower cost compared to reference compositions (e g , WV-34326 and WV-34327) EXAMPLE 2. Provided Oligonucleotides Can Effectively Reduce Levels of Their Targets 1008921 Various technologies can be utilized to assess properties and/or activities of provided oligonucleotides and compositions thereof Some such technologies are described in the Examples. Those skilled in the art appreciate that many other technologies can be readily utilized. As demonstrated herein, provided oligonucleotides and compositions, among other things, can be highly active, e.g., in reducing levels of their target nucleic acids.

1008931 A number of RHO oligonucleotides were tested, including testing knockdown of RHO in vitro in cells at one or a range of concentrations, and IC50. Various experiments were performed to evaluate the activity of certain oligonucleotides and compositions. Some results are shown in the following Tables.
In some of these Tables, results of replicate experiments are shown. In some of these Tables, not all controls may be shown (data not shown). Certain RHO oligonucleotides and compositions target SNP rs104893768.
For this SNP, in many instances there is a C in the wild-type RHO mRNA, and A
in the mutant RHO
mRNA. The C to A mutation in the mutant gives rise to a P23H mutation in the RHO protein.
1008941 In various Tables, knockdown represents knockdown of RHO
transcripts (wt, mt (P23H), or total) relative to control, unless otherwise noted. Various experiments were performed in vitro unless otherwise noted. RHO oligonucleotides were tested in vitro for ability to knock down the wild-type (wt) and the mutant (m or mt) RHO corresponding to the SNP. Results from replicate data are shown. Numbers indicate the % of remaining luciferase signal, corresponding to RHO remaining (relative to control) at the indicated oligonucleotide concentrations. The unit of the concentrations is nM
in some tables, or Log (dose nM) in some tables.
1008951 RHO wt is the amount (%) of wild-type RHO transcripts (without the SNP (e.g., SNP
rs104893768) allele that leads to P231-i) remaining after treatment with an oligonucleotide composition.
RHO P23H or RHO mt is the amount (%) mutant transcripts (e.g., comprising an allele of SNP rs104893768 that leads to P23H) remaining after treatment with an oligonucleotide composition. Various oligonucleotide compositions in various tables were evaluated for their ability to reduce the wt (wild-type) mt RHO transcripts; certain data are presented herein as examples. 100.0 would represent 100% RHO level (0% knockdown) and 0.0 would represent 0% RHO level (100% knock down).
1008961 Table 1.
Activities of certain oligonucleotide compositions.
1008971 Certain oligonucleotide compositions were tested in a luciferase reporting assay (procedures as shown in Example 3). Oligonucleotide were tested at multiple concentrations (shown as Log dose nM).
Provided technologies can effectively reduce expression of P23H mutant.
Cone.
Composition Conc. (uM) RhoP23H
[Log (uM)]
25 1.40 34.4 33.3 1.00 42.5 39.9 3.98 0.60 47.6 47.3 1.58 0.20 61.8 52.7 0.65 -0.19 61.1 61.7 0.26 -0.59 77.1 77.9 0.1 -0.99 66.5 75.3 0.04 -1.39 94.2 88.7 WV-34327 25 1.40 34.5 37.4 1.00 46.7 43.9 3.98 0.60 56.7 43 1.58 0.20 58.4 51.5 0.65 -0.19 65.2 71.4 0.26 -0.59 72.7 71.9 0.1 -0.99 73.5 78.7 0.04 -1.39 87.7 89.5 25 1.40 35.6 33.9 10 1.00 47.5 41.8 3.98 0.60 50.6 48.5 1.58 0.20 59.3 60 0.65 -0.19 67.9 67.3 0.26 -0.59 72.7 71.1 0.1 -0.99 75.5 74.1 0.04 -1.39 88.1 83.5 25 1.40 32 30.8 10 1.00 39.6 39.2 3.98 0.60 45.3 41_6 1.58 0.20 62.7 58.7 0.65 -0.19 58.9 59.7 0.26 -0.59 68.8 74.1 0.1 -0.99 67.8 70 0.04 -1.39 86.6 86.3 25 1.40 167.2 10 1.00 125.9 3.98 0.60 121.8 132.2 1.58 0.20 110.7 102.9 0.65 -0.19 105.4 96.5 0.26 -0.59 96.2 100 0.1 -0.99 94.5 110.4 0.04 -1.39 93.3 101.9 Provided technologies can maintain wild-type RHO expression:
Conc.
Conc. (uM) WT Rho [Log (dose uM)]
25 1.40 77.7 66.4 10 1.00 88.1 87.1 3.98 0.60 85.2 87.7 1.58 0.20 98.5 94.6 0.65 -0.19 91.2 84.2 0.26 -0.59 78.6 100.8 0.1 -0.99 93.7 86.5 0.04 -1.39 102.6 95.3 25 1.40 64.7 69.9 10 1.00 88.1 85.9 WV-34327 3.98 0.60 75.5 77.6 1.58 0.20 89.9 90.7 0.65 -0.19 87.4 96.4 0.26 -0.59 84.5 88 0.1 -0.99 81.7 82.5 0.04 -1.39 96.8 90.7 25 1.40 78.2 60.6 1.00 80.8 78 3.98 0.60 89 73.9 39023 1.58 0.20 86.3 90.7 WV-0.65 -0.19 96.2 77.8 0.26 -0.59 94.8 101.1 0.1 -0.99 93.7 88.7 0.04 -1.39 103.2 92.7 25 1.40 70.7 55.6 10 1.00 91 95.7 3.98 0.60 88.3 81 WV 48182 1.58 0.20 91.7 89.5 - 0.65 -0.19 101.8 81.5 0.26 -0.59 95.8 90.6 0.1 -0.99 73.6 87 0.04 -1.39 105 94.8 25 1.40 185.7 174.3 10 1.00 173.7 147 3.98 0.60 124.1 106.7 1.58 0.20 105.3 115.9 0.65 -0.19 97.8 99.6 0.26 -0.59 107.7 83.9 0.1 -0.99 105.2 98.8 0.04 -1.39 88.1 99.8 1008981 The data were fitted into curves (% mRNA remaining/HPRT -Conc.[Log (dose tiM)1).
1050 values and curve bottom (% rem) were determined.
Table 2. Certain IC50 and bottom (% rem) values.
Composition IC50 (uM) Bottom (%rem) WV-34326 0.94 35.6 WV-34327 0.96 38.2 WV-39023 1.73 34.8 WV-48182 1.54 31.0 1008991 As demonstrated herein, provided completely chirally controlled oligonucleotide compositions such as WV-39023 and WV-48182 can maintain or improve activities and selectivities while providing a number of manufacturing advantages.
EXAMPLE 3. Example Procedures 1009001 Various technologies are available for assessing provided oligonucleotides and compositions, for example, various experimental protocols can be used to test the activity of RHO

oligonucleotides in vitro. Non-limiting examples of procedures which have been or which can be used to test the activity of RHO oligonucleotides and compositions are described herein.
[00901] Cells which can be used include human and mouse cells. In some experiments, Cos7 cells were used.
[00902] In some embodiments, for certain in vitro assay methods:
[00903] RHO-WT and RHO-P23H gene-containing luciferase plasmids were constructed, by inserting the RHO gene into the psiCHECKTm-2 Vector, which comprises a luciferase gene. To construct a transfection control, the firefly luciferase gene was inserted into the multi-cloning site of the psiCHECKTm-2 Vector.
[00904] All the assays unless otherwise specified were performed in vitro using Cos-7 cells as a transfection host. Plasmids and modified oligonucleotides (e.g., RHO
oligonucleotides) were co-transfected using LipofectamineTM 2000 Transfection Reagent (Cat. No.
11668019) as suggested by the vendors protocol. A non-targeting control was used in every experiment as a negative control. All the co-transfection experiments were carried out in 96 WP formats and the cells were further incubated for 48 hours in a cell culture hood at 37 degree C. All the experiments were carried out in biological duplicates.
[00905] Dual-Glo Luciferase Assay System (Promega, Parts E2920, E2940 and E2980) was typically used to measure the luminescence intensity as per vendor protocols.
Briefly, the following steps are used: Warm up all reagents and buffers to room temperature, transfer the contents of one bottle of Dual-Glo Luciferase Buffer to one bottle of Dual-Glo Luciferase Substrate to create the Dual-Glo Luciferase Reagent. Mix by inversion until the substrate is thoroughly dissolved. Calculate the amount of Dual-Glo Stop & GloCk Reagent needed to perform the desired experiments.
Dilute the Dual-Glo Stop & Glo Substrate 1:100 into an appropriate volume of Dual-Glok Stop & Glo Buffer in a new container [00906] Measuring firefly luciferase activity: After 48 hours of incubation, take out all plates from the cell culture hood and let it cool down to room temperature. Then add a volume of Dual-Glo0 Luciferase Reagent equal to the culture medium volume to each well and mix. Wait at least 10 minutes, then measure the firefly luminescence.
[00907] Measuring Renilla luciferase activity: Add a volume of Dual-Glo Stop & GloCk Reagent equal to the original culture medium volume to each well and mix. Wait at least 10 minutes, and then measure luminescence.
[00908] Renilla Luciferase luminance intensity was providing measurements for target (RHO-WT
or RhoP23H) expressions. Firefly Luciferase luminance was used as a normalization control for transfection of plasmids. All the measurements are reported as normalized values and expressed as percentage knock down compared to universal non-target sequence used.
[00909] Various RHO oligonucleotides and compositions can be tested for their ability to knockdown the activity, level and/or expression of wild-type and/or mutant RHO
mRNA or protein.
EXAMPLE 4. Example Procedures 1009101 In some embodiments, provided technologies are assessed utilizing cells expressing wild-type and/or mutant Rho. For example, in some embodiments, a useful protocol to establish 293T stable cell line with Wt and P23H Rhodopsin expression is described below.
[00911] 293T cells with 50% confluence were infected with Rho-Wt and Rho-P23H lentivirus (Vigene Biosciences, Inc) with MOI: 0.5, 1, 2, 3, and 4. Next day, the infected cells were changed into 0.3 ug/ml puromycin selection medium. After two weeks, stable cells were evaluated by GFP expression in Florescent microscope and qPCR for rhodopsin mRNA expression.
[00912] Dose response assay with 293T stable cells by transfection [00913] Oligonucleotides were diluted with H20 into 60nM, and further 3-fold serial dilution for 7 times. Dilute the lipofectamine 2000 (ThermoFisher, cat#:11668019) 100x with opti-MEM, incubate for 5 minutes at RT. Mix 25 uL of oligonucleotide with 25 uL of lipofectamine 2000 transfection reagent, and incubate at RT for 15min. Then Mix 50 uL oligonucleotide-lipofectamine 2000 complex with 100 uL 293T
stable cells (10,000 per well) in 96-well plate with final oligonucleotide concentration at lOnM, 3,33nM, 1.11 nm, 0.37nM, 0.12nM, 41pM, 13.7pM, and 4.6pM. Incubate cells at 37C, 5%
CO2 incubator for 2 days.
[00914] Dose response assay with 293T stable cells by gymnotic treatment.
[00915] In some embodiments, oligonucleotides are delivered gymnotically. For screening with 5 uM oligonucleotide, mix 15 uL of 50 uM oligonucleotide with 135 uL 293T stable cells (10.8k cells) for each well in 96 well plate, incubate for 2 days before mRNA analysis.
[00916] For dose response assay, oligonucleotides with 250 uM were diluted with 2.5x serial dilution for seven times. Mix 12 uL oligonucleotide with 108 uL 293T cells in serum reduced medium (1%
FBS), and the final oligonucleotide concentrations are 25uM, 10uM, 4uM, 1.6 uM, 0.64 uM, 0.26 uM, 0.10 uM, and 0.041 uM. Incubate cells for three days before mRNA analysis.
[00917] mRNA analysis with Taqman qPCR.
[00918] mRNA was extracted with Turbocapture 384 mRNA kit (Qiagen, cat#: 72271) and cDNA
synthesis were performed with Transcriptor First Strand cDNA synthesis kit (Roche, cat#: 0489703001) following the manufacture instruction.
[00919] Rhodopsin mRNA expression was tested with Taqman qPCR with LightCycler 480 Probes Master (Roche, cat: 04887301001). qPCR probes were rhodopsin (Hs00892431 ml, FAM, 60x) and GAPDH (Hs02786624_gl, VIC PL, 60x) from ThermoFisher.

1009201 In some embodiments, the present disclosure provides the following Example Embodiments:
EXAMPLE EMBODIMENTS
1. An oligonucleotide, wherein the base sequence of the oligonucleotide comprises at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguous nucleobases of a base sequence that is at least 75%
identical or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus.
2. An oligonucleotide, wherein the base sequence of the oligonucleotide comprises at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguous nucleobases of a base sequence that is identical or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus.
3. An oligonucleotide, wherein the base sequence of the oligonucleotide comprises at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguous nucleobases of a base sequence that is at least 75%
identical or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus, and wherein the oligonucleotide is capable of decreasing the level, expression and/or activity of a RHO target gene or a gene product thereof.
4. An oligonucleotide, wherein the base sequence of the oligonucicotidc comprises at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguous nucleobases of a base sequence that is identical or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus, and wherein the oligonucleotide is capable of decreasing the level, expression and/or activity of a RHO target gene or a gene product thereof.
5. An oligonucleotide, whose base sequence is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous nucleobases of any base sequences in Table Al.
6. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus.
7. An oligonucleotide, wherein the oligonucleotide comprises a plurality of chiral internucleotidic linkages each of which independently comprises a stereodefined linkage phosphorus, wherein the pattern of backbone chiral centers of the oligonucleotide comprises [(Rp/Op)n(Sp)mly, wherein:
n is 1-10;

m is 1-50;
y is 2-10;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration;
Sp indicates a linkage phosphorus having S configuration; and at least one l(Rp/Op)n(Sp)ml comprises RpSpSp.
8. The oligonucleotide of Embodiment 7, wherein the base sequence of the oligonucleotide is or comprises a sequence that is complementary to a target sequence in a RHO gene or a transcript thereof 9. The oligonucleotide of any one of Embodiments 7-8, wherein the base sequence of the oligonucleotide comprises 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 or more contiguous nucleobases of a base sequence that is identical to or complementary to a base sequence of a RHO gene or a transcript thereof.
10. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide is capable of decreasing the level, expression and/or activity of a RHO target gene or a gene product thereof.
11. The oligonucleotide of any one of the preceding Embodiments, wherein the RHO target gene is a mutant RHO target gene associated with a RHO-related condition, disorder or disease.
12. The oligonucleotide of any one of the preceding Embodiments, wherein the RHO target gene is a mutant RHO target gene comprising P23H and associated with a RHO-related condition, disorder or disease.
13. The oligonucleotide of any one of the preceding Embodiments, wherein the RHO target gene is a wild-type RHO target gene.
14. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide selectively reduces levels and/or activities of nucleic acids associated with a condition, disorder or disease, and/or products encoded thereby, compared to those of nucleic acids less or not associated with a condition, disorder or disease.
15. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide selectively reduces levels and/or activities of RHO transcripts comprising P23H mutation and/or products encoded thereby, compared to those of RHO transcripts comprising no P23H
mutation and/or products encoded thereby.
16. The oligonucleotide of Embodiment 14 or 15, wherein the selectivity is at least 10, 50, 100, 500, 1000, 5000 fold or more.
17. The oligonucleotide of Embodiment 14 or 15, wherein the selectivity is at least 50 fold or more.
18. The oligonucleotide of any one of the preceding Embodiments, wherein one or more internucleotidic linkages each independently comprise a stereodefined linkage phosphorus in the Rp configuration.

19. The oligonucleotide of any one of the preceding Embodiments, wherein one or more internucleotidic linkages each independently comprise a stereodefined linkage phosphorus in the Sp configuration.

20. The oligonucleotide of any one of the preceding Embodiments, wherein a transcript is a RHO
mRNA.

21. The oligonucleotide of any one of the preceding Embodiments, wherein the target base sequence in a RHO gene or a transcript thereof is a characteristic sequence of the RHO
gene or a transcript thereof.

22. The oligonucleotide of any one of the preceding Embodiments, wherein the sequence of the contiguous nucleobases is characteristic of the RHO gene or a transcript thereof in that it is not identical or complementary to any other non-RHO sequences or transcripts thereof.

23. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide is capable of selectively decreasing the level, expression and/or activity of a RHO gene or a product thereof that is associated with a condition, disorder or disease, compared to another RHO gene or a product thereof that is not associated or less associated with the condition, disorder or disease.

24. The oligonucleotide of any one of the preceding Embodiments, wherein the condition, disorder or disease is retinopathy.

25. The oligonucleotide of any one of the preceding Embodiments, wherein the condition, disorder or disease is retinitis pigmentosa.

26. The oligonucleotide of any one of the preceding Embodiments, wherein the RHO gene associated with retinopathy comprises disease-associated mutation(s).

27. The oligonucleotide of any one of the preceding Embodimentsõ wherein the selectivity is at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 50, 60, 70, 80, 90 or 100 fold.

28. The oligonucleotide of any one of the preceding Embodiments, wherein the selectivity is at least fold.

29. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous nucleobases of GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GGUACTCGAAGTGGCTGCGT
wherein each T can be independently replaced by U and each U can be independently replaced with T.

30. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, or 15 contiguous nucleobases of GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GO Li A CTCGAAGIGGCTO COT wherein each T can be independently replaced by U.

31. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, or 16 contiguous nucleobases of GGIACTCGAAGIGGCT, GGIACTCGAAGIGGCTG, GGIACTUGAAGIGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or G ILIAC TCGA_AGIGGCTOC GT wherein each T can be independently replaced by U.

32. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or 21 contiguous nucleobases of GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GO-VA CTCG A A GTli CTGC GT
wherein each T can be independently replaced by U.

33. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 contiguous nucicobascs of GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or (JGIJ AC' rc. GA A GTO G CTOC GT
wherein each T can be independently replaced by U or vice versa.

34. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous nucleobases of GGTACTCGAAGTGGCUGCGU, wherein each T can be independently replaced by U and each U can be independently replaced with T.

35. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 11 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

36. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 12 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

37. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 13 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

38. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 14 or more contiguous nucleobases of the base sequence, wherein each '1 can be independently replaced by U.

39. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 15 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

40. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 16 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

41. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 17 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

42. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 18 or more contiguous nucleobases of the base sequence, wherein each T can be independently replaced by U.

43. The oligonucleotide of any one of the preceding Embodiments, wherein the sequence, is GGTACTCGAAGTGGCUGCGU

44. The oligonucleotide of any one of the preceding Embodiments, wherein at least one T is independently replaced by U.

45. The oligonucleotide of any one of Embodiments 1-43, wherein no T is replaced by U.

46. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises a plurality of chiral intemucleotidic linkages each of which independently comprises a stereodefined linkage phosphorus, wherein the pattern of backbone chiral centers of the oligonucleotide comprises [(Rp/Op)n(Sp)mly, wherein:
us 1-10;
m is 1-50;
y is 1-10;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration;

Sp indicates a linkage phosphorus having S configuration; and at least one [(Rp/Op)n(Sp)m] comprises RpSpSp.

47. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers comprises (Sp)t[(Rp/Op)n(Sp)mly, wherein t is 1-50.

48. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers comprises (Sp)t[(Rp/Op)n(Sp)m[yRp, wherein t is 1-50.

49. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers comprises Rp(Sp)t[(Rp/Op)n(Sp)mly, wherein t is 1-50.

50. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers comprises Rp(Sp)t[(Rp/Op)n(Sp)mlyRp, wherein t is 1-50.

51. The oligonucleotide of any one of the preceding Embodiments, wherein at least one [(Rp/Op)n(Sp)m] is independently [Rp(Sp)m].

52. The oligonucleotide of any one of the preceding Embodiments, wherein each [(Rp/Op)n(Sp)m] is independently [Rp(Sp)m].

53. The oligonucleotide of any one of the preceding Embodiments, wherein t is 2-50.

54. The oligonucleotide of any one of the preceding Embodiments, wherein each m is independently 2-50.

55. The oligonucleotide of any one of the preceding Embodiments, wherein y is 1.

56. The oligonucleotide of any one of the preceding Embodiments, wherein each Op indicates a linkage phosphorus being achiral in a natural phosphate linkage.

57. The oligonucleotide of any one of the preceding Embodiments, wherein at least one chiral intcrnucicotidic linkage comprising a stcrcodcfincd linkage phosphorus is a phosphorothioatc internucleotidic linkage.

58. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises a modified sugar.

59. The oligonucleotide of any one of the preceding Embodiments, wherein each sugar independently _________________________ Ls (Rs), Cto has the structure of _________________________________________________________________________ Ls (Rs), 0

60. The oligonucleotide of any one of the preceding Embodiments, wherein each is R5s R5' R2s R3' independently R2s

61. The oligonucleotide of Embodiment 60, wherein an occurrence of R5s is ¨H.

62. The oligonucleotide of any one of Embodiments 60-61, wherein an occurrence of R4s is ¨H.

63. Thc oligonucleotide of any one of Embodiments 60-62, wherein each occurrence of R4s is independently ¨H, or is taken together with a R2' to form.

64. The oligonucleotide of any one of Embodiments 60-63, wherein an occurrence of R3s is ¨H.

65. The oligonucleotide of any one of Embodiments 60-64, wherein each occurrence of R3s is ¨H.

66. The oligonucleotide of any one of Embodiments 60-65, wherein an occurrence of R2' is ¨H.

67. The oligonucleotide of any one of Embodiments 60-66, wherein an occurrence of RI' is ¨H.

68. The oligonucleotide of any one of Embodiments 60-67, wherein each occurrence of Ris is ¨H.
R5' R5' 0 R1' R2' R3s

69. The oligonucleotide of Embodiment 60, wherein each R2s is independently o Lb __ 0 R2s or

70. The oligonucleotide of any one of Embodiments 60-69, wherein an occurrence of R2' is ¨H.

71. The oligonucleotide of any one of Embodiments 60-70, wherein an occurrence of R2' is ¨F.

72. The oligonucleotide of any one of Embodiments 60-71, wherein an occurrence of R2s is ¨OR, wherein R is optionally substituted C1_6 alkyl.

73. The oligonucleotide of any one of Embodiments 60-72, wherein an occurrence of R2' is ¨0Me.

74. The oligonucleotide of any one of Embodiments 60-73, wherein an occurrence of R2' is ¨0CH2CH2OCH3.

75. The oligonucleotide of any one of Embodiments 60-74, wherein an occurrence of R2' is taken together with R 4s ¨0 CH,CH,OCH3

76. The oligonucleotide of any one of Embodiments 60-75, wherein an occurrence of Lb is optionally substituted ¨CH2¨.

77. The oligonucleotide of any one of Embodiments 60-76, wherein each occurrence of Lb is independently optionally substituted ¨CH2¨.

78. The oligonucleotide of any one of Embodiments 60-77, wherein an occurrence of Lb is

79. The oligonucleotide of any one of Embodiments 60-78, wherein each occurrence of Lb is ¨CH2¨.

80. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,20 or more nucleobases.

81. The oligonucleotide of Embodiment 80, wherein each nucleobase independently comprises an optionally substituted aromatic ring.

82. The oligonucleotide of Embodiment 80, wherein each nucleobase independently optionally substituted A, 1, C. G, or U, or an optionally substituted tautomer of A, '1', C, G, or U.

83. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises a wing and a core, wherein each wing and core independently comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleobases.

84. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises two wings.

85. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises a wing-core-wing structure.

86. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide consists of a wing-core-wing structure.

87. The oligonucleotide of any one of the preceding Embodiments, wherein each wing independently comprises a sugar modification that is not in the core.

88. The oligonucleotide of any one of the preceding Embodiments, wherein the core comprises no sugar modification that is 2'-OR, wherein R is optionally substituted C1_6 alkyl.

89. The oligonucleotide of any one of the preceding Embodiments, wherein each sugar in a core is an unmodified DNA sugar.

90. The oligonucleotide of any one of the preceding Embodiments, wherein the first wing and the second wing comprise a common sugar modification.

91. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of sugar modifications of the first wing is the same as the pattern of sugar modifications of the second wing.

92. The oligonucleotide of any one of the preceding Embodiments, wherein all wing sugars have the same modification.

93. The oligonucleotide of any one of the preceding Embodiments, wherein a sugar comprises a modification.

94. The oligonucleotide of Embodiment 93, wherein the 2.-modification is 2.-OR, wherein R is optionally substituted C1_6 alkyl.

95. The oligonucleotide of Embodiment 94, wherein R is ¨CH3.

96. The oligonucleotide of Embodiment 95, wherein R is ¨CH/CH/OCH3.

97. The oligonucleotide of any one of Embodiments 1-90, wherein the pattern of sugar modifications of the first wing differs from the pattern of sugar modifications of the second wing.

98. The oligonucleotide of Embodiment 97, wherein the first wing comprises a 2'-0Me modification and the second wing does not.

99. The oligonucleotide of Embodiment 97, wherein the second wing comprises a 2'-MOE
modification and the first wing does not.

100. 'Me oligonucleotide of Embodiment 97, wherein the first wing comprises a 2'-0Me modification and the second wing does not and wherein the second wing comprises a 2'-MOE
modification and the first wing does not.

101. The oligonucleotide of any one of the preceding Embodiments, wherein each sugar in the same wing has the same modification.

102. The oligonucleotide of any one of the preceding Embodiments, wherein the second wing comprises one or more high-affinity sugars.

103. The oligonucleotide of Embodiment 101, wherein a high-affinity sugar is bonded to a neutral intemucleotidic linkage.

104. The oligonucleotide of any one of Embodiments 1-89, wherein a first wing comprises one or more 2'-MOE modified sugars.

105. The oligonucleotide of any one of Embodiments 1-89, wherein each sugar in a first wing comprises 2'-M0E.

106. The oligonucleotide of any one of Embodiments 1-89 and 104-105, wherein a second wing comprises one or more 2'-MOE modified sugars.

107. The oligonucleotide of any one of Embodiments 1-89 and 104-106, wherein a second wing comprises one or more 2'-0Me modified sugars.

108. The oligonucleotide of any one of Embodiments 1-89 and 104-107, wherein each sugar in a second wing comprises a 2.-OR modification, wherein R is optionally substituted C1_6 alkyl.

109. The oligonucleotide of any one of Embodiments 1-89 and 104-108, wherein each sugar in a second wing comprises the same sugar modification.

110. The oligonucleotide of any one of the preceding Embodiments, wherein the first wing is a wing to the 5'-end of a core (a 5'-wing), and the second wing is a wing to the 3'-end of a core (a 3'-wing).

111. The oligonucleotide of any one of the preceding Embodiments, wherein each wing independently comprises 2, 3, 4, 5, 6, 7, 8, 9 or 10 nucleobases.

112. The oligonucleotide of any one of the preceding Embodiments, wherein each wing comprises 5 and no more than 5 nucleobases.

113. The oligonucleotide of any one of the preceding Embodiments, wherein a core comprises 5, 6, 7, 8,9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleobases.

114. The oligonucleotide of any one of the preceding Embodiments, wherein a core comprises 10 and no more than 10 nucleobases.

115. The oligonucleotide of any one of the preceding Embodiments, wherein a wing comprises one or more modified internucleotidic linkages.

116. The oligonucleotide of any one of the preceding Embodiments, wherein a wing comprises one or more modified internucleotidic linkages and one or more natural phosphate linkages.

117. The oligonucleotide of Embodiment 108, wherein a wing comprises 2, 3, 4, 5, or more consecutive natural phosphate linkages.

118. The oligonucleotide of any one of the preceding Embodiments, wherein each wing internucleotidic linkage is independently bonded to two wing nucleosides, and each core internucleotidic linkage is independently bonded to two core nucleosides or a wing nucleoside and a core nucleoside.

119. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises one or more modified internucleotidic linkages.

120. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises one or more phosphorothioate internucleotidic linkages.

121. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises one or more phosphorothioate internucleotidic linkages, wherein each of the phosphorothioate internucleotidic linkage is Sp.

122. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises one or more non-negatively charged internucleotidic linkages.

123. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises 2, 3, 4, 5, or 6 non-negatively charged internucleotidic linkages.

124. The oligonucleotide of any one of the preceding Embodiments, wherein a 5'-wing comprises one or more natural phosphate linkages.

125. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises one or more modified internucleotidic linkages.

126. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises one or more phosphorothioate internucleotidic linkages.

127. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises one or more phosphorothioate internucleotidic linkages, wherein each of the phosphorothioate internucleotidic linkage is Sp.

128. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises one or more non-negatively charged intemucleotidic linkages.

129. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises 2, 3, 4, 5, or 6 non-negatively charged internucleotidic linkages.

130. The oligonucleotide of any one of the preceding Embodiments, wherein a 3'-wing comprises one or more natural phosphate linkages.

131. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 5' end of a 5'-wing is a chiral intemucleotidic linkage.

132. "lhe oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 5' end of a 5'-wing is a chiral intemucleotidic linkage, and each other intemucleotidic linkage that bonds to two 5'-wing nucleosides is independently a natural phosphate linkage or a non-negatively charged intemucleotidic linkage.

133. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 5' end of a 5'-wing is a chiral internucleotidic linkage, and each other intemucleotidic linkage that bonds to two 5'-wing nucleosides is independently a natural phosphate linkage.

134. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 5' end of a 5'-wing is a chiral intemucleotidic linkage wherein the linkage phosphorus is in the Sp configuration.

135. The oligonucleotide of any one of Embodiments 1-133, wherein the first internucleotidic linkage from the 5' end of a 5'-wing is a chiral intemucleotidic linkage wherein the linkage phosphorus is in the Rp configuration.

136. The oligonucleotide of any one of the preceding Embodiments, wherein the last wing intemucleotidic linkage from the 5' end of a 5'-wing is a natural phosphate linkage.

137. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 3' end of a 3'-wing is a chiral intemucleotidic linkage.

138. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 3' end of a 3'-wing is a chiral intemucleotidic linkage, and each other intemucleotidic linkage that bonds to two 3'-wing nucleosides is independently a natural phosphate linkage or a non-negatively charged intemucleotidic linkage.

139. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 3' end of a 3'-wing is a chiral internucleotidic linkage, and each other intemucleotidic linkage that bonds to two 3'-wing nucleosides is independently a natural phosphate linkage.

140. The oligonucleotide of any one of the preceding Embodiments, wherein the first intemucleotidic linkage from the 3' end of a 3'-wing is a chiral intemucleotidic linkage wherein the linkage phosphorus is in the Sp configuration.

141. The oligonucleotide of any one of Embodiments 1-139, wherein the first intemucleotidic linkage from the 3' end of a 3'-wing is a chiral intemucleotidic linkage wherein the linkage phosphorus is in the Rp configuration.

142. The oligonucleotide of any one of the preceding Embodiments, wherein the last wing intemucleotidic linkage from the 3' end of a 3'-wing is a natural phosphate linkage.

143. The oligonucleotide of any one of the preceding Embodiments, wherein one or more nucleosides comprising a 2'-0Me modification are independently bonded to one or two Sp chiral internucleotidic linkages.

144. The oligonucleotide of any one of the preceding Embodiments, wherein one or more nucleosides comprising a high affinity sugar are independently bonded to one or two natural phosphate linkages_

145. The oligonucleotide of any one of the preceding Embodiments, wherein one or more nucleosides comprising a high affinity sugar are independently bonded to one or two neutral intemucleotidic linkages.

146. The oligonucleotide of any one of the preceding Embodiments, wherein one or more nucleosides comprising a 2'-MOE modification are independently bonded to one or two natural phosphate linkages.

147. The oligonucleotide of any one of the preceding Embodiments, wherein one or more nucleosides comprising a 2'-MOE modification are independently bonded to one or two neutral intemucleotidic linkages.
14g. The oligonucleotide of any one of the preceding Embodiments, wherein each core intemucleotidic linkage is independently a phosphorothioate intemucleotidic linkage.
149. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers of the core comprises or consists of (Np)t(Op/Rp)n(Sp)mly, wherein:
t is 1-50;
n is 1-10;
m is 1-50;
y is 1-10;
each Np is independently Rp or Sp;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration; and Sp indicates a linkage phosphorus having S configuration.
150. The oligonucleotide of any one of the preceding Embodiments, wherein the pattern of backbone chiral centers of the core comprises or consists of (Np)t(Op/Rp)n(Sp)mlyRp, wherein:
t is 1-50;
n is 1-10;
m is 1-50;

y is 1-10;
each Np is independently Rp or Sp;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration; and Sp indicates a linkage phosphorus having S configuration.
151. The oligonucleotide of Embodiment 149 or 150, wherein at least one Np is Sp.
152. The oligonucleotide of Embodiment 149 or 150, wherein (Np)t is Rp(Np)t-1.
153. "lhe oligonucleotide of Embodiment 149 or 150, wherein (Np)t is Rp(Sp)t-1.
154. The oligonucleotide of Embodiment 149 or 150, wherein each Np is Sp.
155. The oligonucleotide of any one of Embodiments 149-154, wherein at least one (Op/Rp) is RI).
156. The oligonucleotide of any one of Embodiments 149-154, wherein each (Op/Rp) is Rp.
157. The oligonucleotide of any one of Embodiments 149-156, wherein at least one n is 1.
158. The oligonucleotide of any one of Embodiments 149-156, wherein each n is 1.
159. The oligonucleotide of any one of Embodiments 149-158, wherein t is 2, 3, 4, 5, 6, 7, 8, 9 or 10.
160. The oligonucleotide of any one of Embodiments 149-159, wherein at least one m is 2-50.
161. The oligonucleotide of any one of Embodiments 149-159, wherein each m is independently 2-50.
162. The oligonucleotide of any one of Embodiments 149-159, wherein each m is independently 2. 3, 4, 5, 6, 7, 8, 9 or 10.
163. The oligonucleotide of any one of Embodiments 149-159, wherein at least one m is 1.
164. The oligonucleotide of any one of Embodiments 149-159, wherein one m is 1, and each other m is independently 2-50.
165. The oligonucleotide of any one of Embodiments 149-164, wherein y is 1.
166. The oligonucleotide of any one of Embodiments 149-164, wherein y is 2, 3, 4 or 5.
167. The oligonucleotide of any one of Embodiments 149-166, wherein the pattern of backbone chiral centers of the core comprises RpSpRp.
168. The oligonucleotide of any one of Embodiments 149-166, wherein the pattern of backbone chiral centers of the core comprises (Sp)tRpSpRp.
169. The oligonucleotide of any one of Embodiments 149-166, wherein the pattern of backbone chiral centers of the core comprises RpSpRpSpSp.
170. The oligonucleotide of any one of Embodiments 149-166, wherein the pattern of backbone chiral centers of the core comprises (Sp)tRpSpRpSpSp.
171. The oligonucleotide of any one of Embodiments 149-170, wherein the first Np of (Np)t in (Np)tROp/Rp)n(Sp)mly or (Np)4(0p/Rp)n(Sp)mlyRp represents linkage phosphorus stereochemistry of the first internucleotidic linkage of a core from 5' to 3'.

172. The oligonucleotide of any one of Embodiments 149-170, wherein the last Sp of (Np)4(0p/Rp)n(Sp)mly or the last Rp of (Np)4(0p/Rp)n(Sp)mlyRp represents linkage phosphorus stereochemistry of the last intemucleotidic linkage of a core from 5' to 3'.
173. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide comprises a nucleobase which is or is complementary to a characteristic nucleobase in a characteristic sequence element that can differentiate a target nucleic acid from other nucleic acids.
174. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide comprises a nucleobase which is or is complementary to a nucleobase that can differentiate one allele from the other allele(s).
175. The oligonucleotide of Embodiment 173 or 174, wherein the nucleobase which is or is complementary to a point mutation.
176. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide comprises a nucleobase which is or is complementary to an allele of a SNP or a point mutation.
177. The oligonucleotide of any one of the preceding Embodiments, wherein the base sequence of the oligonucleotide comprises a nucleobase which is complementary to an allele of a SNP that is on the same strand of a mutation associated with a condition, disorder or disease.
178. The oligonucleotide of any one of the preceding Embodiments, wherein the mutation associated with a condition, disorder or disease is disease-associated mutation(s) in RHO.
179. The oligonucleotide of any one of the preceding Embodiments, wherein the mutation is Rho P23H.
180. The oligonucleotide of any one of the preceding Embodiments, wherein the condition, disorder or disease is retinopathy (e.g, retinal degeneration, retinal degenerative disease, retinal degenerative disorder, inherited retinal degenerative disorder, retinitis pigmentosa, autosomal dominant retinitis pigmentosa, etc.).
181. The oligonucleotide of any one of Embodiments 173-180, wherein an Rp intemucleotidic linkage is at -3, -2, -1, +1, +2, or +3 position relative to the nucleobase, wherein "-" is counting toward the 5'-end, -" is counting toward the 3'-end, and an intemucleotidic linkage is at -1 position if it bonds to the 5' of the nucleoside comprising the nucleobase, at +1 position if it bonds to the 3' of the nucleoside comprising the nucleobase.
182. The oligonucleotide of Embodiment 181, wherein an Rp intemucleotidic linkage is -3 position relative to the nucleobase.
183. The oligonucleotide of Embodiment 181, wherein an Rp intemucleotidic linkage is -2 position relative to the nucleobase.

184. The oligonucleotide of Embodiment 181, wherein an Rp internucleotidic linkage is -1 position relative to the nucleobase.
185. The oligonucleotide of Embodiment 181, wherein an Rp internucleotidic linkage is +1 position relative to the nucleobase.
186. The oligonucleotide of Embodiment 181, wherein an Rp internucleotidic linkage is +2 position relative to the nucleobase.
187. The oligonucleotide of Embodiment 181, wherein an Rp internucleotidic linkage is +3 position relative to the nucleo base.
188. The oligonucleotide of any one of Embodiments 181-187, wherein the Rp is the Rp of an RpSpSp pattern.
189. The oligonucleotide of any one of Embodiments 181-187, wherein the Rp is the Rp of an SpRpSpSp pattern.
190. The oligonucleotide of any one of Embodiments 173-187, wherein the nucleobase is within a core.
191. The oligonucleotide of Embodiment 190, wherein the nucleobase is the 3rd 4th, 5th, 6th, 7th, 8th, 9th, 10th 1 1 th, 12th 13th 4th or t ID nucleobase of the core from 5' to 3'.
192. The oligonucleotide of Embodiment 190, wherein the nucleobase is the 3, 4th, 5th, 6th, 7th, or 8th nucleobase of the core from 5' to 3'.
193. The oligonucleotide of Embodiment 190, wherein the nucleobase is the 51h, 6th, or ,-tth nucleobase of the core.
194. The oligonucleotidc of Embodiment 190, wherein the nucleobase is the 5th nucleobase of the core.
195. Thc oligonucleotide of Embodiment 190, wherein the nucleobase is the 6th nucleobase of the core.
196. The oligonucleotide of Embodiment 190, wherein the nucleobase is the 7th nucleobase of the core.
197. The oligonucleotide of any one of Embodiments 173-196, wherein the nucleobase is the 5th 61h, 71h, 8111, 91h, 10th, lth, 121h,13th, 14th, 15th, 1611t, 171h, 18th, 1911t, 20th, 21,1, 2211d, 23rd 111 2,4 or 25th nucleobase of the oligonucleotide from 5' to 3'.
19g. The oligonucleotide of any one of Embodiments 173-196, wherein the nucleobase is the 5t1i, 6th, 7th, 8th, 9th, 10th, 11th, 12th or t th nucleobase of the oligonucleotide from 5' to 3'.
199. The oligonucleotide of Embodiment 198, wherein the nucleobase is the 10th, 11th, or 12th nucleobase of the oligonucleotide.
200. The oligonucleotide of Embodiment 198, wherein the nucleobase is the 10th nucleobase of the core.
201. The oligonucleotide of Embodiment 198, wherein the nucleobase is the 11th nucleobase of the core.

202. The oligonucleotide of Embodiment 198, wherein the nucleobase is the 12th nucleobase of the core.
203. The oligonucleotide of any one of Embodiments 181-202, wherein the Rp is an Rp in the pattern of backbone chiral centers of any one of Embodiments 149-172.
204. The oligonucleotide of any one of Embodiments 149-203, wherein each Rp independently represents the linkage phosphorus configuration of a phosphorothioate intemucleotidic linkage.
205. The oligonucleotide of any one of Embodiments 149-204, wherein each Sp independently represents the linkage phosphorus configuration of a phosphorothioate internucleofidic linkage.
206. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises one or more non-negatively charged intemucleotidic linkages.
207. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises one or more non-negatively charged intemucleotidic linkages having the structure of formula I, I-a-1, I-a-2, I-b, I-c, I-d, I-e, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, or II-d-2.
208. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises one or more neutral intemucleotidic linkages.
209. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises one or more neutral intemucleotidic linkages having the structure of formula 1, I-a-1, 1-a-2, I-b, I-c, I-d, I-e, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, or II-d-2.
210. The oligonucleotide of any one of the preceding Embodiments, wherein the non-negatively charged internucleotidic linkage or neutral intemucleotidic linkage is n001.
211. The oligonucleotide of any one of Embodiments any one of the preceding Embodiments, wherein the non-negatively charged intemucleotidic linkage or neutral intemucleotidic linkage is chirally controlled.
212. The oligonucleotide of any one of Embodiments any one of the preceding Embodiments, wherein the non-negatively charged intemucleotidic linkage or neutral intemucleotidic linkage is in a wing.
213. The oligonucleotide of any one of the preceding Embodiments, wherein each intemucleotidic linkage independently has the structure of formula I, I-a-1, I-a-2, I-b, I-c, I-d, I-e, I-n-1, I-n-2, I-n-3, I-n-4, II, II-a-1, II-a-2, II-b-1, II-b-2, II-c-1, II-c-2, II-d-1, or II-d-2, or a salt form thereof.
214. The oligonucleotide of any one of the preceding Embodiments, wherein each intemucleotidic linkage is independently selected from natural phosphate linkages, phosphorothioate intemucleotidic linkages and non-negatively charged intemucleotidic linkages.
215. The oligonucleotide of any one of the preceding Embodiments, wherein each intemucleotidic linkage is independently selected from natural phosphate linkages, phosphorothioate intemucleotidic linkages and n001.
216. The oligonucleotide of any one of Embodiments 1-203, wherein each intemucleotidic linkage is independently selected from a natural phosphate linkage and a phosphorothioate intemucleotidic linkage.
217. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all chirally controlled phosphorothioate intemucleotidic linkages are Sp.
218. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all chirally controlled non-negatively charged intemucleotidic linkages are Rp.
219. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all chirally controlled intemucleotidic linkages are Sp.
220. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all modified intemucleotidic linkages are phosphorothioate intemucleotidic linkages.
221. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all modified intemucleotidic linkages are phosphorothioate intemucleotidic linkages having a Sp configuration.
222. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all intemucleotidic linkages are phosphorothioate intemucleotidic linkages.
223. The oligonucleotide of any one of the preceding Embodiments, wherein at least 60%, 70%, 75%, 80%, 85%, 90% or 95% of all intemucleotidic linkages are phosphorothioate intemucleotidic linkages having a Sp configuration.
224. The oligonucleotide of any one of the preceding Embodiments, wherein each chiral intcmucicotidic linkage of the oligonucicotidc independently comprises a stcrcodcfincd linkage phosphorus.
225. The oligonucleotide of any one of the preceding Embodiments, wherein each nucleobase of the oligonucleotide is independently optionally substituted A, 2AP, DAP, T, C, G
or U, or an optionally substituted tautomer of A, T, C, G or U.
226. The oligonucleotide of any one of the preceding Embodiments, wherein each nucleobase of the oligonucleotide is independently optionally substituted A, T, C, G or U, or an optionally substituted tautomer of A, T, C, G or U.
227. The oligonucleotide of any one of the preceding Embodiments, wherein each nucleobase of the oligonucleotide is independently A, T, C, 5mC, G or U.
228. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide chain is conjugated with a lipid moiety, a carbohydrate moiety, or a targeting moiety.
229. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises an additional chemical moiety which is capable of binding to ASPGR.
230. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises an additional chemical moiety which comprises GalNAc or derivative thereof capable of binding to ASPGR.
231. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide _______ os _ L' AcHN
comprises an additional chemical moiety which comprises NHAc or OH
232. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide OH
H N
NHAc 0 HN
HO
NHAc OH

NHAc comprises 0 233. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises Mod012.
234. The oligonucicotide of any one of the preceding Embodiments, wherein the oligonucicotidc comprises Mod039.
235. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises Mod062.
236. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises Mod085.
237. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises Mod086.
238. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises Mod094.
239. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide comprises tgalmc6T.
240. An oligonucleotide having the structure of:

Geo* SGeon001RTeoAeon001Rm5 Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG*RG* SC*
SmU* Sm G*Sm5Ceon001RmG*SmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
CN>=NõO

n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of eo represents a 2'¨OCH2CFLOCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C.
241. An oligonucleotide having the structure of:
Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG * SC* SmU*
Sm G*Sm5Ceo*SmGn001RmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
CN)=Nõ6 Os n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of =
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C.
242. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide is in a form of a pharmaceutically acceptable salt.
243. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide is a sodium salt form.
244. The oligonucleotide of any one of the preceding Embodiments, wherein each phosphorothioate internucleotidic linkage in the oligonucleotide independently has a diastereomeric purity of at least 90%, 95%, 96%, 97%, 98%, or 99%.
245. The oligonucleotide of any one of the preceding Embodiments, wherein each chiral linkage phosphorus in the oligonucleotide independently has a de of at least 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99%.

246. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide has a diastereomeric purity of about or at least about 30%-100%, 40%-100%, 40%-90%, 40-80%, 50%-100%, 50%-90%, 50%-85%, 50%, 60%, 70%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99%.
247. The oligonucleotide of any one of the preceding Embodiments, wherein the oligonucleotide has a diastereomeric purity of at least 50%, 60%, 70%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99%.
248. A chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common pattern of backbone linkages, and 3) a common pattern of backbone chiral center, wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides sharing the common base sequence and pattern of backbone linkages, for oligonucleotides of the plurality, and each oligonucleotide of the plurality is independently an oligonucleotide of any one of Embodiments 1-243.
249. A chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common pattern of backbone linkages, and 3) the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein about 1-100% of all oligonucleotides within the composition that share the common base sequence and common pattern of backbone linkages are the oligonucleotides of the plurality, and each oligonucleotide of the plurality is independently an oligonucleotide of any one of Embodiments 1-243.
250. A chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common constitution, and 2) the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled intemucleotidic linkages), wherein about 1-100% of all oligonucleotides within the composition that share the common constitution are the oligonucleotides of the plurality, and each oligonucleotide of the plurality is independently an oligonucleotide of any one of Embodiments 1-243.

251. The composition of any one of Embodiments 248-250, wherein 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99% or more of all oligonucleotides within the composition that share the common base sequence are the oligonucleotides of the plurality.
252. The composition of any one of Embodiments 248-250, wherein 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99% or more of all oligonucleotides within the composition that share the common base sequence and common pattern of backbone linkages, or share the common constitution, are the oligonucleotides of the plurality.
253. The composition of any one of Embodiments 249-252, wherein the percentage is at least 50%.
254. The composition of any one of Embodiments 249-253, wherein each phosphorothioate internucleotidic linkage is independently chirally controlled.
255. The composition of any one of Embodiments 248-254, wherein substantially all oligonucleotides within the composition that share the common base sequence and common pattern of backbone linkages are the oligonucleotides of the plurality.
256. The composition of any one of Embodiments 248-249 and 251-255, wherein oligonucleotides of the plurality share the same constitution.
257. The composition of any one of Embodiments 248-256, wherein oligonucleotides of the plurality are identical.
258. The composition of Embodiment 257, wherein the composition is substantially free of other stereoisomeric forms of the oligonucleotides.
259. The composition of any one of Embodiments 248-256, wherein oligonucleotides of the plurality comprise one or more non-negatively charged internucleotidic linkages, one or more of which arc not chirally controlled.
260. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
Sm G*Sm5Ceon001RmG*SmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
I

n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of eo represents a 2'-00-1/CFLOCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein the composition is enriched, relative to a substantially racemic preparation of oligonucleotides of the plurality, for oligonucleotides of the plurality.
261. .. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001R1eoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* Sm U
* Sm G*Sm5Ceon001RmG*SmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of ;
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein about or at least about 30%-100%, 40%-100%, 40%-90%, 40-80%, 50%-100%, 50%-90%, 50%-85%, or 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90% or more of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
262. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
Sm G*Sm5Ceon001RmG*SmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
P.õ
n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of eo represents a 2'-00-12CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein the percentage of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality being oligonucleotides of the plurality is (DS)18 or more, wherein DS is 90%400% (e.g., about or at least about 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%).
263. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001RTeoAeon001Rm5 Ceo* ST* Sm5 C* SG* SA* SA* SG* ST* SG*RG* SC*
SmU* Sm G*Sm5Ceo*SmGn001RmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2f-OMe modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
I "O
n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of ;
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein the composition is enriched, relative to a substantially racemie preparation of oligonucleotides of the plurality, for oligonucleotides of the plurality.
264. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
Sm G*Sm5Ceo*SmGn001RmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2.-OMe modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
CN>=Nõ0 I
n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of ;
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein about or at least about 30%-100%, 40%-100%, 40%-90%, 40-80%, 50%-100%, 50%-90%, 50%-85%, or 30%, 40%, 50%, 60%, 70%, 80%, 85%, 90% or more of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
265. A composition comprising a plurality of oligonucleotides, each of which independently has the structure of:
Geo* SGeon001RTeoAeon001Rm5Ceo* ST* Sm5C* SG* SA* SA* SG* ST* SG*RG* SC* SmU*
Sm G*Sm5Ceo*SmGn001RmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2'-0Me modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
CN>=Nõ0 n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of ;
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C;
wherein the percentage of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality being oligonucleotides of the plurality is (DS)18 or more, wherein DS is 80%-100% (e.g., about or at least about 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99%).
266. The composition of any one of Embodiments 260-265, wherein about or at least about 40%-90%
all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
267. The composition of any one of Embodiments 260-265, wherein about or at least about 40% of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
268. The composition of any one of Embodiments 260-265, wherein about or at least about 50% of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
269. The composition of any one of Embodiments 260-265, wherein about or at least about 60% of all oligonucleotides in the composition that share the constitution of an oligonucleotide of the plurality are oligonucleotides of the plurality.
270. The composition of any one of Embodiments 248-269, wherein oligonucleotides of the plurality are each independently in a pharmaceutically acceptable salt form.
271. The composition of any one of Embodiments 248-269, wherein oligonucleotides of the plurality are each a sodium salt.
272. A pharmaceutical composition comprising a composition of any one of Embodiments 248-271 and a pharmaceutically acceptable carrier.
273. A pharmaceutical composition comprising or delivering an oligonucleotide of any one of the preceding Embodiments and a pharmaceutically acceptable carrier.
274. The composition of Embodiment 272 or 273, wherein the oligonucleotide is a pharmaceutically acceptable salt form.
275. The composition of Embodiment 274, wherein the oligonucleotide is a sodium salt form.
276. A method for preventing, treating or ameliorating a RHO-related condition, disorder or disease in a subject susceptible thereto or suffering therefrom, comprising administering to the subject a therapeutically effective amount of an oligonucleotide of any one of Embodiments 1-247 or a composition of any one of Embodiments 248-275.
277. A method for preventing a condition, disorder or disease, comprising administering or delivering to a subject susceptible thereto an effective amount of an oligonucleotide of any one of Embodiments 1-247 or a composition of any one of Embodiments 248-275, wherein the condition, disorder or disease is associated with RHO P23H mutation, and the subject contains RHO P23H mutation.
278. The method of Embodiment 277, wherein onset of a symptom of the condition, disorder or disease is delayed.
279. A method for treating a condition, disorder or disease, comprising administering or delivering to a subject suffering therefrom an effective amount of an oligonucleotide of any one of Embodiments 1-247 or a composition of any one of Embodiments 248-275, wherein the condition, disorder or disease is associated with RHO P23H mutation, and the subjcct contains RHO P23H mutation.
280. The method of Embodiment 279, wherein severity of a symptom of the condition, disorder or disease is reduced.
281. The method of any one of Embodiments 279-280, wherein a function impacted by the condition, disorder or disease is improved.
282. The method of any one of Embodiments 279-281, wherein progression of the condition, disorder or disease is slowed or prevented.
283. The method of any one of Embodiments 276-282, wherein the condition, disorder or disease is retinopathy.
284. The method of any one of Embodiments 276-282, wherein the condition, disorder or disease is retinitis retinopathy.
285. The method of any one of Embodiments 276-282, wherein the condition, disorder or disease is autosomal dominant retinitis pigmentosa.

286. A method for decreasing the activity, expression and/or level of a RHO
target gene or its gene product in a cell, comprising contacting the cell with an oligonucleotide of any one of Embodiments 11-247 or a composition of any one of Embodiments 248-275.
287. A method for preventing or treating retinitis pigmentosa, comprising administering to the subject a therapeutically effective amount of an oligonucleotide of 1-247 or a composition of any one of Embodiments 248-275.
288. A method for decreasing the activity, expression and/or level of a RHO
target gene or its gene product in a cell, comprising contacting the cell with an oligonucleotide of 1-247 or a composition of any one of Embodiments 248-275.
289. A method for suppression of a transcript from a target RHO sequence for which one or more similar nucleic acid sequences exist within a population, each of the target and similar sequences contains a specific characteristic sequence element that defines the target sequence relative to the similar sequences, the method comprising steps of:
contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide, or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines the target nucleic acid sequence.
290. The method of Embodiment 289, wherein when the oligonucleotide, or the oligonucleotide composition, is contacted with a system comprising transcripts of both the target nucleic acid sequence and a similar nucleic acid sequences, transcripts of the target nucleic acid sequence arc suppressed at a greater level than a level of suppression observed for a similar nucleic acid sequence.
291. The method of Embodiment 290, wherein suppression of the transcripts of the target nucleic acid sequence is 1.5, 2, 2.5, 3, 4, 5, 6. 7, 8, 9, 10, 20, 50, 100, 200, 500 fold or more of suppression observed for a similar nucleic acid sequence.
292. The method of any one of Embodiments 289-292, wherein the transcripts of the target nucleic acid sequence are associated with a condition, disorder or disease.
293. The method of any one of Embodiments 289-292, wherein the condition, disorder or disease is retinopathy.
294. The method of any one of Embodiments 289-292, wherein the condition, disorder or disease is retinitis pigmentosa.
295. The method of any one of Embodiments 289-294, wherein the transcripts of the target nucleic acid sequence comprises or encodes Rho P23H.

296. The method of any one of Embodiments 289-295, wherein transcripts of a similar nucleic acid sequence is not, or is less, associated with the condition, disorder or disease.
297. A method for allele-specific suppression of a transcript from a target RHO sequence for which a plurality of alleles exist within a population, each of which contains a specific characteristic sequence element that defines the allele relative to other alleles of the same target sequence, the method comprising steps of:
contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines a particular allele.
298. The method of Embodiment 297, wherein when the oligonucleotide, or the oligonucleotide composition, is contacted with a system comprising transcripts of both the target allele and another allele of the same nucleic acid sequence, transcripts of the particular allele are suppressed at a greater level than a level of suppression observed for another allele of the same nucleic acid sequence.
299. The method of Embodiment 298, wherein suppression of the transcripts of the particularly allele is 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 20, 50, 100, 200, 500 fold or more of suppression observed for another allele.
300. The method of any one of Embodiments 297-299, wherein the transcripts of the particular allele arc associated with a condition, disorder or disease.
301. The method of any one of Embodiments 297-300, wherein the condition, disordcr or disease is retinopathy.
302. The method of any one of Embodiments 297-300, wherein the condition, disorder or disease is retinitis pigmentosa.
303. The method of any one of Embodiments 297-302, wherein the transcripts of the target nucleic acid sequence comprises or encodes Rho P23H.
304. The method of any one of Embodiments 297-303, wherein transcripts of another allele is not, or is less, associated with the condition, disorder or disease.
305. The method of any one of Embodiments 289-304, wherein the characteristic sequence element comprises a SNP.
306. The method of any one of Embodiments 289-304, wherein the characteristic sequence element comprises SNP rs104893768.
307. The method of any one of Embodiments 289-306, wherein the characteristic sequence element comprises SNP rs104893768, and the transcript of an allele of SNP rs104893768 which comprises Rho P23H is selectively suppressed.
308. The method of any one of Embodiments 289-307, wherein the characteristic sequence element comprises SNP rs104893768, and the transcript of the A allele of SNP
rs104893768 is selectively suppressed.
309. The method of any one of Embodiments 289-304, wherein the characteristic sequence element comprises a mutation.
310. "lhe method of any one of Embodiments 289-304, wherein the characteristic sequence element comprises or encodes RhoP23H.
311. The method of any one of Embodiments 289-304, wherein the oligonucleotide or the oligonucleotide composition is of any one of Embodiments 1-275.
312. A compound, oligonucleotide, composition, or method described in the specification.
1009211 While various embodiments have been described and illustrated herein, those of ordinary skill in the art will readily envision a variety of other means and/or structures for performing the functions and/or obtaining the results and/or one or more of the advantages described in the present disclosure, and each of such variations and/or modifications is deemed to be included. More generally, those skilled in the art will readily appreciate that all parameters, dimensions, materials, and configurations described herein are meant to be example and that the actual parameters, dimensions, materials, and/or configurations may depend upon the specific application or applications for which the teachings of the present disclosure is/are used. Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the embodiments of the present disclosure. It is, therefore, to be understood that the foregoing embodiments are presented by way of example only and that, within the scope of the appended claims and equivalents thereto, claimed technologies may be practiced otherwise than as specifically described and claimed. In addition, any combination of two or more features, systems, articles, materials, kits, and/or methods, if such features, systems, articles, materials, kits, and/or methods arc not mutually inconsistent, is included within the scope of the present disclosure.

Claims

PCT/US2021/056900

1. An oligonucleotide, wherein the oligonucleotide comprises a plurality of chiral internucleotidic linkages each of which independently comprises a stereodefined linkage phosphorus, wherein the pattern of backbone chiral centers of the oligonucleotide comprises [(Rp/Op)n(Sp)mly, wherein:
n is 1-10;
m is 1-50;
y is 2-10;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration;
Sp indicates a linkage phosphoms having S configuration;
at least one [(Rp/Op)n(Sp)m] comprises RpSpSp; and wherein the base sequence of the oligonucleotide is or comprises a sequence that is 75% identical or complementary to a target sequence in a RHO gene or a transcript thereof.

2. The oligonucleotide of claim 1, wherein the base sequence of the oligonucleotide comprises 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 or more contiguous nucleobases of a base sequence that is identical to or complementary to a base sequence of a RHO
gene or a transcript thereof

3. An oligonucleotide, wherein the base sequence of the oligonucleotide comprises at least 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguous nucleobases of a base sequence that is identical or complementary to a base sequence of a RHO gene or a transcript thereof, wherein the oligonucleotide comprises at least one chiral internucleotidic linkage comprising a stereodefined linkage phosphorus, and wherein the oligonucleotide is capable of decreasing the level, expression and/or activity of a RHO target gene or a gene product thereof

4. The oligonucleotide of any one of claims 1-3, wherein the base sequence of the oligonucleotide is, comprises, or comprises a span of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 contiguous nucleobases of GGTACTCGAAGTGGCT, GGTACTCGAAGTGGCTG, GGTACTCGAAGTGGCTGC, GGTACTCGAAGTGGCTGCG, GGTACTCGAAGTGGCTGCGT, GTACTCGAAGTGGCTGCGT, TACTCGAAGTGGCTGCGT, ACTCGAAGTGGCTGCGT, CTCGAAGTGGCTGCGT, GGTACTCGAAGTGGCUGCGU, or GGUACTCGAAGTGGCTGCGT wherein each T can be independently replaced by U and each U can be independently replaced with T.

5. The oligonucleotide of any one of claims 1-3, wherein the pattern of backbone chiral centers comprises (Sp)t[(Rp(Sp)m]y, wherein t is 1-50 and each m is independently 2-50.

6. The oligonucleotide of claim 5, wherein the oligonucleotide comprises a wing and a core, wherein each wing and core independently comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleobases.

7. The oligonucleotide of claim 6, wherein the oligonucleotide comprises or consists of a wing-core-wing structure.

8. The oligonucleotide of claim 7, wherein each sugar in a wing independently comprises 2'-OR, wherein R is optionally substituted C1_6 alkyl.

9. The oligonucleotide of claim 8, wherein the core comprises no sugar modification that is 2'-OR, wherein R is optionally substituted C1-6 alkyl.

10. The oligonucleotide of claim 9, wherein each wing independently comprises 2, 3, 4, 5, 6, 7, 8, 9 or 10 nucleobases.

11. The oligonucleotide of claim 10, wherein a core comprises 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleobases.

12. The oligonucleotide of claim 11, wherein each wing independently comprises one or more phosphorothioate internucleotidic linkages, optionally one or more non-negatively charged internucleotidic linkages and optionally one or more natural phosphate linkages.

13. The oligonucleotide of claim 12, wherein each wing independently comprises one or more phosphorothioate internucleotidic linkages and one or more non-negatively charged internucleotidic linkages.

14. The oligonucleotide of claim 13, wherein the pattern of backbone chiral centers of the core comprises or consists of (Np)4(0p/Rp)n(Sp)m1y, wherein:
t is 1-50;
n is 1-10;
m is 1-50;
y is 1-10;
each Np is independently Rp or Sp;
Op indicates a linkage phosphorus being achiral;
Rp indicates a linkage phosphorus having R configuration; and Sp indicates a linkage phosphorus having S configuration.

15. The oligonucleotide of claim 14, wherein each Np is Sp, each Op/Rp is Rp, each n is 1, and each m is independently 2-50.

16. The oligonucleotide of claim 15, wherein the base sequence of the core comprises a nucleobase which is or is complementary to a nucleobase that can differentiate one Rho allele from the other allele(s).

17. The oligonucleotide of claim 16, wherein the nucleobase which is or is complementary to a point mutation which encodes Rho P23H.

18. The oligonucleotide of claim 16, wherein the nucleobase which is or is complementary to a SNP
allele that is on the same nucleic acid which encodes Rho P23H.

19. The oligonucleotide of claim 16, wherein an Rp internucleotidic linkage of RpSpSp or SpRpSpSp is at -3, -2, -1, +1, +2, or +3 position relative to the nucleobase, wherein "-" is counting toward the 5'-end, "+" is counting toward the 3'-end, and an internucleotidic linkage is at -1 position if it bonds to the 5' of the nucleoside comprising the nucleobase, at +1 position if it bonds to the 3' of the nucleoside comprising the nucleobase.

20. The oligonucleotide of claim 16 or 19, wherein the nucleobase is the 3"1, 4in, 5in, 6ih, rh, 10th, 11 th, 12th, 1 3th, 14jh or 1th :) nucleobase of the core from 5' to 3', and/or the 5th, 6th, 7th, 8th, 9th, 1 oth, 11th, 12ih,13th, 14jh, 15th, 16ih, 17ih, 18ih, 19ih, 20in, 21st, 22,-nd, 23rd, 24th or 25th nucleobase of the oligonucleotide from 5' to 3..

21. The oligonucleotide of any one of claims 1-20, wherein the non-negatively charged internucleotidic linkage or neutral internucleotidic linkage is n001.

22. The oligonucleotide of any one of claims 1-21, wherein the oligonucleotide chain is conjugated with a lipid moiety, a carbohydrate moiety, or a targeting moiety.

23. An oligonucleotide, wherein the oligonucleotide has the structure of:
Geo*SGeon001RTeoAeon001Rm5Ceo*ST*Sm5C*SG*SA*SA*SG*ST*SG*RG*SC*SmU*Sm G*Sm5Ceon001RmG*SmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2--CoMe modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;
I
Os n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of 5-r= ;
eo represents a 2.-OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and ni5 represents a methyl at 5-position of C.

24. An oligonucleotide having the structure of:
Geo*SGeon001RTeoAeon001Rm5Ceo*ST*Sm5C*SG*SA*SA*SG*ST*SG*RG*SC*SmU*Sm G*Sm5Ceo*SmGn001RmU, or a pharmaceutically acceptable salt thereof, wherein:
m represents a 2--CoMe modification to a nucleoside;
*S represents a Sp phosphorothioate linkage;
m5Ceo represents 5-methyl 2'-0-methoxyethyl C;

0, n001R represents a Rp n001 linkage, wherein a n001 linkage has the structure of =
eo represents a 2'¨OCH2CH2OCH3 modification to a nucleoside;
*R represents a Rp phosphorothioate linkage; and m5 represents a methyl at 5-position of C.

25. The oligonucleotide of any claims 1-24, wherein the oligonucleotide is in a form of a pharmaceutically acceptable salt.

26. The oligonucleotide of claims 1-25, wherein each internucleotidic linkage in the oligonucleotide independently has a diastereomeric purity of at least 90%, 95%, 96%, 97%, 98%, or 99%.

27. A chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common base sequence, 2) a common pattern of backbone linkages, and 3) the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein about 1-100% of all oligonucleotides within the composition that share the common base sequence and common pattern of backbone linkages are the oligonucleotides of the plurality, and each oligonucleotide of the plurality is independently an oligonucleotide of any one of claims 1-25; or a chirally controlled oligonucleotide composition comprising a plurality of oligonucleotides, wherein the oligonucleotides share:
1) a common constitution, and 2) the same linkage phosphorus stereochemistry at one or more chiral internucleotidic linkages (chirally controlled internucleotidic linkages), wherein about 1-100% of all oligonucleotides within the composition that share the common constitution are the oligonucleotides of the plurality, and each oligonucleotide of the plurality is independently an oligonucleotide of any one of claims 1-25.

28. The composition of claim 27, wherein 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99% or more of all oligonucleotides within the composition that share the common base sequence and common pattern of backbone linkages, or share the common constitution, are the oligonucleotides of the plurality.

29. The composition of claim 28, wherein each phosphorothioate internucleotidic linkage is independently chirally controlled.

30. The composition of claim 29, wherein oligonucleotides of the plurality are each independently in a pharmaceutically acceptable salt form.

31. A pharmaceutical composition comprising an oligonucleotide or composition of any one of claims 1-30 and a pharmaceutically acceptable carrier.

32. A method for preventing, treating or ameliorating a RHO-related condition, disorder or disease in a subject susceptible thereto or suffering therefrom, comprising administering to the subject a therapeutically effective amount of an oligonucleotide or composition of any one of claims 1-31.

33. A method for preventing a condition, disorder or disease, comprising adrninistering or delivering to a subject susceptible thereto an effective amount of an oligonucleotide or composition of any one of the preceding claims, wherein the condition, disorder or disease is associated with RHO P23H mutation, and the subject contains RHO P23H mutation.

34. The method of claim 33, wherein onset of a symptom of the condition, disorder or disease is delayed.

35. A method for treating a condition, disorder or disease, comprising administering or delivering to a subject suffering therefrom an effective amount of an oligonucleotide or composition of any one of the preceding claims, wherein the condition, disorder or disease is associated with RHO P23H mutation, and the subject contains RHO P23H mutation.

36. The method of claim 35, wherein severity of a symptom of the condition, disorder or disease is reduced.

37. Thc method of any one of claims 35-36, wherein a function impacted by the condition, disordcr or disease is improved.

38. The method of any one of claims 35-37, wherein progression of the condition, disorder or disease is slowed or prevented.

39. The method of any one of claims 32-38, wherein the condition, disorder or disease is retinopathy.

40. The method of any one of claims 32-38, wherein the condition, disorder or disease is retinitis pigmentosa.

41. A method for decreasing the activity, expression and/or level of a RHO
target gene or its gene product in a cell, comprising contacting the cell with an oligonucleotide or composition of any one of claims 1-31.

42. A method for suppression of a transcript from a target RHO sequence for which one or more similar nucleic acid sequences exist within a population, each of the target and similar sequences contains a specific characteristic sequence element that defines the target sequence relative to the similar sequences, the method comprising steps of:
contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide, or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines the target nucleic acid sequence; or a method for allele-specific suppression of a transcript from a target RHO
sequence for which a plurality of alleles exist within a population, each of which contains a specific characteristic sequence element that defines the allele relative to other alleles of the same target sequence, the method comprising steps of:
contacting a sample comprising transcripts of the target nucleic acid sequence with an oligonucleotide or an oligonucleotide composition comprising a plurality of oligonucleotides sharing a common base sequence, wherein the base sequence of the oligonucleotide, or the common base sequence of the plurality of oligonucleotide, is or comprises a sequence that is complementary to the characteristic sequence element that defines a particular allele.

43. The method of claim 42, wherein the transcripts of the target nucleic acid sequence or a particular allele are associated with a condition, disorder or disease.

44. The method of claim 42, wherein the characteristic sequence element comprises SNP
rs104893768, and A allele transcript of SNP rs104893768 which encodes Rho P23H
is selectively suppressed.

45. The method of any one of claims 42-44, wherein the oligonucleotide or the oligonucleotide composition is of any one of claims 1-31.

46. A compound, oligonucleotide, composition, or method described in the specification or of any one of Example Embodiments 1-312.