TW202411427A - Nucleic acids for inhibiting expression of agt in a cell - Google Patents
Nucleic acids for inhibiting expression of agt in a cell Download PDFInfo
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- TW202411427A TW202411427A TW112126345A TW112126345A TW202411427A TW 202411427 A TW202411427 A TW 202411427A TW 112126345 A TW112126345 A TW 112126345A TW 112126345 A TW112126345 A TW 112126345A TW 202411427 A TW202411427 A TW 202411427A
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Abstract
Description
本發明係關於干擾或抑制血管收縮素原(AGT)基因表現之雙股核酸分子。其進一步關於此類抑制之治療用途,諸如用於治療AGT介導之疾病、病症或症候群,諸如高血壓、妊娠相關高血壓、臨界性高血壓、糖尿病性高血壓、頑固性高血壓、原發性高血壓、繼發性高血壓、慢性心臟衰竭、中風、非酒精性脂肪變性肝炎(NASH)及/或非酒精性脂肪肝病(NAFLD)。The present invention relates to double-stranded nucleic acid molecules that interfere with or inhibit the expression of the angiotensinogen (AGT) gene. It further relates to the therapeutic use of such inhibition, such as for the treatment of AGT-mediated diseases, conditions or syndromes, such as hypertension, pregnancy-related hypertension, critical hypertension, diabetic hypertension, refractory hypertension, primary hypertension, secondary hypertension, chronic heart failure, stroke, non-alcoholic steatohepatitis (NASH) and/or non-alcoholic fatty liver disease (NAFLD).
雙股RNA (dsRNA)能夠經由互補鹼基配對與所表現之mRNA結合,已表明其可藉由一種被稱為「RNA干擾(RNAi)」之機制阻斷基因表現(Fire等人, 1998, Nature. 1998年2月19日;391(6669):806-11及Elbashir等人, 2001, Nature. 2001年5月24日;411(6836):494-8)。短dsRNA在許多生物體(包括脊椎動物)中引導基因特異性的轉錄後緘默,且已成為用於研究基因功能之適用工具。RNAi由RNA誘導之緘默複合體(RISC),一種降解信使RNA之序列特異性多組分核酸酶來介導,該等信使RNA與負載至RISC複合體中之緘默觸發子充分互補或同源。諸如siRNA、反義RNA及微小RNA之干擾RNA為寡核苷酸,其藉由基因緘默來阻止蛋白質形成,亦即經由降解mRNA分子來抑制蛋白質之基因轉譯。基因緘默劑對於醫學中之治療應用變得愈來愈重要。Double-stranded RNA (dsRNA) can bind to expressed mRNA via complementary base pairing and has been shown to block gene expression by a mechanism known as "RNA interference (RNAi)" (Fire et al., 1998, Nature. 1998 Feb 19;391(6669):806-11 and Elbashir et al., 2001, Nature. 2001 May 24;411(6836):494-8). Short dsRNAs induce gene-specific post-transcriptional silencing in many organisms, including vertebrates, and have become useful tools for studying gene function. RNAi is mediated by the RNA-induced silencing complex (RISC), a sequence-specific multicomponent nuclease that degrades messenger RNAs that are fully complementary to or homologous to the silencing triggers loaded into the RISC complex. Interfering RNAs such as siRNA, antisense RNA, and microRNA are oligonucleotides that prevent protein formation by gene silencing, i.e., inhibiting gene translation of proteins by degrading mRNA molecules. Gene silencers are becoming increasingly important for therapeutic applications in medicine.
根據Watts及Corey在Journal of Pathology (2012;第226卷,第365-379頁)中所說,有演算法可以用於設計核酸緘默觸發子,但所有此等演算法均有嚴重的侷限性。可能需要各種實驗方法來識別強效siRNA,因為演算法不考慮諸如目標mRNA之三級結構或RNA結合蛋白之參與等因素。因此,發現具有最小脫靶效應的強效核酸緘默觸發子係一個複雜的過程。為了此等高度帶電分子的醫藥開發,有必要使其可以經濟地合成,分佈於目標組織,進入細胞且在可接受的毒性限值內發揮作用。According to Watts and Corey in the Journal of Pathology (2012; Vol. 226, pp. 365-379), algorithms are available for designing nucleic acid silencer triggers, but all of these algorithms have serious limitations. Various experimental approaches may be required to identify potent siRNAs because the algorithms do not consider factors such as the tertiary structure of the target mRNA or the involvement of RNA binding proteins. Therefore, the discovery of potent nucleic acid silencer triggers with minimal off-target effects is a complex process. For the pharmaceutical development of these highly charged molecules, it is necessary that they can be synthesized economically, distributed in the target tissue, enter the cell and exert their effects within acceptable toxicity limits.
腎素-血管收縮素-醛固酮系統(RAAS)為一種血容量及全身血管阻力之關鍵調節因子。RAAS路徑以自肝臟釋放血管收縮素原(AGT)及自腎臟釋放腎素至血流中開始。腎素將AGT裂解成生理上無活性的血管收縮素I,該血管收縮素I隨後藉由血管收縮素轉化酶(ACE)轉化成血管收縮素II。一旦血管收縮素I轉化成血管收縮素II,其藉由結合血管收縮素II I型(AT)及II型(AT)受體而對腎臟、腎上腺皮質、小動脈及腦具有影響。在腎臟之近端小管中,血管收縮素II起到增加鈉再吸收的作用,引起血液容積滲透濃度增加,從而使得流體轉移至血容量及細胞外空間中。此又增加動脈壓。在腎上腺皮質中,血管收縮素II刺激醛固酮釋放,醛固酮係一種類固醇激素,會引起腎元之遠端小管及集合管處的鈉再吸收及鉀消耗的增加。在小動脈中,血管收縮素II結合G蛋白偶合受體,引起小動脈血管收縮,從而引起血壓增加。另外,血管收縮素II經由其對下視丘之作用刺激渴意及增加水分攝入,且刺激腦垂腺之升壓素以增加腎臟之水分再吸收。該路徑之結果為體內鈉總量、體內水分總量及血管緊張性之增加。(Fountain JH, Lappin SL. Physiology, Renin Angiotensin System. [2021年7月22日更新]. 在:StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022年1月)。The renin-angiotensin-aldosterone system (RAAS) is a key regulator of blood volume and systemic vascular resistance. The RAAS pathway begins with the release of proangiotensin (AGT) from the liver and renin from the kidneys into the bloodstream. Renin cleaves AGT into physiologically inactive angiotensin I, which is then converted to angiotensin II by angiotensin converting enzyme (ACE). Once angiotensin I is converted to angiotensin II, it has effects on the kidneys, adrenal cortex, arterioles, and brain by binding to angiotensin II type I (AT) and type II (AT) receptors. In the proximal tubules of the kidney, vasoconstriction II acts to increase sodium reabsorption, causing an increase in blood volume osmotic pressure, resulting in a shift of fluid into the blood volume and extracellular space. This in turn increases arterial pressure. In the adrenal cortex, vasoconstriction II stimulates the release of aldosterone, a steroid hormone that causes an increase in sodium reabsorption and potassium consumption at the distal tubules and collecting ducts of the nephron. In the arteries, vasoconstriction II binds to G protein-coupled receptors, causing arteriolar vasoconstriction, resulting in an increase in blood pressure. In addition, vasoconstriction II stimulates thirst and increases water intake via its action on the hypothalamus, and stimulates vasopressin in the pituitary gland to increase water reabsorption by the kidney. The consequences of this pathway are increases in total body sodium, total body water, and vascular tone. (Fountain JH, Lappin SL. Physiology, Renin Angiotensin System. [Updated July 22, 2021]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; January 2022).
高血壓為全球發病及死亡之主要原因,且與心血管相關疾病、中風及慢性腎病之風險增加有關(Al-Makki等人, Hypertension. 2022;79:293-301; Campbell等人. The Lancet Regional Health - Americas 第9卷, 2022年5月, 100219)。經由經典抗高血壓藥劑抑制RAAS系統係治療高血壓之主要方法。然而,許多患者需要使用若干種選自不同藥物類別之抗高血壓劑。此導致治療策略複雜,增加了副作用風險且降低患者順應性。另外,儘管同時使用不同類別之三種抗高血壓劑,通常包括鈣離子通道阻斷劑、RAAS系統之阻斷劑及利尿劑,但許多患者被診斷患有頑固性高血壓。Hypertension is the leading cause of morbidity and mortality worldwide and is associated with an increased risk of cardiovascular-related diseases, stroke, and chronic kidney disease (Al-Makki et al., Hypertension. 2022;79:293-301; Campbell et al. The Lancet Regional Health - Americas Vol. 9, May 2022, 100219). Inhibition of the RAAS system by classical antihypertensive drugs is the main approach to treating hypertension. However, many patients require the use of several antihypertensive agents from different drug classes. This complicates treatment strategies, increases the risk of side effects, and reduces patient compliance. In addition, many patients are diagnosed with intractable hypertension despite the simultaneous use of three antihypertensive agents from different classes, usually including calcium channel blockers, RAAS system blockers, and diuretics.
另外,患有腎病之高血壓患者忌用諸如ACE抑制劑之某些抗高血壓藥物,因為其可能損害此等患者之腎功能。In addition, hypertensive patients with kidney disease should avoid taking certain antihypertensive drugs such as ACE inhibitors because they may damage the kidney function of these patients.
因此,需要尋找抑制RAAS路徑及治療高血壓之替代治療。因此,本文之目標為提供用於治療AGT介導之疾病、病症或症候群,諸如高血壓之化合物、方法及(醫藥)組合物。Therefore, there is a need to find alternative therapies that inhibit the RAAS pathway and treat hypertension. Therefore, it is an object herein to provide compounds, methods and (pharmaceutical) compositions for the treatment of AGT-mediated diseases, disorders or syndromes, such as hypertension.
WO2006021817揭示用於治療眼病的針對AGT之siRNA。WO2015179724、WO2016196111、WO2019222166、CN114763547、CN113862268、WO2023014765、WO2023056446、WO2023066236及WO2023278576描述雙股siRNA,WO2017062816、US2021348168、WO2022109139及WO2022232650描述靶向AGT之單股反義寡核苷酸(=ASO)。WO2006021817 discloses siRNA targeting AGT for treating eye diseases. WO2015179724, WO2016196111, WO2019222166, CN114763547, CN113862268, WO2023014765, WO2023056446, WO2023066236 and WO2023278576 describe double-stranded siRNA, and WO2017062816, US2021348168, WO2022109139 and WO2022232650 describe single-stranded antisense oligonucleotides (=ASO) targeting AGT.
Olearczyk等人(Hypertension Research 2014; 37: 405-412)研發出經化學修飾之小干擾RNA (siRNA),以靶向大鼠之肝血管收縮素原(AGT) mRNA。Lu等人(Arterioscler Thromb Vasc Biol. 2016;36:256-265)測試了針對AGT之ASO,以判定AGT是否獨立於血管收縮素II發揮作用。Mullick等人(Hypertension. 2017;70:566-576)進行實驗以表徵一系列AGT ASO且將其功效及耐受性與傳統RAAS阻斷進行比較。Uijl等人評定新穎AGT siRNA在自發性高血壓大鼠中之功效(Hypertension. 2019;73:1249-1257)。Haase等人(J Clin Invest. 2020;130(6):2928-2942)評估靶向母體肝AGT之siRNA是否可在對胎盤或胎兒無不良影響的情況下改善2個嚙齒動物模型的子癎前症之症狀。Liwei等人(Current Opinion in Nephrology and Hypertension: 2020年3月; 29(2): 180-189)概括了關於用基於RNA之治療劑靶向AGT作為對抗心血管疾病之新工具的可用資料。Morgan等人描述關於ASO針對肝源性AGT的1期及2期研究之結果(J. Am. Coll. Cardiol. Basic Trans. Science 2021; 6(6):485-496)。Kukida等人(Arterioscler Thromb Vasc Biol. 2021;41:2851-2853)發表的研究確定,藉由將靶向肝源性AGT之ASO (GalNAc AGT ASO)注射至雌性食蟹獼猴中,肝源性AGT是否調節腎AGT累積。Olearczyk et al. (Hypertension Research 2014; 37: 405-412) developed chemically modified small interfering RNA (siRNA) to target rat hepatic proangiotensin (AGT) mRNA. Lu et al. (Arterioscler Thromb Vasc Biol. 2016; 36: 256-265) tested ASOs against AGT to determine whether AGT acts independently of angiotensin II. Mullick et al. (Hypertension. 2017; 70: 566-576) performed experiments to characterize a series of AGT ASOs and compared their efficacy and tolerability with traditional RAAS blockade. Uijl et al. evaluated the efficacy of a novel AGT siRNA in spontaneously hypertensive rats (Hypertension. 2019; 73: 1249-1257). Haase et al. (J Clin Invest. 2020;130(6):2928-2942) evaluated whether siRNA targeting maternal hepatic AGT could improve symptoms of preeclampsia in 2 rodent models without adverse effects on the placenta or fetus. Liwei et al. (Current Opinion in Nephrology and Hypertension: 2020 Mar;29(2):180-189) summarized the available data on targeting AGT with RNA-based therapeutics as a new tool to combat cardiovascular disease. Morgan et al. described the results of phase 1 and 2 studies of ASOs targeting hepatic AGT (J. Am. Coll. Cardiol. Basic Trans. Science 2021;6(6):485-496). A study published by Kukida et al. (Arterioscler Thromb Vasc Biol. 2021;41:2851-2853) determined whether liver-derived AGT regulates renal AGT accumulation by injecting an ASO targeting liver-derived AGT (GalNAc AGT ASO) into female cynomolgus macaques.
臨床前機制研究指出,RNA干擾介導之脫靶效應可為GalNAc-siRNA結合物之肝毒性驅動因素。此等脫靶效應可藉由負載RISC之siRNA與脫靶轉錄物結合來驅動,該等脫靶轉錄物係經由在siRNA引導股之種子區(核苷酸2-8)與mRNA之3'-非轉譯區中的互補位點之間的鹼基配對來介導。此非催化機制基本上模擬藉由內源性miRNA之轉錄後緘默,且可在負載RISC之siRNA的超藥理學含量下引起轉譯抑制及/或mRNA不穩定,其中mRNA含量減少佔哺乳動物miRNA介導之轉錄後抑制的大部分(66%至>90%) (Schlegel等人, Nucleic Acid Research 2022; 50(12), 6656-6670)。Preclinical mechanistic studies suggest that RNA interference-mediated off-target effects may be a driver of hepatotoxicity of GalNAc-siRNA conjugates. These off-target effects may be driven by binding of RISC-loaded siRNA to off-target transcripts mediated through base pairing between the seed region (nucleotides 2-8) of the siRNA guide strand and complementary sites in the 3'-untranslated region of the mRNA. This non-catalytic mechanism essentially mimics post-transcriptional silencing by endogenous miRNAs and can cause translational inhibition and/or mRNA destabilization at suprapharmacological levels of RISC-loaded siRNA, with mRNA level reduction accounting for the majority (66% to >90%) of miRNA-mediated post-transcriptional repression in mammals (Schlegel et al., Nucleic Acid Research 2022; 50(12), 6656-6670).
因此,本發明之目標為提供用於治療AGT介導之疾病、病症或症候群,諸如高血壓的化合物及(醫藥)組合物,該等化合物及組合物皆為有效且安全的。Therefore, an object of the present invention is to provide compounds and (pharmaceutical) compositions for treating AGT-mediated diseases, disorders or syndromes, such as hypertension, which are effective and safe.
本發明之一個態樣為用於抑制血管收縮素原(AGT)之表現之雙股核酸,其中該核酸包含第一股及第二股,其中第一股序列之未經修飾之等效物包含至少15個核苷酸之序列,該序列與表5a、表1、表5b、表2或表5c中所示之第一股序列中之任一者相差不超過3個核苷酸。One aspect of the present invention is a double-stranded nucleic acid for inhibiting the expression of proangiotensin (AGT), wherein the nucleic acid comprises a first strand and a second strand, wherein the unmodified equivalent of the first strand sequence comprises a sequence of at least 15 nucleotides, which differs from any of the first strand sequences shown in Table 5a, Table 1, Table 5b, Table 2 or Table 5c by no more than 3 nucleotides.
因此,本文中所描述之核酸為能夠較佳在細胞中抑制AGT表現之雙股核酸,且可例如分別在相關治療或診斷方法中用作治療劑或診斷劑。Therefore, the nucleic acids described herein are double-stranded nucleic acids that are capable of inhibiting AGT expression preferably in cells and can be used, for example, as therapeutic agents or diagnostic agents in the relevant treatment or diagnostic methods, respectively.
本發明之核酸包含第一股及第二股或由第一股及第二股組成,且第一股通常包含與AGT mRNA充分互補之序列,從而介導RNA干擾。The nucleic acid of the present invention comprises or consists of a first strand and a second strand, and the first strand generally comprises a sequence that is sufficiently complementary to AGT mRNA, thereby mediating RNA interference.
一個態樣係關於一種組合物,該組合物包含如本文所揭示之核酸、及溶劑(較佳水)、及/或遞送媒劑、及/或生理學上可接受之賦形劑、及/或載劑、及/或鹽、及/或稀釋劑、及/或緩衝劑、及/或防腐劑。One aspect relates to a composition comprising a nucleic acid as disclosed herein, and a solvent (preferably water), and/or a delivery vehicle, and/or a physiologically acceptable excipient, and/or a carrier, and/or a salt, and/or a diluent, and/or a buffer, and/or a preservative.
一個態樣係關於一種組合物,其包含如本文所揭示之核酸及另一治療劑,該治療劑選自例如寡核苷酸、小分子、單株抗體、多株抗體及肽。One aspect pertains to a composition comprising a nucleic acid as disclosed herein and another therapeutic agent selected from, for example, an oligonucleotide, a small molecule, a monoclonal antibody, a polyclonal antibody, and a peptide.
一個態樣係關於一種如本文所揭示之核酸或包含該核酸之組合物,其係用作例如相關方法中之治療劑或診斷劑。One aspect relates to a nucleic acid as disclosed herein or a composition comprising the nucleic acid for use as a therapeutic or diagnostic agent, e.g., in a method of use.
一個態樣係關於一種如本文所揭示之核酸或包含該核酸之組合物,其係用於預防或治療疾病、病症或症候群。One aspect relates to a nucleic acid as disclosed herein or a composition comprising the nucleic acid for use in the prevention or treatment of a disease, disorder or syndrome.
一個態樣係關於一種如本文所揭示之核酸或包含該核酸之組合物在預防或治療疾病、病症或症候群中之用途。One aspect relates to the use of a nucleic acid as disclosed herein or a composition comprising the nucleic acid in the prevention or treatment of a disease, disorder or syndrome.
一個態樣係關於一種如本文所揭示之核酸或包含該核酸之組合物的用途,其係用於製備供預防或治療疾病、病症或症候群用之藥劑。One aspect relates to the use of a nucleic acid as disclosed herein or a composition comprising the nucleic acid for the preparation of a medicament for the prevention or treatment of a disease, disorder or syndrome.
一個態樣係關於如本文所揭示之用作藥劑之組合物。One aspect relates to a composition as disclosed herein for use as a medicament.
一個態樣係關於一種預防或治療疾病、病症或症候群之方法,其包含向需要治療之個體投與醫藥學上有效劑量或量的如本文所揭示之核酸或組合物。One aspect relates to a method for preventing or treating a disease, disorder or syndrome comprising administering to a subject in need of treatment a pharmaceutically effective dose or amount of a nucleic acid or composition as disclosed herein.
一個態樣係關於一種預防或治療疾病、病症或症候群之方法,其包含向需要治療之個體投與醫藥學上有效劑量或量之如本文所揭示之核酸或包含該核酸之組合物,較佳其中該核酸或組合物經皮下、靜脈內或經口、經直腸、經肺、肌肉內或腹膜內投與來向個體投與。 One aspect relates to a method for preventing or treating a disease, disorder or syndrome, comprising administering to a subject in need of treatment a pharmaceutically effective dose or amount of a nucleic acid as disclosed herein or a composition comprising the nucleic acid, preferably wherein the nucleic acid or composition is administered to the subject subcutaneously, intravenously or orally, rectally, pulmonary, intramuscularly or intraperitoneally.
本發明係關於一種核酸及其組合物,該核酸為雙股且包含與AGT之表現RNA轉錄物同源之序列。此等核酸、其結合物及包含其之組合物可用於預防及治療多種需要降低AGT基因產物之表現的疾病、病症及症候群。The present invention relates to a nucleic acid and a composition thereof, wherein the nucleic acid is double-stranded and comprises a sequence homologous to an expression RNA transcript of AGT. Such nucleic acids, their conjugates and compositions comprising the same can be used to prevent and treat a variety of diseases, disorders and syndromes requiring reduction of the expression of the AGT gene product.
本發明之第一態樣為用於較佳在細胞中抑制AGT表現之雙股核酸,其中該核酸包含第一股及第二股,其中第一股序列之未經修飾之等效物包含至少15個核苷酸之序列,該序列與表5a中所示之第一股序列中之任一者相差不超過3個核苷酸。此等核酸以及其他核酸具有在與臨床前及臨床研發相關之各種物種中具有活性及/或具有很少相關的脫靶效應的優點。具有很少相關的脫靶效應意謂核酸特異性地抑制預期目標且不顯著抑制其他基因,或僅以治療學上可接受之含量抑制一種或少數其他基因。The first aspect of the present invention is a double-stranded nucleic acid for preferably inhibiting AGT expression in a cell, wherein the nucleic acid comprises a first strand and a second strand, wherein the unmodified equivalent of the first strand sequence comprises a sequence of at least 15 nucleotides, which differs from any of the first strand sequences shown in Table 5a by no more than 3 nucleotides. These nucleic acids, as well as other nucleic acids, have the advantage of being active in various species relevant to preclinical and clinical development and/or having few relevant off-target effects. Having few relevant off-target effects means that the nucleic acid specifically inhibits the intended target and does not significantly inhibit other genes, or only inhibits one or a few other genes at therapeutically acceptable levels.
在此情形下,表述「不顯著抑制其他基因」意謂一或多個脫靶基因之表現、或編碼一或多個脫靶蛋白質或一或多個脫靶蛋白質次單元的一或多個脫靶RNA分子(例如mRNA)之含量、或一或多個脫靶蛋白質或一或多個脫靶蛋白質次單元之活性並未降低至低於在不存在本發明之核酸或結合核酸的情況下所觀測到的結果,或與使用與人類AGT轉錄物無已知同源性的siRNA分子獲得的結果(本文稱為非緘默對照)相比並未有所降低。此類對照可以類似於本發明之分子的方式結合及修飾且藉由相同途徑遞送至目標細胞中。與在不存在本發明之核酸或結合核酸的情況下所觀測到之脫靶基因的表現相比,在用本發明之核酸或結合核酸處理之後的一或多個脫靶基因之表現可降低小於30%、25%、20%、15%、10%、8%、5%、3%、2%、1%。可量測施加有核酸或結合核酸之細胞之表現。替代地,尤其在向個體投與本發明之核酸或結合核酸時,可量測不同細胞組中或組織或器官中或諸如血液或血漿之體液中的表現量。較佳在已選定之條件下量測抑制水平,此係因為該等條件展示在活體外或活體內用本發明之核酸或結合核酸處理之細胞中核酸對目標mRNA (本文中:AGT mRNA)含量之最大影響。抑制水平可例如在用本發明之核酸或結合核酸以在0.03 nM - 10 µM之間,較佳0.1 nM、0.5 nM、1 nM、10 nM、100 nM或1000nM的濃度(用於活體外測試),或用在1 nmol - 100 µmol之間的量(用於活體內測試小鼠或非人類靈長類動物樣品),或用在0.5 µmol - 100 µmol之間,較佳在8 µmol - 80 µmol之間的量(用於活體內測試人類樣品)處理24小時、48小時、1週、2週、4週、8週或12週之後量測。對於本發明之不同核酸或結合核酸,此等條件可為不同的。用於測定抑制水平之適合條件之實例描述於下文實例部分中。In this context, the expression "does not significantly inhibit other genes" means that the expression of one or more off-target genes, or the level of one or more off-target RNA molecules (e.g., mRNA) encoding one or more off-target proteins or one or more off-target protein subunits, or the activity of one or more off-target proteins or one or more off-target protein subunits is not reduced below that observed in the absence of the nucleic acid or binding nucleic acid of the present invention, or compared to the results obtained using siRNA molecules with no known homology to the human AGT transcript (referred to herein as non-silencing controls). Such controls can be bound and modified in a manner similar to the molecules of the present invention and delivered to the target cells by the same pathway. The expression of one or more off-target genes after treatment with the nucleic acid or nucleic acid combination of the present invention may be reduced by less than 30%, 25%, 20%, 15%, 10%, 8%, 5%, 3%, 2%, 1% compared to the expression of the off-target genes observed in the absence of the nucleic acid or nucleic acid combination of the present invention. The expression of cells to which the nucleic acid or nucleic acid combination is applied can be measured. Alternatively, in particular when the nucleic acid or nucleic acid combination of the present invention is administered to an individual, the amount of expression in different cell groups or in tissues or organs or in body fluids such as blood or plasma can be measured. It is preferred to measure the level of inhibition under selected conditions because these conditions show the maximum effect of nucleic acids on the content of target mRNA (herein: AGT mRNA) in cells treated with nucleic acids or nucleic acid combinations of the present invention in vitro or in vivo. The level of inhibition can be measured, for example, after treatment with the nucleic acid or binding nucleic acid of the invention at a concentration between 0.03 nM - 10 μM, preferably 0.1 nM, 0.5 nM, 1 nM, 10 nM, 100 nM or 1000 nM (for in vitro testing), or with an amount between 1 nmol - 100 μmol (for in vivo testing of mouse or non-human primate samples), or with an amount between 0.5 μmol - 100 μmol, preferably between 8 μmol - 80 μmol (for in vivo testing of human samples) for 24 hours, 48 hours, 1 week, 2 weeks, 4 weeks, 8 weeks or 12 weeks. These conditions may be different for different nucleic acids or binding nucleic acids of the invention. Examples of suitable conditions for determining the level of inhibition are described in the Examples section below.
例如,第一股序列之未經修飾之等效物可包含至少15個核苷酸之序列,該序列與表1中所列之第一股序列中之任一者相差不超過3個核苷酸:
表1
舉例而言,第一股序列之未經修飾之等效物可包含至少16個,更佳至少17個,又更佳至少18個且最佳所有19個核苷酸之序列,其與表1或表5a中所列之第一股序列中之任一者相差不超過3個核苷酸,較佳不超過2個核苷酸,更佳不超過1個核苷酸且最佳不相差任何核苷酸。For example, the unmodified equivalent of the first strand sequence may comprise a sequence of at least 16, preferably at least 17, even more preferably at least 18, and most preferably all 19 nucleotides, which differs from any of the first strand sequences listed in Table 1 or Table 5a by no more than 3 nucleotides, preferably no more than 2 nucleotides, more preferably no more than 1 nucleotide, and most preferably does not differ by any nucleotide.
較佳地,核酸的第一股序列之未經修飾之等效物由表1或表5a中所示之第一股序列中之一者組成。然而,該序列可經不改變核苷酸之標識的多種核酸修飾來修飾。舉例而言,核酸之主鏈或糖殘基的修飾不改變核苷酸之標識,因為鹼基本身保持與參考序列中相同。Preferably, the unmodified equivalent of the first strand sequence of the nucleic acid consists of one of the first strand sequences shown in Table 1 or Table 5a. However, the sequence may be modified by a variety of nucleic acid modifications that do not change the identity of the nucleotides. For example, modifications of the backbone or sugar residues of the nucleic acid do not change the identity of the nucleotides, since the bases themselves remain the same as in the reference sequence.
舉例而言,核酸的第一股序列之未經修飾之等效物可由表1或表5a中所示之第一股序列中之一者組成,其視情況經該等核酸修飾中之一或多者修飾。For example, an unmodified equivalent of a first strand sequence of a nucleic acid may consist of one of the first strand sequences shown in Table 1 or Table 5a, optionally modified with one or more of the nucleic acid modifications.
包含根據本文中之參考序列之序列的核酸意謂核酸包含按如參考序列中所定義之次序的連續核苷酸序列。A nucleic acid comprising a sequence according to a reference sequence herein means that the nucleic acid comprises a sequence of consecutive nucleotides in the order as defined in the reference sequence.
當在本文中參考包含核苷酸、基本上由其組成或由其組成之參考序列時,此參考不限於具有未經修飾之核苷酸的序列。相同參考亦涵蓋相同核苷酸序列,其中一個、若干個,諸如兩個、三個、四個、五個、六個、七個或更多個核苷酸,包括所有核苷酸經諸如2'-OMe、2'-F、配位體、連接子、3'端或5'端修飾或任何其他修飾來修飾。其亦指其中兩個或更多個核苷酸藉由天然磷酸二酯鍵或藉由任何其他鍵,諸如硫代磷酸酯或二硫代磷酸酯鍵彼此連接的序列。When reference is made herein to a reference sequence comprising, consisting essentially of, or consisting of nucleotides, this reference is not limited to sequences with unmodified nucleotides. The same reference also encompasses the same nucleotide sequence in which one, several, such as two, three, four, five, six, seven or more nucleotides, including all nucleotides, are modified, such as by 2'-OMe, 2'-F, ligands, linkers, 3'- or 5'-terminal modifications or any other modifications. It also refers to sequences in which two or more nucleotides are linked to each other by natural phosphodiester bonds or by any other bonds, such as phosphorothioate or phosphorodithioate bonds.
雙股核酸為一種核酸,其中第一股與第二股在其長度之至少一部分上彼此雜交,且因此能夠在生理條件下,諸如在PBS中在37℃下以各股1 μM之濃度形成雙螺旋區。第一股與第二股較佳能夠彼此雜交,且因此在至少15個核苷酸,較佳16、17、18或19個核苷酸之區域上形成雙螺旋區。此雙螺旋區包含兩股之間的核苷酸鹼基配對,較佳基於沃森-克里克(Watson-Crick)鹼基配對及/或擺動鹼基配對(諸如GU鹼基配對)。雙螺旋區內之兩股之所有核苷酸不必彼此鹼基配對以形成雙螺旋區。兩個股之核苷酸序列之間的某一數目個錯配、缺失或插入為可接受的。第一或第二股之任一端上的懸垂物或雙股核酸之任一端的未配對核苷酸亦為可能的。雙股核酸較佳為在生理條件下穩定的雙股核酸,且例如在各股濃度為1 μM之PBS中,較佳具有45℃或更高,較佳50℃或更高,且更佳55℃或更高之熔融溫度(Tm)。A double-stranded nucleic acid is a nucleic acid in which the first strand and the second strand hybridize to each other over at least a portion of their length and are thus capable of forming a duplex region under physiological conditions, such as at a concentration of 1 μM for each strand in PBS at 37°C. The first strand and the second strand are preferably capable of hybridizing to each other and thus forming a duplex region over a region of at least 15 nucleotides, preferably 16, 17, 18 or 19 nucleotides. This duplex region comprises nucleotide base pairing between the two strands, preferably based on Watson-Crick base pairing and/or pendulum base pairing (such as GU base pairing). All nucleotides of the two strands within the duplex region do not necessarily base pair to each other to form a duplex region. A certain number of mismatches, deletions or insertions between the nucleotide sequences of the two strands is acceptable. Overhangs on either end of the first or second strand or unpaired nucleotides at either end of the double-stranded nucleic acid are also possible. The double-stranded nucleic acid is preferably a double-stranded nucleic acid that is stable under physiological conditions and preferably has a melting temperature (Tm) of 45°C or higher, preferably 50°C or higher, and more preferably 55°C or higher, for example, in PBS at a concentration of 1 μM for each strand.
在生理條件下穩定的雙股核酸為例如在各股濃度為1 μM之PBS中具有45℃或更高,較佳50℃或更高,且更佳55℃或更高之Tm的雙股核酸。A double-stranded nucleic acid that is stable under physiological conditions is, for example, a double-stranded nucleic acid having a Tm of 45°C or higher, preferably 50°C or higher, and more preferably 55°C or higher in PBS at a concentration of 1 μM for each strand.
第一股及第二股較佳能夠在i)其長度之至少一部分;較佳其長度之至少15個核苷酸;ii)第一股之整個長度;iii)第二股之整個長度;或iv)第一股與第二股之整個長度上,形成雙螺旋區(亦即彼此互補)。在某一長度上股彼此互補意謂股能夠經由沃森-克里克或擺動鹼基配對在彼長度上彼此鹼基配對。該長度之各核苷酸未必必須能夠在整個給定長度上與另一股中之其對應物鹼基配對,只要可在生理條件下形成穩定的雙股核苷酸即可。然而,在某些實施例中,若該長度之各核苷酸可在整個給定長度上與其在另一股中之對應物鹼基配對,則為較佳的。The first and second strands are preferably capable of forming a duplex region (i.e., complementing each other) over i) at least a portion of their length; preferably at least 15 nucleotides of their length; ii) the entire length of the first strand; iii) the entire length of the second strand; or iv) the entire length of the first strand and the second strand. The strands complement each other over a certain length means that the strands can base pair with each other over that length via Watson-Crick or perturbation base pairing. It is not necessary for each nucleotide of the length to be base-paired with its counterpart in the other strand over the entire given length, as long as a stable double-stranded nucleotide can be formed under physiological conditions. However, in certain embodiments, it is preferred if each nucleotide of the length can base pair with its counterpart in the other strand over the entire given length.
第一股與目標序列之間或第一股與第二股之間的一定數目之錯配、缺失或插入可在根據本發明之核酸的情況下耐受且甚至在某些情況下具有增加RNA干擾(例如抑制)活性之可能。A certain number of mismatches, deletions or insertions between the first strand and the target sequence or between the first strand and the second strand can be tolerated in the context of the nucleic acids according to the invention and may even have the potential to increase RNA interference (e.g., inhibitory) activity in certain cases.
根據本發明之核酸的抑制活性依賴於在第一股之全部或一部分與目標核酸之一部分之間形成雙螺旋區。與第一股形成雙螺旋區之目標核酸部分(定義為以形成於第一股與目標序列之間的第一鹼基對開始且以形成於第一股與目標序列之間的最後一個鹼基對結束,包括端點)為目標核酸序列或簡言之為目標序列。形成於第一股與第二股之間的雙螺旋區不必與形成於第一股與目標序列之間的雙螺旋區相同。亦即,第二股可具有不同於目標序列之序列;然而,至少在生理條件下第一股必須能夠與第二股及目標序列兩者形成雙螺旋結構。The inhibitory activity of the nucleic acid according to the present invention relies on the formation of a duplex region between all or a portion of the first strand and a portion of the target nucleic acid. The portion of the target nucleic acid that forms the duplex region with the first strand (defined as starting with the first base pair formed between the first strand and the target sequence and ending with the last base pair formed between the first strand and the target sequence, including the ends) is the target nucleic acid sequence or, in short, the target sequence. The duplex region formed between the first strand and the second strand is not necessarily the same as the duplex region formed between the first strand and the target sequence. That is, the second strand may have a sequence different from the target sequence; however, the first strand must be able to form a duplex structure with both the second strand and the target sequence, at least under physiological conditions.
第一股與目標序列之間的互補性可為完美的(亦即,相比於目標序列,在第一股中無核苷酸錯配或插入或缺失之100%一致性)。The complementarity between the first strand and the target sequence can be perfect (ie, 100% identity with no nucleotide mismatches or insertions or deletions in the first strand compared to the target sequence).
目標序列之第一股與互補序列之間的互補性可在約75%至約100%範圍內。更特定言之,互補性可為至少75%、80%、85%、90%或95%及中間值,其限制條件為核酸能夠降低或抑制AGT表現。The complementarity between the first strand of the target sequence and the complementary sequence can range from about 75% to about 100%. More specifically, the complementarity can be at least 75%, 80%, 85%, 90% or 95% and intermediate values, provided that the nucleic acid is capable of reducing or inhibiting AGT expression.
在第一股與目標序列之間具有小於100%互補性的核酸可能夠使AGT表現降低至與在第一股與目標序列之間具有完美互補性的核酸相同的含量。替代地,其能夠使AGT表現量降低至由具有完美互補性之核酸達成之降低的含量的15%、20%、25%、30%、35%、40%、45%、50%、55%、60%、65%、70%、75%、80%、85%、90%、95%、98%、99%或100%。Nucleic acids with less than 100% complementarity between the first strand and the target sequence may be able to reduce AGT expression to the same level as nucleic acids with perfect complementarity between the first strand and the target sequence. Alternatively, they may be able to reduce AGT expression to 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 98%, 99% or 100% of the reduction achieved by nucleic acids with perfect complementarity.
本發明之核酸可為經分離之核酸。The nucleic acid of the present invention may be an isolated nucleic acid.
本發明之核酸可為以下核酸,其中: (a) 第一股序列之未經修飾之等效物包含與表5a之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列之未經修飾之等效物包含與表5a之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列之未經修飾之等效物包含與表5a之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列之未經修飾之等效物包含具有表5a中所示之給定SEQ ID No.之第一股序列中之任一者的序列,且視情況其中第二股序列之未經修飾之等效物包含具有表5a中所示之給定SEQ ID No.之對應第二股序列的序列; (i) 第一股序列之未經修飾之等效物基本上由具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物基本上由具有表5a中所示之給定SEQ ID No.的對應第二股序列的序列組成; (j) 第一股序列之未經修飾之等效物由對應於自具有表5a中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表5a中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成。 且視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表5a中所示之給定SEQ ID No.之對應第二股序列的序列; (k) 第一股序列之未經修飾之等效物由對應於自具有表5a中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表5a中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中第一股序列之該未經修飾之等效物由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成;及 視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表5a中所示之給定SEQ ID No.之對應第二股序列的序列; (l) 第一股序列之未經修飾之等效物由具有表5a中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物由具有表5a中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物存在於單股上,其中第一股之未經修飾之等效物及第二股之未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物係在兩個單獨股上,該等未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 The nucleic acid of the present invention may be the following nucleic acid, wherein: (a) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5a by no more than 3 nucleotides, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5a by no more than 3 nucleotides; (b) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5a by no more than 2 nucleotides, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5a by no more than 2 nucleotides; (c) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences of Table 5a by no more than 1 nucleotide, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence of Table 5a by no more than 1 nucleotide; (d) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 17 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5a, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5a; (e) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 17 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5a, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5a. No., and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a; (f) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a; (g) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a No., and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a; (h) The unmodified equivalent of the first strand sequence comprises a sequence of any of the first strand sequences having a given SEQ ID No. as shown in Table 5a, and where the unmodified equivalent of the second strand sequence comprises a sequence of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a; (i) The unmodified equivalent of the first strand sequence consists essentially of any of the first strand sequences having a given SEQ ID No. as shown in Table 5a, and where the unmodified equivalent of the second strand sequence consists essentially of a sequence of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a; (j) The unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a, wherein the unmodified equivalent of the first strand sequence further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a. and where the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of: a sequence corresponding to the second strand sequence having a given SEQ ID No. as shown in Table 5a; (k) The unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a, where the unmodified equivalent of the first strand sequence is in the given SEQ ID No. as shown in Table 5a The 3' end of any of the first strand sequences of SEQ ID NO. No. further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides, and wherein the unmodified equivalent of the first strand sequence consists of a continuous region complementary to the AGT transcript of SEQ ID NO. 870 with a length of 17-25 nucleotides, preferably a length of 18-24 nucleotides; and whereby the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of: a sequence having the corresponding second strand sequence of a given SEQ ID No. shown in Table 5a; (l) The unmodified equivalent of the first strand sequence consists of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a, and where appropriate, the unmodified equivalent of the second strand sequence consists of the sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 5a; (m) The unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the unmodified equivalent of the first strand and the unmodified equivalent of the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are on two separate strands, and these unmodified equivalents are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length.
舉例而言,本發明之核酸可為以下核酸,其中: (a) 第一股序列之未經修飾之等效物包含與表1之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表1之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列之未經修飾之等效物包含與表1之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表1之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列之未經修飾之等效物包含與表1之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表1之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸3至18的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至17的序列; (e) 第一股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表1中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列之未經修飾之等效物包含具有表1中所示之給定SEQ ID No.之第一股序列中之任一者的序列,且視情況其中第二股序列之未經修飾之等效物包含具有表1中所示之給定SEQ ID No.之對應第二股序列的序列; (i) 第一股序列之未經修飾之等效物基本上由具有表1中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物基本上由具有表1中所示之給定SEQ ID No.的對應第二股序列的序列組成; (j) 第一股序列之未經修飾之等效物由對應於自具有表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表1中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成, 且視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表1中所示之給定SEQ ID No.之對應第二股序列的序列; (k) 第一股序列之未經修飾之等效物由對應於自具有表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表1中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中第一股序列之該未經修飾之等效物由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成;及 視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表1中所示之給定SEQ ID No.之對應第二股序列的序列; (l) 第一股序列之未經修飾之等效物由具有表1中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物由具有表1中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物存在於單股上,其中第一股之未經修飾之等效物及第二股之未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物係在兩個單獨股上,該等未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 For example, the nucleic acid of the present invention may be the following nucleic acid, wherein: (a) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 1 by no more than 3 nucleotides, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 1 by no more than 3 nucleotides; (b) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 1 by no more than 2 nucleotides, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 1 by no more than 2 nucleotides; (c) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 1 by no more than 1 nucleotide, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 1 by no more than 1 nucleotide; (d) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 1, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 17 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 1; (e) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 1, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 17 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 1 No., and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 1; (f) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 1, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 1; (g) The unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 1 No., and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 1; (h) The unmodified equivalent of the first strand sequence comprises a sequence of any of the first strand sequences having a given SEQ ID No. shown in Table 1, and where the unmodified equivalent of the second strand sequence comprises a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 1; (i) The unmodified equivalent of the first strand sequence consists essentially of any of the first strand sequences having a given SEQ ID No. shown in Table 1, and where the unmodified equivalent of the second strand sequence consists essentially of a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 1; (j) The unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 1, wherein the unmodified equivalent of the first strand sequence further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 1, and optionally wherein the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of: a given SEQ ID No. shown in Table 1 No.; (k) The unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 1, wherein the unmodified equivalent of the first strand sequence further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 1, and wherein the unmodified equivalent of the first strand sequence consists of a continuous region complementary to the AGT transcript of SEQ ID NO. 870 of 17-25 nucleotides in length, preferably 18-24 nucleotides in length; and Where appropriate, wherein the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of: a sequence corresponding to the second strand sequence of a given SEQ ID No. shown in Table 1; (l) The unmodified equivalent of the first strand sequence consists of any one of the first strand sequences of a given SEQ ID No. shown in Table 1, and where appropriate, wherein the unmodified equivalent of the second strand sequence consists of a sequence corresponding to the second strand sequence of a given SEQ ID No. shown in Table 1; (m) The unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the unmodified equivalent of the first strand and the unmodified equivalent of the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are on two separate strands, and these unmodified equivalents are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length.
視具體情況而定,「對應」第二股意謂存在於與表5a、5b或5c中之給定第一股相同的雙螺旋體中或列為表1或表2中之對應第二股序列的第二股。換言之,第一股及其對應第二股分別表示為具有表5a、5b或5c中給定雙螺旋體ID之雙螺旋體的「A」股及「B」股,或在表1及表2中如此描述。As the case may be, a "corresponding" second strand means a second strand that is present in the same duplex as a given first strand in Table 5a, 5b or 5c or is listed as a corresponding second strand sequence in Table 1 or Table 2. In other words, a first strand and its corresponding second strand are represented as strand "A" and strand "B", respectively, of a duplex having a given duplex ID in Table 5a, 5b or 5c, or as described in Table 1 and Table 2.
在一個態樣中,若第一股之5'-大部分核苷酸為除A或U外之核苷酸,則此核苷酸經A或U置換。較佳地,若第一股之5'-大部分核苷酸為除U外之核苷酸,則此核苷酸經U置換,且更佳經具有5'乙烯基膦酸酯之U置換。In one aspect, if the 5'-majority of nucleotides of the first strand are nucleotides other than A or U, then this nucleotide is replaced by A or U. Preferably, if the 5'-majority of nucleotides of the first strand are nucleotides other than U, then this nucleotide is replaced by U, and more preferably by U with a 5' vinylphosphonate.
在比較性實驗中,當本發明之核酸不包含參考第一股及/或第二股序列(如例如表1、2、5a、5b或5c中所給出)之完整序列或一股或兩股均與對應參考序列相差一、二或三個核苷酸時,此核酸與包含整個第一股及第二股參考序列的對應核酸之抑制活性相比,較佳保持至少30%,更佳至少50%,更佳至少70%,更佳至少80%,甚至更佳至少90%,又更佳至少95%,且最佳至少100%之AGT抑制活性。In comparative experiments, when the nucleic acid of the present invention does not comprise the complete sequence of the reference first and/or second strand sequences (such as given in Tables 1, 2, 5a, 5b or 5c) or one or both strands differ from the corresponding reference sequence by one, two or three nucleotides, the nucleic acid preferably retains at least 30%, more preferably at least 50%, more preferably at least 70%, more preferably at least 80%, even more preferably at least 90%, still more preferably at least 95%, and most preferably at least 100% of the AGT inhibitory activity compared to the inhibitory activity of the corresponding nucleic acid comprising the entire first and second strand reference sequences.
能夠在生理條件下雜交之核酸係能夠在股中之至少一部分相對核苷酸之間形成鹼基對(較佳沃森-克里克或擺動鹼基對)以便形成至少雙螺旋區的核酸。此類雙股核酸在生理條件下較佳為穩定雙股核酸(例如在PBS中在37℃下以各股1 μM之濃度),此意謂在此類條件下,兩個股保持彼此雜交。雙股核苷酸之Tm較佳為45℃或更高,較佳50℃或更高,且更佳55℃或更高。Nucleic acids capable of hybridizing under physiological conditions are nucleic acids capable of forming base pairs (preferably Watson-Crick or pendular base pairs) between at least a portion of the opposing nucleotides in the strands so as to form at least a double helical region. Such double-stranded nucleic acids are preferably stable double-stranded nucleic acids under physiological conditions (e.g., in PBS at 37°C at a concentration of 1 μM per strand), meaning that under such conditions, the two strands remain hybridized with each other. The Tm of the double-stranded nucleotide is preferably 45°C or higher, preferably 50°C or higher, and more preferably 55°C or higher.
本發明之一個態樣係關於用於抑制AGT表現之核酸,其中該核酸包含至少15個,較佳至少16個,更佳至少17個,又更佳至少18個核苷酸,且最佳所有核苷酸與表5a或表1之第一股未經修飾之等效序列中之任一者相差不超過3個核苷酸,較佳不超過2個核苷酸,更佳不超過1個核苷酸,且最佳不相差任何核苷酸的第一序列,第一序列能夠與目標基因轉錄物(諸如mRNA)在生理條件下雜交。較佳地,該核酸進一步包含至少15個,較佳至少16個,更佳至少17個,又更佳至少18個核苷酸,且最佳所有核苷酸與表5a或表1之對應第二股未經修飾之等效序列中之任一者相差不超過3個核苷酸,較佳不超過2個核苷酸,更佳不超過1個核苷酸,且最佳不相差任何核苷酸的第二序列,第二序列能夠與第一序列在生理條件下雜交,且較佳地該核酸係能夠經由RNAi路徑抑制AGT表現的siRNA。One aspect of the present invention relates to a nucleic acid for inhibiting AGT expression, wherein the nucleic acid comprises at least 15, preferably at least 16, more preferably at least 17, and even more preferably at least 18 nucleotides, and preferably all nucleotides differ from any of the first strand unmodified equivalent sequences of Table 5a or Table 1 by no more than 3 nucleotides, preferably no more than 2 nucleotides, more preferably no more than 1 nucleotide, and preferably a first sequence that does not differ from any nucleotides, and the first sequence is capable of hybridizing with a target gene transcript (such as mRNA) under physiological conditions. Preferably, the nucleic acid further comprises at least 15, preferably at least 16, more preferably at least 17, and even more preferably at least 18 nucleotides, and most preferably all nucleotides differ from any of the corresponding second strand unmodified equivalent sequences in Table 5a or Table 1 by no more than 3 nucleotides, preferably no more than 2 nucleotides, more preferably no more than 1 nucleotide, and most preferably a second sequence that does not differ from any nucleotides, the second sequence is capable of hybridizing with the first sequence under physiological conditions, and preferably the nucleic acid is an siRNA capable of inhibiting AGT expression via an RNAi pathway.
一個態樣係關於如表1、2、5a、5b或5c中所揭示之任何雙股核酸,其各自可藉由給定雙螺旋體ID指代,其較佳地用於抑制AGT表現,限制條件為雙股核酸能夠抑制AGT表現。此等核酸均為siRNA。抑制經由轉錄後目標基因之mRNA轉錄物之靶向降解發生。siRNA形成RISC複合體之一部分。RISC複合體藉由第一(反義)股與目標序列之序列互補性而特異性靶向目標RNA。One aspect relates to any double-stranded nucleic acid as disclosed in Table 1, 2, 5a, 5b or 5c, each of which can be referred to by a given duplex ID, which is preferably used to inhibit AGT expression, with the proviso that the double-stranded nucleic acid is capable of inhibiting AGT expression. These nucleic acids are siRNAs. Inhibition occurs by targeted degradation of the mRNA transcript of the target gene after transcription. The siRNA forms part of the RISC complex. The RISC complex specifically targets the target RNA by sequence complementarity of the first (antisense) strand and the target sequence.
一個態樣係關於一種能夠較佳在細胞中抑制AGT表現之雙股核酸,其例如在相關治療或診斷方法中用作治療劑或診斷劑,其中該核酸較佳包含第一股及第二股或由第一股及第二股組成,且較佳其中第一股包含與AGT mRNA充分互補以介導RNA干擾之序列。One aspect relates to a double-stranded nucleic acid that is preferably capable of inhibiting AGT expression in a cell, which is used, for example, as a therapeutic or diagnostic agent in a related treatment or diagnostic method, wherein the nucleic acid preferably comprises or consists of a first strand and a second strand, and preferably wherein the first strand comprises a sequence that is sufficiently complementary to AGT mRNA to mediate RNA interference.
本文所描述之核酸可能夠抑制AGT表現。抑制可為完全的,亦即剩餘0%表現。AGT表現之抑制可為部分的,亦即其可為在不存在本發明之核酸之情況下的AGT表現量之抑制之15%、20%、30%、40%、50%、60%、70%、75%、80%、85%、90%、95%或以上,或中間值。抑制水平可藉由將經處理樣品與未處理樣品或經對照(諸如不靶向AGT之siRNA)處理之樣品相比較來量測。抑制可藉由量測AGT mRNA及/或蛋白質含量或與AGT存在或活性相關之生物標記或指標物之含量來量測。可在可能已在活體外用本文所描述之核酸處理的細胞中量測。替代地或另外,抑制可在細胞(諸如肝細胞)或組織(諸如肝臟組織)或器官(諸如肝臟)中或在體液(諸如血液、血清、淋巴)中或獲自先前用本文所揭示之核酸處理之個體的任何其他身體部分或流體中量測。較佳地,藉由比較在理想條件(參見適當濃度及條件之實例)下,在用本文揭示之雙股RNA進行24或48小時活體外處理之後,表現AGT之細胞中量測的AGT mRNA含量,與在相同條件下用對照雙股RNA進行處理或模擬處理之對照細胞中量測的AGT mRNA含量,來測定AGT表現之抑制。The nucleic acids described herein may be capable of inhibiting AGT expression. Inhibition may be complete, i.e., 0% expression remaining. Inhibition of AGT expression may be partial, i.e., it may be 15%, 20%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 85%, 90%, 95% or more, or an intermediate value, of the amount of AGT expression that would be inhibited in the absence of the nucleic acids of the invention. The level of inhibition may be measured by comparing the treated sample to an untreated sample or a sample treated with a control (such as an siRNA that does not target AGT). Inhibition may be measured by measuring the level of AGT mRNA and/or protein or the level of a biomarker or indicator associated with the presence or activity of AGT. It may be measured in cells that may have been treated in vitro with the nucleic acids described herein. Alternatively or additionally, inhibition can be measured in cells (such as hepatocytes) or tissues (such as liver tissue) or organs (such as liver) or in body fluids (such as blood, serum, lymph) or any other body part or fluid obtained from an individual previously treated with a nucleic acid disclosed herein. Preferably, inhibition of AGT expression is determined by comparing the level of AGT mRNA measured in cells expressing AGT after 24 or 48 hours in vitro treatment with double-stranded RNA disclosed herein under ideal conditions (see examples of appropriate concentrations and conditions) with the level of AGT mRNA measured in control cells treated or simulated with control double-stranded RNA under the same conditions.
本發明之一個態樣係關於一種核酸,其中第一股及第二股存在於環繞之核酸之單股上,使得第一股及第二股能夠彼此雜交且藉此與雙螺旋區形成雙股核酸。One aspect of the invention relates to a nucleic acid wherein a first strand and a second strand are present on a single strand of a wraparound nucleic acid such that the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid with the double helical region.
較佳地,核酸之第一股及第二股為單獨股。兩個單獨股之長度較佳各自為17至25個核苷酸,長度更佳為18至25個核苷酸。兩股可具有相同或不同長度。第一股之長度可為17-25個核苷酸,較佳其長度可為18-24個核苷酸,其長度可為18、19、20、21、22、23或24個核苷酸。最佳地,第一股之長度為19個核苷酸。第二股之長度可獨立地為17-25個核苷酸,較佳地,其長度可為18-24個核苷酸,其長度可為18、19、20、21、22、23或24個核苷酸。更佳地,第二股之長度為18或19或20個核苷酸,且最佳地,其長度為19個核苷酸。Preferably, the first and second strands of the nucleic acid are separate strands. The two separate strands are preferably 17 to 25 nucleotides in length each, more preferably 18 to 25 nucleotides in length. The two strands may be of the same or different lengths. The first strand may be 17-25 nucleotides in length, preferably 18-24 nucleotides in length, and may be 18, 19, 20, 21, 22, 23 or 24 nucleotides in length. Most preferably, the first strand is 19 nucleotides in length. The second strand may be independently 17-25 nucleotides in length, preferably 18-24 nucleotides in length, and may be 18, 19, 20, 21, 22, 23 or 24 nucleotides in length. More preferably, the second strand is 18 or 19 or 20 nucleotides in length, and most preferably, is 19 nucleotides in length.
較佳地,核酸之第一股及第二股形成長度為17-25個核苷酸之雙螺旋區。更佳地,雙螺旋區之長度為18-24個核苷酸。雙螺旋區之長度可為17、18、19、20、21、22、23、24或25個核苷酸。在最佳實施例中,雙螺旋區之長度為18或19個核苷酸。雙螺旋區在本文中定義為介於以下之間且包括以下的區域:與第二股之核苷酸成鹼基對的第一股之5'-大部分核苷酸至與第二股之核苷酸成鹼基對的第一股之3'-大部分核苷酸。雙螺旋區可包含未與另一股中之核苷酸鹼基配對的任一或兩股中之核苷酸。其可在第一股及/或第二股上包含一個、兩個、三個或四個此類核苷酸。然而,較佳地,雙螺旋區由17-25個連續核苷酸鹼基對組成。換言之,其在兩股上較佳包含17-25個連續核苷酸,所有鹼基與另一股中之核苷酸配對。更佳地,雙螺旋區由18或19個,最佳18個連續核苷酸鹼基對組成。Preferably, the first and second strands of the nucleic acid form a duplex region of 17-25 nucleotides in length. More preferably, the length of the duplex region is 18-24 nucleotides. The length of the duplex region may be 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides. In a preferred embodiment, the length of the duplex region is 18 or 19 nucleotides. The duplex region is defined herein as the region between and including the 5'-most nucleotides of the first strand that form base pairs with nucleotides of the second strand to the 3'-most nucleotides of the first strand that form base pairs with nucleotides of the second strand. The duplex region may include nucleotides in either or both strands that are not base paired with nucleotides in the other strand. It may include one, two, three or four such nucleotides on the first strand and/or the second strand. However, preferably, the duplex region consists of 17-25 consecutive nucleotide base pairs. In other words, it preferably comprises 17-25 consecutive nucleotides on both strands, all of which are paired with nucleotides in the other strand. More preferably, the duplex region consists of 18 or 19, most preferably 18 consecutive nucleotide base pairs.
在本文所揭示之各實施例中,核酸可在兩端處鈍端;在一端處具有懸垂物且在另一端處具有鈍端;或在兩端處具有懸垂物。In various embodiments disclosed herein, the nucleic acid can be blunt at both ends; have an overhang at one end and a blunt end at the other end; or have overhangs at both ends.
核酸可在一端處具有懸垂物且在另一端處具有鈍端。核酸可在兩端處具有懸垂物。核酸在兩端處可為鈍端。核酸可在第一股之5'端及第二股之3'端或在第一股之3'端及第二股之5'端處為鈍端。The nucleic acid may have an overhang at one end and a blunt end at the other end. The nucleic acid may have overhangs at both ends. The nucleic acid may be blunt ended at both ends. The nucleic acid may be blunt ended at the 5' end of the first strand and the 3' end of the second strand or at the 3' end of the first strand and the 5' end of the second strand.
核酸可在3'端或5'端處包含懸垂物。核酸可在第一股上具有3'懸垂物。核酸可在第二股上具有3'懸垂物。核酸可在第一股上具有5'懸垂物。核酸可在第二股上具有5'懸垂物。核酸可在第一股之5'端及3'端處均具有懸垂物。核酸可在第二股之5'端及3'端處均具有懸垂物。核酸可在第一股上具有5'懸垂物且在第二股上具有3'懸垂物。核酸可在第一股具有3'懸垂物且在第二股具有5'懸垂物。核酸可在第一股具有3'懸垂物且在第二股具有3'懸垂物。核酸可在第一股上具有5'懸垂物且在第二股上具有5'懸垂物。The nucleic acid may comprise an overhang at the 3' end or the 5' end. The nucleic acid may have a 3' overhang on the first strand. The nucleic acid may have a 3' overhang on the second strand. The nucleic acid may have a 5' overhang on the first strand. The nucleic acid may have a 5' overhang on the second strand. The nucleic acid may have an overhang at both the 5' and 3' ends of the first strand. The nucleic acid may have an overhang at both the 5' and 3' ends of the second strand. The nucleic acid may have a 5' overhang on the first strand and a 3' overhang on the second strand. The nucleic acid may have a 3' overhang on the first strand and a 5' overhang on the second strand. The nucleic acid may have a 3' overhang on the first strand and a 3' overhang on the second strand. The nucleic acid may have a 5' overhang on the first strand and a 5' overhang on the second strand.
第二股或第一股之3'端或5'端處之懸垂物可由長度為1、2、3、4及5個核苷酸組成。視情況,懸垂物可由1或2個核苷酸組成,其可經修飾或可不經修飾。The overhang at the 3' or 5' end of the second or first strand may consist of 1, 2, 3, 4 and 5 nucleotides in length. Optionally, the overhang may consist of 1 or 2 nucleotides, which may or may not be modified.
在一個實施例中,第一股之5'端係一個、兩個或三個核苷酸,較佳一個核苷酸之單股懸垂物。In one embodiment, the 5' end of the first strand is a single-stranded overhang of one, two or three nucleotides, preferably one nucleotide.
核酸修飾本文所論述之核酸包括未經修飾之RNA以及已經修飾例如以改良功效或穩定性之RNA。未經修飾之RNA係指其中核酸之組分(亦即糖、鹼基及磷酸酯部分)與自然界中存在之核酸組分(例如人類體內天然存在之核酸組分)相同或基本上相同的分子。如本文所用之術語「經修飾之核苷酸」係指其中核苷酸之一或多種組分(亦即糖、鹼基及磷酸酯部分)不同於自然界中存在之核苷酸組分的核苷酸。在某些情況下,術語「經修飾之核苷酸」亦指因為其缺乏或取代核苷酸之必要組分(諸如糖、鹼基或磷酸酯部分)而不為術語嚴格意義上之核苷酸的分子。即使核酸之核苷酸中之一或多者已由缺乏或取代核苷酸之必要組分的經修飾之核苷酸置換,但包含此類經修飾之核苷酸的核酸仍應理解為核酸。 Nucleic Acid Modifications The nucleic acids discussed herein include unmodified RNA as well as RNA that has been modified, for example, to improve efficacy or stability. Unmodified RNA refers to molecules in which the components of the nucleic acid (i.e., sugar, base, and phosphate moieties) are identical or substantially identical to the components of nucleic acids found in nature (e.g., nucleic acid components naturally found in humans). As used herein, the term "modified nucleotides" refers to nucleotides in which one or more components of the nucleotide (i.e., sugar, base, and phosphate moieties) are different from the components of nucleotides found in nature. In certain instances, the term "modified nucleotides" also refers to molecules that are not nucleotides in the strict sense of the term because they lack or replace essential components of a nucleotide (e.g., sugar, base, or phosphate moieties). Even if one or more of the nucleotides of a nucleic acid have been replaced by a modified nucleotide that lacks or replaces essential components of a nucleotide, a nucleic acid comprising such modified nucleotides should still be understood as a nucleic acid.
本發明之核酸的修飾一般提供一種克服潛在限制之強力工具,該等潛在限制包括但不限於天然RNA分子固有之活體外及活體內穩定性及生物可用性。根據本發明之核酸可藉由化學修飾來修飾。經修飾之核酸亦可最小化在人體內誘導干擾素活性之可能性。修飾可進一步增強核酸對目標細胞之功能性遞送。較佳地,本發明之經修飾之核酸可包含第一股或第二股中之任一者或兩者的一或多種經化學修飾之核糖核苷酸。核糖核苷酸可包含鹼基、糖或磷酸酯部分之化學修飾。核糖核酸可藉由用核酸或鹼基之類似物取代或插入來修飾。Modification of the nucleic acids of the present invention generally provides a powerful tool to overcome potential limitations, including but not limited to the inherent in vitro and in vivo stability and bioavailability of natural RNA molecules. The nucleic acids according to the present invention can be modified by chemical modification. The modified nucleic acids can also minimize the possibility of inducing interferon activity in the human body. The modification can further enhance the functional delivery of nucleic acids to target cells. Preferably, the modified nucleic acids of the present invention may include one or more chemically modified ribonucleotides in either or both of the first or second strands. The ribonucleotides may include chemical modifications of base, sugar or phosphate moieties. Ribonucleic acids can be modified by substitution or insertion with analogs of nucleic acids or bases.
在本發明之說明書通篇中,「相同或共同修飾」意謂對任何核苷酸之相同修飾,其為經諸如甲基(2'-OMe)或氟基(2'-F)之基團修飾的A、G、C或U。舉例而言,2'-F-dU、2'-F-dA、2'-F-dC、2'-F-dG皆被視為相同或共同修飾,如同2'-OMe-rU;2'-OMe-rA;2'-OMe-rC;2'-OMe-rG一般。相比之下,2'-F修飾為相比於2'-OMe修飾不同的修飾。Throughout the specification of the present invention, "same or common modification" means the same modification of any nucleotide, which is A, G, C or U modified with a group such as methyl (2'-OMe) or fluoro (2'-F). For example, 2'-F-dU, 2'-F-dA, 2'-F-dC, 2'-F-dG are all considered the same or common modification, as are 2'-OMe-rU; 2'-OMe-rA; 2'-OMe-rC; 2'-OMe-rG. In contrast, 2'-F modification is a different modification than 2'-OMe modification.
較佳地,核酸之第一及/或第二股之至少一個核苷酸為經修飾之核苷酸,較佳為非天然存在之核苷酸,諸如2'-F修飾之核苷酸。Preferably, at least one nucleotide of the first and/or second strand of the nucleic acid is a modified nucleotide, preferably a non-naturally occurring nucleotide, such as a 2'-F modified nucleotide.
經修飾之核苷酸可為具有糖基團修飾之核苷酸。2'羥基(OH)可經多個不同的「氧基」或「去氧基」取代基修飾或置換。The modified nucleotides may be nucleotides with modified sugar groups. The 2' hydroxyl (OH) group may be modified or replaced by a variety of different "oxy" or "deoxy" substituents.
「氧基」-2'羥基修飾之實例包括烷氧基或芳氧基(OR,例如R═H、烷基(諸如甲基)、環烷基、芳基、芳烷基、雜芳基或糖);聚乙二醇(PEG)、O(CH 2CH 2O) nCH 2CH 2OR;「鎖定」核酸(LNA),其中2'羥基例如藉由亞甲基橋與相同核糖之4'碳連接;O-胺(胺=NH 2、烷基胺基、二烷基胺基、雜環基、芳基胺基、二芳基胺基、雜芳基胺基或二雜芳基胺基、乙二胺或聚胺基)及胺基烷氧基、O(CH 2) n胺(例如,胺=NH 2、烷基胺基、二烷基胺基、雜環基、芳基胺基、二芳基胺基、雜芳基胺基或二雜芳基胺基、乙二胺或聚胺基)。 Examples of "oxy"-2'hydroxy modifications include alkoxy or aryloxy (OR, e.g., R═H, alkyl (e.g., methyl), cycloalkyl, aryl, aralkyl, heteroaryl, or sugar); polyethylene glycol (PEG), O(CH 2 CH 2 O) n CH 2 CH 2 OR; "locked" nucleic acids (LNAs) in which the 2'hydroxyl is linked to the 4' carbon of the same ribose, e.g., via a methylene bridge; O-amines (amine═NH 2 , alkylamine, dialkylamine, heterocyclo, arylamine, diarylamine, heteroarylamine, or diheteroarylamine, ethylenediamine, or polyamine) and aminoalkoxy, O(CH 2 ) namine (e.g., amine═NH 2 , alkylamine, dialkylamine, heterocyclic group, arylamine, diarylamine, heteroarylamine or diheteroarylamine, ethylenediamine or polyamine).
「去氧基」修飾包括氫、鹵素、胺基(例如,NH 2、烷基胺基、二烷基胺基、雜環基、芳基胺基、二芳基胺基、雜芳基胺基、二雜芳基胺基或胺基酸);NH(CH 2CH 2NH) nCH 2CH 2-胺(胺=NH 2、烷基胺基、二烷基胺基、雜環基、芳基胺基、二芳基胺基、雜芳基胺基或二雜芳基胺基)、-NHC(O)R (R=烷基、環烷基、芳基、芳烷基、雜芳基或糖)、氰基;巰基;烷基-硫基-烷基;硫代烷氧基;及烷基、環烷基、芳基、烯基及炔基,其可視情況經例如胺基官能基取代。某些實施例之其他取代基包括2'-甲氧基乙基、2'-OCH 3、2'-O-烯丙基、2'-C-烯丙基及2'-氟。 "Deoxy" modifications include hydrogen, halogen, amine (e.g., NH2 , alkylamine, dialkylamine, heterocyclic , arylamine, diarylamine, heteroarylamine, diheteroarylamine, or amino acid); NH(CH2CH2NH)nCH2CH2 - amine (amine = NH2 , alkylamine, dialkylamine, heterocyclic, arylamine , diarylamine, heteroarylamine, or diheteroarylamine) , -NHC(O)R ( R = alkyl, cycloalkyl, aryl, aralkyl, heteroaryl, or sugar), cyano; alkyl; alkyl-thio-alkyl; thioalkoxy; and alkyl, cycloalkyl, aryl, alkenyl, and alkynyl groups, which may be optionally substituted, for example, with an amine functional group. Other substituents of certain embodiments include 2'-methoxyethyl, 2'-OCH 3 , 2'-O-allyl, 2'-C-allyl, and 2'-fluoro.
糖基亦可含有一或多個碳,其具有與核糖中之對應碳相反的立體化學組態。因此,經修飾之核苷酸可含有糖,諸如阿拉伯糖。The sugar group may also contain one or more carbons that have a stereochemical configuration opposite to the corresponding carbon in ribose. Thus, modified nucleotides may contain sugars such as arabinose.
經修飾之核苷酸亦可包括「無鹼基」糖,其在C - 1'處缺乏核鹼基。此等無鹼基糖可進一步在組成性糖原子中之一或多者處含有修飾。Modified nucleotides may also include "abasic" sugars, which lack a nucleobase at C-1'. These abasic sugars may further contain modifications at one or more of the constituent sugar atoms.
2'修飾可與一或多個磷酸酯核苷間連接子修飾(例如,硫代磷酸酯或二硫代磷酸酯)組合使用。The 2' modification can be used in combination with one or more phosphate internucleoside linker modifications (eg, phosphorothioate or phosphorodithioate).
本發明之核酸之一或多個核苷酸可經修飾。核酸可包含至少一個經修飾之核苷酸。經修飾之核苷酸可在第一股中。經修飾之核苷酸可在第二股中。經修飾之核苷酸可在雙螺旋區中。經修飾之核苷酸可在雙螺旋區外部,亦即,在單股區中。經修飾之核苷酸可在第一股上且可在雙螺旋區外部。經修飾之核苷酸可在第二股上且可在雙螺旋區外部。第一股之3'-末端核苷酸可為經修飾之核苷酸。第二股之3'-末端核苷酸可為經修飾之核苷酸。第一股之5'-末端核苷酸可為經修飾之核苷酸。第二股之5'-末端核苷酸可為經修飾之核苷酸。One or more nucleotides of the nucleic acid of the present invention may be modified. The nucleic acid may comprise at least one modified nucleotide. The modified nucleotide may be in the first strand. The modified nucleotide may be in the second strand. The modified nucleotide may be in the duplex region. The modified nucleotide may be outside the duplex region, i.e., in the single strand region. The modified nucleotide may be on the first strand and may be outside the duplex region. The modified nucleotide may be on the second strand and may be outside the duplex region. The 3'-terminal nucleotide of the first strand may be a modified nucleotide. The 3'-terminal nucleotide of the second strand may be a modified nucleotide. The 5'-terminal nucleotide of the first strand may be a modified nucleotide. The 5'-terminal nucleotide of the second strand may be a modified nucleotide.
本發明之核酸可具有1個經修飾之核苷酸或本發明之核酸可具有約2-4個經修飾之核苷酸,或核酸可具有約4-6個經修飾之核苷酸、約6-8個經修飾之核苷酸、約8-10個經修飾之核苷酸、約10-12個經修飾之核苷酸、約12-14個經修飾之核苷酸、約14-16個經修飾之核苷酸、約16-18個經修飾之核苷酸、約18-20經修飾之核苷酸、約20-22經修飾之核苷酸、約22-24個經修飾之核苷酸、約24-26個經修飾之核苷酸或約26-28個經修飾之核苷酸。在各種情況下,包含該經修飾之核苷酸的核酸相比於不含該等經修飾之核苷酸的相同核酸保持其活性之至少50%,或反之亦然。核酸相比於相同但不含該等經修飾之核苷酸的核酸可保留其活性之55%、60%、65%、70%、75%、80%、85%、90%、95%或100%及中間值,或可具有不含該等經修飾之核苷酸的相同核酸的超過100%活性。The nucleic acids of the invention may have 1 modified nucleotide or the nucleic acids of the invention may have about 2-4 modified nucleotides, or the nucleic acids may have about 4-6 modified nucleotides, about 6-8 modified nucleotides, about 8-10 modified nucleotides, about 10-12 modified nucleotides, about 12-14 modified nucleotides, about 14-16 modified nucleotides, about 16-18 modified nucleotides, about 18-20 modified nucleotides, about 20-22 modified nucleotides, about 22-24 modified nucleotides, about 24-26 modified nucleotides, or about 26-28 modified nucleotides. In each case, the nucleic acid comprising the modified nucleotides retains at least 50% of its activity compared to the same nucleic acid without the modified nucleotides, or vice versa. The nucleic acid may retain 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95% or 100% and intermediate values of its activity compared to the same nucleic acid but without the modified nucleotides, or may have greater than 100% of the activity of the same nucleic acid without the modified nucleotides.
經修飾之核苷酸可為嘌呤或嘧啶。至少一半嘌呤可經修飾。至少一半嘧啶可經修飾。所有嘌呤可經修飾。所有嘧啶可經修飾。經修飾之核苷酸可選自由以下組成之群:3'末端去氧胸腺嘧啶(dT)核苷酸、2'-O-甲基(2'-OMe)修飾之核苷酸、2'修飾之核苷酸、2'去氧修飾之核苷酸、鎖定核苷酸、無鹼基核苷酸、2'胺基修飾之核苷酸、2'烷基修飾之核苷酸、2'-去氧-2'-氟(2'-F)修飾之核苷酸、N-𠰌啉基核苷酸、胺基磷酸酯、包含核苷酸之非天然鹼基、包含5'-硫代磷酸基團之核苷酸,包含5'磷酸酯或5'磷酸酯模擬物之核苷酸及連接至膽固醇衍生物或十二烷酸雙癸醯胺基團之末端核苷酸。The modified nucleotides may be purines or pyrimidines. At least half of the purines may be modified. At least half of the pyrimidines may be modified. All purines may be modified. All pyrimidines may be modified. The modified nucleotides may be selected from the group consisting of: 3' terminal deoxythymine (dT) nucleotides, 2'-O-methyl (2'-OMe) modified nucleotides, 2' modified nucleotides, 2' deoxy modified nucleotides, locked nucleotides, abasic nucleotides, 2' amino modified nucleotides, 2' alkyl modified nucleotides, 2'-deoxy-2'-fluoro (2'-F) modified nucleotides, N-phenothioyl nucleotides, phosphoamido esters, non-natural bases containing nucleotides, nucleotides containing 5'-phosphorothioate groups, nucleotides containing 5' phosphates or 5' phosphate mimetics, and terminal nucleotides linked to cholesterol derivatives or dodecanoic acid didecylamide groups.
核酸可包含有包含經修飾之鹼基的核苷酸,其中該鹼基選自2-胺基腺苷、2,6-二胺基嘌呤、肌苷、吡啶-4-酮、吡啶-2-酮、苯基、假尿嘧啶、2,4,6-三甲氧基苯、3-甲基尿嘧啶、二氫尿苷、萘基、胺基苯基、5-烷基胞苷(例如,5-甲基胞苷)、5-烷基尿苷(例如,核糖胸苷)、5-鹵代尿苷(例如,5-溴尿苷)、6-氮雜嘧啶、6-烷基嘧啶(例如,6-甲基尿苷)、丙炔、Q核苷(quesosine)、2-硫代尿苷、4-硫代尿苷、懷丁苷(wybutosine)、懷丁氧苷(wybutoxosine)、4-乙醯基胞苷、5-(羧基羥甲基)尿苷、5'-羧甲基胺基甲基-2-硫代尿苷、5-羧甲基胺甲基尿苷、β-D-半乳糖苷基Q核苷(galactosylqueosine)、1-甲基腺苷、1-甲基肌苷、2,2-二甲基鳥苷、3-甲基胞苷、2-甲基腺苷、2-甲基鳥苷、N6-甲基腺苷、7-甲基鳥苷、5-甲氧基胺基甲基-2-硫代尿苷、5-甲基胺基甲基尿苷、5-甲基羰基甲基尿苷、5-甲基氧基尿苷、5-甲基-2-硫代尿苷、2-甲基硫基-N6-異戊烯基腺苷、β-D-甘露糖基Q核苷(mannosylqueosine)、尿苷-5-氧乙酸及2-硫代胞苷。The nucleic acid may comprise a nucleotide comprising a modified base, wherein the base is selected from 2-aminoadenosine, 2,6-diaminopurine, inosine, pyridin-4-one, pyridin-2-one, phenyl, pseudouracil, 2,4,6-trimethoxybenzene, 3-methyluracil, dihydrouridine, naphthyl, aminophenyl, 5-alkylcytidine (e.g., 5-methylcytidine), 5-alkyluridine (e.g., ribothymidine), 5-halouridine (e.g., 5-bromouridine), 6-azapyrimidine, 6-alkylpyrimidine (e.g., 6-methyluridine), propyne, quesosine, 2-thiouridine, 4-thiouridine, wybutosine, wybutoxosine, 4-acetylcytidine, 5- (Carboxyhydroxymethyl)uridine, 5'-carboxymethylaminomethyl-2-thiouridine, 5-carboxymethylaminomethyluridine, β-D-galactosylqueosine, 1-methyladenosine, 1-methylinosine, 2,2-dimethylguanosine, 3-methylcytidine, 2-methyladenosine, 2-methylguanosine, N6-methyladenosine, 7-methylguanosine, 5-methoxyaminomethyl-2-thiouridine, 5-methylaminomethyluridine, 5-methylcarbonylmethyluridine, 5-methyloxyuridine, 5-methyl-2-thiouridine, 2-methylthio-N6-isopentenyladenosine, β-D-mannosylqueosine, uridine-5-oxyacetic acid and 2-thiocytidine.
本文中所描述且在核酸內出現之許多修飾將在聚核苷酸分子內重複,諸如鹼基或磷酸酯部分或磷酸酯部分之非連接O之修飾。在一些情況下,修飾會發生於聚核苷酸中之所有可能位置/核苷酸處,但在許多情況下不會發生。修飾可僅出現在3'或5'末端位置,可僅出現在末端區,諸如在末端核苷酸上的位置處或股之最後2、3、4、5或10個核苷酸中。修飾可出現在雙股區、單股區或其兩者中。修飾可僅在本發明之核酸之雙股區中出現,或可僅在本發明之核酸之單股區中出現。非連接O位置處之硫代磷酸酯或二硫代磷酸酯修飾可僅出現在一個或兩個末端處,可僅出現在末端區中,例如在末端核苷酸上的位置處或在股之最後2、3、4或5個核苷酸中,或可出現在雙螺旋區及/或單股區中,尤其在末端處。5'端及/或3'端可為磷酸化的。Many modifications described herein and occurring within nucleic acids will be repeated within a polynucleotide molecule, such as modifications of a base or phosphate moiety or non-linked O of a phosphate moiety. In some cases, modifications occur at all possible positions/nucleotides in a polynucleotide, but in many cases do not occur. Modifications may occur only at the 3' or 5' terminal position, may occur only in the terminal region, such as at a position on the terminal nucleotide or in the last 2, 3, 4, 5 or 10 nucleotides of a strand. Modifications may occur in double-stranded regions, single-stranded regions, or both. Modifications may occur only in double-stranded regions of a nucleic acid of the present invention, or may occur only in single-stranded regions of a nucleic acid of the present invention. Phosphorothioate or phosphorodithioate modifications at non-linked O positions may occur only at one or both ends, may occur only in the terminal region, for example at a position on the terminal nucleotide or in the last 2, 3, 4 or 5 nucleotides of a strand, or may occur in the duplex region and/or the single strand region, particularly at the terminus. The 5' end and/or the 3' end may be phosphorylated.
本發明之核酸之穩定性可藉由在懸垂物中包括特定鹼基或藉由在單股懸垂物中包括經修飾之核苷酸,例如在5'或3'懸垂物中或在兩者中增加。嘌呤核苷酸可包括於懸垂物中。可修飾3'或5'懸垂物中之所有或一些鹼基。修飾可包括使用在核糖之2' OH基團處的修飾,使用去氧核糖核苷酸代替核糖核苷酸,以及在磷酸酯基團中之修飾,諸如硫代磷酸酯或二硫代磷酸酯修飾。懸垂物無需與目標序列同源。The stability of the nucleic acids of the present invention can be increased by including specific bases in the overhang or by including modified nucleotides in the single-stranded overhang, for example in the 5' or 3' overhang or in both. Purine nucleotides can be included in the overhang. All or some of the bases in the 3' or 5' overhang can be modified. Modifications can include the use of modifications at the 2' OH group of the ribose, the use of deoxyribonucleotides instead of ribonucleotides, and modifications in the phosphate group, such as phosphorothioate or phosphorodithioate modifications. The overhang does not need to be homologous to the target sequence.
核酸酶可水解核酸磷酸二酯鍵。然而,對核酸之化學修飾可賦予改良之特性,且可使寡核苷酸對核酸酶更穩定。Nucleases can hydrolyze nucleic acid phosphodiester bonds. However, chemical modification of nucleic acids can impart improved properties and can make oligonucleotides more stable to nucleases.
如本文所用,經修飾之核酸可包括以下中之一或多者: (i) 改變,例如置換非連接磷酸酯氧中之一或兩者及/或連接磷酸酯氧中之一或多者(即使在本發明之核酸的5'及3'末端亦稱為連接); (ii) 改變,例如,置換核糖之成分,例如核糖上的2'羥基; (iii) 用「去磷」連接子置換磷酸酯部分; (iv) 修飾或置換天然存在之鹼基; (v) 置換或修飾核糖-磷酸酯主鏈;及 (vi) 第一股及/或第二股之3'端或5'端的修飾,例如,末端磷酸酯基團之移除、修飾或置換或部分(例如經螢光標記之部分)與一或兩股之3'或5'端的結合。 As used herein, a modified nucleic acid may include one or more of the following: (i) an alteration, such as replacement of one or both of the non-linked phosphate oxygens and/or one or more of the linked phosphate oxygens (even though the 5' and 3' ends of the nucleic acids of the present invention are referred to as linked); (ii) an alteration, such as replacement of a component of the ribose, such as the 2' hydroxyl group on the ribose; (iii) replacement of the phosphate moiety with a "dephosphorylated" linker; (iv) modification or replacement of a naturally occurring base; (v) replacement or modification of the ribose-phosphate backbone; and (vi) modification of the 3' or 5' end of the first and/or second strand, such as removal, modification or replacement of a terminal phosphate group or attachment of a moiety (such as a fluorescently labeled moiety) to the 3' or 5' end of one or both strands.
術語「置換」、「修飾」及「改變」指示與天然存在之分子不同。The terms "substituted," "modified," and "altered" indicate a molecule that is different from that occurring in nature.
特定修飾更詳細地論述於下文中。Specific modifications are discussed in more detail below.
核酸可在第二及/或第一股上包含一或多個經修飾之核苷酸。交替核苷酸可經修飾以形成經修飾之核苷酸。The nucleic acid may comprise one or more modified nucleotides on the second and/or first strand. Alternating nucleotides may be modified to form modified nucleotides.
如本文所述,「交替」意謂以規則方式一個接一個地出現。換言之,交替意謂依次重複出現。舉例而言,若一個核苷酸經修飾,則下一連續核苷酸未經修飾,且以下連續核苷酸經修飾等等。可用第一修飾來修飾一個核苷酸,可用第二修飾來修飾下一個連續核苷酸,且用第一修飾來修飾後面的連續核苷酸,諸如此類,其中第一及第二修飾係不同的。As used herein, "alternating" means appearing one after another in a regular manner. In other words, alternating means appearing repeatedly in sequence. For example, if one nucleotide is modified, the next consecutive nucleotide is not modified, and the next consecutive nucleotide is modified, and so on. One nucleotide can be modified with a first modification, the next consecutive nucleotide can be modified with a second modification, and the following consecutive nucleotides can be modified with the first modification, and so on, wherein the first and second modifications are different.
本發明之一些代表性經修飾核酸序列展示於實例中。此等實例意欲為代表性的且不為限制性的。Some representative modified nucleic acid sequences of the present invention are shown in the examples. These examples are intended to be representative and not limiting.
在核酸之一個態樣中,第一股之至少核苷酸2及14較佳藉由第一共同修飾來修飾,該等核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。第一修飾較佳地為2'-F。In one aspect of the nucleic acid, at least nucleotides 2 and 14 of the first strand are preferably modified by a first common modification, the nucleotides being numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand. The first modification is preferably 2'-F.
在一個態樣中,第一股之至少一個、若干個或較佳所有偶數編號之核苷酸較佳藉由第一共同修飾來修飾,該等核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。第一修飾較佳地為2'-F。In one aspect, at least one, several or preferably all even-numbered nucleotides of the first strand are preferably modified by a first common modification, the nucleotides being numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand. The first modification is preferably 2'-F.
在一個態樣中,第一股之至少一個、若干個或較佳所有奇數編號的核苷酸經修飾,該等核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。較佳地,其藉由第二修飾來修飾。若核酸亦包含第一修飾,例如第一股之核苷酸2及14或所有偶數編號之核苷酸的第一修飾,則此第二修飾較佳不同於第一修飾。第一修飾較佳為與2'-OH基團、或鎖定核酸(LNA)、或解鎖核酸(UNA)或2'-氟阿拉伯核酸(FANA)修飾相比具有相同大小或體積更小的任何2'核糖修飾。與2'-OH基團相比大小相同或體積更小之2'核糖修飾例如可為2'-F、2'-H、2'-鹵基或2'-NH 2。第二修飾較佳為體積大於2'-OH基團之任何2'核糖修飾。體積大於2'-OH基團之2'核糖修飾例如可為2'-OMe、2'-O-MOE (2'-O-甲氧基乙基)、2'-O-烯丙基或2'-O-烷基,其限制條件為核酸能夠在類似條件下將目標基因的表現降低至與不具有修飾之相同核酸至少相同的程度。第一修飾較佳為2'-F及/或第二修飾較佳為2'-OMe。 In one aspect, at least one, several or preferably all odd-numbered nucleotides of the first strand are modified, said nucleotides being numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand. Preferably, they are modified by a second modification. If the nucleic acid also comprises a first modification, e.g. a first modification of nucleotides 2 and 14 or all even-numbered nucleotides of the first strand, this second modification is preferably different from the first modification. The first modification is preferably any 2'-ribose modification of the same size or smaller in size than a 2'-OH group, or a locking nucleic acid (LNA), or an unblocking nucleic acid (UNA) or a 2'-fluoroarabinoic acid (FANA) modification. A 2'-ribose modification of the same size or smaller in size than a 2'-OH group may be, for example, 2'-F, 2'-H, 2'-halogen or 2'-NH 2 . The second modification is preferably any 2'-ribose modification that is larger in size than the 2'-OH group. A 2'-ribose modification that is larger in size than the 2'-OH group can be, for example, 2'-OMe, 2'-O-MOE (2'-O-methoxyethyl), 2'-O-allyl or 2'-O-alkyl, provided that the nucleic acid is able to reduce the expression of the target gene under similar conditions to at least the same extent as the same nucleic acid without the modification. The first modification is preferably 2'-F and/or the second modification is preferably 2'-OMe.
在本發明之上下文中,取代基(諸如2'核糖修飾)之大小或體積較佳量測為凡得瓦爾體積(van der Waals volume)形式。In the context of the present invention, the size or volume of a substituent (such as a 2' ribose modification) is preferably measured in terms of van der Waals volume.
在一個態樣中,在與第一股之偶數編號之核苷酸對應之位置中的第二股之至少一個、若干個或較佳所有核苷酸經修飾,較佳藉由第三修飾來修飾。較佳地,在相同核酸中,第一股之核苷酸2及14或所有偶數編號之核苷酸用第一修飾來修飾。另外或替代地,第一股之奇數編號之核苷酸用第二修飾來修飾。較佳地,第三修飾不同於第一修飾及/或第三修飾與第二修飾相同。第一修飾較佳為與2'-OH基團、或鎖定核酸(LNA)、或解鎖核酸(UNA)或2'-氟阿拉伯核酸(FANA)修飾相比具有相同大小或體積更小的任何2'核糖修飾。與2'-OH基團相比大小相同或體積更小之2'核糖修飾例如可為2'-F、2'-H、2'-鹵基或2'-NH 2。第二及/或第三修飾較佳為體積大於2'-OH基團之任何2'核糖修飾。體積大於2'-OH基團之2'核糖修飾例如可為2'-OMe、2'-O-MOE (2'-O-甲氧基乙基)、2'-O-烯丙基或2'-O-烷基,其限制條件為核酸能夠在類似條件下將目標基因的表現降低至與不具有修飾之相同核酸至少相同的程度。第一修飾較佳為2'-F及/或第二及/或第三修飾較佳為2'-OMe。第一股上之核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。 In one aspect, at least one, several or preferably all nucleotides of the second strand in positions corresponding to even-numbered nucleotides of the first strand are modified, preferably by a third modification. Preferably, nucleotides 2 and 14 of the first strand or all even-numbered nucleotides in the same nucleic acid are modified with the first modification. Additionally or alternatively, the odd-numbered nucleotides of the first strand are modified with the second modification. Preferably, the third modification is different from the first modification and/or the third modification is the same as the second modification. The first modification is preferably any 2' ribose modification of the same size or smaller in volume than a 2'-OH group, or a locking nucleic acid (LNA), or an unblocking nucleic acid (UNA) or a 2'-fluoroarabinoic acid (FANA) modification. A 2'-ribose modification of the same size or smaller than the 2'-OH group may be, for example, 2'-F, 2'-H, 2'-halogen or 2'-NH 2. The second and/or third modification is preferably any 2'-ribose modification that is larger than the 2'-OH group. A 2'-ribose modification that is larger than the 2'-OH group may be, for example, 2'-OMe, 2'-O-MOE (2'-O-methoxyethyl), 2'-O-allyl or 2'-O-alkyl, provided that the nucleic acid is able to reduce the expression of the target gene under similar conditions to at least the same extent as the same nucleic acid without the modification. The first modification is preferably 2'-F and/or the second and/or third modification is preferably 2'-OMe. The nucleotides on the first strand are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand.
在例如與第一股之偶數編號之核苷酸對應之位置中的第二股之核苷酸為與第一股之偶數編號之核苷酸鹼基配對的第二股之核苷酸。A nucleotide of the second strand in a position corresponding to, for example, an even-numbered nucleotide of the first strand is a nucleotide of the second strand that base pairs with an even-numbered nucleotide of the first strand.
在一個態樣中,在與第一股之奇數編號之核苷酸對應之位置中的第二股之至少一個、若干個或較佳所有核苷酸經修飾,較佳藉由第四修飾來修飾。較佳地,在相同核酸中,第一股之核苷酸2及14或所有偶數編號之核苷酸用第一修飾來修飾。另外或替代地,第一股之奇數編號之核苷酸用第二修飾來修飾。另外或替代地,與第一股之偶數編號之核苷酸對應之位置中的第二股之所有核苷酸均用第三修飾來修飾。第四修飾較佳不同於第二修飾且較佳不同於第三修飾,且第四修飾較佳與第一修飾相同。第一及/或第四修飾較佳為與2'-OH基團、或鎖定核酸(LNA)、或解鎖核酸(UNA)或2'-氟阿拉伯核酸(FANA)修飾相比具有相同大小或體積更小的任何2'核糖修飾。與2'-OH基團相比大小相同或體積更小之2'核糖修飾例如可為2'-F、2'-H、2'-鹵基或2'-NH 2。第二及/或第三修飾較佳為體積大於2'-OH基團之任何2'核糖修飾。體積大於2'-OH基團之2'核糖修飾例如可為2'-OMe、2'-O-MOE (2'-O-甲氧基乙基)、2'-O-烯丙基或2'-O-烷基,其限制條件為核酸能夠在類似條件下將目標基因的表現降低至與不具有修飾之相同核酸至少相同的程度。第一及/或第四修飾較佳為2'-OMe修飾及/或第二及/或第三修飾較佳為2'-F修飾。第一股上之核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。 In one aspect, at least one, several or preferably all nucleotides of the second strand in positions corresponding to odd-numbered nucleotides of the first strand are modified, preferably by a fourth modification. Preferably, in the same nucleic acid, nucleotides 2 and 14 or all even-numbered nucleotides of the first strand are modified with the first modification. Additionally or alternatively, the odd-numbered nucleotides of the first strand are modified with the second modification. Additionally or alternatively, all nucleotides of the second strand in positions corresponding to even-numbered nucleotides of the first strand are modified with the third modification. The fourth modification is preferably different from the second modification and preferably different from the third modification, and the fourth modification is preferably the same as the first modification. The first and/or fourth modification is preferably any 2'ribose modification of the same size or smaller than the 2'-OH group, or a locked nucleic acid (LNA), or an unblocked nucleic acid (UNA) or a 2'-fluoroarabinoic acid (FANA) modification. A 2'ribose modification of the same size or smaller than the 2'-OH group may be, for example, 2'-F, 2'-H, 2'-halogen or 2'-NH 2 . The second and/or third modification is preferably any 2'ribose modification of a larger size than the 2'-OH group. The 2'-ribose modification that is larger in size than the 2'-OH group can be, for example, 2'-OMe, 2'-O-MOE (2'-O-methoxyethyl), 2'-O-allyl or 2'-O-alkyl, provided that the nucleic acid is capable of reducing the expression of the target gene under similar conditions to at least the same extent as the same nucleic acid without the modification. The first and/or fourth modification is preferably a 2'-OMe modification and/or the second and/or third modification is preferably a 2'-F modification. The nucleotides on the first strand are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand.
在核酸之一個態樣中,在與第一股之核苷酸11或核苷酸13或核苷酸11及13或核苷酸11至13對應之位置中的第二股之一或多個核苷酸藉由第四修飾來修飾。較佳地,除在與第一股之核苷酸11或核苷酸13或核苷酸11及13或核苷酸11至13對應之位置中的一或多個核苷酸外的第二股之所有核苷酸藉由第三修飾來修飾。較佳地,在相同核酸中,第一股之核苷酸2及14或所有偶數編號之核苷酸用第一修飾來修飾。另外或替代地,第一股之奇數編號之核苷酸用第二修飾來修飾。第四修飾較佳不同於第二修飾且較佳不同於第三修飾,且第四修飾較佳與第一修飾相同。第一及/或第四修飾較佳為與2'-OH基團、或鎖定核酸(LNA)、或解鎖核酸(UNA)或2'-氟阿拉伯核酸(FANA)修飾相比具有相同大小或體積更小的任何2'核糖修飾。與2'-OH基團相比大小相同或體積更小之2'核糖修飾例如可為2'-F、2'-H、2'-鹵基或2'-NH 2。第二及/或第三修飾較佳為體積大於2'-OH基團之任何2'核糖修飾。體積大於2'-OH基團之2'核糖修飾例如可為2'-OMe、2'-O-MOE (2'-O-甲氧基乙基)、2'-O-烯丙基或2'-O-烷基,其限制條件為核酸能夠在類似條件下將目標基因的表現降低至與不具有修飾之相同核酸至少相同的程度。第一及/或第四修飾較佳為2'-OMe修飾及/或第二及/或第三修飾較佳為2'-F修飾。第一股上之核苷酸以第一股之5'端處之核苷酸編號1開始連續編號。 In one aspect of the nucleic acid, one or more nucleotides of the second strand in a position corresponding to nucleotide 11 or nucleotide 13 or nucleotides 11 and 13 or nucleotides 11 to 13 of the first strand are modified by a fourth modification. Preferably, all nucleotides of the second strand except one or more nucleotides in a position corresponding to nucleotide 11 or nucleotide 13 or nucleotides 11 and 13 or nucleotides 11 to 13 of the first strand are modified by a third modification. Preferably, in the same nucleic acid, nucleotides 2 and 14 of the first strand or all even-numbered nucleotides are modified with the first modification. Additionally or alternatively, the odd-numbered nucleotides of the first strand are modified with the second modification. The fourth modification is preferably different from the second modification and preferably different from the third modification, and the fourth modification is preferably the same as the first modification. The first and/or fourth modification is preferably any 2'ribose modification of the same size or smaller than the 2'-OH group, or a locked nucleic acid (LNA), or an unblocked nucleic acid (UNA) or a 2'-fluoroarabinoic acid (FANA) modification. A 2'ribose modification of the same size or smaller than the 2'-OH group may be, for example, 2'-F, 2'-H, 2'-halogen or 2'-NH 2 . The second and/or third modification is preferably any 2'ribose modification of a larger size than the 2'-OH group. The 2'-ribose modification that is larger in size than the 2'-OH group can be, for example, 2'-OMe, 2'-O-MOE (2'-O-methoxyethyl), 2'-O-allyl or 2'-O-alkyl, provided that the nucleic acid is capable of reducing the expression of the target gene under similar conditions to at least the same extent as the same nucleic acid without the modification. The first and/or fourth modification is preferably a 2'-OMe modification and/or the second and/or third modification is preferably a 2'-F modification. The nucleotides on the first strand are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand.
在核酸之一個態樣中,第一股之所有偶數編號之核苷酸藉由第一修飾來修飾,第一股之所有奇數編號之核苷酸藉由第二修飾來修飾,在與該第一股之偶數編號之核苷酸對應之位置中的第二股之所有核苷酸均藉由第三修飾來修飾,在與該第一股之奇數編號之核苷酸對應之位置中的第二股之所有核苷酸均藉由第四修飾來修飾,其中第一及/或第四修飾為2'-F及/或第二及/或第三修飾為2'-OMe。In one aspect of the nucleic acid, all even-numbered nucleotides of the first strand are modified by a first modification, all odd-numbered nucleotides of the first strand are modified by a second modification, all nucleotides of the second strand in positions corresponding to the even-numbered nucleotides of the first strand are modified by a third modification, and all nucleotides of the second strand in positions corresponding to the odd-numbered nucleotides of the first strand are modified by a fourth modification, wherein the first and/or fourth modification is 2'-F and/or the second and/or third modification is 2'-OMe.
在核酸之一個態樣中,第一股之所有偶數編號之核苷酸藉由第一修飾來修飾,第一股之所有奇數編號之核苷酸藉由第二修飾來修飾,在與第一股之核苷酸11-13對應之位置中的第二股之所有核苷酸均藉由第四修飾來修飾,除與第一股之核苷酸11-13對應之核苷酸外的第二股之所有核苷酸均藉由第三修飾來修飾,其中第一及第四修飾為2'-F且第二及第三修飾為2'-OMe。在此態樣之一個實施例中,第二股之3'末端核苷酸為反向RNA核苷酸(亦即,核苷酸經由其3'碳而非通常情況下經由其5'碳連接到股的3'端)。當第二股之3'末端核苷酸為反向RNA核苷酸時,反向RNA核苷酸較佳為未經修飾之核苷酸,意義在於其不包含相比於天然核苷酸對應物之任何修飾。具體而言,反向RNA核苷酸較佳為2'-OH核苷酸。較佳地,在此態樣中,當第二股之3'末端核苷酸為反向RNA核苷酸時,核酸至少在包含第一股之5'端的末端處為鈍端。In one aspect of the nucleic acid, all even-numbered nucleotides of the first strand are modified by a first modification, all odd-numbered nucleotides of the first strand are modified by a second modification, all nucleotides of the second strand in positions corresponding to nucleotides 11-13 of the first strand are modified by a fourth modification, and all nucleotides of the second strand except for the nucleotides corresponding to nucleotides 11-13 of the first strand are modified by a third modification, wherein the first and fourth modifications are 2'-F and the second and third modifications are 2'-OMe. In one embodiment of this aspect, the 3' terminal nucleotide of the second strand is a reverse RNA nucleotide (i.e., the nucleotide is attached to the 3' end of the strand via its 3' carbon rather than its 5' carbon as is usually the case). When the 3' terminal nucleotide of the second strand is a reverse RNA nucleotide, the reverse RNA nucleotide is preferably an unmodified nucleotide, meaning that it does not contain any modification compared to its natural nucleotide counterpart. Specifically, the reverse RNA nucleotide is preferably a 2'-OH nucleotide. Preferably, in this aspect, when the 3' terminal nucleotide of the second strand is a reverse RNA nucleotide, the nucleic acid is blunt-ended at least at the end including the 5' end of the first strand.
本發明之一個態樣為如本文所揭示之用於較佳在細胞中抑制AGT基因表現的核酸,其中該第一股在複數個位置處包括經修飾之核苷酸或未經修飾之核苷酸以便於藉由RISC處理核酸。One aspect of the present invention is a nucleic acid for inhibiting the expression of an AGT gene in a cell as disclosed herein, wherein the first strand comprises modified nucleotides or unmodified nucleotides at a plurality of positions to facilitate processing of the nucleic acid by RISC.
在一個態樣中,「便於藉由RISC處理」意謂核酸可由RISC處理,例如,存在之任何修飾將准許核酸由RISC處理,且較佳地將得益於由RISC處理,從而適當地可產生siRNA活性。In one aspect, "facilitating processing by RISC" means that the nucleic acid can be processed by RISC, e.g., any modifications present will permit the nucleic acid to be processed by RISC, and preferably will benefit from processing by RISC, thereby appropriately being able to generate siRNA activity.
一種如本文所揭示之核酸,其中自第一股之5'端起的位置2及14處的核苷酸未用2'-OMe修飾來修飾,且與第一股之位置11或位置13或位置11及13或位置11、12及13對應的第二股上之一或多個核苷酸未用2'-OMe修飾來修飾(換言之,其未經修飾或用除2'-OMe以外的修飾來修飾)。A nucleic acid as disclosed herein, wherein the nucleotides at positions 2 and 14 from the 5' end of the first strand are not modified with a 2'-OMe modification, and one or more nucleotides on the second strand corresponding to position 11 or position 13 or position 11 and 13 or position 11, 12 and 13 of the first strand are not modified with a 2'-OMe modification (in other words, they are unmodified or modified with a modification other than 2'-OMe).
在一個態樣中,對應於第一股之位置13的第二股上之核苷酸為與第一股之位置13 (自5'端起)形成鹼基對的核苷酸。In one aspect, the nucleotide on the second strand corresponding to position 13 of the first strand is a nucleotide that forms a base pair with position 13 (from the 5' end) of the first strand.
在一個態樣中,對應於第一股之位置11的第二股上之核苷酸為與第一股之位置11 (自5'端起)形成鹼基對的核苷酸。In one aspect, the nucleotide on the second strand corresponding to position 11 of the first strand is a nucleotide that forms a base pair with position 11 (from the 5' end) of the first strand.
在一個態樣中,第二股上對應於第一股之位置12的核苷酸為與第一股之位置12 (自5'端)形成鹼基對的核苷酸。In one aspect, the nucleotide on the second strand corresponding to position 12 of the first strand is the nucleotide that forms a base pair with position 12 (from the 5' end) of the first strand.
舉例而言,在雙股及鈍端之19-mer核酸中,第一股之位置13 (自5'端起)與第二股之位置7 (自5'端起)配對。第一股之位置11 (自5'端起)將與第二股之位置9 (自5'端起)配對。此命名法可應用於第二股之其他位置。For example, in a double-stranded and blunt-ended 19-mer nucleic acid, position 13 (from the 5' end) of the first strand will pair with position 7 (from the 5' end) of the second strand. Position 11 (from the 5' end) of the first strand will pair with position 9 (from the 5' end) of the second strand. This nomenclature can be applied to other positions of the second strand.
在一個態樣中,在部分互補之第一股及第二股的情況下,若第二股上之核苷酸「對應於」第一股上之位置為存在錯配的位置,則該位置不一定形成鹼基對,但命名法原理仍適用。In one aspect, in the case of partially complementary first and second strands, if a nucleotide on the second strand "corresponds to" a position on the first strand where there is a mismatch, that position does not necessarily form a base pair, but the nomenclature principles still apply.
一個態樣為如本文所揭示之核酸,其中自第一股之5'端起的位置2及14處的核苷酸未用2'-OMe修飾來修飾,且對應於第一股之位置11或13或11及13或11至13的第二股上之核苷酸用2'-F修飾來修飾。One aspect is a nucleic acid as disclosed herein, wherein the nucleotides at positions 2 and 14 from the 5' end of the first strand are not modified with a 2'-OMe modification, and the nucleotides on the second strand corresponding to positions 11 or 13 or 11 and 13 or 11 to 13 of the first strand are modified with a 2'-F modification.
一個態樣為如本文所揭示之核酸,其中第一股之5'端的位置2及14處的核苷酸經2'-F修飾,且對應於第一股之位置11或13或11及13或11-13之第二股上之核苷酸未經2'-OMe修飾。One aspect is a nucleic acid as disclosed herein, wherein the nucleotides at positions 2 and 14 of the 5' end of the first strand are 2'-F modified, and the nucleotides on the second strand corresponding to positions 11 or 13 or 11 and 13 or 11-13 of the first strand are not 2'-OMe modified.
一個態樣為如本文所揭示之核酸,其中自第一股之5'端起的位置2及14處的核苷酸用2'-F修飾來修飾,且對應於第一股之位置11或13或11及13或11至13的第二股上之核苷酸用2'-F修飾來修飾。One aspect is a nucleic acid as disclosed herein, wherein the nucleotides at positions 2 and 14 from the 5' end of the first strand are modified with a 2'-F modification, and the nucleotides on the second strand corresponding to positions 11 or 13 or 11 and 13 or 11 to 13 of the first strand are modified with a 2'-F modification.
一個態樣為如本文所揭示之核酸,其中超過50%之第一及/或第二股之核苷酸包含2'-OMe修飾,諸如超過55%、60%、65%、70%、75%、80%或85%或更高之第一及/或第二股包含2'-OMe修飾,較佳量測為第一及第二股兩者之總核苷酸之百分比形式。One aspect is a nucleic acid as disclosed herein, wherein more than 50% of the nucleotides of the first and/or second strand comprise a 2'-OMe modification, such as more than 55%, 60%, 65%, 70%, 75%, 80% or 85% or more of the first and/or second strand comprise a 2'-OMe modification, preferably measured as a percentage of the total nucleotides of both the first and second strands.
一個態樣為如本文所揭示之核酸,其中第一及/或第二股之超過50%的核苷酸包含天然存在之RNA修飾,諸如其中超過55%、60%、65%、70%、75%、80%或85%或更高之第一及/或第二股包含此類修飾,較佳量測為第一及第二股兩者之總核苷酸的百分比形式。適合的天然存在之修飾除2'-OMe之外包括其他2'糖修飾,尤其2'-H修飾,產生DNA核苷酸。One aspect is a nucleic acid as disclosed herein, wherein more than 50% of the nucleotides of the first and/or second strand comprise a naturally occurring RNA modification, such as wherein more than 55%, 60%, 65%, 70%, 75%, 80% or 85% or more of the first and/or second strand comprise such a modification, preferably measured as a percentage of the total nucleotides of both the first and second strands. Suitable naturally occurring modifications include other 2' sugar modifications besides 2'-OMe, particularly 2'-H modifications, resulting in DNA nucleotides.
一個態樣為如本文所揭示之核酸,其包含不超過20%,諸如不超過15%,諸如不超過10%的在第一及/或第二股上具有不為2'-OMe修飾之2'修飾的核苷酸,較佳呈第一及第二股兩者之總核苷酸的百分比形式。One aspect is a nucleic acid as disclosed herein, comprising no more than 20%, such as no more than 15%, such as no more than 10% of nucleotides having a 2' modification that is not a 2'-OMe modification on the first and/or second strand, preferably as a percentage of the total nucleotides of both the first and second strands.
一個態樣為如本文所揭示之核酸,其中第一及/或第二股中具有不為2'-OMe修飾之2'-修飾的核苷酸之數目不超過7個,更佳不超過5個且最佳不超過3個。One aspect is a nucleic acid as disclosed herein, wherein the number of nucleotides having a 2'-modification other than 2'-OMe modification in the first and/or second strand does not exceed 7, more preferably does not exceed 5 and most preferably does not exceed 3.
一個態樣為如本文所揭示之核酸,其包含在第一及/或第二股上不超過20% (諸如不超過15%或不超過10%) 2'-F修飾,較佳呈兩股之總核苷酸之百分比形式。One aspect is a nucleic acid as disclosed herein, comprising no more than 20% (e.g. no more than 15% or no more than 10%) 2'-F modifications on the first and/or second strand, preferably as a percentage of the total nucleotides on both strands.
一個態樣為如本文所揭示之核酸,其中第一及/或第二股中具有2'-F修飾的核苷酸之數目不超過7個,更佳不超過5個且最佳不超過3個。One aspect is a nucleic acid as disclosed herein, wherein the number of nucleotides having a 2'-F modification in the first and/or second strand is no more than 7, more preferably no more than 5 and most preferably no more than 3.
一個態樣為如本文所揭示之核酸,其中除自第一股之5'端起的位置2及14及對應於第一股之位置11或13或11及13或11至13之第二股上的核苷酸以外,所有核苷酸用2'-OMe修飾來修飾。較佳地,未經2'-OMe修飾之核苷酸在2'位置處經氟修飾(2'-F修飾)。One aspect is a nucleic acid as disclosed herein, wherein all nucleotides except for positions 2 and 14 from the 5' end of the first strand and the nucleotides on the second strand corresponding to positions 11 or 13 or 11 and 13 or 11 to 13 of the first strand are modified with 2'-OMe modification. Preferably, the nucleotides not modified with 2'-OMe are fluorine-modified at the 2' position (2'-F modification).
在某些實施例中,較佳態樣為如本文所揭示之核酸,其中核酸之所有核苷酸在糖之2'位置處經修飾。較佳地,此等核苷酸用2'-F修飾來修飾,其中修飾不為2'-OMe修飾。In certain embodiments, a preferred aspect is a nucleic acid as disclosed herein, wherein all nucleotides of the nucleic acid are modified at the 2' position of the sugar. Preferably, these nucleotides are modified with a 2'-F modification, wherein the modification is not a 2'-OMe modification.
在一個態樣中,核酸在第一股上經修飾而具有交替的2'-OMe修飾及2-F修飾,且位置2及14 (始於5'端)經2'-F修飾。較佳地,第二股在與第一股之位置11、或13、或11及13、或11至13對應的第二股上之核苷酸處用2'-F修飾來修飾。較佳地,第二股在互補(雙股)區之第一位置開始自3'端起計數的位置11至13處用2'-F修飾來修飾,且其餘修飾為天然存在之修飾,較佳為2'-OMe。互補區至少在此情況下開始於在第一股中具有對應核苷酸的第二股之第一位置,不管兩個核苷酸是否能夠彼此鹼基配對。In one aspect, the nucleic acid is modified on the first strand to have alternating 2'-OMe and 2-F modifications, and positions 2 and 14 (starting from the 5' end) are 2'-F modified. Preferably, the second strand is modified with a 2'-F modification at the nucleotide on the second strand corresponding to position 11, or 13, or 11 and 13, or 11 to 13 of the first strand. Preferably, the second strand is modified with a 2'-F modification at positions 11 to 13 counting from the 3' end starting at the first position of the complementary (two-stranded) region, and the remaining modifications are naturally occurring modifications, preferably 2'-OMe. The complementary region, at least in this case, starts at the first position of the second strand that has a corresponding nucleotide in the first strand, regardless of whether the two nucleotides can base pair with each other.
在核酸之一個態樣中,第一股及第二股之各核苷酸為經修飾之核苷酸。In one aspect of the nucleic acid, each nucleotide of the first strand and the second strand is a modified nucleotide.
如本文所描述,術語「奇數編號」意謂不可被二除盡的數字。奇數之實例為1、3、5、7、9、11等。如本文所描述,術語「偶數編號」意謂可被二除盡的數字。偶數之實例為2、4、6、8、10、12、14等。As used herein, the term "odd number" means a number that is not divisible by two. Examples of odd numbers are 1, 3, 5, 7, 9, 11, etc. As used herein, the term "even number" means a number that is divisible by two. Examples of even numbers are 2, 4, 6, 8, 10, 12, 14, etc.
除非另外特定說明,否則在本文中,第一股之核苷酸以第一股之5'端處之核苷酸編號1開始連續地編號。第二股之核苷酸以第二股之3'端處之核苷酸編號1開始連續編號。Unless specifically stated otherwise, herein, the nucleotides of the first strand are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand. The nucleotides of the second strand are numbered consecutively starting with nucleotide number 1 at the 3' end of the second strand.
第一及/或第二股上之一或多個核苷酸可經修飾以形成經修飾之核苷酸。第一股之奇數編號之核苷酸中之一或多者可經修飾。第一股之偶數編號之核苷酸中之一或多者可藉由至少第二修飾來修飾,其中至少第二修飾不同於一或多個奇數核苷酸上之修飾。一或多個經修飾之偶數編號的核苷酸中之至少一者可與一或多個經修飾之奇數編號的核苷酸中之至少一者相鄰。One or more nucleotides on the first and/or second strand may be modified to form modified nucleotides. One or more of the odd-numbered nucleotides of the first strand may be modified. One or more of the even-numbered nucleotides of the first strand may be modified by at least a second modification, wherein at least the second modification is different from the modification on the one or more odd-numbered nucleotides. At least one of the one or more modified even-numbered nucleotides may be adjacent to at least one of the one or more modified odd-numbered nucleotides.
第一股中之複數個奇數編號之核苷酸可在本發明之核酸中修飾。第一股中之複數個偶數編號之核苷酸可藉由第二修飾來修飾。第一股可包含藉由共同修飾來修飾之相鄰核苷酸。第一股亦可包含藉由第二不同修飾來修飾之相鄰核苷酸(亦即,第一股可包含彼此相鄰且藉由第一修飾來修飾的核苷酸以及彼此相鄰且藉由不同於第一修飾之第二修飾來修飾的其他核苷酸)。A plurality of odd-numbered nucleotides in the first strand may be modified in the nucleic acid of the present invention. A plurality of even-numbered nucleotides in the first strand may be modified by a second modification. The first strand may include adjacent nucleotides modified by a common modification. The first strand may also include adjacent nucleotides modified by a second, different modification (i.e., the first strand may include nucleotides that are adjacent to each other and modified by a first modification and other nucleotides that are adjacent to each other and modified by a second modification that is different from the first modification).
第二股之奇數編號之核苷酸中的一或多者(其中該等核苷酸以第二股之3'端處之核苷酸編號1開始連續編號)可藉由不同於第一股上之奇數編號之核苷酸之修飾的修飾來進行修飾(其中該等核苷酸以第一股之5'端處之核苷酸編號1開始連續編號),及/或第二股之偶數編號之核苷酸中的一或多者可藉由與第一股之奇數編號之核苷酸之相同的修飾來進行修飾。第二股之一或多個經修飾之偶數編號的核苷酸中之至少一者可與一或多個經修飾之奇數編號的核苷酸相鄰。第二股之複數個奇數編號之核苷酸可藉由共同修飾來修飾及/或複數個偶數編號之核苷酸可藉由存在於第一股奇數編號之核苷酸上的相同修飾來修飾。第二股上之複數個奇數編號之核苷酸可藉由不同於第一股奇數編號之核苷酸之修飾的修飾來進行修飾。One or more of the odd-numbered nucleotides of the second strand (wherein the nucleotides are numbered consecutively starting with nucleotide number 1 at the 3' end of the second strand) may be modified by a modification different from the modification of the odd-numbered nucleotides on the first strand (wherein the nucleotides are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand), and/or one or more of the even-numbered nucleotides of the second strand may be modified by the same modification as the odd-numbered nucleotides of the first strand. At least one of the one or more modified even-numbered nucleotides of the second strand may be adjacent to one or more modified odd-numbered nucleotides. A plurality of odd-numbered nucleotides of the second strand may be modified by a common modification and/or a plurality of even-numbered nucleotides may be modified by the same modification present on the odd-numbered nucleotides of the first strand. A plurality of odd-numbered nucleotides on the second strand may be modified by a modification that is different from the modification of the odd-numbered nucleotides on the first strand.
第二股可包含藉由共同修飾來修飾之相鄰核苷酸,該共同修飾可為不同於第一股之奇數編號之核苷酸之修飾的修飾。The second strand may comprise adjacent nucleotides modified by a common modification, which may be a modification that is different from the modification of the odd-numbered nucleotides of the first strand.
在本發明之核酸之一些態樣中,第一股中之奇數編號的核苷酸中之各者及第二股中之偶數編號的核苷酸中之各者可經共同修飾來進行修飾,且偶數編號的核苷酸中之各者可在第一股中經不同修飾來進行修飾,且奇數編號的核苷酸中之各者可在第二股中經不同修飾來進行修飾。In some aspects of the nucleic acids of the invention, each of the odd-numbered nucleotides in the first strand and each of the even-numbered nucleotides in the second strand can be modified by common modification, and each of the even-numbered nucleotides can be modified by a different modification in the first strand, and each of the odd-numbered nucleotides can be modified by a different modification in the second strand.
本發明之核酸可使第一股之經修飾之核苷酸相對於第二股之未經修飾或不同修飾之核苷酸移位至少一個核苷酸。The nucleic acid of the present invention can shift the modified nucleotides of the first strand by at least one nucleotide relative to the unmodified or differently modified nucleotides of the second strand.
在某些態樣中,奇數編號之核苷酸中之一或多者或各者可在第一股中經修飾,且偶數編號之核苷酸中之一或多者或各者可在第二股中經修飾。任一股或兩股上交替核苷酸中之一或多者或各者可藉由第二修飾來修飾。偶數編號之核苷酸中之一或多者或各者可在第一股中經修飾,且偶數編號之核苷酸中之一或多者或各者可在第二股中經修飾。任一股或兩股上交替核苷酸中之一或多者或各者可藉由第二修飾來修飾。奇數編號之核苷酸中之一或多者或各者可在第一股中經修飾,且奇數編號之核苷酸中之一或多者可在第二股中藉由共同修飾來修飾。任一股或兩股上交替核苷酸中之一或多者或各者可藉由第二修飾來修飾。偶數編號之核苷酸中之一或多者或每一者可在第一股中經修飾,且奇數編號之核苷酸中之一或多者可在第二股中藉由共同修飾來修飾。任一股或兩股上交替核苷酸中之一或多者或各者可藉由第二修飾來修飾。In certain aspects, one or more or each of the odd-numbered nucleotides may be modified in the first strand, and one or more or each of the even-numbered nucleotides may be modified in the second strand. One or more or each of the alternating nucleotides on either or both strands may be modified by a second modification. One or more or each of the even-numbered nucleotides may be modified in the first strand, and one or more or each of the even-numbered nucleotides may be modified in the second strand. One or more or each of the alternating nucleotides on either or both strands may be modified by a second modification. One or more or each of the odd-numbered nucleotides may be modified in the first strand, and one or more of the odd-numbered nucleotides may be modified by a common modification in the second strand. One or more or each of the alternating nucleotides on either or both strands may be modified by a second modification. One or more or each of the even-numbered nucleotides may be modified in the first strand, and one or more of the odd-numbered nucleotides may be modified in the second strand by a common modification. One or more or each of the alternating nucleotides on either or both strands may be modified by a second modification.
本發明之核酸可包含單股或雙股構築體,該等構築體包含在一股或兩股中之至少兩個交替修飾區。此等交替區可包含至多約12個核苷酸,但較佳包含約3至約10個核苷酸。交替核苷酸之區域可位於本發明之核酸之一股或兩股的末端。核酸可在末端中之各者(3'及5')處包含4至約10個核苷酸之交替核苷酸,且此等區域可由約5至約12個連續未經修飾或不同或共同修飾之核苷酸分隔開。The nucleic acids of the invention may comprise single-stranded or double-stranded constructs comprising at least two alternating modified regions in one or both strands. These alternating regions may comprise up to about 12 nucleotides, but preferably comprise about 3 to about 10 nucleotides. The regions of alternating nucleotides may be located at the ends of one or both strands of the nucleic acids of the invention. The nucleic acids may comprise alternating nucleotides of 4 to about 10 nucleotides at each of the ends (3' and 5'), and these regions may be separated by about 5 to about 12 consecutive unmodified or differently or co-modified nucleotides.
第一股之奇數編號之核苷酸可經修飾且偶數編號之核苷酸可經第二修飾來修飾。第二股可包含經共同修飾來修飾之相鄰核苷酸,該共同修飾可與第一股之奇數編號之核苷酸的修飾相同。第二股之一或多個核苷酸亦可用第二修飾來修飾。具有第二修飾之一或多個核苷酸可彼此鄰接且與具有與第一股之奇數編號之核苷酸的修飾相同之修飾的核苷酸相鄰。第一股亦可包含在3'端及5'端之兩個核苷酸之間的硫代磷酸酯鍵或在3'端之兩個核苷酸之間的二硫代磷酸酯鍵。第二股可在5'端之兩個核苷酸之間包含硫代磷酸酯或二硫代磷酸酯鍵。第二股亦可在5'端與配位體結合。The odd-numbered nucleotides of the first strand may be modified and the even-numbered nucleotides may be modified with a second modification. The second strand may include adjacent nucleotides modified with a common modification, which may be the same as the modification of the odd-numbered nucleotides of the first strand. One or more nucleotides of the second strand may also be modified with a second modification. The one or more nucleotides with the second modification may be adjacent to each other and to a nucleotide with the same modification as the modification of the odd-numbered nucleotides of the first strand. The first strand may also include a phosphorothioate bond between two nucleotides at the 3' end and the 5' end or a phosphorodithioate bond between two nucleotides at the 3' end. The second strand may include a phosphorothioate or phosphorodithioate bond between two nucleotides at the 5' end. The second strand may also be bound to a ligand at the 5' end.
本發明之核酸可包含第一股,該第一股包含經共同修飾來修飾之相鄰核苷酸。一或多個此類核苷酸可鄰近於一或多個可經第二修飾來修飾之核苷酸。具有第二修飾之一或多個核苷酸可為相鄰的。第二股可包含經共同修飾來修飾之相鄰核苷酸,該共同修飾可與第一股之一或多個核苷酸之修飾中之一者相同。第二股之一或多個核苷酸亦可用第二修飾來修飾。具有第二修飾之一或多個核苷酸可為相鄰的。第一股亦可包含在3'端及5'端之兩個核苷酸之間的硫代磷酸酯鍵或在3'端之兩個核苷酸之間的二硫代磷酸酯鍵。第二股可在3'端之兩個核苷酸之間包含硫代磷酸酯或二硫代磷酸酯鍵。第二股亦可在5'端與配位體結合。The nucleic acid of the present invention may comprise a first strand comprising adjacent nucleotides modified by a common modification. One or more such nucleotides may be adjacent to one or more nucleotides that may be modified by a second modification. One or more nucleotides with the second modification may be adjacent. The second strand may comprise adjacent nucleotides modified by a common modification, which common modification may be the same as one of the modifications of the one or more nucleotides of the first strand. One or more nucleotides of the second strand may also be modified with the second modification. One or more nucleotides with the second modification may be adjacent. The first strand may also comprise a phosphorothioate bond between two nucleotides at the 3' end and the 5' end or a phosphorodithioate bond between two nucleotides at the 3' end. The second strand may comprise a phosphorothioate or phosphorodithioate bond between two nucleotides at the 3' end. The second strand may also be bound to a ligand at the 5' end.
第一股上自5'至3'及第二股上自3'至5'編號之核苷酸1、3、5、7、9、11、13、15、17、19、21、23及25可藉由第一股上之修飾來修飾。編號2、4、6、8、10、12、14、16、18、20、22及24之核苷酸可藉由第一股上之第二修飾來進行修飾。編號1、3、5、7、9、11、13、15、17、19、21、23之核苷酸可藉由第二股上之修飾來修飾。編號2、4、6、8、10、12、14、16、18、20、22及24之核苷酸可藉由第二股上之第二修飾來進行修飾。出於本發明之核酸的原因,核苷酸在第一股上自5'至3'進行編號,且在第二股上自3'至5'進行編號。Nucleotides numbered 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23 and 25 from 5' to 3' on the first strand and from 3' to 5' on the second strand can be modified by the modification on the first strand. Nucleotides numbered 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 can be modified by the second modification on the first strand. Nucleotides numbered 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23 can be modified by the modification on the second strand. Nucleotides numbered 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 can be modified by the second modification on the second strand. For purposes of the nucleic acids of the present invention, nucleotides are numbered from 5' to 3' on the first strand and from 3' to 5' on the second strand.
編號2、4、6、8、10、12、14、16、18、20、22及24之核苷酸可藉由第一股上之修飾來修飾。編號1、3、5、7、9、11、13、15、17、19、21、23之核苷酸可藉由第一股上之第二修飾來修飾。編號1、3、5、7、9、11、13、15、17、19、21、23之核苷酸可藉由第二股上之修飾來修飾。編號2、4、6、8、10、12、14、16、18、20、22及24之核苷酸可藉由第二股上之第二修飾來進行修飾。Nucleotides numbered 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 can be modified by a modification on the first strand. Nucleotides numbered 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23 can be modified by a second modification on the first strand. Nucleotides numbered 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23 can be modified by a modification on the second strand. Nucleotides numbered 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 can be modified by a second modification on the second strand.
明顯地,若第一及/或第二股長度比25個核苷酸短,諸如長度為19個核苷酸,則不存在待修飾之編號為20、21、22、23、24及25的核苷酸。因此,熟習此項技術者理解以上描述適用於較短股。Obviously, if the first and/or second strand is shorter than 25 nucleotides, such as 19 nucleotides, there are no nucleotides 20, 21, 22, 23, 24 and 25 to be modified. Therefore, those skilled in the art will understand that the above description applies to shorter strands.
第一股上之一或多個經修飾之核苷酸可與第二股上具有共同修飾之經修飾之核苷酸配對。第一股上之一或多個經修飾之核苷酸可與第二股上具有不同修飾之經修飾之核苷酸配對。第一股上之一或多個經修飾之核苷酸可與第二股上之未經修飾之核苷酸配對。第二股上之一或多個經修飾之核苷酸可與第一股上之未經修飾之核苷酸配對。換言之,交替核苷酸可在兩股上比對,諸如,第二股之交替區中之所有修飾與第一股中之相同修飾配對,或可替代地修飾可偏移一個核苷酸,其中一股之交替區中的共同修飾與另一股中之不同修飾(亦即,第二或進一步修飾)配對。另一選項在各股中具有不同修飾。One or more modified nucleotides on the first strand may be paired with a modified nucleotide with a common modification on the second strand. One or more modified nucleotides on the first strand may be paired with a modified nucleotide with a different modification on the second strand. One or more modified nucleotides on the first strand may be paired with an unmodified nucleotide on the second strand. One or more modified nucleotides on the second strand may be paired with an unmodified nucleotide on the first strand. In other words, alternating nucleotides may be aligned on both strands, e.g., all modifications in the alternating region of the second strand are paired with the same modification in the first strand, or alternatively the modifications may be offset by one nucleotide, with a common modification in the alternating region of one strand paired with a different modification (i.e., a second or further modification) in the other strand. Another option is to have different modifications in each strand.
第一股上之修飾可相對於第二股上之經修飾之核苷酸移位一個核苷酸,使得共同經修飾之核苷酸不彼此配對。The modification on the first strand can be shifted by one nucleotide relative to the modified nucleotide on the second strand such that the co-modified nucleotides do not pair with each other.
修飾及/或一或多種修飾可各自且單獨地選自由以下組成之群:3'末端去氧胸腺嘧啶、2'-OMe、2'去氧修飾、2'胺基修飾、2'烷基修飾、N-𠰌啉基修飾、胺基磷酸酯修飾、5'-硫代磷酸酯基團修飾、5'磷酸酯或5'磷酸酯模擬物修飾膽固醇衍生物或十二烷酸雙癸醯胺基團修飾及/或經修飾核苷酸可為鎖定核苷酸、無鹼基核苷酸、包含核苷酸之非天然鹼基中之任一者。The modification and/or one or more modifications can each and individually be selected from the group consisting of: 3' terminal deoxythymine, 2'-OMe, 2' deoxy modification, 2' amino modification, 2' alkyl modification, N-phenothioate modification, amidophosphoryl modification, 5'-phosphorothioate group modification, 5' phosphate or 5' phosphate mimetic modification, cholesterol derivative or dodecanoic acid didecylamide group modification and/or the modified nucleotide can be any of a locked nucleotide, a base-free nucleotide, or a non-natural base containing nucleotide.
至少一種修飾可為2'-OMe及/或至少一種修飾可為2'-F。如本文所描述之其他修飾可存在於第一股及/或第二股上。At least one modification may be 2'-OMe and/or at least one modification may be 2'-F. Other modifications as described herein may be present on the first strand and/or the second strand.
本發明之核酸可在股末端中之一或多者處包含反向RNA核苷酸。此類反向核苷酸向核酸提供穩定性。較佳地,核酸在第一及/或第二股之3'端處及/或在第二股之5'端處至少包含反向核苷酸。更佳地,核酸在第二股之3'端處包含反向核苷酸。最佳地,核酸在第二股之3'端處包含反向RNA核苷酸且此核苷酸較佳為反向A。反向核苷酸為經由其3'碳而非如通常情況下經由其5'碳連接至核酸之3'端的核苷酸,或為經由其5'碳而非如通常情況下經由其3'碳連接至核酸之5'端的核苷酸。反向核苷酸較佳存在於股之末端處,而非作為懸垂物,但與另一股中之對應核苷酸相對。因此,核酸在包含反向RNA核苷酸之末端處較佳為鈍端。存在於股末端之反向RNA核苷酸較佳意謂股之此末端之最後一個核苷酸為反向RNA核苷酸。具有此類核苷酸之核酸為穩定的且易於合成。反向RNA核苷酸較佳為未經修飾之核苷酸,意義在於其與天然核苷酸對應物相比不包含任何修飾。具體而言,反向RNA核苷酸較佳為2'-OH核苷酸。The nucleic acid of the present invention may comprise a reverse RNA nucleotide at one or more of the ends of the strands. Such reverse nucleotides provide stability to the nucleic acid. Preferably, the nucleic acid comprises at least a reverse nucleotide at the 3' end of the first and/or second strand and/or at the 5' end of the second strand. More preferably, the nucleic acid comprises a reverse nucleotide at the 3' end of the second strand. Optimally, the nucleic acid comprises a reverse RNA nucleotide at the 3' end of the second strand and this nucleotide is preferably a reverse A. A reverse nucleotide is a nucleotide that is connected to the 3' end of the nucleic acid via its 3' carbon rather than via its 5' carbon as is usually the case, or a nucleotide that is connected to the 5' end of the nucleic acid via its 5' carbon rather than via its 3' carbon as is usually the case. The reverse nucleotide is preferably present at the end of the strand, not as a pendant, but opposite to the corresponding nucleotide in the other strand. Therefore, the nucleic acid is preferably blunt-ended at the end comprising the reverse RNA nucleotide. The reverse RNA nucleotide present at the end of a strand preferably means that the last nucleotide at this end of the strand is a reverse RNA nucleotide. Nucleic acids with such nucleotides are stable and easy to synthesize. The reverse RNA nucleotide is preferably an unmodified nucleotide, meaning that it does not contain any modification compared to the natural nucleotide counterpart. In particular, the reverse RNA nucleotide is preferably a 2'-OH nucleotide.
本發明之核酸可包含一或多個在2'位置處經2'-H修飾之核苷酸,且因此在核酸內具有DNA核苷酸。本發明之核酸可包含自第一股之5'端計數的第一股之位置2及/或14處的DNA核苷酸。核酸可包含位於第二股上對應於第一股之位置11、或13、或11及13、或11-13的DNA核苷酸。The nucleic acids of the invention may comprise one or more nucleotides modified with 2'-H at the 2' position and thus have DNA nucleotides within the nucleic acid. The nucleic acids of the invention may comprise DNA nucleotides at positions 2 and/or 14 of the first strand counting from the 5' end of the first strand. The nucleic acids may comprise DNA nucleotides located on the second strand corresponding to positions 11, or 13, or 11 and 13, or 11-13 of the first strand.
在一個態樣中,每個本發明之核酸不存在超過一個DNA核苷酸。In one aspect, more than one DNA nucleotide is not present per nucleic acid of the invention.
本發明之核酸可包含一或多個LNA核苷酸。本發明之核酸可包含自第一股之5'端計數的第一股之位置2及/或14處的LNA核苷酸。核酸可包含第二股上對應於第一股之位置11、或13、或11及13、或11-13的LNA。The nucleic acid of the invention may comprise one or more LNA nucleotides. The nucleic acid of the invention may comprise LNA nucleotides at positions 2 and/or 14 of the first strand, counted from the 5' end of the first strand. The nucleic acid may comprise an LNA on the second strand corresponding to positions 11, or 13, or 11 and 13, or 11-13 of the first strand.
本發明之一些代表性經修飾核酸序列展示於實例中。此等實例意欲為代表性的且不為限制性的。Some representative modified nucleic acid sequences of the present invention are shown in the examples. These examples are intended to be representative and not limiting.
在某些較佳實施例中,核酸可包含第一修飾及第二或進一步修飾,其各自且獨立地選自包含2'-OMe修飾及2'-F修飾之群。核酸可包含修飾,該修飾為2'-OMe,其可為第一修飾;及第二修飾,其為2'-F。本發明之核酸亦可包括硫代磷酸酯或二硫代磷酸酯修飾及/或去氧修飾,其可存在於各股或兩股之各端或任何端的末端2或3個核苷酸中或其之間。In certain preferred embodiments, the nucleic acid may comprise a first modification and a second or further modification, each and independently selected from the group consisting of a 2'-OMe modification and a 2'-F modification. The nucleic acid may comprise a modification, the modification being 2'-OMe, which may be a first modification; and a second modification, which is 2'-F. The nucleic acids of the invention may also include phosphorothioate or phosphorodithioate modifications and/or deoxy modifications, which may be present in or between the terminal 2 or 3 nucleotides at each or any end of each or both strands.
在核酸之一個態樣中,第一及/或第二股之至少一個核苷酸為經修飾之核苷酸,其中若該第一股包含至少一個經修飾之核苷酸: (i) 第一股之核苷酸2及14中之至少一者或兩者藉由第一修飾來修飾;及/或 (ii) 第一股之至少一個、若干個或所有偶數編號之核苷酸藉由第一修飾來修飾;及/或 (iii) 第一股之至少一個、若干個或所有奇數編號之核苷酸藉由第二修飾來修飾;及/或 其中若第二股包含至少一個經修飾之核苷酸: (iv) 在與第一股之偶數編號之核苷酸對應之位置中的第二股之至少一個、若干個或所有核苷酸藉由第三修飾來修飾;及/或 (v) 在與第一股之奇數編號之核苷酸對應之位置中的第二股之至少一個、若干個或所有核苷酸藉由第四修飾來修飾;及/或 (vi) 在與第一股之核苷酸11或核苷酸13或核苷酸11及13或核苷酸11-13對應之位置中的第二股之至少一個、若干個或所有核苷酸藉由第四修飾來修飾;及/或 (vii) 在除與第一股之核苷酸11、或核苷酸13、或核苷酸11及13、或核苷酸11-13對應之位置外的位置中的第二股之至少一個、若干個或所有核苷酸藉由第三修飾來修飾; 其中第一股上之核苷酸以第一股之5'端處之核苷酸編號1開始連續編號; 其中該等修飾較佳為以下中之至少一者: (a) 第一修飾較佳不同於第二修飾及第三修飾; (b) 第一修飾較佳地與第四修飾相同; (c) 第二及第三修飾較佳為相同修飾; (d) 第一修飾較佳為2'-F修飾; (e) 第二修飾較佳為2'-OMe修飾; (f) 第三修飾較佳為2'-OMe修飾;及/或 (g) 第四修飾較佳為2'-F修飾;及 其中視情況,核酸與配位體結合。 In one aspect of the nucleic acid, at least one nucleotide of the first and/or second strand is a modified nucleotide, wherein if the first strand comprises at least one modified nucleotide: (i) at least one or both of nucleotides 2 and 14 of the first strand are modified by a first modification; and/or (ii) at least one, several or all even-numbered nucleotides of the first strand are modified by a first modification; and/or (iii) at least one, several or all odd-numbered nucleotides of the first strand are modified by a second modification; and/or wherein if the second strand comprises at least one modified nucleotide: (iv) at least one, several or all nucleotides of the second strand in positions corresponding to even-numbered nucleotides of the first strand are modified by a third modification; and/or (v) at least one, several or all nucleotides of the second strand in positions corresponding to odd-numbered nucleotides of the first strand are modified by a fourth modification; and/or (vi) At least one, several or all nucleotides of the second strand in the position corresponding to nucleotide 11 or nucleotide 13 or nucleotides 11 and 13 or nucleotides 11-13 of the first strand are modified by a fourth modification; and/or (vii) At least one, several or all nucleotides of the second strand in the position other than the position corresponding to nucleotide 11, or nucleotide 13, or nucleotides 11 and 13, or nucleotides 11-13 of the first strand are modified by a third modification; wherein the nucleotides on the first strand are numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand; wherein the modifications are preferably at least one of the following: (a) The first modification is preferably different from the second modification and the third modification; (b) The first modification is preferably the same as the fourth modification; (c) The second and third modifications are preferably the same modification; (d) The first modification is preferably a 2'-F modification; (e) The second modification is preferably a 2'-OMe modification; (f) The third modification is preferably a 2'-OMe modification; and/or (g) The fourth modification is preferably a 2'-F modification; and Wherein, as the case may be, the nucleic acid is bound to a ligand.
一個態樣為用於較佳在細胞中抑制AGT表現之雙股核酸,其中該核酸包含第一股及第二股,其中第一股序列之未經修飾之等效物包含至少15個核苷酸之序列,該序列與表5a或表1中所示之第一股序列中之任一者相差不超過3個核苷酸,其中第一股之所有偶數編號之核苷酸藉由第一修飾來修飾,第一股之所有奇數編號之核苷酸藉由第二修飾來修飾,在與該第一股之偶數編號之核苷酸對應之位置中的第二股之所有核苷酸均藉由第三修飾來修飾,在與該第一股之奇數編號之核苷酸對應之位置中的第二股之所有核苷酸均藉由第四修飾來修飾,其中第一及第四修飾為2'-F且第二及第三修飾為2'-OMe。One aspect is a double-stranded nucleic acid for preferably inhibiting AGT expression in a cell, wherein the nucleic acid comprises a first strand and a second strand, wherein the unmodified equivalent of the first strand sequence comprises a sequence of at least 15 nucleotides, which differs from any of the first strand sequences shown in Table 5a or Table 1 by no more than 3 nucleotides, wherein all even-numbered nucleotides of the first strand are modified by a first modification, all odd-numbered nucleotides of the first strand are modified by a second modification, all nucleotides of the second strand in positions corresponding to the even-numbered nucleotides of the first strand are modified by a third modification, and all nucleotides of the second strand in positions corresponding to the odd-numbered nucleotides of the first strand are modified by a fourth modification, wherein the first and fourth modifications are 2'-F and the second and third modifications are 2'-OMe.
一個態樣為用於較佳在細胞中抑制AGT表現之雙股核酸,其中該核酸包含第一股及第二股,其中第一股序列之未經修飾之等效物包含至少15個核苷酸之序列,該序列與表5a或表1中所示之第一股序列中之任一者相差不超過3個核苷酸,其中第一股之所有偶數編號之核苷酸藉由第一修飾來修飾,第一股之所有奇數編號之核苷酸藉由第二修飾來修飾,在與第一股之核苷酸11-13對應之位置中的第二股之所有核苷酸均藉由第四修飾來修飾,除與第一股之核苷酸11-13對應之核苷酸外的第二股之所有核苷酸均藉由第三修飾來修飾,其中第一及第四修飾為2'-F且第二及第三修飾為2'-OMe。One aspect is a double-stranded nucleic acid for preferably inhibiting AGT expression in a cell, wherein the nucleic acid comprises a first strand and a second strand, wherein the unmodified equivalent of the first strand sequence comprises a sequence of at least 15 nucleotides, which differs from any of the first strand sequences shown in Table 5a or Table 1 by no more than 3 nucleotides, wherein all even-numbered nucleotides of the first strand are modified by the first modification, all odd-numbered nucleotides of the first strand are modified by the second modification, all nucleotides of the second strand in positions corresponding to nucleotides 11-13 of the first strand are modified by the fourth modification, and all nucleotides of the second strand except the nucleotides corresponding to nucleotides 11-13 of the first strand are modified by the third modification, wherein the first and fourth modifications are 2'-F and the second and third modifications are 2'-OMe.
寡核苷酸之3'及5'端可經修飾。此類修飾可在分子之3'端或5'端或兩個末端處。其可包括修飾或置換整個末端磷酸酯或磷酸酯基團之原子中之一或多者。舉例而言,寡核苷酸之3'及/或5'端可與其他功能性分子實體結合,諸如標記部分,例如螢光團(例如,芘、TAMRA、螢光素、Cy3或Cy5染料)或保護基(基於例如硫、矽、硼或酯)。功能性分子實體可經由磷酸酯基及/或連接子連接至糖。連接子之末端原子可連接至或置換磷酸酯基或糖之C-3'或C-5' O、N、S或C基團的連接原子。替代地,連接子可連接至或置換核苷酸替代物(例如PNA)之末端原子。此等間隔子或連接子可包括例如-(CH 2) n-、-(CH 2) nN-、-(CH 2) nO-、-(CH 2) nS-、-(CH 2CH 2O) nCH 2CH 2O- (例如n=3或6)、無鹼基糖、醯胺、羧基、胺、氧胺、氧亞胺、硫醚、二硫鍵、硫脲、磺醯胺或N-𠰌啉基,或生物素及螢光素試劑。3'端可為-OH基團。 The 3' and 5' ends of the oligonucleotide may be modified. Such modifications may be at the 3' end or the 5' end or both ends of the molecule. It may include modifying or replacing one or more of the atoms of the entire terminal phosphate or phosphate group. For example, the 3' and/or 5' ends of the oligonucleotide may be combined with other functional molecular entities, such as labeling moieties, such as fluorophores (e.g., pyrene, TAMRA, fluorescein, Cy3 or Cy5 dyes) or protective groups (based on, for example, sulfur, silicon, boron or esters). The functional molecular entity may be linked to the sugar via the phosphate group and/or linker. The terminal atom of the linker may be linked to or replace the linking atom of the C-3' or C-5' O, N, S or C group of the phosphate group or sugar. Alternatively, the linker may be linked to or replace the terminal atom of a nucleotide substitute (e.g., PNA). Such spacers or linkers may include, for example, -( CH2 ) n- , -( CH2 ) nN- , -( CH2 ) nO- , -( CH2 ) nS- , -( CH2CH2O ) nCH2CH2O- (e.g., n=3 or 6), abatic sugars, amides, carboxyls, amines, oxamines, oximines, thioethers, disulfide bonds, thioureas, sulfonamides or N-pheno groups, or biotin and fluorescein reagents. The 3 ' end may be a -OH group.
末端修飾之其他實例包括染料、插入劑(例如,吖啶)、交聯劑(例如,補骨脂素、絲裂黴素C)、卟啉(TPPC4、德卟啉(texaphyrin)、賽卟啉(Sapphyrin))、多環芳烴(例如,啡𠯤、二氫啡𠯤)、人工核酸內切酶、EDTA、親脂性載劑(例如,膽固醇、膽酸、金剛烷乙酸、1-芘丁酸、二氫睾酮、1,3-雙-O(十六烷基)甘油、香葉基氧基己基、十六烷基甘油、冰片、薄荷醇、1,3-丙二醇、十七烷基、棕櫚酸、肉豆蔻酸、O3-(油醯基)石膽酸、O3-(油醯基)膽烯酸、二甲氧基三苯甲基或啡㗁𠯤)及肽結合物(例如,觸角足肽(antennapedia peptide)、Tat肽)、烷基化劑、磷酸酯、胺基、巰基、PEG(例如,PEG-40K)、MPEG、[MPEG]2、聚胺基、烷基、經取代烷基、放射性標記、酶、半抗原(例如,生物素)、轉運/吸收促進劑(例如,阿司匹靈、維生素E、葉酸)、合成核糖核酸酶(例如,咪唑、雙咪唑、組胺、咪唑簇、吖啶-咪唑結合物、四氮雜大環之Eu3+錯合物)。Other examples of terminal modifications include dyes, intercalating agents (e.g., acridine), crosslinking agents (e.g., psoralen, mitomycin C), porphyrins (TPPC4, texaphyrin, sapphyrin), polycyclic aromatic hydrocarbons (e.g., porphinium, dihydroporphinium), artificial endonucleases, EDTA, lipophilic carriers (e.g., cholesterol, bile acid, adamantane ethyl) acid, 1-pyrenebutyric acid, dihydrotestosterone, 1,3-bis-O(hexadecyl)glycerol, geranyloxyhexyl, hexadecylglycerol, borneol, menthol, 1,3-propylene glycol, heptadecyl, palmitic acid, myristic acid, O3-(oleyl)cholestyric acid, O3-(oleyl)cholestyric acid, dimethoxytrityl or morpholino) and peptide conjugates (e.g., antennapedia peptide peptide), Tat peptide), alkylating agents, phosphate, amine, butyl, PEG (e.g., PEG-40K), MPEG, [MPEG]2, polyamine, alkyl, substituted alkyl, radiolabel, enzyme, hapten (e.g., biotin), transport/absorption enhancer (e.g., aspirin, vitamin E, folic acid), synthetic ribonuclease (e.g., imidazole, bisimidazole, histamine, imidazole cluster, acridine-imidazole conjugate, tetrazamacrocyclic Eu3+ complex).
末端修飾亦可用於監測分佈,且在此類情況下,待添加之基團可包括螢光團,例如螢光素或Alexa染料。末端修飾亦可用於增強攝取,對此適用之修飾包括膽固醇。末端修飾亦可適用於將RNA劑交聯至另一部分。Terminal modifications may also be used to monitor distribution, and in such cases, the group to be added may include a fluorophore, such as fluorescein or an Alexa dye. Terminal modifications may also be used to enhance uptake, and suitable modifications for this include cholesterol. Terminal modifications may also be useful for crosslinking the RNA agent to another moiety.
出於包括調節活性或調節對降解之抗性的多種原因可添加末端修飾。可用於調節活性之末端修飾包括用磷酸酯或磷酸酯類似物修飾5'端。第一股或第二股上之本發明核酸可為5'磷酸化或在5'引發端(prime terminus)包括磷醯基類似物。5'-磷酸酯修飾包括與RISC介導之基因緘默相容的彼等修飾。脫水適合的修飾包括:5'-單磷酸酯((HO) 2(O)P-O-5');5'-二磷酸酯((HO) 2(O)P-O-P(HO)(O)-O-5');5'-三磷酸酯((HO) 2(O)P-O-(HO)(O)P-O-P(HO)(O)-O-5');5'-鳥苷帽(7-甲基化或非甲基化) (7m-G-O-5'-(HO)(O)P-O-(HO)(O)P-O-P(HO)(O)-O-5');5'-腺苷帽(Appp);及任何經修飾或未經修飾之核苷酸帽結構(N-O-5'-(HO)(O)P-O-(HO)(O)P-O-P(HO)(O)-O-5');5'-單硫代磷酸酯(硫代磷酸酯;(HO) 2(S)P-O-5');5'-單-二硫代磷酸酯(二硫代磷酸酯;(HO)(HS)(S)P-O-5');5'-硫代磷酸酯((HO) 2(O)P-S-5');經氧/硫置換之單磷酸酯、二磷酸酯及三磷酸酯(例如5'-α-硫代三磷酸酯、5'-γ-硫代三磷酸酯等)之任何額外組合;5'-胺基磷酸酯((HO) 2(O)P-NH-5'、(HO)(NH 2)(O)P-O-5');5'-烷基膦酸酯(烷基=甲基、乙基、異丙基、丙基等,例如RP(OH)(O)-O-5'- (其中R為烷基));(OH) 2(O)P-5'-CH 2-);5'乙烯基膦酸酯;5'-烷基醚膦酸酯(烷基醚=甲氧基甲基(MeOCH 2-)、乙氧基甲基等,例如RP(OH)(O)-O-5'- (其中R為烷基醚))。 Terminal modifications may be added for a variety of reasons including modulating activity or modulating resistance to degradation. Terminal modifications useful for modulating activity include modification of the 5' end with a phosphate or phosphate analog. The nucleic acids of the invention on the first or second strand may be 5' phosphorylated or include a phospho group analog at the 5' prime terminus. 5'-Phosphate modifications include those that are compatible with RISC-mediated gene silencing. Suitable modifications for dehydration include: 5'-monophosphate ((HO) 2 (O)PO-5');5'-diphosphate ((HO) 2 (O)POP(HO)(O)-O-5');5'-triphosphate ((HO) 2 (O)PO-(HO)(O)POP(HO)(O)-O-5');5'-guanosine cap (7-methylated or unmethylated) (7m-GO-5'-(HO)(O)PO-(HO)(O)POP(HO)(O)-O-5');5'-adenosine cap (Appp); and any modified or unmodified nucleotide cap structure (NO-5'-(HO)(O)PO-(HO)(O)POP(HO)(O)-O-5');5'-monothioate(phosphorothioate; (HO) 2 any additional combination of oxygen/sulfur substituted monophosphates, diphosphates and triphosphates (e.g., 5'-α-thiotriphosphate, 5'-γ-thiotriphosphate, etc.); 5'-phosphoramidates ((HO) 2 (O)P-NH-5', (HO)(NH 2 )(O)PO-5');5'-alkylphosphonates (alkyl = methyl, ethyl, isopropyl, propyl, etc., e.g., RP(OH)(O)-O-5'- (wherein R is alkyl)); (OH) 2 (O)P-5'- CH 2 - ); 5'vinylphosphonates;5'-alkyl etherphosphonates (alkyl ether = methoxymethyl (MeOCH 2 -), ethoxymethyl, etc., for example, RP(OH)(O)-O-5'- (wherein R is an alkyl ether)).
某些部分可連接至第一股或第二股之5'末端。此等包括無鹼基核糖部分、無鹼基去氧核糖部分、修飾無鹼基核糖及無鹼基去氧核糖部分,包括2'-O烷基修飾;反向無鹼基核糖及無鹼基去氧核糖部分及其修飾、C6-亞胺基-Pi;鏡面核苷酸,包括L-DNA及L-RNA;5'OMe核苷酸;及核苷酸類似物,包括4',5'-亞甲基核苷酸;1-(β-D-赤呋喃糖基)核苷酸;4'-硫代核苷酸、碳環核苷酸;磷酸5'-胺基-烷酯;磷酸1,3-二胺基-2-丙酯、磷酸3-胺基丙酯;磷酸6-胺基己酯;磷酸12-胺基十二烷酯;磷酸羥丙酯;1,5-無水己糖醇核苷酸;α-核苷酸;蘇-呋喃戊糖基核苷酸;非環狀3',4'-開環核苷酸;3,4-二羥丁基核苷酸;3,5-二羥基戊基核苷酸、5'-5'-反向無鹼基部分;1,4-丁二醇磷酸酯;5'-胺基;及橋接或非橋接甲基膦酸酯及5'-巰基部分。Certain moieties may be attached to the 5' terminus of the first or second strand. These include abaciribose moieties, abacideoxyribose moieties, modified abaciribose and abacideoxyribose moieties, including 2'-O alkyl modifications; inverted abaciribose and abacideoxyribose moieties and modifications thereof, C6-imino-Pi; mirror nucleotides, including L-DNA and L-RNA; 5'OMe nucleotides; and nucleotide analogs, including 4',5'-methylene nucleotides; 1-(β-D-erythrofuranosyl) nucleotides; 4'-thionucleotides, carbocyclic nucleotides; 5'-amino-phosphates; alkyl esters; 1,3-diamino-2-propyl phosphate, 3-aminopropyl phosphate; 6-aminohexyl phosphate; 12-aminododecyl phosphate; hydroxypropyl phosphate; 1,5-anhydrohexitol nucleotides; α-nucleotides; threo-pentofuranosyl nucleotides; acyclic 3',4'-open ring nucleotides; 3,4-dihydroxybutyl nucleotides; 3,5-dihydroxypentyl nucleotides, 5'-5'-reverse abasic moieties; 1,4-butanediol phosphate; 5'-amine; and bridged or non-bridged methylphosphonate and 5'-hydroxyl moieties.
在本文所描述之各序列中,C-末端「-OH」部分可經C-末端「-NH 2」部分取代,且反之亦然。 In each of the sequences described herein, the C-terminal "-OH" moiety may be substituted with a C-terminal " -NH2 " moiety, and vice versa.
本發明亦提供根據本文所描述之本發明任何態樣之核酸,其中第一股在其5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸。此末端5' (E)-乙烯基膦酸酯核苷酸較佳藉由磷酸二酯鍵連接至第一股中之第二核苷酸。較佳地,末端5' (E)-乙烯基膦酸酯(「vp」)核苷酸係尿苷(「vp-U」)。The invention also provides a nucleic acid according to any aspect of the invention as described herein, wherein the first strand has a terminal 5' (E)-vinylphosphonate nucleotide at its 5' end. This terminal 5' (E)-vinylphosphonate nucleotide is preferably linked to the second nucleotide in the first strand by a phosphodiester bond. Preferably, the terminal 5' (E)-vinylphosphonate ("vp") nucleotide is uridine ("vp-U").
核酸之第一股可包含式(I): (vp)-N (po)[N (po)] n- (I) 其中『(vp)-』為5' (E)-乙烯基膦酸酯,『N』為核苷酸,『po』為磷酸二酯鍵,且n為1至(第一股中核苷酸之總數-2),較佳其中n為1至(第一股中核苷酸之總數-3),更佳地其中n為1至(第一股中核苷酸之總數-4)。 The first strand of the nucleic acid may comprise formula (I): (vp)-N (po) [N (po) ] n - (I) wherein "(vp)-" is 5' (E)-vinyl phosphonate, "N" is a nucleotide, "po" is a phosphodiester bond, and n is 1 to (the total number of nucleotides in the first strand - 2), preferably wherein n is 1 to (the total number of nucleotides in the first strand - 3), and more preferably wherein n is 1 to (the total number of nucleotides in the first strand - 4).
較佳地,末端5' (E)-乙烯基膦酸酯核苷酸為RNA核苷酸,較佳為(vp)-U。Preferably, the terminal 5' (E)-vinylphosphonate nucleotide is an RNA nucleotide, preferably (vp)-U.
末端5' (E)-乙烯基膦酸酯核苷酸為其中核糖之5'端處的磷酸酯基團已經E-乙烯基膦酸酯基團置換的核苷酸:
在一個態樣中,第一股在其5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸,末端5' (E)-乙烯基膦酸酯核苷酸藉由磷酸二酯鍵連接至第一股中之第二核苷酸,且第一股包含a)超過1個磷酸二酯鍵;b)在至少末端三個5'核苷酸之間的磷酸二酯鍵,及/或c)在至少末端四個5'核苷酸之間的磷酸二酯鍵。In one aspect, the first strand has a terminal 5'(E)-vinylphosphonate nucleotide at its 5' end, the terminal 5'(E)-vinylphosphonate nucleotide is linked to the second nucleotide in the first strand by a phosphodiester bond, and the first strand comprises a) more than 1 phosphodiester bond; b) a phosphodiester bond between at least the terminal three 5' nucleotides, and/or c) a phosphodiester bond between at least the terminal four 5' nucleotides.
在一個態樣中,核酸之第一股及/或第二股包含兩個核苷酸之間的至少一個硫代磷酸酯(ps)及/或至少一個二硫代磷酸酯(ps2)鍵。In one aspect, the first strand and/or the second strand of the nucleic acid comprises at least one phosphorothioate (ps) and/or at least one phosphorodithioate (ps2) bond between two nucleotides.
在一個態樣中,核酸之第一股及/或第二股包含超過一個硫代磷酸酯及/或超過一個二硫代磷酸酯鍵。In one aspect, the first strand and/or the second strand of the nucleic acid comprises more than one phosphorothioate and/or more than one phosphorodithioate bond.
在一個態樣中,核酸之第一股及/或第二股包含末端兩個3'核苷酸之間的硫代磷酸酯或二硫代磷酸酯鍵,或末端三個3'核苷酸之間的硫代磷酸酯或二硫代磷酸酯鍵。較佳地,第一股及/或第二股中之其他核苷酸之間的鍵為磷酸二酯鍵。In one aspect, the first strand and/or the second strand of the nucleic acid comprises a phosphorothioate or phosphorodithioate bond between the terminal two 3' nucleotides, or a phosphorothioate or phosphorodithioate bond between the terminal three 3' nucleotides. Preferably, the bonds between the other nucleotides in the first strand and/or the second strand are phosphodiester bonds.
在一個態樣中,核酸之第一股及/或第二股包含末端兩個5'核苷酸之間的硫代磷酸酯鍵,或末端三個5'核苷酸之間的硫代磷酸酯鍵。In one aspect, the first strand and/or the second strand of the nucleic acid comprises a phosphorothioate bond between the terminal two 5' nucleotides, or a phosphorothioate bond between the terminal three 5' nucleotides.
在一個態樣中,本發明之核酸包含對第一及/或第二股之末端中之一或多者的一或多個硫代磷酸酯或二硫代磷酸酯修飾。視情況,第一股之各末端或任一末端可包含一個或兩個或三個硫代磷酸酯或二硫代磷酸酯修飾之核苷酸(核苷間鍵)。視情況,第二股之各末端或任一末端可包含一個或兩個或三個硫代磷酸酯或二硫代磷酸酯修飾之核苷酸(核苷間鍵)。In one aspect, the nucleic acids of the invention comprise one or more phosphorothioate or phosphorodithioate modifications to one or more of the termini of the first and/or second strands. Each or either terminus of the first strand may comprise one or two or three phosphorothioate or phosphorodithioate modified nucleotides (internucleoside bonds), as appropriate. Each or either terminus of the second strand may comprise one or two or three phosphorothioate or phosphorodithioate modified nucleotides (internucleoside bonds), as appropriate.
在一個態樣中,核酸在第一及/或第二股之末端兩個或三個3'核苷酸及/或5'核苷酸之間包含硫代磷酸酯鍵。較佳地,核酸在第一股及第二股之末端三個3'核苷酸及末端三個5'核苷酸中之各者之間包含硫代磷酸酯鍵。較佳地,第一及/或第二股之核苷酸之間的所有剩餘鍵為磷酸二酯鍵。In one aspect, the nucleic acid comprises a phosphorothioate bond between the terminal two or three 3' nucleotides and/or 5' nucleotides of the first and/or second strands. Preferably, the nucleic acid comprises a phosphorothioate bond between each of the terminal three 3' nucleotides and the terminal three 5' nucleotides of the first and second strands. Preferably, all remaining bonds between nucleotides of the first and/or second strands are phosphodiester bonds.
在一個態樣中,核酸包含第一股之3'端之兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,及/或包含第二股之3'端之兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,及/或第二股之5'端之兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,且包含除第一股之5'端之兩個、三個或四個末端核苷酸之間的二硫代磷酸酯鍵外的鍵。In one aspect, the nucleic acid comprises a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 3' terminus of the first strand, and/or comprises a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 3' terminus of the second strand, and/or comprises a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 5' terminus of the second strand, and comprises bonds other than the phosphorodithioate bonds between the two, three or four terminal nucleotides at the 5' terminus of the first strand.
在一個態樣中,核酸在第一股及第二股之末端三個3'核苷酸及末端三個5'核苷酸之間包含硫代磷酸酯鍵。較佳地,第一及/或第二股之核苷酸之間的所有剩餘鍵為磷酸二酯鍵。In one aspect, the nucleic acid comprises phosphorothioate bonds between the terminal three 3' nucleotides and the terminal three 5' nucleotides of the first and second strands. Preferably, all remaining bonds between nucleotides of the first and/or second strands are phosphodiester bonds.
在一個態樣中,核酸: (i) 在第一股之末端三個3'核苷酸與末端三個5'核苷酸之間具有硫代磷酸酯鍵; (ii) 在第二股之3'端核苷酸或5'端核苷酸上與三觸角配位體結合; (iii) 在與結合於該三觸角配位體之核酸相對的末端處在第二股之末端三個核苷酸之間具有硫代磷酸酯鍵;及 (iv) 視情況,第一股及/或第二股之核苷酸之間的所有剩餘鍵為磷酸二酯鍵。 In one aspect, the nucleic acid: (i) has phosphorothioate bonds between the terminal three 3' nucleotides and the terminal three 5' nucleotides of the first strand; (ii) is bound to a trianthrene ligand at the 3' terminal nucleotide or the 5' terminal nucleotide of the second strand; (iii) has phosphorothioate bonds between the terminal three nucleotides of the second strand at the end opposite to the nucleic acid bound to the trianthrene ligand; and (iv) all remaining bonds between nucleotides of the first strand and/or the second strand, as the case may be, are phosphodiester bonds.
在一個態樣中,核酸: (i) 在第一股之5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸; (ii) 在第一及第二股上之末端三個3'核苷酸之間及在第二股上之末端三個5'核苷酸之間具有硫代磷酸酯鍵,或其在第一及第二股上之末端兩個3'核苷酸之間及在第二股上之末端兩個5'核苷酸之間具有二硫代磷酸酯鍵;及 (iii) 視情況,第一股及/或第二股之核苷酸之間的所有剩餘鍵為磷酸二酯鍵。 In one aspect, the nucleic acid: (i) has a terminal 5' (E)-vinylphosphonate nucleotide at the 5' end of the first strand; (ii) has a phosphorothioate bond between the terminal three 3' nucleotides on the first and second strands and between the terminal three 5' nucleotides on the second strand, or has a phosphorodithioate bond between the terminal two 3' nucleotides on the first and second strands and between the terminal two 5' nucleotides on the second strand; and (iii) all remaining bonds between nucleotides of the first strand and/or the second strand, as appropriate, are phosphodiester bonds.
與在相同位置中包含硫代磷酸酯之分子相比,在本發明之核酸中使用二硫代磷酸酯鍵減少核酸分子群之立體化學的變化。硫代磷酸酯鍵引入對掌性中心,且難以控制哪一個非連接氧取代硫。使用二硫代磷酸酯確保在彼鍵中不存在對掌性中心,且因此視核酸分子中使用之二硫代磷酸酯及硫代磷酸酯鍵之數目而定,減少或消除核酸分子群中之任何變化。The use of phosphorodithioate bonds in the nucleic acids of the present invention reduces the variation in the stereochemistry of the nucleic acid molecule population compared to molecules containing phosphorothioates in the same position. Phosphorothioate bonds introduce chiral centers, and it is difficult to control which non-linked oxygen replaces sulfur. The use of phosphorodithioates ensures that there are no chiral centers in the bond, and thus reduces or eliminates any variation in the nucleic acid molecule population, depending on the number of phosphorodithioate and phosphorothioate bonds used in the nucleic acid molecule.
在一個態樣中,核酸包含在第一股之3'端之兩個末端核苷酸之間的二硫代磷酸酯鍵,及在第二股之3'端之兩個末端核苷酸之間的二硫代磷酸酯鍵,及在第二股之5'端之兩個末端核苷酸之間的二硫代磷酸酯鍵,且包含除第一股之5'端之兩個、三個或四個末端核苷酸之間的二硫代磷酸酯鍵以外的鍵。較佳地,第一股在其5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸。此末端5' (E)-乙烯基膦酸酯核苷酸較佳藉由磷酸二酯鍵連接至第一股中之第二核苷酸。較佳地,除第一股之3'端之兩個末端核苷酸之間的鍵及第二股之3'端及5'端之兩個末端核苷酸之間的鍵以外的兩個股之核苷酸之間的所有鍵為磷酸二酯鍵。In one aspect, the nucleic acid comprises a phosphorodithioate bond between the two terminal nucleotides at the 3' end of the first strand, and a phosphorodithioate bond between the two terminal nucleotides at the 3' end of the second strand, and a phosphorodithioate bond between the two terminal nucleotides at the 5' end of the second strand, and comprises bonds other than the phosphorodithioate bonds between the two, three or four terminal nucleotides at the 5' end of the first strand. Preferably, the first strand has a terminal 5' (E)-vinylphosphonate nucleotide at its 5' end. This terminal 5' (E)-vinylphosphonate nucleotide is preferably connected to the second nucleotide in the first strand by a phosphodiester bond. Preferably, all bonds between the nucleotides of the two strands except the bond between the two terminal nucleotides at the 3' end of the first strand and the bond between the two terminal nucleotides at the 3' end and 5' end of the second strand are phosphodiester bonds.
在一個態樣中,當末端不存在二硫代磷酸酯鍵時,核酸包含在第一股上之三個末端3'核苷酸中之各者之間及/或三個末端5'核苷酸中之各者之間,及/或在第二股上之三個末端3'核苷酸中之各者之間及/或三個末端5'核苷酸中之各者之間的硫代磷酸酯鍵。末端處不存在之二硫代磷酸酯鍵意謂在所討論之核酸末端之兩個末端核苷酸之間或較佳三個末端核苷酸之間的鍵為除二硫代磷酸酯鍵以外的鍵。In one aspect, when phosphorodithioate bonds are absent at the termini, the nucleic acid comprises phosphorothioate bonds between each of the three terminal 3' nucleotides and/or between each of the three terminal 5' nucleotides on the first strand, and/or between each of the three terminal 3' nucleotides and/or between each of the three terminal 5' nucleotides on the second strand. The absence of phosphorodithioate bonds at the termini means that the bonds between the two terminal nucleotides, or preferably the three terminal nucleotides, at the termini of the nucleic acid in question are bonds other than phosphorodithioate bonds.
在一個態樣中,除第一股之3'端之兩個末端核苷酸之間的鍵及第二股之3'端及5'端之兩個末端核苷酸之間的鍵以外的兩股之核苷酸之間的核酸的所有鍵為磷酸二酯鍵。In one aspect, all bonds of the nucleic acid between nucleotides of the two strands except the bond between the two terminal nucleotides at the 3' end of the first strand and the bond between the two terminal nucleotides at the 3' end and the 5' end of the second strand are phosphodiester bonds.
其他磷酸酯鍵修飾為可能的。Other phosphate bond modifications are possible.
磷酸酯連接子亦可藉由用氮(橋接胺基磷酸酯)、硫(橋接硫代磷酸酯)及碳(橋接亞甲基膦酸酯)置換連接氧而經修飾。置換可在末端氧處進行。非連接氧經氮置換為可能的。Phosphate linkers can also be modified by replacing the linking oxygen with nitrogen (bridged phosphoramidates), sulfur (bridged phosphorothioates), and carbon (bridged methylenephosphonates). The replacement can be made at the terminal oxygen. Replacement of non-linking oxygens with nitrogen is possible.
磷酸酯基團亦可單獨地經非含磷連接件(connector)置換。The phosphate groups can also be replaced individually with non-phosphorus-containing linkers.
可置換磷酸酯基團之部分的實例包括矽氧烷、碳酸酯、羧甲基、胺基甲酸酯、醯胺、硫醚、環氧乙烷連接子、磺酸酯、磺醯胺、硫代甲縮醛、甲縮醛、肟、亞甲基亞胺基、亞甲基甲基亞胺基、亞甲基肼、亞甲基二甲基肼及亞甲氧基甲基亞胺基(methyleneoxymethylimino)。在某些實施例中,置換可包括亞甲基羰基胺基及亞甲基甲基亞胺基。Examples of moieties that can replace the phosphate group include siloxane, carbonate, carboxymethyl, carbamate, amide, thioether, ethylene oxide linker, sulfonate, sulfonamide, thioformal, formaldehyde, oxime, methylene imino, methylene methyl imino, methylene hydrazine, methylene dimethyl hydrazine and methylene oxymethyl imino. In certain embodiments, the replacement may include methylene carbonyl amine and methylene methyl imino.
磷酸酯連接子及核糖可經耐核酸酶之核苷酸置換。實例包括嗎啉基、環丁基、吡咯啶及肽核酸(PNA)核苷代替物。在某些實施例中,可使用PNA代替物。The phosphate linker and ribose can be replaced by nuclease-resistant nucleotides. Examples include morpholinyl, cyclobutyl, pyrrolidine, and peptide nucleic acid (PNA) nucleoside substitutes. In certain embodiments, PNA substitutes can be used.
在一個態樣中,較佳經由RNAi抑制AGT表現之核酸(較佳為siRNA,且較佳在細胞中)包含以下中之一或多者或全部: (i) 經修飾之核苷酸; (ii) 除在自具有給定SEQ ID No.之第一股之5'端起的位置2及14處的2'-OMe修飾之核苷酸以外的經修飾之核苷酸,較佳2'-F修飾之核苷酸; (iii) 如在具有給定SEQ ID No.之第一股之5'端處之一者開始編號的第一股之奇數編號之核苷酸中之各者為2'-OMe修飾之核苷酸; (iv) 如在具有給定SEQ ID No.之第一股之5'端處之一者開始編號的第一股之偶數編號之核苷酸中之各者為2'-F修飾之核苷酸; (v) 對應於具有給定SEQ ID No.之第一股之位置11及/或13或11-13的第二股核苷酸經除2'-OMe修飾以外的修飾來修飾,較佳其中此等位置中的一者或兩者或全部包含2'-F修飾; (vi) 反向核苷酸,較佳在具有給定SEQ ID No.之第二股之3'端處的3'-3'鍵; (vii) 一或多個硫代磷酸酯鍵; (viii) 一或多個二硫代磷酸酯鍵;及/或 (ix) 具有給定SEQ ID No.之第一股在其5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸,在此情況下,末端5' (E)-乙烯基膦酸酯核苷酸較佳為尿苷且較佳藉由磷酸二酯鍵連接至第一股中之第二核苷酸。 In one embodiment, a nucleic acid (preferably siRNA, and preferably in a cell) that inhibits AGT expression by RNAi comprises one or more or all of the following: (i) modified nucleotides; (ii) modified nucleotides other than 2'-OMe modified nucleotides at positions 2 and 14 from the 5' end of the first strand having a given SEQ ID No., preferably 2'-F modified nucleotides; (iii) each of the odd-numbered nucleotides of the first strand numbered starting from one of the 5' ends of the first strand having a given SEQ ID No. is a 2'-OMe modified nucleotide; (iv) each of the even-numbered nucleotides of the first strand numbered starting from one of the 5' ends of the first strand having a given SEQ ID No. is a 2'-F modified nucleotide; (v) corresponding to the nucleotide sequence of the first strand having a given SEQ ID No. The second strand nucleotides at positions 11 and/or 13 or 11-13 of the first strand of the given SEQ ID No. are modified with a modification other than a 2'-OMe modification, preferably wherein one or both or all of these positions comprise a 2'-F modification; (vi) an inverted nucleotide, preferably a 3'-3' bond at the 3' end of the second strand having the given SEQ ID No.; (vii) one or more phosphorothioate bonds; (viii) one or more phosphorodithioate bonds; and/or (ix) the first strand having the given SEQ ID No. has a terminal 5'(E)-vinylphosphonate nucleotide at its 5' end, in which case the terminal 5'(E)-vinylphosphonate nucleotide is preferably a uridine and is preferably linked to the second nucleotide in the first strand by a phosphodiester bond.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少15個核苷酸之序列,該序列與具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過3個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 15 nucleotides which differs by no more than 3 nucleotides from any of the first strand sequences having a given SEQ ID No. shown in Table 5b.
本發明之核酸可為以下核酸,其中: (a) 第一股序列包含與表5b之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列包含與表5b之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列包含與表5b之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列包含具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者的序列,且視情況其中第二股序列包含具有表5b中所示之給定SEQ ID No.之對應第二股序列的序列;或 (i) 第一股序列基本上由具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列基本上由具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列組成;或 (j) 第一股序列由對應於自具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表5b中所示之給定SEQ ID No.的對應第二股序列之序列; (k) 第一股序列由對應於自具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中該第一股序列由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成,及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表5b中所示之給定SEQ ID No.的對應第二股序列之序列; (l) 第一股序列由具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列由具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股存在於單股上,其中第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區之雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股位於兩個單獨股上,該等第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 The nucleic acid of the present invention may be the following nucleic acid, wherein: (a) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 3 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 3 nucleotides; (b) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 2 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 2 nucleotides; (c) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 1 nucleotide, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 1 nucleotide; (d) The first strand sequence comprises a sequence corresponding to a given SEQ ID shown in Table 5b No., and where the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; (e) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and where the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; (f) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and where the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b. No.; (g) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; (h) The first strand sequence comprises a sequence of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence comprises a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; or (i) The first strand sequence consists essentially of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence consists essentially of a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; or (j) The first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, wherein the first strand sequence further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and whereby the second strand sequence comprises or consists essentially of or consists of: a sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 5b; (k) The first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5b, wherein the first strand sequence further consists of 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5b, and wherein the first strand sequence consists of a continuous region complementary to the AGT transcript of SEQ ID NO. 870 with a length of 17-25 nucleotides, preferably a length of 18-24 nucleotides, and Optionally, wherein the second strand sequence comprises or consists essentially of or consists of: a sequence having a given SEQ ID No. shown in Table 5b corresponding to the second strand sequence; (l) The first strand sequence consists of any of the first strand sequences having a given SEQ ID No. shown in Table 5b, and optionally wherein the second strand sequence consists of a sequence having a given SEQ ID No. shown in Table 5b corresponding to the second strand sequence; (m) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region having a length of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides; or (n) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are located on two separate strands, and the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region with a length of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少15個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過3個核苷酸。
表2
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少17個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過3個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 17 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 3 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少17個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過2個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 17 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 2 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少17個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過1個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 17 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 1 nucleotide.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少18個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過3個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 18 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 3 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少18個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過2個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 18 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 2 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少18個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過1個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 18 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 1 nucleotide.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少19個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過3個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 19 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 3 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少19個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過2個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 19 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 2 nucleotides.
本發明之核酸可包含第一股及第二股,其中第一股序列包含至少19個核苷酸之序列,該序列與具有表2中所示之給定SEQ ID No.之第一股序列中之任一者相差不超過1個核苷酸。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence comprises a sequence of at least 19 nucleotides which differs from any of the first strand sequences having a given SEQ ID No. shown in Table 2 by no more than 1 nucleotide.
本發明之核酸可包含第一股及第二股,其中該第一股序列基本上由以下組成或由以下組成:來自具有表2中所示之給定SEQ ID No.之第一股序列中之任一者的序列。The nucleic acid of the present invention may comprise a first strand and a second strand, wherein the first strand sequence consists essentially of or consists of a sequence from any one of the first strand sequences having a given SEQ ID No. shown in Table 2.
舉例而言,本發明之核酸可為以下核酸,其中: (a) 第一股序列包含與表2之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列包含與表2之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列包含與表2之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列包含表2之第一股序列中之任一者之序列,且視情況其中第二股序列包含表2之對應第二股序列的序列;或 (i) 第一股序列基本上由表2之第一股序列中之任一者組成,且視情況其中第二股序列基本上由表2之對應第二股序列的序列組成; (j) 第一股序列由對應於自具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表2中所示之給定SEQ ID No.的對應第二股序列之序列; (k) 第一股序列由對應於自具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中該第一股序列由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成,及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表2中所示之給定SEQ ID No.的對應第二股序列之序列; (l) 第一股序列由表2之第一股序列中之任一者組成,且視情況其中第二股序列由表2之對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股存在於單股上,其中第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區之雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股位於兩個單獨股上,該等第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 For example, the nucleic acid of the present invention may be the following nucleic acid, wherein: (a) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 3 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 3 nucleotides; (b) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 2 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 2 nucleotides; (c) The first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 1 nucleotide, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 1 nucleotide; (d) The first strand sequence comprises a sequence corresponding to a given SEQ ID shown in Table 2 No., and where the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (e) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and where the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (f) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and where the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; No.; (g) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and as the case may be, the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (h) The first strand sequence comprises a sequence of any one of the first strand sequences in Table 2, and as the case may be, the second strand sequence comprises a sequence corresponding to the second strand sequence in Table 2; or (i) The first strand sequence consists essentially of any one of the first strand sequences in Table 2, and as the case may be, the second strand sequence consists essentially of a sequence corresponding to the second strand sequence in Table 2; (j) The first strand sequence consists of a sequence corresponding to a given SEQ ID No. shown in Table 2 No., wherein the first strand sequence further comprises 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 2, and whereby the second strand sequence comprises or consists essentially of or consists of: a sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 2; (k) The first strand sequence consists of a sequence corresponding to the given SEQ ID No. shown in Table 2 No., wherein the first strand sequence further comprises 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 2, and wherein the first strand sequence comprises a continuous region complementary to the AGT transcript of SEQ ID NO. 870 with a length of 17-25 nucleotides, preferably 18-24 nucleotides, and Optionally, wherein the second strand sequence comprises or consists essentially of or consists of: a sequence corresponding to the second strand sequence of a given SEQ ID No. shown in Table 2; (l) The first strand sequence consists of any of the first strand sequences in Table 2, and optionally wherein the second strand sequence consists of the sequence corresponding to the second strand sequence in Table 2; (m) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are located on two separate strands, and the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region with a length of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides.
核酸之所有特徵可與本文所揭示之本發明之所有其他態樣組合。All features of nucleic acids can be combined with all other aspects of the invention disclosed herein.
異源部分本發明之核酸可與異源部分結合。異源部分係不為能夠抑制AGT表現之核酸分子的任何部分。異源部分可為或可包含肽(或多肽)、醣(或多醣)、脂質、不同核酸或任何其他適合分子。 Heterologous moieties The nucleic acids of the present invention may be conjugated to heterologous moieties. A heterologous moiety is any part of a nucleic acid molecule that is not capable of inhibiting the expression of AGT. A heterologous moiety may be or may comprise a peptide (or polypeptide), a carbohydrate (or polysaccharide), a lipid, a different nucleic acid or any other suitable molecule.
任何給定核酸可與複數個異源部分結合,該等異源部分可相同或不同。Any given nucleic acid may be conjugated to multiple heterologous moieties, which may be the same or different.
個別異源部分可自身包含一或多個功能性部分(諸如如下文更詳細地描述之靶向劑),該一或多個功能性部分各自視情況經由連接子與核酸共價結合。Each heterologous moiety may itself comprise one or more functional moieties (such as targeting agents as described in more detail below), each of which is covalently bound to the nucleic acid, optionally via a linker.
異源部分或其功能組分可用以例如調節生物可用性或藥物動力學。舉例而言,其可增加活體內半衰期。The heterologous moiety or its functional component can be used, for example, to modulate bioavailability or pharmacokinetics. For example, it can increase the half-life in vivo.
替代地,異源部分(或其功能組分)可包含靶向劑。在活體內將寡核苷酸,尤其本發明之雙股核酸有效遞送至細胞中係重要的且需要特異性靶向且實質性保護其免於細胞外環境,尤其血清蛋白。一種達成特異性靶向之方法為使靶向劑與核酸結合,其中靶向劑有助於使核酸靶向至目標細胞,該目標細胞具有與靶向劑結合之細胞表面受體。Alternatively, the heterologous moiety (or a functional component thereof) may comprise a targeting agent. Effective delivery of oligonucleotides, particularly double-stranded nucleic acids of the present invention, to cells in vivo is important and requires specific targeting and substantial protection from the extracellular environment, particularly serum proteins. One method of achieving specific targeting is to conjugate a targeting agent to the nucleic acid, wherein the targeting agent helps target the nucleic acid to a target cell that has a cell surface receptor to which the targeting agent binds.
在此情形下,術語「受體」用以包括能夠結合於靶向劑之目標細胞表面上的任何分子,且不應被視為暗示細胞表面受體之任何特定功能。靶向劑可被視為細胞表面受體之「配位體」。術語「靶向劑」及「配位體」可互換使用。再次,此術語不應被視為暗示靶向劑或細胞表面受體之任何特定功能,或除一者結合於另一者之能力以外的兩個分子之間的任何特定關係。In this context, the term "receptor" is used to include any molecule on the surface of the target cell that is capable of binding to the targeting agent, and should not be considered to imply any specific function of the cell surface receptor. The targeting agent can be considered a "ligand" for the cell surface receptor. The terms "targeting agent" and "ligand" are used interchangeably. Again, this term should not be considered to imply any specific function of the targeting agent or the cell surface receptor, or any specific relationship between the two molecules other than the ability of one to bind to the other.
因此,靶向劑可為對所選受體具有親和力之任何部分。其可為例如親和蛋白(諸如對所選受體具有親和力之抗體或其片段)、適體或任何其他適合之部分。在一些實施例中,靶向劑可為受體之生理配位體。Thus, the targeting agent can be any part that has affinity for the selected receptor. It can be, for example, an affinity protein (such as an antibody or fragment thereof that has affinity for the selected receptor), an aptamer, or any other suitable part. In some embodiments, the targeting agent can be a physiological ligand of the receptor.
靶向劑與受體之間的結合可促進目標細胞,例如經由受體之內化或任何其他適合機制,攝取結合核酸。因此,所需受體分子之適當配位體可用作靶向劑以便使目標細胞藉由諸如不同受體介導之內飲作用路徑或功能上類似之過程的機制攝取結合核酸。在其他實施例中,可藉由除受體介導之內吞作用以外之機制介導核酸內化至目標細胞中的配位體可替代地與本發明之核酸結合以用於細胞或組織特異性靶向。Binding between the targeting agent and the receptor can promote the uptake of the bound nucleic acid by the target cell, for example, via internalization of the receptor or any other suitable mechanism. Thus, an appropriate ligand for the desired receptor molecule can be used as a targeting agent to allow the target cell to take up the bound nucleic acid by a mechanism such as a different receptor-mediated endocytosis pathway or a functionally similar process. In other embodiments, a ligand that can mediate the internalization of nucleic acids into target cells by mechanisms other than receptor-mediated endocytosis can alternatively be bound to the nucleic acids of the present invention for cell or tissue specific targeting.
介導受體介導之內飲作用的配位體之一個實例為本文所描述之GalNAc部分,其對去唾液酸糖蛋白受體複合體(ASGP-R)具有高親和力。ASGP-R複合體由不同比率之在肝細胞上高度豐富的膜ASGR1及ASGR2受體之多聚體構成。使用三觸角簇醣苷作為結合配位體之第一揭示內容中之一者在美國專利第US 5,885,968號中。具有三個GalNAc配位體且包含磷酸酯基團之結合物為已知的且描述於Dubber等人(Bioconjug. Chem. 2003年1月-2月;14(1):239-46)中。ASGP-R複合體展示對N-乙醯基-D-半乳胺糖(GalNAc)之親和力比對D-Gal高50倍。One example of a ligand that mediates receptor-mediated endocytosis is the GalNAc moiety described herein, which has a high affinity for the asialoglycoprotein receptor complex (ASGP-R). The ASGP-R complex consists of polymers of membrane ASGR1 and ASGR2 receptors that are highly abundant on hepatocytes in varying ratios. One of the first disclosures of using trianthrene glycosides as binding ligands was in U.S. Patent No. 5,885,968. Conjugates with three GalNAc ligands and containing phosphate groups are known and described in Dubber et al. (Bioconjug. Chem. 2003 Jan-Feb; 14(1):239-46). The ASGP-R complex exhibits a 50-fold higher affinity for N-acetyl-D-galactosamine (GalNAc) than for D-Gal.
ASGP-R複合體特異性識別糖基化蛋白質或其他寡醣之末端β-半乳糖苷生物次單元(Weigel, P.H.等人, Biochim. Biophys. Acta. 2002年9月19日;1572(2-3):341-63)且可用於藉由半乳糖或半乳胺糖與原料藥之共價偶合將藥物遞送至表現受體複合體之肝臟肝細胞(Ishibashi,S.等人, J Biol. Chem. 1994年11月11日;269(45):27803-6)。此外,結合親和力可藉由多價作用顯著增加,此藉由重複靶向部分來達成(Biessen EA等人, J Med Chem. 1995年4月28日;38(9):1538-46)。The ASGP-R complex specifically recognizes the terminal β-galactosyl biosubunit of glycosylated proteins or other oligosaccharides (Weigel, P.H. et al., Biochim. Biophys. Acta. 2002 Sep 19;1572(2-3):341-63) and can be used to deliver drugs to liver hepatocytes expressing the receptor complex by covalent coupling of galactose or galactamine sugars to the drug substance (Ishibashi, S. et al., J Biol. Chem. 1994 Nov 11;269(45):27803-6). In addition, binding affinity can be significantly increased by multivalency, which is achieved by repeating the targeting moiety (Biessen EA et al., J Med Chem. 1995 Apr 28;38(9):1538-46).
ASGP-R複合體為用於使細胞之核內體主動攝取含有末端β-半乳糖苷之糖蛋白的介體。因此,ASGPR高度適用於將與此類配位體結合之候選藥物,例如將核酸靶向遞送至表現受體之細胞中(Akinc等人, Mol Ther. 2010年7月;18(7):1357-64)。The ASGP-R complex is a mediator for the active uptake of glycoproteins containing terminal β-galactosides into cellular endosomes. Therefore, the ASGPR is highly suitable for drug candidates that bind to such ligands, for example, for targeted delivery of nucleic acids to cells expressing the receptor (Akinc et al., Mol Ther. 2010 Jul;18(7):1357-64).
更一般而言,配位體可包含經選擇對標目標細胞上之至少一種類型之受體具有親和力的醣。具體言之,受體位於哺乳動物肝細胞之表面上,例如上述肝去唾液酸糖蛋白受體複合體(ASGP-R)。More generally, the ligand may comprise a carbohydrate selected to have affinity for at least one type of receptor on a target cell. Specifically, the receptor is located on the surface of mammalian liver cells, such as the asialoglycoprotein receptor complex (ASGP-R) described above.
醣可選自N-乙醯基半乳胺糖、甘露糖、半乳糖、葡萄糖、葡糖胺及海藻糖。醣可為N-乙醯基半乳胺糖(GalNAc)。異源部分可包含複數種此類醣,例如兩種或尤其三種此類醣,例如三種GalNAc基團。The carbohydrate may be selected from N-acetylgalactosamine, mannose, galactose, glucose, glucosamine and trehalose. The carbohydrate may be N-acetylgalactosamine (GalNAc). The heterologous part may comprise a plurality of such carbohydrates, for example two or in particular three such carbohydrates, for example three GalNAc groups.
異源部分可因此包含(i)一或多種功能組分及(ii)連接子,其中連接子使功能組分與如任何前述態樣中所定義之核酸結合。連接子可為單價結構或二價或三價或四價分支鏈結構。核苷酸可如本文所定義經修飾。The heterologous part may thus comprise (i) one or more functional components and (ii) a linker, wherein the linker binds the functional component to a nucleic acid as defined in any of the foregoing aspects. The linker may be a monovalent structure or a divalent, trivalent or tetravalent branched chain structure. The nucleotides may be modified as defined herein.
因此,功能組分可為配位體(或靶向劑)。在存在多個功能組分之情況下,該等功能組分可相同或不同。在功能組分為配位體之情況下,功能組分可為醣,且可因此為(或包含) GalNAc。Thus, the functional component may be a ligand (or targeting agent). Where there are multiple functional components, the functional components may be the same or different. Where the functional component is a ligand, the functional component may be a carbohydrate and may therefore be (or include) GalNAc.
在一個態樣中,核酸與包含式(II)化合物之異源部分結合: [S-X 1-P-X 2] 3-A-X 3- (II) 其中: S表示功能組分,例如配位體,諸如醣,較佳其中醣為N-乙醯基半乳胺糖; X 1表示C 3-C 6伸烷基或(-CH 2-CH 2-O) m(-CH 2) 2-,其中m為1、2或3; P為磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯; X 2為伸烷基或式(-CH 2) n-O-CH 2-之伸烷基醚,其中n=1-6; A為分支單元; X 3表示橋接單元; 其中根據本發明之核酸經由磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯結合至X 3。 In one embodiment, the nucleic acid is conjugated to a heterologous portion comprising a compound of formula (II): [SX 1 -PX 2 ] 3 -AX 3 - (II) wherein: S represents a functional component, such as a ligand, such as a sugar, preferably wherein the sugar is N-acetylgalactosamine; X 1 represents a C 3 -C 6 alkylene group or (-CH 2 -CH 2 -O) m (-CH 2 ) 2 -, wherein m is 1, 2 or 3; P is a phosphate or a modified phosphate, preferably a thiophosphate; X 2 is an alkylene group or an alkylene ether of the formula (-CH 2 ) n -O-CH 2 -, wherein n=1-6; A is a branching unit; X 3 represents a bridging unit; wherein the nucleic acid according to the present invention is conjugated to X 3 via a phosphate or a modified phosphate, preferably a thiophosphate.
在式(II)中,分支單元「A」較佳分支成三個,以便適應三個醣配位體。分支單元較佳共價連接至配位體及核酸之其餘繫栓(tethered)部分。分支單元可包含分支鏈脂族基團,該分支鏈脂族基團包含選自烷基、醯胺、二硫化物、聚乙二醇、醚、硫醚及羥胺基之基團。分支單元可包含選自烷基及醚基之基團。In formula (II), the branching unit "A" is preferably branched into three to accommodate three carbohydrate ligands. The branching unit is preferably covalently linked to the ligand and the remaining tethered portion of the nucleic acid. The branching unit may comprise a branching aliphatic group comprising a group selected from alkyl, amide, disulfide, polyethylene glycol, ether, thioether and hydroxylamide groups. The branching unit may comprise a group selected from alkyl and ether groups.
分支單元A可具有選自以下之結構: The branch unit A may have a structure selected from the following:
其中各A 1獨立地表示O、S、C=O或NH;且各n獨立地表示1至20之整數。 wherein each A1 independently represents O, S, C=O or NH; and each n independently represents an integer from 1 to 20.
分支單元可具有選自以下之結構: 其中各A 1獨立地表示O、S、C=O或NH;且各n獨立地表示1至20之整數。 The branch unit may have a structure selected from the following: wherein each A1 independently represents O, S, C=O or NH; and each n independently represents an integer from 1 to 20.
分支單元可具有選自以下之結構: 其中A 1為O、S、C=O或NH;且各n獨立地表示1至20之整數。 The branch unit may have a structure selected from the following: wherein A1 is O, S, C=O or NH; and each n independently represents an integer from 1 to 20.
分支單元可具有以下結構: 。 The branch unit can have the following structure: .
分支單元可具有以下結構: 。 The branch unit can have the following structure: .
分支單元可具有以下結構: 。 The branch unit can have the following structure: .
替代地,分支單元A可具有選自以下之結構: , 其中: R 1為氫或C1-C10伸烷基; 且R 2為C1-C10伸烷基。 Alternatively, the branch unit A may have a structure selected from the following: , wherein: R 1 is hydrogen or C1-C10 alkylene; and R 2 is C1-C10 alkylene.
視情況,分支單元僅由碳原子組成。Optionally, the branching units consist only of carbon atoms.
「X 3」部分為橋接單元。橋接單元為線性的且共價鍵結至分支單元及核酸。 The "X 3 " portion is a bridge unit. The bridge unit is linear and covalently bonds to the branch unit and the nucleic acid.
X 3可係選自-C 1-C 20伸烷基-、-C 2-C 20伸烯基-、式-(C 1-C 20伸烷基)-O-(C 1-C 20伸烷基)-之伸烷基醚、-C(O)-C 1-C 20伸烷基-、-C 0-C 4伸烷基(Cy)C 0-C 4伸烷基-,其中Cy表示經取代或未經取代之5或6員環伸烷基、伸芳基、伸雜環基或伸雜芳基環、-C 1-C 4伸烷基-NHC(O)-C 1-C 4伸烷基-、-C 1-C 4伸烷基-C(O)NH-C 1-C 4伸烷基-、-C 1-C 4伸烷基-SC(O)-C 1-C 4伸烷基-、-C 1-C 4伸烷基-C(O)S-C 1-C 4伸烷基-、-C 1-C 4伸烷基-OC(O)-C 1-C 4伸烷基-、-C 1-C 4伸烷基-C(O)O-C 1-C 4伸烷基-及-C 1-C 6伸烷基-S-S-C 1-C 6伸烷基-。 X3 can be selected from -C1 - C20 alkylene-, -C2 - C20 alkenylene-, alkylene ether of the formula -( C1 - C20 alkylene)-O-( C1 - C20 alkylene)-, -C(O) -C1 - C20 alkylene-, -C0 - C4 alkylene(Cy) C0 - C4 alkylene-, wherein Cy represents a substituted or unsubstituted 5- or 6-membered cycloalkylene, arylene, heterocyclic group or heteroaryl ring, -C1 - C4 alkylene-NHC(O)-C1- C4 alkylene- , -C1 -C4 alkylene-C(O)NH- C1 - C4 alkylene-, -C1 - C4 alkylene-SC(O) -C1 - C4 alkylene-, -C1 - C -C 1 -C 4 alkylene-C(O)SC 1 -C 4 alkylene-, -C 1 -C 4 alkylene-OC(O)-C 1 -C 4 alkylene-, -C 1 -C 4 alkylene-C(O)OC 1 -C 4 alkylene- and -C 1 -C 6 alkylene-SSC 1 -C 6 alkylene-.
X 3可為式-(C 1-C 20伸烷基)-O-(C 1-C 20伸烷基)-之伸烷基醚。X 3可為式-(C 1-C 20伸烷基)-O-(C 4-C 20伸烷基)-之伸烷基醚,其中該(C 4-C 20伸烷基)連接至Z。X 3可選自由以下組成之群:-CH 2-O-C 3H 6-、-CH 2-O-C 4H 8-、-CH 2-O-C 6H 12-及-CH 2-O-C 8H 16-,尤其-CH 2-O-C 4H 8-、-CH 2-O-C 6H 12-及-CH 2-O-C 8H 16-,其中在各種情況下,-CH 2-基團連接至A。 X3 may be an alkylene ether of the formula -( C1 - C20 alkylene)-O-( C1 - C20 alkylene)-. X3 may be an alkylene ether of the formula -( C1 - C20 alkylene)-O-( C4 - C20 alkylene)-, wherein the ( C4 - C20 alkylene) is linked to Z. X3 may be selected from the group consisting of -CH2 - OC3H6- , -CH2 - OC4H8- , -CH2-OC6H12- and -CH2-OC8H16-, in particular -CH2-OC4H8-, -CH2-OC6H12- and -CH2 - OC8H16- , wherein in each case , the -CH2- group is linked to A.
在一個態樣中,核酸與式(III)之異源部分結合: [S-X 1-P-X 2] 3-A-X 3- (III) 其中: S表示功能組分,例如配位體,諸如醣,較佳GalNAc; X 1表示C 3-C 6伸烷基或(-CH 2-CH 2-O) m(-CH 2) 2-,其中m為1、2或3; P為磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯; X 2為C 1-C 8伸烷基; A係選自以下之分支單元: X 3為橋接單元; 其中根據本發明之核酸經由磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯結合至X 3。 In one embodiment, the nucleic acid is conjugated to a heterologous moiety of formula (III): [SX 1 -PX 2 ] 3 -AX 3 - (III) wherein: S represents a functional component, such as a ligand, such as a sugar, preferably GalNAc; X 1 represents a C 3 -C 6 alkylene group or (-CH 2 -CH 2 -O) m (-CH 2 ) 2 -, wherein m is 1, 2 or 3; P is a phosphate or a modified phosphate, preferably a thiophosphate; X 2 is a C 1 -C 8 alkylene group; A is a branching unit selected from the following: X3 is a bridging unit; wherein the nucleic acid according to the present invention is bound to X3 via phosphate or modified phosphate, preferably phosphorothioate.
分支單元A可具有以下結構: 。 The branch unit A may have the following structure: .
分支單元A可具有以下結構: ,其中X 3連接至氮原子。 The branch unit A may have the following structure: , wherein X 3 is connected to the nitrogen atom.
X 3可為C 1-C 20伸烷基。較佳地,X 3係選自由以下組成之群:-C 3H 6-、-C 4H 8-、-C 6H 12-及-C 8H 16,尤其-C 4H 8-、-C 6H 12-及-C 8H 16-。 X3 may be a C1 - C20 alkylene group. Preferably, X3 is selected from the group consisting of -C3H6- , -C4H8- , -C6H12- and -C8H16- , especially -C4H8- , -C6H12- and -C8H16- .
在一個態樣中,核酸與包含式(IV)化合物之配位體結合: [S-X 1-P-X 2] 3-A-X 3- (IV) 其中: S表示功能組分,例如配位體,諸如醣,較佳GalNAc; X 1表示C 3-C 6伸烷基或(-CH 2-CH 2-O) m(-CH 2) 2-,其中m為1、2或3; P為磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯; X 2為式-C 3H 6-O-CH 2-之伸烷基醚; A為分支單元; X 3係選自由以下組成之群的式的伸烷基醚:-CH 2-O-CH 2-、-CH 2-O-C 2H 4-、-CH 2-O-C 3H 6-、-CH 2-O-C 4H 8-、-CH 2-O-C 5H 10-、-CH 2-O-C 6H 12-、-CH 2-O-C 7H 14-及-CH 2-O-C 8H 16-,其中在各種情況下,-CH 2-基團連接至A, 且其中X 3藉由磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯結合至根據本發明之核酸。 In one embodiment, the nucleic acid is bound to a ligand comprising a compound of formula (IV): [SX 1 -PX 2 ] 3 -AX 3 - (IV) wherein: S represents a functional component, such as a ligand, such as a sugar, preferably GalNAc; X 1 represents a C 3 -C 6 alkylene group or (-CH 2 -CH 2 -O) m (-CH 2 ) 2 -, wherein m is 1, 2 or 3; P is a phosphate or a modified phosphate, preferably a thiophosphate; X 2 is an alkylene ether of the formula -C 3 H 6 -O-CH 2 -; A is a branching unit; X 3 is an alkylene ether of the formula selected from the group consisting of: -CH 2 -O-CH 2 -, -CH 2 -OC 2 H 4 -, -CH 2 -OC 3 H 6 -, -CH 2 -OC 4 H 8 -, -CH 2 -OC 5 H 10 -, -CH 2 -OC 6 H 12 -, -CH 2 -OC 7 H 14 - and -CH 2 -OC 8 H 16 -, wherein in each case the -CH 2 - group is linked to A, and wherein X 3 is bound to the nucleic acid according to the invention via phosphate or modified phosphate, preferably phosphorothioate.
分支單元可包含碳。較佳地,分支單元為碳。The branching unit may comprise carbon. Preferably, the branching unit is carbon.
X 3可選自由以下組成之群:-CH 2-O-C 4H 8-、-CH 2-O-C 5H 10-、-CH 2-O-C 6H 12-、-CH 2-O-C 7H 14-及-CH 2-O-C 8H 16-。較佳地,X 3係選自由以下組成之群:-CH 2-O-C 4H 8-、-CH 2-O-C 6H 12-及-CH 2-O-C 8H 16。 X3 may be selected from the group consisting of -CH2 - OC4H8- , -CH2 - OC5H10- , -CH2-OC6H12-, -CH2-OC7H14- and -CH2 - OC8H16- . Preferably , X3 is selected from the group consisting of -CH2 - OC4H8- , -CH2 - OC6H12- and -CH2 - OC8H16 .
X 1可為(-CH 2-CH 2-O)(-CH 2) 2-。X 1可為(-CH 2-CH 2-O) 2(-CH 2) 2-。X 1可為(-CH 2-CH 2-O) 3(-CH 2) 2-。較佳地,X 1為(-CH 2-CH 2-O) 2(-CH 2) 2-替代地,X 1表示C 3-C 6伸烷基。X 1可為伸丙基。X 1可為伸丁基。X 1可為伸戊基。X 1可為伸己基。較佳地,烷基為直鏈伸烷基。具體言之,X 1可為伸丁基。 X1 may be ( -CH2 - CH2 -O)(- CH2 ) 2- . X1 may be ( -CH2 - CH2 -O) 2 ( -CH2 ) 2- . X1 may be ( -CH2 - CH2 -O) 3 ( -CH2 ) 2- . Preferably, X1 is ( -CH2 - CH2 -O) 2 ( -CH2 ) 2- . Alternatively, X1 represents a C3 - C6 alkylene group. X1 may be a propylene group. X1 may be a butylene group. X1 may be a pentylene group. X1 may be a hexylene group. Preferably, the alkyl group is a straight chain alkylene group. Specifically, X1 may be a butylene group.
X 2表示式-C 3H 6-O-CH 2-伸烷基醚伸烷基醚,亦即C 3烷氧基亞甲基,或-CH 2CH 2CH 2OCH 2-。 X2 represents a group of the formula -C3H6 -O- CH2 -alkylene ether, i.e. C3 alkoxymethylene, or -CH2CH2CH2OCH2- .
對於以上態樣中之任一者,當P表示經修飾之磷酸酯基時,P可由以下表示: 其中Y 1及Y 2各自獨立地表示=O、=S、-O -、-OH、-SH、-BH 3、-OCH 2CO 2、-OCH 2CO 2R x、-OCH 2C(S)OR x及-OR x,其中R x表示C 1-C 6烷基且其中 指示與化合物之其餘部分之連接。 For any of the above aspects, when P represents a modified phosphate group, P can be represented by: wherein Y1 and Y2 each independently represent =O, =S, -O- , -OH , -SH , -BH3 , -OCH2CO2 , -OCH2CO2Rx , -OCH2C (S) ORx and -ORx , wherein Rx represents C1 - C6 alkyl and wherein Indicates the connection to the rest of the compound.
經修飾之磷酸酯意謂其中非連接氧中之一或多者經置換之磷酸酯基。經修飾之磷酸酯基的實例包括硫代磷酸酯、二硫代磷酸酯、硒代磷酸酯、硼烷磷酸酯(borano phosphate)、硼烷磷酸酯(borano phosphate ester)、氫膦酸酯、胺基磷酸酯、膦酸烷酯或膦酸芳酯及磷酸三酯。二硫代磷酸酯具有經硫置換之兩個非連接氧。磷酸酯基中之一個、各或兩個非連接氧可獨立地為S、Se、B、C、H、N或OR (R為烷基或芳基)中之任一者。A modified phosphate means a phosphate group in which one or more of the non-linked oxygens are replaced. Examples of modified phosphate groups include phosphorothioates, phosphorodithioates, phosphoroselenoates, boranophosphates, boranophosphate esters, hydrophosphonates, phosphoramidates, alkyl or aryl phosphonates, and phosphotriesters. Phosphorodithioates have two non-linked oxygens replaced by sulfur. One, each, or both of the non-linked oxygens in the phosphate group may independently be any of S, Se, B, C, H, N, or OR (R is alkyl or aryl).
磷酸酯亦可藉由連接氧用氮置換(橋接胺基磷酸酯)、用硫置換(橋接硫代磷酸酯)及用碳置換(橋接亞甲基膦酸酯)而修飾。置換可在末端氧進行。非連接氧經氮置換為可能的。Phosphates can also be modified by replacement of the linking oxygen with nitrogen (bridged phosphoramidates), with sulfur (bridged phosphorothioates), and with carbon (bridged methylenephosphonates). The replacement can be made at the terminal oxygen. Replacement of non-linking oxygens with nitrogen is possible.
例如,Y 1可表示-OH,且Y 2可表示=O或=S;或 Y 1可表示-O -,且Y 2可表示=O或=S; Y 1可表示=O,且Y 2可表示-CH 3、-SH、-OR x或-BH 3Y 1可表示=S,且Y 2可表示-CH 3、OR x或-SH。 For example, Y1 may represent -OH, and Y2 may represent =0 or =S; or Y1 may represent -O- , and Y2 may represent =0 or =S; Y1 may represent =0, and Y2 may represent -CH3 , -SH, -ORx , or -BH3; Y1 may represent =S, and Y2 may represent -CH3 , ORx , or -SH.
熟習此項技術者應理解,在某些情況下,Y 1與Y 2之間將存在非定域化(delocalisation)。 Those skilled in the art will appreciate that in certain circumstances there will be delocalisation between Y1 and Y2 .
較佳地,經修飾之磷酸酯基為硫代磷酸酯基。硫代磷酸酯基包括二硫代磷酸酯(亦即,其中Y 1表示=S且Y 2表示-S -)及單硫代磷酸酯(亦即,其中Y 1表示-O -且Y 2表示=S,或其中Y 1表示=O且Y 2表示-S -)。較佳地,P為單硫代磷酸酯。本發明人已發現,具有硫代磷酸酯基團置換磷酸酯基團之結合物具有改良的活體內效力及作用持續時間。 Preferably, the modified phosphate group is a thiophosphate group. Phosphorothioate groups include dithiophosphates (i.e., where Y 1 represents =S and Y 2 represents -S - ) and monothiophosphates (i.e., where Y 1 represents -O - and Y 2 represents =S, or where Y 1 represents =O and Y 2 represents -S - ). Preferably, P is a monothiophosphate. The inventors have found that conjugates having a thiophosphate group substituted for a phosphate group have improved in vivo potency and duration of action.
P亦可為乙基磷酸酯(亦即,其中Y 1表示=O且Y 2表示OCH 2CH 3)。 P may also be ethyl phosphate (ie, wherein Y 1 represents ═O and Y 2 represents OCH 2 CH 3 ).
配位體,例如醣,可經選擇以對目標細胞上至少一種類型之受體具有親和力。特別地,該受體位於哺乳動物肝細胞之表面上,例如肝去唾液酸糖蛋白受體複合體(ASGP-R)。The ligand, such as a carbohydrate, can be selected to have affinity for at least one type of receptor on the target cell. In particular, the receptor is located on the surface of mammalian liver cells, such as the hepatic asialoglycoprotein receptor complex (ASGP-R).
對於以上或以下態樣中之任一者,醣可選自具有半乳胺糖、甘露糖、半乳糖、葡萄糖、葡糖胺及果糖中之一或多者的N-乙醯基。通常,用於本發明中之配位體可包括N-乙醯基半乳胺糖(GalNAc)。較佳地,本發明化合物可具有3個配位體,將各自較佳包括N-乙醯基半乳胺糖。For any of the above or below aspects, the sugar may be selected from one or more of galactosamine, mannose, galactose, glucose, glucosamine and fructose having an N-acetyl group. Typically, the ligand used in the present invention may include N-acetylgalactosamine (GalNAc). Preferably, the compounds of the present invention may have three ligands, each of which preferably includes N-acetylgalactosamine.
「GalNAc」係指2-(乙醯基胺基)-2-去氧-D-半乳哌喃糖,在文獻中通常稱為N-乙醯基半乳胺糖。參考「GalNAc」或「N-乙醯基半乳胺糖」包括以下兩者:β-形式:2-(乙醯基胺基)-2-去氧-β-D-半乳哌喃糖,及α-形式:2-(乙醯基胺基)-2-去氧-α-D-半乳哌喃糖。在某些實施例中,β-形式:2-(乙醯基胺基)-2-去氧-β-D-半乳哌喃糖,及α-形式:2-(乙醯基胺基)-2-去氧-α-D-半乳哌喃糖,兩者可互換使用。較佳地,本發明化合物包含β形式,2-(乙醯胺基)-2-去氧-β-D-半乳哌喃糖。 2-(乙醯基胺基)-2-去氧-D-半乳哌喃糖 2-(乙醯基胺基)-2-去氧-β-D-半乳哌喃糖 2-(乙醯基胺基)-2-去氧-α-D-半乳哌喃糖 "GalNAc" refers to 2-(acetylamino)-2-deoxy-D-galactopyranose, which is generally referred to as N-acetylgalactosamine in the literature. References to "GalNAc" or "N-acetylgalactosamine" include the following two: β-form: 2-(acetylamino)-2-deoxy-β-D-galactopyranose, and α-form: 2-(acetylamino)-2-deoxy-α-D-galactopyranose. In certain embodiments, β-form: 2-(acetylamino)-2-deoxy-β-D-galactopyranose, and α-form: 2-(acetylamino)-2-deoxy-α-D-galactopyranose, can be used interchangeably. Preferably, the compounds of the present invention comprise the β-form, 2-(acetamido)-2-deoxy-β-D-galactopyranose. 2-(Acetylamino)-2-deoxy-D-galactopyranose 2-(Acetylamino)-2-deoxy-β-D-galactopyranose 2-(Acetylamino)-2-deoxy-α-D-galactopyranose
在一個態樣中,核酸為結合核酸,其中核酸與具有以下結構中之一者的異源部分結合,該等結構為了易於參考可被稱為「三觸角配位體」: 其中Z為如本文所定義之任何核酸。 In one aspect, the nucleic acid is a conjugated nucleic acid, wherein the nucleic acid is conjugated to a heterologous moiety having one of the following structures, which for ease of reference may be referred to as a "triterticular ligand": wherein Z is any nucleic acid as defined herein.
在某些實施例中,核酸Z經由磷酸酯或硫代磷酸酯基與三觸角配位體結合,該磷酸酯或硫代磷酸酯基將三觸角配位體連接至該核酸Z之末端核苷酸的糖之3'或5'位置,尤其連接至核糖之3'或5'位置。In certain embodiments, the nucleic acid Z is bound to the trianthrene ligand via a phosphate or phosphorothioate group, which links the trianthrene ligand to the 3' or 5' position of the sugar of the terminal nucleotide of the nucleic acid Z, particularly to the 3' or 5' position of the ribose sugar.
在某些實施例中,異源部分(「三觸角配位體」)結合至Z之第二(有義)股(其在表5a、5b、5c中亦稱為股「B」)之末端核苷酸之核糖的3'位置。In certain embodiments, the heterologous moiety ("tritertial ligand") is bound to the 3' position of the ribose of the terminal nucleotide of the second (sense) strand of Z (also referred to as strand "B" in Tables 5a, 5b, 5c).
在其他實施例中,異源部分(「三觸角配位體」)結合至Z之第二(有義)股(其在表5a、5b、5c中亦稱為股「B」)之末端核苷酸之核糖的5'位置。In other embodiments, the heterologous moiety ("tritertial ligand") is bound to the 5' position of the ribose of the terminal nucleotide of the second (sense) strand of Z (also referred to as strand "B" in Tables 5a, 5b, 5c).
在其他實施例中,異源部分(「三觸角配位體」)結合至Z之第一(反義)股(其在表5a、5b、5c中亦稱為股「A」)之末端核苷酸之核糖的3'位置。In other embodiments, the heterologous moiety ("tritertial ligand") is bound to the 3' position of the ribose of the terminal nucleotide of the first (antisense) strand of Z (also referred to as strand "A" in Tables 5a, 5b, 5c).
較佳地,核酸為結合核酸,其中該核酸與具有以下結構中之一者的三觸角配位體結合: , 其中Z為如本文所定義之任何核酸。 Preferably, the nucleic acid is a conjugated nucleic acid, wherein the nucleic acid is conjugated to a tritertial ligand having one of the following structures: , wherein Z is any nucleic acid as defined herein.
在一較佳實施例中,核酸Z經由磷酸酯或硫代磷酸酯基與三觸角配位體結合,該磷酸酯或硫代磷酸酯基將三觸角配位體連接至該核酸Z之末端核苷酸之核糖的3'或5'位置。In a preferred embodiment, the nucleic acid Z is bound to the triantral ligand via a phosphate or phosphorothioate group, which links the triantral ligand to the 3' or 5' position of the ribose of the terminal nucleotide of the nucleic acid Z.
較佳地,「三觸角配位體」結合至Z之第二(有義)股(其在表5a、5b、5c中亦稱為股「B」)之末端核苷酸之核糖的5'位置。Preferably, the "tritertial ligand" binds to the 5' position of the ribose of the terminal nucleotide of the second (sense) strand of Z (which is also referred to as strand "B" in Tables 5a, 5b, 5c).
式(II)、(III)或(IV)之異源部分或本文所揭示之三觸角配位體中之任一者可連接在第一(反義)股之3'-端及/或第二(有義)股之3'及/或5'端中之任一者處。核酸可包含超過一個式(II)、(III)或(IV)之異源部分或本文所揭示之三觸角配位體中之任一者。然而,由於單一此類部分足以將核酸高效靶向至目標細胞,所以式(II)、(III)或(IV)之單一異源部分或本文所揭示之三觸角配位體中之任一者為較佳的。較佳地,在彼情況下,在與配位體連接之核酸之末端的至少最後兩個,較佳至少最後三個,且更佳至少最後四個核苷酸藉由磷酸二酯鍵連接。The heterologous moiety of formula (II), (III) or (IV) or any of the trianthrene ligands disclosed herein may be linked to the 3'-end of the first (antisense) strand and/or to any of the 3' and/or 5' ends of the second (sense) strand. The nucleic acid may comprise more than one heterologous moiety of formula (II), (III) or (IV) or any of the trianthrene ligands disclosed herein. However, a single heterologous moiety of formula (II), (III) or (IV) or any of the trianthrene ligands disclosed herein is preferred, as a single such moiety is sufficient to efficiently target the nucleic acid to the target cell. Preferably, in that case, at least the last two, preferably at least the last three, and more preferably at least the last four nucleotides at the termini of the nucleic acid to which the ligand is linked are linked by phosphodiester bonds.
較佳地,第一(反義)股之5'-端不連接至異源部分,因為此位置之連接可能潛在地干擾核酸之生物活性。Preferably, the 5'-end of the first (antisense) strand is not linked to a heterologous moiety, as linkage at this position could potentially interfere with the biological activity of the nucleic acid.
在股之5'端處具有單一異源部分(例如,式(II)、(III)或(IV)之單一異源部分或本文所揭示之三觸角配位體中之任一者)的核酸比在3'端處具有相同基團之相同核酸更容易且因此更便宜地合成。因此較佳地,單一異源部分(例如,式(II)、(III)或(IV)中之任一者的單一異源部分或本文所揭示之三觸角配位體中之任一者)共價連接至(結合至)核酸之第二股的5'端。Nucleic acids having a single heterologous moiety (e.g., a single heterologous moiety of formula (II), (III) or (IV) or any of the trianthrene ligands disclosed herein) at the 5' end of a strand are easier and therefore cheaper to synthesize than the same nucleic acid having the same group at the 3' end. It is therefore preferred that the single heterologous moiety (e.g., a single heterologous moiety of any of formula (II), (III) or (IV) or any of the trianthrene ligands disclosed herein) is covalently linked (bound to) the 5' end of the second strand of the nucleic acid.
在一個態樣中,核酸之第一股為式(V)化合物: 其中b較佳為0或1;及 第二股為式(VI)化合物: ; 其中: c及d獨立地較佳為0或1; Z 1及Z 2分別為核酸之第一及第二股; Y獨立地為O或S; n獨立地為0、1、2或3;及 L 1為連接至配位體之連接子,其中L 1在式(V)及(VI)中相同或不同,且當L 1在同一式內存在超過一次時,在式(V)及(VI)內相同或不同,其中L 1較佳具有式(VII); 且其中b+c+d較佳為2或3。 In one embodiment, the first strand of the nucleic acid is a compound of formula (V): wherein b is preferably 0 or 1; and the second strand is a compound of formula (VI): ; wherein: c and d are preferably independently 0 or 1; Z1 and Z2 are the first and second strands of the nucleic acid, respectively; Y is independently O or S; n is independently 0, 1, 2 or 3; and L1 is a linker linked to the ligand, wherein L1 is the same or different in formula (V) and (VI), and when L1 exists more than once in the same formula, it is the same or different in formula (V) and (VI), wherein L1 preferably has formula (VII); and wherein b+c+d is preferably 2 or 3.
較佳地,式(V)及(VI)中之L 1具有式(VII): 其中: L係選自包含以下或較佳由以下組成之群: -(CH 2) r-C(O)-,其中r=2-12; -(CH 2-CH 2-O) s-CH 2-C(O)-,其中s=1-5; -(CH 2) t-CO-NH-(CH 2) t-NH-C(O)-,其中t獨立地為1-5; -(CH 2) u-CO-NH-(CH 2) u-C(O)-,其中u獨立地為1-5;及 -(CH 2) v-NH-C(O)-,其中v為2-12;及 其中末端C(O)連接至式(VII)之X (若存在),或若X不存在,則連接至式(VII)之W 1,或若W 1不存在,則連接至式(VII)之V; W 1、W 3及W 5獨立地不存在或選自包含以下或較佳由以下組成之群: -(CH 2) r-,其中r=1-7; -(CH 2) s-O-(CH 2) s-,其中s獨立地為0-5; -(CH 2) t-S-(CH 2) t-,其中t獨立地為0-5; X不存在或係選自包含以下或較佳由以下組成之群:NH、NCH 3或NC 2H 5; V係選自包含以下或較佳由以下組成之群: CH、N、 ; 其中B (若存在)為經修飾或天然核鹼基。 Preferably, L1 in formula (V) and (VI) has formula (VII): wherein: L is selected from the group comprising or preferably consisting of: -( CH2 ) r -C(O)-, wherein r=2-12; -( CH2 - CH2 -O) s - CH2 -C(O)-, wherein s=1-5; -( CH2 ) t -CO-NH-( CH2 ) t -NH-C(O)-, wherein t is independently 1-5; -( CH2 ) u -CO-NH-( CH2 ) u -C(O)-, wherein u is independently 1-5; and -( CH2 ) v -NH-C(O)-, wherein v is 2-12; and wherein the terminal C(O) is connected to X (if present) of formula (VII), or if X is absent, to W1 of formula (VII), or if W1 is absent, to V of formula (VII); W1 , W3 and W 5 is independently absent or selected from the group consisting of or preferably consisting of: -(CH 2 ) r -, wherein r=1-7; -(CH 2 ) s -O-(CH 2 ) s -, wherein s is independently 0-5; -(CH 2 ) t -S-(CH 2 ) t -, wherein t is independently 0-5; X is absent or selected from the group consisting of or preferably consisting of: NH, NCH 3 or NC 2 H 5 ; V is selected from the group consisting of or preferably consisting of: CH, N, ; wherein B (if present) is a modified or natural nucleobase.
在一個態樣中,第一股為式(VIII)化合物 其中b較佳為0或1;及 第二股為式(IX)化合物: ; 其中c及d獨立地較佳為0或1; 其中: Z 1及Z 2分別為核酸之第一及第二股; Y獨立地為O或S; R 1為H或甲基; n較佳獨立地為0、1、2或3;及 L在式(VIII)及(IX)中相同或不同,且當L在同一式內存在超過一次時,在式(VIII)及(IX)內相同或不同,且係選自包含以下或較佳由以下組成之群: -(CH 2) r-C(O)-,其中r=2-12; -(CH 2-CH 2-O) s-CH 2-C(O)-,其中s=1-5; -(CH 2) t-CO-NH-(CH 2) t-NH-C(O)-,其中t獨立地為1-5; -(CH 2) u-CO-NH-(CH 2) u-C(O)-,其中u獨立地為1-5;及 -(CH 2) v-NH-C(O)-,其中v為2-12;及 其中末端C(O) (若存在)連接至NH基團(為連接子的,而非靶向配位體的); 且其中b+c+d較佳為2或3。 In one embodiment, the first strand is a compound of formula (VIII) wherein b is preferably 0 or 1; and the second strand is a compound of formula (IX): ; wherein c and d are independently preferably 0 or 1; wherein: Z 1 and Z 2 are the first and second strands of the nucleic acid, respectively; Y is independently O or S; R 1 is H or methyl; n is preferably independently 0, 1, 2 or 3; and L is the same or different in formula (VIII) and (IX), and when L occurs more than once in the same formula, it is the same or different in formula (VIII) and (IX) and is selected from the group comprising or preferably consisting of: -(CH 2 ) r -C(O)-, wherein r=2-12; -(CH 2 -CH 2 -O) s -CH 2 -C(O)-, wherein s=1-5; -(CH 2 ) t -CO-NH-(CH 2 ) t -NH-C(O)-, wherein t is independently 1-5; -(CH 2 ) u -CO-NH-(CH 2 ) u -C(O)-, wherein u is independently 1-5; and -(CH 2 ) v -NH-C(O)-, wherein v is 2-12; and wherein the terminal C(O) (if present) is attached to the NH group (of the linker, not the targeting ligand); and wherein b+c+d is preferably 2 or 3.
在一個態樣中,核酸之第一股為式(X)化合物: 其中b較佳為0或1;及 第二股為式(XI)化合物: ; 其中: c及d獨立地較佳為0或1; Z 1及Z 2分別為核酸之第一及第二RNA股; Y獨立地為O或S; n較佳獨立地為0、1、2或3;及 L 2在式(X)及(XI)中相同或不同且在由b、c及d加括號之部分中相同或不同,且係選自包含以下或較佳由以下組成之群: ;或 n為0,且L 2為: 且末端OH基團不存在,使得形成以下部分: ; 其中: F為飽和分支鏈或非分支鏈(諸如非分支鏈) C 1-8烷基(例如C 1-6烷基)鏈,其中碳原子中之一者視情況經氧原子置換,其限制條件為該氧原子與另一雜原子(例如O或N原子)分隔開至少2個碳原子; L在式(X)及式(XI)中相同或不同,且係選自包含以下或較佳由以下組成之群: -(CH 2) r-C(O)-,其中r=2-12; -(CH 2-CH 2-O) s-CH 2-C(O)-,其中s=1-5; -(CH 2) t-CO-NH-(CH 2) t-NH-C(O)-,其中t獨立地為1-5; -(CH 2) u-CO-NH-(CH 2) u-C(O)-,其中u獨立地為1-5;及 -(CH 2) v-NH-C(O)-,其中v為2-12;及 其中末端C(O) (若存在)連接至NH基團(為連接子的,而非靶向配位體的); 且其中b+c+d較佳為2或3。 In one embodiment, the first strand of the nucleic acid is a compound of formula (X): wherein b is preferably 0 or 1; and the second strand is a compound of formula (XI): ; wherein: c and d are independently preferably 0 or 1; Z 1 and Z 2 are the first and second RNA strands of the nucleic acid, respectively; Y is independently O or S; n is preferably independently 0, 1, 2 or 3; and L 2 is the same or different in formula (X) and (XI) and the same or different in the part bracketed by b, c and d, and is selected from the group comprising or preferably consisting of: ; or n is 0, and L 2 is: And the terminal OH group does not exist, so that the following parts are formed: wherein: F is a saturated branched or unbranched (e.g. unbranched) C1-8 alkyl (e.g. C1-6 alkyl) chain, wherein one of the carbon atoms is optionally replaced by an oxygen atom, provided that the oxygen atom is separated from another heteroatom (e.g. O or N atom) by at least 2 carbon atoms; L is the same or different in formula (X) and formula (XI) and is selected from the group comprising or preferably consisting of: -( CH2 ) r -C(O)-, wherein r=2-12; -( CH2 - CH2 -O) s - CH2 -C(O)-, wherein s=1-5; -( CH2 ) t -CO-NH-( CH2 ) t -NH-C(O)-, wherein t is independently 1-5; -( CH2 ) u -CO-NH-( CH2 ) u -C(O)-, wherein u is independently 1-5; and -(CH 2 ) v -NH-C(O)-, wherein v is 2-12; and wherein the terminal C(O) (if present) is attached to the NH group (of the linker, not the targeting ligand); and wherein b+c+d is preferably 2 or 3.
在一個態樣中,在式(V)及(VI)或(VIII)及(IX)或(X)及(XI)之核酸中之任一者中,b為0,c為1且d為1;b為1,c為0且d為1;b為1,c為1且d為0;或b為1,c為1且d為1。較佳地,b為0,c為1且d為1;b為1,c為0且d為1;或b為1,c為1且d為1。最佳地,b為0,c為1且d為1。In one aspect, in any of the nucleic acids of formula (V) and (VI) or (VIII) and (IX) or (X) and (XI), b is 0, c is 1 and d is 1; b is 1, c is 0 and d is 1; b is 1, c is 1 and d is 0; or b is 1, c is 1 and d is 1. Preferably, b is 0, c is 1 and d is 1; b is 1, c is 0 and d is 1; or b is 1, c is 1 and d is 1. Most preferably, b is 0, c is 1 and d is 1.
在一個態樣中,式(V)及(VI)或(VIII)及(IX)或(X)及(XI)之核酸中之任一者中,Y為O。在另一態樣中,Y為S。在較佳態樣中,Y在式中之不同位置中獨立地選自O或S。In one embodiment, in any of the nucleic acids of formula (V) and (VI) or (VIII) and (IX) or (X) and (XI), Y is O. In another embodiment, Y is S. In a preferred embodiment, Y is independently selected from O or S at different positions in the formula.
在一個態樣中,在式(VIII)及(IX)之核酸中之任一者中,R 1為H或甲基。在一個態樣中,R 1為H。在另一態樣中,R 1為甲基。 In one aspect, in any of the nucleic acids of Formulae (VIII) and (IX), R 1 is H or methyl. In one aspect, R 1 is H. In another aspect, R 1 is methyl.
在一個態樣中,在式(V)及(VI)或(VIII)及(IX)或(X)及(XI)之核酸中之任一者中,n為0、1、2或3。較佳地,n為0。In one aspect, in any of the nucleic acids of formula (V) and (VI) or (VIII) and (IX) or (X) and (XI), n is 0, 1, 2 or 3. Preferably, n is 0.
式(X)及(XI)之核酸中之任一者中的F部分之實例包括(CH 2) 1-6,例如(CH 2) 1-4,例如CH 2、(CH 2) 4、(CH 2) 5或(CH 2) 6或CH 2O(CH 2) 2-3,例如CH 2O(CH 2)CH 3。 Examples of the F moiety in any of the nucleic acids of formula (X) and (XI) include ( CH2 ) 1-6 , such as ( CH2 ) 1-4 , such as CH2 , ( CH2 ) 4 , ( CH2 ) 5 or ( CH2 ) 6 or CH2O ( CH2 ) 2-3 , such as CH2O ( CH2 ) CH3 .
在一個態樣中,式(X)及(XI)中之L 2為: 。 In one embodiment, L2 in formula (X) and (XI) is: .
在一個態樣中,L 2為: 。 In one aspect, L2 is: .
在一個態樣中,L 2為: 。 In one aspect, L2 is: .
在一個態樣中,L 2為: 。 In one aspect, L2 is: .
在一個態樣中,n為0,且L 2為: 且末端OH基團不存在,使得形成以下部分: ; 其中Y為O或S。 In one aspect, n is 0, and L2 is: And the terminal OH group does not exist, so that the following parts are formed: ; Wherein Y is O or S.
在一個態樣中,式(V)及(VI)或(VIII)及(IX)或(X)及(XI)之核酸中之L係選自包含以下或較佳由以下組成之群: -(CH 2) r-C(O)-,其中r=2-12; -(CH 2-CH 2-O) s-CH 2-C(O)-,其中s=1-5; -(CH 2) t-CO-NH-(CH 2) t-NH-C(O)-,其中t獨立地為1-5; -(CH 2) u-CO-NH-(CH 2) u-C(O)-,其中u獨立地為1-5;及 -(CH 2) v-NH-C(O)-,其中v為2-12; 其中末端C(O)連接至NH基團。 In one embodiment, L in the nucleic acids of formula (V) and (VI) or (VIII) and (IX) or (X) and (XI) is selected from the group comprising or preferably consisting of: -( CH2 ) r -C(O)-, wherein r=2-12; -( CH2 - CH2 -O) s - CH2 -C(O)-, wherein s=1-5; -( CH2 ) t -CO-NH-( CH2 ) t -NH-C(O)-, wherein t is independently 1-5; -( CH2 ) u -CO-NH-( CH2 ) u -C(O)-, wherein u is independently 1-5; and -( CH2 ) v -NH-C(O)-, wherein v is 2-12; wherein the terminal C(O) is connected to the NH group.
較佳地,L為-(CH 2) r-C(O)-,其中r=2-12,更佳地r=2-6,甚至更佳地,r=4或6,例如4。 Preferably, L is -(CH 2 ) r -C(O)-, wherein r=2-12, more preferably r=2-6, even more preferably, r=4 or 6, such as 4.
較佳地,L為: 。 Preferably, L is: .
在由b、c及d加括號之部分內,式(X)及(XI)之核酸中之L 2通常相同。在由b、c及d加括號之部分之間,L 2可相同或不同。在實施例中,由c加括號之部分中的L 2與由d加括號之部分中的L 2相同。在實施例中,由c加括號之部分中的L 2與由d加括號之部分中的L2不相同。在實施例中,由b、c及d加括號之部分中的L 2相同,例如當連接子部分為絲胺醇衍生之連接子部分時。 Within the portion bracketed by b, c, and d , L2 in the nucleic acids of Formula (X) and (XI) is generally the same. Between the portions bracketed by b, c, and d, L2 may be the same or different. In embodiments, L2 in the portion bracketed by c is the same as L2 in the portion bracketed by d. In embodiments, L2 in the portion bracketed by c is different from L2 in the portion bracketed by d. In embodiments, L2 in the portions bracketed by b, c, and d is the same, for example when the linker moiety is a selenoic acid derived linker moiety.
絲胺醇衍生之連接子部分可基於任何立體化學之絲胺醇,亦即衍生自L-絲胺酸異構體、D-絲胺酸異構體、外消旋絲胺酸或其他異構體組合。在本發明之較佳態樣中,絲胺醇-GalNAc部分(SerGN)具有以下立體化學: 亦即係基於衍生自L-絲胺酸異構體之(S)-絲胺醇-胺基酸酯或(S)-絲胺醇丁二酸酯固體負載之建構嵌段。 The serotonin-derived linker moiety can be based on serotonin of any stereochemistry, i.e. derived from L-serotonin isomers, D-serotonin isomers, racemic serine or other isomer combinations. In a preferred embodiment of the present invention, the serotonin-GalNAc moiety (SerGN) has the following stereochemistry: That is, it is based on a solid-loaded building block of (S)-serine-amino acid ester or (S)-serine succinate derived from L-serine isomers.
在較佳態樣中,核酸之第一股為式(VIII)化合物,且核酸之第二股為式(IX)化合物,其中: b為0; c及d為1, n為0, Z 1及Z 2分別為核酸之第一及第二股, Y為S, R 1為H,及 L為-(CH 2) 4-C(O)-,其中L之末端C(O)連接至連接子之N原子(亦即,不為靶向配位體之可能N原子)。 In a preferred embodiment, the first strand of the nucleic acid is a compound of formula (VIII), and the second strand of the nucleic acid is a compound of formula (IX), wherein: b is 0; c and d are 1, n is 0, Z 1 and Z 2 are the first and second strands of the nucleic acid, respectively, Y is S, R 1 is H, and L is -(CH 2 ) 4 -C(O)-, wherein the terminal C(O) of L is connected to the N atom of the linker (i.e., not a possible N atom of the targeting ligand).
在另一較佳態樣中,核酸之第一股為式(V)化合物,且核酸之第二股為式(VI)化合物,其中: b為0, c及d為1, n為0, Z 1及Z 2分別為核酸之第一及第二股, Y為S, L 1具有式(VII),其中: W 1為-CH 2-O-(CH 2) 3-, W 3為-CH 2-, W 5不存在, V為CH, X為NH,及 L為-(CH 2) 4-C(O)-,其中L之末端C(O)連接至式(VII)中X之N原子。 In another preferred embodiment, the first strand of the nucleic acid is a compound of formula (V), and the second strand of the nucleic acid is a compound of formula (VI), wherein: b is 0, c and d are 1, n is 0, Z 1 and Z 2 are the first and second strands of the nucleic acid, respectively, Y is S, L 1 has formula (VII), wherein: W 1 is -CH 2 -O-(CH 2 ) 3 -, W 3 is -CH 2 -, W 5 is absent, V is CH, X is NH, and L is -(CH 2 ) 4 -C(O)-, wherein the terminal C(O) of L is connected to the N atom of X in formula (VII).
在另一較佳態樣中,核酸之第一股為式(V)化合物,且核酸之第二股為式(VI)化合物,其中: b為0, c及d為1, n為0, Z 1及Z 2分別為核酸之第一及第二股, Y為S, L 1具有式(VII),其中: W 1、W 3及W 5不存在, V為 , X不存在,及 L為-(CH 2) 4-C(O)-NH-(CH 2) 5-C(O)-,其中L之末端C(O)連接至式(VII)中V之N原子。 In another preferred embodiment, the first strand of the nucleic acid is a compound of formula (V), and the second strand of the nucleic acid is a compound of formula (VI), wherein: b is 0, c and d are 1, n is 0, Z 1 and Z 2 are the first and second strands of the nucleic acid, respectively, Y is S, L 1 has formula (VII), wherein: W 1 , W 3 and W 5 are absent, V is , X is absent, and L is -(CH 2 ) 4 -C(O)-NH-(CH 2 ) 5 -C(O)-, wherein the terminal C(O) of L is connected to the N atom of V in formula (VII).
在一個態樣中,核酸與具有以下結構之三觸角配位體結合: 其中核酸經由配位體之磷酸酯基團與三觸角配位體結合至下處: a) Z之第二(有義)股(其在表5a、5b、5c中亦稱為股「B」)之末端核苷酸之核糖的3'位置,或 b) Z之第二(有義)股(其在表5a、5b、5c中亦稱為股「B」)之末端核苷酸之核糖的5'位置,或 c) Z之第一(反義)股(其在表5a、5b中亦稱為股「A」)之末端核苷酸之核糖的3'位置。 In one aspect, the nucleic acid is bound to a tri-antennary ligand having the following structure: wherein the nucleic acid is bound to the trianthrene ligand via the phosphate group of the ligand to: a) the 3' position of the ribose of the terminal nucleotide of the second (sense) strand of Z (which is also referred to as strand "B" in Tables 5a, 5b, 5c), or b) the 5' position of the ribose of the terminal nucleotide of the second (sense) strand of Z (which is also referred to as strand "B" in Tables 5a, 5b, 5c), or c) the 3' position of the ribose of the terminal nucleotide of the first (antisense) strand of Z (which is also referred to as strand "A" in Tables 5a, 5b).
在核酸之一個態樣中,由具有配位體之核酸靶向之細胞為肝細胞。In one aspect of the nucleic acid, the cell targeted by the nucleic acid having a ligand is a hepatocyte.
在以上配位體中之任一者(其中存在GalNAc)中,GalNAc可經任何其他靶向配位體取代,諸如本文中提及之彼等者,尤其甘露糖、半乳糖、葡萄糖、葡糖胺及海藻糖。In any of the above ligands, where GalNAc is present, the GalNAc may be replaced by any other targeting ligand, such as those mentioned herein, in particular mannose, galactose, glucose, glucosamine and trehalose.
在一個態樣中,核酸與包含脂質,且更佳膽固醇之異源部分結合。 In one aspect, the nucleic acid is conjugated to a heterologous moiety comprising a lipid, and preferably cholesterol.
在一個態樣中,用於抑制AGT表現之雙股核酸為表5c中所示之雙螺旋體中之一者,其可藉由其雙螺旋體ID編號指代。In one aspect, the double-stranded nucleic acid used to inhibit AGT expression is one of the duplexes shown in Table 5c, which can be referred to by its duplex ID number.
在一個較佳態樣中,用於抑制AGT表現之雙股核酸為具有雙螺旋體ID編號EM2203、EM2206、EM2207、EM2209、EM2212、EM2214、EM2220、EM2227、EM2228之雙螺旋體。In a preferred embodiment, the double-stranded nucleic acid used to inhibit AGT expression is a duplex having duplex ID numbers EM2203, EM2206, EM2207, EM2209, EM2212, EM2214, EM2220, EM2227, EM2228.
舉例而言,EM2207、EM2227及EM2228之特徵為高活體內效能以及有利安全(例如,脫靶)概況,如在本文下述實例中所描述。For example, EM2207, EM2227, and EM2228 are characterized by high in vivo potency and favorable safety (eg, off-target) profiles, as described in the Examples herein below.
組合物、用途及方法本發明亦提供包含本發明之核酸之組合物。核酸及組合物可單獨或與其他藥劑組合用作治療劑或診斷劑。例如,本發明之一或多種核酸可與遞送媒劑(例如脂質體)及/或賦形劑(諸如載劑、稀釋劑)組合。亦可添加其他藥劑,諸如防腐劑及穩定劑。本發明之核酸中之任一者之醫藥學上可接受之鹽或溶劑合物同樣在本發明之範疇內。遞送核酸之方法為此項技術中已知的且在熟習此項技術者之知識範圍內。 Compositions, Uses and Methods The present invention also provides compositions comprising the nucleic acids of the present invention. The nucleic acids and compositions can be used alone or in combination with other agents as therapeutic or diagnostic agents. For example, one or more nucleic acids of the present invention can be combined with a delivery vehicle (e.g., liposomes) and/or a form (e.g., a carrier, a diluent). Other agents, such as preservatives and stabilizers, may also be added. Pharmaceutically acceptable salts or solvents of any of the nucleic acids of the present invention are also within the scope of the present invention. Methods for delivering nucleic acids are known in the art and are within the knowledge of those skilled in the art.
本文中所揭示之組合物尤其為醫藥組合物。此類組合物適用於向個體投與。The compositions disclosed herein are particularly pharmaceutical compositions. Such compositions are suitable for administration to an individual.
在一個態樣中,組合物包含本文所揭示之核酸或其醫藥學上可接受之鹽或溶劑合物,及溶劑(較佳水)、及/或遞送媒劑、及/或生理學上可接受之賦形劑、及/或載劑、及/或鹽、及/或稀釋劑、及/或緩衝劑、及/或防腐劑。In one aspect, the composition comprises a nucleic acid disclosed herein or a pharmaceutically acceptable salt or solvent thereof, and a solvent (preferably water), and/or a delivery vehicle, and/or a physiologically acceptable excipient, and/or a carrier, and/or a salt, and/or a diluent, and/or a buffer, and/or a preservative.
醫藥學上可接受之載劑或稀釋劑包括在適用於經口、經直腸、經鼻或非經腸(包括皮下、肌內、靜脈內、皮內及經皮)投與之調配物中使用的彼等醫藥學上可接受之載劑或稀釋劑。調配物可宜以單位劑型呈現且可利用藥劑學技術中熟知之任何方法來製備。皮下或經皮投與模式可尤其適合於本文所描述之化合物。Pharmaceutically acceptable carriers or diluents include those used in formulations suitable for oral, rectal, nasal or parenteral (including subcutaneous, intramuscular, intravenous, intradermal and transdermal) administration. The formulation may be conveniently presented in unit dosage form and may be prepared by any method known in the art of pharmacy. Subcutaneous or transdermal modes of administration may be particularly suitable for the compounds described herein.
本發明之核酸的預防或治療有效量將視投與途徑、所處理哺乳動物類型及所考慮之特定哺乳動物的物理特徵而定。決定此量之此等因素及其關係為醫學技術中熟習從業者所熟知。此量及投與方法可經調適以獲得最佳功效且可視熟習醫學技術者所熟知之因素而定,諸如體重、膳食、同時用藥情況及其他因素。最適合於人類用途之劑量大小及給藥方案可藉由本發明所獲得的結果來指導且可在恰當設計的臨床試驗中確認。The prophylactic or therapeutically effective amount of the nucleic acid of the present invention will depend on the route of administration, the type of mammal being treated, and the physical characteristics of the particular mammal being considered. These factors and their relationships that determine this amount are well known to those skilled in the medical art. This amount and method of administration can be adjusted to obtain the best efficacy and can depend on factors well known to those skilled in the medical art, such as body weight, diet, concurrent medications, and other factors. The dosage size and dosing regimen most suitable for human use can be guided by the results obtained by the present invention and can be confirmed in appropriately designed clinical trials.
有效劑量及處理方案可藉由習知手段確定,開始在實驗動物中使用低劑量,且隨後增加劑量,同時監測效果,且同樣系統地改變給藥方案。當針對給定個體確定最佳劑量時,臨床醫師可考慮許多因素。此類考慮因素為熟習此項技術者所知。Effective doses and treatment regimens can be determined by empirical means, starting with low doses in experimental animals and subsequently increasing the dose while monitoring the effects and also systematically varying the dosing regimen. The clinician can consider many factors when determining the optimal dose for a given individual. Such considerations are known to those skilled in the art.
本發明之核酸或其鹽可調配為經製備用於儲存或投與之醫藥組合物,其通常包含預防或治療有效量的本發明之核酸或其鹽於醫藥學上可接受之載劑中。The nucleic acid or salt thereof of the present invention can be formulated into a pharmaceutical composition prepared for storage or administration, which generally comprises a preventively or therapeutically effective amount of the nucleic acid or salt thereof of the present invention in a pharmaceutically acceptable carrier.
本發明之核酸或結合之核酸亦可與其他治療化合物組合投與,例如以組合單位劑量形式分開或同時投與。本發明亦包括一種組合物,其包含一或多種根據本發明之核酸於生理學/醫藥學上可接受之賦形劑中,諸如穩定劑、防腐劑、稀釋劑、緩衝劑及其類似物。The nucleic acids or conjugated nucleic acids of the present invention may also be administered in combination with other therapeutic compounds, for example, separately or simultaneously in a combined unit dose. The present invention also includes a composition comprising one or more nucleic acids according to the present invention in a physiologically/pharmaceutically acceptable formulation, such as stabilizers, preservatives, diluents, buffers and the like.
在一個態樣中,組合物包含本文所揭示之核酸及另一種選自包含以下之群的治療劑:寡核苷酸、小分子、單株抗體、多株抗體及肽。較佳地,另一治療劑為靶向,較佳抑制AGT之表現或活性之藥劑。較佳地,另一治療劑為以下中之一者:a)抑制AGT之表現或活性的肽;b)在生理條件下特異性結合至AGT之抗體;或其次單元或蛋白水解裂解產物中之一者。In one embodiment, the composition comprises a nucleic acid disclosed herein and another therapeutic agent selected from the group consisting of oligonucleotides, small molecules, monoclonal antibodies, polyclonal antibodies and peptides. Preferably, the other therapeutic agent is an agent that targets, preferably inhibits the expression or activity of AGT. Preferably, the other therapeutic agent is one of the following: a) a peptide that inhibits the expression or activity of AGT; b) an antibody that specifically binds to AGT under physiological conditions; or one of its subunits or proteolytic cleavage products.
在一些實施例中,另一治療劑係選自由以下組成之群:利尿劑,諸如噻𠯤、噻𠯤類、環利尿劑及保鉀利尿劑;血管收縮素轉化酶(ACE)抑制劑,諸如貝那普利(benazepril)、卡托普利(captopril)、依那普利(enalapril)、福辛普利(fosinopril)、賴諾普利(lisinopril);血管收縮素II受體拮抗劑;β-阻斷劑,諸如醋丁洛爾(acebutolol)、阿普洛爾(alprenolol)、阿替洛爾(atenolol)、倍他洛爾(betaxolol)、比索洛爾(bisoprolol)、布諾洛爾(bunolol)、卡替洛爾(carteolol)、卡維地洛(carvedilol)、塞利洛爾(celiprolol)、艾司洛爾(esmolol)、拉貝洛爾(labetalol)、左布諾洛爾(levobunolol)、美替洛爾(metipranolol)、美托洛爾(metoprolol)、納多洛爾(nadolol)、氧烯洛爾(oxpreolol)、品多洛爾(pindolol)、普萘洛爾(propranolol)、索他洛爾(sotalol)、噻嗎洛爾(timolol);血管擴張劑,諸如直接血管擴張劑,諸如聯胺肼(hydrazaline)及敏樂定(minoxidil);鈣通道阻斷劑(亦稱為鈣通道拮抗劑),諸如氨氯地平(amlodipine)、地爾硫卓(diltiazem)、維拉帕米(verapamil)、硝苯地平(nifedipine)、尼索地平(nisoldipine)、非洛地平(felodipine)、尼莫地平(nimodipine)、伊拉地平(isradipine)、左旋氨氯地平(levamlodipine)、氯維地平(clevidipine)、尼卡地平(nicardipine);醛固酮拮抗劑,諸如螺內酯、依普利酮(eplerenone)、非奈利酮(finerenone);α2促效劑,諸如可尼丁(clonidine)、甲基多巴(methydopa)、替紮尼定(tizanidine)、胍法新(guanfacine)、洛非西定(lofexidine);腎素抑制劑,諸如阿力克倫(aliskiren);α-阻斷劑,諸如多沙唑𠯤(doxazosin)、哌唑𠯤(prazosin)、特拉唑𠯤(terazosin);中樞作用交感神經阻斷藥,諸如甲基多巴(methyldopa)、可尼丁、胍那苄(guanabenz)或胍法新;外周作用交感神經阻斷藥;選擇性D1受體部分促進劑,諸如氯氮平(clozapine)、非諾多泮(fenoldopam);非選擇性α-腎上腺素拮抗劑,諸如苯氧苄胺(phenoxybenzamine);合成性及甾體抗鹽皮質激素藥(antimineralocorticoid agent),諸如螺內酯、依普利酮、坎利酮(canrenone)、非奈利酮(finereonone)、梅希利酮(mexrenone);血管收縮素受體腦啡肽酶抑制劑(ARNi),諸如沙庫比曲(sacubitril)、沙庫比曲/纈沙坦(valsartan);或內皮素受體拮抗劑(ERA),諸如西他塞坦(sitaxentan)、安立生坦(ambrisentan)、阿曲生坦(atrasentan)、BQ-123、齊泊騰坦(zibotentan)、波生坦(bosentan)、馬西替坦(macitentan)及替唑生坦(tezosentan);升壓素抑制劑,諸如托伐普坦(tolvaptan)、考尼伐坦(conivaptan)、利希普坦(lixivaptan)、莫紮伐普坦(mozavaptan)、斯特普坦(stavaptan)、瑞科普坦(relcovaptan);硝酸鹽;鉀通道開放劑,諸如敏樂定、尼可地爾(nicorandil)、吡那地爾(pinacidil)、左旋克羅卡林(levcromakalim);咪唑啉,諸如可尼丁、莫索尼定(moxonidin)、羥甲唑啉(oxymetazolin);前述任一者之組合;及調配成藥劑之組合的高血壓治療劑。In some embodiments, the additional therapeutic agent is selected from the group consisting of: diuretics, such as thiazides, thiazides, cyclic diuretics, and potassium-sparing diuretics; angiotensin converting enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, pril); angiotensin II receptor antagonists; beta-blockers such as acebutolol, alprenolol, atenolol, betaxolol, bisoprolol, bunolol, carteolol, carvedilol, arvedilol, celiprolol, esmolol, labetalol, levobunolol, metipranolol, metoprolol, nadolol, oxpreolol, pindolol, propranolol, sotalol, timolol; vasodilators, such as direct vasodilators, such as hydrazaline and minoxidil; calcium channel blockers (also called calcium channel antagonists), such as amlodipine ), diltiazem, verapamil, nifedipine, nisoldipine, felodipine, nimodipine, isradipine, levamlodipine, clevidipine, nicardipine; aldosterone antagonists such as spironolactone, eplerenone, finerenone; α2 agonists such as clonidine, methydopa, tizanidine, guanfacine, facine, lofexidine; renin inhibitors such as aliskiren; alpha-blockers such as doxazosin, prazosin, terazosin; centrally acting sympathetic nerve blockers such as methyldopa, clothianidin, guanabenz, or guanfacine; peripherally acting sympathetic nerve blockers; selective D1 receptor partial agonists such as clozapine and fenoldopam; nonselective alpha-adrenaline antagonists such as phenoxybenzamine; synthetic and steroidal antimineralocorticoids agents, such as spironolactone, eplerenone, canrenone, finereonone, mexrenone; vasopressin receptor neprilysin inhibitors (ARNi), such as sacubitril and sacubitril/valsartan; or endothelin receptor antagonists (ERAs), such as sitaxentan, ambrisentan, atrasentan, BQ-123, zibotentan, bosentan, macitentan, and tezosentan. entan); vasopressin inhibitors such as tolvaptan, conivaptan, lixivaptan, mozavaptan, stavaptan, relcovaptan; nitrates; potassium channel openers such as melamine, nicorandil, pinacidil, levcromakalim; imidazolines such as clothianidin, moxonidin, oxymetazolin; combinations of any of the foregoing; and hypertensive therapeutic agents formulated as combinations thereof.
較佳地,另一治療劑包含選自由以下組成之群的血管收縮素II受體拮抗劑:氯沙坦(losartan)、纈沙坦、奧美沙坦(olmesartan)、依普羅沙坦(eprosartan)、依貝沙坦(irbesartan)、替米沙坦(temisartan)、坎地沙坦(candesartan)及阿齊沙坦(azilsartan)。Preferably, the additional therapeutic agent comprises an angiotensin II receptor antagonist selected from the group consisting of losartan, valsartan, olmesartan, eprosartan, irbesartan, temisartan, candesartan and azilsartan.
在某些實施例中,具有不同序列之兩種或更多種本發明核酸可同時或依序投與。In certain embodiments, two or more nucleic acids of the invention having different sequences can be administered simultaneously or sequentially.
在另一態樣中,本發明提供一種組合物,例如醫藥組合物,其包含本發明之不同核酸中之一者或其組合及至少一種醫藥學上可接受之載劑。In another aspect, the present invention provides a composition, such as a pharmaceutical composition, comprising one or a combination of the different nucleic acids of the present invention and at least one pharmaceutically acceptable carrier.
本發明之治療劑及組合物的劑量含量可由熟習此項技術者藉由實驗確定。在一個態樣中,單位劑量可含有約0.01 mg/kg與約100 mg/kg體重之間的核酸或結合核酸。替代地,劑量可為10 mg/kg至25 mg/kg體重、或1 mg/kg至10 mg/kg體重、或0.05 mg/kg至5 mg/kg體重、或0.1 mg/kg至5 mg/kg體重、或0.1 mg/kg to1 mg/kg體重、或0.1 mg/kg至0.5 mg/kg體重、或0.5 mg/kg至1 mg/kg體重。替代地,劑量可為約0.5 mg/kg至約10 mg/kg體重、或約0.6 mg/kg至約8 mg/kg體重、或約0.7 mg/kg至約7 mg/kg體重、或約0.8 mg/kg至約6 mg/kg體重、或約0.9 mg/kg至約5.5 mg/kg體重、或約1 mg/kg至約5 mg/kg體重、或約1 mg/kg體重、或約3 mg/kg體重、或約5 mg/kg體重,其中「約」為與指示值至多30%,較佳至多20%,更佳至多10%,又更佳至多5%,且最佳0%之偏差。劑量含量亦可經由其他參數,諸如體表面積來計算。The dosage content of the therapeutic agent and composition of the present invention can be determined by experiments by those skilled in the art. In one aspect, the unit dose may contain between about 0.01 mg/kg and about 100 mg/kg of nucleic acid or nucleic acid binding. Alternatively, the dose may be 10 mg/kg to 25 mg/kg of body weight, or 1 mg/kg to 10 mg/kg of body weight, or 0.05 mg/kg to 5 mg/kg of body weight, or 0.1 mg/kg to 5 mg/kg of body weight, or 0.1 mg/kg to 1 mg/kg of body weight, or 0.1 mg/kg to 0.5 mg/kg of body weight, or 0.5 mg/kg to 1 mg/kg of body weight. Alternatively, the dosage may be about 0.5 mg/kg to about 10 mg/kg body weight, or about 0.6 mg/kg to about 8 mg/kg body weight, or about 0.7 mg/kg to about 7 mg/kg body weight, or about 0.8 mg/kg to about 6 mg/kg body weight, or about 0.9 mg/kg to about 5.5 mg/kg body weight, or about 1 mg/kg to about 5 mg/kg body weight, or about 1 mg/kg body weight, or about 3 mg/kg body weight, or about 5 mg/kg body weight, wherein "about" is a deviation of up to 30%, preferably up to 20%, more preferably up to 10%, and more preferably up to 5%, and most preferably 0% from the indicated value. The dosage content may also be calculated by other parameters, such as body surface area.
此等核酸之劑量單位較佳包含約1 mg/kg至約5 mg/kg體重、或約1 mg/kg至約3 mg/kg體重、或約1 mg/kg體重、或約3 mg/kg體重、或約5 mg/kg體重。與在類似條件下未用核酸處理或用對照核酸處理之對照相比,由劑量單位之核酸處理之個體的肝臟中之AGT mRNA含量及/或血漿或血液中之AGT蛋白質含量較佳在最大效應時間點減少至少30%、至少40%、至少50%、至少60%或至少70%。The dosage unit of such nucleic acid preferably comprises about 1 mg/kg to about 5 mg/kg body weight, or about 1 mg/kg to about 3 mg/kg body weight, or about 1 mg/kg body weight, or about 3 mg/kg body weight, or about 5 mg/kg body weight. The AGT mRNA level in the liver and/or the AGT protein level in the plasma or blood of the subject treated with the dosage unit of nucleic acid is preferably reduced by at least 30%, at least 40%, at least 50%, at least 60% or at least 70% at the maximum effect time point compared to a control not treated with nucleic acid or treated with a control nucleic acid under similar conditions.
投與之劑量及頻率可視治療是否為治療性或防治性(例如預防性)而變化,且可在治療過程期間加以調整。在某些防治性應用中,在相對長時間段內以相對不頻繁之間隔投與相對低之劑量。一些個體可在其壽命內繼續接受治療。在某些治療性應用中,有時需要以相對短之間隔投與相對高之劑量,直至疾病之進展減輕,或直至患者展示疾病之症狀部分或完全改善。其後,可將患者切換為適合的防治性給藥方案。The dosage and frequency of administration may vary depending on whether the treatment is therapeutic or prophylactic (e.g., preventive), and may be adjusted during the course of treatment. In certain prophylactic applications, relatively low doses are administered at relatively infrequent intervals over a relatively long period of time. Some individuals may continue to receive treatment throughout their lifetime. In certain therapeutic applications, it is sometimes necessary to administer relatively high doses at relatively short intervals until the progression of the disease is reduced, or until the patient exhibits partial or complete improvement in the symptoms of the disease. Thereafter, the patient may be switched to an appropriate prophylactic dosing regimen.
本發明之核酸單獨或與本發明之醫藥組合物中之一或多種其他活性成分組合的實際劑量含量可變化,以便獲得有效的活性成分之量,以達成特定患者、組合物及投與模式的所需治療反應,而不會對個體或患者產生有害副作用。所選劑量含量將視多種因素,諸如藥物動力學因素而定,該等因素包括所採用之特定核酸或組合物的活性;投與途徑;投與時間;待採用之特定核酸的排泄速率;治療持續時間;與所採用之特定組合物組合使用的其他藥物、化合物及/或材料;待治療個體或患者之年齡、性別、體重、病狀、一般健康狀況及先前病史;及醫學技術中熟知之類似因素。The actual dosage amount of the nucleic acid of the present invention alone or in combination with one or more other active ingredients in the pharmaceutical composition of the present invention can be varied so as to obtain an effective amount of the active ingredient to achieve the desired therapeutic response for a particular patient, composition and mode of administration without causing harmful side effects to the individual or patient. The selected dosage amount will depend on a variety of factors, such as pharmacokinetic factors, including the activity of the specific nucleic acid or composition employed; the route of administration; the time of administration; the excretion rate of the specific nucleic acid to be employed; the duration of treatment; other drugs, compounds and/or materials used in combination with the specific composition employed; the age, sex, weight, condition, general health and previous medical history of the individual or patient to be treated; and similar factors well known in the medical art.
醫藥組合物可為無菌可注射水性懸浮液或溶液,或呈凍乾形式。The pharmaceutical composition may be a sterile injectable aqueous suspension or solution, or in lyophilized form.
醫藥組合物可呈單位劑型形式。在此類形式中,將組合物分成含有適當量之活性組分的單位劑量。單位劑型可為封裝製劑,該封裝含有離散量之製劑,例如,小包錠劑、膠囊及小瓶或安瓿中之粉末。單位劑型亦可為膠囊、扁囊劑或錠劑自身,或其可為適當數量之此等封裝形式中之任一者。其可以單次劑量可注射形式提供,例如呈筆之形式。組合物可經調配用於任何合適的投與途徑及手段。The pharmaceutical composition may be in unit dosage form. In such form, the composition is divided into unit doses containing appropriate amounts of the active ingredient. The unit dosage form may be a packaged preparation containing discrete amounts of the preparation, for example, a packet of tablets, a capsule, and a powder in a vial or ampoule. The unit dosage form may also be a capsule, cachet, or tablet itself, or it may be an appropriate number of any of these packaged forms. It may be provided in a single dose injectable form, for example in the form of a pen. The composition may be formulated for any suitable route and means of administration.
本發明之治療劑及醫藥組合物可以醫藥學上有效劑量向哺乳動物個體投與。哺乳動物可選自人類、非人類靈長類動物、猴或原猴、犬、貓、馬、牛、豬、山羊、綿羊、小鼠、大鼠、倉鼠、刺蝟及天竺鼠或其他相關性物種。在此基礎上,如本文所用,「AGT」表示任一上述物種中之核酸或蛋白(若在其中天然或人工地表現),但較佳此詞表示人類核酸或蛋白。The therapeutic agents and pharmaceutical compositions of the present invention can be administered to a mammalian subject in a pharmaceutically effective dose. The mammal can be selected from humans, non-human primates, monkeys or prosimians, dogs, cats, horses, cows, pigs, goats, sheep, mice, rats, hamsters, hedgehogs and guinea pigs or other related species. On this basis, as used herein, "AGT" means a nucleic acid or protein in any of the above species (if naturally or artificially expressed therein), but preferably the term refers to a human nucleic acid or protein.
本發明之醫藥組合物可單獨或與一或多種其他治療劑或診斷劑組合投與。組合療法可包括本發明之核酸與至少一種其他治療劑組合,該治療劑基於待治療之特定患者、疾病或病狀選擇。其他此類藥劑之實例尤其包括治療活性小分子或多肽、單鏈抗體、經典抗體或其片段、或調節一或多種額外基因之基因表現的核酸分子及可補充或以其他方式有益於治療性或防治性治療方案的類似調節治療劑。The pharmaceutical compositions of the invention may be administered alone or in combination with one or more other therapeutic agents or diagnostic agents. Combination therapy may include a nucleic acid of the invention in combination with at least one other therapeutic agent selected based on the specific patient, disease or condition to be treated. Examples of other such agents include, among others, therapeutically active small molecules or polypeptides, single chain antibodies, classical antibodies or fragments thereof, or nucleic acid molecules that modulate gene expression of one or more additional genes and similar modulating therapeutic agents that may supplement or otherwise benefit therapeutic or prophylactic treatment regimens.
醫藥組合物在製造及儲存條件下通常無菌且穩定。組合物可調配為溶液、微乳液、脂質體或適合於較高藥物濃度之其他有序結構。載劑可為含有例如水、醇(諸如乙醇)、多元醇(例如甘油、丙二醇及液體聚乙二醇)或任何適合混合物之溶劑或分散介質。可例如藉由使用諸如卵磷脂之包衣、在分散液之情況下藉由維持所需粒度及藉由使用根據此項技術中熟知之調配化學方法的界面活性劑來維持適當流動性。在某些實施例中,等張劑,例如糖、多元醇(諸如甘露糖醇、山梨糖醇)或氯化鈉可在組合物中合乎需要。可藉由在組合物中包括延遲吸收劑(例如單硬脂酸鹽及明膠)來達成可注射組合物之延長吸收。Pharmaceutical compositions are generally sterile and stable under manufacturing and storage conditions. The composition can be formulated as a solution, microemulsion, liposome or other ordered structure suitable for higher drug concentrations. The carrier can be a solvent or dispersion medium containing, for example, water, alcohol (such as ethanol), polyols (such as glycerol, propylene glycol and liquid polyethylene glycol) or any suitable mixture. Suitable fluidity can be maintained, for example, by using a coating such as lecithin, by maintaining the desired particle size in the case of a dispersion, and by using a surfactant according to a formulation chemistry well known in the art. In certain embodiments, isotonic agents, such as sugars, polyols (such as mannitol, sorbitol) or sodium chloride may be desirable in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, monostearate salts and gelatin.
本發明之一個態樣為本文所揭示之核酸或組合物,其係用作治療劑。核酸或組合物較佳用於預防或治療疾病、病症或症候群。One aspect of the present invention is a nucleic acid or composition disclosed herein for use as a therapeutic agent. The nucleic acid or composition is preferably used to prevent or treat a disease, condition or syndrome.
本發明提供一種核酸,其單獨或與醫藥組合物中之一或多種額外治療劑組合使用以治療或預防對AGT表現之抑制起反應的病狀、疾病及病症。The present invention provides a nucleic acid for use alone or in combination with one or more additional therapeutic agents in a pharmaceutical composition to treat or prevent conditions, diseases and disorders responsive to inhibition of AGT expression.
本發明之一個態樣為如本文所揭示之核酸或組合物在預防或治療疾病、病症或症候群中之用途。One aspect of the invention is the use of a nucleic acid or composition as disclosed herein for the prevention or treatment of a disease, disorder or syndrome.
本發明之核酸及醫藥組合物可用於治療多種病狀、病症或疾病。用本發明之核酸治療較佳引起活體內AGT耗乏(較佳在肝臟中及/或在血液中)。因此,本發明之核酸及包含其之組合物將適用於治療多種病理性病症之方法,其中抑制AGT表現可為有益的。本發明提供用於治療疾病、病症或症候群之方法,其包含向有需要之個體投與預防或治療有效量之本發明之核酸的步驟。The nucleic acids and pharmaceutical compositions of the present invention can be used to treat a variety of conditions, disorders or diseases. Treatment with the nucleic acids of the present invention preferably causes AGT depletion in vivo (preferably in the liver and/or in the blood). Therefore, the nucleic acids of the present invention and compositions comprising the same will be suitable for use in methods for treating a variety of pathological conditions, in which inhibition of AGT expression may be beneficial. The present invention provides a method for treating a disease, disorder or syndrome, comprising the step of administering a preventive or therapeutically effective amount of the nucleic acid of the present invention to an individual in need thereof.
因此,本發明提供預防或治療疾病、病症或症候群之方法,該方法包含向有需要之個體(例如患者)投與治療有效量之核酸或包含本發明之核酸的醫藥組合物的步驟。Therefore, the present invention provides a method for preventing or treating a disease, disorder or syndrome, comprising the step of administering a therapeutically effective amount of a nucleic acid or a pharmaceutical composition comprising the nucleic acid of the present invention to a subject in need thereof (eg, a patient).
最理想的治療有效量為將產生特定治療之所需功效的量,該特定治療由熟習此項技術者針對有需要之給定個體選擇。此量將視熟習此項技術者所理解之各種因素而變化,該等因素包括但不限於治療化合物之特徵(包括活性、藥物動力學、藥效學及生物可用性)、個體之生理條件(包括年齡、性別、疾病類型及階段、一般身體條件、對給定劑量之反應性及藥物類型)、調配物中之一或多種醫藥學上可接受之載劑的性質及投與途徑。熟習臨床及藥理學技術之技術者將能夠經由實驗確定治療有效量,即藉由監測個體對投與化合物之反應且相應地調節劑量。參見例如Remington: The Science and Practice of Pharmacy 第21版, Univ. of Sciences in Philadelphia (USIP), Lippincott Williams & Wilkins, Philadelphia, PA, 2005。The optimal therapeutically effective amount is that amount that will produce the desired effect for a particular treatment, which is selected by one skilled in the art for a given individual in need thereof. This amount will vary depending on a variety of factors understood by one skilled in the art, including, but not limited to, the characteristics of the therapeutic compound (including activity, pharmacokinetics, pharmacodynamics, and bioavailability), the physiological condition of the individual (including age, sex, disease type and stage, general physical condition, responsiveness to a given dose, and type of drug), the nature of one or more pharmaceutically acceptable carriers in the formulation, and the route of administration. One skilled in clinical and pharmacological techniques will be able to determine the therapeutically effective amount experimentally, i.e., by monitoring the individual's response to the administered compound and adjusting the dosage accordingly. See, e.g., Remington: The Science and Practice of Pharmacy 21st ed., Univ. of Sciences in Philadelphia (USIP), Lippincott Williams & Wilkins, Philadelphia, PA, 2005.
在某些實施例中,本發明之核酸及醫藥組合物可用於治療或預防疾病、病症或症候群。In certain embodiments, the nucleic acids and pharmaceutical compositions of the invention can be used to treat or prevent diseases, disorders or syndromes.
在某些實施例中,本發明提供用於預防或治療哺乳動物個體(諸如人類)之疾病、病症或症候群的方法,該方法包含向有需要之個體投與預防或治療有效量之如本文所揭示之核酸的步驟。In certain embodiments, the present invention provides a method for preventing or treating a disease, disorder or syndrome in a mammalian subject (such as a human), the method comprising administering to a subject in need thereof a preventive or therapeutically effective amount of a nucleic acid as disclosed herein.
投與「治療有效劑量」之本發明之核酸可使得疾病症狀之嚴重程度降低、無疾病症狀期之頻率或持續時間增加或預防疾病病痛所致之損傷或失能。Administration of a "therapeutically effective amount" of the nucleic acid of the present invention can reduce the severity of disease symptoms, increase the frequency or duration of disease symptom-free periods, or prevent damage or disability caused by disease ailments.
本發明之核酸可有益於治療或診斷可使用本文所描述之方法診斷或治療之疾病、病症或症候群。亦認為其他疾病、病症或症候群之治療及診斷屬於本發明之範疇內。The nucleic acids of the invention may be useful in treating or diagnosing a disease, disorder or syndrome that can be diagnosed or treated using the methods described herein. Treatment and diagnosis of other diseases, disorders or syndromes are also contemplated as being within the scope of the invention.
本發明之一個態樣為一種預防或治療疾病、病症或症候群之方法,其包含向需要治療之個體投與醫藥學上有效劑量或量之本文所揭示之核酸或組合物,較佳其中經皮下、靜脈內或經口、經直腸、經肺、肌肉內或腹膜內投與來向個體投與核酸或組合物。較佳地,其經皮下投與。One aspect of the present invention is a method for preventing or treating a disease, disorder or syndrome, comprising administering to a subject in need of treatment a pharmaceutically effective dose or amount of a nucleic acid or composition disclosed herein, preferably wherein the nucleic acid or composition is administered to the subject subcutaneously, intravenously, or orally, rectally, pulmonary, intramuscularly or intraperitoneally. Preferably, it is administered subcutaneously.
該疾病、病症或症候群通常為AGT介導之疾病、病症或症候群,與AGT之異常活化及/或過度活化(超活化)及/或AGT之過度表現或異位表現或定位或累積相關。The disease, disorder or syndrome is typically an AGT-mediated disease, disorder or syndrome associated with abnormal activation and/or overactivation (hyperactivation) of AGT and/or overexpression or ectopic expression or localization or accumulation of AGT.
AGT介導之疾病、病症或症候群可a)選自包含以下之群且較佳由以下組成:血壓高;高血壓;臨界性高血壓;本態性高血壓;原發性高血壓;繼發性高血壓;單純收縮期或舒張期高血壓(isolated systolic or diastolic hypertension);妊娠相關高血壓;糖尿病性高血壓;頑固性高血壓;難治性高血壓;陣發性高血壓;腎血管性高血壓;高布拉德氏高血壓(Goldblatt's hypertension);低血漿腎素活性或血漿腎素濃度相關高血壓;惡性高血壓;肥胖相關高血壓;高眼壓;青光眼;肺高血壓;門靜脈高血壓;全身性高靜脈壓;收縮期高血壓;不穩定性高血壓;高血壓性心臟病;高血壓性腎病變;高血壓緊急狀況(hypertensive urgency);高血壓急症(hypertensive emergency);高血壓性腦病;可逆性後部腦病症候群;動脈粥樣硬化;外周動脈疾病;血管病變;糖尿病腎病變;糖尿病性視網膜病變;慢性心臟衰竭;心肌病;糖尿病性心肌病;腎小球硬化;主動脈狹窄;主動脈瘤;心室纖維化;心臟衰竭;射血分數保留型心臟衰竭(heart failure with preserved ejection fraction,HFpEF);射血分數降低型心臟衰竭(heart failure with reduced ejection fraction,HFrEF);缺血性心臟病;心肌梗塞;絞痛;中風;腎病;腎衰竭;全身性硬化症;子宮內生長受限(IUGR);胎兒生長受限;肥胖症;肝脂肪變性/ 脂肪肝;非酒精性脂肪變性肝炎(NASH);非酒精性脂肪肝病(NAFLD);葡萄糖失耐;2型糖尿病(非胰島素依賴性糖尿病);偏頭痛預防;腎病症候群;蛋白尿;多囊卵巢症候群;纖維肌性發育不良;甲狀腺高能症;甲狀腺功能低下;肢端肥大症;睡眠呼吸暫停;藥物誘導之高血壓;醫原性高血壓;運動員高血壓;圍手術期高血壓;嗜鉻細胞瘤;康氏症候群(Conn's syndrome) (原發性高醛固酮症);繼發性高醛固酮症;皮質醇增多症(庫欣氏症候群(Cushing syndrome)及庫欣氏疾病);左心室肥大;主動脈瓣狹窄;主動脈瓣閉鎖不全;二尖瓣反流;擴張型心肌症;兒童高血壓;青少年高血壓;COVID-19;慢性腎病;腎炎症候群(nephritic syndrome) (與腎病(nephrotic)不同);硬皮病腎危象;狼瘡性腎炎;C3-腎小球病;IgA腎病變;多囊性腎病;微小改變疾病;原發性膜性腎病變;繼發性膜性腎病變;局部區段性腎小球硬化;免疫複合體膜增生性腎小球腎炎;鐮狀細胞性腎病;HIV腎病;澱粉樣變性;與致病性TGF-b信號傳導相關的主動脈病變;馬凡氏症候群(Marfan syndrome);洛伊斯-迪茲症候群(Loeys-Dietz syndrome);遺傳出血性毛細血管擴張;家族性胸主動脈瘤及解剖與代謝症候群。The AGT-mediated disease, disorder or syndrome may be a) selected from the group comprising and preferably consisting of: high blood pressure; hypertension; critical hypertension; essential hypertension; primary hypertension; secondary hypertension; isolated systolic or diastolic hypertension; pregnancy-related hypertension; diabetic hypertension; intractable hypertension; refractory hypertension; paroxysmal hypertension; renovascular hypertension; Goldblatt's hypertension hypertension); hypertension associated with low plasma renin activity or plasma renin concentration; malignant hypertension; hypertension associated with obesity; ocular hypertension; glaucoma; pulmonary hypertension; portal hypertension; systemic venous hypertension; systolic hypertension; unstable hypertension; hypertensive heart disease; hypertensive nephropathy; hypertensive urgency; hypertensive emergency emergency); hypertensive encephalopathy; reversible posterior encephalopathy syndrome; atherosclerosis; peripheral arterial disease; vascular lesions; diabetic nephropathy; diabetic retinopathy; chronic heart failure; cardiomyopathy; diabetic cardiomyopathy; glomerulosclerosis; aortic stenosis; aortic aneurysm; ventricular fibrosis; heart failure; heart failure with preserved ejection fraction (HFpEF); heart failure with reduced ejection fraction (HFrEF); ischemic heart disease; myocardial infarction; angina; stroke; nephropathy; renal failure; systemic sclerosis; intrauterine growth restriction (IUGR); fetal growth restriction; obesity; hepatic steatosis/ Fatty liver; nonalcoholic steatohepatitis (NASH); nonalcoholic fatty liver disease (NAFLD); glucose intolerance; type 2 diabetes mellitus (non-insulin-dependent diabetes mellitus); migraine prevention; nephrotic syndrome; proteinuria; polycystic ovary syndrome; fibromuscular dysplasia; hyperthyroidism; hypothyroidism; acromegaly; sleep apnea; drug-induced hypertension; iatrogenic hypertension; athlete's hypertension; perioperative hypertension; pheochromocytoma; Conn's syndrome (primary hyperaldosteronism); secondary hyperaldosteronism; hypercortisolism (Cushing's syndrome) syndrome and Cushing's disease); left ventricular hypertrophy; aortic stenosis; aortic regurgitation; mitral regurgitation; dilated cardiomyopathy; hypertension in children; hypertension in adolescents; COVID-19; chronic kidney disease; nephritic syndrome (distinct from nephrotic); scleroderma renal crisis; lupus nephritis; C3-glomerulopathy; IgA nephropathy; polycystic nephropathy; minimal change disease; primary membranous nephropathy; secondary membranous nephropathy; focal segmental glomerulosclerosis; immune complex membranoproliferative glomerulonephritis; sickle cell nephropathy; HIV nephropathy; amyloidosis; aortic lesions associated with pathogenic TGF-b signaling; Marfan syndrome; Loeys-Dietz syndrome; hereditary hemorrhagic telangiectasia; familial thoracic aortic aneurysm and anatomic and metabolic syndrome.
在一個實施例中,AGT介導之疾病為血壓不受控之患者的高血壓。In one embodiment, the AGT-mediated disorder is hypertension in a patient with uncontrolled blood pressure.
在一個實施例中,AGT介導之疾病、病症或症候群係選自原發性高血壓、兒童高血壓、慢性心臟衰竭、慢性腎病、缺血性心臟病、絞痛、心肌梗塞、頑固性高血壓、非酒精性脂肪變性肝炎、腎病症候群、主動脈狹窄及HIV腎病。In one embodiment, the AGT-mediated disease, disorder or syndrome is selected from essential hypertension, childhood hypertension, chronic heart failure, chronic kidney disease, ischemic heart disease, angina, myocardial infarction, refractory hypertension, nonalcoholic fatty hepatitis, nephrotic syndrome, aortic stenosis and HIV nephropathy.
在一個實施例中,AGT介導之疾病、病症或症候群係選自原發性高血壓、兒童高血壓、慢性心臟衰竭、慢性腎病、缺血性心臟病、絞痛及心肌梗塞。In one embodiment, the AGT-mediated disease, disorder or syndrome is selected from essential hypertension, childhood hypertension, chronic heart failure, chronic kidney disease, ischemic heart disease, angina and myocardial infarction.
本文所揭示之核酸或組合物可以包含每週一次或兩次、每週、每兩週、每三週、每四週、每五週、每六週、每七週、每八週、每九週、每十週、每十一週、每十二週、每三個月、每四個月、每五個月、每六個月治療之方案或以不同給藥頻率(諸如上述間隔的組合)之方案使用。核酸或組合物可經皮下、靜脈內或使用任何其他應用途徑,諸如經口、經直腸、經肺或腹膜內使用。較佳地,其經皮下使用。The nucleic acid or composition disclosed herein can be used in a regimen comprising once or twice a week, every week, every two weeks, every three weeks, every four weeks, every five weeks, every six weeks, every seven weeks, every eight weeks, every nine weeks, every ten weeks, every eleven weeks, every twelve weeks, every three months, every four months, every five months, every six months, or a regimen with different dosing frequencies (such as a combination of the above intervals). The nucleic acid or composition can be administered subcutaneously, intravenously, or using any other application route, such as orally, rectally, pulmonary or intraperitoneally. Preferably, it is administered subcutaneously.
在經如本文所揭示之核酸或組合物處理或接受如本文所揭示之核酸或組合物的細胞及/或個體中,AGT表現的抑制範圍與未處理細胞及/或個體相比可為15%至100%,但至少約30%、35%、40%、45%、50%、55%、60%、65%、70%、75%、80%、85%、90%、95%、98%或100%或中間值。抑制含量可允許治療與AGT表現或過度表現或補體過度活化相關之疾病,或可用以進一步研究AGT基因產物之功能及生理作用。抑制水平較佳在經核酸或組合物處理之個體的肝臟中或血液中或腎臟中,較佳在血液中量測。In cells and/or individuals treated with or receiving nucleic acids or compositions as disclosed herein, the inhibition of AGT expression may range from 15% to 100% compared to untreated cells and/or individuals, but is at least about 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 98% or 100% or intermediate values. The inhibitory level may allow treatment of diseases associated with AGT expression or overexpression or complement overactivation, or may be used to further study the function and physiological effects of the AGT gene product. The level of inhibition is preferably measured in the liver or blood or kidney of an individual treated with the nucleic acid or composition, preferably in the blood.
一個態樣為如本文所揭示之核酸或組合物在製造用於治療疾病、病症或症候群之藥劑中的用途,該疾病、病症或症候群諸如為如上文所列之疾病、病症或症候群或與AGT含量升高(較佳在血液或腎臟中)或補體路徑過度活化相關之其他病變;或需要抑制AGT表現之其他治療方法。藥劑為醫藥組合物。One aspect is the use of a nucleic acid or composition as disclosed herein in the manufacture of a medicament for treating a disease, disorder or syndrome, such as those listed above or other pathologies associated with elevated AGT levels (preferably in the blood or kidney) or overactivation of the tonic pathway; or other treatments requiring inhibition of AGT expression. The medicament is a pharmaceutical composition.
本發明之核酸及其醫藥學上可接受之鹽及溶劑合物中之各者構成本發明之個別實施例。Each of the nucleic acids and pharmaceutically acceptable salts and solvents of the present invention constitutes an individual embodiment of the present invention.
本發明亦包括一種預防或治療疾病、病症或症候群(諸如上文所列之彼等疾病、病症或症候群)的方法,其包含向有需要之個體投與包含如本文所述之核酸或組合物的組合物。核酸或組合物可例如以包含每週兩次、每週一次、每兩週、每三週、每四週、每五週、每六週、每七週或每八週至十二週或更多週治療之方案或以不同給藥頻率(諸如上述間隔的組合)之方案投與。核酸或結合核酸可經皮下或靜脈內,或其他應用途徑,諸如經口、經直腸或腹膜內使用。The invention also includes a method of preventing or treating a disease, condition or syndrome (such as those listed above) comprising administering to a subject in need thereof a composition comprising a nucleic acid or composition as described herein. The nucleic acid or composition can be administered, for example, in a regimen comprising twice a week, once a week, every two weeks, every three weeks, every four weeks, every five weeks, every six weeks, every seven weeks, or every eight weeks to twelve weeks or more of treatment, or in a regimen of different dosing frequencies (such as a combination of the above intervals). The nucleic acid or conjugated nucleic acid can be administered subcutaneously or intravenously, or other routes of application, such as oral, rectal or intraperitoneal.
本發明之核酸可藉由此項技術中已知之任何適當投與路徑進行投與,包括但不限於氣霧劑、經腸、經鼻、經眼、經口、非經腸、經直腸、經陰道或經皮(例如,局部投與乳膏、凝膠或軟膏,或藉助於經皮貼片)。「非經腸投與」通常與在預期作用部位處或與預期作用部位連通的注射有關,包括眶下、輸注、動脈內、囊內、心內、皮內、肌肉內、腹膜內、肺內、脊椎內、胸骨內、鞘內、子宮內、靜脈內、蛛膜下、囊內、皮下、經黏膜或經氣管投與。The nucleic acids of the invention may be administered by any suitable route of administration known in the art, including but not limited to aerosol, enteral, nasal, ophthalmic, oral, parenteral, rectal, vaginal, or transdermal (e.g., topical administration of a cream, gel, or ointment, or by means of a transdermal patch). "Parenteral administration" generally involves injection at or in communication with the intended site of action, including infraorbital, infusion, intraarterial, intracapsular, intracardiac, intradermal, intramuscular, intraperitoneal, intrapulmonary, intraspinal, intrasternal, intrathecal, intrauterine, intravenous, subarachnoid, intracapsular, subcutaneous, transmucosal, or transtracheal administration.
使用核酸之化學修飾模式賦予血清中之核酸酶穩定性,且使例如皮下施加途徑可行。The use of chemically modified patterns of nucleic acids confers nuclease stability in serum and enables, for example, subcutaneous administration routes.
用於皮內或皮下施加之溶液或懸浮液通常包括以下中之一或多者:無菌稀釋劑,諸如注射用水、生理鹽水溶液、不揮發性油、聚乙二醇、丙三醇、丙二醇或其他合成溶劑;抗細菌劑,諸如苯甲醇或對羥基苯甲酸甲酯;抗氧化劑,諸如抗壞血酸或亞硫酸氫鈉;螯合劑,諸如乙二胺四乙酸;緩衝劑,諸如乙酸鹽、檸檬酸鹽或磷酸鹽;及/或張力調節劑,諸如氯化鈉或右旋糖。pH可用酸或鹼調節,諸如鹽酸或氫氧化鈉,或具有檸檬酸鹽、磷酸鹽、乙酸鹽及其類似物之緩衝劑。此類製劑可封裝於由玻璃或塑膠製成之安瓿、拋棄式注射器或多劑量小瓶中。Solutions or suspensions for intradermal or subcutaneous application typically include one or more of the following: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerol, propylene glycol or other synthetic solvents; an antibacterial agent such as benzyl alcohol or methyl paraben; an antioxidant such as ascorbic acid or sodium bisulfite; a chelating agent such as ethylenediaminetetraacetic acid; a buffer such as acetates, citrates or phosphates; and/or a tonicity adjusting agent such as sodium chloride or dextrose. The pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide, or with buffers such as citrates, phosphates, acetates and the like. Such preparations can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.
無菌可注射溶液可藉由將所需量之核酸視需要與上文所描述之一種成分或成分之組合一起併入適當溶劑中,接著滅菌微過濾來製備。分散液可藉由將活性化合物併入至含有分散介質及視情況存在之其他成分(諸如上述之彼等成分)的無菌媒劑中來製備。在無菌粉末用於製備無菌可注射溶液之情況下,製備方法為真空乾燥及冷凍乾燥(凍乾),該等方法自其無菌過濾溶液產生活性成分以及任何額外所需成分之粉末。Sterile injectable solutions can be prepared by incorporating the desired amount of nucleic acid into an appropriate solvent, optionally with one or a combination of ingredients described above, followed by sterilization microfiltration. Dispersions can be prepared by incorporating the active compound into a sterile vehicle containing a dispersion medium and, if appropriate, other ingredients (such as those described above). In the case of sterile powders for the preparation of sterile injectable solutions, the preparation methods are vacuum drying and freeze drying (lyophilization), which produce a powder of the active ingredient and any additional desired ingredients from a sterile filtered solution thereof.
當藉由例如靜脈內、皮膚或皮下注射投與預防或治療有效量之本發明之核酸時,核酸將呈無熱原質、非經腸可接受之水溶液形式。考慮適當pH、等張性、穩定性及其類似者,用於製備非經腸可接受之溶液之方法屬於此項技術內。用於靜脈內、皮膚或皮下注射之較佳醫藥組合物除核酸外,亦可含有等張媒劑,諸如氯化鈉注射液、林格氏注射液、右旋糖注射液、右旋糖及氯化鈉注射液、乳酸林格氏注射液或此項技術中已知之其他媒劑。本發明之醫藥組合物亦可含有穩定劑、防腐劑、緩衝劑、抗氧化劑或熟習此項技術者已知之其他添加劑。When a prophylactically or therapeutically effective amount of the nucleic acid of the present invention is administered, for example, by intravenous, cutaneous or subcutaneous injection, the nucleic acid will be in the form of a pyrogen-free, parenterally acceptable aqueous solution. Methods for preparing parenterally acceptable solutions, taking into account appropriate pH, isotonicity, stability and the like, are within the skill of the art. Preferred pharmaceutical compositions for intravenous, cutaneous or subcutaneous injection may contain, in addition to the nucleic acid, an isotonic vehicle such as sodium chloride injection, Ringer's injection, dextrose injection, dextrose and sodium chloride injection, lactated Ringer's injection or other vehicles known in the art. The pharmaceutical composition of the present invention may also contain stabilizers, preservatives, buffers, antioxidants or other additives known to those skilled in the art.
可與載劑材料組合以產生單一劑型之核酸的量將視多種因素而變化,包括所治療之個體及特定投與模式。一般而言,組合物的量將在特定情形下產生適當治療效應。一般而言,以百分比計,與醫藥學上可接受之載劑組合的此量通常在約0.01%至約99%之核酸、約0.1%至約70%或約1%至約30%之核酸的範圍內。The amount of nucleic acid that can be combined with a carrier material to produce a single dosage form will vary depending on a variety of factors, including the individual being treated and the particular mode of administration. In general, the amount of the composition will produce an appropriate therapeutic effect in a particular situation. In general, as a percentage, this amount combined with a pharmaceutically acceptable carrier is usually in the range of about 0.01% to about 99% nucleic acid, about 0.1% to about 70%, or about 1% to about 30% nucleic acid.
核酸可與將保護化合物免於快速釋放之載劑一起製備,該等載劑諸如控制釋放調配物,包括植入物、經皮貼片及微膠囊化遞送系統。可使用可生物降解的生物相容性聚合物,諸如乙烯乙酸乙烯酯、聚酸酐、聚乙醇酸、膠原蛋白、聚原酸酯及聚乳酸。許多用於製備此類調配物之方法已獲得專利或為熟習此項技術者所熟知。參見例如,Sustained and Controlled Release Drug Delivery Systems, J.R. Robinson編, Marcel Dekker, Inc., New York, 1978。The nucleic acid can be prepared with a carrier that will protect the compound from rapid release, such as a controlled release formulation, including implants, transdermal patches, and microencapsulated delivery systems. Biodegradable, biocompatible polymers such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid can be used. Many methods for preparing such formulations are patented or are known to those skilled in the art. See, for example, Sustained and Controlled Release Drug Delivery Systems, J.R. Robinson, ed., Marcel Dekker, Inc., New York, 1978.
可調整劑量方案以提供最優的所需反應(例如治療反應)。例如,可投與劑量,可隨時間推移投與若干分次劑量,或可依治療情況(在各情況下)之特定環境所指示按比例減少或增加劑量。當向個體或患者投與時,就投與之容易性及劑量之均勻性而言,將非經腸組合物調配成單位劑型尤其有利。如本文所用,單位劑型係指適用作所治療之個體之單位劑量的物理離散單元;各單元含有經計算以產生所需治療效果的預定量之活性化合物。本發明之單位劑型之規格視活性化合物之特定特徵及欲達成之特定治療或預防效果及任何個別患者之治療及敏感性而定。The dosage regimen may be adjusted to provide the optimal desired response (e.g., a therapeutic response). For example, a dose may be administered, a number of divided doses may be administered over time, or the dose may be proportionally reduced or increased as indicated by the particular circumstances of the therapeutic situation (in each case). When administered to an individual or patient, it is particularly advantageous to formulate parenteral compositions in unit dosage form for ease of administration and uniformity of dosage. As used herein, a unit dosage form refers to physically discrete units suitable for use as a unit dosage for the individual to be treated; each unit contains a predetermined amount of active compound calculated to produce the desired therapeutic effect. The specifications for the unit dosage forms of the present invention depend on the specific characteristics of the active compound and the specific therapeutic or prophylactic effect to be achieved and the treatment and sensitivity of any individual patient.
可使用此項技術中之常規方法,包括化學合成,諸如固相化學合成產生本發明之核酸或組合物。The nucleic acids or compositions of the invention can be produced using conventional methods in the art, including chemical synthesis, such as solid phase chemical synthesis.
本發明之核酸或組合物可與此項技術中已知之多種醫療裝置中之一或多者一起投與。例如,在一個實施例中,本發明之核酸可與無針皮下注射裝置一起投與。適用於本發明之熟知植入物及模組之實例為此項技術中的,包括例如用於控制速率遞送之可植入微輸注泵;用於經由皮膚投與之裝置;用於以精確輸注速率遞送之輸注泵;用於連續藥物遞送之變流可植入輸注裝置;及滲透藥物遞送系統。此等及其他此類植入物、遞送系統及模組為熟習此項技術者已知的。The nucleic acids or compositions of the invention can be administered with one or more of a variety of medical devices known in the art. For example, in one embodiment, the nucleic acids of the invention can be administered with a needle-free subcutaneous injection device. Examples of well-known implants and modules suitable for use with the invention are in the art, including, for example, implantable microinfusion pumps for controlled rate delivery; devices for transdermal administration; infusion pumps for delivery at precise infusion rates; variable flow implantable infusion devices for continuous drug delivery; and osmotic drug delivery systems. These and other such implants, delivery systems, and modules are known to those skilled in the art.
在某些實施例中,本發明之核酸或組合物可經調配以確保活體內所需分佈。為使本發明之治療化合物或組合物靶向特定活體內位置,其可例如在脂質體中調配,該等脂質體可包含選擇性輸送至特定細胞或器官中之一或多個部分,由此增強靶向藥物遞送。In certain embodiments, the nucleic acids or compositions of the invention may be formulated to ensure desired distribution in vivo. To target the therapeutic compounds or compositions of the invention to specific in vivo locations, they may be formulated, for example, in liposomes, which may contain one or more moieties that are selectively transported to specific cells or organs, thereby enhancing targeted drug delivery.
本發明之特徵為在分子及組織定向遞送水平上的高特異性。本發明之核酸之序列對其目標具有高度特異性,意謂其並不抑制未經設計以用於靶向的基因之表現,或僅最低限度地抑制未經設計以用於靶向的基因之表現,及/或僅抑制低數量未經設計以用於靶向的基因之表現。當核酸連接至由特定細胞類型特異性識別且內化之配位體時,獲得另一程度之特異性。舉例而言,當核酸連接至包含GalNAc部分之配位體時,該等部分由肝細胞特異性識別及內化。此導致核酸僅在由其所連接之配位體靶向之細胞中抑制其目標的表現。此等兩種程度之特異性潛在地賦予比當前可獲得之治療更佳的安全概況。在某些實施例中,本發明因此提供本發明之核酸,其連接至包含一或多個GalNAc部分之配位體,或包含一或多個賦予核酸之細胞類型或組織特異性內化的其他部分,由此賦予藉由RNA干擾之目標基因減弱(knockdown)的額外特異性。The present invention is characterized by high specificity at the molecular and tissue-directed delivery levels. The sequences of the nucleic acids of the present invention are highly specific for their targets, meaning that they do not inhibit the expression of genes that are not designed for targeting, or only minimally inhibit the expression of genes that are not designed for targeting, and/or only inhibit the expression of low numbers of genes that are not designed for targeting. Another degree of specificity is obtained when the nucleic acid is linked to a ligand that is specifically recognized and internalized by a particular cell type. For example, when the nucleic acid is linked to a ligand comprising a GalNAc moiety, these moieties are specifically recognized and internalized by hepatocytes. This results in the nucleic acid inhibiting the expression of its target only in cells targeted by the ligand to which it is linked. These two degrees of specificity potentially confer a better safety profile than currently available treatments. In certain embodiments, the invention thus provides a nucleic acid of the invention linked to a ligand comprising one or more GalNAc moieties, or comprising one or more other moieties that confer cell type or tissue specific internalization of the nucleic acid, thereby conferring additional specificity for target gene knockdown by RNA interference.
如本文中所描述之核酸可與脂質體形式之脂質一起調配。此類調配物可在此項技術中描述為脂複合體。具有脂質/脂質體之組合物可用於輔助將本發明之核酸遞送至目標細胞。本文中描述之脂質遞送系統可用作結合配位體之替代物。當使用具有脂質遞送系統或具有配位體結合物遞送系統之本發明之核酸時,可存在本文中所描述之修飾。Nucleic acids as described herein can be formulated with lipids in the form of liposomes. Such formulations may be described in the art as lipoplexes. Compositions with lipids/liposomes can be used to aid in the delivery of nucleic acids of the invention to target cells. The lipid delivery systems described herein can be used as an alternative to binding ligands. When using the nucleic acids of the invention with a lipid delivery system or with a ligand conjugate delivery system, the modifications described herein may be present.
此類脂複合體可包含脂質組合物,其包含: i) 陽離子脂質或其醫藥學上可接受之鹽; ii) 類固醇; iii) 磷脂醯乙醇胺磷脂;及/或 iv) 聚乙二醇化脂質。 The lipid complex may comprise a lipid composition comprising: i) a cationic lipid or a pharmaceutically acceptable salt thereof; ii) a steroid; iii) a phospholipid ester; and/or iv) a pegylated lipid.
陽離子脂質可為胺基陽離子脂質。The cationic lipid may be an amine cationic lipid.
陽離子脂質可具有式(XII): 或其醫藥學上可接受之鹽,其中: X表示O、S或NH; R 1及R 2各自獨立地表示具有一或多個雙鍵之C 4-C 22直鏈或分支鏈烷基鏈或C 4-C 22直鏈或分支鏈烯基鏈,其中烷基或烯基鏈視情況含有中間酯、醯胺或二硫鍵; 當X表示S或NH時,R 3及R 4各自獨立地表示氫、甲基、乙基、單胺或多胺部分,或R 3及R 4一起形成雜環; 當X表示O時,R 3及R 4各自獨立地表示氫、甲基、乙基、單胺或多胺部分,或R 3及R 4一起形成雜環,或R 3表示氫且R 4表示C(NH)(NH 2)。 The cationic lipid may have the formula (XII): or a pharmaceutically acceptable salt thereof, wherein: X represents O, S or NH; R1 and R2 each independently represent a C4 - C22 straight or branched alkyl chain or a C4 - C22 straight or branched alkenyl chain having one or more double bonds, wherein the alkyl or alkenyl chain contains an intermediate ester, amide or disulfide bond as the case may be; when X represents S or NH, R3 and R4 each independently represent hydrogen, methyl, ethyl, monoamine or polyamine moiety, or R3 and R4 together form a heterocycle; when X represents O, R3 and R4 each independently represent hydrogen, methyl, ethyl, monoamine or polyamine moiety, or R3 and R4 together form a heterocycle, or R3 represents hydrogen and R4 represents C(NH)( NH2 ).
陽離子脂質可具有式(XIII): 或其醫藥學上可接受之鹽。 The cationic lipid may have the formula (XIII): or their pharmaceutically acceptable salts.
陽離子脂質可具有式(XIV): 或其醫藥學上可接受之鹽。 The cationic lipid may have formula (XIV): or their pharmaceutically acceptable salts.
陽離子脂質組分之含量可為組合物之總脂質含量的約55 mol%至約65 mol%。具體言之,陽離子脂質組分為組合物之總脂質含量的約59 mol%。The content of the cationic lipid component may be about 55 mol% to about 65 mol% of the total lipid content of the composition. Specifically, the cationic lipid component is about 59 mol% of the total lipid content of the composition.
組合物可進一步包含類固醇。類固醇可為膽固醇。類固醇之含量可為脂質組合物之總脂質含量的約26 mol%至約35 mol%。更具體言之,類固醇之含量可為脂質組合物之總脂質含量的約30 mol%。The composition may further comprise a steroid. The steroid may be cholesterol. The content of the steroid may be about 26 mol% to about 35 mol% of the total lipid content of the lipid composition. More specifically, the content of the steroid may be about 30 mol% of the total lipid content of the lipid composition.
磷脂醯乙醇胺磷脂可選自由以下組成之群:1,2-二植烷醯基(diphytanoyl)-sn-甘油-3-磷酸乙醇胺(DPhyPE)、1,2-二油醯基- sn-甘油-3-磷酸乙醇胺(DOPE)、1,2-二硬脂醯基-sn-甘油-3-磷酸乙醇胺(DSPE)、1,2-二月桂醯基-sn-甘油-3-磷酸乙醇胺(DLPE)、1,2-二肉豆蔻醯基-sn-甘油-3-磷酸乙醇胺(DMPE)、1,2-二軟脂醯基-sn-甘油-3-磷酸乙醇胺(DPPE)、1,2-二亞油醯基-sn-甘油-3-磷酸乙醇胺(DLoPE)、1-軟脂醯基-2-油醯基-sn-甘油-3-磷酸乙醇胺(POPE)、1,2-二芥醯基(Dierucoyl)-sn-甘油-3-磷酸乙醇胺(DEPE)、1,2-二角鯊烯醯基(Disqualeoyl)-sn-甘油-3-磷酸乙醇胺(DSQPE)及1-硬脂醯基-2-亞油醯基-sn-甘油-3-磷酸乙醇胺(SLPE)。磷脂之含量可為組合物之總脂質含量的約10 mol%。 The phospholipid ethanolamine phospholipid can be selected from the group consisting of: 1,2-diphytanoyl-sn-glycero-3-phosphoethanolamine (DPhyPE), 1,2-dioleoyl- sn -glycero-3-phosphoethanolamine (DOPE), 1,2-distearyl-sn-glycero-3-phosphoethanolamine (DSPE), 1,2-dilauryl-sn-glycero-3-phosphoethanolamine (DLPE), 1,2-dimyristoyl-sn-glycero-3-phosphoethanolamine (DMPE), 1,2-dimaltoyl-sn-glycero-3-phosphoethanolamine (DPPE), 1,2-dilinoleyl-sn-glycero-3-phosphoethanolamine (DPE), 1,2-diol-1-ol-1-ol-1-ol-1-ol-1-ol-1-ol-1-ol-1-ol-1-ol The phospholipids may be present in an amount of about 10 mol% of the total lipid content of the composition.
聚乙二醇化脂質可選自由以下組成之群:1,2-二肉豆蔻醯基-sn-甘油、甲氧基聚乙二醇(DMG-PEG)及C16-神經醯胺-PEG。聚乙二醇化脂質之含量可為組合物之總脂質含量的約1至5 mol%。The pegylated lipid may be selected from the group consisting of 1,2-dimyristyl-sn-glycerol, methoxypolyethylene glycol (DMG-PEG) and C16-ceramide-PEG. The content of the pegylated lipid may be about 1 to 5 mol% of the total lipid content of the composition.
組合物中陽離子脂質組分之含量可為脂質組合物之總脂質含量的約55 mol%至約65 mol%,較佳脂質組合物之總脂質含量的約59 mol%。The content of the cationic lipid component in the composition may be about 55 mol% to about 65 mol% of the total lipid content of the lipid composition, preferably about 59 mol% of the total lipid content of the lipid composition.
組合物可具有選自以下i):ii):iii):iv)之組分莫耳比:55:34:10:1;56:33:10:1;57:32:10:1;58:31:10:1;59:30:10:1;60:29:10:1;61:28:10:1;62:27:10:1;63:26:10:1;64:25:10:1;及65:24:10:1。The composition may have a molar ratio of components selected from the following i):ii):iii):iv): 55:34:10:1; 56:33:10:1; 57:32:10:1; 58:31:10:1; 59:30:10:1; 60:29:10:1; 61:28:10:1; 62:27:10:1; 63:26:10:1; 64:25:10:1; and 65:24:10:1.
組合物可包含具有以下結構之陽離子脂質: 具有以下結構之類固醇: 具有以下結構之磷脂醯乙醇胺磷脂 及具有以下結構之聚乙二醇化脂質 。 The composition may comprise a cationic lipid having the following structure: Steroids with the following structure: Phospholipids having the following structure: phospholipid acylethanolamine and a PEGylated lipid having the following structure .
中性脂質體組合物可由例如二肉豆蔻醯基磷脂醯膽鹼(DMPC)或二軟脂醯基磷脂醯膽鹼(DPPC)形成。陰離子脂質體組合物可由二肉豆蔻醯基磷脂醯甘油形成,而陰離子促融脂質體可由二油醯基磷脂醯乙醇胺(DOPE)形成。另一類型之脂質體組合物由磷脂醯膽鹼(PC) (諸如大豆PC及蛋PC)形成。另一類型由磷脂及/或磷脂醯膽鹼及/或膽固醇之混合物形成。Neutral liposome compositions can be formed, for example, from dimyristoylphosphatidylcholine (DMPC) or dimyristoylphosphatidylcholine (DPPC). Anionic liposome compositions can be formed from dimyristoylphosphatidylglycerol, and anionic fusogenic liposomes can be formed from dioleoylphosphatidylethanolamine (DOPE). Another type of liposome composition is formed from phosphatidylcholine (PC) (such as soy PC and egg PC). Another type is formed from a mixture of phospholipids and/or phosphatidylcholine and/or cholesterol.
帶正電之合成陽離子脂質N-[1-(2,3-二油烯基氧基)丙基]-Ν,Ν,Ν-三甲氯化銨(DOTMA)可用於形成小型脂質體,該等脂質體自發地與核酸相互作用以形成能夠與組織培養細胞之細胞膜之帶負電脂質融合的脂質-核酸複合體。DOTMA類似物亦可用於形成脂質體。The positively charged synthetic cationic lipid N-[1-(2,3-dioleyloxy)propyl]-N,N,N-trimethylammonium chloride (DOTMA) can be used to form small liposomes that spontaneously interact with nucleic acids to form lipid-nucleic acid complexes that are capable of fusing with negatively charged lipids of the cell membrane of tissue culture cells. DOTMA analogs can also be used to form liposomes.
本文中所描述之脂質之衍生物及類似物亦可用於形成脂質體。Derivatives and analogs of the lipids described herein can also be used to form liposomes.
含有核酸之脂質體可藉由多種方法製備。在一個實例中,脂質體之脂質組分溶解於清潔劑中以使得由脂質組分形成微胞。舉例而言,脂質組分可為兩性陽離子脂質或脂質結合物。清潔劑可具有高臨界微胞濃度且可為非離子性的。例示性清潔劑包括膽酸鹽、CHAPS、辛基葡糖苷、去氧膽酸鹽及月桂醯基肌胺酸。隨後將核酸製劑添加至包括脂質組分之微胞中。脂質上之陽離子基團與核酸相互作用且在核酸周圍縮合以形成脂質體。在縮合之後,例如藉由透析移除清潔劑,以產生核酸之脂質體製劑。Liposomes containing nucleic acids can be prepared by a variety of methods. In one example, the lipid component of the liposome is dissolved in a detergent so that micelles are formed from the lipid component. For example, the lipid component can be a zwitterionic lipid or a lipid conjugate. The detergent can have a high critical micelle concentration and can be non-ionic. Exemplary detergents include cholate, CHAPS, octyl glucoside, deoxycholate, and lauroyl sarcosine. The nucleic acid preparation is then added to the micelles including the lipid component. The cationic groups on the lipid interact with the nucleic acid and condense around the nucleic acid to form liposomes. Following condensation, the detergent is removed, such as by dialysis, to produce a liposomal preparation of the nucleic acid.
必要時,可在縮合反應期間添加幫助縮合之載劑化合物,例如藉由受控添加。舉例而言,載劑化合物可為除核酸以外的聚合物(例如精胺或亞精胺)。亦可調節pH以促進縮合。If necessary, a carrier compound that aids condensation can be added during the condensation reaction, for example by controlled addition. For example, the carrier compound can be a polymer other than a nucleic acid (such as spermine or spermidine). The pH can also be adjusted to promote condensation.
本發明之核酸調配物可包括界面活性劑。在一個實施例中,核酸調配為包括界面活性劑之乳液。The nucleic acid formulation of the present invention may include a surfactant. In one embodiment, the nucleic acid formulation is an emulsion including a surfactant.
未電離之界面活性劑為非離子界面活性劑。實例包括非離子酯,諸如乙二醇酯、丙二醇酯、甘油酯等;非離子烷醇醯胺;及醚,諸如脂肪醇乙氧化物、丙氧基化醇及乙氧基化/丙氧基化嵌段聚合物。Non-ionized surfactants are non-ionic surfactants. Examples include non-ionic esters, such as ethylene glycol esters, propylene glycol esters, glycerol esters, etc.; non-ionic alkanolamides; and ethers, such as fatty alcohol ethoxylates, propoxylated alcohols, and ethoxylated/propoxylated block polymers.
當溶解或分散於水中時攜帶負電荷之界面活性劑為陰離子界面活性劑。實例包括羧酸鹽,諸如皂類;醯基乳酸酯;胺基酸之醯胺;硫酸酯,諸如硫酸烷基酯及硫酸乙氧基化烷基酯;磺酸酯,諸如苯磺酸烷基酯、醯基羥乙基磺酸酯、醯基牛磺酸酯及磺基丁二酸酯;及磷酸酯。Surfactants that carry a negative charge when dissolved or dispersed in water are anionic surfactants. Examples include carboxylates such as soaps; acyl lactylates; amides of amino acids; sulfates such as alkyl sulfates and ethoxylated alkyl sulfates; sulfonates such as alkyl benzenesulfonates, acyl hydroxyethylsulfonates, acyl taurates, and sulfosuccinates; and phosphates.
當溶解或分散於水中時攜帶正電荷之界面活性劑為陽離子界面活性劑。實例包括四級銨鹽及乙氧化胺。Surfactants that carry a positive charge when dissolved or dispersed in water are cationic surfactants. Examples include quaternary ammonium salts and ethoxylated amines.
具有攜帶正電荷或負電荷之能力的界面活性劑為兩性界面活性劑。實例包括丙烯酸衍生物、經取代之烷基醯胺、N-烷基甜菜鹼及磷脂。Surfactants that have the ability to carry positive or negative charges are amphoteric surfactants. Examples include acrylic acid derivatives, substituted alkylamides, N-alkylbetaines, and phospholipids.
「微胞」在本文中定義為特定類型之分子總成,其中兩性分子以球形結構排列使得分子之所有疏水性部分向內引導,保留親水性部分與周圍水相接觸。若環境為疏水性的,則存在相反排列。微胞可藉由混合核酸之水溶液、鹼金屬烷基硫酸鹽及至少一種微胞形成化合物來形成。"Micelles" are defined herein as a specific type of molecular assembly in which amphiphilic molecules are arranged in a spherical structure such that all hydrophobic portions of the molecules are directed inward, leaving the hydrophilic portions in contact with the surrounding water. If the environment is hydrophobic, the opposite arrangement exists. Micelles can be formed by mixing an aqueous solution of nucleic acids, an alkali metal alkyl sulfate, and at least one micelle-forming compound.
例示性微胞形成化合物包括卵磷脂、玻尿酸、玻尿酸之醫藥學上可接受之鹽、乙醇酸、乳酸、甘菊提取物、胡瓜提取物、油酸、亞麻油酸、次亞麻油酸、單烯醛、單油酸酯、單月桂酸酯、琉璃苣油、月見草油(evening of primrose oil)、薄荷醇、三羥基側氧基膽鹼基甘胺酸(trihydroxy oxo cholanyl glycine)及其醫藥學上可接受之鹽、甘油、聚甘油、離胺酸、聚離胺酸、三油酸甘油酯、聚氧乙烯醚及其類似物、聚醚醇烷基醚及其類似物、鵝去氧膽酸鹽、去氧膽酸鹽及其混合物。Exemplary micelle-forming compounds include lecithin, hyaluronic acid, pharmaceutically acceptable salts of hyaluronic acid, glycolic acid, lactic acid, chamomile extract, cucumber extract, oleic acid, linolenic acid, linolenic acid, monoenal, monooleate, monolaurate, borage oil, evening primrose oil, menthol, trihydroxy oxo cholanyl glycine and pharmaceutically acceptable salts thereof, glycerol, polyglycerol, lysine, polylysine, triolein, polyoxyethylene ethers and analogs thereof, polyether alcohol alkyl ethers and analogs thereof, deoxycholate, deoxycholate, and mixtures thereof.
酚及/或間甲酚可添加至混合微胞組合物以充當穩定劑及防腐劑。可添加諸如丙三醇之等張劑。Phenol and/or m-cresol may be added to the mixed micelle composition to act as a stabilizer and preservative. Isotonic agents such as glycerol may be added.
核酸製劑可併入諸如微粒之粒子中。微粒可藉由噴霧乾燥、凍乾、蒸發、流化床乾燥、真空乾燥或此等方法之組合產生。The nucleic acid formulation can be incorporated into particles such as microparticles. Microparticles can be produced by spray drying, freeze drying, evaporation, fluidized bed drying, vacuum drying, or a combination of these methods.
定義如本文所用,術語相對於基因表現而言「抑制」、「下調」或「降低」意謂基因的表現、或編碼一或多種蛋白或蛋白次單元(例如mRNA)之RNA分子或等效RNA分子的含量、或一或多種蛋白或蛋白次單元的活性降低至低於在不存在本發明之核酸或結合核酸的情況下所觀測到的結果或與使用與人類轉錄物無已知同源性的siRNA分子獲得的結果(本文稱為非緘默對照)相比較低。此類對照可以類似於本發明之分子的方式結合及修飾且藉由相同途徑遞送至目標細胞中。用本發明之核酸處理之後的表現可降低至95%、90%、80%、70%、60%、50%、40%、30%、20%、15%、10%、5%或0%或降低至中間值,或低於在無核酸或結合核酸存在下觀測到的表現。表現可在施加核酸之細胞中量測。替代地,尤其若向個體投與核酸,則可在不同細胞組中或在組織或器官中或在體液(諸如血液或血漿)中量測含量。較佳地在已選定之條件下量測抑制水平,此係因為該等條件展示在用核酸活體外處理之細胞中核酸對目標mRNA含量之最大影響。可例如在用在0.038 nM-10 µM之間,較佳0.5 nM、1 nM、10 nM或100 nM之濃度的核酸處理24小時或48小時之後量測抑制含量。此等條件對於不同核酸序列或對於不同類型之核酸可為不同的,諸如對於未經修飾或經修飾或與配位體結合或不結合之核酸為不同的。用於測定抑制水平之適合條件之實例描述於實例中。 Definitions As used herein, the term "inhibit", "downregulate" or "reduce" relative to gene expression means that the expression of the gene, or the level of RNA molecules or equivalent RNA molecules encoding one or more proteins or protein subunits (e.g., mRNA), or the activity of one or more proteins or protein subunits is reduced to below that observed in the absence of the nucleic acid or bound nucleic acid of the invention or compared to the results obtained using siRNA molecules with no known homology to human transcripts (referred to herein as non-silencing controls). Such controls can be combined and modified in a manner similar to the molecules of the invention and delivered to the target cells by the same pathway. Expression after treatment with the nucleic acids of the invention may be reduced to 95%, 90%, 80%, 70%, 60%, 50%, 40%, 30%, 20%, 15%, 10%, 5% or 0% or to an intermediate value, or below that observed in the absence of nucleic acid or in the presence of bound nucleic acid. Expression may be measured in cells to which the nucleic acid is applied. Alternatively, especially if the nucleic acid is administered to an individual, the levels may be measured in different cell groups or in tissues or organs or in body fluids such as blood or plasma. The level of inhibition is preferably measured under selected conditions because such conditions show the maximum effect of the nucleic acid on the target mRNA level in cells treated with nucleic acid in vitro. The level of inhibition can be measured, for example, after treatment with a nucleic acid at a concentration between 0.038 nM-10 μM, preferably 0.5 nM, 1 nM, 10 nM or 100 nM for 24 hours or 48 hours. These conditions may be different for different nucleic acid sequences or for different types of nucleic acids, such as for nucleic acids that are unmodified or modified or bound to a ligand or not. Examples of suitable conditions for determining the level of inhibition are described in the Examples.
核酸意指包含兩股的核酸,其能夠干擾基因表現,該等股包含核苷酸。抑制可為完全或部分的且以靶向方式引起基因表現之下調。核酸包含兩個單獨的聚核苷酸股;第一股,其亦可為引導股(guide strand);及第二股,其亦可為隨從股(passenger strand)。第一股及第二股可為相同聚核苷酸分子之一部分,該聚核苷酸分子具有自互補性,可『摺疊』形成雙股分子。核酸可為siRNA分子。Nucleic acid means a nucleic acid comprising two strands, which are capable of interfering with gene expression, the strands comprising nucleotides. The inhibition may be complete or partial and may cause downregulation of gene expression in a targeted manner. The nucleic acid comprises two separate polynucleotide strands; a first strand, which may also be a guide strand; and a second strand, which may also be a passenger strand. The first strand and the second strand may be part of the same polynucleotide molecule, which is self-complementary and can "fold" to form a double stranded molecule. The nucleic acid may be a siRNA molecule.
核酸可包含核糖核苷酸、經修飾之核糖核苷酸、去氧核苷酸、去氧核糖核苷酸或能夠模仿核苷酸之核苷酸類似物非核苷酸,以便它們可與基於目標序列或互補股上的對應鹼基『配對』。核酸可進一步包含由第一股(此項技術中亦稱為引導股)之全部或一部分及第二股(此項技術中亦稱為隨從股)之全部或一部分形成的雙股核酸部分或雙螺旋區。雙螺旋區定義為以形成於第一股與第二股之間的第一鹼基對開始且以形成於第一股與第二股之間的最後鹼基對結束(包括端點)。Nucleic acids may include ribonucleotides, modified ribonucleotides, deoxynucleotides, deoxyribonucleotides, or nucleotide analog non-nucleotides that can mimic nucleotides so that they can "pair" with corresponding bases based on a target sequence or on a complementary strand. Nucleic acids may further include a double-stranded nucleic acid portion or duplex region formed by all or a portion of a first strand (also referred to in this art as a leader strand) and all or a portion of a second strand (also referred to in this art as a following strand). A duplex region is defined as starting with the first base pair formed between the first strand and the second strand and ending with the last base pair formed between the first strand and the second strand (including the termini).
雙螺旋區意謂藉由沃森-克里克鹼基配對或允許互補或實質上互補之寡核苷酸股之間之雙螺旋體的任何其他方式與彼此形成鹼基對的兩個互補或實質上互補的寡核苷酸中之區域。例如,具有21個核苷酸單元之寡核苷酸股可與具有21個核苷酸單元之另一寡核苷酸鹼基配對,各股上僅19個核苷酸為互補或實質上互補的,使得「雙螺旋區」由19個鹼基對組成。其餘鹼基對可以5'及3'懸垂物之形式存在,或以單股區之形式存在。此外,在雙螺旋區內,不需要100%互補;在雙螺旋區內可允許實質性互補。實質上互補係指在股之間的互補,使得其能夠在生物條件下黏接。憑經驗確定兩股能否在生物條件下黏接之技術為此項技術中所熟知。替代地,兩股可在生物條件下合成且相加在一起以確定其是否彼此黏接。形成至少一個雙螺旋區之第一股及第二股之部分可完全互補且至少部分彼此互補。視核酸之長度而定,未必需要第一股與第二股之間在鹼基互補方面之完美匹配。然而,第一股與第二股必須能夠在生理條件下雜交。A duplex region means a region in two complementary or substantially complementary oligonucleotides that form base pairs with each other by Watson-Crick base pairing or any other means that allows a duplex between complementary or substantially complementary oligonucleotide strands. For example, an oligonucleotide strand having 21 nucleotide units can base pair with another oligonucleotide strand having 21 nucleotide units, with only 19 nucleotides on each strand being complementary or substantially complementary, such that the "duplex region" consists of 19 base pairs. The remaining base pairs may be present in the form of 5' and 3' overhangs, or in the form of a single-stranded region. Furthermore, within a duplex region, 100% complementation is not required; substantial complementation may be allowed within a duplex region. Substantially complementary refers to complementation between strands such that they are able to adhere under biological conditions. Techniques for empirically determining whether two strands can adhere under biological conditions are well known in the art. Alternatively, the two strands can be synthesized under biological conditions and added together to determine whether they adhere to each other. The portions of the first and second strands that form at least one double helical region can fully complement each other and at least partially complement each other. Depending on the length of the nucleic acid, a perfect match between the first and second strands in terms of base complementation is not necessarily required. However, the first and second strands must be able to hybridize under physiological conditions.
如本文所用,術語「非配對核苷酸類似物」意謂包括非鹼基配對部分的核苷酸類似物,該非鹼基配對部分包括但不限於:6-去胺基腺苷(水粉葷素(Nebularine))、4-Me-吲哚、3-硝基吡咯、5-硝基吲哚、Ds、Pa、N3-Me核糖U、N3-Me核糖T、N3-Me dC、N3-Me-dT、N1-Me-dG、N1-Me-dA、N3-乙基-dC及N3-Me dC。在一些實施例中,非鹼基配對核苷酸類似物為核糖核苷酸。在其他實施例中,其為去氧核糖核苷酸。As used herein, the term "non-paired nucleotide analog" means a nucleotide analog including a non-alkaline pairing moiety, including but not limited to: 6-deaminoadenosine (Nebularine), 4-Me-indole, 3-nitropyrrole, 5-nitroindole, Ds, Pa, N3-Me ribose U, N3-Me ribose T, N3-Me dC, N3-Me-dT, N1-Me-dG, N1-Me-dA, N3-ethyl-dC and N3-Me dC. In some embodiments, the non-alkaline pairing nucleotide analog is a ribonucleotide. In other embodiments, it is a deoxyribonucleotide.
如本文所用,術語「末端官能基」包括但不限於鹵素、醇、胺、羧酸、酯、醯胺、醛、酮及醚基。As used herein, the term "terminal functional group" includes, but is not limited to, halogen, alcohol, amine, carboxylic acid, ester, amide, aldehyde, ketone and ether groups.
如本文所用之「懸垂物」具有其在此項技術中之正常及慣用意義,亦即延伸超出雙股核酸中之互補股之末端核苷酸的核酸之單股部分。術語「鈍端」包括雙股核酸,其中兩股皆在同一位置終止,無論末端核苷酸是否鹼基配對。鈍端處之第一股及第二股的末端核苷酸可為鹼基配對的。鈍端處之第一股及第二股的末端核苷酸可不配對。鈍端處之第一股及第二股的末端兩個核苷酸可為鹼基配對的。鈍端處之第一股及第二股的末端兩個核苷酸可不配對。As used herein, "overhang" has its normal and customary meaning in this art, namely, a single-stranded portion of a nucleic acid that extends beyond the terminal nucleotide of the complementary strand in a double-stranded nucleic acid. The term "blunt end" includes double-stranded nucleic acids in which both strands terminate at the same position, regardless of whether the terminal nucleotides are base-paired. The terminal nucleotides of the first and second strands at the blunt end may be base-paired. The terminal nucleotides of the first and second strands at the blunt end may be unpaired. The terminal two nucleotides of the first and second strands at the blunt end may be base-paired. The terminal two nucleotides of the first and second strands at the blunt end may be unpaired.
術語「絲胺醇衍生之連接子部分」意謂包含以下結構之連接子部分: The term "seriamine-derived linker moiety" means a linker moiety comprising the following structure:
該結構之O原子通常連接至RNA股且N原子通常連接至靶向配位體。The O atom of the structure is typically attached to the RNA strand and the N atom is typically attached to the targeting ligand.
術語「患者」、「個體(subject)」及「個體(individual)」可互換使用且係指人類或非人類動物。此等術語包括哺乳動物,諸如人類、靈長類動物、家畜動物(例如牛科動物、豬科動物)、伴侶動物(例如犬科動物、貓科動物)及嚙齒動物(例如小鼠及大鼠)。The terms "patient," "subject," and "individual" are used interchangeably and refer to humans or non-human animals. These terms include mammals, such as humans, primates, domestic animals (e.g., bovines, swine), companion animals (e.g., canines, felines), and rodents (e.g., mice and rats).
如本文所用,「治療(treating)」或「治療(treatment)」及其文法變體係指用於獲得有益或所要臨床結果之方法。該術語可指減緩病狀、病症或疾病之發作或發展速率,減少或緩解與其相關之症狀,產生病狀之完全或部分消退,或以上中之任一者之某一組合。出於本發明之目的,有益或所要臨床結果包括但不限於:症狀減少或緩解、疾病程度減輕、疾病病狀穩定((亦即未惡化)、疾病進展延緩或減緩、疾病病狀改善或緩和及緩解(無論部分地或完全地),無論可偵測或不可偵測。「治療」亦可意謂相對於在未接受治療之情況下的預期存活時間延長存活期。因此,需要治療之個體(例如人類)可為已罹患所討論之疾病或病症的個體。術語「治療」包括與未進行治療相比抑制或降低病理狀態或症狀之嚴重度增加,且未必意謂暗示使相關疾病、病症或病狀完全停止。As used herein, "treating" or "treatment" and grammatical variations thereof refer to an approach for obtaining beneficial or desired clinical results. The term may refer to slowing the rate of onset or progression of a condition, disorder or disease, reducing or alleviating symptoms associated therewith, producing complete or partial regression of symptoms, or a combination of any of the above. For purposes of the present invention, beneficial or desired clinical results include, but are not limited to: reduction or alleviation of symptoms, reduction in severity of disease, stabilization of disease conditions (i.e., not worsening), slowing or reduction in disease progression, improvement or alleviation of disease conditions, and relief (whether partial or complete), whether detectable or undetectable. "Treatment" may also mean prolonging survival relative to expected survival if not receiving treatment. Thus, an individual (e.g., a human) in need of treatment may be an individual already suffering from the disease or disorder in question. The term "treating" includes inhibiting or reducing the increase in severity of a pathological state or symptom compared to not receiving treatment, and is not necessarily meant to imply complete cessation of the relevant disease, disorder, or condition.
如本文所用,術語「預防」及其文法變體係指一種用於抑制或預防病狀、疾病或病症之發展、進展或發作次數或發作率的方法,且可關於病變及/或症狀。出於本發明之目的,有益或所要臨床結果包括但不限於預防、抑制或減緩疾病之症狀、進展或發展,無論可偵測或不可偵測。因此,需要預防之個體(例如人類)可為尚未罹患所討論之疾病或病症的個體。術語「預防」包括與未進行治療相比減緩疾病發作,且無需意謂暗示永久性預防相關疾病、病症或病狀。因此,在某些情形下,病狀之「預防」係指降低罹患病狀的風險,或預防、抑制或延遲與病狀相關之症狀之發展。應理解,預防可視為治療或療法。As used herein, the term "prevention" and its grammatical variants refer to a method for inhibiting or preventing the development, progression or frequency or rate of onset of a condition, disease or disorder, and may relate to pathological changes and/or symptoms. For the purposes of the present invention, beneficial or desired clinical results include, but are not limited to, preventing, inhibiting or slowing symptoms, progression or development of a disease, whether detectable or undetectable. Thus, an individual (e.g., a human) in need of prevention may be an individual who does not yet suffer from the disease or disorder in question. The term "prevention" includes slowing the onset of a disease compared to not undergoing treatment, and is not necessarily meant to imply permanent prevention of the relevant disease, disorder or condition. Thus, in certain instances, "prevention" of a condition refers to reducing the risk of developing the condition, or preventing, inhibiting or delaying the development of symptoms associated with the condition. It should be understood that prevention can be considered treatment or therapy.
如本文所用,「有效量」、「預防有效量」、「治療有效量」或「有效劑量」為組合物(例如治療性組合物或藥劑)在個體中產生至少一種所需治療作用(諸如預防或治療目標病狀或有利地緩解與病狀相關之症狀)之量。As used herein, an "effective amount," "prophylactically effective amount," "therapeutically effective amount," or "effective dose" is an amount of a composition (e.g., a therapeutic composition or medicament) that produces at least one desired therapeutic effect in a subject, such as preventing or treating a target condition or beneficially alleviating symptoms associated with a condition.
如本文所用,術語「醫藥學上可接受之鹽」係指對投與所討論之鹽的患者或個體無害的鹽。其可為例如選自酸加成鹽及鹼性鹽之鹽。酸加成鹽之實例包括氯化物鹽、檸檬酸鹽及乙酸鹽。鹼性鹽之實例包括鹽,其中陽離子選自鹼金屬陽離子,諸如鈉或鉀離子;鹼土金屬陽離子,諸如鈣或鎂離子;及經取代之銨離子,諸如型N(R 1)(R 2)(R 3)(R 4) +之離子,其中R 1、R 2、R 3及R 4將獨立地通常表示氫,視情況經取代之C1-6-烷基或視情況經取代之C2-6-烯基。相關C1-6烷基之實例包括甲基、乙基、1-丙基及2-丙基。可能相關的C2-6烯基之實例包括乙烯基、1-丙烯基及2-丙烯基。醫藥學上可接受之鹽的其他實例描述於「Remington's Pharmaceutical Sciences」, 第17版, Alfonso R. Gennaro (編), Mark Publishing Company, Easton, PA, USA, 1985 (及其更新的版本);「Encyclopaedia of Pharmaceutical Technology」, 第3版, James Swarbrick (編), Informa Healthcare USA (Inc.), NY, USA, 2007;及J. Pharm. Sci. 66: 2 (1977)中。「醫藥學上可接受之鹽」定性保留母體化合物之所需生物活性,而相對於化合物不賦予任何非所需作用。醫藥學上可接受之鹽之實例包括酸加成鹽及鹼加成鹽。酸加成鹽包括衍生於無毒無機酸之鹽,諸如鹽酸、硝酸、亞磷酸、磷酸、硫酸、氫溴酸、氫碘酸及其類似物;或衍生於無毒有機酸之鹽,諸如脂族單羧酸及脂族二羧酸、苯基取代之烷酸、羥基烷酸、芳族酸、脂族及芳族磺酸及其類似者。鹼加成鹽包括衍生於鹼土金屬之鹽,諸如鈉、鉀、鎂、鈣及其類似物;以及衍生於無毒有機胺之鹽,諸如N,N'-二苯甲基乙二胺、N-甲基葡糖胺、氯普魯卡因(chloroprocaine)、膽鹼、二乙醇胺、乙二胺、普魯卡因(procaine)及其類似物。 As used herein, the term "pharmaceutically acceptable salt" refers to a salt that is not harmful to the patient or individual to whom the salt in question is administered. It can be, for example, a salt selected from acid addition salts and alkaline salts. Examples of acid addition salts include chloride salts, citrate salts and acetate salts. Examples of alkaline salts include salts in which the cation is selected from alkali metal cations, such as sodium or potassium ions; alkali earth metal cations, such as calcium or magnesium ions; and substituted ammonium ions, such as ions of the type N( R1 )( R2 )( R3 )( R4 ) + , where R1 , R2 , R3 and R4 will independently typically represent hydrogen, optionally substituted C1-6-alkyl or optionally substituted C2-6-alkenyl. Examples of relevant C1-6 alkyl include methyl, ethyl, 1-propyl and 2-propyl. Examples of C2-6 alkenyl that may be relevant include vinyl, 1-propenyl and 2-propenyl. Other examples of pharmaceutically acceptable salts are described in "Remington's Pharmaceutical Sciences", 17th edition, Alfonso R. Gennaro (ed.), Mark Publishing Company, Easton, PA, USA, 1985 (and updated editions); "Encyclopaedia of Pharmaceutical Technology", 3rd edition, James Swarbrick (ed.), Informa Healthcare USA (Inc.), NY, USA, 2007; and J. Pharm. Sci. 66: 2 (1977). "Pharmaceutically acceptable salts" qualitatively retain the desired biological activity of the parent compound without imparting any undesirable effects to the compound. Examples of pharmaceutically acceptable salts include acid addition salts and base addition salts. Acid addition salts include salts derived from non-toxic inorganic acids such as hydrochloric acid, nitric acid, phosphorous acid, phosphoric acid, sulfuric acid, hydrobromic acid, hydroiodic acid and the like; or salts derived from non-toxic organic acids such as aliphatic monocarboxylic acids and aliphatic dicarboxylic acids, phenyl-substituted alkanoic acids, hydroxyalkanoic acids, aromatic acids, aliphatic and aromatic sulfonic acids and the like. Base addition salts include salts derived from alkaline earth metals such as sodium, potassium, magnesium, calcium and the like; and salts derived from non-toxic organic amines such as N,N'-dibenzylethylenediamine, N-methylglucamine, chloroprocaine, choline, diethanolamine, ethylenediamine, procaine and the like.
術語「醫藥學上可接受之載劑」包括標準醫藥學載劑中之任一者。用於治療性用途之醫藥學上可接受之載劑在醫藥領域中為熟知的,且描述於例如Remington's Pharmaceutical Sciences, Mack Publishing Co. (A. R. Gennaro編 1985)中。舉例而言,可使用弱酸性或生理pH下之無菌生理鹽水及磷酸鹽緩衝生理鹽水。例示性pH緩衝劑包括磷酸鹽、檸檬酸鹽、乙酸鹽、三(羥甲基)胺基甲烷(TRIS)、N-三(羥甲基)甲基-3-胺基丙磺酸(TAPS)、碳酸氫銨、二乙醇胺、組胺酸(其為較佳的緩衝劑)、精胺酸、離胺酸或乙酸鹽或其混合物。該術語進一步涵蓋美國藥典(US Pharmacopeia)中列舉之用於動物(包括人類)之任何藥劑。「醫藥學上可接受之載劑」包括任何及所有生理學上可接受,亦即相容溶劑、分散介質、包衣、抗微生物劑、等張劑及吸收延遲劑及其類似者。在某些實施例中,載劑適用於靜脈內、肌肉內、皮下、非經腸、脊椎或表皮投與(例如藉由注射或輸注)。視選擇之投與途徑而定,核酸可包覆在一或多種材料中,旨在保護化合物免受酸及其他天然失活條件的作用,當藉由特定投與途徑向個體投與時,核酸可能暴露在此等條件下。The term "pharmaceutically acceptable carrier" includes any of the standard pharmaceutical carriers. Pharmaceutically acceptable carriers for therapeutic use are well known in the pharmaceutical art and are described, for example, in Remington's Pharmaceutical Sciences, Mack Publishing Co. (A. R. Gennaro, ed. 1985). For example, sterile saline and phosphate-buffered saline at slightly acidic or physiological pH can be used. Exemplary pH buffers include phosphates, citrates, acetates, tris(hydroxymethyl)aminomethane (TRIS), N-tris(hydroxymethyl)methyl-3-aminopropanesulfonic acid (TAPS), ammonium bicarbonate, diethanolamine, histidine (which is a preferred buffer), arginine, lysine or acetate or mixtures thereof. The term further encompasses any agent listed in the US Pharmacopeia for use in animals (including humans). "Pharmaceutically acceptable carriers" include any and all physiologically acceptable, i.e., compatible solvents, dispersion media, coatings, antimicrobial agents, isotonic agents and absorption delaying agents and the like. In certain embodiments, the carrier is suitable for intravenous, intramuscular, subcutaneous, parenteral, spinal or epidermal administration (e.g., by injection or infusion). Depending on the route of administration chosen, the nucleic acid may be coated in one or more materials designed to protect the compound from the action of acids and other natural inactivating conditions to which the nucleic acid may be exposed when administered to a subject via a particular route of administration.
在本發明之情形下,術語「溶劑合物」係指溶質(在此情況下,根據本發明之核酸化合物或其醫藥學上可接受之鹽)與溶劑之間形成的界定化學計量之複合物。在此方面,溶劑可為例如水或另一醫藥學上可接受之(通常)小分子有機物種,諸如但不限於乙酸或乳酸。當所述溶劑為水時,此類溶劑合物通常稱為水合物。In the context of the present invention, the term "solvoplex" refers to a defined stoichiometric complex formed between a solute (in this case, a nucleic acid compound according to the present invention or a pharmaceutically acceptable salt thereof) and a solvent. In this regard, the solvent may be, for example, water or another pharmaceutically acceptable (usually) small molecule organic species, such as, but not limited to, acetic acid or lactic acid. When the solvent is water, such a solvate is usually referred to as a hydrate.
現將參考以下非限制性圖式及實例描述本發明。The present invention will now be described with reference to the following non-limiting drawings and examples.
實例 實例 1Hep3B細胞中之活體外研究展示在轉染0.5 nM或10 nM siRNA之後所測試之siRNA的 AGT減弱功效(knockdown efficacy)。 Examples Example 1 In vitro studies in Hep3B cells demonstrated the AGT knockdown efficacy of the tested siRNAs after transfection with 0.5 nM or 10 nM siRNA.
在Hep3B細胞中轉染0.5或10 nM siRNA之後測定siRNA EM2001-EM2200 (表5b)之 AGT減弱功效。結果描繪於下表3中。在10 nM下,減弱後剩餘 AGT含量達至最少8%,且在0.5 nM下剩餘 AGT含量達至最少22%。在10 nM下,最強效siRNA為EM2115、EM2107、EM2032、EM2108及EM2109。 The AGT attenuation efficacy of siRNA EM2001-EM2200 (Table 5b) was determined after transfection of 0.5 or 10 nM siRNA in Hep3B cells. The results are depicted in Table 3 below. At 10 nM, the remaining AGT level after attenuation reached a minimum of 8%, and at 0.5 nM the remaining AGT level reached a minimum of 22%. At 10 nM, the most potent siRNAs were EM2115, EM2107, EM2032, EM2108, and EM2109.
為了用siRNA轉染Hep3B細胞,在96孔組織培養盤(TPP,目錄號92096,Switzerland)中以20,000個細胞/孔之密度接種細胞。接種前即刻根據製造商說明書,用Lipofectamine RNAiMax (Invitrogen/Life Technologies,目錄號13778-500,Germany)進行siRNA轉染。使用AGT-siRNA分別以10 nM及0.5 nM一式三份進行雙劑量篩選,其中亂序siRNA及靶向螢光素酶之siRNA作為非特異性對照。在與siRNA一起培育24小時(h)之後,移除培養基,且在250 µL溶解緩衝液(InviTrap RNA細胞HTS96套組/C (Stratec, 目錄號7061300400, Germany))中溶解細胞,且隨後在-80℃下冷凍。使用InviTrap RNA細胞HTS96套組/C (Stratec, 目錄號7061300400, Germany)分離RNA。使用
AGT及
PPIB特異性引子探針組及Takyon™ One-Step Low Rox Probe 5X MasterMix dTTP在來自Applied Biosystems的QuantStudio6裝置上以單重384孔格式進行RT-qPCR。使用△△Ct法計算表現差異,且測定以管家基因
PPIB正規化的
AGT之相對表現。結果表示為表3中siRNA轉染之後的剩餘
AGTmRNA%。
表3:靶向
AGT之siRNA的雙劑量篩選(10 nM及0.5 nM)之結果.
形成siRNA雙螺旋體中之各者的單股之標識以及其序列及修飾見於表5a及表5b中。
實例 2Hep3B細胞之活體外研究展示在轉染20、4、0.8、0.16、0.032或0.006 nM siRNA之後所測試之siRNA的 AGT減弱功效。 Example 2 In vitro studies in Hep3B cells demonstrated the AGT attenuation efficacy of the tested siRNAs after transfection with 20, 4, 0.8, 0.16, 0.032 or 0.006 nM siRNA.
在Hep3B細胞中轉染20、4、0.8、0.16、0.032或0.006 nM siRNA之後測定所選siRNA (表4及表5b)之 AGT減弱功效。結果描繪於下表4中。在20 nM下,減弱後剩餘 AGT含量達至最少5%,且在4 nM下達至最少7%。在20 nM下,最強效siRNA為EM2154、EM2168及EM2092。 The AGT attenuation efficacy of selected siRNAs (Table 4 and Table 5b) was determined after transfection of 20, 4, 0.8, 0.16, 0.032 or 0.006 nM siRNA in Hep3B cells. The results are depicted in Table 4 below. At 20 nM, the remaining AGT level after attenuation reached a minimum of 5%, and at 4 nM reached a minimum of 7%. At 20 nM, the most potent siRNAs were EM2154, EM2168 and EM2092.
為了用siRNA轉染Hep3B細胞,在96孔組織培養盤(TPP,目錄號92096,Switzerland)中以20,000個細胞/孔之密度接種細胞。接種前即刻根據製造商說明書,用Lipofectamine RNAiMax (Invitrogen/Life Technologies,目錄號13778-500,Germany)進行siRNA轉染。用AGT siRNA分別以20、4、0.8、0.16、0.032或0.006 nM一式三份進行劑量反應篩選,其中亂序siRNA及靶向螢光素酶之siRNA作為非特異性對照。在與siRNA一起培育24小時之後,移除培養基,且在250 µL溶解緩衝液(InviTrap RNA細胞HTS96套組/C (Stratec, 目錄號7061300400, Germany))中溶解細胞,且隨後在-80℃下冷凍。使用InviTrap RNA細胞HTS96套組/C (Stratec, 目錄號7061300400, Germany)分離RNA。使用
AGT及
PPIB特異性引子探針組及Takyon™ One-Step Low Rox Probe 5X MasterMix dTTP在來自Applied Biosystems的QuantStudio6裝置上以單重384孔格式進行RT-qPCR。使用△△Ct法計算表現差異,且測定以管家基因
PPIB正規化的
AGT之相對表現。結果表示為表4中siRNA轉染之後的剩餘
AGTmRNA%。
表4:靶向
AGT之siRNA的劑量反應篩選(20、4、0.8、0.16、0.032或0.006 nM)之結果.
形成siRNA雙螺旋體中之各者的單股之標識以及其序列及修飾見於表5a及表5b中。
實例 3初代食蟹獼猴肝細胞中之活體外研究展示所測試之GalNAc-siRNA結合物的 AGT減弱功效。 Example 3 In vitro studies in primary cynomolgus macaque hepatocytes demonstrated the AGT attenuation efficacy of the tested GalNAc-siRNA conjugates.
在與100 nM、10 nM、1 nM、0.1 nM及0.01 nM的GalNAc-siRNA結合物EM2201、EM2202、EM2203、EM2204、EM2205、EM2205、EM2206、EM2207、EM2208、EM2209、EM2210或EM2211 (在表5c中進一步描述)一起培育之後,評定 AGTmRNA之表現。管家基因 PPIB之mRNA含量充當對照。 After incubation with 100 nM, 10 nM, 1 nM, 0.1 nM and 0.01 nM of GalNAc-siRNA conjugates EM2201, EM2202, EM2203, EM2204, EM2205, EM2205, EM2206, EM2207, EM2208, EM2209, EM2210 or EM2211 (further described in Table 5c), the expression of AGT mRNA was assessed. The mRNA level of the housekeeping gene PPIB served as a control.
為了測試GalNAc結合之siRNA在初代食蟹獼猴肝細胞中靶向 AGT的減弱功效,將45,000個細胞/孔(供應商:Life Technologies)添加至膠原蛋白塗佈之96孔盤(Life Technologies)的平板培養基(Life Technologies)中之siRNA,使最終濃度在100 nM與0.01 nM之間。處理後24小時,使用InviTrap RNA細胞HTS96套組/C (Stratec)溶解細胞。使用針對 AGT及 PPIB之mRNA特異性引子及探針進行RT-qPCR。使用△△Ct法計算表現差異,且測定以管家基因 PPIB正規化的 AGT之相對表現。結果表示為 AGT與 PPIBmRNA相對於未處理之含量的比率且可見於圖1中。 To test the attenuation efficacy of GalNAc-conjugated siRNA targeting AGT in primary cynomolgus macaque hepatocytes, 45,000 cells/well (supplier: Life Technologies) were added to siRNA in plate medium (Life Technologies) in collagen-coated 96-well plates (Life Technologies) to a final concentration between 100 nM and 0.01 nM. 24 h after treatment, cells were lysed using the InviTrap RNA Cell HTS96 Kit/C (Stratec). RT-qPCR was performed using mRNA-specific primers and probes for AGT and PPIB . Expression differences were calculated using the ΔΔCt method, and the relative expression of AGT normalized to the housekeeping gene PPIB was determined. The results are expressed as the ratio of AGT and PPIB mRNA relative to untreated levels and can be seen in FIG1 .
觀測到九種所測試之GalNAc結合物之 AGTmRNA之劑量依賴性減弱。在100 nM下,減弱後剩餘 AGT含量在3%至85%範圍內。觀測到EM2203、EM2204、EM2207及EM2209在100 nm下的最強減弱,其中剩餘 AGT含量分別為7%、7%、3%及5%。 Dose-dependent reduction of AGT mRNA was observed for the nine GalNAc conjugates tested. At 100 nM, the remaining AGT content after reduction ranged from 3% to 85%. The strongest reduction at 100 nM was observed for EM2203, EM2204, EM2207, and EM2209, with remaining AGT content of 7%, 7%, 3%, and 5%, respectively.
結果表示為表8中siRNA轉染之後的剩餘
AGTmRNA%。
表8:靶向
AGT之siRNA在初代食蟹獼猴肝細胞中之劑量反應篩選(100、10、1、0.1或0.01 nM)的結果.
實例 4初代食蟹獼猴肝細胞中之活體外研究展示所測試之GalNAc-siRNA結合物的 AGT減弱功效。 Example 4 In vitro studies in primary cynomolgus macaque hepatocytes demonstrated the AGT attenuation efficacy of the tested GalNAc-siRNA conjugates.
在與100 nM、10 nM、1 nM、0.1 nM及0.01 nM的GalNAc-siRNA結合物EM2212、EM2213、EM2214、EM2215、EM2206、EM2216、EM2217、EM2218、EM2207、EM2219、EM2220、M2221、EM2222、EM2223、EM2224、EM2225、EM2226、EM2227或EM2228(在表5c中進一步描述)一起培育之後,評定 AGTmRNA之表現。管家基因 PPIB之mRNA含量充當對照。 After incubation with 100 nM, 10 nM, 1 nM, 0.1 nM and 0.01 nM of GalNAc-siRNA conjugates EM2212, EM2213, EM2214, EM2215, EM2206, EM2216, EM2217, EM2218, EM2207, EM2219, EM2220, M2221, EM2222, EM2223, EM2224, EM2225, EM2226, EM2227 or EM2228 (further described in Table 5c), the expression of AGT mRNA was assessed. The mRNA level of the housekeeping gene PPIB served as a control.
為了測試GalNAc結合之siRNA在初代食蟹獼猴肝細胞中靶向 AGT的減弱功效,將45,000個細胞/孔(供應商:Life Technologies)添加至膠原蛋白塗佈之96孔盤(Life Technologies)的平板培養基(Life Technologies)中之siRNA,使最終濃度在100 nM與0.01 nM之間。處理後24小時,使用InviTrap RNA細胞HTS96套組/C (Stratec)溶解細胞。使用針對 AGT及 PPIB之mRNA特異性引子及探針進行RT-qPCR。使用△△Ct法計算表現差異,且測定以管家基因 PPIB正規化的 AGT之相對表現。結果表示為 AGT與 PPIBmRNA相對於未處理之含量的比率且可見於圖2中。 To test the attenuation efficacy of GalNAc-conjugated siRNA targeting AGT in primary cynomolgus macaque hepatocytes, 45,000 cells/well (supplier: Life Technologies) were added to siRNA in plate medium (Life Technologies) in collagen-coated 96-well plates (Life Technologies) to a final concentration between 100 nM and 0.01 nM. 24 h after treatment, cells were lysed using the InviTrap RNA Cell HTS96 Kit/C (Stratec). RT-qPCR was performed using mRNA-specific primers and probes for AGT and PPIB . Expression differences were calculated using the ΔΔCt method, and the relative expression of AGT normalized to the housekeeping gene PPIB was determined. The results are expressed as the ratio of AGT and PPIB mRNA relative to the untreated levels and can be seen in FIG2 .
觀測到所有所測試之GalNAc結合物之 AGTmRNA之劑量依賴性減弱。在100 nM下,減弱後剩餘 AGT含量在2%至16%範圍內。觀測到EM2207、EM2219及EM2227在100 nM下的最強減弱,其中剩餘 AGT含量為2%。 Dose-dependent reduction of AGT mRNA was observed for all GalNAc conjugates tested. At 100 nM, the remaining AGT levels after reduction ranged from 2% to 16%. The strongest reduction was observed for EM2207, EM2219, and EM2227 at 100 nM, with a remaining AGT level of 2%.
結果表示為表9中siRNA轉染之後的剩餘
AGTmRNA%。
表9:靶向
AGT之siRNA在初代食蟹獼猴肝細胞中之劑量反應篩選(100、10、1、0.1或0.01 nM)的結果.
實例 5初代人類肝細胞中之活體外研究展示所測試之GalNAc-siRNA結合物的 AGT減弱功效。 Example 5 Primary in vitro studies in human hepatocytes demonstrated the AGT attenuation efficacy of the tested GalNAc-siRNA conjugates.
在與100 nM、20 nM、4 nM、0.8 nM及0.16 nM的GalNAc-siRNA結合物EM2201、EM2202、EM2203、EM2204、EM2205、EM2205、EM2206、EM2207、EM2208、EM2209、EM2210或EM2211 (在表5c中進一步描述)一起培育之後,評定 AGTmRNA之表現。管家基因 PPIB之mRNA含量充當對照。 After incubation with 100 nM, 20 nM, 4 nM, 0.8 nM and 0.16 nM of GalNAc-siRNA conjugates EM2201, EM2202, EM2203, EM2204, EM2205, EM2205, EM2206, EM2207, EM2208, EM2209, EM2210 or EM2211 (further described in Table 5c), the expression of AGT mRNA was assessed. The mRNA level of the housekeeping gene PPIB served as a control.
為了測試GalNAc結合之siRNA在初代人類肝細胞中靶向 AGT的減弱功效,將35,000個細胞/孔(供應商:Primacyt Cell Culture Technology)添加至膠原蛋白塗佈之96孔盤(Life Technologies)的平板培養基(Life Technologies)中之siRNA,使最終濃度在100 nM與0.16 nM之間。處理後24小時,使用InviTrap RNA細胞HTS96套組/C (Stratec)溶解細胞。使用針對 AGT及 PPIB之mRNA特異性引子及探針進行RT-qPCR。使用△△Ct法計算表現差異,且 AGT之相對表現以管家基因 PPIB之表現正規化。結果表示為 AGT與 PPIBmRNA相對於未處理之含量的比率且可見於圖3中。 To test the attenuation efficacy of GalNAc-conjugated siRNA targeting AGT in primary human hepatocytes, 35,000 cells/well (supplier: Primacyt Cell Culture Technology) were added to siRNA in plate medium (Life Technologies) in collagen-coated 96-well plates (Life Technologies) to a final concentration between 100 nM and 0.16 nM. 24 h after treatment, cells were lysed using the InviTrap RNA Cell HTS96 Kit/C (Stratec). RT-qPCR was performed using mRNA-specific primers and probes for AGT and PPIB . Expression differences were calculated using the ΔΔCt method, and the relative expression of AGT was normalized to that of the housekeeping gene PPIB . The results are expressed as the ratio of AGT and PPIB mRNA relative to the untreated levels and can be seen in FIG3 .
觀測到九種所測試之GalNAc結合物之 AGTmRNA之劑量依賴性減弱。在100 nM下,減弱後剩餘 AGT含量在14%至49%範圍內。觀測到EM2203、EM2204、EM2207及EM2209在100 nM下的最強減弱,剩餘 AGT含量分別為17%、18%、14%及16%。 Dose-dependent reduction of AGT mRNA was observed for nine of the GalNAc conjugates tested. At 100 nM, the remaining AGT levels after reduction ranged from 14% to 49%. The strongest reductions at 100 nM were observed for EM2203, EM2204, EM2207, and EM2209, with remaining AGT levels of 17%, 18%, 14%, and 16%, respectively.
結果表示為表10中siRNA轉染之後的剩餘
AGTmRNA%。
表10:靶向
AGT之siRNA在初代人類肝細胞中之劑量反應篩選(100、20、4、0.8或0.16 nM)的結果.
實例 6初代人類肝細胞中之活體外研究展示所測試之GalNAc-siRNA結合物的 AGT減弱功效。 Example 6 Primary in vitro studies in human hepatocytes demonstrated the AGT attenuation efficacy of the tested GalNAc-siRNA conjugates.
在與100 nM、20 nM、4 nM、0.8 nM及0.16 nM的GalNAc-siRNA結合物EM2212、EM2213、EM2214、EM2215、EM2206、EM2216、EM2217、EM2218、EM2207、EM2219、EM2220、M2221、EM2222、EM2223、EM2224、EM2225、EM2226、EM2227或EM2228(在表5c中進一步描述)一起培育之後,評定 AGTmRNA之表現。管家基因 PPIB之mRNA含量充當對照。 After incubation with 100 nM, 20 nM, 4 nM, 0.8 nM and 0.16 nM of GalNAc-siRNA conjugates EM2212, EM2213, EM2214, EM2215, EM2206, EM2216, EM2217, EM2218, EM2207, EM2219, EM2220, M2221, EM2222, EM2223, EM2224, EM2225, EM2226, EM2227 or EM2228 (further described in Table 5c), the expression of AGT mRNA was assessed. The mRNA level of the housekeeping gene PPIB served as a control.
為了測試GalNAc結合之siRNA在初代人類肝細胞中靶向 AGT的減弱功效,將35,000個細胞/孔(供應商:Primacyt Cell Culture Technology)添加至膠原蛋白塗佈之96孔盤(Life Technologies)的平板培養基(Life Technologies)中之siRNA,使最終濃度在100 nM與0.16 nM之間。處理後24小時,使用InviTrap RNA細胞HTS96套組/C (Stratec)溶解細胞。使用針對 AGT及 PPIB之mRNA特異性引子及探針進行RT-qPCR。使用△△Ct法計算表現差異,且 AGT之相對表現以管家基因 PPIB之表現正規化。結果表示為 AGT與 PPIBmRNA相對於未處理之含量的比率且可見於圖4中。 To test the attenuation efficacy of GalNAc-conjugated siRNA targeting AGT in primary human hepatocytes, 35,000 cells/well (supplier: Primacyt Cell Culture Technology) were added to siRNA in plate medium (Life Technologies) in collagen-coated 96-well plates (Life Technologies) to a final concentration between 100 nM and 0.16 nM. 24 h after treatment, cells were lysed using the InviTrap RNA Cell HTS96 Kit/C (Stratec). RT-qPCR was performed using mRNA-specific primers and probes for AGT and PPIB . Expression differences were calculated using the ΔΔCt method, and the relative expression of AGT was normalized to that of the housekeeping gene PPIB . The results are expressed as the ratio of AGT and PPIB mRNA relative to the untreated levels and can be seen in FIG4 .
觀測到所有所測試之GalNAc結合物之 AGTmRNA之劑量依賴性減弱。在100 nM下,減弱後剩餘 AGT含量在5%至26%範圍內。觀測到EM2212、EM2220、EM2227及EM2228在100 nM下的最強減弱,且剩餘 AGT含量分別為5%、6%、6%及7%。 Dose-dependent reduction of AGT mRNA was observed for all GalNAc conjugates tested. At 100 nM, the remaining AGT levels after reduction ranged from 5% to 26%. The strongest reduction was observed for EM2212, EM2220, EM2227, and EM2228 at 100 nM, with remaining AGT levels of 5%, 6%, 6%, and 7%, respectively.
結果表示為表11中siRNA轉染之後的剩餘
AGTmRNA%。
表11:靶向
AGT之siRNA在初代人類肝細胞中之劑量反應篩選(100、20、4、0.8或0.16 nM)的結果.
實例 7活體內研究表明,在AAV介導之表現及1或5 mg/kg GalNAc結合之siRNA的單次皮下給藥後,鼠類肝組織及人類AGT血清蛋白質中人類 AGTmRNA減弱。 Example 7 In vivo studies demonstrated attenuation of human AGT mRNA in mouse liver tissue and human AGT serum protein following AAV-mediated expression and a single subcutaneous administration of 1 or 5 mg/kg GalNAc-conjugated siRNA.
重組AAV粒子係購自VectorBuilder (Chicago, USA)。簡言之,將編碼人類 AGT的包括相鄰UTR區(NM_001384479.1)之序列選殖至apoE/hAAT啟動子下游之pAAV[Exp]載體中。將血清型8 AAV封裝於HEK293T細胞中且藉由PEG沈澱及CsCl梯度超速離心純化。 Recombinant AAV particles were purchased from VectorBuilder (Chicago, USA). Briefly, the sequence encoding human AGT including the adjacent UTR region (NM_001384479.1) was cloned into the pAAV[Exp] vector downstream of the apoE/hAAT promoter. Serotype 8 AAV was packaged in HEK293T cells and purified by PEG precipitation and CsCl gradient ultracentrifugation.
在Experimental Pharmacology & Oncology Berlin-Buch GmbH (Berlin, Germany)處,根據德國動物保護法(German Protection of Animals Act)之指導原則(其2013年7月版)進行動物實驗。將AAV在磷酸鹽緩衝生理鹽水(PBS)中稀釋至4E11 GC/ml,接著對8-10週齡的雄性C57BL/6小鼠進行靜脈內注射。所有動物均以2E12 GC/kg給藥。經在先前實驗中測定,在注射之後兩週觀測到人類 AGT之穩定表現。 Animal experiments were performed at Experimental Pharmacology & Oncology Berlin-Buch GmbH (Berlin, Germany) according to the guidelines of the German Protection of Animals Act (July 2013 edition). AAV was diluted to 4E11 GC/ml in phosphate-buffered saline (PBS) and injected intravenously into male C57BL/6 mice aged 8-10 weeks. All animals were dosed at 2E12 GC/kg. As determined in previous experiments, stable expression of human AGT was observed two weeks after injection.
在AAV給藥後兩週,用GalNAc-siRNA結合物EM2203、EM2204、EM2206、EM2207或EM2209處理小鼠(在表5c中進一步描述)。小鼠被隨機分成5組,且接受單次皮下劑量的1或5 mg/kg siRNA溶解於PBS中之溶液或僅PBS作為對照。在研究期間監測小鼠之生存力、體重及行為,未見病理結果。Two weeks after AAV administration, mice were treated with GalNAc-siRNA conjugates EM2203, EM2204, EM2206, EM2207, or EM2209 (further described in Table 5c). Mice were randomly divided into 5 groups and received a single subcutaneous dose of 1 or 5 mg/kg siRNA dissolved in PBS or PBS alone as a control. The viability, weight, and behavior of the mice were monitored during the study, and no pathological findings were observed.
在siRNA給藥之後2週收集血清樣品且藉由ELISA使用人類總血管收縮素原分析套組(IBL, Minneapolis, USA)進行分析(圖5)。簡言之,樣品在EIA緩衝液中以1:5000稀釋且根據製造商方案進行進一步處理。使用盤SpectraMAX盤式讀取器(Molecular Devices, San Jose, USA)測定吸光度值且使用範圍為0.31-20 ng/ml之標準曲線計算總AGT含量。在5 mg/kg下,減弱後剩餘hAGT蛋白質含量在8%至28%範圍內。觀測到EM2207及EM2209在5 mg/kg下的最強蛋白質減弱,其中剩餘蛋白質分別為9%及8%。Serum samples were collected 2 weeks after siRNA administration and analyzed by ELISA using the Human Total Proangiotensin Assay Kit (IBL, Minneapolis, USA) (Figure 5). Briefly, samples were diluted 1:5000 in EIA buffer and further processed according to the manufacturer's protocol. The absorbance values were determined using a plate SpectraMAX plate reader (Molecular Devices, San Jose, USA) and the total AGT content was calculated using a standard curve ranging from 0.31-20 ng/ml. At 5 mg/kg, the remaining hAGT protein content after attenuation ranged from 8% to 28%. The strongest protein attenuation at 5 mg/kg was observed for EM2207 and EM2209, with 9% and 8% remaining protein, respectively.
在siRNA給藥後2週終止研究。將所有動物安樂死,且將肝臟樣品速凍且儲存於-80℃下直至進一步分析。概言之,根據製造商的推薦,使用InviTrap Spin Tissue RNA Mini套組(Invitek Molecular, Berlin, Germany)分離總RNA。為了評定經分離RNA之完整性,使用2100 Bioanalyzer (Agilent Technologies, Santa Clara, USA)進行自動化電泳。每次反應100 ng總RNA用於RT-qPCR,其中擴增子組對人類 AGT及作為管家基因的鼠類 ApoB具有特異性。使用∆∆Ct方法計算表現差異,且以PBS組正規化之 hAGT對比 ApoB的相對表現用於比較不同siRNA (圖6)。在5 mg/kg下,減弱後剩餘 hAGTmRNA含量在1%至20%範圍內。觀測到EM2207及EM2209在5 mg/kg下的最強減弱,其中剩餘 hAGT含量為1%。 The study was terminated 2 weeks after siRNA administration. All animals were euthanized, and liver samples were snap-frozen and stored at -80°C until further analysis. In brief, total RNA was isolated using the InviTrap Spin Tissue RNA Mini Kit (Invitek Molecular, Berlin, Germany) according to the manufacturer's recommendations. To assess the integrity of the isolated RNA, automated electrophoresis was performed using a 2100 Bioanalyzer (Agilent Technologies, Santa Clara, USA). 100 ng of total RNA per reaction was used for RT-qPCR with the amplicon group specific for human AGT and mouse ApoB as a housekeeping gene. The ∆∆Ct method was used to calculate expression differences, and the relative expression of hAGT versus ApoB normalized with the PBS group was used to compare different siRNAs (Figure 6). At 5 mg/kg, the remaining hAGT mRNA levels after attenuation ranged from 1% to 20%. The strongest attenuation was observed for EM2207 and EM2209 at 5 mg/kg, with the remaining hAGT levels being 1%.
實例 8活體內研究表明,在AAV介導之表現及1或5 mg/kg GalNAc結合之siRNA的單次皮下給藥後,鼠類肝組織及人類AGT血清蛋白質中人類 AGTmRNA減弱。 Example 8 In vivo studies demonstrated attenuation of human AGT mRNA in mouse liver tissue and human AGT serum protein following AAV-mediated expression and a single subcutaneous administration of 1 or 5 mg/kg GalNAc-conjugated siRNA.
重組AAV粒子係購自VectorBuilder (Chicago, USA)。簡言之,將編碼人類AGT的包括相鄰UTR區(NM_001384479.1)之序列選殖至apoE/hAAT啟動子下游之pAAV[Exp]載體中。將血清型8 AAV封裝於HEK293T細胞中且藉由PEG沈澱及CsCl梯度超速離心純化。Recombinant AAV particles were purchased from VectorBuilder (Chicago, USA). Briefly, the sequence encoding human AGT including the adjacent UTR region (NM_001384479.1) was cloned into the pAAV[Exp] vector downstream of the apoE/hAAT promoter. Serotype 8 AAV was packaged in HEK293T cells and purified by PEG precipitation and CsCl gradient ultracentrifugation.
在Experimental Pharmacology & Oncology Berlin-Buch GmbH (Berlin, Germany)處,根據德國動物保護法(German Protection of Animals Act)之指導原則(其2013年7月版)進行動物實驗。將AAV在磷酸鹽緩衝生理鹽水(PBS)中稀釋至4E11 GC/ml,接著對8-10週齡的雄性C57BL/6小鼠進行靜脈內注射。所有動物均以2E12 GC/kg給藥。經在先前實驗中測定,在注射之後兩週觀測到人類 AGT之穩定表現。 Animal experiments were performed at Experimental Pharmacology & Oncology Berlin-Buch GmbH (Berlin, Germany) according to the guidelines of the German Protection of Animals Act (July 2013 edition). AAV was diluted to 4E11 GC/ml in phosphate-buffered saline (PBS) and injected intravenously into male C57BL/6 mice aged 8-10 weeks. All animals were dosed at 2E12 GC/kg. As determined in previous experiments, stable expression of human AGT was observed two weeks after injection.
在AAV給藥後兩週,用GalNAc-siRNA結合物EM2207 EM2212、EM2214、EM2227、EM2217、EM2220或EM2228處理小鼠(在表5c中進一步描述)。小鼠被隨機分成5組,且接受單次皮下劑量的1或5 mg/kg siRNA溶解於PBS中之溶液或僅PBS作為對照。在研究期間監測小鼠之生存力、體重及行為,未見病理結果。Two weeks after AAV administration, mice were treated with GalNAc-siRNA conjugates EM2207 EM2212, EM2214, EM2227, EM2217, EM2220, or EM2228 (further described in Table 5c). Mice were randomly divided into 5 groups and received a single subcutaneous dose of 1 or 5 mg/kg siRNA dissolved in PBS or PBS alone as a control. The viability, weight, and behavior of the mice were monitored during the study, and no pathological findings were observed.
在siRNA給藥之後2週收集血清樣品且藉由ELISA使用人類總血管收縮素原分析套組(IBL, Minneapolis, USA)進行分析(圖7)。簡言之,樣品在EIA緩衝液中以1:5000稀釋且根據製造商方案進行進一步處理。使用盤SpectraMAX盤式讀取器(Molecular Devices, San Jose, USA)測定吸光度值且使用範圍為0.31-20 ng/ml之標準曲線計算總AGT含量。在5 mg/kg下,減弱後剩餘hAGT蛋白質含量在0.9%至12%範圍內。觀測到EM2212、EM2214、EM2227及EM2220在5 mg/kg下的最強蛋白質減弱,其中剩餘hAGT蛋白質為0.9%至1.6%。Serum samples were collected 2 weeks after siRNA administration and analyzed by ELISA using the Human Total Proangiotensin Assay Kit (IBL, Minneapolis, USA) (Figure 7). Briefly, samples were diluted 1:5000 in EIA buffer and further processed according to the manufacturer's protocol. The absorbance values were determined using a plate SpectraMAX plate reader (Molecular Devices, San Jose, USA) and the total AGT content was calculated using a standard curve ranging from 0.31-20 ng/ml. At 5 mg/kg, the remaining hAGT protein content after attenuation ranged from 0.9% to 12%. The strongest protein reduction was observed at 5 mg/kg for EM2212, EM2214, EM2227, and EM2220, with the remaining hAGT protein ranging from 0.9% to 1.6%.
在siRNA給藥後2週終止研究。將所有動物安樂死,且將肝臟樣品速凍且儲存於-80℃下直至進一步分析。概言之,根據製造商的推薦,使用InviTrap Spin Tissue RNA Mini套組(Invitek Molecular, Berlin, Germany)分離總RNA。為了評定經分離RNA之完整性,使用2100 Bioanalyzer (Agilent Technologies, Santa Clara, USA)進行自動化電泳。每次反應100 ng總RNA用於RT-qPCR,其中擴增子組對人類 AGT及作為管家基因的鼠類 ApoB具有特異性。使用∆∆Ct方法計算表現差異,且以PBS組正規化之 hAGT對比 ApoB的相對表現用於比較不同siRNA (圖8)。在5 mg/kg下,減弱後剩餘 hAGTmRNA含量在1%至28%範圍內。觀測到EM2212、EM2214及EM2220在5 mg/kg下的最強減弱,其中剩餘 hAGTmRNA分別為2%、3%及1%。 The study was terminated 2 weeks after siRNA administration. All animals were euthanized and liver samples were snap frozen and stored at -80°C until further analysis. In brief, total RNA was isolated using the InviTrap Spin Tissue RNA Mini Kit (Invitek Molecular, Berlin, Germany) according to the manufacturer's recommendations. To assess the integrity of the isolated RNA, automated electrophoresis was performed using a 2100 Bioanalyzer (Agilent Technologies, Santa Clara, USA). 100 ng of total RNA per reaction was used for RT-qPCR with the amplicon group specific for human AGT and mouse ApoB as a housekeeping gene. The ∆∆Ct method was used to calculate the expression difference, and the relative expression of hAGT versus ApoB normalized with the PBS group was used to compare the different siRNAs (Figure 8). At 5 mg/kg, the remaining hAGT mRNA levels after attenuation ranged from 1% to 28%. The strongest attenuation was observed for EM2212, EM2214, and EM2220 at 5 mg/kg, with remaining hAGT mRNA at 2%, 3%, and 1%, respectively.
實例 9(vp)-mU-phos之合成如Prakash, Nucleic Acids Res. 2015, 43(6), 2993-3011及Haraszti, Nucleic Acids Res. 2017, 45(13), 7581-7592中所描述進行。可如WO2017/174657中所描述進行ST41 (ST41-phos)以及ST23 (ST23-phos)之胺基亞磷酸酯(phosphoramidite)衍生物之合成。如Caruthers, J. Org. Chem. 1996, 61, 4272-4281中所述進行硫代胺基亞磷酸酯(Phosphorthioamidites)之合成。 Example 9 The synthesis of (vp)-mU-phos was carried out as described in Prakash, Nucleic Acids Res. 2015, 43(6), 2993-3011 and Haraszti, Nucleic Acids Res. 2017, 45(13), 7581-7592. The synthesis of phosphoramidite derivatives of ST41 (ST41-phos) and ST23 (ST23-phos) can be carried out as described in WO2017/174657. The synthesis of thiophosphoamidites was carried out as described in Caruthers, J. Org. Chem. 1996, 61, 4272-4281.
實例 10根據下文所描述且熟習此項技術者已知之方法合成實例化合物。藉由應用胺基亞磷酸酯方法之固相合成進行寡核苷酸鏈及連接子建構嵌段之組裝。 Example 10 Example compounds were synthesized according to methods described below and known to those skilled in the art. Assembly of the oligonucleotide chain and linker building blocks was performed by solid phase synthesis using the phosphoamidate method.
下游裂解、脫除保護基及純化係遵循此項技術中熟知之標準程序進行。Downstream cleavage, deprotection and purification follow standard procedures well known in the art.
使用市售2'O-甲基RNA及2'氟-2'去氧基RNA鹼基負載之CPG固態支撐物及胺基亞磷酸酯(所有標準保護,ChemGenes,LinkTech)在AKTA oligopilot 10上進行寡核苷酸合成。Oligonucleotide synthesis was performed on an AKTA oligopilot 10 using commercially available 2'O-methyl RNA and 2'fluoro-2'deoxy RNA base-loaded CPG solid supports and phosphoamidates (all standard protections, ChemGenes, LinkTech).
輔助試劑購自EMP Biotech及Biosolve。使用0.1 M胺基亞磷酸酯於無水乙腈(<20 ppm H 2O)中之溶液進行合成,且使用苯甲硫基四唑(BTT)作為活化劑(0.3 M於乙腈中)。偶合時間為10分鐘。若使用硫代胺基亞磷酸酯引入二硫代磷酸酯鍵聯(PS2),則進行重複偶合洗循環60分鐘。應用Cap/OX/Cap或Cap/Thio/Cap循環(Cap:Ac 2O/NMI/二甲基吡啶/乙腈,氧化劑:0.05 M I 2於吡啶/H 2O中)。使用市售硫醇化試劑50 mM EDITH在乙腈中(Link technologies)引入硫代磷酸酯及二硫代磷酸酯。DMT裂解係藉由用含3%二氯乙酸之甲苯處理達成。在完成程式化合成循環時,進行二乙胺(DEA)洗滌。所有寡核苷酸係以DMT-關閉(DMT-off)模式合成。 Auxiliary reagents were purchased from EMP Biotech and Biosolve. Synthesis was performed using 0.1 M phosphoamido solutions in anhydrous acetonitrile (<20 ppm H 2 O) and phenylmethylthiotetrazolium (BTT) was used as activator (0.3 M in acetonitrile). Coupling time was 10 min. If thiophosphoamido was used to introduce phosphorodithioate linkages (PS2), repeated coupling wash cycles were performed for 60 min. Cap/OX/Cap or Cap/Thio/Cap cycles were applied (Cap: Ac 2 O/NMI/lutidine/acetonitrile, oxidant: 0.05 M I 2 in pyridine/H 2 O). Phosphorothioates and phosphorodithioates were introduced using the commercial thiolation reagent 50 mM EDITH in acetonitrile (Link technologies). DMT cleavage was achieved by treatment with 3% dichloroacetic acid in toluene. At the end of the programmed synthesis cycle, a diethylamine (DEA) wash was performed. All oligonucleotides were synthesized in DMT-off mode.
藉由連續偶合分支三倍體胺基亞酸酯(branching trebler amidite)衍生物(C4XLT-phos),接著GalNAc胺基亞酸酯(ST23-phos)引入三觸角GalNAc簇(ST23/ST41)。(vp)-mU部分之連接係藉由在最後合成循環中使用(vp)-mU-phos達成。(vp)-mU-phos不提供適合進一步合成延長的羥基,且因此不具有DMT-基團。因此(vp)-mU-phos之偶合使得合成終止。The triantennary GalNAc cluster (ST23/ST41) was introduced by sequential coupling of a branching trebler amidite derivative (C4XLT-phos) followed by a GalNAc amidite (ST23-phos). The attachment of the (vp)-mU moiety was achieved by using (vp)-mU-phos in the last synthetic cycle. (vp)-mU-phos does not provide a hydroxyl group suitable for further synthetic extension and therefore does not have a DMT-group. Coupling of (vp)-mU-phos therefore terminates the synthesis.
為移除掩蔽乙烯基膦酸酯的甲酯,將攜帶充分組裝之寡核苷酸的CPG減壓乾燥且轉移至20 ml PP注射器反應器中,用於裝配有玻璃片(Carl Roth GmbH)之固相肽合成。隨後在室溫下使CPG與250 µL TMSBr及177 µL吡啶於CH 2Cl 2(0.5 ml/µmol固態支撐物結合之寡核苷酸)中之溶液接觸,且用Luer蓋密封反應器。反應容器在2×15分鐘之時段內略微攪動,丟棄過量試劑,且用10 ml乙腈洗滌殘餘CPG 2次。其他下游處理並未改變任何其他實例化合物。 To remove the methyl ester masking the vinylphosphonate, the CPG with fully assembled oligonucleotides was dried under reduced pressure and transferred to a 20 ml PP syringe reactor for solid phase peptide synthesis equipped with a glass slide (Carl Roth GmbH). The CPG was then contacted with a solution of 250 µL TMSBr and 177 µL pyridine in CH 2 Cl 2 (0.5 ml/µmol solid support bound oligonucleotide) at room temperature and the reactor was sealed with a Luer cap. The reaction vessel was slightly agitated during 2×15 min periods, excess reagent was discarded, and residual CPG was washed twice with 10 ml acetonitrile. Other downstream treatments did not change any of the other example compounds.
在室溫下在90分鐘內藉由40%甲胺水溶液處理(若存在二硫代磷酸酯鍵,則在20 mM DTT存在下),將單股自CPG上裂解下來。所得粗寡核苷酸藉由離子交換層析(Resource Q,6 ml GE Healthcare)在AKTA Pure HPLC系統上使用氯化鈉梯度純化。將含有產物之溶離份彙集,在尺寸排阻管柱(Zetadex,EMP Biotech)上去鹽,且凍乾直至進一步使用。The single strands were cleaved from the CPG by treatment with 40% aqueous methylamine (in the presence of 20 mM DTT if dithiophosphate bonds were present) at room temperature for 90 minutes. The resulting crude oligonucleotides were purified by ion exchange chromatography (Resource Q, 6 ml GE Healthcare) on an AKTA Pure HPLC system using a sodium chloride gradient. The fractions containing the product were pooled, desalted on a size exclusion column (Zetadex, EMP Biotech), and lyophilized until further use.
所有最終單股產物藉由AEX-HPLC分析以證明其純度。各別單股產物之標識藉由LC-MS分析證明。All final single products were analyzed by AEX-HPLC to confirm their purity. The identity of each single product was confirmed by LC-MS analysis.
實例 11將個別單股以60 OD/ml之濃度溶解於H 2O中。將兩種個別寡核苷酸溶液一起添加於反應容器中。為了更容易地反應監測,進行滴定。經260 nm下之UV吸收測定,第一股相比於第二股過量添加25%。將反應混合物加熱至80℃持續5分鐘且接著緩慢冷卻至室溫。藉由離子成對逆相HPLC監測雙股形成。自殘餘單股之UV面積計算所需量之第二股,且將其添加至反應混合物中。將反應物再次加熱至80℃且緩慢冷卻至室溫。重複此程序直至偵測到小於10%之殘餘單股。 Example 11 The individual strands were dissolved in H 2 O at a concentration of 60 OD/ml. The two individual oligonucleotide solutions were added together in a reaction vessel. For easier reaction monitoring, titration was performed. The first strand was added in 25% excess compared to the second strand as determined by UV absorption at 260 nm. The reaction mixture was heated to 80°C for 5 minutes and then slowly cooled to room temperature. The formation of the double strand was monitored by ion pairing reverse phase HPLC. The required amount of the second strand was calculated from the UV area of the residual strand and added to the reaction mixture. The reactants were heated to 80°C again and slowly cooled to room temperature. This procedure was repeated until less than 10% of the residual strand was detected.
實例 12初代人類肝細胞之活體外研究鑑別在用GalNAc-siRNA結合物處理後之差異表現基因。 Example 12 In vitro studies of primary human hepatocytes identified differentially expressed genes after treatment with GalNAc-siRNA conjugates.
在與100 nM的GalNAc-siRNA結合物EM2214、EM2206、EM2217、EM2207、EM2220、EM2227及EM2228一起培育24小時之後,使用RNA定序方法(NovaSeq PE150)評定初代人類肝細胞中之差異表現基因(DEG),且與未處理對照相比。Differentially expressed genes (DEGs) were assessed in primary human hepatocytes using RNA sequencing (NovaSeq PE150) after 24 h incubation with 100 nM of GalNAc-siRNA conjugates EM2214, EM2206, EM2217, EM2207, EM2220, EM2227, and EM2228 and compared to untreated controls.
將靶向 AGT的GalNAc結合之siRNA添加至膠原蛋白塗佈之6孔盤(Life Technologies)的平板培養基(Life Technologies)中之初代人類肝細胞,900,000個細胞/孔(Life Technologies),使最終濃度為100 nM。處理後20小時,將培養基更換為維持培養基(Life Technologies)。4小時後,使用NucleoSpin RNA套組(Macherey-Nagel)溶解細胞。在藉由RT-qPCR確認 AGTmRNA減弱之後,使用DESeq2 R包,基於RNA定序產生之基因表現資料鑑別DEG,且繪製成描繪統計顯著性(p adj≤0.05)對比相對於未處理之對照的表現變化幅度(變化倍數≤0.5=≥50%減弱)的火山圖(圖9)。 GalNAc-conjugated siRNA targeting AGT was added to primary human hepatocytes in plating medium (Life Technologies) in collagen-coated 6-well plates (Life Technologies) at 900,000 cells/well (Life Technologies) for a final concentration of 100 nM. 20 hours after treatment, the medium was changed to maintenance medium (Life Technologies). Four hours later, cells were lysed using the NucleoSpin RNA kit (Macherey-Nagel). After confirming AGT mRNA attenuation by RT-qPCR, DEGs were identified based on gene expression data generated by RNA sequencing using the DESeq2 R package and plotted as a volcano plot depicting statistical significance (p adj ≤ 0.05) versus the magnitude of expression change relative to untreated controls (fold change ≤ 0.5 = ≥ 50% attenuation) (Figure 9).
表6中描繪mRNA表現相對於未處理之對照的顯著倍數變化(變化倍數≤0.5,p adj≤0.05)及表示樣品中目標之總體表現的平均鹼基讀數。 Table 6 depicts significant fold changes in mRNA expression relative to untreated controls (fold change ≤ 0.5, p adj ≤ 0.05) and the mean base reads representing the overall expression of the target in the samples.
表6.在與100 nM的EM2214、EM2206、EM2217、EM2207、EM2220、EM2227或EM2228一起培育24小時之人類初代肝細胞中所鑑別出之差異表現基因。用星號標記的為假基因或被視為對於預測潛在脫靶效應無關的RNA基因。
EM2227展示肝細胞中無額外( AGT以外) DEG (截止值:倍數變化≤0.5,p adj≤0.05)。用EM2228處理之細胞展示單一基因之下調:三角形四肽重複域1 (Tetratricopeptide Repeat Domain 1, TTC1)。所編碼蛋白在蛋白質-蛋白質相互作用中發揮作用且結合GPCR之G α次單元以活化Ras信號傳導路徑。然而,預期下調之 TTC1表現(尤其在肝中)不會引起重大安全問題。對於EM2207,除了在肝臟中具有極低表現,因此被認為與產品安全性無關之單一tRNA (所用RNA定序方法僅量測mRNA且不適合偵測tRNA基因,因此其被視為假影)及若干假基因(在結構上類似於基因但不能夠編碼蛋白質的DNA區段)以外,三個基因 COMMD9 、 URI1 及 EIF3CL展示降低之表現。文獻分析揭露,攜帶含COMM域9基因(COMM Domain Containing 9, COMMD9)之組成性異種接合基因剔除的小鼠展示與代謝及血液參數相關之若干種表型,然而,肝特異性減弱可與產品安全性無關,尤其在已發育之肝臟中下調的情況下無關。URI1預摺疊蛋白樣伴護蛋白基因(URI1 Prefoldin Like Chaperone gene, URI1)編碼充當骨架蛋白且在泛素化及轉錄中發揮作用的蛋白。攜帶 URI1之全局基因剔除的小鼠展示輕度表型,其中雄性小鼠空腹血糖增加,但此在肝靶向之情況下可能不會產生表型。真核轉譯起始因子3次單元C樣基因(Eukaryotic Translation Initiation Factor 3 Subunit C Like, EIF3CL),蛋白質合成起始中的若干步驟所需的eIF-3複合物之一個組分,係在肝臟中表現較低的基因,且缺乏 EIF3CL之異種接合小鼠相對健康且具有輕度骨胳肌表型。用其他四種GalNAc-siRNA結合物處理引起參與細胞週期調節之基因(EM2214中 S100A4)、以p53依賴性方式誘導細胞凋亡的基因(EM2217中 C1DP1)、參與氧運輸的腫瘤抑制子或基因(EM2220中 LOX及 HBA2)的表現降低。所鑑別出之基因( S100A4、 C1DP1、 LOX及 HBA2)發揮重要生物功能且在肝臟中之持續減弱可能對安全性具有深遠影響。因此,由於與鑑別出之DEG相關之潛在的重要長期安全性問題,不選擇GalNAc-siRNA結合物EM2214、EM2217及EM2220進行NHP中的研究(實例13)。 EM2227 showed no additional (other than AGT ) DEGs in hepatocytes (cutoff: fold change ≤ 0.5, p adj ≤ 0.05). Cells treated with EM2228 showed downregulation of a single gene: Tetratricopeptide Repeat Domain 1 ( TTC1 ). The encoded protein plays a role in protein-protein interactions and binds to the Gα subunit of GPCRs to activate the Ras signaling pathway. However, downregulated TTC1 expression, especially in the liver, is not expected to cause major safety issues. For EM2207, in addition to a single tRNA (the RNA sequencing method used only measures mRNA and is not suitable for detecting tRNA genes, so it is considered an artifact) and several pseudogenes (DNA segments that are structurally similar to genes but cannot encode proteins), three genes, COMMD9 , URI1 and EIF3CL, showed reduced expression in the liver. Literature analysis revealed that mice carrying constitutive heterozygous knockout of the COMM Domain Containing 9 ( COMMD9 ) gene showed several phenotypes related to metabolic and blood parameters, however, the liver-specific attenuation may not be relevant to product safety, especially in the case of downregulation in developed liver. URI1 Prefoldin Like Chaperone gene ( URI1 ) encodes a protein that functions as a scaffold protein and plays a role in ubiquitination and transcription. Mice carrying a global knockout of URI1 display a mild phenotype with increased fasting blood glucose in male mice, but this may not produce a phenotype in the case of liver targeting. Eukaryotic Translation Initiation Factor 3 Subunit C Like ( EIF3CL ), a component of the eIF-3 complex required for several steps in the initiation of protein synthesis, is a gene with low expression in the liver, and in vitro hybridized mice lacking EIF3CL are relatively healthy and have a mild skeletal muscle phenotype. Treatment with the other four GalNAc-siRNA conjugates resulted in reduced expression of genes involved in cell cycle regulation ( S100A4 in EM2214), genes that induce apoptosis in a p53-dependent manner ( C1DP1 in EM2217), tumor suppressors or genes involved in oxygen transport ( LOX and HBA2 in EM2220). The identified genes ( S100A4 , C1DP1 , LOX , and HBA2 ) play important biological functions and their continued attenuation in the liver may have profound implications for safety. Therefore, due to potential important long-term safety issues associated with the identified DEGs, the GalNAc-siRNA conjugates EM2214, EM2217, and EM2220 were not selected for study in NHPs (Example 13).
基於展現鼠類肝臟組織中人類 AGTmRNA及人類AGT血清蛋白質之減弱的活體內研究(實例7及8)以及潛在脫靶效應(人類初代肝細胞中之DEG)之分析之資料,選擇具有有利脫靶概況的三種極強效GalNAc-siRNA結合物來測定非人類靈長類動物中之蛋白質減弱功效(實例13):EM2207、EM2227、EM2228。 Based on the data from in vivo studies demonstrating attenuation of human AGT mRNA and human AGT serum protein in mouse liver tissue (Examples 7 and 8) and analysis of potential off-target effects (DEGs in human primary hepatocytes), three extremely potent GalNAc-siRNA conjugates with favorable off-target profiles were selected to assay for protein attenuation efficacy in non-human primates (Example 13): EM2207, EM2227, EM2228.
實例 13展示非人類靈長類動物(NHP)中AGT mRNA之減弱的活體內研究。 此實驗之目標為活體內測定在非人類靈長類動物(NHP)中靶向AGT之siRNA GalNAc結合物之蛋白質減弱功效。 Example 13 shows an in vivo study of attenuation of AGT mRNA in non-human primates (NHPs). The goal of this experiment was to determine the protein attenuation efficacy of siRNA GalNAc conjugates targeting AGT in non-human primates (NHPs) in vivo.
將有目的培育之食蟹獼猴(7至18歲未處理雌性)分配至不同處理組(每組4隻動物)。在第1天,各組藉由皮下注射用每公斤體重3 mg GalNAc siRNA之單次劑量處理,而對照動物藉由皮下注射接受媒劑,0.9%生理鹽水。在給藥前(第-7天及第1天)、第2、8、15、22、29、43、57、71及85天進行連續放血。使用特定ELISA分析(IBL America 27412)在血清中量測AGT蛋白質之表現。Purpose-bred cynomolgus macaques (naive females aged 7 to 18 years) were assigned to different treatment groups (4 animals per group). On day 1, each group was treated with a single dose of 3 mg GalNAc siRNA per kg body weight by subcutaneous injection, while control animals received vehicle, 0.9% saline by subcutaneous injection. Serial bleeding was performed before dosing (day -7 and day 1), 2, 8, 15, 22, 29, 43, 57, 71 and 85 days. The expression of AGT protein was measured in serum using a specific ELISA assay (IBL America 27412).
單次皮下給與GalNAc結合之siRNA EM2207、EM2227及EM2228後12週內AGT蛋白質含量減少之結果展示於圖10中。在用EM2207進行單次處理之後3週收集之食蟹獼猴血清中之AGT蛋白質含量平均減少90%,8週後減少78%,且12週後減少56%。在用EM2227進行單次處理之後3週收集之食蟹獼猴血清中之AGT蛋白質含量平均減少82%,8週後減少54%,且12週後減少28%。在用EM2228進行單次處理之後3週收集之食蟹獼猴血清中之AGT蛋白質含量平均減少78%,8週後減少56%,且12週後減少48%。The results of the reduction of AGT protein levels within 12 weeks after a single subcutaneous administration of GalNAc-conjugated siRNA EM2207, EM2227, and EM2228 are shown in Figure 10. The AGT protein level in the serum of cynomolgus macaques collected 3 weeks after a single treatment with EM2207 was reduced by an average of 90%, 78% after 8 weeks, and 56% after 12 weeks. The AGT protein level in the serum of cynomolgus macaques collected 3 weeks after a single treatment with EM2227 was reduced by an average of 82%, 54% after 8 weeks, and 28% after 12 weeks. AGT protein levels in cynomolgus macaque sera collected after a single treatment with EM2228 were reduced by an average of 78% 3 weeks, 56% after 8 weeks, and 48% after 12 weeks.
實例 14Hep3B細胞中之活體外研究展示在轉染10、1或0.1 nM siRNA之後所測試之siRNA的 AGT減弱功效。 Example 14 In vitro studies in Hep3B cells demonstrated the AGT attenuation efficacy of the tested siRNAs after transfection with 10, 1 or 0.1 nM siRNA.
在Hep3B細胞中轉染10、1或0.1 nM siRNA之後測定所選siRNA之 AGT減弱功效。結果描繪於下表7中。在10 nM下,對於三種測試分子EM2229、EM2230及EM2231,減弱後剩餘 AGT含量達至最少2%。 The AGT attenuation efficacy of the selected siRNAs was determined after transfection of 10, 1 or 0.1 nM siRNA in Hep3B cells. The results are depicted in Table 7 below. At 10 nM, the remaining AGT level after attenuation reached a minimum of 2% for the three tested molecules EM2229, EM2230 and EM2231.
為了用siRNA轉染Hep3B細胞,在96孔組織培養盤(TPP,目錄號13778-075,Switzerland)中以20,000個細胞/孔之密度接種細胞。接種前即刻根據製造商說明書,用Lipofectamine RNAiMax (Invitrogen/Life Technologies,目錄號13778-500,Germany)進行siRNA轉染。用AGT siRNA分別以10、1或0.1 nM一式三份地進行劑量反應篩選,其中亂序siRNA及靶向螢光素酶之siRNA作為非特異性對照。在與siRNA一起培育24小時之後,移除培養基,用250 µL PBS洗滌細胞且將其溶解於250 µL溶解/結合緩衝液(Dynabeads mRNA Direct套組(Thermo Fisher,目錄號61012,Germany))中,接著在-80℃下冷凍。使用KingFisher Flex系統(Thermo Fisher,目錄號5400630,Germany)分離RNA。使用AGT及PPIB特異性引子探針組及Takyon™ One-Step Rox Probe 5X MasterMix dTTP在來自Applied Biosystems的StepOnePlus裝置上以單重96孔格式進行RT-qPCR。使用△△Ct法計算表現差異,且測定以管家基因
PPIB正規化的
AGT之相對表現。結果表示為表7中siRNA轉染之後的剩餘AGT mRNA%。
表7:靶向
AGT之siRNA之劑量反應篩選(10、1、0.1 nM)的結果.
形成siRNA雙螺旋體中之各者的單股之標識以及其序列及修飾見於表5a及表5b中。
實例 15展示非人類靈長類動物(NHP)中AGT mRNA之減弱的活體內研究。 Example 15 shows an in vivo study of attenuation of AGT mRNA in non-human primates (NHPs).
此實驗之目標為活體內測定各種劑量下的siRNA GalNAc結合物之蛋白質在非人類靈長類動物(NHP)中靶向AGT之減弱功效。The goal of this experiment was to determine the attenuation efficacy of siRNA GalNAc conjugates at various doses of protein targeting AGT in non-human primates (NHPs) in vivo.
將有目的培育之猴(8至16歲未處理雌性)分配至不同處理組(每組4隻動物)。在第1天,動物藉由皮下注射用每公斤體重1、3或9 mg GalNAc siRNA之單次劑量處理,而對照動物藉由皮下注射接受媒劑,0.9%生理鹽水。在給藥前(第-7天及第1天)、第2、8、15、22、29、43、57、71及85天進行連續放血。AGT蛋白質之表現係使用特異性ELISA分析(IBL America 27412)在血清中量測。Purpose-bred monkeys (naive females aged 8 to 16 years) were assigned to different treatment groups (4 animals per group). On day 1, animals were treated with a single dose of 1, 3 or 9 mg GalNAc siRNA/kg body weight by subcutaneous injection, while control animals received vehicle, 0.9% saline by subcutaneous injection. Serial bleeding was performed before dosing (day -7 and day 1), 2, 8, 15, 22, 29, 43, 57, 71 and 85 days. The expression of AGT protein was measured in serum using a specific ELISA assay (IBL America 27412).
在皮下給與GalNAc結合之siRNA EM2207後12週內AGT蛋白質含量減少的結果展示於圖11中。在用1 mg/kg之單次劑量處理之猴中,AGT蛋白質血清含量在4週後平均減少66%,在8週後減少42%,且在12週後減少26%。用3 mg/kg之單次劑量進行處理使AGT含量在4週後減少80%,在8週後減少59%,且在12週後減少53%。9 mg/kg之單次劑量使AGT蛋白質含量在4週後減少84%,在8週後減少73%,且在12週後減少63%。
彙總縮寫表 - 表 4
如以上縮寫表中所示之縮寫可用於本文中。縮寫之清單可能並非詳盡的且可在整個此文件中發現其他縮寫及其含義。
彙總序列表 表 5a- 未經修飾之雙螺旋體
表5b中所列之雙螺旋體具有如所示之各種修飾,關於所用縮寫之解釋參考表4。適當時,亦指示表5a之等效未經修飾之股之序列。
表 5b- 經修飾之雙螺旋體
表5c中所列之結合雙螺旋體具有如所示之各種修飾,關於所用縮寫之解釋參考表4。適當時,亦指示表5a之等效未經修飾之股之序列。
表 5c- 經修飾之 GalNAc 結合之雙螺旋體
陳述項以下陳述項表示本發明之態樣。 1. 一種用於抑制AGT表現之核酸,其中核酸包含第一股及第二股,其中第一股序列之未經修飾之等效物包含至少15個核苷酸之序列,該序列與表5a、表1、表5b、表2或表5c中所示之第一股序列中之任一者相差不超過3個核苷酸。 2. 如陳述項1之核酸,其中第一股與第二股係單獨股,且長度各自為18-25個核苷酸。 3. 如前述陳述項中任一項之核酸,其中第一股與第二股形成長度為17-25個核苷酸之雙螺旋區。 4. 如前述陳述項中任一項之核酸,其中第一股與第二股形成長度為19個核苷酸之雙螺旋區。 5. 如前述陳述項中任一項之核酸,其中雙螺旋區由17-25個連續核苷酸鹼基對組成。 6. 如前述陳述項中任一項之核酸,其中該核酸: a) 在兩端處為鈍端; b) 在第一股之5'端處具有懸垂物且在第一股之3'端處具有鈍端; c) 在第一股之3'端處具有懸垂物且在第一股之5'端處具有鈍端; d) 在第二股之5'端處具有懸垂物且在第二股之3'端處具有鈍端; e) 在第二股之3'端處具有懸垂物且在第二股之5'端處具有鈍端; f) 在第一股之5'端處及在第一股之3'端處具有懸垂物;或 g) 在第二股之5'端處及在第二股之3'端處具有懸垂物。 7. 如前述陳述項中任一項之核酸,其中核酸為siRNA。 8. 如前述陳述項中任一項之核酸,其中核酸介導RNA干擾。 9. 如前述陳述項中任一項之核酸,其中: (a) 第一股序列之未經修飾之等效物包含與表5a或表1中所示之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a或表1中所示之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列之未經修飾之等效物包含與表5a或表1中所示之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a或表1中所示之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列之未經修飾之等效物包含與表5a或表1中所示之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列之未經修飾之等效物包含與表5a或表1中所示之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列之未經修飾之等效物包含對應於自具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列之未經修飾之等效物包含具有表5a或表1中所示之給定SEQ ID No.的第一股序列中之任一者的序列,且視情況其中第二股序列之未經修飾之等效物包含具有表5a或表1中所示之給定SEQ ID No.的對應第二股序列的序列;或 (i) 第一股序列之未經修飾之等效物基本上由具有表5a或表1中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物基本上由具有表5a或表1中所示之給定SEQ ID No.的對應第二股序列的序列組成。 (j) 第一股序列之未經修飾之等效物由對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成, 且視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列的序列; (k) 第一股序列之未經修飾之等效物由對應於自具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中第一股序列之該未經修飾之等效物在具有表5a或表1中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中第一股序列之該未經修飾之等效物由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成;及 視情況其中第二股序列之未經修飾之等效物包含以下或基本上由以下組成或由以下組成:具有表5a或表1中所示之給定SEQ ID No.之對應第二股序列的序列; (l) 第一股序列之未經修飾之等效物由具有表5a或表1中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列之未經修飾之等效物由具有表5a或表1中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物存在於單股上,其中第一股之未經修飾之等效物及第二股之未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者的第一股之未經修飾之等效物及第二股之未經修飾之等效物係在兩個單獨股上,該等未經修飾之等效物能夠彼此雜交,且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 10. 如前述陳述項中任一項之核酸,其中第一及/或第二股之至少一個核苷酸為經修飾之核苷酸,較佳經修飾之核苷酸為非天然存在之核苷酸,諸如2'-F修飾之核苷酸。 11. 如前述陳述項中任一項之核酸,其中第一股之至少核苷酸2及14藉由第一修飾來修飾,該等核苷酸以在具有給定SEQ ID No.之第一股序列之5'端處的核苷酸編號1開始連續編號。 12 如前述陳述項中任一項之核酸,其中第一股之偶數編號之核苷酸中之各者藉由第一修飾來修飾,該等核苷酸以在具有給定SEQ ID No.之第一股序列之5'端處的核苷酸編號1開始連續編號。 13. 如前述陳述項中任一項之核酸,其中具有給定SEQ ID No.之第一股之奇數編號之核苷酸藉由第二修飾來修飾,其中第二修飾不同於第一修飾。 14. 如前述陳述項中任一項之核酸,其中在與具有給定SEQ ID No.之第一股之偶數編號之核苷酸對應之位置中的具有給定SEQ ID No.之第二股之核苷酸藉由第三修飾來修飾,其中第三修飾不同於第一修飾。 15. 如前述陳述項中任一項之核酸,其中在與具有給定SEQ ID No.之第一股之奇數編號之核苷酸對應之位置中的具有給定SEQ ID No.之第二股之核苷酸藉由第四修飾來修飾,其中當存在第二及/或第三修飾時,第四修飾不同於第二修飾且不同於第三修飾。 16. 如前述陳述項中任一項之核酸,其中在與具有給定SEQ ID No.之第一股之核苷酸11、或核苷酸13、或核苷酸11及13、或核苷酸11-13對應之位置中的具有給定SEQ ID No.之第二股之一或多個核苷酸藉由第四修飾來修飾,且較佳其中未藉由第四修飾來修飾之第二股之核苷酸藉由第三修飾來修飾。 17. 如前述陳述項中任一項之核酸,其中若第一修飾與第四修飾均存在於核酸中,則兩個修飾相同,且較佳其中若第二修飾與第三修飾均存在於核酸中,則兩個修飾相同。 18. 如前述陳述項中任一項之核酸,其中第一修飾為2'-F修飾;第二修飾若存在於核酸中,則較佳為2'-OMe修飾;第三修飾若存在於核酸中,則較佳為2'-OMe修飾;且第四修飾若存在於核酸中,則較佳為2'-F修飾。 19. 如前述陳述項中任一項之核酸,其中第一股及第二股之各核苷酸為經修飾之核苷酸。 20. 如前述陳述項中任一項之核酸,其中具有給定SEQ ID No.之第一股在其5'端處具有末端5' (E)-乙烯基膦酸酯核苷酸,且視情況其中末端5' (E)-乙烯基膦酸酯核苷酸較佳藉由磷酸二酯鍵連接至第一股中之第二核苷酸。 21. 如前述陳述項中任一項之核酸,其中核酸包含在具有給定SEQ ID No.之第一股及/或具有給定SEQ ID No.之第二股的末端兩個或三個3'核苷酸及/或5'核苷酸之間的硫代磷酸酯鍵,且視情況其中其餘核苷酸之間的鍵為磷酸二酯鍵。 22. 如前述陳述項中任一項之核酸,其中核酸在第一股之末端三個3'核苷酸中之各者之間包含硫代磷酸酯鍵。 23. 如前述陳述項中任一項之核酸,其中核酸在第二股之末端三個3'核苷酸中之各者之間包含硫代磷酸酯鍵。 24. 如前述陳述項中任一項之核酸,其包含在具有給定SEQ ID No.之第一股之3'端的兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,及/或包含在具有給定SEQ ID No.之第二股之3'端的兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,及/或在具有給定SEQ ID No.之第二股之5'端的兩個、三個或四個末端核苷酸中之各者之間的二硫代磷酸酯鍵,且包含除在第一股之5'端之兩個、三個或四個末端核苷酸之間的二硫代磷酸酯鍵以外的鍵。 25. 如前述陳述項中任一項之核酸,其中核酸在具有給定SEQ ID No.之第一股之3'端之兩個、三個或四個末端核苷酸中之各者之間,及/或在具有給定SEQ ID No.之第一股之5'端之兩個、三個或四個末端核苷酸中之各者之間,及/或在具有給定SEQ ID No.之第二股之3'端之兩個、三個或四個末端核苷酸中之各者之間,及/或在具有給定SEQ ID No.之第二股之5'端之兩個、三個或四個末端核苷酸中之各者之間包含硫代磷酸酯鍵。 26. 如前述陳述項中任一項之核酸,其中除第一股之3'端之兩個末端核苷酸之間的鍵及第二股之3'端及5'端之兩個末端核苷酸之間的鍵以外的兩個股之核苷酸之間的所有鍵為磷酸二酯鍵。 27. 如前述陳述項中任一項之核酸,其中: (a) 第一股序列包含與表5b之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列包含與表5b之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列包含與表5b之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列包含與表5b之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列包含對應於自具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表5b中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列包含具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者的序列,且視情況其中第二股序列包含具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列; (i) 第一股序列基本上由具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列基本上由具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列組成。 (j) 第一股序列由對應於自具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成, 且視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列; (k) 第一股序列由對應於自具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表5b中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中該第一股序列由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成;及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表5b中所示之給定SEQ ID No.的對應第二股序列之序列; (l) 第一股序列由具有表5b中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列由具有表5b中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股存在於單股上,其中第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區之雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股位於兩個單獨股上,該等第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 28. 如前述陳述項中任一項之核酸,其中: (a) 第一股序列包含與表2之第一股序列中之任一者相差不超過3個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過3個核苷酸之序列; (b) 第一股序列包含與表2之第一股序列中之任一者相差不超過2個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過2個核苷酸之序列; (c) 第一股序列包含與表2之第一股序列中之任一者相差不超過1個核苷酸之序列,且視情況其中第二股序列包含與表2之對應第二股序列相差不超過1個核苷酸之序列; (d) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至17的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸3至18的序列; (e) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至18的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至18的序列; (f) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸2至19的序列; (g) 第一股序列包含對應於自具有表2中所示之給定SEQ ID No.的第一股序列中之任一者之5'端起的核苷酸2至19的序列,且視情況其中第二股序列包含對應於自具有表2中所示之給定SEQ ID No.的對應第二股序列之5'端起的核苷酸1至18的序列; (h) 第一股序列包含具有表2中所示之給定SEQ ID No.的第一股序列中之任一者的序列,且視情況其中第二股序列包含具有表2中所示之給定SEQ ID No.之對應第二股序列的序列; (i) 第一股序列基本上由具有表2中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列基本上由具有表2中所示之給定SEQ ID No.的對應第二股序列的序列組成。 (j) 第一股序列由對應於自具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成, 且視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表2中所示之給定SEQ ID No.的對應第二股序列的序列; (k) 第一股序列由對應於自具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之5'端起的核苷酸1至19的序列組成, 其中該第一股序列在具有表2中所示之給定SEQ ID No.之第一股序列中之任一者之3'端進一步由1個(自5'端計數之核苷酸20)、2個(核苷酸20及21)、3個(核苷酸20、21及22)、4個(核苷酸20、21、22及23)、5個(核苷酸20、21、22、23及24)或6個(核苷酸20、21、22、23、24及25)額外核苷酸組成,及 其中該第一股序列由長度為17-25個核苷酸,較佳長度為18-24個核苷酸的與SEQ ID NO. 870之AGT轉錄物互補的連續區組成;及 視情況其中第二股序列包含以下或基本上由以下組成或由以下組成:具有表2中所示之給定SEQ ID No.的對應第二股序列之序列; (l) 第一股序列由具有表2中所示之給定SEQ ID No.的第一股序列中之任一者組成,且視情況其中第二股序列由具有表2中所示之給定SEQ ID No.的對應第二股序列的序列組成; (m) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股存在於單股上,其中第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區之雙股核酸;或 (n) 以上子部分(a)至(l)之核酸分子中之任一者之第一股及第二股位於兩個單獨股上,該等第一股及第二股能夠彼此雜交且由此形成具有長度為17、18、19、20、21、22、23、24或25個核苷酸之雙螺旋區的雙股核酸。 29. 如前述陳述項中任一項之核酸,其中核酸與異源部分結合。 30. 如陳述項29之核酸,其中異源部分包含(i)一或多個N-乙醯基半乳胺糖(GalNAc)部分或其衍生物,及(ii)連接子,其中連接子將至少一個GalNAc部分或其衍生物與核酸結合。 31. 如陳述項29或陳述項30之核酸,其中核酸與包含式(II)化合物之異源部分結合: [S-X 1-P-X 2] 3-A-X 3- (II) 其中: S表示功能組分,例如配位體,諸如醣,較佳其中醣為N-乙醯基半乳胺糖; X 1表示C 3-C 6伸烷基或(-CH 2-CH 2-O) m(-CH 2) 2-,其中m為1、2或3; P為磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯; X 2為伸烷基或式(-CH 2) n-O-CH 2-之伸烷基醚,其中n=1-6; A為分支單元; X 3表示橋接單元; 其中如陳述項1至28中任一項之核酸經由磷酸酯或經修飾之磷酸酯,較佳硫代磷酸酯與X 3結合。 32. 如陳述項29至31中任一項之核酸,其中核酸之第一股為式(V)化合物: 其中b為0或1;及 其中第二股為式(VI)化合物: ; 其中: c及d獨立地為0或1; Z 1及Z 2分別為核酸之第一及第二股; Y獨立地為O或S; n獨立地為0、1、2或3;及 L 1為連接有配位體之連接子,其中L 1在式(V)及(VI)中相同或不同,且當L 1在同一式內存在超過一次時,在式(V)及(VI)內相同或不同; 且其中b+c+d為2或3。 33. 如陳述項29至32中任一項之核酸,其為具有表5c中所示之給定雙螺旋體ID號的雙螺旋體中之一者。 34. 一種組合物,其包含如前述陳述項中任一項之核酸、及溶劑、及/或遞送媒劑、及/或生理學上可接受之賦形劑、及/或載劑、及/或鹽、及/或稀釋劑、及/或緩衝劑、及/或防腐劑。 35. 如陳述項34之組合物,其包含如前述陳述項中任一項之核酸及另一種選自包含以下之群的治療劑:寡核苷酸、小分子、單株抗體、多株抗體及肽。 36. 如前述陳述項中任一項之核酸或如陳述項34或35之組合物,其適用作治療劑。 37. 如陳述項1至33中任一項之核酸或如陳述項34或35之組合物,其係用於預防或治療疾病、病症或症候群。 38. 如陳述項37之核酸或組合物,其中該疾病、病症或症候群為AGT介導之疾病、病症或症候群。 39. 如陳述項37或38之核酸或組合物,其中疾病、病症或症候群係與AGT之異常活化或過度活化及/或AGT之過度表現或異位表現或定位或累積相關。 40. 如陳述項37至39中任一項之核酸或組合物,其中該疾病、病症或症候群係選自: 血壓高;高血壓;臨界性高血壓;原發性高血壓;繼發性高血壓;單純收縮期或舒張期高血壓;妊娠相關高血壓;糖尿病性高血壓;頑固性高血壓;難治性高血壓;陣發性高血壓;腎血管性高血壓;高布拉德氏高血壓;高眼壓;青光眼;肺高血壓;門靜脈高血壓;全身性高靜脈壓;收縮期高血壓;不穩定性高血壓;高血壓性心臟病;高血壓性腎病變;動脈粥樣硬化;動脈硬化;血管病變;糖尿病腎病變;糖尿病性視網膜病變;慢性心臟衰竭;心肌病;糖尿病性心肌病;腎小球硬化;主動脈狹窄;主動脈瘤;心室纖維化;心臟衰竭;心肌梗塞;絞痛;中風;腎病;腎衰竭;全身性硬化症;子宮內生長受限(IUGR);胎兒生長受限;肥胖症;肝脂肪變性/脂肪肝;非酒精性脂肪變性肝炎(NASH);非酒精性脂肪肝病(NAFLD);葡萄糖失耐;2型糖尿病(非胰島素依賴性糖尿病);及代謝症候群。 41. 一種如陳述項1至33中任一項之核酸或如陳述項34或35之組合物的用途,其係用於製備供預防或治療疾病、病症或症候群用之藥劑。 42. 一種預防或治療疾病、病症或症候群之方法,其包含向需要治療之個體投與醫藥學上有效劑量之陳述項1至33中任一者之核酸或陳述項34或35之組合物,視情況其中核酸或組合物經皮下、靜脈內或經口、經直腸或腹膜內投與來向個體投與。 Statements The following statements represent aspects of the present invention. 1. A nucleic acid for inhibiting AGT expression, wherein the nucleic acid comprises a first strand and a second strand, wherein the unmodified equivalent of the first strand sequence comprises a sequence of at least 15 nucleotides, which sequence differs from any of the first strand sequences shown in Table 5a, Table 1, Table 5b, Table 2 or Table 5c by no more than 3 nucleotides. 2. The nucleic acid as in statement 1, wherein the first strand and the second strand are separate strands and each is 18-25 nucleotides in length. 3. The nucleic acid as in any of the foregoing statements, wherein the first strand and the second strand form a duplex region of 17-25 nucleotides in length. 4. The nucleic acid as in any of the foregoing statements, wherein the first strand and the second strand form a duplex region of 19 nucleotides in length. 5. A nucleic acid as described in any of the preceding statements, wherein the duplex region consists of 17-25 consecutive nucleotide base pairs. 6. A nucleic acid as described in any of the preceding statements, wherein the nucleic acid: a) is blunt at both ends; b) has an overhang at the 5' end of the first strand and a blunt end at the 3' end of the first strand; c) has an overhang at the 3' end of the first strand and a blunt end at the 5' end of the first strand; d) has an overhang at the 5' end of the second strand and a blunt end at the 3' end of the second strand; e) has an overhang at the 3' end of the second strand and a blunt end at the 5' end of the second strand; f) has an overhang at the 5' end of the first strand and at the 3' end of the first strand; or g) has an overhang at the 5' end of the second strand and at the 3' end of the second strand. 7. A nucleic acid as described in any of the preceding statements, wherein the nucleic acid is siRNA. 8. A nucleic acid as described in any of the preceding statements, wherein the nucleic acid mediates RNA interference. 9. A nucleic acid as described in any of the preceding statements, wherein: (a) the unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences shown in Table 5a or Table 1 by no more than 3 nucleotides, and, as the case may be, the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence shown in Table 5a or Table 1 by no more than 3 nucleotides; (b) the unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences shown in Table 5a or Table 1 by no more than 2 nucleotides, and, as the case may be, the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence shown in Table 5a or Table 1 by no more than 2 nucleotides; (c) The unmodified equivalent of the first strand sequence comprises a sequence that differs from any of the first strand sequences shown in Table 5a or Table 1 by no more than 1 nucleotide, and where the unmodified equivalent of the second strand sequence comprises a sequence that differs from the corresponding second strand sequence shown in Table 5a or Table 1 by no more than 1 nucleotide, as the case may be; (d) the unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 2 to 17 from the 5' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5a or Table 1, and where the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5a or Table 1; (e) the unmodified equivalent of the first strand sequence comprises a sequence corresponding to nucleotides 1 to 2 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5a or Table 1 No., and as the case may be, wherein the unmodified equivalent of the second strand sequence comprises the sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1; (f) the unmodified equivalent of the first strand sequence comprises the sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a or Table 1, and as the case may be, wherein the unmodified equivalent of the second strand sequence comprises the sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1; (g) the unmodified equivalent of the first strand sequence comprises the sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1 No., and optionally wherein the unmodified equivalent of the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1; (h) the unmodified equivalent of the first strand sequence comprises a sequence of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a or Table 1, and optionally wherein the unmodified equivalent of the second strand sequence comprises a sequence corresponding to the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1; or (i) the unmodified equivalent of the first strand sequence consists essentially of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a or Table 1, and optionally wherein the unmodified equivalent of the second strand sequence consists essentially of a sequence corresponding to the given SEQ ID No. as shown in Table 5a or Table 1. (j) the unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a or Table 1, wherein the unmodified equivalent of the first strand sequence further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a or Table 1, and wherein the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of a sequence corresponding to the second strand sequence having a given SEQ ID No. as shown in Table 5a or Table 1, as the case may be; (k) the unmodified equivalent of the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5a or Table 1, wherein the unmodified equivalent of the first strand sequence is in the given SEQ ID No. as shown in Table 5a or Table 1. The 3' end of any of the first strand sequences of SEQ ID NO. No. further consists of 1 (nucleotide 20 counting from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides, and wherein the unmodified equivalent of the first strand sequence consists of a continuous region complementary to the AGT transcript of SEQ ID NO. 870 with a length of 17-25 nucleotides, preferably a length of 18-24 nucleotides; and optionally wherein the unmodified equivalent of the second strand sequence comprises or consists essentially of or consists of: a sequence having the corresponding second strand sequence of a given SEQ ID No. shown in Table 5a or Table 1; (l) The unmodified equivalent of the first strand sequence consists of any one of the first strand sequences having a given SEQ ID No. shown in Table 5a or Table 1, and where appropriate, the unmodified equivalent of the second strand sequence consists of the sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 5a or Table 1; (m) the unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any one of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the unmodified equivalent of the first strand and the unmodified equivalent of the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The unmodified equivalent of the first strand and the unmodified equivalent of the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are on two separate strands, and these unmodified equivalents are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length. 10. A nucleic acid as in any of the preceding statements, wherein at least one nucleotide of the first and/or second strand is a modified nucleotide, preferably a modified nucleotide that is non-naturally occurring, such as a 2'-F modified nucleotide. 11. The nucleic acid of any of the preceding statements, wherein at least nucleotides 2 and 14 of the first strand are modified by a first modification, said nucleotides being numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand sequence having a given SEQ ID No. 12. The nucleic acid of any of the preceding statements, wherein each of the even-numbered nucleotides of the first strand are modified by a first modification, said nucleotides being numbered consecutively starting with nucleotide number 1 at the 5' end of the first strand sequence having a given SEQ ID No. 13. The nucleic acid of any of the preceding statements, wherein the odd-numbered nucleotides of the first strand having a given SEQ ID No. are modified by a second modification, wherein the second modification is different from the first modification. 14. The nucleic acid of any of the preceding statements, wherein the nucleotides of the second strand with a given SEQ ID No. in the positions corresponding to the even-numbered nucleotides of the first strand with a given SEQ ID No. are modified by a third modification, wherein the third modification is different from the first modification. 15. The nucleic acid of any of the preceding statements, wherein the nucleotides of the second strand with a given SEQ ID No. in the positions corresponding to the odd-numbered nucleotides of the first strand with a given SEQ ID No. are modified by a fourth modification, wherein when the second and/or third modification is present, the fourth modification is different from the second modification and different from the third modification. 16. A nucleic acid as in any of the preceding statements, wherein one or more nucleotides of the second strand with a given SEQ ID No. in a position corresponding to nucleotide 11, or nucleotide 13, or nucleotides 11 and 13, or nucleotides 11-13 of the first strand with a given SEQ ID No. are modified by the fourth modification, and preferably wherein the nucleotides of the second strand not modified by the fourth modification are modified by the third modification. 17. A nucleic acid as in any of the preceding statements, wherein if the first modification and the fourth modification are both present in the nucleic acid, the two modifications are identical, and preferably wherein if the second modification and the third modification are both present in the nucleic acid, the two modifications are identical. 18. A nucleic acid as described in any of the preceding statements, wherein the first modification is a 2'-F modification; the second modification, if present in the nucleic acid, is preferably a 2'-OMe modification; the third modification, if present in the nucleic acid, is preferably a 2'-OMe modification; and the fourth modification, if present in the nucleic acid, is preferably a 2'-F modification. 19. A nucleic acid as described in any of the preceding statements, wherein each nucleotide of the first strand and the second strand is a modified nucleotide. 20. A nucleic acid as described in any of the preceding statements, wherein the first strand having a given SEQ ID No. has a terminal 5' (E)-vinylphosphonate nucleotide at its 5' end, and optionally wherein the terminal 5' (E)-vinylphosphonate nucleotide is preferably linked to the second nucleotide in the first strand by a phosphodiester bond. 21. A nucleic acid as in any of the preceding statements, wherein the nucleic acid comprises a phosphorothioate bond between the terminal two or three 3' nucleotides and/or 5' nucleotides of the first strand having a given SEQ ID No. and/or the second strand having a given SEQ ID No., and where appropriate the bonds between the remaining nucleotides are phosphodiester bonds. 22. A nucleic acid as in any of the preceding statements, wherein the nucleic acid comprises a phosphorothioate bond between each of the terminal three 3' nucleotides of the first strand. 23. A nucleic acid as in any of the preceding statements, wherein the nucleic acid comprises a phosphorothioate bond between each of the terminal three 3' nucleotides of the second strand. 24. A nucleic acid as described in any of the preceding statements, comprising a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 3' end of the first strand having a given SEQ ID No., and/or comprising a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 3' end of the second strand having a given SEQ ID No., and/or comprising a phosphorodithioate bond between each of the two, three or four terminal nucleotides at the 5' end of the second strand having a given SEQ ID No., and comprising bonds other than the phosphorodithioate bonds between the two, three or four terminal nucleotides at the 5' end of the first strand. 25. A nucleic acid as in any of the preceding statements, wherein the nucleic acid comprises phosphorothioate bonds between each of the two, three or four terminal nucleotides at the 3' end of the first strand having a given SEQ ID No. and/or between each of the two, three or four terminal nucleotides at the 5' end of the first strand having a given SEQ ID No. and/or between each of the two, three or four terminal nucleotides at the 3' end of the second strand having a given SEQ ID No. and/or between each of the two, three or four terminal nucleotides at the 5' end of the second strand having a given SEQ ID No. 26. A nucleic acid as in any of the preceding statements, wherein all bonds between nucleotides of the two strands except the bond between the two terminal nucleotides at the 3' end of the first strand and the bonds between the two terminal nucleotides at the 3' end and the 5' end of the second strand are phosphodiester bonds. 27. A nucleic acid as described in any of the preceding statements, wherein: (a) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 3 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 3 nucleotides; (b) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 2 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 2 nucleotides; (c) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 5b by no more than 1 nucleotide, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 5b by no more than 1 nucleotide; (d) the first strand sequence comprises a sequence corresponding to a given SEQ ID NO: 1 in Table 5b. No., and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5b; (e) the first strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5b, and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5b; (f) the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. as shown in Table 5b, and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. as shown in Table 5b. (g) the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; (h) the first strand sequence comprises a sequence of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence comprises a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b; (i) the first strand sequence consists essentially of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and as the case may be, wherein the second strand sequence consists essentially of a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 5b. (j) the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, wherein the first strand sequence further consists of 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b, and optionally wherein the second strand sequence comprises or consists essentially of or consists of a sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 5b; (k) the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 5b No., wherein the first strand sequence further consists of 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 5b, and wherein the first strand sequence consists of a sequence of nucleotides 1 to 19 from the 5' end of any of the first strand sequences having a given SEQ ID No. 870 AGT transcript complement; and optionally wherein the second strand sequence comprises or consists essentially of or consists of: a sequence having a given SEQ ID No. as shown in Table 5b corresponding to the second strand sequence; (l) the first strand sequence consists of any of the first strand sequences having a given SEQ ID No. as shown in Table 5b, and optionally wherein the second strand sequence consists of a sequence having a given SEQ ID No. as shown in Table 5b corresponding to the second strand sequence; (m) the first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are located on two separate strands, which are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region with a length of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides. 28. A nucleic acid as described in any of the preceding statements, wherein: (a) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 3 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 3 nucleotides; (b) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 2 nucleotides, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 2 nucleotides; (c) the first strand sequence comprises a sequence that differs from any of the first strand sequences in Table 2 by no more than 1 nucleotide, and optionally wherein the second strand sequence comprises a sequence that differs from the corresponding second strand sequence in Table 2 by no more than 1 nucleotide; (d) the first strand sequence comprises a sequence corresponding to a given SEQ ID NO shown in Table 2 No., and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 3 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (e) the first strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 2 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (f) the first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (g) The first strand sequence comprises a sequence corresponding to nucleotides 2 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence comprises a sequence corresponding to nucleotides 1 to 18 from the 5' end of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (h) the first strand sequence comprises a sequence of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence comprises a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2; (i) the first strand sequence consists essentially of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence consists essentially of a sequence of the corresponding second strand sequence having a given SEQ ID No. shown in Table 2. (j) the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, wherein the first strand sequence further consists of 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2, and optionally wherein the second strand sequence comprises or consists essentially of or consists of a sequence corresponding to the second strand sequence having a given SEQ ID No. shown in Table 2; (k) the first strand sequence consists of a sequence corresponding to nucleotides 1 to 19 from the 5' end of any one of the first strand sequences having a given SEQ ID No. shown in Table 2 No., wherein the first strand sequence further consists of 1 (nucleotide 20 counted from the 5' end), 2 (nucleotides 20 and 21), 3 (nucleotides 20, 21 and 22), 4 (nucleotides 20, 21, 22 and 23), 5 (nucleotides 20, 21, 22, 23 and 24) or 6 (nucleotides 20, 21, 22, 23, 24 and 25) additional nucleotides at the 3' end of any of the first strand sequences having a given SEQ ID No. shown in Table 2, and wherein the first strand sequence consists of a sequence of nucleotides 1 to 19 from the 5' end of any of the first strand sequences having a given SEQ ID No. 870; and optionally wherein the second strand sequence comprises or consists essentially of or consists of: a sequence having a given SEQ ID No. as shown in Table 2 corresponding to the second strand sequence; (l) the first strand sequence consists of any of the first strand sequences having a given SEQ ID No. as shown in Table 2, and optionally wherein the second strand sequence consists of a sequence having a given SEQ ID No. as shown in Table 2 corresponding to the second strand sequence; (m) the first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are present on a single strand, wherein the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length; or (n) The first strand and the second strand of any of the nucleic acid molecules of the above subsections (a) to (l) are located on two separate strands, and the first strand and the second strand are capable of hybridizing with each other and thereby forming a double-stranded nucleic acid having a duplex region of 17, 18, 19, 20, 21, 22, 23, 24 or 25 nucleotides in length. 29. A nucleic acid as in any of the preceding statements, wherein the nucleic acid is bound to a heterologous portion. 30. A nucleic acid as in statement 29, wherein the heterologous portion comprises (i) one or more N-acetylgalactosamine (GalNAc) moieties or derivatives thereof, and (ii) a linker, wherein the linker binds at least one GalNAc moiety or derivative thereof to the nucleic acid. 31. The nucleic acid of claim 29 or claim 30, wherein the nucleic acid is conjugated to a heterologous portion comprising a compound of formula (II): [SX 1 -PX 2 ] 3 -AX 3 - (II) wherein: S represents a functional component, such as a ligand, such as a sugar, preferably wherein the sugar is N-acetylgalactosamine; X 1 represents a C 3 -C 6 alkylene group or (-CH 2 -CH 2 -O) m (-CH 2 ) 2 -, wherein m is 1, 2 or 3; P is a phosphate or a modified phosphate, preferably a thiophosphate; X 2 is an alkylene group or an alkylene ether of the formula (-CH 2 ) n -O-CH 2 -, wherein n=1-6; A is a branching unit; X 3 represents a bridging unit; The nucleic acid of any one of items 1 to 28 is conjugated to X3 via a phosphate or a modified phosphate, preferably a thiophosphate. 32. The nucleic acid of any one of items 29 to 31, wherein the first strand of the nucleic acid is a compound of formula (V): wherein b is 0 or 1; and wherein the second strand is a compound of formula (VI): ; wherein: c and d are independently 0 or 1; Z1 and Z2 are the first and second strands of the nucleic acid, respectively; Y is independently O or S; n is independently 0, 1, 2 or 3; and L1 is a linker to which a ligand is attached, wherein L1 is the same or different in formula (V) and (VI), and when L1 occurs more than once in the same formula, it is the same or different in formula (V) and (VI); and wherein b+c+d is 2 or 3. 33. A nucleic acid as described in any one of items 29 to 32, which is one of the duplexes having a given duplex ID number shown in Table 5c. 34. A composition comprising a nucleic acid as described in any of the preceding statements, and a solvent, and/or a delivery vehicle, and/or a physiologically acceptable excipient, and/or a carrier, and/or a salt, and/or a diluent, and/or a buffer, and/or a preservative. 35. A composition as described in claim 34, comprising a nucleic acid as described in any of the preceding statements and another therapeutic agent selected from the group consisting of an oligonucleotide, a small molecule, a monoclonal antibody, a polyclonal antibody, and a peptide. 36. A nucleic acid as described in any of the preceding statements or a composition as described in claim 34 or 35, suitable for use as a therapeutic agent. 37. A nucleic acid as described in any one of items 1 to 33 or a composition as described in item 34 or 35, which is used for preventing or treating a disease, disorder or syndrome. 38. A nucleic acid or composition as described in item 37, wherein the disease, disorder or syndrome is an AGT-mediated disease, disorder or syndrome. 39. A nucleic acid or composition as described in item 37 or 38, wherein the disease, disorder or syndrome is associated with abnormal activation or overactivation of AGT and/or overexpression or ectopic expression or localization or accumulation of AGT. 40. A nucleic acid or composition as described in any one of items 37 to 39, wherein the disease, disorder or syndrome is selected from: High blood pressure; Hypertension; Critical hypertension; Primary hypertension; Secondary hypertension; Simple systolic or diastolic hypertension; Pregnancy-related hypertension; Diabetic hypertension; Intractable hypertension; Refractory hypertension; Paroxysmal hypertension; Renovascular hypertension; High Brad's hypertension; Ocular hypertension; Glaucoma; Pulmonary hypertension; Portal hypertension; Systemic venous hypertension; Systolic hypertension; Unstable hypertension; Hypertensive heart disease; Hypertensive nephropathy; Atherosclerosis; Atherosclerosis; Vascular disease; Diabetic nephropathy; Diabetes Diabetic retinopathy; chronic heart failure; cardiomyopathy; diabetic cardiomyopathy; glomerulosclerosis; aortic stenosis; aortic aneurysm; ventricular fibrosis; heart failure; myocardial infarction; angina pectoris; stroke; nephropathy; renal failure; systemic sclerosis; intrauterine growth restriction (IUGR); fetal growth restriction; obesity; hepatic steatosis/fatty liver; non-alcoholic steatohepatitis (NASH); non-alcoholic fatty liver disease (NAFLD); glucose intolerance; type 2 diabetes (non-insulin-dependent diabetes mellitus); and metabolic syndrome. 41. Use of a nucleic acid as described in any one of claims 1 to 33 or a composition as described in claim 34 or 35 for the preparation of a medicament for the prevention or treatment of a disease, disorder or syndrome. 42. A method for preventing or treating a disease, disorder or syndrome, comprising administering to a subject in need of treatment a pharmaceutically effective amount of a nucleic acid of any one of claims 1 to 33 or a composition of claim 34 or 35, wherein the nucleic acid or composition is administered to the subject subcutaneously, intravenously or orally, rectally or intraperitoneally, as the case may be.
圖1.在初代食蟹獼猴肝細胞中,在用靶向 AGT之GalNAc-siRNA結合物以100 nM、10 nM、1 nM、0.1 nM及0.01 nM之五種不同濃度處理之後,以 PPIBmRNA正規化的相對 AGTmRNA表現。平均值相對於未處理(ut)。經 AGT非特異性siRNA處理之細胞用作對照(Ctr)。 圖2.在初代食蟹獼猴肝細胞中,在用靶向 AGT之GalNAc-siRNA結合物以100 nM、10 nM、1 nM、0.1 nM及0.01 nM之五種不同濃度處理之後,以 PPIBmRNA正規化的相對 AGTmRNA表現。平均值相對於未處理(ut)。經 AGT非特異性siRNA處理之細胞用作對照(Ctr)。 圖3.在初代人類肝細胞中,在用靶向 AGT之GalNAc-siRNA結合物以100 nM、20 nM、4 nM、0.8 nM及0.16 nM之五種不同濃度處理之後,以 PPIBmRNA正規化的相對 AGTmRNA表現。平均值相對於未處理(ut)。經 AGT非特異性siRNA處理之細胞用作對照(Ctr)。 圖4.在初代人類肝細胞中,在用靶向 AGT之GalNAc-siRNA結合物以100 nM、20 nM、4 nM、0.8 nM及0.16 nM之五種不同濃度處理之後,以 PPIBmRNA正規化的相對 AGTmRNA表現。平均值相對於未處理(ut)。經 AGT非特異性siRNA處理之細胞用作對照(Ctr)。 圖5.在注射攜帶人類AGT基因之AAV載體後第29天及在皮下注射靶向 AGT之GalNAc-siRNA結合物後第15天(以1或5 mg/kg之兩種濃度)分離之血漿樣品中的平均AGT蛋白質表現。 圖6.在注射攜帶人類AGT基因之AAV載體後第29天及在皮下注射靶向 AGT之GalNAc-siRNA結合物後第15天(以1或5 mg/kg之兩種濃度)分離之肝臟樣品中,以 ApobmRNA正規化的相對 AGTmRNA表現。平均值相對於經PBS處理之對照。 圖7.在注射攜帶人類AGT基因之AAV9載體後第29天及在皮下注射靶向 AGT之GalNAc-siRNA結合物後第15天(以1或5 mg/kg之兩種濃度)分離之血漿樣品中的平均AGT蛋白質表現。 圖8.在注射攜帶人類AGT基因之AAV載體後第29天及在皮下注射靶向 AGT之GalNAc-siRNA結合物後第15天(以1或5 mg/kg之兩種濃度)分離之肝臟樣品中,以 ApobmRNA正規化的相對 AGTmRNA表現。平均值相對於經PBS處理之對照。 圖9.描繪在與100 nM的EM2214、EM2206、EM2217、EM2207、EM2220、EM2227或EM2228一起培育24小時之初代人類肝細胞中的差異表現基因之火山圖。深灰色區域指示統計顯著性(padj≤0.05)對比表現變化幅度(變化倍數≤0.5)。 圖10.在以3 mg/kg單次皮下注射媒劑或GalNAc結合之siRNA EM2207、EM2227或EM2228之後,在第2天、第8天、第15天、第22天、第29天、第43天、第57天、第71天及第85天分離之食蟹獼猴血清中的AGT蛋白質含量變化,以給藥前數值正規化。展示平均值及SEM。 圖11.在單次注射GalNAc結合之siRNA EM2207或媒劑之後,在第2天、第8天、第15天、第22天、第29天、第43天、第57天、第71天及第85天分離之食蟹獼猴血清中的AGT蛋白質含量變化,以在第-7天及第1天之平均給藥前數值正規化。在第1天投與單次劑量1、3或9 mg/kg。展示平均值及SEM。 Figure 1. Relative AGT mRNA expression normalized to PPIB mRNA in primary cynomolgus macaque hepatocytes after treatment with five different concentrations of GalNAc-siRNA conjugate targeting AGT at 100 nM, 10 nM, 1 nM, 0.1 nM, and 0.01 nM. Mean values are relative to untreated (ut). Cells treated with AGT nonspecific siRNA were used as controls (Ctr). Figure 2. Relative AGT mRNA expression normalized to PPIB mRNA in primary cynomolgus macaque hepatocytes after treatment with five different concentrations of GalNAc-siRNA conjugate targeting AGT at 100 nM, 10 nM, 1 nM, 0.1 nM, and 0.01 nM . Mean values are relative to untreated (ut). Cells treated with AGT nonspecific siRNA were used as control (Ctr). Figure 3. Relative AGT mRNA expression normalized to PPIB mRNA in primary human hepatocytes after treatment with five different concentrations of GalNAc-siRNA conjugate targeting AGT at 100 nM, 20 nM, 4 nM, 0.8 nM, and 0.16 nM. Mean values are relative to untreated (ut). Cells treated with AGT nonspecific siRNA were used as control (Ctr). Figure 4. Relative AGT mRNA expression normalized to PPIB mRNA in primary human hepatocytes after treatment with five different concentrations of GalNAc -siRNA conjugate targeting AGT at 100 nM, 20 nM, 4 nM, 0.8 nM, and 0.16 nM. Mean values are relative to untreated (ut). Cells treated with AGT nonspecific siRNA were used as control (Ctr). Figure 5. Mean AGT protein expression in plasma samples isolated at day 29 after injection of AAV vectors carrying the human AGT gene and at day 15 after subcutaneous injection of GalNAc-siRNA conjugate targeting AGT (at two concentrations of 1 or 5 mg/kg). Figure 6. Relative AGT mRNA expression normalized to Apob mRNA in liver samples isolated at day 29 after injection of AAV vectors carrying the human AGT gene and at day 15 after subcutaneous injection of GalNAc-siRNA conjugate targeting AGT (at two concentrations of 1 or 5 mg/kg). Mean values are relative to PBS-treated controls. Figure 7. Average AGT protein expression in plasma samples isolated at day 29 after injection of AAV9 vectors carrying the human AGT gene and at day 15 after subcutaneous injection of GalNAc-siRNA conjugates targeting AGT (at two concentrations of 1 or 5 mg/kg). Figure 8. Relative AGT mRNA expression normalized to Apob mRNA in liver samples isolated at day 29 after injection of AAV vectors carrying the human AGT gene and at day 15 after subcutaneous injection of GalNAc -siRNA conjugates targeting AGT (at two concentrations of 1 or 5 mg/kg). Mean values are relative to PBS-treated controls. FIG9. Volcano plot depicting differentially expressed genes in primary human hepatocytes incubated with 100 nM of EM2214, EM2206, EM2217, EM2207, EM2220, EM2227, or EM2228 for 24 hours. Dark grey areas indicate statistical significance (padj≤0.05) versus magnitude of expression change (fold change≤0.5). FIG10. Changes in AGT protein levels in sera of cynomolgus macaques isolated on days 2, 8, 15, 22, 29, 43, 57, 71, and 85 following a single subcutaneous injection of vehicle or GalNAc-conjugated siRNA EM2207, EM2227, or EM2228 at 3 mg/kg, normalized to pre-drug values. Means and SEMs are shown. Figure 11. Changes in AGT protein levels in cynomolgus macaque serum isolated on days 2, 8, 15, 22, 29, 43, 57, 71, and 85 after a single injection of GalNAc-conjugated siRNA EM2207 or vehicle, normalized to the average pre-dose values on days -7 and 1. Single doses of 1, 3, or 9 mg/kg were administered on day 1. Means and SEMs are shown.
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