WO2014179620A1 - Conjugated antisense compounds and their use - Google Patents

Conjugated antisense compounds and their use Download PDF

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Publication number
WO2014179620A1
WO2014179620A1 PCT/US2014/036452 US2014036452W WO2014179620A1 WO 2014179620 A1 WO2014179620 A1 WO 2014179620A1 US 2014036452 W US2014036452 W US 2014036452W WO 2014179620 A1 WO2014179620 A1 WO 2014179620A1
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WO
WIPO (PCT)
Prior art keywords
compound
nucleoside
oligonucleotide
modified
modified oligonucleotide
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2014/036452
Other languages
English (en)
French (fr)
Inventor
Thazha P. Prakash
Punit P. Seth
Eric E. Swayze
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ionis Pharmaceuticals Inc
Original Assignee
Isis Pharmaceuticals Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=51843959&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO2014179620(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to RU2015151199A priority Critical patent/RU2697152C2/ru
Priority to MX2015015220A priority patent/MX384824B/es
Priority to KR1020157033029A priority patent/KR102424855B1/ko
Priority to BR112015027322A priority patent/BR112015027322A8/pt
Priority to NZ712737A priority patent/NZ712737B2/en
Priority to KR1020227025268A priority patent/KR102651423B1/ko
Priority to EP22181753.9A priority patent/EP4155403A1/en
Priority to EP19160031.1A priority patent/EP3546579A1/en
Application filed by Isis Pharmaceuticals Inc filed Critical Isis Pharmaceuticals Inc
Priority to CA2921162A priority patent/CA2921162A1/en
Priority to KR1020247009422A priority patent/KR20240042220A/ko
Priority to CN201480035635.3A priority patent/CN108064162B/zh
Priority to JP2016512051A priority patent/JP6769866B2/ja
Priority to EP14792010.2A priority patent/EP2991661B1/en
Priority to AU2014259750A priority patent/AU2014259750B2/en
Priority to HK16109545.3A priority patent/HK1221404B/en
Publication of WO2014179620A1 publication Critical patent/WO2014179620A1/en
Anticipated expiration legal-status Critical
Priority to AU2019203674A priority patent/AU2019203674B2/en
Priority to IL272617A priority patent/IL272617A/en
Priority to AU2021204244A priority patent/AU2021204244B2/en
Priority to AU2024200296A priority patent/AU2024200296A1/en
Ceased legal-status Critical Current

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    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2310/00—Structure or type of the nucleic acid
    • C12N2310/30—Chemical structure
    • C12N2310/35—Nature of the modification
    • C12N2310/353—Nature of the modification linked to the nucleic acid via an atom other than carbon
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2320/00—Applications; Uses
    • C12N2320/30—Special therapeutic applications
    • C12N2320/32—Special delivery means, e.g. tissue-specific

Definitions

  • RNAi refers to antisense-mediated gene silencing through a mechanism that utilizes the RNA-induced silencing complex (RISC).
  • RNA target function is by an occupancy-based mechanism such as is employed naturally by microRNA.
  • MicroRNAs are small non-coding RNAs that regulate the expression of protein- coding RNAs. The binding of an antisense compound to a microRNA prevents that microRNA from binding to its messenger RNA targets, and thus interferes with the function of the microRNA. MicroRNA mimics can enhance native microRNA function. Certain antisense compounds alter splicing of pre-mRNA. Regardless of the specific mechanism, sequence-specificity makes antisense compounds attractive as tools for target validation and gene functionalization, as well as therapeutics to selectively modulate the expression of genes involved in the pathogenesis of diseases.
  • Antisense technology is an effective means for modulating the expression of one or more specific gene products and can therefore prove to be uniquely useful in a number of therapeutic, diagnostic, and research applications.
  • Chemically modified nucleosides may be incorporated into antisense compounds to enhance one or more properties, such as nuclease resistance, pharmacokinetics or affinity for a target nucleic acid.
  • Vitravene® flamivirsen; developed by Isis Pharmaceuticals Inc., Carlsbad, CA
  • FDA U.S. Food and Drug Administration
  • CMV cytomegalovirus
  • an antisense oligonucleotide targeting ApoB has been approved by the U.S. Food and Drug Administration (FDA) as an adjunct treatment to lipid-lowering medications and diet to reduce low density lipoprotein-cholesterol (LDL-C), ApoB, total cholesterol (TC), and non-high density lipoprotein-cholesterol (non HDL-C) in patients with homozygous familial hypercholesterolemia (HoFH).
  • FDA U.S. Food and Drug Administration
  • New chemical modifications have improved the potency and efficacy of antisense compounds, uncovering the potential for oral delivery as well as enhancing subcutaneous administration, decreasing potential for side effects, and leading to improvements in patient convenience.
  • Chemical modifications increasing potency of antisense compounds allow administration of lower doses, which reduces the potential for toxicity, as well as decreasing overall cost of therapy. Modifications increasing the resistance to degradation result in slower clearance from the body, allowing for less frequent dosing. Different types of chemical modifications can be combined in one compound to further optimize the compound's efficacy.
  • the present disclosure provides conjugated antisense compounds. In certain embodiments, the present disclosure provides conjugated antisense compounds comprising an antisense oligonucleotide complementary to a nucleic acid transcript. In certain embodiments, the present disclosure provides methods comprising contacting a cell with a conjugated antisense compound comprising an antisense oligonucleotide complementary to a nucleic acid transcript. In certain embodiments, the present disclosure provides methods comprising contacting a cell with a conjugated antisense compound comprising an antisense oligonucleotide and reducing the amount or activity of a nucleic acid transcript in a cell.
  • ASGP-R asialoglycoprotein receptor
  • GalNAc N- acetylgalactosamine
  • GalNAc-containing conjugates increase activity of duplex siRNA compounds in liver cells in vivo.
  • the GalNAc-containing conjugate is typically attached to the sense strand of the siRNA duplex. Since the sense strand is discarded before the antisense strand ultimately hybridizes with the target nucleic acid, there is little concern that the conjugate will interfere with activity.
  • the conjugate is attached to the 3' end of the sense strand of the siRNA. See e.g., U.S. Patent 8,106,022.
  • Certain conjugate groups described herein are more active and/or easier to synthesize than conjugate groups previously described.
  • conjugates are attached to single-stranded antisense compounds, including, but not limited to RNase H based antisense compounds and antisense compounds that alter splicing of a pre-mRNA target nucleic acid.
  • the conjugate should remain attached to the antisense compound long enough to provide benefit (improved uptake into cells) but then should either be cleaved, or otherwise not interfere with the subsequent steps necessary for activity, such as hybridization to a target nucleic acid and interaction with RNase H or enzymes associated with splicing or splice modulation.
  • This balance of properties is more important in the setting of single-stranded antisense compounds than in siRNA compounds, where the conjugate may simply be attached to the sense strand.
  • conjugated single-stranded antisense compounds having improved potency in liver cells in vivo compared with the same antisense compound lacking the conjugate. Given the required balance of properties for these compounds such improved potency is surprising.
  • conjugate groups herein comprise a cleavable moiety.
  • the conjugate should remain on the compound long enough to provide enhancement in uptake, but after that, it is desirable for some portion or, ideally, all of the conjugate to be cleaved, releasing the parent compound (e.g., antisense compound) in its most active form.
  • the cleavable moiety is a cleavable nucleoside.
  • Such embodiments take advantage of endogenous nucleases in the cell by attaching the rest of the conjugate (the cluster) to the antisense oligonucleotide through a nucleoside via one or more cleavable bonds, such as those of a phosphodiester linkage.
  • the cluster is bound to the cleavable nucleoside through a phosphodiester linkage.
  • the cleavable nucleoside is attached to the antisense oligonucleotide (antisense compound) by a phosphodiester linkage.
  • the conjugate group may comprise two or three cleavable nucleosides.
  • such cleavable nucleosides are linked to one another, to the antisense compound and/or to the cluster via cleavable bonds (such as those of a phosphodiester linkage).
  • cleavable bonds such as those of a phosphodiester linkage.
  • Certain conjugates herein do not comprise a cleavable nucleoside and instead comprise a cleavable bond. It is shown that that sufficient cleavage of the conjugate from the oligonucleotide is provided by at least one bond that is vulnerable to cleavage in the cell (a cleavable bond).
  • conjugated antisense compounds are prodrugs. Such prodrugs are administered to an animal and are ultimately metabolized to a more active form. For example, conjugated antisense compounds are cleaved to remove all or part of the conjugate resulting in the active (or more active) form of the antisense compound lacking all or some of the conjugate.
  • conjugates are attached at the 5' end of an oligonucleotide. Certain such 5'- conjugates are cleaved more efficiently than counterparts having a similar conjugate group attached at the 3 ' end. In certain embodiments, improved activity may correlate with improved cleavage. In certain embodiments, oligonucleotides comprising a conjugate at the 5' end have greater efficacy than oligonucleotides comprising a conjugate at the 3 ' end (see, for example, Examples 56, 81 , 83, and 84). Further, 5'-attachment allows simpler oligonucleotide synthesis.
  • oligonucleotides are synthesized on a solid support in the 3 ' to 5' direction.
  • a 3 '-conjugated oligonucleotide typically one attaches a pre-conjugated 3 ' nucleoside to the solid support and then builds the oligonucleotide as usual.
  • attaching that conjugated nucleoside to the solid support adds complication to the synthesis.
  • the conjugate is then present throughout the synthesis of the oligonucleotide and can become degraded during subsequent steps or may limit the sorts of reactions and reagents that can be used.
  • conjugates and conjugated oligonucleotides are easier and/or requires few steps, and is therefore less expensive than that of conjugates previously disclosed, providing advantages in manufacturing.
  • the synthesis of certain conjugate groups consists of fewer synthetic steps, resulting in increased yield, relative to conjugate groups previously described.
  • Conjugate groups such as GalNAc3-10 in Example 46 and GalNAc3-7 in Example 48 are much simpler than previously described conjugates such as those described in U.S. 8,106,022 or U.S. 7,262,177 that require assembly of more chemical intermediates .
  • conjugate groups having only one or two GalNAc ligands improve activity of antisense compounds. Such compounds are much easier to prepare than conjugates comprising three GalNAc ligands.
  • Conjugate groups comprising one or two GalNAc ligands may be attached to any antisense compounds, including single-stranded oligonucleotides and either strand of double-stranded oligonucleotides (e.g., siRNA).
  • the conjugates herein do not substantially alter certain measures of tolerability.
  • conjugated antisense compounds are not more immunogenic than unconjugated parent compounds. Since potency is improved, embodiments in which tolerability remains the same (or indeed even if tolerability worsens only slightly compared to the gains in potency) have improved properties for therapy.
  • conjugation allows one to alter antisense compounds in ways that have less attractive consequences in the absence of conjugation. For example, in certain embodiments, replacing one or more phosphorothioate linkages of a fully phosphorothioate antisense compound with phosphodiester linkages results in improvement in some measures of tolerability. For example, in certain instances, such antisense compounds having one or more phosphodiester are less immunogenic than the same compound in which each linkage is a phosphorothioate. However, in certain instances, as shown in Example 26, that same replacement of one or more phosphorothioate linkages with phosphodiester linkages also results in reduced cellular uptake and/or loss in potency.
  • conjugated antisense compounds described herein tolerate such change in linkages with little or no loss in uptake and potency when compared to the conjugated full-phosphorothioate counterpart.
  • oligonucleotides comprising a conjugate and at least one phosphodiester internucleoside linkage actually exhibit increased potency in vivo even relative to a full phosphorothioate counterpart also comprising the same conjugate.
  • conjugated antisense compounds comprise at least one phosphodiester linkage.
  • conjugation of antisense compounds herein results in increased delivery, uptake and activity in hepatocytes.
  • more compound is delivered to liver tissue.
  • that increased delivery alone does not explain the entire increase in activity.
  • more compound enters hepatocytes.
  • even that increased hepatocyte uptake does not explain the entire increase in activity.
  • productive uptake of the conjugated compound is increased.
  • certain embodiments of GalNAc-containing conjugates increase enrichment of antisense oligonucleotides in hepatocytes versus non- parenchymal cells. This enrichment is beneficial for oligonucleotides that target genes that are expressed in hepatocytes.
  • conjugated antisense compounds herein result in reduced kidney exposure.
  • concentrations of antisense oligonucleotides comprising certain embodiments of GalNAc-containing conjugates are lower in the kidney than that of antisense oligonucleotides lacking a GalNAc-containing conjugate.
  • This has several beneficial therapeutic implications. For therapeutic indications where activity in the kidney is not sought, exposure to kidney risks kidney toxicity without corresponding benefit.
  • high concentration in kidney typically results in loss of compound to the urine resulting in faster clearance. Accordingly for non-kidney targets, kidney accumulation is undesired.
  • conjugated antisense compounds represented by the formula:
  • A is the antisense oligonucleotide
  • q is an integer between 1 and 5.
  • conjugated antisense compounds having the structure:
  • conjugated antisense compounds having the structure:
  • conjugated antisense compounds having the structure:
  • Embodiment 1 A conjugated antisense compound comprising: an antisense oligonucleotide comprising 12-30 linked nucleosides and a conjugate group, wherein the conjugate group comprises cleavable moiety; a conjugate linker; and a cell- targeting moiety.
  • Embodiment 2 The conjugated antisense compound of embodiment 1, wherein:
  • the cleavable moiety is covalently bound to the antisense oligonucleotide; the conjugate linker is covalently bound to the cleavable moiety; and
  • the cell-targeting moiety is covalently bound to the conjugate linker.
  • Embodiment 3 The conjugated antisense compound of embodiment 1 or 2, wherein the cell- targeting moiety comprises a branching group.
  • Embodiment 4 The conjugated antisense compound of embodiment 3, wherein the branching group is covalently attached to the conjugate linker.
  • Embodiment 5 The conjugated antisense compound of any of embodiments 1 -4, wherein the cell- targeting moiety comprises at least one tether.
  • Embodiment 6 The conjugated antisense compound of embodiment 5, wherein the at least one tether is covalently attached to the branching group.
  • Embodiment 7 The conjugated antisense compound of any of embodiments 1 -6, wherein the cell- targeting moiety comprises at least one ligand.
  • Embodiment 8 The conjugated antisense compound of embodiment 7, wherein each of the at least one ligands is covalently attached to a tether.
  • Embodiment 9 The conjugated antisense compound of embodiment 1 -8, wherein the compound has a structure represented by formula I below:
  • A is the antisense oligonucleotide
  • each E is a tether
  • each F is a ligand
  • q is an integer between 1 and 5.
  • Embodiment 10 The conjugated antisense compound of any of embodiments 1 -9, wherein the
  • cleavable moiety comprises 1 -4 linked cleavable moiety nucleosides, wherein the linkage between the antisense oligonucleotide and the first cleavable moiety nucleoside is a phosphodiester internucleoside linkage.
  • Embodiment 11 The conjugated antisense compound of embodiment 10, wherein each internucleoside linkage between each of the linked cleavable moiety nucleosides is a phosphodiester internucleoside linkage.
  • Embodiment 12 The conjugated antisense compound of embodiment 10 or 11, wherein the cleavable moiety comprises 1-3 linked cleavable moiety nucleosides.
  • Embodiment 13 The conjugated antisense compound of embodiment 10 or 11, wherein the cleavable moiety comprises 1-2 linked cleavable moiety nucleosides.
  • Embodiment 14 The conjugated antisense compound of embodiment 10, wherein the cleavable moiety comprises one cleavable moiety nucleoside.
  • Embodiment 15 The conjugated antisense compound of any of embodiments 1-14, wherein the cleavable moiety is a cleavable moiety nucleoside selected from the group consisting of a purine, a substituted purine, a pyrimidine, or a substituted pyrimidine.
  • Embodiment 16 The conjugated antisense compound of any of embodiments 1-14, wherein the cleavable moiety is a cleavable moiety nucleoside selected from cytidine, uridine, adenosine, thymidine, and guanosine.
  • Embodiment 17 The conjugated antisense compound of any of embodiments 1-14, wherein the cleavable moiety is a cleavable moiety deoxynucleoside selected from deoxyadenosine,
  • deoxyguanosine deoxyinosine
  • thymidine deoxyuridine
  • deoxycytidine deoxycytidine
  • Embodiment 18 The conjugated antisense compound of any of embodiments 1-17, wherein the cleavable moiety comprises deoxyadenosine.
  • Embodiment 19 The conjugated antisense compound of any of embodiments 1-18, wherein the cleavable moiety is deoxyadenosine.
  • Embodiment 20 The conjugated antisense compound of any of embodiments 1-19, wherein the cleavable moiety has a structure selected from among: wherein each of Bx, Bxi, Bx 2 , and Bx 3 is independently a heterocyclic base moiety.
  • Embodiment 21 The conjugated antisense compound of embodiment 20, wherein the heterocyclic base moiety is selected from among: uracil, thymine, cytosine, 5-methylcytosine, adenine or guanine.
  • Embodiment 22 The conjugated antisense compound of any of embodiments 1 -19, wherein the cleavable moiety has the structure:
  • Embodiment 23 The conjugated antisense compound of any of embodiments 1 -22, wherein the conjugate linker comprises a pyrrolidine.
  • Embodiment 24 The conjugated antisense compound of any of embodiments 1 -23, wherein the conjugate linker comprises PEG.
  • Embodiment 25 The conjugated antisense compound of any of embodiments 1 -24, wherein the conjugate linker comprises an amide.
  • Embodiment 26 The conjugated antisense compound of any of embodiments 1 -25, wherein the
  • conjugate linker comprises a polyamide
  • Embodiment 27 The conjugated antisense compound of any of embodiments 1 -26, wherein the
  • conjugate linker comprises an amine.
  • Embodiment 28 The conjugated antisense compound of any of embodiments 1 -27, wherein the
  • conjugate linker comprises one or more disulfide bonds.
  • Embodiment 29 The conjugated antisense compound of any of embodiments 1 -28, wherein the
  • conjugate linker comprises a protein binding moiety.
  • Embodiment 30 The conjugated antisense compound of embodiment 29, wherein the protein binding moiety comprises a lipid.
  • Embodiment 31 The conjugated antisense compound of embodiment 30, wherein the protein binding moiety is selected from among: cholesterol, cholic acid, adamantane acetic acid, 1 -pyrene butyric acid, dihydrotestosterone, l ,3-Bis-0(hexadecyl)glycerol, geranyloxyhexyl group, hexadecylglycerol, borneol, menthol, 1 ,3-propanediol, heptadecyl group, palmitic acid, myristic acid, 03- (oleoyl)lithocholic acid, 03-(oleoyl)cholenic acid, dimethoxytrityl, or phenoxazine), a vitamin (e.g., folate, vitamin A, vitamin E, biotin, pyridoxal), a peptide, a carbohydrate (e.g., monosaccharide, disacchari
  • Embodiment 32 The conjugated antisense compound of any of embodiments 1 -31 wherein the protein binding moiety is a C16 to C22 long chain saturated or unsaturated fatty acid, cholesterol, cholic acid, vitamin E, adamantane or 1 -pentafluoropropyl.
  • Embodiment 33 The conjugated antisense compound of any of embodiments 1 -32 wherein the
  • conjugate linker has a structure selected from among:
  • n is from 1 to 20; and p is from 1 to 6. In such embodiments having more than one n, each n is selected independently.
  • Embodiment 34 The conjugated antisense compound of any of embodiments 1-33 wherein the conjugate linker has a structure selected from among:
  • Embodiment 35 The conjugated antisense compound of any of embodiments 1-33 wherein the
  • n is from 1 to 20.
  • Embodiment 36 The conjugated antisense compound of any of embodiments 1-33 wherein the conjugate linker has a structure selected from among: Embodiment 37.
  • Embodiment 38 The conjugated antisense compound of any of embodiments 1-33 wherein the conj
  • n is from 1 to 20.
  • Embodiment 39 The conjugated antisense compound of any of embodiments 1-33 wherein the
  • Embodiment 40 The conjugated antisense compound of any of embodiments 1-39, wherein the cell- targeting moiety comprises a carbohydrate.
  • Embodiment 41 The conjugated antisense compound of any of embodiments 1-40, wherein the cell- targeting moiety comprises a carbohydrate cluster.
  • Embodiment 42 The conjugated antisense compound of any of embodiments 1-41, wherein the cell- targeting moiety comprises a cell surface receptor ligand.
  • Embodiment 43 The conjugated antisense compound of any of embodiments 1-42, wherein the
  • targeting moiety comprises at least one N- Acetylgalactosamine (GalNAc).
  • Embodiment 44 The conjugated antisense compound of any of embodiments 1-43, wherein the
  • targeting moiety comprises a branching group.
  • Embodiment 45 The conjugated antisense compound of embodiment 44, wherein the branching group comprises an ether.
  • Embodiment 46 The conjugated antisense compound of embodiment 44 or 45, wherein the branching group has the following structure:
  • n is, independently, from 1 to 20; and m is from 2 to 6.
  • Embodiment 47 The conjugated antisense compound of embodiment 44 or 45, wherein the branching gr
  • Embodiment 48 The conjugated antisense compound of embodiment 44 or 45, wherein the branching group has the following structure:
  • each n is, independently, from 1 to 20.
  • Embodiment 49 The conjugated antisense compound of embodiment 44 or 45, wherein the branching group has the following structure: Embodiment 50.
  • Embodiment 51 The conjugated antisense compound of any embodiments 1-49, wherein the cell- targeting moiety comprises two tethers.
  • Embodiment 52 The conjugated antisense compound of any embodiments 1-49, wherein the cell- targeting moiety comprises three tethers.
  • Embodiment 53 The conjugated antisense compound of any embodiments 1-49, wherein the cell- targeting moiety comprises four or more tethers.
  • Embodiment 54 The conjugated antisense compound of any of embodiments 1-53, wherein at least one tether comprises PEG.
  • Embodiment 55 The conjugated antisense compound of any of embodiments 1-54, wherein at least one tether comprises an amide.
  • Embodiment 56 The conjugated antisense compound of any of embodiments 1-55, wherein at least one tether comprises a polyamide.
  • Embodiment 57 The conjugated antisense compound of any of embodiments 1-56, wherein at least one tether comprises an amine.
  • Embodiment 58 The conjugated antisense compound of any of embodiments 1-57, wherein at least two tethers are different from one another.
  • Embodiment 59 The conjugated antisense compound of any of embodiments 1-57, wherein all of the tethers are the same as one another.
  • Embodiment 60 The conjugated antisense compound of any of embodiments 1-59, wher t
  • n is, independently, from 1 to 20;
  • each p is from 1 to about 6.
  • Embodiment 61 The conjugated antisense compound of any of embodiments 1-60, wherein each tet
  • Embodiment 62 The conjugated antisense compound of any of embodiments 1-61, wherein each tether has the following structure: wherein each n is, independently, from 1 to 20.
  • Embodiment 63 The conjugated antisense compound of any of embodiments 1 -61 , wherein each t
  • Embodiment 64 The conjugated antisense compound of any of embodiments 1 -63, wherein the cell- targeting moiety comprises at least one ligand.
  • Embodiment 65 The conjugated antisense compound of embodiment 64, wherein the cell-targeting moiety comprises one ligand.
  • Embodiment 66 The conjugated antisense compound of embodiment 64, wherein the targeting moiety comprises two ligands.
  • Embodiment 67 The conjugated antisense compound of embodiment 64, wherein the targeting moiety comprises three ligands.
  • Embodiment 68 The conjugated antisense compound of any of embodiments 64-67, wherein a ligand is covalently attached to each tether.
  • Embodiment 69 The conjugated antisense compound of any of embodiments 1 to 68, wherein at least one ligand is N- Acetylgalactosamine (GalNAc).
  • Embodiment 70 The conjugated antisense compound of any of embodiments 1 to 69, wherein each ligand is N-Acetylgalactosamine (GalNAc).
  • Embodiment 71 The conjugated antisense compound of any of embodiments 1 -70, wherein the ligand is selected from among: a polysaccharide, modified polysaccharide, mannose, galactose, a mannose derivative, a galactose derivative, D-mannopyranose, L-Mannopyranose, D-Arabinose, L-Galactose, D- xylofuranose, L-xylofuranose, D-glucose, L-glucose, D-Galactose, L-Galactose, a-D-Mannofuranose, ⁇ -D-Mannofuranose, a-D-Mannopyranose, ⁇ -D-Mannopyranose, a-D-Glucopyranose, ⁇ -D- Glucopyranose, a-D-Glucofuranose, ⁇ -D-Glucofuranose, a-D-fructofur
  • Embodiment 72 The conjugated antisense compound of any of embodiments 1 -71 , wherein the ligand is galactose.
  • Embodiment 73 The conjugated antisense compound of any of embodiments 1 -71 , wherein the ligand is mannose-6-phosphate.
  • Embodiment 74 The conjugated antisense compound of any of embodiments 1 -71 , wherein each ligand is selected from among:
  • each Ri is selected from OH and NHCOOH.
  • Embodiment 75 The conjugated antisense compound of any of embodiments 1 -71 , wherein each ligand is selected from among:
  • Embodiment 76 The conjugated antisense compound of any of embodiments 1-71, wherein each ligand has the following structure:
  • Embodiment 77 The conjugated antisense compound of any of embodiments 1-71, wherein each ligand has the following structure:
  • Embodiment 78 The conjugated antisense compound of any of embodiments 1-77, wherein the cell- targeting group has the following structure: wherein each n is, independently, from 1 to 20.
  • Embodiment 79. The conjugated antisense compound of any of embodiments 1 -77, wherein the cell- targeting group has the following structure:
  • Embodiment 80 The conjugated antisense compound of any of embodiments 1-79, wher conjugate has the following structure:
  • n is, independently, from 1 to 20;
  • Z is H or a linked solid support
  • Q is said antisense compound
  • X is O or S
  • Bx is a heterocyclic base moiety.
  • Embodiment 81 The conjugated antisense compound of any of embodiments 1 -79, wherein the conjugate has the following structure:
  • Z is H or a linked solid support; Q is said antisense compound.
  • Embodiment 82 The conjugated antisense compound of any of embodiments 1-81, wherein the conjugate group is attached to the 2'-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 83 The conjugated antisense compound of any of embodiments 1-81, wherein the conjugate group is attached to the 3 '-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 84 The conjugated antisense compound of any of embodiments 1-81, wherein the conjugate group is attached to the 5'-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 85 The conjugated antisense compound of any of embodiments 1-82, wherein the conjugate group is attached to the 5'-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 86 The conjugated antisense compound of any of embodiments 1-84, wherein the conjugate group is attached to the 3 '-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 87 The conjugated antisense compound of any of embodiments 1-84, wherein the conjugate group is attached to an internal nucleoside of the antisense oligonucleotide.
  • Embodiment 88 The conjugated antisense compound of any of embodiments 1-87, wherein the conjugate group increases uptake of the conjugated antisense compound into a hepatocyte relative to an unconjugated antisense compound.
  • Embodiment 89 The conjugated antisense compound of any of embodiments 1-88, wherein the conjugate group increases the uptake of the conjugated antisense compound into a liver cell relative to an unconjugated antisense compound.
  • Embodiment 90 The conjugated antisense compound of any of embodiments 1-89, wherein the conjugate group increases accumulation of the conjugated antisense compound in the liver relative to an unconjugated antisense compound.
  • Embodiment 91 The conjugated antisense compound of any of embodiments 1-90, wherein the conjugate group decreases accumulation of the conjugated antisense compound in the kidneys relative to an unconjugated antisense compound.
  • Embodiment 92 The conjugated antisense compound of any of embodiments 1-91, wherein the antisense oligonucleotide is an RNase H based antisense compound.
  • Embodiment 93 The conjugated antisense compound of any of embodiments 1-92, wherein the antisense oligonucleotide comprises at least one modified nucleoside.
  • Embodiment 94 The conjugated antisense compound of any of embodiments 1-93, wherein each nucleoside of the antisense oligonucleotide is a modified nucleoside.
  • Embodiment 95 The conjugated antisense compound of any of embodiments 1-94, wherein the antisense oligonucleotide is single-stranded.
  • Embodiment 96 The conjugated antisense compound of embodiment 93-95, wherein at least one modified nucleoside comprises a modified sugar moiety.
  • Embodiment 97 The conjugated antisense compound of embodiment 96, wherein the antisense oligonucleotide has a sugar motif comprising:
  • a 5'-region consisting of 2-8 linked 5'-region nucleosides, wherein at least two 5'-region nucleosides are modified nucleosides and wherein the 3 '-most 5'-region nucleoside is a modified nucleoside;
  • a 3 '-region consisting of 2-8 linked 3 '-region nucleosides, wherein at least two 3 '-region nucleosides are modified nucleosides and wherein the 5 '-most 3 '-region nucleoside is a modified nucleoside;
  • a central region between the 5'-region and the 3'-region consisting of 5-10 linked central region nucleosides, each independently selected from among: a modified nucleoside and an unmodified deoxynucleoside, wherein the 5 '-most central region nucleoside is an unmodified deoxynucleoside and the 3 '-most central region nucleoside is an unmodified deoxynucleoside.
  • Embodiment 98 The conjugated antisense compound of embodiment 97, wherein the 5'-region consists of 2 linked 5'-region nucleosides.
  • Embodiment 99 The conjugated antisense compound of embodiment 97, wherein the 5'-region consists of 3 linked 5'-region nucleosides.
  • Embodiment 100 The conjugated antisense compound of embodiment 97, wherein the 5'-region consists of 4 linked 5'-region nucleosides.
  • Embodiment 101 The conjugated antisense compound of embodiment 97, wherein the 5'-region consists of 5 linked 5'-region nucleosides.
  • Embodiment 102 The conjugated antisense compound of any of embodiments 97-101, wherein the 3' region consists of 2 linked 3 '-region nucleosides.
  • Embodiment 103 The conjugated antisense compound of any of embodiments 97-101, wherein the 3' region consists of 3 linked 3 '-region nucleosides.
  • Embodiment 104 The conjugated antisense compound of any of embodiments 97-91, wherein the 3'- region consists of 4 linked 3 '-region nucleosides.
  • Embodiment 105 The conjugated antisense compound of any of embodiments 97-101, wherein the 3' region consists of 5 linked 3 '-region nucleosides.
  • Embodiment 106 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 5 linked central region nucleosides.
  • Embodiment 107 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 6 linked central region nucleosides.
  • Embodiment 108 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 7 linked central region nucleosides.
  • Embodiment 109 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 8 linked central region nucleosides.
  • Embodiment 110 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 9 linked central region nucleosides.
  • Embodiment 111 The conjugated antisense compound of any of embodiments 97-105, wherein the central region consists of 10 linked central region nucleosides.
  • Embodiment 112 The conjugated antisense compound of any of embodiments 1-111, wherein the antisense oligonucleotide consists of 14 to 26 linked nucleosides.
  • Embodiment 113 The conjugated antisense compound of any of embodiments 1-111, wherein the antisense oligonucleotide consists of 15 to 25 linked nucleosides.
  • Embodiment 114 The conjugated antisense compound of any of embodiments 1-111, wherein the antisense oligonucleotide consists of 16 to 20 linked nucleosides.
  • Embodiment 115 The conjugated antisense compound of any of embodiments 1-114, wherein each modified nucleoside independently comprises a 2 '-substituted sugar moiety or a bicyclic sugar moiety.
  • Embodiment 116 The conjugated antisense compound of embodiment 115, wherein the at least one modified nucleoside comprises a 2 '-substituted sugar moiety.
  • each optionally substituted group is optionally substituted with a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (N0 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (N0 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • Embodiment 118 The conjugated antisense compound of embodiment 116, wherein each 2' substituent is independently selected from among: a halogen, OCH 3 , OCH 2 F, OCHF 2 , OCF 3 , OCH 2 CH 3 ,
  • Embodiment 120 The conjugated antisense compound of embodiment 116, wherein the at least one 2'- modified nucleoside comprises a 2'-MOE sugar moiety.
  • Embodiment 121 The conjugated antisense compound of embodiment 116, wherein the at least one 2'- modified nucleoside comprises a 2'-OMe sugar moiety.
  • Embodiment 122 The conjugated antisense compound of embodiment 116, wherein the at least one 2'- modified nucleoside comprises a 2'-F sugar moiety.
  • Embodiment 123 The conjugated antisense compound of any of embodiments 1-122, wherein the antisense oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.
  • Embodiment 124 The conjugated antisense compound of embodiment 123, wherein the modified
  • nucleoside comprises an F-HNA sugar moiety.
  • Embodiment 125 The conjugated antisense compound of embodiment 123, wherein the modified
  • nucleoside comprises an HNA sugar moiety.
  • Embodiment 126 The conjugated antisense compound of any of embodiments 1-125 wherein the
  • antisense oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.
  • Embodiment 127 The conjugated antisense compound of embodiment 126, wherein the bicyclic sugar moiety is a cEt sugar moiety.
  • Embodiment 128 The conjugated antisense compound of embodiment 126, wherein bicyclic sugar moiety is an LNA sugar moiety.
  • Embodiment 129 The conjugated antisense compound of any of embodiments 1-128, wherein the antisense oligonucleotide comprises at least one modified internucleoside linkage.
  • Embodiment 130 The conjugated antisense compound of embodiment 129, wherein each
  • internucleoside linkage of the antisense oligonucleotide is a modified internucleoside linkage.
  • Embodiment 131 The conjugated antisense compound of embodiment 129, wherein the antisense oligonucleotide comprises at least one modified linkage and at least one unmodified phosphodiester internucleoside linkage.
  • Embodiment 132 The conjugated antisense compound of any of embodiments 129-131 wherein at least one modified internucleoside linkage is a phosphosphorothioate internucleoside linkage.
  • Embodiment 133 The conjugated antisense compound of any of embodiments 129-122, wherein each modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • Embodiment 134 The conjugated antisense compound of any of embodiments 129-133, wherein the antisense oligonucleotide comprises at least 2 phosphodiester internucleoside linkages.
  • Embodiment 135. The conjugated antisense compound of any of embodiments 129-133, wherein the antisense oligonucleotide comprises at least 3 phosphodiester internucleoside linkages.
  • Embodiment 136 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 4 phosphodiester internucleoside linkages.
  • Embodiment 137 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 5 phosphodiester internucleoside linkages.
  • Embodiment 138 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 6 phosphodiester internucleoside linkages.
  • Embodiment 139 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 7 phosphodiester internucleoside linkages.
  • Embodiment 140 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 8 phosphodiester internucleoside linkages.
  • Embodiment 141. The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 9 phosphodiester internucleoside linkages.
  • Embodiment 142 The conjugated antisense compound of any of embodiments 129-132, wherein the antisense oligonucleotide comprises at least 10 phosphodiester internucleoside linkages.
  • Embodiment 143 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 16 phosphorothioate internucleoside linkages.
  • Embodiment 144 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 15 phosphorothioate internucleoside linkages.
  • Embodiment 145 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 14 phosphorothioate internucleoside linkages.
  • Embodiment 146 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 13 phosphorothioate internucleoside linkages.
  • Embodiment 147 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 12 phosphorothioate internucleoside linkages.
  • Embodiment 148 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 11 phosphorothioate internucleoside linkages.
  • Embodiment 149 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 10 phosphorothioate internucleoside linkages.
  • Embodiment 150 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 9 phosphorothioate internucleoside linkages.
  • Embodiment 151 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 8 phosphorothioate internucleoside linkages.
  • Embodiment 152 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 7 phosphorothioate internucleoside linkages.
  • Embodiment 153 The conjugated antisense compound of any of embodiments 129-142, wherein the antisense oligonucleotide comprises fewer than 6 phosphorothioate internucleoside linkages.
  • Embodiment 154 The conjugated antisense compound of any of embodiments 129-153, wherein each terminal internucleoside linkage of the antisense oligonucleotide is a phosphorothioate internucleoside linkage.
  • Embodiment 155 The conjugated antisense compound of any of embodiments 129-154, wherein each internucleoside linkage linking two deoxynucleosides of the antisense oligonucleotide is a
  • Embodiment 156 The conjugated antisense compound of any of embodiments 129-155, wherein each non-terminal internucleoside linkage linking two modified nucleosides of the antisense oligonucleotide is a phosphodiester internucleoside linkage.
  • Embodiment 157 The conjugated antisense compound of any of embodiments 129-156, wherein each non-terminal internucleoside linkage of the antisense oligonucleotide that is 3' of a modified nucleoside is a phosphodiester internucleoside linkage.
  • Embodiment 158 The conjugated antisense compound of any of embodiments 129-157, wherein each internucleoside linkage of the antisense oligonucleotide that is 3' of a deoxynucleoside is a
  • Embodiment 159 The conjugated antisense compound of any of embodiments 1-158 wherein the antisense oligonucleotides has a chemical motif selected from among:
  • MyMyMyMsM MsMyMyMy(Ds)o-i(DsDs)(3- 5)
  • each M is independently a modified nucleoside, each D is a deoxynucleoside; each s is a phosphorothioate internucleoside linkage, and each y is either a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage, provided that at least one y is a phosphodiester internucleotide linkage.
  • Embodiment 160 The conjugated antisense compound of any of embodiments 1-158 wherein the antisense oligonucleotides has a chemical motif selected from among:
  • each M is independently a modified nucleoside, each D is a deoxynucleoside; each o is a phosphodiester internucleoside linkage, and each s is a phosphorothioate internucleoside linkage.
  • Embodiment 161. The conjugated antisense compound of embodiment 159 or 160, wherein each M is independently selected from among: a 2'-MOE nucleoside and a bicyclic nucleoside.
  • Embodiment 162 The conjugated antisense compound of embodiment 161, wherein each M is
  • a 2'-MOE nucleoside independently selected from among a 2'-MOE nucleoside, a cEt nucleoside, and an LNA nucleoside.
  • Embodiment 163 The conjugated antisense compound of embodiment 159 or 160, wherein each M is a 2'-MOE nucleoside.
  • Embodiment 164 The conjugated antisense compound of embodiment 159 or 160, wherein each M is a cEt nucleoside.
  • Embodiment 165 The conjugated antisense compound of embodiments 159 or 160, wherein each M is an LNA nucleoside.
  • Embodiment 166 The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 8 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 167 The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 10 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 168 The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 12 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 169 The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 14 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 170 The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 16 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 171. The conjugated antisense compound of any of embodiments 1-165, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 18 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 172 The conjugated antisense compound of any of embodiments 1-171, wherein the antisense oligonucleotide is at least 90% complementary to a target nucleic acid.
  • Embodiment 173 The conjugated antisense compound of any of embodiments 1-171, wherein the antisense oligonucleotide is at least 95% complementary to a target nucleic acid.
  • Embodiment 174 The conjugated antisense compound of any of embodiments 1-171, wherein the antisense oligonucleotide is 100% complementary to a target nucleic acid.
  • Embodiment 175. The conjugated antisense compound of any of embodiments 166-174, wherein the target nucleic acid is a pre-mRNA.
  • Embodiment 176 The conjugated antisense compound of any of embodiments 166-174, wherein the target nucleic acid is an mRNA.
  • Embodiment 177 The conjugated antisense compound of any of embodiments 166-176, wherein the target nucleic acid is expressed in the liver.
  • Embodiment 178 The conjugated antisense compound of embodiment 177, wherein the target nucleic acid is expressed in hepatocytes.
  • Embodiment 179 The conjugated antisense compound of embodiment 177 or 178, wherein the target nucleic encodes a protein selected from among: Androgen Receptor, Apolipoprotein (a),
  • Apolipoprotein B Apolipoprotein C-III, C-Reactive Protein, eIF-4E, Factor VII, Factor XI,
  • Glucocorticoid Receptor Glucagon Receptor
  • Protein Tyrosine Phosphatase IB Protein Tyrosine Phosphatase IB
  • STAT3 Transthyretin
  • Embodiment 180 The conjugated antisense compound of embodiment 166-179 wherein the target nucleic acid is a viral nucleic acid.
  • Embodiment 181 The conjugated antisense compound of embodiment 180, wherein the viral nucleic acid expressed in the liver.
  • Embodiment 182. The conjugated antisense compound of embodiment 181, wherein the target nucleic acid is a Hepatitis B viral nucleic acid.
  • Embodiment 183 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any one of SEQ ID NOs.: 17, 18, 19, 20, 21, 22, 23, or 24.
  • Embodiment 184 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any one of SEQ ID NO.: 25, 26, 27,
  • Embodiment 185 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 31.
  • Embodiment 186 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 32.
  • Embodiment 187 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 33.
  • Embodiment 188 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 34.
  • Embodiment 189 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 35, 36, 37, 38, 39, 40, 41, 42, or 43.
  • Embodiment 190 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 44, 45, 46, 47, or 48.
  • Embodiment 191 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, or 59.
  • Embodiment 192. The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 60, 61, 62, 63, 64, 65, 66, or 67.
  • Embodiment 193. The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NO.: 69, 70, 71, or 72.
  • Embodiment 194 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 73.
  • Embodiment 195 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 74, 75, 76, 77, 78, 79, 80, or 81.
  • Embodiment 196 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 68.
  • Embodiment 197 The conjugated antisense compound of any of embodiments 1-179, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 82-103.
  • Embodiment 198 A method of reducing the amount or activity of a target nucleic acid in a cell
  • Embodiment 199 The method of embodiment 198, wherein the cell is a liver cell.
  • Embodiment 200 The method of embodiment 199, wherein the cell is a hepatocyte.
  • Embodiment 201 The method of any of embodiments 198-200 wherein the cell is in vitro.
  • Embodiment 202 The method of any of embodiments 198-200 wherein the cell is in an animal.
  • Embodiment 203 The method of embodiment 202 wherein the animal is a mouse.
  • Embodiment 204 The method of embodiment 202 wherein the animal is a human.
  • Embodiment 205. A pharmaceutical composition comprising an conjugated antisense compound according to any of embodiments 1-197 and a pharmaceutically acceptable carrier or diluent.
  • Embodiment 206 The pharmaceutical composition of embodiment 205 wherein the pharmaceutically acceptable carrier or diluent is selected from among sterile water and sterile saline.
  • Embodiment 207 A method of treating a disease or condition in an animal comprising administering the pharmaceutical composition of embodiment 205 or 206 to the animal and thereby treating the disease or condition in the animal.
  • Embodiment 208 The method of embodiment 207 wherein the animal is a mouse.
  • Embodiment 209 The method of embodiment 207 wherein the animal is a human.
  • Embodiment 210. The method of any of embodiments 207-209, wherein the disease or condition is a liver disease or condition.
  • Embodiment 211 The method of any of embodiments 207-210 wherein the administration is
  • Embodiment 212 The method embodiment 211 wherein the administration is by subcutaneous injection.
  • Embodiment 213. The method of embodiment 211 wherein the administration is by intravenous injection.
  • Embodiment 214 The method of embodiment 211 wherein the administration is by intramuscular injection.
  • Embodiment 215. The method of any of embodiments 207-214 wherein the conjugated antisense compound is provided at a dose of 1-10 mg/kg.
  • Embodiment 216 The method of any of embodiments 207-214 wherein the conjugated antisense compound is provided at a dose of less than 1 mg/kg.
  • Embodiment 217 The method of any of embodiments 207-216 wherein the conjugated antisense compound is provided at a dose of greater than 10 mg/kg.
  • Embodiment 218 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided for a dosing period of at least 2 months.
  • Embodiment 219. The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided for a dosing period of at least 4 months.
  • Embodiment 220. The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided for a dosing period of at least 6 months.
  • Embodiment 2221 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every week.
  • Embodiment 222 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every two weeks.
  • Embodiment 223. The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every three weeks.
  • Embodiment 224 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every four weeks.
  • Embodiment 225 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every five weeks.
  • Embodiment 226 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every six weeks.
  • Embodiment 227 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every seven weeks.
  • Embodiment 228 The method of any of embodiments 207-217 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every eight weeks.
  • Embodiment 229. A conjugated antisense compound comprising: an antisense oligonucleotide comprising 12-30 linked nucleosides, and a conjugate group, wherein the conjugate group comprises at least one cell-targeting moiety.
  • Embodiment 230. The conjugated antisense compound of embodiment 229, wherein the conjugate group comprises 2 cell-targeting moieties.
  • Embodiment 23 The conjugated antisense compound of embodiment 229, wherein the conjugate group comprises 3 cell-targeting moieties.
  • Embodiment 232 The conjugated antisense compound of embodiment 229, wherein the conjugate group comprises 4 cell-targeting moieties.
  • Embodiment 233 The conjugated antisense compound of any of embodiments 229-232, wherein each cell-targeting moiety comprises a cleavable bond.
  • Embodiment 234 The conjugated antisense compound of any of embodiments 229-233, wherein each cell-targeting moiety comprises a tether and a ligand.
  • Embodiment 235 The conjugated antisense compound of embodiment 234, wherein the ligand is a cell surface receptor ligand.
  • Embodiment 236 The conjugated antisense compound of embodiment 235, wherein at least one tether comprises a cleavable bond.
  • Embodiment 237 The conjugated antisense compound of embodiment 235, wherein each tether
  • Embodiment 238 The conjugated antisense compound of any of embodiments 229-237, wherein the conjugate group comprises a conjugate linker.
  • Embodiment 239. The conjugated antisense compound of embodiment 238, wherein the conjugate linker comprises one or more cleavable bonds.
  • Embodiment 240. The conjugated antisense compound of any of embodiments 229-239, wherein the conjugate group comprises a branching group.
  • Embodiment 241 The conjugated antisense compound of embodiment 240, wherein the branching group comprises one or more cleavable bonds.
  • Embodiment 242 The conjugated antisense compound of any of embodiments 229-241 , wherein the conjugate group comprises a cleavable moiety.
  • Embodiment 243. The conjugated antisense compound of embodiment 242, wherein the cleavable moiety comprises one or more cleavable bonds.
  • Embodiment 244 The conjugated antisense compound of any of embodiments 229-243, wherein the conjugate group comprises at least one cleavable bond.
  • Embodiment 245. The conjugated antisense compound of any of embodiments 229-243, wherein the conjugate group comprises at least two cleavable bonds.
  • Embodiment 246 The conjugated antisense compound of any of embodiments 229-243, wherein the conjugate group comprises at least 3 cleavable bonds.
  • Embodiment 247 The conjugated antisense compound of any of embodiments 229-243, wherein the conjugate group comprises at least 4 cleavable bonds.
  • Embodiment 248 The conjugated antisense compound of any of embodiments 229-243, wherein the conjugate group comprises at least 5 cleavable bonds.
  • Embodiment 249 The conjugated antisense compound of any of embodiments 229-248, comprising a cleavable bond selected from among an amide, a polyamide, an ester, an ether, a phosphodiester, a phosphate ester, a carbamate, a di-sulfide, or a peptide.
  • Embodiment 250 The conjugated antisense compound of embodiment 249, wherein the peptide is a di- peptide.
  • Embodiment 251. The conjugated antisense compound of embodiment 249, wherein the peptide is a tri- peptide.
  • Embodiment 252 The conjugated antisense compound of embodiment 249, wherein the peptide is lysine.
  • Embodiment 253 The conjugated antisense compound of embodiment 249, wherein the peptide is a lysine derivative.
  • Embodiment 254 The conjugated antisense compound of any of embodiments 250-251 , wherein one or more peptides are lysine.
  • Embodiment 255 The conjugated antisense compound of any of embodiments 250-251 , wherein two or more peptides are lysine.
  • Embodiment 256 The conjugated antisense compound of any of embodiments 229 to 255 wherein the conjugate group comprises:
  • each j is an integer from 1 to 3;
  • n is an integer from 1 to 20.
  • Embodiment 257 The conjugated antisense compound of any of embodiments 229 to 255 wherein the conjugate group comprises:
  • Embodiment 258 The conjugated antisense compound of any of embodiments 229 to 257 wherein the branching group comprises:
  • each j is an integer from 1 to 3;
  • n is an integer from 1 to 20.
  • Embodiment 259. The conjugated antisense compound of any of embodiments 229 to 257 wherein the branching group comprises:
  • Embodiment 260 The conjugated antisense compound of any of embodiments 229-259, wherein the cell-targeting moiety comprises a carbohydrate.
  • Embodiment 261 The conjugated antisense compound of any of embodiments 229-259, wherein the cell-targeting moiety comprises a carbohydrate cluster.
  • Embodiment 262. The conjugated antisense compound of any of embodiments 229-259, wherein the cell-targeting moiety comprises a cell surface receptor ligand.
  • Embodiment 263 The conjugated antisense compound of any of embodiments 229-259, wherein the cell-targeting moiety comprises at least one N-Acetylgalactosamine (GalNAc).
  • GalNAc N-Acetylgalactosamine
  • Embodiment 264 The conjugated antisense compound of any of embodiments 229-263, wherein:
  • the cleavable moiety is covalently bound to the antisense oligonucleotide
  • conjugate linker is covalently bound to the cleavable moiety
  • the cell-targeting moiety is covalently bound to the conjugate linker.
  • Embodiment 265. The conjugated antisense compound of any of embodiments 229-264, wherein the cell-targeting moiety comprises a branching group.
  • Embodiment 266. The conjugated antisense compound of embodiment 265, wherein the branching group is covalently attached to the conjugate linker.
  • Embodiment 267 The conjugated antisense compound of any of embodiments 229-266, wherein the cell-targeting moiety comprises at least one tether.
  • Embodiment 268 The conjugated antisense compound any of embodiments 229-267, wherein the at least one tether is covalently attached to the branching group.
  • Embodiment 269. The conjugated antisense compound of any of embodiments 229-267, wherein the cell-targeting moiety comprises at least one ligand.
  • Embodiment 270 The conjugated antisense compound of embodiment 269, wherein each of the at least one ligand is covalently attached to a tether.
  • Embodiment 271. The conjugated antisense compound of any of embodiments 229-270, wherein the compound has a structure represented by formula I below:
  • A is the antisense oligonucleotide
  • each E is a tether
  • each F is a ligand
  • q is an integer between 1 and 5.
  • Embodiment 272 The conjugated antisense compound any of embodiments 229-271, wherein the cleavable moiety comprises 1-4 linked cleavable moiety nucleosides, wherein the linkage between the antisense oligonucleotide and the first cleavable moiety nucleoside is a phosphodiester internucleoside linkage.
  • Embodiment 27 The conjugated antisense compound of embodiment 272, wherein each
  • internucleoside linkage between each of the linked cleavable moiety nucleosides is a phosphodiester internucleoside linkage.
  • Embodiment 27 The conjugated antisense compound of embodiment 271 or 272, wherein the
  • cleavable moiety comprises 1-3 linked cleavable moiety nucleosides.
  • Embodiment 275 The conjugated antisense compound of embodiment 271 or 272, wherein the
  • cleavable moiety comprises 1-2 linked cleavable moiety nucleosides.
  • Embodiment 276 The conjugated antisense compound of embodiment 271, wherein the cleavable moiety comprises one cleavable moiety nucleoside.
  • Embodiment 277 The conjugated antisense compound of any of embodiments 229 to 276, wherein the cleavable moiety is a cleavable moiety nucleoside selected from the group consisting of a purine, a substituted purine, a pyrimidine, or a substituted pyrimidine.
  • Embodiment 278 The conjugated antisense compound of any of embodiments 229 to 276, wherein the cleavable moiety is a cleavable moiety nucleoside selected from cytidine, uridine, adenosine, thymidine, and guanosine.
  • Embodiment 279. The conjugated antisense compound of any of embodiments 229 to 276, wherein the cleavable moiety is a cleavable moiety deoxynucleoside selected from deoxyadenosine,
  • deoxyguanosine deoxyinosine
  • thymidine deoxyuridine
  • deoxycytidine deoxycytidine
  • Embodiment 280 The conjugated antisense compound of any of embodiments 229 to 280, wherein the cleavable moiety comprises deoxyadenosine.
  • Embodiment 281 The conjugated antisense compound of any of embodiments 229 to 280, wherein the cleavable moiety is deoxyadenosine.
  • Embodiment 282 The conjugated antisense compound of any of embodiments 229 to 276, wherein the cleavable moiety has a structure selected from among:
  • each of Bx, Bxi, Bx 2 , and Bx 3 is independently a heterocyclic base moiety.
  • Embodiment 283 The conjugated antisense compound of embodiment 282, wherein the heterocyclic base moiety is selected from among: uracil, thymine, cytosine, 5-methylcytosine, adenine or guanine.
  • Embodiment 284 The conjugated antisense compound of any of embodiments 229 to 276, wherein the cleavable moiety has the structure:
  • Embodiment 285. The conjugated antisense compound of any of embodiments 229 to 285, wherein the conjugate linker comprises a pyrrolidine.
  • Embodiment 286 The conjugated antisense compound of any of embodiments 229 to 286, wherein the conjugate linker comprises PEG.
  • Embodiment 287 The conjugated antisense compound of any of embodiments 229 to 287, wherein the conjugate linker comprises an amide.
  • Embodiment 288 The conjugated antisense compound of any of embodiments 229 to 288, wherein the conjugate linker comprises a polyamide.
  • Embodiment 289. The conjugated antisense compound of any of embodiments 229 to 289, wherein the conjugate linker comprises an amine.
  • Embodiment 290 The conjugated antisense compound of any of embodiments 229 to 290, wherein the conjugate linker comprises one or more disulfide bonds.
  • Embodiment 291 The conjugated antisense compound of any of embodiments 229 to 291, wherein the conjugate linker comprises a protein binding moiety.
  • Embodiment 292 The conjugated antisense compound of embodiment 292, wherein the protein
  • binding moiety comprises a lipid.
  • Embodiment 293 The conjugated antisense compound of embodiment 293, wherein the protein
  • binding moiety is selected from among: cholesterol, cholic acid, adamantane acetic acid, 1 -pyrene butyric acid, dihydrotestosterone, l,3-Bis-0(hexadecyl)glycerol, geranyloxyhexyl group,
  • Embodiment 294 The conjugated antisense compound of any of embodiments 229 to 293 wherein the protein binding moiety is a CI 6 to C22 long chain saturated or unsaturated fatty acid, cholesterol, cholic acid, vitamin E, adamantane or 1 -pentafluoropropyl.
  • Embodiment 295. The conjugated antisense compound of any of embodiments 229 to 294 wherein the conjugate linker has a structure selected from among:
  • n is, independently from 1 to 20; and p is from 1 to 6.
  • Embodiment 296 The conjugated antisense compound of any of embodiments 229 to 295 wherein the conjugate linker has a structure selected from among:
  • Embodiment 297 The conjugated antisense compound of any of embodiments 229 to 295 wherein the
  • n is, independently, from 1 to 20.
  • Embodiment 298 The conjugated antisense compound of any of embodiments 229 to 295 wherein the conjugate linker has a structure selected from among:
  • Embodiment 299. The conjugated antisense compound of any of embodiments 229 to 295 wherein the
  • Embodiment 300 The conjugated antisense compound of any of embodiments 229 to 295 wherein the conj
  • n is from 1 to 20.
  • Embodiment 301 The conjugated antisense compound of any of embodiments 229 to 295 wherein the c :
  • Embodiment 302. The conjugated antisense compound of any of embodiments 229 to 301, wherein the cell-targeting moiety comprises a carbohydrate.
  • Embodiment 303 The conjugated antisense compound of any of embodiments 229 to 302, wherein the cell-targeting moiety comprises a carbohydrate cluster.
  • Embodiment 304 The conjugated antisense compound of any of embodiments 229 to 303, wherein the cell-targeting moiety comprises a cell surface receptor ligand.
  • Embodiment 305 The conjugated antisense compound of any of embodiments 229 to 304, wherein the targeting moiety comprises at least one N- Acetylgalactosamine (GalNAc).
  • GalNAc N- Acetylgalactosamine
  • Embodiment 306 The conjugated antisense compound of any of embodiments 229 to 305, wherein the targeting moiety comprises a branching group.
  • Embodiment 307 The conjugated antisense compound of embodiment 306, wherein the branching group comprises an ether.
  • Embodiment 308 The conjugated antisense compound of embodiment 306 or 307, wherein the
  • branching group has the following structure:
  • n is, independently, from 1 to 20; and m is from 2 to 6.
  • Embodiment 309 The conjugated antisense compound of embodiment 306 or 307, wherein the
  • Embodiment 310 The conjugated antisense compound of embodiment 306 or 307, wherein the branching group has the following structure:
  • each n is, independently, from 1 to 20.
  • Embodiment 311 The conjugated antisense compound of embodiment 306 or 307, wherein the branching group has the following structure:
  • Embodiment 312 The conjugated antisense compound of any of embodiments 306 or 307 wherein the branching group comprises:
  • each j is an integer from 1 to 3;
  • n is an integer from 1 to 20.
  • Embodiment 313. The conjugated antisense compound of any of embodiments 306 or 307 wherein the branching group comprises:
  • Embodiment 314 The conjugated antisense compound of any embodiments 229-313, wherein the cell- targeting moiety comprises a tether.
  • Embodiment 315 The conjugated antisense compound of any embodiments 229-313, wherein the cell- targeting moiety comprises two tethers.
  • Embodiment 316 The conjugated antisense compound of any embodiments 229-313, wherein the cell- targeting moiety comprises three tethers.
  • Embodiment 317 The conjugated antisense compound of any embodiments 229-313, wherein the cell- targeting moiety comprises four or more tethers.
  • Embodiment 318 The conjugated antisense compound of any of embodiments 229-317, wherein at least one tether comprises PEG.
  • Embodiment 319 The conjugated antisense compound of any of embodiments 229-318, wherein at least one tether comprises an amide.
  • Embodiment 320 The conjugated antisense compound of any of embodiments 229-319, wherein at least one tether comprises a polyamide.
  • Embodiment 32 The conjugated antisense compound of any of embodiments 229-320, wherein at least one tether comprises an amine.
  • Embodiment 322 The conjugated antisense compound of any of embodiments 229-321, wherein at least two tethers are different from one another.
  • Embodiment 323 The conjugated antisense compound of any of embodiments 229-321, wherein all of the tethers are the same as one another.
  • Embodiment 324 The conjugated antisense compound of any of embodiments 229-323, wherein each
  • n is, independently, from 1 to 20;
  • each p is from 1 to about 6.
  • Embodiment 325 The conjugated antisense compound of any of embodiments 229-324, wherein each tether is selected from among:
  • Embodiment 326 The conjugated antisense compound of any of embodiments 229-324, wherein each tether has the following structure: wherein each n is, independently, from 1 to 20.
  • Embodiment 327 The conjugated antisense compound of any of embodiments 229-324, wherein each
  • Embodiment 328 The conjugated antisense compound of any of embodiments 229-328, wherein the cell-targeting moiety comprises at least one ligand.
  • Embodiment 329 The conjugated antisense compound of embodiment 328, wherein the cell-targeting moiety comprises one ligand.
  • Embodiment 330 The conjugated antisense compound of embodiment 328, wherein the targeting moiety comprises two ligands.
  • Embodiment 331 The conjugated antisense compound of embodiment 328, wherein the targeting moiety comprises three ligands.
  • Embodiment 332 The conjugated antisense compound of any of embodiments 328-331, wherein a ligand is covalently attached to each tether.
  • Embodiment 333 The conjugated antisense compound of any of embodiments 229-332, wherein at least one ligand is N-Acetylgalactosamine (GalNAc).
  • GalNAc N-Acetylgalactosamine
  • Embodiment 334 The conjugated antisense compound of any of embodiments 229-332, wherein each ligand is N-Acetylgalactosamine (GalNAc).
  • Embodiment 335 The conjugated antisense compound of any of embodiments 229-332, wherein the ligand is selected from among: a polysaccharide, modified polysaccharide, mannose, galactose, a mannose derivative, a galactose derivative, D-mannopyranose, L-Mannopyranose, D-Arabinose, L- Galactose, D-xylofuranose, L-xylofuranose, D-glucose, L-glucose, D-Galactose, L-Galactose, a-D- Mannofuranose, ⁇ -D-Mannofuranose, a-D-Mannopyranose, ⁇ -D-Mannopyranose, a-D-Glucopyranose, ⁇ -D-Glucopyranose, a-D-Glucofuranose, ⁇ -D-Glucofuranose, a-D-fructofuranose,
  • Embodiment 336 The conjugated antisense compound of any of embodiments 229-332, wherein the ligand is galactose.
  • Embodiment 337 The conjugated antisense compound of any of embodiments 229-332, wherein the ligand is mannose-6-phosphate.
  • Embodiment 338 The conjugated antisense compound of any of embodiments 229-332, wherein each ligand is selected from among:
  • each Ri is selected from OH and NHCOOH.
  • Embodiment 340 The conjugated antisense compound of any of embodiments 229-332, wherein each ligand has the following structure:
  • Embodiment 341 The conjugated antisense compound of any of embodiments 229-332, wherein each ligand has the following structure: Embodiment 342.
  • n is, independently, from 1 to 20.
  • Embodiment 343 The conjugated antisense compound of any of embodiments 229-336, wherein the cell-targeting group has the following structure:
  • Embodiment 344 The conjugated antisense compound of any of embodiments 229-336, wherein the conjugate has the following structure:
  • n is, independently, from 1 to 20;
  • Z is H or a linked solid support
  • Q is said antisense compound
  • X is O or S
  • Bx is a heterocyclic base moiety.
  • Embodiment 345 The conjugated antisense compound of any of embodiments 229-336, wherein the conjugate has the following structure:
  • Z is H or a linked solid support
  • Q is said antisense compound.
  • Embodiment 346 The conjugated antisense compound of any of embodiments 229-345, wherein the conjugate group is attached to the 2'-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 347 The conjugated antisense compound of any of embodiments 229-345, wherein the conjugate group is attached to the 3 '-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 348 The conjugated antisense compound of any of embodiments 229-345, wherein the conjugate group is attached to the 5'-position of a nucleoside of the antisense oligonucleotide.
  • Embodiment 349 The conjugated antisense compound of any of embodiments 229-345, wherein the conjugate group is attached to the 5'-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 350 The conjugated antisense compound of any of embodiments 229-350, wherein the conjugate group is attached to the 3 '-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 351 The conjugated antisense compound of any of embodiments 229-350, wherein the conjugate group is attached to an internal nucleoside of the antisense oligonucleotide.
  • Embodiment 352 The conjugated antisense compound of any of embodiments 229-351, wherein the conjugate group increases uptake of the conjugated antisense compound into a hepatocyte relative to an unconjugated antisense compound.
  • Embodiment 353 The conjugated antisense compound of any of embodiments 229-352, wherein the conjugate group increases the uptake of the conjugated antisense compound into a liver cell relative to an unconjugated antisense compound.
  • Embodiment 354. The conjugated antisense compound of any of embodiments 229-353, wherein the conjugate group increases accumulation of the conjugated antisense compound in the liver relative to an unconjugated antisense compound.
  • Embodiment 355. The conjugated antisense compound of any of embodiments 229-354, wherein the conjugate group decreases accumulation of the conjugated antisense compound in the kidneys relative to an unconjugated antisense compound.
  • Embodiment 356. The conjugated antisense compound of any of embodiments 229-355, wherein the antisense oligonucleotide is an RNase H based antisense compound.
  • Embodiment 357 The conjugated antisense compound of any of embodiments 229-356, wherein the antisense oligonucleotide comprises at least one modified nucleoside.
  • Embodiment 358 The conjugated antisense compound of any of embodiments 229-357, wherein each nucleoside of the antisense oligonucleotide is a modified nucleoside.
  • Embodiment 359. The conjugated antisense compound of any of embodiments 229-358, wherein the antisense oligonucleotide is single-stranded.
  • Embodiment 360 The conjugated antisense compound of embodiment 357-359, wherein at least one modified nucleoside comprises a modified sugar moiety.
  • Embodiment 361. The conjugated antisense compound of embodiment 359, wherein the antisense oligonucleotide has a sugar motif comprising:
  • a 5'-region consisting of 2-8 linked 5'-region nucleosides, wherein at least two 5'-region nucleosides are modified nucleosides and wherein the 3 '-most 5'-region nucleoside is a modified nucleoside;
  • a 3 '-region consisting of 2-8 linked 3 '-region nucleosides, wherein at least two 3 '-region nucleosides are modified nucleosides and wherein the 5 '-most 3 '-region nucleoside is a modified nucleoside;
  • a central region between the 5'-region and the 3'-region consisting of 5-10 linked central region nucleosides, each independently selected from among: a modified nucleoside and an unmodified deoxynucleoside, wherein the 5 '-most central region nucleoside is an unmodified deoxynucleoside and the 3 '-most central region nucleoside is an unmodified deoxynucleoside.
  • Embodiment 362 The conjugated antisense compound of embodiment 361, wherein the 5'-region consists of 2 linked 5'-region nucleosides.
  • Embodiment 363 The conjugated antisense compound of embodiment 361, wherein the 5'-region consists of 3 linked 5'-region nucleosides.
  • Embodiment 364. The conjugated antisense compound of embodiment 361, wherein the 5'-region consists of 4 linked 5'-region nucleosides.
  • Embodiment 365 The conjugated antisense compound of embodiment 361, wherein the 5'-region consists of 5 linked 5'-region nucleosides.
  • Embodiment 366 The conjugated antisense compound of any of embodiments 361-365, wherein the 3 '-region consists of 2 linked 3 '-region nucleosides.
  • Embodiment 367 The conjugated antisense compound of any of embodiments 361-365, wherein the 3 '-region consists of 3 linked 3 '-region nucleosides.
  • Embodiment 368 The conjugated antisense compound of any of embodiments 361-365, wherein the 3 '-region consists of 4 linked 3 '-region nucleosides.
  • Embodiment 369 The conjugated antisense compound of any of embodiments 361-365, wherein the 3 '-region consists of 5 linked 3 '-region nucleosides.
  • Embodiment 370 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 5 linked central region nucleosides.
  • Embodiment 37 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 6 linked central region nucleosides.
  • Embodiment 372 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 7 linked central region nucleosides.
  • Embodiment 373 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 8 linked central region nucleosides.
  • Embodiment 374 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 9 linked central region nucleosides.
  • Embodiment 375 The conjugated antisense compound of any of embodiments 361-369, wherein the central region consists of 10 linked central region nucleosides.
  • Embodiment 376 The conjugated antisense compound of any of embodiments 229-376, wherein the antisense oligonucleotide consists of 14 to 26 linked nucleosides.
  • Embodiment 377 The conjugated antisense compound of any of embodiments 229-376, wherein the antisense oligonucleotide consists of 15 to 25 linked nucleosides.
  • Embodiment 378 The conjugated antisense compound of any of embodiments 229-376, wherein the antisense oligonucleotide consists of 16 to 20 linked nucleosides.
  • Embodiment 379 The conjugated antisense compound of any of embodiments 229-378, wherein each modified nucleoside independently comprises a 2 '-substituted sugar moiety or a bicyclic sugar moiety.
  • Embodiment 380 The conjugated antisense compound of embodiment 379, wherein the at least one modified nucleoside comprises a 2 '-substituted sugar moiety.
  • each optionally substituted group is optionally substituted with a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • Embodiment 382 The conjugated antisense compound of embodiment 380, wherein each 2' substituent is independently selected from among: a halogen, OCH 3 , OCH 2 F, OCHF 2 , OCF 3 , OCH 2 CH 3 ,
  • Embodiment 384 The conjugated antisense compound of embodiment 380, wherein the at least one 2'- modified nucleoside comprises a 2'-MOE sugar moiety.
  • Embodiment 385 The conjugated antisense compound of embodiment 380, wherein the at least one 2'- modified nucleoside comprises a 2'-OMe sugar moiety.
  • Embodiment 386 The conjugated antisense compound of embodiment 380, wherein the at least one 2'- modified nucleoside comprises a 2'-F sugar moiety.
  • Embodiment 387 The conjugated antisense compound of any of embodiments 229-386, wherein the antisense oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.
  • Embodiment 388 The conjugated antisense compound of embodiment 387, wherein the modified
  • nucleoside comprises an F-HNA sugar moiety.
  • Embodiment 389 The conjugated antisense compound of embodiment 387, wherein the modified
  • nucleoside comprises an HNA sugar moiety.
  • Embodiment 390 The conjugated antisense compound of any of embodiments 229-389 wherein the antisense oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.
  • Embodiment 391 The conjugated antisense compound of embodiment 390, wherein the bicyclic sugar moiety is a cEt sugar moiety.
  • Embodiment 392 The conjugated antisense compound of embodiment 390, wherein bicyclic sugar moiety is an LNA sugar moiety.
  • Embodiment 393 The conjugated antisense compound of any of embodiments 1-392, wherein the antisense oligonucleotide comprises at least one modified internucleoside linkage.
  • Embodiment 394 The conjugated antisense compound of embodiment 393, wherein each internucleoside linkage of the antisense oligonucleotide is a modified internucleoside linkage.
  • Embodiment 395 The conjugated antisense compound of embodiment 394, wherein the antisense oligonucleotide comprises at least one modified linkage and at least one unmodified phosphodiester internucleoside linkage.
  • Embodiment 396 The conjugated antisense compound of any of embodiments 393-395 wherein at least one modified internucleoside linkage is a phosphosphorothioate internucleoside linkage.
  • Embodiment 397 The conjugated antisense compound of any of embodiments 393-396, wherein each modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • Embodiment 398 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 2 phosphodiester internucleoside linkages.
  • Embodiment 399 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 3 phosphodiester internucleoside linkages.
  • Embodiment 400 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 4 phosphodiester internucleoside linkages.
  • Embodiment 401 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 5 phosphodiester internucleoside linkages.
  • Embodiment 402. The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 6 phosphodiester internucleoside linkages.
  • Embodiment 403. The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 7 phosphodiester internucleoside linkages.
  • Embodiment 404 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 8 phosphodiester internucleoside linkages.
  • Embodiment 405. The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 9 phosphodiester internucleoside linkages.
  • Embodiment 406 The conjugated antisense compound of any of embodiments 393-396, wherein the antisense oligonucleotide comprises at least 10 phosphodiester internucleoside linkages.
  • Embodiment 407 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 16 phosphorothioate internucleoside linkages.
  • Embodiment 408 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 15 phosphorothioate internucleoside linkages.
  • Embodiment 409 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 14 phosphorothioate internucleoside linkages.
  • Embodiment 410 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 13 phosphorothioate internucleoside linkages.
  • Embodiment 411 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 12 phosphorothioate internucleoside linkages.
  • Embodiment 412 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 11 phosphorothioate internucleoside linkages.
  • Embodiment 413 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 10 phosphorothioate internucleoside linkages.
  • Embodiment 414 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 9 phosphorothioate internucleoside linkages.
  • Embodiment 415 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 8 phosphorothioate internucleoside linkages.
  • Embodiment 416 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 7 phosphorothioate internucleoside linkages.
  • Embodiment 417 The conjugated antisense compound of any of embodiments 393-396 or 398-406, wherein the antisense oligonucleotide comprises fewer than 6 phosphorothioate internucleoside linkages.
  • Embodiment 418 The conjugated antisense compound of any of embodiments 393-418, wherein each terminal internucleoside linkage of the antisense oligonucleotide is a phosphorothioate internucleoside linkage.
  • Embodiment 419 The conjugated antisense compound of any of embodiments 393-396 or 398-418, wherein each internucleoside linkage linking two deoxynucleosides of the antisense oligonucleotide is a phosphorothioate internucleoside linkage.
  • Embodiment 420 The conjugated antisense compound of any of embodiments 393-396 or 398-419, wherein each non-terminal internucleoside linkage linking two modified nucleosides of the antisense oligonucleotide is a phosphodiester internucleoside linkage.
  • Embodiment 421 The conjugated antisense compound of any of embodiments 393-396 or 398-420, wherein each non-terminal internucleoside linkage of the antisense oligonucleotide that is 3' of a modified nucleoside is a phosphodiester internucleoside linkage.
  • Embodiment 422 The conjugated antisense compound of any of embodiments 393-396 or 398-418, wherein each internucleoside linkage of the antisense oligonucleotide that is 3' of a deoxynucleoside is a phosphorothioate internucleoside linkage.
  • Embodiment 423 The conjugated antisense compound of any of embodiments 229-422 wherein the antisense oligonucleotides has a chemical motif selected from among: MsMy(Ds)o-i(DsDs)(3- 5) MsM
  • each M is independently a modified nucleoside, each D is a deoxynucleoside; each s is a phosphorothioate internucleoside linkage, and each y is either a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage, provided that at least one y is a phosphodiester internucleotide linkage.
  • Embodiment 424 The conjugated antisense compound of any of embodiments 229-422 wherein the antisense oligonucleotides has a chemical motif selected from among:
  • each M is independently a modified nucleoside, each D is a deoxynucleoside; each o is a phosphodiester internucleoside linkage, and each s is a phosphorothioate internucleoside linkage.
  • Embodiment 425 The conjugated antisense compound of embodiment 423 or 424, wherein each M is independently selected from among: a 2'-MOE nucleoside and a bicyclic nucleoside.
  • Embodiment 426 The conjugated antisense compound of embodiment 425, wherein each M is
  • a 2'-MOE nucleoside independently selected from among a 2'-MOE nucleoside, a cEt nucleoside, and an LNA nucleoside.
  • Embodiment 427 The conjugated antisense compound of embodiment 425 or 426, wherein each M is a 2'-MOE nucleoside.
  • Embodiment 428 The conjugated antisense compound of embodiment 425 or 426, wherein each M is a cEt nucleoside.
  • Embodiment 429 The conjugated antisense compound of embodiments 425 or 426, wherein each M is an LNA nucleoside.
  • Embodiment 430 The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 8 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 431 The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 10 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 432 The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 12 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 433. The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 14 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 434 The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 16 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 435 The conjugated antisense compound of any of embodiments 229-429, wherein the antisense oligonucleotide has a nucleobase sequence comprising an at least 18 nucleobase portion complementary to an equal length portion of a target nucleic acid.
  • Embodiment 436 The conjugated antisense compound of any of embodiments 229-435, wherein the antisense oligonucleotide is at least 90% complementary to a target nucleic acid.
  • Embodiment 437 The conjugated antisense compound of any of embodiments 229-435, wherein the antisense oligonucleotide is at least 95% complementary to a target nucleic acid.
  • Embodiment 438 The conjugated antisense compound of any of embodiments 229-435, wherein the antisense oligonucleotide is 100% complementary to a target nucleic acid.
  • Embodiment 439 The conjugated antisense compound of any of embodiments 430-438, wherein the target nucleic acid is a pre-mRNA.
  • Embodiment 440 The conjugated antisense compound of any of embodiments 430-438, wherein the target nucleic acid is an mRNA.
  • Embodiment 44 The conjugated antisense compound of any of embodiments 430-440, wherein the target nucleic acid is expressed in the liver.
  • Embodiment 442 The conjugated antisense compound of embodiment 441, wherein the target nucleic acid is expressed in hepatocytes.
  • Embodiment 443 The conjugated antisense compound of embodiment 441 or 442, wherein the target nucleic encodes a protein selected from among: Androgen Receptor, Apolipoprotein (a),
  • Apolipoprotein B Apolipoprotein C-III, C-Reactive Protein, eIF-4E, Factor VII, Factor XI, Glucocorticoid Receptor, Glucagon Receptor, Protein Tyrosine Phosphatase IB, STAT3, and Transthyretin.
  • Embodiment 444 The conjugated antisense compound of embodiment 430-440 wherein the target nucleic acid is a viral nucleic acid.
  • Embodiment 445 The conjugated antisense compound of embodiment 444, wherein the viral nucleic acid expressed in the liver.
  • Embodiment 446 The conjugated antisense compound of embodiment 445, wherein the target nucleic acid is a Hepatitis B viral nucleic acid.
  • Embodiment 447 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any one of SEQ ID NOs.: 17, 18, 19, 20, 21, 22, 23, or 24.
  • Embodiment 448 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any one of SEQ ID NO.: 25, 26, 27, 28, 29, or 30.
  • Embodiment 449 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 31.
  • Embodiment 450 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 32.
  • Embodiment 451 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 33.
  • Embodiment 452. The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 34.
  • Embodiment 453 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 35, 36, 37, 38, 39, 40, 41, 42, or 43.
  • Embodiment 454. The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 44, 45, 46, 47, or 48.
  • Embodiment 455. The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 49, 50, 51, 52,
  • Embodiment 456 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 60, 61, 62, 63, 64, 65, 66, or 67.
  • Embodiment 457 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NO.: 69, 70, 71, or 72.
  • Embodiment 458 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 73.
  • Embodiment 459. The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 74, 75, 76, 77, 78, 79, 80, or 81.
  • Embodiment 460 The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of SEQ ID NO.: 68.
  • Embodiment 461. The conjugated antisense compound of any of embodiments 229-443, wherein the antisense oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs.: 82-103.
  • Embodiment 462 A method of reducing the amount or activity of a target nucleic acid in a cell
  • Embodiment 463 The method of embodiment 462, wherein the cell is a liver cell.
  • Embodiment 464 The method of embodiment 462, wherein the cell is a hepatocyte.
  • Embodiment 465 The method of any of embodiments 462-464 wherein the cell is in vitro.
  • Embodiment 466 The method of any of embodiments 462-464 wherein the cell is in an animal.
  • Embodiment 467 The method of embodiment 466 wherein the animal is a mouse.
  • Embodiment 468 The method of embodiment 466 wherein the animal is a human.
  • Embodiment 469 A pharmaceutical composition comprising an conjugated antisense compound according to any of embodiments 229-469 and a pharmaceutically acceptable carrier or diluent.
  • the pharmaceutical composition of embodiment 469 wherein the pharmaceutically acceptable carrier or diluent is selected from among sterile water and sterile saline.
  • Embodiment 471 A method of treating a disease or condition in an animal comprising administering the pharmaceutical composition of embodiment 469 or 470 to the animal and thereby treating the disease or condition in the animal.
  • Embodiment 472 The method of embodiment 471 wherein the animal is a mouse.
  • Embodiment 473 The method of embodiment 471 wherein the animal is a human.
  • Embodiment 474 The method of any of embodiments 471-473, wherein the disease or condition is a liver disease or condition.
  • Embodiment 475 The method of any of embodiments 471-474 wherein the administration is
  • Embodiment 476 The method embodiment 475 wherein the administration is by subcutaneous injection.
  • Embodiment 477 The method of embodiment 475 wherein the administration is by intravenous injection.
  • Embodiment 478 The method of embodiment 475 wherein the administration is by intramuscular injection.
  • Embodiment 479 The method of any of embodiments 471-478 wherein the conjugated antisense compound is provided at a dose of 1-10 mg/kg.
  • Embodiment 480 The method of any of embodiments 471-478 wherein the conjugated antisense compound is provided at a dose of less than 1 mg/kg.
  • Embodiment 481 The method of any of embodiments 471-480 wherein the conjugated antisense compound is provided at a dose of greater than 10 mg/kg.
  • Embodiment 482 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided for a dosing period of at least 2 months.
  • Embodiment 483 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided for a dosing period of at least 4 months.
  • Embodiment 484 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided for a dosing period of at least 6 months.
  • Embodiment 485. The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every week.
  • Embodiment 486 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every two weeks.
  • Embodiment 487 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of about one dose every three weeks.
  • Embodiment 488 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every four weeks.
  • Embodiment 489. The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every five weeks.
  • Embodiment 490 The method of any of embodiments 471-481 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every six weeks.
  • Embodiment 491. The method of any of embodiments 471 -481 wherein the conjugated antisense compound is provided at a dosing frequency of one dose every seven weeks.
  • Embodiment 492 The method of any of embodiments 471 -481 wherein the conjugated antisense
  • Embodiment 493 A conjugate compound comprising at least one phosphorus linking group or neutral linking group and one or more ligands.
  • Embodiment 494 The conjugate compound of embodiment 493 comprising two or more ligands.
  • Embodiment 495 The conjugate compound of embodiment 493 comprising three ligands.
  • Embodiment 496 The conjugate compound of any of embodiments 493 to 495, wherein the ligand is selected from among: a polysaccharide, modified polysaccharide, mannose, galactose, a mannose derivative, a galactose derivative, D-mannopyranose, L-Mannopyranose, D-Arabinose, L-Galactose, D- xylofuranose, L-xylofuranose, D-glucose, L-glucose, D-Galactose, L-Galactose, a-D-Mannofuranose, ⁇ -D-Mannofuranose, a-D-Mannopyranose, ⁇ -D-Mannopyranose, a-D-Glucopyranose, ⁇ -D- Glucopyranose, a-D-Glucofuranose, ⁇ -D-Glucofuranose, a-D-fructofuranose
  • Embodiment 497 The conjugate compound of any of embodiments 493 to 495, wherein the ligand is N-acetyl galactoseamine.
  • Embodiment 498 The conjugate compound of any of embodiments 493 to 497, wherein conjugate gr
  • Embodiment 499 The conjugate compound of any of embodiments 493 to 498, wherein the conjugate mpound has a tether having a structure selected from among: wherein L is either a phosphorus linking group or a neutral linking group;
  • Z 2 is H, Ci-Ce alkyl or substituted Ci-Ce alky
  • R 2 is H, Ci-Ce alkyl or substituted Ci-Ce alky
  • each mi is, independently, from 0 to 20 wherein at least one mi is greater than 0 for each tether.
  • Embodiment 500 The conjugate compound of embodiment 499, wherein the tether has a str ture selected from among: wherein Z 2 is H or CH 3 ; and
  • each mi is, independently, from 0 to 20 wherein at least one mi is greater than 0 for each tether.
  • Embodiment 501 The conjugate compound of any of embodiments 493 to 500, wherein the conjugate compound is covalently attached to an oligonucleotide.
  • Embodiment 502. An oligomeric compound comprising an oligonucleotide at least one conjugate group, wherein the at least one conjugate group is a conjugate compound of any of embodiments 493 to
  • Embodiment 503. A compound having the formula (I):
  • Bx is a heterocyclic base moiety
  • Ti is a hydroxyl, hydrogen, a hydroxyl protecting group, phosphorus moiety, or a reactive phosphorus group.
  • Bx is a heterocyclic base moiety
  • Ti is a hydroxyl, hydrogen, a hydroxyl protecting group, phosphorus moiety, or a reactive phosphorus group.
  • Embodiment 505. The compound of any of embodiment 503 or 504, wherein said phosphorus moiety has the formula:
  • n 0 or 1 ;
  • R a and R c are each, independently, OH, SH, Ci-Ce alkyl, substituted Ci-Ce alkyl, Ci-Ce alkoxy, substituted Ci-Ce alkoxy, amino or substituted amino; and
  • R b is O or S.
  • Embodiment 506 An oligomeric compound comprising an oligonucleotide and at least one conjugate
  • Bx is a heterocyclic base moiety
  • T 2 is an internucleoside linking group attached to a nucleoside, a nucleotide, an oligonucleoside, an oligonucleotide, a monomeric subunit or an oligomeric compound.
  • Embodiment 507 An oligomeric compound comprising an oligonucleotide and at least one conjugate group, wherein the at least one conjugate group is a conjugate compound of formula (IV):
  • Bx is a heterocyclic base moiety
  • T 2 is an internucleoside linking group attached to a nucleoside, a nucleotide, an oligonucleoside, an oligonucleotide, a monomeric subunit or an oligomeric compound.
  • Embodiment 508 The compound or oligomeric compound of any of embodiments 503 to 507, wherein the heterocyclic base moiety is a pyrimidine, substituted pyrimidine, purine or substituted purine.
  • Embodiment 509 The compound or oligomeric compound of any of embodiments 503 to 507, wherein Bx is uracil, thymine, cytosine, 5-methyl cytosine, adenine, or guanine.
  • Embodiment 510 The compound or oligomeric compound of any of embodiments 503 to 507, wherein Bx is adenine.
  • Embodiment 511 A conjugated antisense compound, wherein the compound has a structure
  • A is the antisense oligonucleotide
  • each E is a tether
  • each F is a ligand
  • q is an integer between 1 and 5.
  • Embodiment 512 A conjugated antisense compound, wherein the compound has a structure represented by the formula:
  • A is the antisense oligonucleotide
  • each E is a tether
  • each F is a ligand
  • IIL is 0 or 1 ;
  • q is an integer between 1 and 5.
  • Embodiment 513 The conjugated antisense compound of embodiment 51 1 or 512, wherein the conjugate linker has a structure selected from among:
  • each L is, independently, a phosphorus linking group or a neutral linking group; and each n is, independently, from 1 to 20.
  • Embodiment 514 The conjugated antisense compound of embodiment 51 1 or 512, wherein the conjugate linker has a structure selected from among: Embodiment 515.
  • Embodiment 516 The conjugated antisense compound of embodiment 51 1 or 512, wherein the
  • Embodiment 517 The conjugated antisense compound of embodiment 51 1 or 512, wherein the
  • conjugate linker has one of the structures selected from:
  • Embodiment 518 The conjugated antisense compound of embodiment 51 1 or 512, wherein the
  • con u ate linker has one of the structures selected from:
  • Embodiment 519 The conjugated antisense compound of any of embodiments 511 or 518, wherein the conjugate linker comprises a pyrrolidine.
  • Embodiment 520 The conjugated antisense compound of any of embodiments 511 or 519, wherein the conjugate linker does not comprise a pyrrolidine.
  • Embodiment 521 The conjugated antisense compound of any of embodiments 511 or 520, wherein the conjugate linker comprises PEG.
  • Embodiment 522 The conjugated antisense compound of any of embodiments 511 or 521, wherein the conjugate linker comprises an amide.
  • Embodiment 523 The conjugated antisense compound of any of embodiments 511 or 522, wherein the conjugate linker does not comprise an amide.
  • Embodiment 524 The conjugated antisense compound of any of embodiments 511 or 523, wherein the conjugate linker comprises a polyamide.
  • Embodiment 525 The conjugated antisense compound of any of embodiments 511 or 524, wherein the conjugate linker comprises an amine.
  • Embodiment 526 The conjugated antisense compound of any of embodiments 511 or 525, wherein the conjugate linker comprises one or more disulfide bonds.
  • Embodiment 527 The conjugated antisense compound of any of embodiments 511 or 526, wherein the conjugate linker comprises a protein binding moiety.
  • Embodiment 528 The conjugated antisense compound of embodiment 527, wherein the protein
  • binding moiety comprises a lipid.
  • Embodiment 529 The conjugated antisense compound of embodiment 528, wherein the protein
  • binding moiety is selected from among: cholesterol, cholic acid, adamantane acetic acid, 1 -pyrene butyric acid, dihydrotestosterone, l,3-Bis-0(hexadecyl)glycerol, geranyloxyhexyl group,
  • Embodiment 530 The conjugated antisense compound of any of embodiments 527 to 529 wherein the protein binding moiety is a CI 6 to C22 long chain saturated or unsaturated fatty acid, cholesterol, cholic acid, vitamin E, adamantane or 1 -pentafluoropropyl.
  • Embodiment 531 The conjugated antisense compound of any of embodiments 51 1 to 512 wherein the conjugate linker has a structure selected from among:
  • n is, independently, is from 1 to 20; and p is from 1 to 6.
  • Embodiment 532 The conjugated antisense compound of any of embodiments 51 1 to 512 wherein the conjugate linker has a structure selected from among:
  • Embodiment 534 The conjugated antisense compound of any of embodiments 511 to 512 wherein the c
  • n is from 1 to 20.
  • Embodiment 535 A conjugated antisense compound, wherein the compound has a structure
  • A is the antisense oligonucleotide
  • D is the branching group
  • each E is a tether
  • each F is a ligand
  • q is an integer between 1 and 5.
  • Embodiment 536 A conjugated antisense compound, wherein the compound has a structure
  • A is the antisense oligonucleotide
  • D is the branching group
  • q is an integer between 1 and 5.
  • Embodiment 537 The conjugated antisense compound of embodiment 51 1 to 536, wherein the branching group has one of the following structures:
  • each n is, independently, from 1 to 20.
  • Embodiment 538 The conjugated antisense compound of embodiment 51 1 to 536, wherein the one of the following structures:
  • each n is, independently, from 1 to 20.
  • Embodiment 539 The conjugated antisense compound of embodiment 51 1 to 536, wherein the branching group has the following structure:
  • Embodiment 540 The conjugated antisense compound of embodiment 51 1 to 536, wherein the branching group has the following structure:
  • Embodiment 541 The conjugated antisense compound of any of embodiments 51 1 to 536, wherein the branching group comprises an ether.
  • Embodiment 54 The conjugated antisense compound of embodiment 51 1 to 536, wherein the
  • branching group has the following structure:
  • each n is, independently, from 1 to 20;
  • n 2 to 6.
  • Embodiment 543 The conjugated antisense compound of embodiment 51 1 to 536, wherein the
  • branching group has the following structure:
  • Embodiment 544 The conjugated antisense compound of embodiment 51 1 to 536, wherein the
  • branching group has the following structure:
  • Embodiment 545 The conjugated antisense compound of any of embodiments 511 to 536, wherein the branching group comprises:
  • each j is an integer from 1 to 3;
  • each n is an integer from 1 to 20.
  • Embodiment 546. The conjugated antisense compound of any of embodiments 511 to 536 wherein the branching group comprises:
  • Embodiment 547 The conjugated antisense compound of embodiment 51 1 to 546, wherein each tether is selected from among:
  • L is selected from a phosphorus linking group and a neutral linking group
  • Z 2 is H, Ci-Ce alkyl or substituted Ci-Ce alky
  • R 2 is H, Ci-Ce alkyl or substituted Ci-Ce alky
  • each mi is, independently, from 0 to 20 wherein at least one mi is greater than 0 for each tether.
  • Embodiment 548 The conjugated antisense compound of embodiment 51 1 to 546, wherein each tether i lected from among:
  • Z 2 is H or CH 3 ;
  • each m 2 is, independently, from 0 to 20 wherein at least one m 2 is greater than 0 for each tether.
  • Embodiment 549 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein at least one tether comprises PEG.
  • Embodiment 550 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein at least one tether comprises an amide.
  • Embodiment 551 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein at least one tether comprises a polyamide.
  • Embodiment 552 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein at least one tether comprises an amine.
  • Embodiment 553 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein at least two tethers are different from one another.
  • Embodiment 554 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein all of the tethers are the same as one another.
  • Embodiment 555 The conjugated antisense compound of any of embodiments 51 1 to 546, wherein each tether is selected from among:
  • n is, independently, from 1 to 20;
  • each p is from 1 to about 6.
  • Embodiment 556 The conjugated antisense compound of any of embodiments 511 to 546, wherein
  • Embodiment 557 The conjugated antisense compound of any of embodiments 511 to 546, wherein each tether has the following structure: wherein each n is, independently, from 1 to 20.
  • Embodiment 558 The conjugated antisense compound of any of embodiments 511 to 546, wherein
  • Embodiment 559 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 558, wherein the cell-targeting moiety has the following structure:
  • Embodiment 560 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 558, wherein the cell-targeting moiety has the following structure:
  • Embodiment 561 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 558, wherein the cell-targeting moiety comprises at least one ligand.
  • Embodiment 562 The conjugated antisense compound of embodiment 493 to 502 or 511 to 558,
  • the cell-targeting moiety comprises one ligand.
  • Embodiment 563 The conjugated antisense compound of embodiment 493 to 502 or 511 to 558,
  • the targeting moiety comprises two ligands.
  • Embodiment 564 The conjugated antisense compound of embodiment 493 to 502 or 511 to 558,
  • the targeting moiety comprises three ligands.
  • Embodiment 565 The conjugated antisense compound of any of embodiments 561 to 564, wherein each ligand is covalently attached to each tether.
  • Embodiment 566 The conjugated antisense compound of any of embodiments 561 to 564, wherein at least one ligand is N-Acetylgalactosamine (GalNAc).
  • Embodiment 567 The conjugated antisense compound of any of embodiments 561 to 564, wherein each ligand is N- Acetylgalactosamine (GalNAc).
  • Embodiment 568 The conjugated antisense compound of any of embodiments 561 to 564, wherein the ligand is selected from among: a polysaccharide, modified polysaccharide, mannose, galactose, a mannose derivative, a galactose derivative, D-mannopyranose, L-Mannopyranose, D-Arabinose, L- Galactose, D-xylofuranose, L-xylofuranose, D-glucose, L-glucose, D-Galactose, L-Galactose, a-D- Mannofuranose, ⁇ -D-Mannofuranose, a-D-Mannopyranose, ⁇ -D-Mannopyranose, a-D-Glucopyranose, ⁇ -D-Glucopyranose, a-D-Glucofuranose, ⁇ -D-Glucofuranose, a-D-fructofuranose,
  • Embodiment 570 The conjugated antisense compound of any of embodiments 561 to 564, wherein the ligand is mannose-6-phosphate.
  • Embodiment 571 The conjugated antisense compound of any of embodiments 561 to 564, wherein ea h ligand is selected from among:
  • each Ri is selected from OH and NHCOOH.
  • Embodiment 572 The conjugated antisense compound of any of embodiments 561 to 564, wherein each ligand is selected from among:
  • Embodiment 573 The conjugated antisense compound of any of embodiments 561 to 564, wherein each ligand has the following structure:
  • Embodiment 574 The conjugated antisense compound of any of embodiments 561 to 564, wherein each ligand has the following structure:
  • Embodiment 575 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 574, wherein the cell-targeting moiety has the following structure:
  • n is, independently, from 1 to 20.
  • Embodiment 576 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 574, wherein the cell-targeting moiety has the following structure:
  • Embodiment 577 The conjugated antisense compound of any of embodiments 493 to 502
  • n is, independently, from 1 to 20;
  • Q is said antisense compound
  • Bx is a heterocyclic base moiety.
  • Embodiment 578 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 574, wherein the conjugate group has the following structure:
  • n is, independently, from 1 to 20;
  • Q is said antisense compound
  • Bx is a heterocyclic base moiety.
  • Embodiment 579 The conjugated antisense compound of any of embodiments 493 to 502 574, wherein the conjugate group has the following structure:
  • n is, independently, from 1 to 20;
  • Q is said antisense compound
  • Z is H or a linked solid support
  • Bx is a heterocyclic base moiety.
  • Embodiment 580 The conjugated antisense compound of any of embodiments 493 to 502 574, wherein the conjugate group has the following structure:
  • n is, independently, from 1 to 20;
  • Q is said antisense compound
  • Z is H or a linked solid support
  • Bx is a heterocyclic base moiety.
  • Embodiment 581 The conjugated antisense compound of any of embodiments 493 to 502 or 51 1 to 574, wherein the conjugate group has the following structure: wherein Q is said antisense compound.
  • Embodiment 582 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 57 wherein the conjugate group has the following structure:
  • Embodiment 583 The conjugated antisense compound of any of embodiments 493 to 502 or 511 to 574, wherein the conjugate group has the following structure:
  • Q is said antisense compound
  • Z is H or a linked solid support.
  • Embodiment 584 The conjugated antisense compound of any of embodiments 493 to 502 or 51 1 574, wherein the conjugate group has the following structure:
  • Q is said antisense compound
  • Z is H or a linked solid support.
  • Embodiment 585 A conjugated oligonucleotide comprising an oligonucleotide and a conjugate group, wherein the conjugate group is any conjugate group of any of embodiments 493 to 584.
  • Embodiment 586 The conjugated oligonucleotide of embodiment 585 wherein the oligonucleotide comprises at least one modified nucleoside.
  • Embodiment 587 The conjugated oligonucleotide of embodiment 586 wherein the at least one
  • modified nucleoside comprises a modified base.
  • Embodiment 588. The conjugated oligonucleotide of embodiment 586 or 587 wherein the at least one modified nucleoside comprises a sugar surrogate.
  • Embodiment 589 The conjugated oligonucleotide of embodiment 588 wherein the sugar surrogate is a tetrahydropyran.
  • Embodiment 590 The conjugated oligonucleotide of any of embodiment 589 wherein the
  • tetrahydropyran is F-HNA.
  • Embodiment 591 The conjugated oligonucleotide of any of embodiments 586 to 590 wherein the remainder of the oligonucleotide comprises at least one nucleoside comprising a modified sugar.
  • Embodiment 592 The conjugated oligonucleotide of embodiment 591 wherein the at least one
  • modified nucleoside comprising a modified sugar is selected from a bicyclic nucleoside and a 2'- modified nucleoside.
  • Embodiment 593 The conjugated oligonucleotide of embodiment 586 wherein the at least one
  • modified nucleoside is a bicyclic nucleoside.
  • Embodiment 594 The conjugated oligonucleotide of embodiment 593 wherein the bicyclic nucleoside is a (4'-CH 2 -0-2') BNA nucleoside.
  • Embodiment 595 The conjugated oligonucleotide of embodiment 593 wherein the bicyclic nucleoside is a (4'-(CH 2 )2-0-2') BNA nucleoside.
  • Embodiment 596 The conjugated oligonucleotide of embodiment 593 wherein the bicyclic nucleoside is a (4'-C(CH 3 )H-0-2') BNA nucleoside.
  • Embodiment 597 The conjugated oligonucleotide of embodiment 586 wherein the at least one
  • modified nucleoside is a 2'-modifed nucleoside.
  • Embodiment 598. The conjugated oligonucleotide of embodiment 597 wherein the at least one 2'- modified nucleoside is selected from a 2'-F nucleoside, a 2'-OCH 3 nucleoside, and a 2'-0(CH 2 ) 2 0CH 3 nucleoside.
  • Embodiment 599 The conjugated oligonucleotide of embodiment 598 wherein the at least one 2'- modified nucleoside is a 2'-F nucleoside.
  • Embodiment 600 The conjugated oligonucleotide of embodiment 598 wherein the at least one 2'- modified nucleoside is a 2'-OCH 3 nucleoside.
  • Embodiment 601. The conjugated oligonucleotide of embodiment 598 wherein the at least one 2'- modified nucleoside is a 2'-0(CH 2 ) 2 0CH 3 nucleoside.
  • Embodiment 602. The conjugated oligonucleotide of any of embodiments 585-601 wherein the
  • oligonucleotide comprises at least one unmodified nucleoside.
  • Embodiment 603. The conjugated oligonucleotide of embodiment 602 wherein the unmodified
  • nucleoside is a ribonucleoside.
  • Embodiment 604. The conjugated oligonucleotide of embodiment 602 wherein the unmodified
  • nucleoside is a deoxyribonucleoside.
  • Embodiment 605. The conjugated oligonucleotide of any of embodiments 585 to 604 wherein the oligonucleotide comprises at least two modified nucleosides.
  • Embodiment 606 The conjugated oligonucleotide of embodiment 605 wherein the at least two
  • modified nucleosides comprise the same modification.
  • Embodiment 607 The conjugated oligonucleotide of embodiment 605 wherein the at least two
  • modified nucleosides comprise different modifications.
  • Embodiment 608. The conjugated oligonucleotide of any of embodiments 605 to 607 wherein at least one of the at least two modified nucleosides comprises a sugar surrogate.
  • Embodiment 609 The conjugated oligonucleotide of any of embodiments 605 to 608 wherein at least one of the at least two modified nucleosides comprises a 2 '-modification.
  • Embodiment 610 The conjugated oligonucleotide of embodiment 609 wherein each of the at least two modified nucleosides is independently selected from 2'-F nucleosides, 2'-OCH 3 nucleosides and 2'- 0(CH 2 ) 2 OCH 3 nucleosides.
  • Embodiment 611 The conjugated oligonucleotide of embodiment 610 wherein each of the at least two modified nucleosides is a 2'-F nucleoside.
  • Embodiment 612 The conjugated oligonucleotide of embodiment 610 wherein each of the at least two modified nucleosides is a 2'-OCH 3 nucleosides.
  • Embodiment 613 The conjugated oligonucleotide of embodiment 610 wherein each of the at least two modified nucleosides is a 2 '-0(CH 2 ) 2 0CH 3 nucleoside.
  • Embodiment 614 The conjugated oligonucleotide of any of embodiments 586 to 613 wherein
  • nucleoside of the oligonucleotide is a modified nucleoside.
  • Embodiment 615 The conjugated oligonucleotide of any of embodiments 586 to 601 or 606 to 613 wherein every nucleoside of the oligonucleotide is a modified nucleoside.
  • Embodiment 616 The conjugated oligonucleotide of any of embodiments 586 to 615 wherein the oligonucleotide is single-stranded.
  • Embodiment 617 The conjugated oligonucleotide of any of embodiments 586 to 615 wherein the oligonucleotide is double-stranded.
  • Embodiment 618 The conjugated oligonucleotide of any of embodiments 586 to 615, wherein the oligonucleotide is an antisense compound.
  • Embodiment 619 The conjugated oligonucleotide of any of embodiments 586 to 615, wherein the oligonucleotide is a RISC based oligonucleotide.
  • Embodiment 620 The conjugated oligonucleotide of any of embodiments 586 to 615, wherein the oligonucleotide activates the RISC pathway.
  • Embodiment 621 The conjugated oligonucleotide of any of embodiments 586 to 615, wherein the oligonucleotide is an RNase H based antisense compound.
  • Embodiment 622 The conjugated oligonucleotide compound of any of embodiments 586 to 621, wherein the conjugate group is attached to the 5 '-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 623 The conjugated oligonucleotide compound of any of embodiments 586 to 621, wherein the conjugate group is attached to the 3 '-terminal nucleoside of the antisense oligonucleotide.
  • Embodiment 624 The conjugated oligonucleotide compound of any of embodiments 586 to 621, wherein the conjugate group is attached to an internal nucleoside of the antisense oligonucleotide.
  • Embodiment 625 The conjugated oligonucleotide compound of any of embodiments 586 to 624, wherein the conjugate group increases uptake of the conjugated oligonucleotide compound into a hepatocyte relative to an unconjugated oligonucleotide compound.
  • Embodiment 626 The conjugated oligonucleotide compound of any of embodiments 586 to 624, wherein the conjugate group increases the uptake of the conjugated oligonucleotide compound into a liver cell relative to an unconjugated oligonucleotide compound.
  • Embodiment 627 The conjugated oligonucleotide compound of any of embodiments 586 to 626, wherein the conjugate group increases accumulation of the conjugated oligonucleotide compound in the liver relative to an unconjugated oligonucleotide compound.
  • Embodiment 628 The conjugated oligonucleotide compound of any of embodiments 586 to 627, wherein the conjugate group decreases accumulation of the conjugated oligonucleotide compound in the kidneys relative to an unconjugated oligonucleotide compound.
  • Embodiment 629 The conjugated oligonucleotide compound of embodiment 586 to 628, wherein the conjugated oligonucleotide has a sugar motif comprising:
  • a 5'-region consisting of 2-8 linked 5'-region nucleosides, wherein at least two 5'-region nucleosides are modified nucleosides and wherein the 3 '-most 5'-region nucleoside is a modified nucleoside;
  • a 3 '-region consisting of 2-8 linked 3 '-region nucleosides, wherein at least two 3 '-region nucleosides are modified nucleosides and wherein the 5 '-most 3 '-region nucleoside is a modified nucleoside;
  • a central region between the 5'-region and the 3'-region consisting of 5-10 linked central region nucleosides, each independently selected from among: a modified nucleoside and an unmodified deoxynucleoside, wherein the 5 '-most central region nucleoside is an unmodified deoxynucleoside and the 3 '-most central region nucleoside is an unmodified deoxynucleoside.
  • Embodiment 630 The conjugated oligonucleotide compound of embodiment 629, wherein the 5'- region consists of 2 linked 5'-region nucleosides.
  • Embodiment 631 The conjugated oligonucleotide compound of embodiment 629, wherein the 5'- region consists of 3 linked 5'-region nucleosides.
  • Embodiment 632 The conjugated oligonucleotide compound of embodiment 629, wherein the 5'- region consists of 4 linked 5'-region nucleosides.
  • Embodiment 633 The conjugated oligonucleotide compound of embodiment 629, wherein the 5'- region consists of 5 linked 5'-region nucleosides.
  • Embodiment 634 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the 3 '-region consists of 2 linked 3 '-region nucleosides.
  • Embodiment 635 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the 3 '-region consists of 3 linked 3 '-region nucleosides.
  • Embodiment 636 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the 3 '-region consists of 4 linked 3 '-region nucleosides.
  • Embodiment 637 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the 3 '-region consists of 5 linked 3 '-region nucleosides.
  • Embodiment 638 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 5 linked central region nucleosides.
  • Embodiment 639 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 6 linked central region nucleosides.
  • Embodiment 640 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 7 linked central region nucleosides.
  • Embodiment 641 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 8 linked central region nucleosides.
  • Embodiment 642 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 9 linked central region nucleosides.
  • Embodiment 643 The conjugated oligonucleotide compound of any of embodiments 629-633, wherein the central region consists of 10 linked central region nucleosides.
  • Embodiment 644 The conjugated oligonucleotide compound of any of embodiments 629-644, wherein the conjugated oligonucleotide consists of 14 to 26 linked nucleosides.
  • Embodiment 645 The conjugated oligonucleotide compound of any of embodiments 629-644, wherein the conjugated oligonucleotide consists of 15 to 25 linked nucleosides.
  • Embodiment 646 The conjugated oligonucleotide compound of any of embodiments 629-644, wherein the conjugated oligonucleotide consists of 16 to 20 linked nucleosides.
  • Embodiment 647 The conjugated oligonucleotide compound of any of embodiments 629-644, wherein each modified nucleoside independently comprises a 2'-substituted sugar moiety or a bicyclic sugar moiety.
  • Embodiment 648 The conjugated oligonucleotide compound of embodiment 647, wherein the at least one modified nucleoside comprises a 2 '-substituted sugar moiety.
  • Embodiment 649. The conjugated oligonucleotide compound of embodiment 648, wherein each
  • each optionally substituted group is optionally substituted with a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (N0 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • a substituent group independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (N0 2 ), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.
  • Embodiment 650 The conjugated oligonucleotide compound of embodiment 648, wherein each 2' substituent is independently selected from among: a halogen, OCH 3 , OCH 2 F, OCHF 2 , OCF 3 ,
  • Ri, R 2 , R 3 and R4 are each, independently, H or C1-C6 alkyl.
  • Embodiment 652 The conjugated oligonucleotide compound of embodiment 648, wherein the at least one 2'-modified nucleoside comprises a 2'-MOE sugar moiety.
  • Embodiment 653. The conjugated oligonucleotide compound of embodiment 648, wherein the at least one 2'-modified nucleoside comprises a 2'-OMe sugar moiety.
  • Embodiment 654 The conjugated oligonucleotide compound of embodiment 648, wherein the at least one 2'-modified nucleoside comprises a 2'-F sugar moiety.
  • Embodiment 655. The conjugated oligonucleotide compound of any of embodiments 629-644, wherein the conjugated oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.
  • Embodiment 656 The conjugated oligonucleotide compound of embodiment 655, wherein the
  • modified nucleoside comprises an F-HNA sugar moiety.
  • Embodiment 657 The conjugated oligonucleotide compound of embodiment 655, wherein the
  • modified nucleoside comprises an HNA sugar moiety.
  • Embodiment 658 The conjugated oligonucleotide compound of any of embodiments 629-657 wherein the conjugated oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.
  • Embodiment 659 The conjugated oligonucleotide compound of embodiment 658, wherein the bicyclic sugar moiety is a cEt sugar moiety.
  • Embodiment 660 The conjugated oligonucleotide compound of embodiment 658, wherein bicyclic sugar moiety is an LNA sugar moiety.
  • Embodiment 661 The conjugated oligonucleotide compound of any of embodiments 585 to 660, wherein the conjugated oligonucleotide comprises at least one modified internucleoside linkage.
  • Embodiment 662 The conjugated oligonucleotide compound of embodiment 661 , wherein each
  • internucleoside linkage of the conjugated oligonucleotide is a modified internucleoside linkage.
  • Embodiment 663 The conjugated oligonucleotide compound of embodiment 661 , wherein the
  • conjugated oligonucleotide comprises at least one modified linkage and at least one unmodified phosphodiester internucleoside linkage.
  • Embodiment 664. The conjugated oligonucleotide compound of any of embodiments 661 to 663 wherein at least one modified mternucleoside linkage is a phosphosphorothioate mternucleoside linkage.
  • Embodiment 665. The conjugated oligonucleotide compound of any of embodiments 661 to 663, wherein each modified mternucleoside linkage is a phosphorothioate mternucleoside linkage.
  • Embodiment 666 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 2 phosphodiester mternucleoside linkages.
  • Embodiment 667 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 3 phosphodiester mternucleoside linkages.
  • Embodiment 668 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 4 phosphodiester mternucleoside linkages.
  • Embodiment 669 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 5 phosphodiester mternucleoside linkages.
  • Embodiment 670 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 6 phosphodiester mternucleoside linkages.
  • Embodiment 671 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 7 phosphodiester mternucleoside linkages.
  • Embodiment 672 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 8 phosphodiester mternucleoside linkages.
  • Embodiment 673 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 9 phosphodiester mternucleoside linkages.
  • Embodiment 674 The conjugated oligonucleotide compound of any of embodiments 661 to 662, wherein the conjugated oligonucleotide comprises at least 10 phosphodiester mternucleoside linkages.
  • Embodiment 675 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 16 phosphorothioate internucleoside linkages.
  • Embodiment 676 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to
  • conjugated oligonucleotide comprises fewer than 15 phosphorothioate internucleoside linkages.
  • Embodiment 677 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 14 phosphorothioate internucleoside linkages.
  • Embodiment 678 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 13 phosphorothioate internucleoside linkages.
  • Embodiment 679 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 12 phosphorothioate internucleoside linkages.
  • Embodiment 680 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 11 phosphorothioate internucleoside linkages.
  • Embodiment 681 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to
  • conjugated oligonucleotide comprises fewer than 10 phosphorothioate internucleoside linkages.
  • Embodiment 682 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 9 phosphorothioate internucleoside linkages.
  • Embodiment 683 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 8 phosphorothioate internucleoside linkages.
  • Embodiment 684 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 7 phosphorothioate internucleoside linkages.
  • Embodiment 685 The conjugated oligonucleotide compound of any of embodiments 661 or 663 to 674, wherein the conjugated oligonucleotide comprises fewer than 6 phosphorothioate internucleoside linkages.
  • Embodiment 686 The conjugated oligonucleotide compound of any of embodiments 585 to 685, wherein each terminal internucleoside linkage of the conjugated oligonucleotide is a phosphorothioate internucleoside linkage.
  • Embodiment 687 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 686, wherein each internucleoside linkage linking two deoxynucleosides of the conjugated oligonucleotide is a phosphorothioate internucleoside linkage.
  • Embodiment 688 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 687, wherein each non-terminal internucleoside linkage linking two modified nucleosides of the conjugated oligonucleotide is a phosphodiester internucleoside linkage.
  • Embodiment 689 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 688, wherein each non-terminal internucleoside linkage of the conjugated oligonucleotide that is 3' of a modified nucleoside is a phosphodiester internucleoside linkage.
  • Embodiment 690 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 689, wherein each internucleoside linkage of the conjugated oligonucleotide that is 3' of a deoxynucleoside is a phosphorothioate internucleoside linkage.
  • Embodiment 691 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 690 wherein the conjugated oligonucleotide has a chemical motif selected from among:
  • MyMyMyMsM MsMyMy(Ds)o-i(DsDs)(3- 5) MsM
  • each M is independently a modified nucleoside, each D is a deoxynucleoside; each s is a phosphorothioate internucleoside linkage, and each y is either a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage, provided that at least one y is a phosphodiester internucleotide linkage.
  • Embodiment 692 The conjugated oligonucleotide compound of any of embodiments 585 to 662 or 665 to 690 wherein the conjugated oligonucleotides has a chemical motif selected from among:

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