NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
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Next generation ASO chemistries and chemical ASO conjugates Suzan M Hammond, PhD Department of Paediatrics University of Oxford 25-February-2019
Functions of Antisense Oligonucleotides Starting with the birth of ASOs >40 years ago to the discovery of siRNAs and the recent surge of mRNAs, The Problem has remained the same: Delivery! Delivery! Delivery! ~Dowdy and Levy 2018 NAT Lundin et al., (2015) Hum Gene Ther. 26(8):475-85.
What’s the problem? • Less than 1% reach the correct cellular compartment • Rapid excretion via kidney • No delivery to brain and spinal cord • Cellular uptake into the endosome / lysosome
1. Survive serum degradation 2. Translocate across the blood endothelium Juliano (2016) 3. Avoid uptake by the liver/kidney Nucleic Acids Res. 44(14):6518-6548
Cytoplasmic Trafficking 1. Endocytosis 2. Intracellular trafficking 3. Endosomal escape – endosomal entrapment is the main rate-limiting step in AON delivery 4. Nuclear entry Juliano (2016) Nucleic Acids Res. 44(14):6518-6548
Next Generation ASOs - TriycloDNA (Modified Sugar) Improved In Vivo Efficacy over 2’OMe and PMO ASOs Goyenvalle et al., 2015 Nature Medicine 21:270-275
Next Generation ASO – Mesyl (Internucleotide Linkages) Nuclease Resistant Methanesulfonyl phosphoramidate group Hybridization RNase H Activity to miR-21 Miroshnichenko et al., (2019) PNAS 116:1229-1234
Chemical Conjugates of ASOs Cell Penetrating Peptides Imre Mager, Characterization of cell- penetrating peptides: assessment of cellular internalization kinetics, mechanisms, and bioactivity. Carbohydrates: (GalNAc) Antibody and Antibody Fragments Freskgard and Urich (2017) Neuropharmacology 120:38-55 Rajeev et al., 2015 ChemBioChem 16:903-908
GalNAc N-acetyl galactosamine GalNAc improves efficacy of MOE and cEt Oligos GalNAc directs MOE into the hepatocytes Prakash TP et al., 2014 NAR 42:8796-8807
GalNac receptor, asialoglycoprotein receptor, rapidly internalizes large quantities of GalNAc-modified oligos so that even a low percentage of escaping cargo is sufficient Dowdy SF 2017 Nature Biotechnology 35:222-229
Cell Penetrating Peptides CPP Sequence Reference Transportan GWTLNSAGYLLGKINLKALAALAKKIL Chaubey B et al. Virology. (2005) Oligoarginine RRRRRRRRR Moulton et al., Bioconjug Chem. (2004) pTat Peptide CGRKKRRQRRR Penetratin RQIKIWFQNRRMKWKK Rogers et al., Mol. Ther. (2012) B Peptide RXRRBRRXRRBRXB Wu et al., PNAS (2008) B-MSP RXRRBRRXRRBRXB ASSLNIAX Yin et al., Hum Mol Gen (2009) Pip6a RXRRBRRXR YQFLI RXRBRXRB Betts et al., Mol Ther - Nucl Acids (2012) (RXR)4 RXRRXRRXRRXR Gomez et al., J Clin Invest (2014) F3 Henke et al., Nat Biotechnol (2008) RKKKRKV RKKKRKV Boffa et al., Cancer Gene Ther (2007) Lys4 KKKK Fabani et al., Nucleic Acids Res 2010 (RFF)3RXB RFFRFFRFFRXB Tilley et al., Antibicrob. Chemother (2007) (KFF)3K KFFKFFKFFK Tan et al., Agents Chemother (2005) R9F2 RRRRRRRRRFF Nelson et al., Bioconjug. Chem. (2005) T-cell-derived YARVRRRGPRGYARVRRRGPRRC Wesolowski et al., PNAS (2011) CPP
CPPs enhance in vivo efficacy of ASO therapy Hammond et al (2016) PNAS 113(39):10962-7
Looking Forward: improving safety Brain Spinal Cord (Cervical) KIM-1 Skeletal Muscle Liver 200 Quadriceps R e la tiv e K IM - 1 /C r e a t in in e 150 100 50 0 S a lin e D ay 2 D ay 7 D ay 2 D ay 7 D P E P 5 -6 D P E P 5 -1 7 Dr. Graham McClorey
Antibodies and Antibody Fragments. https://absoluteantibody.com/antibody-resources/antibody- engineering/antibody-fragments/
Antibody-siRNAs Antibody: anti-CD71 Fab′ fragment Payload: siRNA toward HPRT i.v. administration at 10mg/kg. Sugo et al., 2016 J Control Release 237:1–13
Antibody-ASOs for treating PreB Leukemia engrafted leukemia cells in mice apoptotic leukemia cells murine cells (CD22 negative),
ANTIBODY–DRUG CONJUGATES
Collaborators Michael Gait SMA Group Prof. Matthew Wood • Graham McClorey • Larissa Goli • Jessica Stoodley • Anna Kordala • Audrey Winkelsas • Nina Ahlskog Frank Abendroth PMO ELISA Miguel Varela David Seoane Miraz Andrey Arzumanov
% Uptake based On ELISA data from SMA and DM1 Live Science
Functions of Antisense Oligonucleotides Lundin KE, Gissberg O, Smith CI. 2015 Hum Gene Ther. 26(8):475-85.
“The main obstacle impeding the clinical translation of [splice-switching antisense therapy] is the relatively poor delivery of antisense oligonucleotides to target tissues after systemic delivery”
Next Generation ASOs - TriycloDNA (Modified Sugar) 200 mg/kg/week 15 umol/kg/week Goyenvalle et al., 2015 Reference Nature Medicine 21:270-275
Next generation ASO chemistries and 1. Next Generation ASOs various functionalized chemical ASO • Various uses of ASOs conjugates (like peptide-PMOs, Galnac- • Steric blockage ASOs etc). How do they improve the • Knockdown gapmers distribution and efficacy in various • WAVE Stereoisomers tissues/disease models and their • Dimitri ASOs impact on potentially improving on the • IONIS next generation ASOs previous generation naked ASOs. What • Tricyclo DNA are the advantages and limitations 2. Chemical ASO Conjugates with such ASO conjugates. To which • CPPs – cell penetrating peptides extent the targeting can be achieved • Antibodies with present state-of-the-art methods. • Gal-NAc – N-acetylgalactosamine (Akinc 2010; Rajeev 2015) • Cyclic peptides – octaguanidine dendrimer
Examples of CPPs directly conjugated to oligonucleotides and their applications. Peptide Sequence Application Reference Transportan-PNA GWTLNSAGYLLGKINLKALAALAKKIL Galanin receptor antagonist [123] B-PMO RXRRBRRXRRBRXB DMD [51] B-MSP-PMO RXRRBRRXRRBRXB ASSLNIAX DMD [52] Pip5e-PMO RXRRBRRXR ILFQY RXRBRXRB DMD [53] Pip6a-PMO RXRRBRRXR YQFLI RXRBRXRB DMD [54] T-cell-derived CPP-PMO YARVRRRGPRGYARVRRRGPRR Antibacterial [66] D. Wesolowski, H.S. Tae, N. Gandotra, P. Llopis, N. Shen, S. Altman, Basic peptidemorpholino oligomer conjugate that is very effective in killing bacteria by genespecific and nonspecific modes, Proc. Natl. Acad. Sci. U. S. A. 108 (2011) 16582–16587, http://dx.doi.org/10.1073/pnas.1112561108. (RXR)4-PMO RXRRXRRXRRXR Antibacterial [68] B.L. Geller, K. Marshall-Batty, F.J. Schnell, M.M. McKnight, P.L. Iversen, D.E. Greenberg, Gene-silencing antisense oligomers inhibit acinetobacter growth in vitro and in vivo, J. Infect. Dis. 208 (2013) 1553–1560, http://dx.doi.org/10. 1093/infdis/jit460. R. Abes, H.M. Moulton, P. Clair, S.T. Yang, S. Abes, K. Melikov, P. Prevot, D.S. Youngblood, P.L. Iversen, L.V. Chernomordik, B. Lebleu, Delivery of steric block morpholino oligomers by (R-X-R)4 peptides: structure–activity studies, Nucleic Acids Res. 36 (2008) 6343–6354, http://dx.doi.org/10.1093/nar/gkn541. (RXR)4XB-PMO RXRRXRRXRRXRXB Antiviral [60,61] S.-H. Lai, D.A. Stein, A. Guerrero-Plata, S.-L. Liao, T. Ivanciuc, C. Hong, P.L. Iversen, A. Casola, R.P. Garofalo, Inhibition of respiratory syncytial virus infections with morpholino oligomers in cell cultures and in mice, Mol. Ther. J. Am. Soc. Gene Ther. 16 (2008) 1120–1128, http://dx.doi.org/10.1038/mt.2008.81.
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