Chemically modified oligonucleotides targeting SNPs

Abstract

Novel oligonucleotides are provided that enhance silencing of expression of genes containing single nucleotide polymorphisms (SNPs) relative to expression of the corresponding wild-type genes. Methods of using the novel oligonucleotides that enhance silencing of expression of genes containing SNPs relative to expression of the corresponding wild-type genes are provided.

Description

[Technical Field]

[0001] Related applications This application claims priority to U.S. Provisional Patent Application 62 / 885,066 filed on 9 August 2019 and U.S. Provisional Patent Application 62 / 976,168 filed on 13 February 2020. The entire contents of these applications are incorporated herein by reference.

[0002] Statement on federally funded research This invention was made with government funding under authorization numbers NS104022 and GM108803 granted by the National Institutes of Health. The government has certain rights to this invention. [Background technology]

[0003] background RNA interference is a simple and effective tool for inhibiting gene function. RNA silencing agents are of particular interest as research tools and therapeutic agents due to their ability to knock down the expression of specific proteins with high sequence specificity. The sequence specificity of RNA silencing agents is particularly useful for treating diseases caused by dominant mutations in heterozygotes carrying one variant and one wild-type copy of a particular gene. However, there remains a need for RNA silencing agents that can preferentially silence the expression of variants and disease-causing alleles without (or with minimal) affecting the expression of the wild-type allele. [Overview of the Initiative]

[0004] overview The present invention is based, in part, on the remarkable discovery of novel oligonucleotides that enhance the silencing of gene expression containing single nucleotide polymorphisms (SNPs) (e.g., heterozygous SNPs) to, for example, more than 100-fold compared to the expression of the corresponding wild-type gene in heterozygotes. In one embodiment, an oligonucleotide (e.g., dsRNA) is provided that preferentially targets SNP-containing nucleic acids for degradation, where the oligonucleotide (e.g., double-stranded RNA (dsRNA)) does not target or targets the corresponding wild-type (non-SNP-containing) nucleic acid for degradation to a lesser extent. In one embodiment, the oligonucleotide (e.g., dsRNA) of the present invention 1) is complementary to the SNP site of the target nucleic acid; and 2) contains one mismatch with respect to the SNP at a specific location of the target nucleic acid. In one embodiment, the oligonucleotide (e.g., dsRNA) contains two mismatches with respect to the corresponding wild-type target nucleic acid sequence: 1) a wild-type SNP site; and 2) a specific location of the target nucleic acid sequence relative to the wild-type SNP site. Therefore, the exemplary oligonucleotide (e.g., dsRNA) contains one mismatch for the SNP-containing target and two mismatches for the corresponding wild-type sequence, thus resulting in preferential cleavage of the SNP-containing target compared to the corresponding wild-type sequence.

[0005] In one embodiment, a nucleic acid is provided having a seed region complementary to a gene region including the 5' end, 3' end, and allelic polymorphism {wherein the nucleic acid, a single nucleotide polymorphism (SNP) positional nucleotide (wherein the SNP positional nucleotide is complementary to an allelic polymorphism which is a mismatch (MM) position that is a mismatch with a nucleotide in the gene) and at least one modified nucleotide (X) on either side of the SNP positional nucleotide (wherein each X is located within 4, 3, or 2 nucleotides of the SNP positional nucleotide)}. In one embodiment, each X is located within 4 nucleotides of the SNP positional nucleotide. In one embodiment, each X is located within 3 nucleotides of the SNP positional nucleotide. In one embodiment, each X is located within 2 nucleotides of the SNP positional nucleotide.

[0006] In one exemplary embodiment, each X independently comprises a sugar modification selected from the group consisting of 2'-O-methyl (2'-OMe), 2'-fluoro (2'-F), 2'-ribo, 2'-deoxyribo, 2'-F-4'-thioarabino (2'-F-ANA), 2'-O-(2-methoxyethyl) (2'-MOE), 4'-S-RNA, locked nucleic acid (LNA), 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, 2'-O-cyanoethyl-RNA (CNet-RNA), tricyclo-DNA, cyclohexenyl nucleic acid (CeNA), arabino nucleic acid (ANA), and hexitol nucleic acid (HNA).

[0007] In one exemplary embodiment, X is located adjacent to the 5' side of the SNP site nucleotide or adjacent to the 3' side of the SNP site nucleotide. In one exemplary embodiment, X is located adjacent to both the 5' side and the 3' side of the SNP site nucleotide.

[0008] In one exemplary embodiment, the SNP site nucleotide is located at positions 2 through 6 from the 5' end (e.g., 2, 3, 4, 5, or 6 from the 5' end). In one exemplary embodiment, the SNP site nucleotide is located at positions 3 through 6 from the 5' end (e.g., 3, 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 4 through 6 from the 5' end (e.g., 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 2 through 5 from the 5' end (e.g., 2, 3, 4, or 5 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 3 through 5 from the 5' end (e.g., position 3 from the 5' end, position 4 from the 5' end, or position 5 from the 5' end). In another embodiment, the SNP site nucleotide is located at positions 2 through 4 from the 5' end (e.g., position 2 from the 5' end, position 3 from the 5' end, or position 4 from the 5' end).

[0009] In one embodiment, the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 7 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 8 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 9 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 10 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 11 nucleotides from the SNP position nucleotide.

[0010] In one embodiment, the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide.

[0011] In another embodiment, a nucleic acid is provided having a seed region complementary to a region of a gene including the 5' end, 3' end, and allelic polymorphism {wherein the nucleic acid, a SNP position nucleotide (wherein the SNP position nucleotide is complementary to an allelic polymorphism which is an MM position that is a mismatch with the nucleotide in the gene) and at least one modified nucleotide (Y) (wherein each Y is located within 4, 3, or 2 nucleotides of the MM position nucleotide) at a position within the seed region. In one embodiment, each Y is located within 4 nucleotides of the MM position nucleotide. In one embodiment, each Y is located within 3 nucleotides of the MM position nucleotide. In one embodiment, each Y is located within 2 nucleotides of the MM position nucleotide.

[0012] In one embodiment, each Y independently comprises a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA.

[0013] In one embodiment, Y is located adjacent to the 5' side of the MM position nucleotide or adjacent to the 3' side of the MM position nucleotide. In one exemplary embodiment, Y is located adjacent to both the 5' side and the 3' side of the MM position nucleotide.

[0014] In one exemplary embodiment, the SNP site nucleotide is located at positions 2 through 6 from the 5' end (e.g., 2, 3, 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 3 through 6 from the 5' end (e.g., 3, 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 4 through 6 from the 5' end (e.g., 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 2 through 5 from the 5' end (e.g., 2, 3, 4, or 5 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 3 through 5 from the 5' end (e.g., position 3 from the 5' end, position 4 from the 5' end, or position 5 from the 5' end). In another embodiment, the SNP site nucleotide is located at positions 2 through 4 from the 5' end (e.g., position 2 from the 5' end, position 3 from the 5' end, or position 4 from the 5' end).

[0015] In one embodiment, the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 7 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 8 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 9 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 10 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 11 nucleotides from the SNP position nucleotide.

[0016] In one embodiment, the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide.

[0017] In another embodiment, a nucleic acid is provided having a seed region complementary to a region of a gene including the 5' end, 3' end, and allelic polymorphism {wherein the nucleic acid, at a position within the seed region, is an SNP position nucleotide (where the SNP position nucleotide is complementary to an allelic polymorphism which is an MM position that is a mismatch with the nucleotide in the gene), and at least one modified nucleotide (X) on either side of the SNP position nucleotide (where each X is located within 4, 3, or 2 nucleotides from the SNP position nucleotide) and at least one modified nucleotide (Y) on either side of the MM position nucleotide (where each Y is located within 4, 3, or 2 nucleotides from the MM position nucleotide)}. In one embodiment, each X is located within 4 nucleotides from the SNP position nucleotide. In one embodiment, each X is located within 3 nucleotides from the SNP position nucleotide. In one embodiment, each X is located within 2 nucleotides from the SNP position nucleotide. In one embodiment, each Y is located within 4 nucleotides from the MM position nucleotide. In one embodiment, each Y is located within 3 nucleotides from the MM position nucleotide. In one embodiment, each Y is located within 2 nucleotides of the MM position nucleotide.

[0018] In one embodiment, each X independently comprises a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA. In one embodiment, each Y independently comprises a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA.

[0019] In one exemplary embodiment, X is located adjacent to the 5' side of the SNP site nucleotide or adjacent to the 3' side of the SNP site nucleotide. In one exemplary embodiment, X is located adjacent to both the 5' side and the 3' side of the SNP site nucleotide.

[0020] In one exemplary embodiment, Y is located adjacent to the 5' side of the MM position nucleotide or adjacent to the 3' side of the MM position nucleotide. In one exemplary embodiment, Y is located adjacent to both the 5' side and the 3' side of the MM position nucleotide.

[0021] In one exemplary embodiment, the SNP site nucleotide is located at positions 2 through 6 from the 5' end (e.g., 2, 3, 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 3 through 6 from the 5' end (e.g., 3, 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 4 through 6 from the 5' end (e.g., 4, 5, or 6 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 2 through 5 from the 5' end (e.g., 2, 3, 4, or 5 from the 5' end). In one embodiment, the SNP site nucleotide is located at positions 3 through 5 from the 5' end (e.g., position 3 from the 5' end, position 4 from the 5' end, or position 5 from the 5' end). In another embodiment, the SNP site nucleotide is located at positions 2 through 4 from the 5' end (e.g., position 2 from the 5' end, position 3 from the 5' end, or position 4 from the 5' end).

[0022] In one embodiment, the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 7 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 8 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 9 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 10 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 11 nucleotides from the SNP position nucleotide.

[0023] In one embodiment, the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide. For example, in one embodiment, the MM position is located 2 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 3 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 4 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 5 nucleotides from the SNP position nucleotide. In one embodiment, the MM position is located 6 nucleotides from the SNP position nucleotide.

[0024] In one embodiment, X and Y are the same.

[0025] In another embodiment, a nucleic acid is provided having 5' and 3' ends complementary to a region of a gene containing an allele polymorphism {wherein the nucleic acid comprises an SNP-position nucleotide complementary to the allele polymorphism, an MM-position nucleotide mismatched with the nucleotide in the gene, at least one 2'-fluoro-ribonucleotide on either side of the SNP-position nucleotide (wherein each 2'-fluoro-ribonucleotide is located within 4, 3, or 2 nucleotides of the SNP-position nucleotide), and at least one 2'-methoxy-ribonucleotide on either side of the MM-position nucleotide (wherein each 2'-methoxy-ribonucleotide is located within 4, 3, or 2 nucleotides of the MM-position nucleotide)}.

[0026] In one exemplary embodiment, the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide, or the 2'-fluororibonucleotide is located adjacent to the 3' side of the SNP site nucleotide.

[0027] In one exemplary embodiment, the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide, and the 2'-fluororibonucleotide is located adjacent to the 3' side of the SNP site nucleotide.

[0028] In one exemplary embodiment, the 2'-methoxy-ribonucleotide is located adjacent to the 5' side of the MM position nucleotide, or the 2'-methoxy-ribonucleotide is located adjacent to the 3' side of the MM position nucleotide. In one exemplary embodiment, the 2'-methoxy-ribonucleotide is located adjacent to the 5' side of the MM position nucleotide and the 2'-methoxy-ribonucleotide is located adjacent to the 3' side of the MM position nucleotide.

[0029] In one exemplary embodiment, the SNP position nucleotide is located in the seed region, and the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide (for example, 2 nucleotides from the SNP position nucleotide, 3 nucleotides from the SNP position nucleotide, 4 nucleotides from the SNP position nucleotide, 5 nucleotides from the SNP position nucleotide, 6 nucleotides from the SNP position nucleotide, 7 nucleotides from the SNP position nucleotide, 8 nucleotides from the SNP position nucleotide, 9 nucleotides from the SNP position nucleotide, 10 nucleotides from the SNP position nucleotide, or 11 nucleotides from the SNP position nucleotide).

[0030] In one exemplary embodiment, the SNP site nucleotide is located at positions 2 to 6 from the 5' end, and the MM site nucleotide is located 2 to 6 nucleotides from the SNP site nucleotide.

[0031] In one exemplary embodiment, the nucleic acid comprises three, four, five, or six 2'-fluoro-ribonucleotides. In one exemplary embodiment, the nucleic acid comprises three, four, five, or six 2'-methoxy-ribonucleotides.

[0032] In another embodiment, a nucleic acid is provided having 5' and 3' ends complementary to a region of a gene containing an allele polymorphism (wherein the nucleic acid comprises an SNP-position nucleotide complementary to the allele polymorphism, an MM-position nucleotide mismatched with the nucleotide in the gene, at least three 2'-fluoro-ribonucleotides located within 4, 3, or 2 nucleotides of the SNP-position nucleotide, and at least three 2'-methoxy-ribonucleotides located within 4, 3, or 2 nucleotides of the MM-position nucleotide).

[0033] In one exemplary embodiment, the 2'-fluoro-ribonucleotide is located adjacent to the 5' side of the SNP site nucleotide, or the 2'-fluoro-ribonucleotide is located adjacent to the 3' side of the SNP site nucleotide. In one exemplary embodiment, the 2'-fluoro-ribonucleotide is located adjacent to the 5' side of the SNP site nucleotide and the 2'-fluoro-ribonucleotide is located adjacent to the 3' side of the SNP site nucleotide.

[0034] In one exemplary embodiment, the 2'-methoxy-ribonucleotide is located adjacent to the 5' side of the MM position nucleotide, or the 2'-methoxy-ribonucleotide is located adjacent to the 3' side of the MM position nucleotide.

[0035] In one exemplary embodiment, the 2'-methoxy-ribonucleotide is located adjacent to the 5' side of the MM position nucleotide, and the 2'-methoxy-ribonucleotide is located adjacent to the 3' side of the MM position nucleotide.

[0036] In one exemplary embodiment, the SNP-position nucleotide is located in the seed region, and the MM-position nucleotide is located 2 to 11 nucleotides away from the SNP-position nucleotide.

[0037] In one exemplary embodiment, the SNP site nucleotide is located at positions 2 to 6 from the 5' end, where the MM site nucleotide is located 2 to 6 nucleotides from the SNP site nucleotide.

[0038] In a further embodiment, the siRNA molecule comprises a sense strand complementary to a target gene and an antisense strand complementary to the sense strand, wherein the antisense strand comprises a nucleic acid of any of the above embodiments or models.

[0039] In one embodiment, the sense strand has a length of 13 nucleotides or nucleotide analogs to 17 nucleotides or nucleotide analogs (e.g., 13, 14, 15, 16, or 17 nucleotide or nucleotide analog lengths).

[0040] In one embodiment, the antisense chain has a length of 18 nucleotides or nucleotide analogs to 22 nucleotides or nucleotide analogs (e.g., 18, 19, 20, 21, or 22 nucleotides or nucleotide analogs).

[0041] In one embodiment, the sense strand has a length of 15 nucleotides or a nucleotide analog, and the antisense strand has a length of 20 nucleotides or a nucleotide analog.

[0042] In one embodiment, the sense strand has a length of 16 nucleotides or a nucleotide analog, and the antisense strand has a length of 20 nucleotides or a nucleotide analog.

[0043] In a further embodiment, a branched oligonucleotide is provided comprising two or more covalently linked siRNA molecules, each siRNA molecule independently being an siRNA molecule of any of the preceding embodiments or models.

[0044] In one embodiment, the branched oligonucleotide contains two siRNA molecules covalently bonded to each other.

[0045] In one embodiment, siRNA molecules are covalently linked to each other via a linker. [Brief explanation of the drawing]

[0046] The aforementioned and other features and advantages of the present invention will be better understood from the following detailed description of explanatory embodiments together with the accompanying drawings. The patent or application document includes at least one color drawing. A copy of this patent or patent application publication accompanied by the color drawing will be provided by the Office upon request and payment of the necessary fees.

[0047] [Figure 1] Figure 1 shows the psiCHECK reporter plasmid containing the wild-type region of htt or the same region of htt with an SNP, rs362273.

[0048] [Figure 2] Figure 2 is a bar graph showing luciferase activity in HeLa cells transfected with hsiRNAs containing SNP nucleotides at various positions, as determined by the psiCHECK reporter plasmid assay. This primary screening yielded several effective hydrophobic modified iRNA (hsiRNA) sequences.

[0049] [Figure 3] Figure 3 shows the dose-response curves for three exemplary hsiRNAs on the psiCHECK reporter plasmid.

[0050] [Figure 4] Figure 4 shows the dose-response curves demonstrating the efficacy of two hsiRNAs for silencing htt mRNA.

[0051] [Figure 5] Figure 5 shows a bar graph illustrating luciferase activity according to the psiCHECK reporter plasmid assay in HeLa cells transfected with hsiRNAs having second mismatches at various positions.

[0052] [Figure 6] Figure 6 shows dose-response curves comparing the silencing effects of SNP2 hsiRNAs with and without additional mismatch (mm2-7).

[0053] [Figure 7] Figure 7 shows dose-response curves, including the silencing effect of SNP4 hsiRNA with and without additional mismatch.

[0054] [Figure 8] Figure 8 shows dose-response curves comparing the silencing effects of SNP6 with and without additional mismatch.

[0055] [Figure 9] Figure 9 shows the dose-response curves of the silencing effect of SNP4 or SNP6 hsiRNAs with additional mismatches (SNP4-7 and SNP6-11, respectively) compared to the same hsiRNAs without additional mismatches (SNP4-0 and SNP4-11). HeLa cells transfected with one of two reporter plasmids were reverse-transfected with the hsiRNA by dynamic uptake and treated for 72 hours. Reporter expression was measured by a dual luciferase assay.

[0056] [Figure 10] Figure 10 shows the dose-response curve of htt mRNA expression, which measures the silencing efficacy of hsiRNA with additional mismatches.

[0057] [Figure 11] Figure 11 schematically shows hsiRNA and exemplary modifications according to some embodiments.

[0058] [Figure 12] Figures 12A to 12C show the SNP2, SNP4, and SNP6 hsiRNA libraries, respectively. The antisense strand is shown in the 5' to 3' direction, with SNP sites in red and mismatches in blue.

[0059] [Figure 13]Figure 13 shows the antisense and sense strand sequences and modification patterns of various hsiRNA constructs according to one embodiment. mm4-7 and mm6-11 showed excellent SNP recognition and were selected for further screening.

[0060] [Figure 14] Figure 14 shows exemplary SNP-selective compounds designed as disiRNAs.

[0061] [Figure 15] Figure 15 shows a main chain linkage according to an exemplary embodiment. The oligonucleotide main chain may contain one or any combination of phosphates, phosphorothioates (racemic or stereospecific), diphosphorothioates, phosphoramidates, peptide nucleic acids (PNAs), boranophosphates, 2'-5'-phosphodiesters, amides, phosphonoacetates, morpholinos, etc.

[0062] [Figure 16] Figure 16 shows a sugar modification according to an exemplary embodiment. The sugar modifications include one or any combination of 2'-O-methyl, 2'-fluoro, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, HNA, etc.

[0063] [Figure 17] Figure 17 shows an internucleotide bond in an exemplary embodiment. A possible internucleotide bond may be between the first two nucleotides at the 5' or 3' ends of any oligonucleotide chain and can stabilize either of the described portions.

[0064] [Figure 18]Figure 18 shows a 5'-stabilization modification according to an exemplary embodiment. Suitable 5'-stabilization modifications may include phosphate, phosphate-free, vinyl phosphonate, C5-methyl (R or S or racemic), C5-methyl on vinyl, and reduced vinyl (e.g., 3-carbon alkyl).

[0065] [Figure 19] Figure 19 shows a conjugate moiety according to an exemplary embodiment. Suitable conjugate moieties may be alkyl chains of any length, vitamins, ligands, peptides, or bioactive conjugates, such as glycosphingolipids, polyunsaturated fatty acids, secosteroids, steroid hormones, or steroid lipids.

[0066] [Figure 20] Figure 20 graphically illustrates that the activity of SNPs that identify scaffolds containing an SNP-positional nucleotide located at position 6 from the 5' end and a mismatch-positional nucleotide located at position 11 from the 5' end is sequence-independent.

[0067] [Figure 21] Figure 21 shows a typical synthesis of the vinyl phosphonate (VP) modified subunit bonds described herein.

[0068] [Figure 22] Figure 22 shows a method for preparing oligonucleotides having VP-modified interunit bonds.

[0069] [Figure 23] Figure 23 is a graphical description of VP-modified RNA in an exemplary embodiment.

[0070] [Figure 24] Figure 24 shows the sequence of VP-modified oligonucleotides synthesized according to one exemplary embodiment.

[0071] [Figure 25] Figure 25 shows an overview of a comparative study on siRNA efficacy.

[0072] [Figure 26] Figure 26 shows an hsiRNA antisense scaffold aligned with the HTT sequence surrounding the SNP site rs362273, where the green square indicates the location of the SNP site.

[0073] [Figure 27] Figures 27A and 27B demonstrate that mismatch addition in the siRNA sequence improves allele recognition without compromising the silencing of mutant alleles.

[0074] [Figure 28] Figures 28A and 28B show VP-modified sequences prepared by a synthesizer.

[0075] [Figure 29] Figure 29 shows other preparation methods for VP-modified oligonucleotides provided herein.

[0076] [Figure 30] Figure 30 shows the effect of VP modification binding on target / non-target recognition of SNP-selective siRNA.

[0077] [Figure 31] Figure 31 shows an example of a bifurcated siRNA chemical scaffold.

[0078] [Figure 32] Figure 32A shows the Western blot performed to measure HTT protein levels. Figure 32B shows the protein levels normalized to vinculin.

[0079] [Figure 33] Figure 33 shows dose-response curves comparing the silencing effects of oligonucleotides that target G instead of A at the SNP site.

[0080] [Figure 34]Figure 34 shows an example of a sequence that introduces a single mismatch in the previously selected sequence for dose response.

[0081] [Figure 35] Figure 35 shows numerous exemplary oligonucleotide main chain modifications.

[0082] [Figure 36] Figure 36 shows an oligonucleotide branching motif according to an exemplary embodiment. The double helix represents the oligonucleotide. Various combinations of linkers, spacers, and branching points enable the production of a wide variety of branched hsiRNA structures.

[0083] [Figure 37] Figure 37 shows an exemplary branched oligonucleotide having a conjugated bioactive moiety.

[0084] [Figure 38] Figure 38 shows an exemplary amidite linker, spacer, and branch section.

[0085] [Figure 39] Figure 39 shows a diagram of the hsiRNA antisense scaffold aligned with the HTT sequence surrounding the alternative SNP site rs362273.

[0086] [Figure 40] Figure 40 shows a bar graph illustrating luciferase activity according to the psiCHECK reporter plasmid assay in HeLa cells transfected with the hsiRNA shown in Figure 39. The numbers after "SNP" indicate the location of the SNP in the siRNA.

[0087] [Figure 41] Figure 41 shows dose-response curves comparing the silencing effects of the oligonucleotides in Figure 39 that target C or T at the SNP3 site.

[0088] [Figure 42] Figure 42 shows a bar graph illustrating luciferase activity according to the psiCHECK reporter plasmid assay in HeLa cells transfected with the hsiRNA of Figure 39, modified to feature second mismatches at various positions.

[0089] [Figure 43] Figure 43 shows an example of a linker between modified subunits.

[0090] [Figure 44] Figure 44A shows a representative example of preparing monomers for the modified phosphinate-containing oligonucleotides provided herein. Figure 44B shows a representative example of preparing other monomers for the modified phosphinate-containing oligonucleotides provided herein. Figure 44C shows a representative example of preparing the modified phosphinate-containing oligonucleotides provided herein.

[0091] [Figure 45] Figure 45 shows exemplary SNPs within the HTT gene (Sequence IDs 1-10 (numbered from top to bottom)).

[0092] [Figure 46] Figure 46 shows a flowchart illustrating the method for producing and selecting SNP-recognizing siRNAs.

[0093] [Figure 47] Figure 47 shows the naming convention for indicating the location of SNPs within siRNA.

[0094] [Figure 48]Figures 48A to 48D graphically illustrate the effectiveness and discrimination of targeted and non-target binding and cleavage mediated by modifications of the 2'-fluoro / 2'-methoxy content adjacent to the SNP and MM position nucleotides of siRNA. (A) shows the results for various SNP 6-11 variants. (B) shows the results for 6-11 with the 6-11 pair modification ffmff pattern (four 2'-fluoro-ribonucleotides and 2'-methoxy-ribonucleotides near the SNP at position 6). (C) shows the results for 6-11 with the 6-11 pair modification mmm11 pattern (three 2'-methoxy-ribonucleotides near the MM at position 11). (D) shows the results for 6-11 with the 6-11 pair modification fff6mmm11 pattern (three 2'-fluoro-ribonucleotides near the SNP at position 6 and three 2'-methoxy-ribonucleotides near the MM at position 11). HeLa cells were transfected with one of two reporter plasmids, reverse-transfected with hsiRNA by dynamic uptake, and treated for 72 hours. Reporter expression was measured using a dual-luciferase assay. [Modes for carrying out the invention]

[0095] Detailed description The present invention relates to compositions comprising RNA, such as oligonucleotides, e.g., RNA silencing agents, e.g., double-stranded RNA ("dsRNA"), and antisense oligonucleotides ("ASO"), which are useful for silencing allele polymorphisms located within genes encoding mutant proteins. In certain embodiments, the oligonucleotides, e.g., RNA, and silencing agents are dsRNA agents provided herein that disrupt the corresponding mutant mRNA (e.g., SNP-containing mRNA) with nucleotide specificity and selectivity. The oligonucleotides, e.g., RNA, and silencing agents, e.g., dsRNA agents disclosed herein target mRNA corresponding to polymorphic regions of mutant genes, cleavage the mutant mRNA, and inhibit the synthesis of the corresponding mutant protein, such as huntingtin protein, e.g., gain-of-function mutant protein.

[0096] definition Unless otherwise defined, the scientific and technical terms used herein have meanings commonly understood by those skilled in the art. Where there may be any ambiguity, the definitions provided herein take precedence over all dictionaries or other exogenous definitions. Unless the context requires a different interpretation, singular expressions include plurals, and plural expressions include singulars. The use of "or" means "and / or" unless otherwise noted. The use of the term "include" and other forms such as "include" and "contained" is non-restrictive.

[0097] In the context of oligonucleotide sequences, as used here, "A" represents a nucleoside containing the base adenine (e.g., adenosine or its chemically modified derivatives), "G" represents a nucleoside containing the base guanine (e.g., guanosine or its chemically modified derivatives), "U" represents a nucleoside containing the base uracil (e.g., uridine or its chemically modified derivatives), and "C" represents a nucleoside containing the base adenine (e.g., cytidine or its chemically modified derivatives).

[0098] The term "capping group" as used herein refers to a chemical group that substitutes a hydrogen atom in a functional group such as an alcohol (ROH), carboxylic acid (RCO2H), or amine (RNH2). Non-limiting examples of capping groups include alkyl (e.g., methyl, tertiary-butyl); alkenyl (e.g., vinyl, allyl); carboxyl (e.g., acetyl, benzoyl); carbamoyl; phosphate; and phosphonate (e.g., vinylphosphonate). Other suitable capping groups are known to those skilled in the art.

[0099] The terms “nucleotide analog,” “modified nucleotide,” or “modified nucleotide” refer to non-standard nucleotides, including ribonucleotides or deoxyribonucleotides that do not exist in nature. Exemplary nucleotide analogs are modified at any position that alters a certain chemical property of the nucleotide while maintaining the ability of the nucleotide analog to perform the intended function. Examples of nucleotide positions that can be derivatized include the 5-position, e.g., 5-(2-amino)propyluridine, 5-bromouridine, 5-propyneuridine, 5-propenyluridine; the 6-position, e.g., 6-(2-amino)propyluridine; and for adenosine and / or guanosine, the 8-position, e.g., 8-bromoguanosine, 8-chloroguanosine, 8-fluoroguanosine. Nucleotide analogs include deazanucleotides, e.g., 7-deaza-adenosine; O- and N modified (e.g., alkylated, e.g., N6-methyladenosine or other known in the art) nucleotides; and other heterocyclic modified nucleotide analogs, such as those described in Herdewijn, Antisense Nucleic Acid Drug Dev., 2000 Aug. 10(4):297-310.

[0100] The term “oligonucleotide” refers to a short polymer of nucleotides and / or nucleotide analogs. The term “RNA analog” refers to a polynucleotide (e.g., a chemically synthesized polynucleotide) that has at least one modified or altered nucleotide compared to the corresponding unmodified or unaltered RNA, but maintains the same or similar properties or functions as the corresponding unmodified or unaltered RNA. As described above, oligonucleotides may be linked by a phosphodiester bond that reduces the rate of hydrolysis of the RNA analog compared to RNA molecules with a phosphodiester bond. For example, the nucleotides of the analog may include methylenediol, ethylenediol, oxymethylthio, oxyethylthio, oxycarbonyloxy, phosphorodiamidate, phosphoramidate, and / or phosphorothioate bonds. In specific embodiments, the RNA analog includes sugars and / or main-chain modified ribonucleotides and / or deoxyribonucleotides. Such alterations or alterations may include the addition of further non-nucleotide substances, such as at the ends or inside of the RNA (one or more nucleotides of the RNA). The RNA analog only needs to be sufficiently similar to natural RNA in that it has the ability to intervene in RNA interference.

[0101] The exemplary oligonucleotides used herein include, but are not limited to, siRNA, miRNA, shRNA, CRISPR guides, DNA oligonucleotides, antisense oligonucleotides, AAV oligonucleotides, gapmers, mixedmers, miRNA inhibitors, SSO, PMO, and PNA.

[0102] The term "RNA interference" ("RNAi") used here refers to the selective intracellular degradation of RNA. RNAi occurs naturally in cells to remove foreign RNA (e.g., viral RNA). Natural RNAi proceeds via fragments cleaved from free dsRNA that direct the degradation mechanisms of other similar RNA sequences. Alternatively, RNAi can be activated artificially, for example, to silence the expression of a target gene.

[0103] The term "hsiRNA" as used herein refers to the embodiment of double-stranded RNA provided herein, in which the RNA molecule is fully chemically modified, including one or more hydrophobic modifications, as described herein.

[0104] RNAi agents, such as RNA silencing agents, have a strand that is "a sequence that is sufficiently complementary to the target mRNA sequence to direct target-specific RNA interference (RNAi)," meaning that the strand has a sequence sufficient to induce target mRNA disruption by the RNAi mechanism or process.

[0105] The term "isolated RNA" as used herein (e.g., "isolated siRNA" or "isolated siRNA precursor") refers to an RNA molecule that, when produced by recombinant technology, is substantially free of other cellular material or culture medium, or, when chemically synthesized, is substantially free of chemical precursors or other chemical substances.

[0106] The term "RNA silencing" as used herein refers to a group of sequence-specific regulatory mechanisms mediated by RNA molecules that result in the inhibition or repression of the expression of corresponding protein-coding genes (e.g., RNA interference (RNAi), transcriptional gene silencing (TGS), post-transcriptional gene silencing (PTGS), repression, co-repression, translational repression, etc.). RNA silencing has been observed in many types of organisms, including plants, animals, and fungi.

[0107] The term “discriminative RNA silencing” refers to the ability of an RNA molecule to substantially inhibit the expression of a “primary” or “target” polynucleotide sequence, while not substantially inhibiting the expression of a “secondary” or “non-target” polynucleotide sequence, for example, when both polynucleotide sequences are present in the same cell. In one embodiment, the target polynucleotide sequence corresponds to a target gene, while the non-target polynucleotide sequence corresponds to a non-target gene. In another embodiment, the target polynucleotide sequence corresponds to a target allele, while the non-target polynucleotide sequence corresponds to a non-target allele. In one embodiment, the target polynucleotide sequence is a DNA sequence encoding a regulatory region (e.g., a promoter or enhancer element) of the target gene. In another embodiment, the target polynucleotide sequence is a target mRNA encoded by the target gene.

[0108] A gene “involved” in a disease or disorder is a gene whose normal or abnormal expression or function affects or causes the disease or disorder or at least one symptom of said disease or disorder.

[0109] The term “target gene” as used herein (e.g., heterozygous polymorphic variant allele, e.g., heterozygous SNP) refers to a gene whose expression should be substantially inhibited or “silenced.” This silencing can be achieved, for example, by RNA silencing, such as mRNA cleavage of the target gene or translational repression of the target gene. The term “non-target gene” (e.g., wild-type allele) refers to a gene whose expression should not be substantially silenced. In one embodiment, the polynucleotide sequences of the target and non-target genes (e.g., the mRNA encoded by the target and non-target genes) may differ by one or more nucleotides. In another embodiment, the target and non-target genes may differ by one or more polymorphisms (e.g., single nucleotide polymorphisms or SNPs). In another embodiment, the target and non-target genes may share less than 100% sequence identity. In another embodiment, the non-target gene may be a homolog (e.g., an ortholog or paralog) of the target gene.

[0110] A “target allele” is an allele (e.g., an SNP allele) whose expression should be selectively inhibited or “silenced.” This silencing can be achieved, for example, by RNA silencing, such as by cleavage of the mRNA of the target gene or the target allele by siRNA. The term “non-target allele” refers to an allele whose expression should not be substantially silenced (e.g., the corresponding wild-type allele). In some embodiments, the target and non-target alleles correspond to the same target gene. In other embodiments, the target allele corresponds to or is associated with the target gene, and the non-target allele corresponds to or is associated with the non-target gene. In some embodiments, the polynucleotide sequences of the target and non-target alleles may differ by one or more nucleotides. In other embodiments, the target and non-target alleles may differ by one or more allele polymorphisms (e.g., one or more SNPs). In other embodiments, the target and non-target alleles may share less than 100% sequence identity.

[0111] The term "polymorphism" as used herein refers to variations in a gene sequence (e.g., one or more deletions, insertions, or substitutions) that are identified or detected when comparing the same gene sequence from different origins or subjects (but from the same organism). For example, polymorphisms can be identified when comparing the same gene sequence from different subjects. Identification of such polymorphisms is commonplace in this field, and the methods are similar to those used, for example, for detecting point mutations in breast cancer. Identification can be done, for example, by amplifying the polymorphic region using a specific primer for the polymorphic region from DNA extracted from the lymphocytes of the subject. Alternatively, polymorphisms can be identified when comparing two alleles of the same gene.

[0112] In specific embodiments, the polymorphism is a single nucleotide polymorphism (SNP). Variations in the sequence between two alleles of the same gene within an organism are referred to here as "allelic polymorphisms." In some embodiments, an allelelic polymorphism corresponds to an SNP allele. For example, an allelelic polymorphism may include a single nucleotide variation between two alleles of an SNP, also referred here to as a heterozygous SNP. The polymorphism may be a nucleotide within the coding region, but due to the degeneracy of gene coding, it does not encode a different amino acid sequence. Alternatively, a polymorphic sequence may encode a different amino acid at a specific position, but the change in amino acid does not affect protein function. Polymorphic regions can also be found in the non-coding regions of a gene. In specific embodiments, the polymorphism is found in the coding region of a gene or in the uncoding region of a gene (e.g., the 5' UTR or 3' UTR).

[0113] The term "allele frequency" as used herein is an indicator (e.g., a ratio or percentage) of the relative frequency of an allele (e.g., an SNP allele) at a single locus in an individual population. For example, if an individual population has n loci of a specific chromosomal locus (and the gene occupying that locus) in each somatic cell, then the allele frequency of an allele is the fraction or percentage of loci that the allele occupies in the population. In a specific embodiment, the allele frequency of an allele (e.g., an SNP allele) is at least 10% (e.g., at least 15%, 20%, 25%, 30%, 35%, 40%, or more) in the sample population.

[0114] As used herein, the term “gain-of-function mutation” refers to any mutation in a gene that causes a protein encoded by that gene (i.e., a mutant protein) to acquire a function that causes or contributes to a disease or disorder not normally associated with that protein (i.e., a wild-type protein). A gain-of-function mutation may be a deletion, addition, or substitution of one or more nucleotides in a gene that results in a change in the function of the encoding protein. In some embodiments, a gain-of-function mutation causes a change in the function of the mutant protein or causes an interaction with other proteins. In other embodiments, a gain-of-function mutation causes, for example, modification, interaction between the mutant protein and a normal wild-type protein, resulting in a decrease or elimination of the normal wild-type protein.

[0115] As used herein, the term “gain-of-function disorder” refers to a disorder characterized by a gain-of-function mutation. In one embodiment, a gain-of-function disorder is a neurodegenerative disease caused by a gain-of-function mutation, e.g., polyglutamine disorders and / or trinucleotide repeat disorders, e.g., Huntington's disease. In another embodiment, a gain-of-function disorder is a cancer caused by a gain-of-function mutation in an oncogene, e.g., a mutation in a ret oncogene (e.g., ret-1), e.g., endocrine tumors, medullary thyroid tumors, parathyroid hormone tumors, multiple endocrine neoplasia type 2, etc. Additional exemplary gain-of-function disorders include, but are not limited to, Alzheimer's disease, amyotrophic lateral sclerosis (ALS), human immunodeficiency disorder (HIV), and slow-channel congenital myasthenic syndrome (SCCMS).

[0116] The term “trinucleotide repeat disorder” as used herein refers to any disease or disorder characterized by an extended trinucleotide repeat region located within a gene, in which the extended trinucleotide repeat is the cause of the disease or disorder. Examples of trinucleotide repeat disorders include, but are not limited to, spinocerebellar ataxia type 12, spinocerebellar ataxia type 8, fragile X syndrome, fragile XE intellectual disability, Friedreich’s ataxia, and myotonic dystrophy. Exemplary trinucleotide repeat disorders for treatment according to the present invention are characterized by or caused by an extended trinucleotide repeat disorder at the 5' end of the coding region of a gene, which is a gene encoding a mutant protein that causes or is the cause of the disease or disorder. Certain trinucleotide disorders, such as fragile X syndrome in which the mutation is not associated with a coding region, are not suitable for treatment by the methods of the present invention because there is no suitable mRNA to target by RNAi. In contrast, diseases such as Friedreich's ataxia are suitable for treatment by the method of the present invention because the causative mutation is not located within the coding region (i.e., within an intron), and the mutation may be, for example, within the mRNA precursor (e.g., the pre-recombination mRNA precursor).

[0117] The term "polyglutamine disorder" used here refers to the (CAG) at the 5' end of the code region. n Polyglutamine disorders refer to any disease or disorder characterized by the stretching of repetitions (and thus encoding stretched polyglutamine regions in coding proteins). In some embodiments, polyglutamine disorders are characterized by the progressive degeneration of nerve cells. Examples of polyglutamine disorders include, but are not limited to, Huntington's disease, spinocerebellar ataxia type 1, spinocerebellar ataxia type 2, spinocerebellar ataxia type 3 (also known as Machado-Joseph disease), spinocerebellar ataxia type 6, spinocerebellar ataxia type 7, and dentatorubral-pallidoluysian atrophy.

[0118] The term "single nucleotide polymorphism disorder" or "SNP disorder" refers to a disorder characterized by the presence of a single nucleotide polymorphism (SNP), such as a heterozygous SNP. SNP disorders include, but are not limited to, phenylketonuria, cystic fibrosis, sickle cell anemia, leukomyelosis, Huntington's disease, myotonic dystrophy type 1, hypercholesterolemia (autosomal dominant, type B), neurofibromatosis (type 1), polycystic kidney disease (1 and 2), hemophilia A, Duchenne muscular dystrophy, X-linked hypophosphatemic rickets, Rett syndrome, and non-obstructive spermatogenesis disorder. Huntington's disease is an exemplary heterozygous SNP disorder.

[0119] In one embodiment, a double-stranded RNA (dsRNA) is provided comprising a first strand of approximately 15–35 nucleotides complementary to a region of the gene containing an allele polymorphism, and a second strand of approximately 15–35 nucleotides complementary to at least a portion of the first strand, wherein the first strand comprises a single nucleotide polymorphism (SNP) position nucleotide complementary to the allele polymorphism at positions 2–7 of the 5' end; and a mismatch (MM) position nucleotide located 2–11 nucleotides from the SNP position nucleotide that is mismatched with the nucleotide in the gene. In an exemplary embodiment, the SNP position nucleotide is at position 2, 4, or 6 from the 5' end, and the mismatch (MM) position nucleotide is located 2–6 nucleotides from the SNP position nucleotide.

[0120] The terms "single nucleotide polymorphism nucleotide" or "SNP nucleotide" used herein refer to the position on the RNA described herein (e.g., the first strand of dsRNA) that corresponds to the polymorphic position of the target nucleic acid sequence (i.e., either the mutant nucleotide corresponding to the SNP allele or the wild-type nucleotide corresponding to the wild-type allele). For example, the strands are labeled "SNP2," "SNP3," or "SNP4," and the SNP position is specified as 2, 3, or 4 nucleotides from the 5' end of the strand.

[0121] In one exemplary embodiment, the SNP-positional nucleotide is located within the seed region. In one exemplary embodiment, the SNP-positional nucleotide is located at positions 2-7 from the 5' end, positions 2-6 from the 5' end, or positions 2-5 from the 5' end. In one exemplary embodiment, the SNP-positional nucleotide is located at positions 2, 3, 4, 5, 6, or 7 from the 5' end of the RNA described herein (e.g., the first strand of dsRNA). In one exemplary embodiment, the SNP-positional nucleotide is located at the positions shown in Tables 5-7.

[0122] The term "seed region" used here refers to a 6-nucleotide stretch corresponding to positions 2-7 from the 5' end of an RNA strand. It is believed that siRNA recognition of a target mRNA is conferred by the seed region of its antisense strand.

[0123] The terms "mismatched nucleotide" or "MM-position nucleotide" used herein refer to a position on the RNA described herein (e.g., the first strand of dsRNA) that does not correspond to an SNP-position nucleotide. The MM-position nucleotide is defined by its position from the 5' or 3' end of the RNA described herein (e.g., the 5' or 3' end of the first strand of dsRNA) or may be defined by its position relative to the SNP-position nucleotide of the RNA described herein (e.g., the first strand of dsRNA).

[0124] In one exemplary embodiment, the MM position nucleotides are located 2–11 nucleotides, 2–10 nucleotides, 2–9 nucleotides, 2–8 nucleotides, 2–7 nucleotides, or 2–6 nucleotides from the SNP position nucleotide. In one exemplary embodiment, the MM position nucleotides are located 11 nucleotides, 10 nucleotides, 9 nucleotides, 8 nucleotides, 7 nucleotides, 6 nucleotides, 5 nucleotides, 4 nucleotides, 3 nucleotides, or 2 nucleotides from the SNP position nucleotide. In one exemplary embodiment, the MM position nucleotides are located at the positions shown in Tables 5–7.

[0125] In one embodiment, the RNA described herein (e.g., the first strand of dsRNA) is homologous to the allele polymorphism, except for one mismatch oligonucleotide at a specific position of the nucleotide corresponding to the allele polymorphism. In one embodiment, the mismatch is within approximately 6 nucleotides of the SNP site nucleotide, within approximately 5 nucleotides of the SNP site nucleotide, within approximately 4 nucleotides of the SNP site nucleotide, within approximately 3 nucleotides of the SNP site nucleotide, within approximately 2 nucleotides of the SNP site nucleotide, or within approximately 1 nucleotide of the SNP site nucleotide. In a specific embodiment, the mismatch is not adjacent to the SNP site nucleotide.

[0126] In other embodiments, the SNP site nucleotide is at position 2, 3, 4, 5, or 6 from the 5' end. In one embodiment, the SNP site nucleotide is at position 2 from the 5' end. In one embodiment, it is at position 3 from the 5' end. In one embodiment, the SNP site nucleotide is at position 4 from the 5' end. In one embodiment, the SNP site nucleotide is at position 5 from the 5' end. In one embodiment, the SNP site nucleotide is at position 6 from the 5' end.

[0127] In one exemplary embodiment, the RNA described herein (e.g., the first strand of dsRNA) contains MM position nucleotides at positions 5, 7, 8, 11, 14, 15, or 16 from the 5' end. In another exemplary embodiment, the RNA described herein (e.g., the first strand of dsRNA) contains MM position nucleotides at positions 1, 2, 3, 4, 5, 8, 9, 10, or 11 from the SNP position nucleotide.

[0128] In one exemplary embodiment, the RNA described herein (e.g., the first strand of dsRNA) comprises SNP-position nucleotide (referenced from the 5' end) - MM-position nucleotide (referenced from the 5' end) combinations selected from 2-7, 4-7, 4-8, 4-15, 6-5, 6-8, 6-11, 6-14, 6-16, 3-5, 3-7, and 3-8.

[0129] In a specific exemplary embodiment, the RNA described herein (e.g., the first strand of dsRNA) contains an SNP nucleotide at position 6 from the 5' end and an MM nucleotide at position 11 from the 5' end. In another specific exemplary embodiment, the RNA described herein (e.g., the first strand of dsRNA) contains an SNP nucleotide at position 4 from the 5' end and a mismatch at position 7 from the 5' end.

[0130] In one embodiment, the double-stranded RNA provided herein selectively silences mutant alleles having allele polymorphism. In one embodiment, the double-stranded RNA provided herein silences mutant alleles having allele polymorphism without affecting the wild-type allele of the same gene. In another embodiment, the double-stranded RNA provided herein silences mutant alleles having allele polymorphism and silences the wild-type allele of the same gene to a lesser extent than the mutant allele.

[0131] Accordingly, in one embodiment, the present invention provides a method for treating a subject having or being at risk of having a disease characterized by or caused by an allele polymorphism and associated mutant protein, comprising administering to the subject an RNAi agent that targets an allele polymorphism in a gene encoding a mutant protein (e.g., huntingtin protein) such that a sequence-specific interference of the gene results in an effective treatment of the disease.

[0132] In one embodiment, the RNA silencing agent disclosed herein efficiently and preferentially silences polymorphic variant alleles more effectively than the corresponding wild-type alleles. In one exemplary embodiment, the dsRNA disclosed herein silences polymorphic alleles by about 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% more than the corresponding wild-type allele. In one embodiment, the RNA silencing agent disclosed herein silences polymorphic alleles by at least about 50% more than the corresponding wild-type allele. In one exemplary embodiment, the dsRNA disclosed herein silences polymorphic alleles at levels at least about 5 times, about 10 times, about 15 times, about 20 times, about 25 times, about 30 times, about 35 times, about 40 times, about 45 times, about 50 times, about 55 times, about 60 times, about 65 times, about 70 times, about 75 times, about 80 times, about 85 times, about 90 times, about 95 times, about 100 times, about 110 times, about 120 times, about 130 times, about 140 times, about 150 times, about 160 times, about 170 times, about 180 times, about 190 times, about 200 times, about 250 times, about 300 times, about 350 times, about 400 times, about 450 times, or up to about 500 times higher than the silencing level of the corresponding wild-type allele.

[0133] The term "antisense strand" used herein for RNA silencing agents, such as siRNA or RNA silencing agents, refers to a strand that is substantially complementary to a section of approximately 10-50 nucleotides, e.g., approximately 15-30, 16-25, 18-23, or 19-22 nucleotides, of the mRNA of the target gene to be silenced. The antisense strand or first strand has a sequence that is sufficiently complementary to the desired target mRNA sequence to direct target-specific silencing, for example, for inducing the disruption of the desired target mRNA by an RNAi mechanism or process (RNAi interference) or for inducing translational repression of the desired target mRNA.

[0134] The terms "sense strand" or "second strand" of an RNA silencing agent, such as siRNA or RNA silencing agent, refer to the strand that is complementary to the antisense strand or first strand. The antisense and sense strands may also be called the first or second strand, and the first or second strand has homology to the target sequence, and each second or first strand has homology to the first or second strand. A miRNA double-stranded intermediate or siRNA-like double-stranded intermediate contains a miRNA strand that has sufficient complementarity to a section of approximately 10-50 nucleotides of the mRNA of the target gene for silencing, and a miRNA* strand that has sufficient complementarity to form a double-stranded structure with the miRNA strand.

[0135] The term “antisense oligonucleotide” or “ASO” as used herein refers to a nucleic acid (e.g., RNA) that has sufficient sequence complementarity to target RNA (e.g., SNP-containing mRNA or SNP-containing pre-mRNA) in an effective manner to block a region of target RNA, for example, in an effective manner to inhibit the translation of target mRNA and / or the splicing of target pre-mRNA. An antisense oligonucleotide having a “sequence sufficiently complementary to target RNA” means that the antisense agent has a sequence sufficient to block the binding site of a protein that otherwise regulates splicing and / or has a sequence sufficient to block the binding site of a ribosome and / or has a sequence sufficient to alter the tertiary structure of the targeted RNA in order to block splicing and / or translation.

[0136] In this context, the "5' end" of the antisense strand refers to the 5' terminal nucleotide, for example, the 1 to approximately 5 nucleotides at the 5' end of the antisense strand. In this context, the "3' end" of the sense strand refers to the region that is complementary to the nucleotide at the 5' end of the complementary antisense strand, for example, the region of 1 to approximately 5 nucleotides.

[0137] The term "base pair" as used herein refers to the interaction between nucleotide (or nucleotide analog) pairs on opposing strands of an oligonucleotide double helix (for example, a double helix formed by an RNA silencing agent strand and a target mRNA sequence), primarily due to H bonds between the nucleotides (or nucleotide analogs), van der Waals interactions, etc. The term "binding strength" or "base pair strength" as used herein refers to the strength of the base pair.

[0138] The term "mismatched base pair" as used herein refers to a base pair consisting of a non-complementary or non-Watson-Crick base pair that is not a normal complementary G:C, A:T, or A:U base pair. The term "ambiguous base pair" (also known as a non-discriminative base pair) as used herein refers to a base pair formed from universal nucleotides.

[0139] The linkers useful for the conjugate compounds of the present invention include glycol chains (e.g., polyethylene glycol), alkyl chains, peptides, RNA, DNA, and combinations thereof. The abbreviation "TEG" used herein refers to triethylene glycol.

[0140] Design of oligonucleotides In one embodiment, the oligonucleotide of the present invention, for example, siRNA, is a double heddle comprising a sense strand and a complementary antisense strand, the antisense strand having sufficient complementarity to a target mRNA containing allele polymorphism for intervening in RNAi. In an exemplary embodiment, the siRNA molecule has a nucleotide length of about 10 to 50 or more, i.e., each strand has 10 to 50 nucleotides (or nucleotide analogs). In a specific exemplary embodiment, the siRNA molecule has a nucleotide length of about 15 to 35 per strand, for example, about 15, about 16, about 17, about 18, about 19, about 20, about 21, about 22, about 23, about 24, about 25, about 26, about 27, about 28, about 29, about 30, about 31, about 32, about 33, about 34, or about 35 nucleotides, where one of the strands is sufficiently complementary to the target region.

[0141] In exemplary embodiments, the chains are aligned such that when the chains are annealed, there are at least 1, 2, or 3 non-aligned (i.e., no complementary bases on the opposing chain) bases at the ends of the chains, resulting in an overhang of 1, 2, or 3 residues at one or both ends of the double helix. In exemplary embodiments, the siRNA molecules have a nucleotide length of approximately 10 to 50 or more nucleotides, i.e., each chain contains 10 to 50 nucleotides (or nucleotide analogs). In a specific exemplary embodiment, the siRNA molecule has each chain having a length of approximately 15–35 nucleotides, for example, approximately 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, or 35 nucleotides, where one chain is substantially complementary to the target sequence containing the allele polymorphism, and the other chain is complementary or substantially complementary to the first chain. In one embodiment, the siRNA molecule is fully complementary to the target sequence containing the allele polymorphism, except for one additional mismatch, also known as a secondary mismatch.

[0142] In one embodiment, each chain consists of 10 to 50 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs). This includes oside analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, 41 nucleotides or nucleotide analogs, 42 nucleotides or nucleotide analogs, 43 nucleotides or nucleotide analogs, 44 nucleotides or nucleotide analogs, 45 nucleotides or nucleotide analogs, 46 nucleotides or nucleotide analogs, 47 nucleotides or nucleotide analogs, 48 ​​nucleotides or nucleotide analogs, 49 nucleotides or nucleotide analogs, or 50 nucleotides or nucleotide analogs.In one embodiment, each chain consists of 10 to 49 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs). Includes creotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, 41 nucleotides or nucleotide analogs, 42 nucleotides or nucleotide analogs, 43 nucleotides or nucleotide analogs, 44 nucleotides or nucleotide analogs, 45 nucleotides or nucleotide analogs, 46 nucleotides or nucleotide analogs, 47 nucleotides or nucleotide analogs, 48 ​​nucleotides or nucleotide analogs, or 49 nucleotides or nucleotide analogs.In one embodiment, each chain consists of 10 to 48 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs). This includes oside analogs, 29-nucleotide or nucleotide analogs, 30-nucleotide or nucleotide analogs, 31-nucleotide or nucleotide analogs, 32-nucleotide or nucleotide analogs, 33-nucleotide or nucleotide analogs, 34-nucleotide or nucleotide analogs, 35-nucleotide or nucleotide analogs, 36-nucleotide or nucleotide analogs, 37-nucleotide or nucleotide analogs, 38-nucleotide or nucleotide analogs, 39-nucleotide or nucleotide analogs, 40-nucleotide or nucleotide analogs, 41-nucleotide or nucleotide analogs, 42-nucleotide or nucleotide analogs, 43-nucleotide or nucleotide analogs, 44-nucleotide or nucleotide analogs, 45-nucleotide or nucleotide analogs, 46-nucleotide or nucleotide analogs, 47-nucleotide or nucleotide analogs, or 48-nucleotide or nucleotide analogs.In one embodiment, each chain comprises 10 to 47 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides, etc.). Includes creotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, 41 nucleotides or nucleotide analogs, 42 nucleotides or nucleotide analogs, 43 nucleotides or nucleotide analogs, 44 nucleotides or nucleotide analogs, 45 nucleotides or nucleotide analogs, 46 nucleotides or nucleotide analogs, or 47 nucleotides or nucleotide analogs.In one embodiment, each chain consists of 10 to 46 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs). This includes othiocyanate analogs, 28-nucleotide or nucleotide analogs, 29-nucleotide or nucleotide analogs, 30-nucleotide or nucleotide analogs, 31-nucleotide or nucleotide analogs, 32-nucleotide or nucleotide analogs, 33-nucleotide or nucleotide analogs, 34-nucleotide or nucleotide analogs, 35-nucleotide or nucleotide analogs, 36-nucleotide or nucleotide analogs, 37-nucleotide or nucleotide analogs, 38-nucleotide or nucleotide analogs, 39-nucleotide or nucleotide analogs, 40-nucleotide or nucleotide analogs, 41-nucleotide or nucleotide analogs, 42-nucleotide or nucleotide analogs, 43-nucleotide or nucleotide analogs, 44-nucleotide or nucleotide analogs, 45-nucleotide or nucleotide analogs, or 46-nucleotide or nucleotide analogs.In one embodiment, each chain consists of 10 to 45 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35). Includes nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, 41 nucleotides or nucleotide analogs, 42 nucleotides or nucleotide analogs, 43 nucleotides or nucleotide analogs, 44 nucleotides or nucleotide analogs, or 45 nucleotides or nucleotide analogs.In one embodiment, each chain comprises 10 to 44 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs). This includes othiocyanate analogs, 27-nucleotide or nucleotide analogs, 28-nucleotide or nucleotide analogs, 29-nucleotide or nucleotide analogs, 30-nucleotide or nucleotide analogs, 31-nucleotide or nucleotide analogs, 32-nucleotide or nucleotide analogs, 33-nucleotide or nucleotide analogs, 34-nucleotide or nucleotide analogs, 35-nucleotide or nucleotide analogs, 36-nucleotide or nucleotide analogs, 37-nucleotide or nucleotide analogs, 38-nucleotide or nucleotide analogs, 39-nucleotide or nucleotide analogs, 40-nucleotide or nucleotide analogs, 41-nucleotide or nucleotide analogs, 42-nucleotide or nucleotide analogs, 43-nucleotide or nucleotide analogs, or 44-nucleotide or nucleotide analogs.In one embodiment, each chain consists of 10 to 43 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides, etc.). Includes creotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, 41 nucleotides or nucleotide analogs, 42 nucleotides or nucleotide analogs, or 43 nucleotides or nucleotide analogs.In one embodiment, each chain consists of 10 to 42 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs). This includes o-nucleotide analogs, 26-nucleotide or nucleotide analogs, 27-nucleotide or nucleotide analogs, 28-nucleotide or nucleotide analogs, 29-nucleotide or nucleotide analogs, 30-nucleotide or nucleotide analogs, 31-nucleotide or nucleotide analogs, 32-nucleotide or nucleotide analogs, 33-nucleotide or nucleotide analogs, 34-nucleotide or nucleotide analogs, 35-nucleotide or nucleotide analogs, 36-nucleotide or nucleotide analogs, 37-nucleotide or nucleotide analogs, 38-nucleotide or nucleotide analogs, 39-nucleotide or nucleotide analogs, 40-nucleotide or nucleotide analogs, 41-nucleotide or nucleotide analogs, or 42-nucleotide or nucleotide analogs.In one embodiment, each chain comprises 10 to 41 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, 40 nucleotides or nucleotide analogs, or 41 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 10 to 40 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, 39 nucleotides or nucleotide analogs, or 40 nucleotides or nucleotide analogs).In one embodiment, each chain contains 10 to 39 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, 38 nucleotides or nucleotide analogs, or 39 nucleotides or nucleotide analogs).In one embodiment, each chain consists of 10 to 38 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs). (including 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, 37 nucleotides or nucleotide analogs, or 38 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 10 to 37 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, 36 nucleotides or nucleotide analogs, or 37 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 10 to 36 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, 35 nucleotides or nucleotide analogs, or 36 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 10 to 35 nucleotides or nucleotide analogs (for example, 10 nucleotides or nucleotide analogs, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 11 to 35 nucleotides or nucleotide analogs (for example, 11 nucleotides or nucleotide analogs, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 12 to 35 nucleotides or nucleotide analogs (for example, 12 nucleotides or nucleotide analogs, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 13 to 35 nucleotides or nucleotide analogs (for example, 13 nucleotides or nucleotide analogs, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 14 to 35 nucleotides or nucleotide analogs (for example, 14 nucleotides or nucleotide analogs, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).In one embodiment, each chain comprises 15 to 35 nucleotides or nucleotide analogs (for example, 15 nucleotides or nucleotide analogs, 16 nucleotides or nucleotide analogs, 17 nucleotides or nucleotide analogs, 18 nucleotides or nucleotide analogs, 19 nucleotides or nucleotide analogs, 20 nucleotides or nucleotide analogs, 21 nucleotides or nucleotide analogs, 22 nucleotides or nucleotide analogs, 23 nucleotides or nucleotide analogs, 24 nucleotides or nucleotide analogs, 25 nucleotides or nucleotide analogs, 26 nucleotides or nucleotide analogs, 27 nucleotides or nucleotide analogs, 28 nucleotides or nucleotide analogs, 29 nucleotides or nucleotide analogs, 30 nucleotides or nucleotide analogs, 31 nucleotides or nucleotide analogs, 32 nucleotides or nucleotide analogs, 33 nucleotides or nucleotide analogs, 34 nucleotides or nucleotide analogs, or 35 nucleotides or nucleotide analogs).

[0143] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), the antisense strand having a length of 15-25 nucleotides or a nucleotide analog, for example, 16-24 nucleotides or a nucleotide analog, 17-23 nucleotides or a nucleotide analog, 18-22 nucleotides or a nucleotide analog, or 19-21 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 15 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 16 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 17 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 18 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 19 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 20 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 21 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 22 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 23 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 24 nucleotides or a nucleotide analog. In one embodiment, the antisense strand has a length of 25 nucleotides or a nucleotide analog.

[0144] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), wherein the sense strand has a length of 10 to 20 nucleotides or a nucleotide analog, for example, 11 to 19 nucleotides or a nucleotide analog, 12 to 18 nucleotides or a nucleotide analog, 13 to 17 nucleotides or a nucleotide analog, or 14 to 16 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 10 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 11 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 12 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 13 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 14 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 15 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 16 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 17 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 18 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 19 nucleotides or a nucleotide analog. In one embodiment, the sense strand has a length of 20 nucleotides or a nucleotide analog.

[0145] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), where the antisense strand has a length of 15-25 nucleotides or a nucleotide analog, and the sense strand has a length of 10-20 nucleotides or a nucleotide analog. In another embodiment, the antisense strand has a length of 16-24 nucleotides or a nucleotide analog, and the sense strand has a length of 11-19 nucleotides or a nucleotide analog. In yet another embodiment, the antisense strand has a length of 17-23 nucleotides or a nucleotide analog, and the sense strand has a length of 12-18 nucleotides or a nucleotide analog. In yet another embodiment, the antisense strand has a length of 18-22 nucleotides or a nucleotide analog, and the sense strand has a length of 13-17 nucleotides or a nucleotide analog. In yet another embodiment, the antisense strand has a length of 19-21 nucleotides or a nucleotide analog, and the sense strand has a length of 14-16 nucleotides or a nucleotide analog.

[0146] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), where the antisense strand has a length of 20 nucleotides or a nucleotide analog, and the sense strand has a length of 15 nucleotides or a nucleotide analog.

[0147] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), where the antisense strand has a length of 21 nucleotides or a nucleotide analog, and the sense strand has a length of 15 nucleotides or a nucleotide analog.

[0148] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), where the antisense strand has a length of 20 nucleotides or a nucleotide analog, and the sense strand has a length of 16 nucleotides or a nucleotide analog.

[0149] In one embodiment, the siRNA comprises a sense strand and an antisense strand (e.g., as described above), where the antisense strand has a length of 21 nucleotides or a nucleotide analog, and the sense strand has a length of 16 nucleotides or a nucleotide analog.

[0150] Generally, siRNA can be designed using any method known in the art, for example, using the following protocol:

[0151] 1. siRNA may be specific to target sequences containing allele polymorphisms. In exemplary embodiments, the first strand has one mismatch to the target sequence containing the allele polymorphism and is substantially complementary to the target sequence containing the allele polymorphism, while the other strand is substantially complementary to the first strand. In some embodiments, the target sequence is outside the coding region of the target gene. Exemplary target sequences are selected from the 5' untranslated region (5'-UTR) or intron region of the target gene. Cleavage at these sites of mRNA should eliminate translation of the corresponding mutant protein. Target sequences from other regions of the htt gene are also suitable for targeting. The sense strand is designed based on the target sequence. Furthermore, siRNA with a low G / C content (35-55%) may be more active than siRNA with a G / C content higher than 55%. Therefore, in some embodiments, the present invention includes nucleic acid molecules having a G / C content of 35-55%.

[0152] 2. The sense strand of the siRNA is designed based on the sequence of the selected target site and the location of the allele polymorphism. In exemplary embodiments, the RNA silencing agents of the present invention do not induce a PKR response (i.e., are sufficiently short). However, longer RNA silencing agents may be useful, for example, in cell types that cannot produce a PKR response or in situations where the PKR response is downregulated or attenuated in other ways.

[0153] The siRNA molecule of the present invention has sufficient complementarity with the target sequence so that the siRNA can intervene in RNAi. Generally, siRNAs are used that contain a nucleotide sequence sufficiently identical to the target sequence portion of the target gene to perform RISC-mediated cleavage of the target gene. Accordingly, in one exemplary embodiment, the sense strand of the siRNA is designed to have a sequence sufficiently identical to the target portion, including allele polymorphisms. The present invention has the advantage of being able tolerant of certain sequence variations in order to enhance the efficiency and specificity of RNAi. In one embodiment, the sense strand has one mismatched nucleotide with a target region containing allele polymorphisms, such as a target region that differs by at least one base pair between the wild-type and mutant alleles, e.g., a target region including a gain-of-function mutation, and the other strand is identical or substantially identical to the first strand. In one embodiment, the mismatch is located four nucleotides upstream, three nucleotides upstream, two nucleotides upstream, one nucleotide upstream, one nucleotide downstream, one nucleotide downstream, two nucleotides downstream, three nucleotides downstream, four nucleotides downstream, or five nucleotides downstream of the nucleotide corresponding to the allele polymorphism. In one embodiment, the mismatch is not adjacent to the nucleotide corresponding to the allele polymorphism. Furthermore, siRNA sequences with small insertions or deletions of one or two nucleotides may also be effective for RNAi intervention. Alternatively, siRNA sequences with nucleotide analog substitutions or insertions may be effective for inhibition.

[0154] Sequence identity can be determined by sequence comparison and alignment algorithms known in this field. To determine the percentage identity of two nucleic acid sequences (or two amino acid sequences), the sequences are aligned for optimal comparison purposes (for example, gaps may be introduced in the first or second sequence for optimal alignment). Then, the nucleotides (or amino acid residues) at the corresponding nucleotide (or amino acid) positions are compared. If a certain position in the first sequence is the same residue as the corresponding position in the second sequence... Occupation If so, these molecules are identical at that position. The percentage identity between two sequences is a function of the number of identical positions shared by these sequences (i.e., percentage (%) homology = number of identical positions / total number of positions × 100), and the score penalty for the number of gaps and / or gap lengths introduced as desired. i To impose a penalty.

[0155] The comparison of two sequences and the determination of their percentage identity can be achieved using mathematical algorithms. In one embodiment, an alignment is created over a portion of the aligned sequences that has sufficient identity, but not over a portion with a low degree of identity (i.e., a non-important (local) alignment). An exemplary, non-restrictive example of a non-important alignment algorithm used for sequence comparison is the algorithm of Karlin and Altschul (1990) Proc. Natl. Acad. Sci. USA 87:2264-68, modified by Karlin and Altschul (1993) Proc. Natl. Acad. Sci. USA 90:5873-77. Such an algorithm is incorporated into the BLAST program (version 2.0) of Altschul, et al. (1990) J. Mol. Biol. 215:403-10.

[0156] In other embodiments, the alignment is optimized by introducing appropriate gaps, and percentage identity is determined over the length of the aligned sequences (i.e., gapped alignment). To obtain a gapped alignment for comparison purposes, a gapped BLAST can be used, as described in Altschul et al., (1997) Nucleic Acids Res. 25(17):3389-3402. In other embodiments, the alignment is optimized by introducing appropriate gaps, and percentage identity is determined over the entire length of the aligned sequences (i.e., inclusive alignment). An exemplary, non-restrictive example of a mathematical algorithm for use in inclusive sequence comparison is the algorithm of Myers and Miller, CABIOS (1989). Such algorithms are incorporated into the alignment program (version 2.0), which is part of the GCG sequence alignment software package. When using the alignment program for amino acid sequence comparison, the PAM120 weighted residue table, gap length penalty 12, and gap penalty 4 may be used.

[0157] 3. The antisense or guide strand of an siRNA is typically the same length as the sense strand and contains complementary nucleotides. In some embodiments, the guide and sense strands are fully complementary, and the strands are blunt-ended when aligned or annealed. In other embodiments, the siRNA strands may be paired in such a way that they have 1 to 4, e.g., 2, nucleotide 3' overhangs. The overhangs may contain (or consist of) nucleotides corresponding to the target gene sequence (or its complement). Alternatively, the overhangs may contain (or consist of) deoxyribonucleotides, e.g., dTs or nucleotide analogs or other suitable non-nucleotide substances. Thus, in other embodiments, the nucleic acid molecule may contain a 2-nucleotide 3' overhang, such as TT. The overhanging nucleotides may be RNA or DNA. As described above, selection of target regions where the mutant:wild-type mismatch is a purine:purine mismatch is desirable.

[0158] 4. Using any method known in this field, compare potential targets to appropriate genome databases (human, mouse, rat, etc.) and eliminate any target sequences that have significant homology with other coding sequences. A method for such sequence homology searches is known as BLAST, which is available on the National Center for Biotechnology Information website.

[0159] 5. Select one or more sequences that meet the evaluation criteria.

[0160] Further general information regarding the design and use of siRNA can be found in "The siRNA User Guide," available on the website of The Max-Plank-Institut fur Biophysikalishe Chemie.

[0161] Alternatively, siRNA can be functionally defined as a nucleotide sequence (or oligonucleotide sequence) capable of hybridizing with a target sequence (e.g., 400 mM NaCl, 40 mM PIPES pH 6.4, 1 mM EDTA, hybridization at 50°C or 70°C for 12–16 hours; followed by washing). Additional exemplary hybridization conditions include hybridization with 1×SSC at 70°C or 1×SSC at 50°C with 50% formamide, followed by washing with 0.3×SSC at 70°C or 4×SSC at 70°C or 4×SSC at 50°C with 50% formamide, followed by washing with 1×SSC at 67°C. The hybridization temperature for hybrids estimated to be less than 50 base pairs in length should be 5–10°C lower than the melting temperature (Tm) of the hybrid, where Tm is determined by the following formula: For hybrids with a length of less than 18 base pairs, Tm(°C) = 2 (number of A + T bases) + 4 (number of G + C bases). For hybrids with a length of 18 to 49 base pairs, Tm(°C) = 81.5 + 16.6 (log10[Na+]) + 0.41 (%G+C) - (600 / N), where N is the number of bases in the hybrid and [Na+] is the sodium ion concentration in the hybridization buffer ([Na+] of 1 × SSC = 0.165 M). Further examples of stringency conditions for polynucleotide hybridization are provided in Sambrook, J., EF Fritsch, and T. Maniatis, 1989, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, chapters 9 and 11, and Current Protocols in Molecular Biology, 1995, FM Ausubel et al., eds., John Wiley & Sons, Inc., sections 2.10 and 6.3-6.4, which are incorporated herein by reference in their entirety for all purposes.

[0162] The negative control siRNA should have the same nucleotide composition as the selected siRNA, except that it lacks substantial sequence complementarity with the appropriate genome. Such a negative control can be designed by randomizing the nucleotide sequence of the selected siRNA. A homology search can be performed to confirm that the negative control lacks homology to any other genes in the appropriate genome. Furthermore, the negative control siRNA can be designed by introducing one or more base mismatches into the sequence.

[0163] 6. To verify the effectiveness of siRNA in disrupting target mRNA (e.g., wild-type or mutant huntingtin mRNA), siRNA can be incubated with target cDNA (e.g., huntingtin cDNA) in a Drosophila-based in vitro mRNA expression system. 32 A newly synthesized target mRNA (e.g., huntingtin mRNA) radiolabeled with 3P is detected by autoradiography on an agarose gel. The presence of the cleaved target mRNA indicates mRNA nuclease activity. Suitable controls include siRNA elimination and the use of non-target cDNA. Alternatively, a control siRNA having the same nucleotide composition as the selected siRNA is selected, except that it lacks substantial sequence complementarity to the appropriate target gene. Such negative controls can be designed by randomizing the nucleotide sequence of the selected siRNA. Homology searches can be performed to confirm that the negative control lacks homology to any other genes in the appropriate genome. Furthermore, negative control siRNA can be designed by introducing one or more base mismatches into the sequence.

[0164] An siRNA can be designed to target any of the above target sequences. The siRNA includes an antisense strand that is sufficiently complementary to the target sequence in order to intervene in the silencing of the target sequence. In one embodiment, the RNA silencing agent is an siRNA.

[0165] The siRNA-mRNA complementation site that results in optimal mRNA specificity and maximum mRNA cleavage is selected.

[0166] siRNA-like molecules The siRNA-like molecules of the present invention have a sequence that is "sufficiently complementary" (i.e., a sequence-containing strand) to the mRNA of a target sequence (e.g., htt mRNA) in order to support gene silencing by RNAi or translational repression. The siRNA-like molecules are designed in the same manner as siRNA molecules, except that the degree of sequence identity between the sense strand and the target RNA approximates that observed between miRNA and its target. Generally, as the degree of sequence identity between the miRNA sequence and the corresponding target gene sequence decreases, the tendency to intervene in post-transcriptional gene silencing by translational repression rather than RNAi increases. Therefore, in another embodiment, when post-transcriptional gene silencing by translational repression of the target gene is desired, the miRNA sequence has partial complementarity with the target gene sequence. In one embodiment, the miRNA sequence has partial complementarity with one or more short sequences (complementary sites) dispersed within the target mRNA (e.g., within the 3'-UTR of the target mRNA) (Hutvagner and Zamore, Science, 2002; Zeng et al., Mol. Cell, 2002; Zeng et al., RNA, 2003; Doench et al., Genes & Dev., 2003). Due to the cooperative mechanism of translational repression, in one embodiment, multiple complementary sites (e.g., 2, 3, 4, 5, or 6) may be targeted.

[0167] The ability of an siRNA-like duplex to intervene in RNAi or translational repression can be predicted by the distribution of non-identical nucleotides between the target gene sequence and the silencing agent nucleotide sequence at the complementarity site. In one embodiment, when gene silencing by translational repression is desired, at least one non-identical nucleotide is present in the central part of the complementarity site such that the duplex formed by the miRNA guide strand and target mRNA contains a central protrusion "bulge" (Doench JG et al., Genes & Dev., 2003). In other embodiments, 2, 3, 4, 5, or 6 consecutive or discontinuous non-identical nucleotides are introduced. Non-identical nucleotides may be selected to form fluctuating base pairs (e.g., G:U) or mismatched base pairs (G:A, C:A, C:U, G:G, A:A, C:C, U:U). In a further exemplary embodiment, the protrusion is centered at nucleotide positions 12 and 13 from the 5' end of the miRNA molecule.

[0168] Modified RNA silencing agent In one embodiment of the present invention, the RNA silencing agent (or any part thereof) described above may be modified to further improve the activity of the agent. For example, the RNA silencing agent may be modified with any of the above modifications. The modifications may, in part, further enhance target recognition, enhance the stability of the agent (e.g., inhibit degradation), promote cell uptake, enhance target efficiency, improve the effectiveness of binding (e.g., to the target), improve patient tolerance to the agent, and / or reduce toxicity.

[0169] 1) Modifications to enhance target recognition In one embodiment, the RNA silencing agent of the present invention may be replaced with an unstable nucleotide to enhance single-nucleotide target recognition (see U.S. application 11 / 698,689 filed January 25, 2007 and U.S. Provisional Application 60 / 762,225 filed January 25, 2006, both of which are incorporated herein by reference). Such modifications may be sufficient to eliminate the specificity of the RNA silencing agent to non-target mRNA (e.g., wild-type mRNA) without apparently affecting the specificity of the RNA silencing agent to target mRNA (e.g., gain-of-function mutant mRNA).

[0170] In one exemplary embodiment, the RNA silencing agent of the present invention is modified by introducing at least one universal nucleotide in its antisense strand. The universal nucleotide comprises a base moiety that can indiscriminately base-pair with any of the four common nucleotide bases (e.g., A, G, C, U). Universal nucleotides are generally used because they have a relatively small impact on the stability of the RNA double helix or the double helix formed between the guide strand of the RNA silencing agent and the target mRNA. Exemplary universal nucleotides include those having an inosine base moiety or an inosine analog base moiety selected from the group consisting of deoxyinosine (e.g., 2'-deoxyinosine), 7-deaza-2'-deoxyinosine, 2'-aza-2'-deoxyinosine, PNA-inosine, morpholino-inosine, LNA-inosine, phosphoramidate-inosine, 2'-O-methoxyethyl-inosine, and 2'-OMe-inosine. In specific exemplary embodiments, the universal nucleotide is an inosine residue or a naturally occurring analog thereof.

[0171] In one embodiment, the RNA silencing agent of the present invention is modified by introducing at least one destabilizing nucleotide within 11 nucleotides of the specificity-determining nucleotide (e.g., within 11 nucleotides of the nucleotide that recognizes a disease-associated polymorphism (e.g., an SNP site nucleotide)). For example, the destabilizing nucleotide may be introduced at a position within 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, or 1 nucleotide of the specificity-determining nucleotide. In an exemplary embodiment, the destabilizing nucleotide is introduced at a position 3 nucleotides from the specificity-determining nucleotide (i.e., there are two stabilizing nucleotides between the destabilizing nucleotide and the specificity-determining nucleotide). In RNA silencing agents having two strands or strand portions (e.g., siRNA and shRNA), the destabilizing nucleotide may be introduced into the strand or strand portion that does not contain the specificity-determining nucleotide. In a specific exemplary embodiment, the destabilizing nucleotide is introduced into the same strand or strand portion that contains the specificity-determining nucleotide.

[0172] In one embodiment, the RNA silencing agent of the present invention is given by formula 1: [ka] [During the ceremony, D is selected from the group consisting of O, OCH2, OCH, CH2, and CH; C is O - , OH, OR 1 NH - NH2, S - Selected from the group consisting of and SH; A is selected from the group consisting of O and CH2; R 1 is a protecting group; --- is any double bond; and The subunits are bridged by two optionally modified nucleosides. It is modified by the introduction of inter-subunit bonding.

[0173] In one embodiment, C is O- When this is the case, A or D is not O.

[0174] In one embodiment, D is CH2. In another embodiment, the modification subunit bond of formula VIII is formula 2 [ka] This is a modification subunit linkage.

[0175] In one embodiment, D is O. In another embodiment, the modification subunit bonding of formula VIII is formula 3 [ka] This is a modification subunit linkage.

[0176] In one embodiment, D is CH. In another embodiment, the modification subunit bond of formula VIII is formula 4 [ka] This is a modification subunit linkage.

[0177] In another embodiment, the bond between modified subunits is given by Equation 5 [ka] This is a modification subunit linkage.

[0178] In one embodiment, D is OCH2. In another embodiment, the bond between modified subunits is given by Equation 6. [ka] This is a modification subunit linkage.

[0179] In other embodiments, the modification subunit coupling of formula VII is given by formula 7 [ka] This is a modification subunit linkage.

[0180] In one embodiment, the RNA silencing agent of the present invention is modified by introducing one or more intersubunit linkers as shown in Figure 43. In one exemplary embodiment, the intersubunit linker of Figure 43 is inserted between a nucleotide at the SNP site and a nucleotide at a position directly adjacent to the SNP site nucleotide of the antisense strand, on either side.

[0181] In one embodiment, the RNA silencing agent of the present invention is given by the following formula [ka] The inter-subunit linker having one or more vinyl phosphonate (VP) motifs is modified by introducing them.

[0182] In one embodiment, the VP motif is inserted at any position in an oligonucleotide, such as RNA. For example, in an oligonucleotide having a length of 20 nucleotides, the VP motif can be inserted at positions 1-2, 2-3, 3-4, 4-5, 5-6, 6-7, 7-8, 8-9, 9-10, 10-11, 11-12, 12-13, 13-14, 14-15, 15-16, 16-17, 17-18, 18-19, or 19-20 and any combination thereof.

[0183] In one exemplary embodiment, the VP motif is inserted at one or more locations on the antisense chain, such as 1-2, 5-6, 6-7, 10-11, 18-19 and / or 19-20.

[0184] In another exemplary embodiment, the VP motif is inserted at one or more locations on the antisense chain, such as 1-2, 6-7, 10-11, and / or 19-20.

[0185] In one exemplary embodiment, the VP motif is inserted adjacent to the SNP-position nucleotide of the antisense strand (i.e., between the SNP-position nucleotide and the nucleotide at a position immediately adjacent to the SNP-position nucleotide on either side). In other exemplary embodiments, the VP motif is inserted adjacent to the MM-position nucleotide of the antisense strand (i.e., between the MM-position nucleotide and the nucleotide at a position immediately adjacent to the MM-position nucleotide on either side).

[0186] 2) Modifications for enhancing effectiveness and specificity In one embodiment, the RNA silencing agent of the invention can be modified to promote enhancement of effectiveness and specificity in RNAi-mediated interference according to an asymmetry design criterion (see U.S. Patents 8,309,704, 7,750,144, 8,304,530, 8,329,892, and 8,309,705). Such modifications promote the entry of the antisense strand of the siRNA (e.g., siRNA produced from siRNA or shRNA designed using the methods of the invention) into RISC preferentially over the sense strand such that the antisense strand preferentially guides cleavage or translational repression of the target mRNA and thus increases or improves the efficiency of target cleavage and silencing. In an exemplary embodiment, the asymmetry of the RNA silencing agent is enhanced by reducing the base pair strength between the 5'-end (AS 5') of the antisense strand and the 3'-end (S 3') of the sense strand of the RNA silencing agent as compared to the binding strength or base pair strength between the 3'-end (AS 3') of the antisense strand and the 5'-end (S' 5) of the sense strand of the RNA silencing agent.

[0187] In certain embodiments, the asymmetry of the RNA silencing agent of the present invention can be enhanced such that there are fewer G:C base pairs between the 3' end of the first or antisense strand and the 5' end of the sense strand portion than between the 5' end of the first or antisense strand and the 3' end of the sense strand portion. In other embodiments, the asymmetry of the RNA silencing agent of the present invention can be enhanced such that there is at least one mismatched base pair between the 5' end of the first or antisense strand and the 3' end of the sense strand portion. In an exemplary embodiment, the mismatched base pair is selected from the group consisting of G:A, C:A, C:U, G:G, A:A, C:C, and U:U. In other embodiments, the asymmetry of the RNA silencing agent of the present invention can be enhanced such that there is at least one wobble base pair, such as G:U, between the 5' end of the first or antisense strand and the 3' end of the sense strand portion. In other embodiments, the asymmetry of the RNA silencing agent of the present invention can be enhanced such that there is at least one base pair containing a rare nucleotide, such as inosine (I). In an exemplary embodiment, the base pair is selected from the group consisting of I:A, I:U, and I:C. In still other embodiments, the asymmetry of the RNA silencing agent of the present invention can be enhanced such that there is at least one base pair containing a modified nucleotide. In a specific embodiment, the modified nucleotide is selected from the group consisting of 2-amino-G, 2-amino-A, 2,6-diamino-G, and 2,6-diamino-A.

[0188] In certain embodiments, the RNA silencing agent of the present invention has the following formula

Chemical formula

[0189] 3) RNA silencing agent with enhanced stability The RNA silencing agent of the present invention may be modified to improve its stability in serum or growth media for cell culture. To enhance stability, the 3' residue can be stabilized against degradation and may be selected to consist of, for example, purine nucleotides, particularly adenosine or guanosine nucleotides. Alternatively, substitution with a modified analog of a pyrimidine nucleotide, such as substitution of uridine with 2'-deoxythymidine, is tolerant and does not affect the efficiency of RNA interference.

[0190] In certain embodiments, the present invention relates to an RNA silencing agent comprising a first and second strand, wherein the second strand and / or the first strand are modified by internal nucleotide substitutions with modified nucleotides to enhance in vivo stability compared to a corresponding unmodified RNA silencing agent. A “internal” nucleotide, as defined herein, is located anywhere other than the 5' or 3' end of a nucleic acid molecule, polynucleotide, or oligonucleotide. Internal nucleotides can be within a single-stranded molecule or within a double-stranded or double-stranded molecule. In one embodiment, the sense strand and / or antisense strand are modified by the substitution of at least one internal nucleotide. In other embodiments, the sense strand and / or antisense strand are modified by the substitution of at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more internal nucleotides. In other embodiments, the sense strand and / or antisense strand are modified by substitutions of at least 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or more of the internal nucleotides. In yet another embodiment, the sense strand and / or antisense strand are modified by substitutions of all internal nucleotides.

[0191] In certain embodiments of the present invention, the RNA silencing agent may comprise at least one modified nucleotide analog. The nucleotide analog may be located at a position where target-specific silencing activity, such as RNAi-mediated activity or translational repression activity, is substantially unaffected, for example, in the 5' and / or 3' terminal regions of the siRNA molecule. In particular, the terminals may be stabilized by the incorporation of the modified nucleotide analog.

[0192] In one embodiment, the RNA silencing agent of the present invention is given by the following formula [ka] The introduction of a vinyl phosphonate (VP) motif alters the inter-subunit bonding of one or more oligonucleotides.

[0193] A variety of oligonucleotide types (e.g., gapmers, mixedmers, miRNA inhibitors, splice-switching oligonucleotides ("SSO"), phosphorodiamidate morpholino oligonucleotides ("PMO"), peptide nucleic acids ("PNA"), etc.) can be used with the oligonucleotides described herein, optionally utilizing various modifications (e.g., chemical modifications) and / or combinations of conjugations described herein and, for example, U.S. applications 15 / 089,423; 15 / 236,051; 15 / 419,593; 15 / 697,120 and U.S. patents 9,809,817; and U.S. applications 15 / 814,350 and U.S. patents 9,862,350 (each, for all purposes, incorporated herein in whole by reference).

[0194] Exemplary nucleotide analogs include sugar and / or main-chain modified ribonucleotides (i.e., modifications of the phosphate-sugar main chain). For example, the phosphodiester bond of native RNA may be modified to include at least one nitrogen or sulfur heteroatom. In exemplary main-chain modified ribonucleotides, the phosphoester group attached to an adjacent ribonucleotide is replaced, for example, with a phosphothioate group modifying group. In exemplary sugar-modified ribonucleotides, the 2' OH group is replaced with a group selected from H, OR, R, halo, SH, SR, NH2, NHR, NR2, or ON (wherein R is a C1-C6 alkyl, alkenyl, or alkynyl, and halo is F, Cl, Br, or I).

[0195] In specific embodiments, the modifications are 2'-fluoro, 2'-amino, and / or 2'-thio modifications. Particularly exemplary modifications include 2'-fluorocytidine, 2'-fluorouridine, 2'-fluoroadenosine, 2'-fluoroguanosine, 2'-aminocytidine, 2'-aminouridine, 2'-aminoadenosine, 2'-aminoguanosine, 2,6-diaminopurine, 4-thiouridine, and / or 5-aminoallyluridine. In certain embodiments, the 2'-fluororibonucleotides are whole uridine and cytidine. Additional exemplary modifications include 5-bromouridine, 5-iodouridine, 5-methylcytidine, ribothymidine, 2-aminopurine, 2'-aminobutyrylpyreneuridine, 5-fluorocytidine, and 5-fluorouridine. 2'-deoxynucleotides and 2'-Omenucleotides may also be used within the modified RNA-silencing agent moiety of the present invention. Additional modification residues include deoxy-debases, inosine, N3-methyluridine, N6,N6-dimethyladenosine, pseudouridine, purine ribonucleosides, and ribavirin. In specific exemplary embodiments, the 2' portion is a methyl group such that the linking portion is a 2'-O-methyl oligonucleotide.

[0196] In one exemplary embodiment, the RNA silencing agent of the present invention comprises locked nucleic acid (LNA). LNA is a sugar-modified nucleotide that is resistant to nuclease activity (highly stable) and has single-nucleotide recognition of mRNA (Elmen et al., Nucleic Acids Res., (2005), 33(1): 439-447; Braasch et al. (2003) Biochemistry 42:7967-7975, Petersen et al. (2003) Trends Biotechnol. 21:74-81). These molecules have 2'-O,4'-C-ethylene-bridged nucleic acid, which may be modified with 2'-deoxy-2''-fluorouridine, etc. Furthermore, LNA confines the sugar moiety to the 3' terminal conformation, thereby pre-organizing the nucleotide for base pairing and increasing the specificity of the oligonucleotide by about 10°C per base, thereby increasing the melting temperature of the oligonucleotide.

[0197] In another exemplary embodiment, the RNA silencing agent of the present invention comprises peptide nucleic acid (PNA). The PNA contains modified nucleotides in which the sugar-phosphate moiety of the nucleotide is replaced with a neutral 2-aminoethylglycine moiety that is highly resistant to nuclease digestion and capable of forming a polyamide backbone, thereby improving the molecular binding specificity (Nielsen, et al., Science, (2001), 254: 1497-1500).

[0198] In one exemplary embodiment, a ribonucleotide, i.e., a ribonucleotide, is used that contains at least one non-naturally occurring nucleotide base, rather than a naturally occurring nucleotide base. The bases may be modified to block adenosine deaminase activity. Exemplary modified nucleotides include, but are not limited to, uridine and / or cytidine modifications at position 5, e.g., 5-(2-amino)propyluridine, 5-bromouridine; adenosine and / or guanosine modifications at position 8, e.g., 8-bromoguanosine; deazanucleotides, e.g., 7-deaza-adenosine; and O- and N-alkylated nucleotides, e.g., N6-methyladenosine. It should be noted that the above modifications may be combined.

[0199] In other embodiments, cross-crosslinking may be used to modify the pharmacokinetics of RNA silencing agents, for example, to extend their half-life in the body. Therefore, the present invention includes RNA silencing agents having two complementary strands of nucleic acid, where two strands are cross-crosslinked. The present invention also includes RNA silencing agents conjugated or unconjugated (e.g., at the 3' end) to other parts (e.g., non-nucleic acid parts such as peptides), organic compounds (e.g., dyes), etc. Modification of siRNA derivatives by this method can improve cellular uptake or enhance cell targeting activity of the resulting siRNA derivatives compared to the corresponding siRNA, is useful for tracking siRNA derivatives in cells, or improves the stability of siRNA derivatives compared to the corresponding siRNA.

[0200] Other exemplary modifications include (a) 2' modifications, e.g., on the sense or antisense chain, but in particular providing a 2'-OMe moiety or 3' overhang at U on the sense chain, e.g., providing a 2'-OMe moiety at the 3' end (wherein the 3' end means the 3' atom or most 3' part of the molecule, e.g., most 3' P or 2' position, as indicated in the context); (b) modifications of the backbone, e.g., by substitution of O with S on the phosphate backbone, e.g., providing phosphorothioate modifications on the antisense chain U or A or both, e.g., by substitution of P with S; (c) substitution of U with the C5 aminolinker; (d) substitution of A with G (in most cases, the sequence change is located on the sense chain and not on the antisense chain); and (d) modifications at the 2', 6', 7', or 8' position. Exemplary embodiments are embodiments in which one or more of these modifications are present on the sense but not on the antisense chain, or the antisense chain has fewer such modifications. Further exemplary modifications include 3' overhangs, e.g., the use of methylated P at the 3' terminus; 2' modifications, e.g., providing a 2'-OMe moiety and modifications of the main chain by substitution of P with S, e.g., providing a phosphorothioate modification or a combination of 3' overhangs, e.g., the use of methylated P at the 3' terminus; 3' alkyl modifications; 3' overhangs, e.g., modifications with non-basic pyrrolidone at the 3' terminus; and modifications with naproxen, ibuprofen, or other moieties that inhibit degradation at the 3' terminus.

[0201] 4) Modifications to enhance cellular uptake In other embodiments, RNA silencing agents may be chemically modified to enhance cellular uptake by target cells (e.g., neuronal cells). Therefore, the present invention includes RNA silencing agents that are conjugated to other parts (e.g., non-nucleic acid parts such as peptides), organic compounds (e.g., dyes), or unconjugated (e.g., their 3' end). Conjugation is achieved using methods known in this field, for example, Lambert et al., Drug Deliv. Rev.: 47(1), 99-112 (2001) (described nucleic acids packed into polyalkylcyanoacrylate (PACA) nanoparticles); Fattal et al., J. Control Release 53(1-3):137-43 (1998) (described nucleic acids conjugated to nanoparticles); Schwab et al., Ann. Oncol. 5 Suppl. 4:55-8 (1994) (described nucleic acids conjugated to intercalators, hydrophobic groups, polycations, or PACA nanoparticles); and Godard et al., Eur. J. Biochem. 232(2):404-10 (1995) (described nucleic acids conjugated to nanoparticles).

[0202] In certain embodiments, the modification of the RNA silencing agent of the present invention comprises a vinyl phosphonate (VP) motif in one or more inter-subunit linkers of an oligonucleotide, wherein the VP motif has the following formula: [ka]

[0203] In certain embodiments, the RNA silencing agents of the invention are conjugated to a lipophilic moiety. In some embodiments, the lipophilic moiety is a ligand that includes a cationic group. In other embodiments, the lipophilic moiety binds to one or both strands of the siRNA. In an exemplary embodiment, the lipophilic moiety binds to one end of the sense strand of the siRNA. In another exemplary embodiment, the lipophilic moiety binds to the 3'-end of the sense strand. In some embodiments, the lipophilic moiety is selected from the group consisting of cholesterol, a vitamin, vitamin K, vitamin A, folic acid, or a cationic dye (e.g., Cy3). In an exemplary embodiment, the lipophilic moiety is cholesterol. Other lipophilic moieties include cholic acid, adamantane acetic acid, 1-pyrene butyric acid, dihydrotestosterone, 1,3-bis-O(hexadecyl) glycerol, geranyloxyhexyl group, hexadecyl glycerol, borneol, menthol, 1,3-propanediol, heptadecyl group, palmitic acid, myristic acid, O3-(oleoyl) lithocholic acid, O3-(oleoyl) chenodeoxycholic acid, dimethoxytrityl, or phenoxazine.

[0204] 5) Tethering ligand Other substances may be anchored to the RNA silencing agent of the present invention. For example, ligands anchored to the RNA silencing agent may be for hybridization thermodynamic stability with target nucleic acids, targeting to specific tissues or cell types, or for improving cell permeability by mechanisms such as endocytosis-dependent or independent mechanisms. Ligands and associated modifications may also increase sequence specificity and, as a result, reduce off-site targeting. The anchored ligand may contain one or more modified bases or sugars that can function as intercalators. In one exemplary embodiment, these are located in internal regions such as protrusions of the RNA silencing agent / target double helix. The intercalators may be aromatic, e.g., polycyclic aromatic or heterocyclic aromatic compounds. Polycyclic intercalators may have stacking strength and may contain systems of 2, 3, or 4 fused rings. The universal bases described herein may be included in the ligand. In one embodiment, the ligand may contain a leaving group that contributes to target gene inhibition by cleaving the target nucleic acid. The leaving group may be, for example, bleomycin (e.g., bleomycin-A5, bleomycin-A2, or bleomycin-B2), pyrene, phenanthroline (e.g., O-phenanthroline), polyamine, tripeptide (e.g., lys-tyr-lys tripeptide), or a metal ion chelating group. The metal ion chelating group may include, for example, Lu(III) or EU(III) macrocyclic complexes, Zn(II)2,9-dimethylphenanthroline derivatives, Cu(II) terpyridine, or acridine, which can promote the selective cleavage of target RNA at the overhang site by a free metal ion such as Lu(III). In one embodiment, the peptide ligand is tethered to an RNA silencing agent, for example, to promote the cleavage of target RNA at the overhang region. For example, 1,8-dimethyl-1,3,6,8,10,13-hexaazacyclotetradecane (Cycram) can be conjugated to a peptide (e.g., by an amino acid derivative) to promote target RNA cleavage. Tethering ligands are aminoglycoside ligands that can improve the hybridization properties or sequence specificity of RNA silencing agents.Exemplary aminoglycosides include glycosylated polylysine, galactosylated polylysine, neomycin B, tobramycin, kanamycin A, and acridine conjugates of aminoglycosides, such as Neo-N-acridine, Neo-S-acridine, Neo-C-acridine, Tobra-N-acridine, and KanaA-N-acridine. The use of acridine analogs can increase sequence specificity. For example, neomycin B has high affinity for RNA compared to DNA but low sequence specificity. The acridine analog, neo-5-acridine, has increased affinity for HIV Rev-response elements (RREs). In one embodiment, a guanidine analog (guanidinoglycoside) of the aminoglycoside ligand is tethered to the RNA silencing agent. In the guanidinoglycoside, the amino acid amine group is exchanged for the guanidine group. Binding of the guanidine analog can increase the cell permeability of the RNA silencing agent. The tethering ligand may be a polyarginine peptide, peptoid, or peptide mimetic that can enhance the cellular uptake of the oligonucleotide agent.

[0205] Exemplary ligands are typically covalently bound to ligand-conjugate carriers, either directly or indirectly via intervening tethering sites. In exemplary embodiments, the ligand is bound to the carrier via intervening tethering sites. In exemplary embodiments, the ligand alters the distribution, targeting, or lifetime of the incorporated RNA silencing agent. In exemplary embodiments, the ligand enhances affinity to selective targets, such as molecules, cells, or cell types, compartments, such as body cells or organ compartments, tissues, organs, or regions, compared, for example, to species without such ligands.

[0206] Exemplary ligands, including any combination of monomers and / or native or modified ribonucleotides described herein, can improve the transport, hybridization, and specificity of the resulting native or modified RNA silencing agents or polymer molecules, and may also improve nuclease resistance. Ligands generally include, for example, therapeutic modifiers for enhancing uptake; for example, diagnostic compounds or reporter groups for monitoring distribution; cross-crosslinking agents; nuclease resistance-constituting moieties; and native or abnormal nucleic acid bases. Common examples include lipophilic groups, lipids, steroids (e.g., ubaol, hesigenin, diosgenin), terpenes (e.g., triterpenes, e.g., sarsasapogenin, friederin, epifriederinol-derived lithocholic acid), vitamins (e.g., folic acid, vitamin A, biotin, pyridoxal), carbohydrates, proteins, protein binders, integrin-targeting molecules, polycationic groups, peptides, polyamines, and peptide mimetic compounds. Ligands may include naturally occurring substances (e.g., human serum albumin (HSA), low-density lipoprotein (LDL), or globulin); carbohydrates (e.g., dextran, pullulan, chitin, chitosan, inulin, cyclodextrin, or hyaluronic acid); amino acids, or lipids. Ligands may also be recombinant or synthetic polymers, such as synthetic molecules like synthetic polyamino acids. Examples of polyamino acids include polylysine (PLL), poly-L-aspartic acid, poly-L-glutamic acid, styrene-maleic acid anhydride copolymer, poly(L-lactide-coglycolide) copolymer, divinyl ether-maleic acid anhydride copolymer, N-(2-hydroxypropyl)methacrylamide copolymer (HMPA), polyethylene glycol (PEG), polyvinyl alcohol (PVA), polyurethane, poly(2-ethylacrylic acid), N-isopropylacrylamide polymer, or polyphosphatidine.Examples of polyamines include polyethyleneimine, polylysine (PLL), spermine, spermidine, polyamines, pseudopeptide-polyamines, peptidomimetic polyamines, dendrimer polyamines, arginine, amidine, protamine, cationic lipids, cationic porphyrins, quaternary salts of polyamines or alpha helix peptides.

[0207] The ligand may also include a targeting group, such as a cell or tissue targeting agent, such as a lectin, glycoprotein, lipid or protein, such as an antibody that binds to a specific cell type such as a kidney cell. Targeting groups can be thyrotropin, melanotropin, lectin, glycoprotein, surfactant protein A, mucin carbohydrate, multivalent lactose, multivalent galactose, N-acetyl-galactosamine, N-acetyl-glucosamine, multivalent mannose, multivalent fucose, glycosylated polyamino acids, multivalent galactose, transferrin, bisphosphonate, polyglutamate, polyaspartate, lipid, cholesterol, steroid, bile acid, folate, vitamin B12, biotin or an RGD peptide or an RGD peptide mimetic. Other examples of ligands are dyes, intercalators (e.g. acridine and substituted acridines), crosslinkers (e.g. psoralen, mitomycin C), porphyrins (TPPC4, texaphyrin, sapphyrin), polycyclic aromatic hydrocarbons (e.g. phenazine, dihydrophenazine, phenanthroline, pyrene), lys-tyr-lys tripeptide, aminoglycoside, guanidium aminoglycoside, artificial endonucleases (e.g. EDTA), lipophilic molecules such as cholesterol (and its thio analogs), cholic acid, chenodeoxycholic acid, lithocholic acid, adamantane acetic acid, pyrene butyric acid, dihydrotestosterone, glycerol (e.g. esters (e.g. mono, bis or tris fatty acid esters, e.g. C 10 、C 11 、C 12 、C 13 、C 14 、C 15 、C 16 、C 17 、C 18 、C 19or C 20 fatty acids) and their ethers, for example, C 10 , C 11 , C 12 , C 13 , C 14 , C 15 , C 16 , C 17 , C 18 , C 19 or C 20 Alkyl groups (e.g., 1,3-bis-O(hexadecyl)glycerol, 1,3-bis-O(octadecyl)glycerol), geranyloxyhexyl group, hexadecylglycerol, borneol, menthol, 1,3-propanediol, heptadecyl group, palmitic acid, stearic acid (e.g., glyceryl distearate), oleic acid, myristic acid, O3-(oleoyl)lithocholic acid, O3-(oleoyl)cholenic acid, dimethoxytrityl or phenoxazine), and peptide conjugates (e.g., anthelmintic acid). Napedia peptides, Tat peptides), alkylating agents, phosphates, amino acids, mercaptos, PEG (e.g., PEG-40K), MPEG, [MPEG]2, polyamino acids, alkyl groups, substituted alkyl groups, radiolabeled markers, enzymes, haptens (e.g., biotin), transport / absorption enhancers (e.g., aspirin, naproxen, vitamins, folic acid), synthetic ribonucleases (e.g., imidazole, bisimidazole, histamine, imidazole clusters, acridine-imidazole conjugates, Eu tetraaza macrocyclic compounds) 3+ It may be a complex, dinitrophenyl, HRP, or AP.

[0208] Ligands can be proteins, such as glycoproteins or peptides, molecules or antibodies that have a specific affinity for the co-ligand, such as antibodies that bind to specific cell types, such as cancer cells, endothelial cells, or osteocytes. Ligands may also include hormones and hormone receptors. Non-peptides such as lipids, lectins, carbohydrates, vitamins, cofactors, polyvalent lactose, polyvalent galactose, N-acetyl-galactosamine, N-acetyl-glucosamine, polyvalent mannose, or polyvalent fucose may also be included. Ligands may be, for example, lipopolysaccharides, p38 MAP kinase activators, or NF-κB activators.

[0209] A ligand can be a substance, such as a drug, that can increase the uptake of RNA silencing agents into cells, for example, by disrupting the cytoskeleton of a cell, for example, by partially destroying the cell's microtubules, microfilaments, and / or intermediate filaments. Drugs may include, for example, taxanes, vincristine, vinblastine, cytochalasin, nocodazole, jasplaquinolide, latruncrine A, phalloidin, swinholide A, indanosine, or myocerbin. Ligands can also increase the uptake of RNA silencing agents into cells, for example, by activating an inflammatory response. Exemplary ligands having such effects include tumor necrosis factor alpha (TNFα), interleukin-1 beta, or gamma interferon.

[0210] In one embodiment, the ligand is a lipid or lipid-based molecule. Such lipids or lipid-based molecules commonly bind to serum proteins, such as human serum albumin (HSA). HSA-binding ligands enable the conjugate to be distributed to target tissues in the body, such as non-renal target tissues. For example, the target tissue could be the liver, including the parenchymal cells of the liver. Other molecules that can bind to HSA can also be used as ligands. For example, naproxen or aspirin may be used. Lipids or lipid-based ligands can be used to (a) increase the resistance of the conjugate to degradation, (b) increase targeting or transport to target cells or cell membranes, and / or (c) modulate binding to serum proteins, such as HSA. Lipid-based ligands can be used to modulate, for example, control the binding of the conjugate to target tissues. In certain embodiments, the lipid-based ligand binds to HSA. However, it is desirable that the affinity is not so strong that the HSA-ligand binding becomes irreversible. In other exemplary embodiments, the lipid-based ligand binds weakly to HSA or does not bind at all.

[0211] In other embodiments, ligands are portions taken up by target cells, e.g., proliferating cells, e.g., vitamins. These are particularly useful for treating disorders characterized by unwanted cell proliferation, e.g., malignant or non-malignant types, e.g., cancer cells. Exemplary vitamins include vitamins A, E, and K. Other exemplary vitamins include vitamin B, e.g., folic acid, B12, riboflavin, biotin, pyridoxal, or other vitamins or nutrients taken up by cancer cells. HSA and low-density lipoprotein (LDL) are also included.

[0212] In other embodiments, the ligand is a cell permeabilizer, generally a helical cell permeabilizer. In one exemplary embodiment, the agent is amphiphilic. Exemplary agents are peptides such as tat or Antennapedia. If the agent is a peptide, it may be modified, including the use of peptidyl mimes, inverted isomers, non-peptide or pseudopeptide bonds and D-amino acids. The helical agent is generally an alpha-helical agent, generally having lipophilic and oleophobic surfaces.

[0213] The ligand may be a peptide or a peptide mimetic. A peptide mimetic (also referred to here as an oligopeptide mimetic) is a molecule that can fold into a defined tertiary structure similar to that of a natural peptide. The binding of peptides and peptide mimetics to oligonucleotide agents may affect the pharmacokinetic distribution of RNA silencing agents, such as by enhancing cell recognition and absorption. The peptide or peptide mimetic moiety may be about 5 to 50 amino acids long, for example, about 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 amino acids long. The peptide or peptide mimetic may be, for example, a cell-permeable peptide, a cationic peptide, an amphiphilic peptide, or a hydrophobic peptide (e.g., mainly consisting of Tyr, Trp, or Phe). The peptide moiety may be a dendrimeric peptide, a restrictive peptide, or a cross-crosslinked peptide. The peptide moiety may be an L-peptide or a D-peptide. Alternatively, the peptide moiety may contain a hydrophobic membrane translocation sequence (MTS). Peptides or peptide mimetic compounds are encoded by random sequences of DNA, such as peptides identified from phage display libraries or one-bead-one-compound (OBOC) combinatorial libraries (Lam et al., Nature 354:82-84, 1991). In exemplary embodiments, the peptide or peptide mimetic compound tethered to an RNA silencing agent via incorporated monomer units is a cell-targeting peptide such as an arginine-glycine-aspartate (RGD) peptide or RGD mimetic. The peptide moiety may range in length from approximately 5 to 40 amino acids. The peptide moiety may be structurally modified to indicate conformation in order to increase stability. Any of the following structural modifications may be utilized.

[0214] 6) Hydrophobic part In one embodiment of the double-stranded RNA provided herein, the RNA molecule is conjugated to one or more hydrophobic regions (see PCT Publication WO2018 / 031933, incorporated herein by reference). In one embodiment, the hydrophobic region has affinity for low-density lipoproteins and / or intermediate-density lipoproteins. In related embodiments, the hydrophobic region is either a saturated region or an unsaturated region with fewer than three double bonds.

[0215] In other embodiments, the hydrophobic moiety has affinity for high-density lipoproteins. In related embodiments, the hydrophobic moiety is a polyunsaturated moiety having three or more double bonds (e.g., 3, 4, 5, 6, 7, 8, 9, or 10 double bonds). In specific embodiments, the hydrophobic moiety is a polyunsaturated moiety having 3 double bonds. In specific embodiments, the hydrophobic moiety is a polyunsaturated moiety having 4 double bonds. In specific embodiments, the hydrophobic moiety is a polyunsaturated moiety having 5 double bonds. In specific embodiments, the hydrophobic moiety is a polyunsaturated moiety having 6 double bonds.

[0216] In other embodiments, the hydrophobic moiety is selected from the group consisting of fatty acids, steroids, secosteroids, lipids, gangliosides and nucleoside analogs, and endocannabinoids.

[0217] In other embodiments, the hydrophobic moiety is a neuromodulatory lipid, such as an endocannabinoid. Non-limiting examples of endocannabinoids include anandamide, arachidonylethanolamine, 2-arachidonylglyceryl ether (norazine ether), 2-arachidonylglycerol, and N-arachidonyldopamine.

[0218] In other embodiments, the hydrophobic portion is an omega-3 fatty acid. Non-limiting examples of omega-3 fatty acids include, but are not limited to, hexadecatrienoic acid (HTA), alpha-linolenic acid (ALA), stearidonic acid (SDA), eicosatrienoic acid (ETE), eicosatetraenoic acid (ETA), eicosapentaenoic acid (EPA, timnodonic acid), heneicosapentaenoic acid (HPA), docosapentaenoic acid (DPA, clupanodonic acid), docosahexaenoic acid (DHA, cervonic acid), tetracosapentaenoic acid, and tetracosahexaenoic acid (herringic acid).

[0219] In other embodiments, the hydrophobic portion is an omega-6 fatty acid. Examples of omega-6 fatty acids include, but are not limited to, linoleic acid, gamma-linolenic acid (GLA), eicosadienoic acid, dihomo-gamma-linolenic acid (DGLA), arachidonic acid (AA), docosadenoic acid, adrenaline, docosapentaenoic acid (osbondic acid), tetracosatetraenoic acid, and tetracosapentaenoic acid.

[0220] In other embodiments, the hydrophobic portion is an omega-9 fatty acid. Examples of omega-9 fatty acids include, but are not limited to, oleic acid, eicosaenoic acid, meadic acid, erucic acid, and nervonic acid.

[0221] In other embodiments, the hydrophobic portion is conjugated linolenic acid. Non-limiting examples of conjugated linolenic acid include, but are not limited to, α-calendic acid, β-calendic acid, jacalic acid, α-eleostearic acid, β-eleostearic acid, catalpic acid, and punicic acid.

[0222] In other embodiments, the hydrophobic portion is a saturated fatty acid. Examples of saturated fatty acids include, but are not limited to, caprylic acid, capric acid, docosanic acid, lauric acid, myristic acid, palmitic acid, stearic acid, arachidic acid, behenic acid, lignoceric acid, and cerotic acid.

[0223] In other embodiments, the hydrophobic portion is an acid selected from the group consisting of rumerene acid, α-parinalic acid, β-parinalic acid, boseopentaenoic acid, pinolenic acid, and podocarpic acid.

[0224] In other embodiments, the hydrophobic portion is selected from the group consisting of docosanoic acid (DCA), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA). In a particular embodiment, the hydrophobic portion is docosanoic acid (DCA). In another particular embodiment, the hydrophobic portion is DHA. In another particular embodiment, the hydrophobic portion is EPA.

[0225] In other embodiments, the hydrophobic portion is a secosteroid. In specific embodiments, the hydrophobic portion is calciferol. In other embodiments, the hydrophobic portion is a steroid other than cholesterol.

[0226] In certain embodiments, the hydrophobic portion is not cholesterol.

[0227] In other embodiments, the hydrophobic portion may include, but is not limited to, alkyl chains, vitamins, peptides, or bioactive conjugates, glycosphingolipids, polyunsaturated fatty acids, secosteroids, steroid hormones, or sterol lipids.

[0228] In one embodiment, the double-stranded RNA provided herein comprises one or more chemically modified nucleotides. In a particular embodiment, the double-stranded RNA comprises alternating 2'-methoxy-nucleotides and 2'-fluoro-nucleotides. In another particular embodiment, one or more nucleotides of the double-stranded RNA are bound to adjacent nucleotides by phosphorothioate bonds. In one embodiment of the dsRNA disclosed herein, the mismatched nucleotide and the nucleotide adjacent to the mismatched nucleotide are 2'-methoxy-ribonucleotides.

[0229] In other specific embodiments, the nucleotides at positions 1 and 2 from the 3' end of the double-stranded RNA provided herein are bound to adjacent nucleotides by phosphorothioate bonds. In yet another specific embodiment, the nucleotides at positions 1 and 2 from the 3' end of the double-stranded RNA and the nucleotides at positions 1 and 2 from the 5' end of the double-stranded RNA are bound to adjacent nucleotides by phosphorothioate bonds.

[0230] In one embodiment of double-stranded RNA, the first oligonucleotide comprises at least 16 consecutive nucleotides, a 5' end, a 3' end, and is complementary to the target, where, (1) The first oligonucleotide consists of alternating 2'-methoxynucleotides and 2'-fluoronucleotides; (2) The nucleotides at positions 2 and 14 from the 5' end are not 2'-methoxynucleotides; (3) Nucleotides are linked via phosphodiester or phosphorothioate bonds; and (4) Nucleotides at positions 1-6 from the 3' end or positions 1-7 from the 3' end are bound to adjacent nucleotides via phosphorothioate bonds.

[0231] 7) Progressive stabilization patterns One embodiment of the double-stranded RNA provided here: (1) The first oligonucleotide consists of alternating 2'-methoxy-ribonucleotides and 2'-fluoro-ribonucleotides, where each nucleotide is either a 2'-methoxy-ribonucleotide or a 2'-fluoro-ribonucleotide; and the nucleotides at positions 2 and 14 from the 5' end of the first oligonucleotide are not 2'-methoxy-ribonucleotides; (2) The second oligonucleotide comprises alternating 2'-methoxy-ribonucleotides and 2'-fluoro-ribonucleotides, where each nucleotide is either a 2'-methoxy-ribonucleotide or a 2'-fluoro-ribonucleotide; and the nucleotides at positions 2 and 14 from the 5' end of the second oligonucleotide are 2'-methoxy-ribonucleotides; (3) The nucleotide of the first oligonucleotide is attached to an adjacent nucleotide via a phosphodiester or phosphorothioate bond, where the nucleotides at positions 1-6 from the 3' end or positions 1-7 from the 3' end are attached to an adjacent nucleotide via a phosphorothioate bond; and (4) The nucleotides of the second oligonucleotide are bound to adjacent nucleotides via phosphodiester or phosphorothioate bonds, where the nucleotides at positions 1 and 2 from the 3' end are bound to adjacent nucleotides via phosphorothioate bonds.

[0232] In one embodiment of double-stranded RNA, the first oligonucleotide has 3 to 7 more ribonucleotides than the second oligonucleotide.

[0233] In one embodiment, the double-stranded RNA comprises 11 to 16 base pairs in a double helix, where each base pair of nucleotides has a different chemical modification (for example, one nucleotide has a 2'-fluoro modification and the other nucleotide has a 2'-methoxy modification).

[0234] In one embodiment of double-stranded RNA, the first oligonucleotide has 3 to 7 more ribonucleotides than the second oligonucleotide. In another embodiment...

[0235] In one embodiment, the first oligonucleotide is an antisense chain, and the second oligonucleotide is a sense chain. See PCT Publication WO2016 / 161388, incorporated herein by reference.

[0236] In one embodiment, the first or second oligonucleotide is given by the following formula [ka] Includes one or more VP subunit modifications having

[0237] 8) Branched oligonucleotides The above-mentioned two or more RNA silencing agents, such as oligonucleotide constructs including siRNA, can be linked together by one or more parts independently selected from linkers, spacers, and branching points to form a branched oligonucleotide containing two or more RNA silencing agents. Figure 31 shows an example of a di-siRN bibranched scaffold for the delivery of two siRNAs. In a typical embodiment, each nucleic acid of the branched oligonucleotide comprises an antisense strand (or a portion thereof), where the antisense strand has sufficient complementarity to a heterozygous single nucleotide polymorphism for intervening in an RNA-mediated silencing mechanism (e.g., RNAi). In another embodiment, a second type of branched oligonucleotide is provided, characterized by a nucleic acid comprising a sense strand (or a portion thereof) for silencing an antisense transcript, where the sense strand has sufficient complementarity to the antisense transcript for intervening in an RNA-mediated silencing mechanism. In a further embodiment, a third type of branched oligonucleotide is provided, comprising both types of nucleic acids, namely, a nucleic acid comprising an antisense strand (or a portion thereof) and an oligonucleotide comprising a sense strand (or a portion thereof).

[0238] In exemplary embodiments, a branched oligonucleotide may have 2 to 8 RNA silencing agents linked via a linker. The linker may be hydrophobic. In certain embodiments, the branched oligonucleotide of this application has 2 to 3 oligonucleotides. In some embodiments, the oligonucleotides independently have considerable chemical stability (e.g., at least 40% of the constituent bases are chemically modified). In certain embodiments, the oligonucleotides have complete chemical stability (i.e., all constituent bases are chemically modified). In some embodiments, the branched oligonucleotide comprises one or more single-stranded phosphorothioate tails, each independently having 2 to 20 nucleotides. In certain embodiments, each single-stranded tail has 8 to 10 nucleotides.

[0239] In one embodiment, branched oligonucleotides are characterized by three properties: (1) branched structure, (2) complete metabolic stabilization, and (3) the presence of a single-stranded tail containing a phosphorothioate linker. In a specific embodiment, the branched oligonucleotide has two or three branches. It is thought that an increase in the overall size of the branched structure promotes increased uptake. Also, although not bound by a specific activity theory, it is thought that multiple adjacent branches (e.g., two or three) allow each branch to act cooperatively, thereby dramatically increasing the rates of internalization, transport, and release.

[0240] Branched oligonucleotides are provided in a variety of structurally diverse embodiments. As shown in Figure 36, for example, in one embodiment, the nucleic acid bound to the branching point is single-stranded and consists of a miRNA inhibitor, gapmer, mixmer, SSO, PMO, or PNA. These single strands can be bound at their 3' or 5' ends. Combinations of siRNA and single-stranded oligonucleotides can also be used for dual function. In other embodiments, these active single-stranded nucleic acids are used with short nucleic acid complementarity to gapmers, mixmers, miRNA inhibitors, SSO, PMO, and PNA to enhance distribution and intracellular integration. The short double-stranded region has a low melting temperature (T) for rapid dissociation after internalization of the branched structure into the cell. m It has a temperature of approximately 37°C.

[0241] As shown in Figure 37, Di-siRNA branched oligonucleotides can contain a variety of chemically diverse conjugates. Conjugated bioactive ligands can be used to enhance cell specificity and promote membrane binding, internalization, and serum protein binding. Examples of bioactive moieties used for conjugation include DHAg2, DHA, GalNAc, and cholesterol. These moieties can be conjugated to Di-siRNA via a connecting linker or spacer, or via addition of an additional linker or spacer attached to another free siRNA end.

[0242] The presence of branched structures improves tissue retention levels in the brain by more than 100 times compared to unbranched compounds of the same chemical composition, suggesting novel mechanisms of cell retention and distribution. Branched oligonucleotides are unexpectedly uniformly distributed throughout the spinal cord and brain. Furthermore, branched oligonucleotides are unexpectedly efficient systemically delivered to diverse tissues, resulting in extremely high levels of tissue accumulation.

[0243] Branched oligonucleotides include a diverse range of therapeutic nucleic acids, including ASOs, miRNAs, miRNA inhibitors, splice switching, PMOs, and PNAs. In some embodiments, the branched oligonucleotides further include a conjugated hydrophobic moiety, exhibiting unprecedented silencing and efficacy in vitro and in vivo.

[0244] Linker In some embodiments of branched oligonucleotides, each linker is independently selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles, and combinations thereof; where any carbon or oxygen atom of the linker is optionally replaced by a nitrogen atom and has a hydroxyl substituent or an oxo substituent. In some embodiments, each linker is an ethylene glycol chain. In other embodiments, each linker is an alkyl chain. In other embodiments, each linker is a peptide. In other embodiments, each linker is RNA. In other embodiments, each linker is DNA. In other embodiments, each linker is a phosphate. In other embodiments, each linker is a phosphonate. In other embodiments, each linker is a phosphoramidate. In other embodiments, each linker is an ester. In other embodiments, each linker is an amide. In other embodiments, each linker is a triazole. In other embodiments, each linker is a structure selected from the formulas in Figure 37.

[0245] 9) Compounds of formula (I) In other embodiments, equation (I) [ka] Branched oligonucleotide compounds are provided,

[0246] In the formula, L is selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles and combinations thereof, where formula (I) optionally further comprises one or more branching points B and one or more spacers S; where B is independently a polyvalent organic species or a derivative thereof in each case; S is independently selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles and combinations thereof in each case; N is an RNA double helix comprising a sense strand and an antisense strand, where the antisense strand comprises a complementation region substantially complementary to the region of the gene containing the allele polymorphism, where the antisense strand comprises a single nucleotide polymorphism (SNP) position nucleotide complementary to the allele polymorphism from the 5' end to positions 2-7; and a mismatch (MM) position nucleotide located 2-11 nucleotides from the SNP position nucleotide that is mismatched with the nucleotide in the gene. In exemplary embodiments, the SNP site nucleotide is located at position 2, 4, or 6 from the 5' end, and the mismatch (MM) site nucleotide is located 2 to 6 nucleotides from the SNP site nucleotide.

[0247] The sense chain and antisense chain each independently contain one or more chemical modifications; and n is 2, 3, 4, 5, 6, 7, or 8.

[0248] In one embodiment, the compound of formula (I) has a structure selected from formulas (I-1) to (I-9) in Table 1. [Table 1]

[0249] In one embodiment, the compound of formula (I) is formula (I-1). In another embodiment, the compound of formula (I) is formula (I-2). In another embodiment, the compound of formula (I) is formula (I-3). In another embodiment, the compound of formula (I) is formula (I-4). In another embodiment, the compound of formula (I) is formula (I-5). In another embodiment, the compound of formula (I) is formula (I-6). In another embodiment, the compound of formula (I) is formula (I-7). In another embodiment, the compound of formula (I) is formula (I-8). In another embodiment, the compound of formula (I) is formula (I-9).

[0250] In one embodiment of the compound of formula (I), each linker is independently selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles, and combinations thereof; where any carbon or oxygen atom of the linker is optionally replaced by a nitrogen atom and has a hydroxyl substituent or an oxo substituent. In one embodiment of the compound of formula (I), each linker is an ethylene glycol chain. In another embodiment, each linker is an alkyl chain. In another embodiment of the compound of formula (I), each linker is a peptide. In another embodiment of the compound of formula (I), each linker is RNA. In another embodiment of the compound of formula (I), each linker is DNA. In another embodiment of the compound of formula (I), each linker is a phosphate. In another embodiment, each linker is a phosphonate. In another embodiment of the compound of formula (I), each linker is a phosphoramidate. In another embodiment of the compound of formula (I), each linker is an ester. In other embodiments of the compound of formula (I), each linker is an amide. In other embodiments of the compound of formula (I), each linker is a triazole. In other embodiments of the compound of formula (I), each linker is a structure selected from the formulas in Figures 36 and 38.

[0251] In one embodiment of the compound of formula (I), B is a polyvalent organic species. In another embodiment of the compound of formula (I), B is a derivative of a polyvalent organic species. In one embodiment of the compound of formula (I), B is a triol or tetraol derivative. In another embodiment, B is a tri- or tetra-carboxylic acid derivative. In another embodiment, B is an amine derivative. In another embodiment, B is a tri- or tetra-amine derivative. In another embodiment, B is an amino acid derivative. In another embodiment of the compound of formula (I), B is selected from the formulas in Figure 38.

[0252] A polyvalent organic species is a moiety that contains carbon and three or more valencies (i.e., bonding sites with moieties such as S, L, or N, as defined above). Non-limiting examples of polyvalent organic species include triols (e.g., glycerol, phloroglucinol, etc.), tetraols (e.g., ribose, pentaerythritol, 1,2,3,5-tetrahydroxybenzene, etc.), tricarboxylic acids (e.g., citric acid, 1,3,5-cyclohexanetricarboxylic acid, trimesic acid, etc.), tetracarboxylic acids (e.g., ethylenediaminetetraacetic acid, pyromellitic acid, etc.), tertiary amines (e.g., tripropargylamine, triethanolamine, etc.), triamines (e.g., diethylenetriamine, etc.), tetramines, and species containing combinations of hydroxyl, thiol, amino and / or carboxyl moieties (e.g., amino acids such as lysine, serine, and cysteine).

[0253] In some embodiments of the compound of formula (I), each nucleic acid contains one or more chemically modified nucleotides. In some embodiments of the compound of formula (I), each nucleic acid consists of chemically modified nucleotides. In some embodiments of the compound of formula (I), >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of each nucleic acid contains chemically modified nucleotides.

[0254] In one embodiment, each antisense chain independently contains a 5' terminal group R selected from the groups in Table 2. [Table 2]

[0255] In one embodiment, R is R1. In another embodiment, R is R2. In another embodiment, R is R3. In another embodiment, R is R4. 。 In another embodiment, R is R5. 。 In another embodiment, R is R6. 。 In another embodiment, R is R7. 。 In another embodiment, R is R8. 。

[0256] Structure of equation (II) In one embodiment, the compound of formula (I) is of formula (II) [ka] [In each case, X is independently selected from adenosine, guanosine, uridine, cytidine and its chemically modified derivatives; in each case, Y is independently selected from adenosine, guanosine, uridine, cytidine and its chemically modified derivatives; - represents a phosphodiester nucleoside bond; = represents a phosphorothioate nucleoside bond; and --- represents, in each case, independently a base-pairing interaction or mismatch.] It has the structure of [the object].

[0257] In one embodiment, the structure of formula (II) does not contain any mismatches. In another embodiment, the structure of formula (II) contains one mismatch. In yet another embodiment, the compound of formula (II) contains two mismatches. In yet another embodiment, the compound of formula (II) contains three mismatches. In yet another embodiment, the compound of formula (II) contains four mismatches. In one embodiment, each nucleic acid consists of chemically modified nucleotides.

[0258] In one embodiment, the nucleotide is such that >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of X' in the structure of formula (II) is chemically modified. In another embodiment, the nucleotide is such that >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of X' in the structure of formula (II) is chemically modified.

[0259] Structure of equation (III) In one embodiment, the compound of formula (I) is of formula (III) [ka] It has a structure,

[0260] During the ceremony, X In each case, X is a nucleotide independently containing a 2'-deoxy-2'-fluoro modification; X is a nucleotide independently containing a 2'-O-methyl modification; Y In each case, Y is a nucleotide independently containing a 2'-deoxy-2'-fluoro modification; and Y is a nucleotide independently containing a 2'-O-methyl modification in each case.

[0261] In one embodiment, X is selected from the group consisting of 2'-deoxy-2'-fluoro-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, X is selected from the group consisting of 2'-O-methyl-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, Y is selected from the group consisting of 2'-deoxy-2'-fluoro-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, Y is selected from the group consisting of 2'-O-methyl-modified adenosine, guanosine, uridine, or cytidine.

[0262] In one embodiment, the structure of formula (III) does not contain any mismatches. In one embodiment, the structure of formula (III) contains one mismatch. In another embodiment, the compound of formula (III) contains two mismatches. In another embodiment, the compound of formula (III) contains three mismatches. In another embodiment, the compound of formula (III) contains four mismatches.

[0263] Structure of equation (IV) In one embodiment, the compound of formula (I) is of formula (IV) [ka] [In each case, X is independently selected from adenosine, guanosine, uridine, cytidine and its chemically modified derivatives; in each case, Y is independently selected from adenosine, guanosine, uridine, cytidine and its chemically modified derivatives; - represents a phosphodiester nucleoside bond; = represents a phosphorothioate nucleoside bond; and --- represents, in each case, independently a base-pairing interaction or mismatch.] It has the structure of [the object].

[0264] In one embodiment, the structure of formula (IV) does not contain any mismatches. In another embodiment, the structure of formula (IV) contains one mismatch. In yet another embodiment, the compound of formula (IV) contains two mismatches. In yet another embodiment, the compound of formula (IV) contains three mismatches. In yet another embodiment, the compound of formula (IV) contains four mismatches. In one embodiment, each nucleic acid consists of chemically modified nucleotides.

[0265] In one embodiment, the nucleotide is one in which >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of X' in the structure of formula (IV) is chemically modified. In another embodiment, the nucleotide is one in which >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of X' in the structure of formula (IV) is chemically modified. Structure of equation (V)

[0266] In one embodiment, the compound of formula (I) is of formula (V) [ka] [During the ceremony, X In each case, X is a nucleotide independently containing a 2'-deoxy-2'-fluoro modification; X is a nucleotide independently containing a 2'-O-methyl modification; Y In each case, Y is a nucleotide independently containing a 2'-deoxy-2'-fluoro modification; and Y is a nucleotide independently containing a 2'-O-methyl modification in each case. It has the structure of [the object].

[0267] In one embodiment, X is selected from the group consisting of 2'-deoxy-2'-fluoro-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, X is selected from the group consisting of 2'-O-methyl-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, Y is selected from the group consisting of 2'-deoxy-2'-fluoro-modified adenosine, guanosine, uridine, or cytidine. In one embodiment, Y is selected from the group consisting of 2'-O-methyl-modified adenosine, guanosine, uridine, or cytidine.

[0268] In one embodiment, the structure of formula (V) does not contain any mismatches. In one embodiment, the structure of formula (V) contains one mismatch. In another embodiment, the compound of formula (V) contains two mismatches. In another embodiment, the compound of formula (V) contains three mismatches. In another embodiment, the compound of formula (V) contains four mismatches.

[0269] Variable linker In one embodiment of the compound of formula (I), L is L1 [ka] It has the structure of [the object].

[0270] In one of these instances, R is R 3 Therefore, n is 2.

[0271] In one embodiment of the structure of formula (II), L has the structure of L1. In one embodiment of the structure of formula (III), L has the structure of L1. In one embodiment of the structure of formula (IV), L has the structure of L1. In one embodiment of the structure of formula (V), L has the structure of L1. In one embodiment of the structure of formula (VI), L has the structure of L1. In one embodiment of the structure of formula (VI), L has the structure of L1.

[0272] In one embodiment of the compound of formula (I), L is L2 [ka] It has the structure of [the object].

[0273] On a certain Tuesday, L2 was R 3And n is 2. In one embodiment of the structure of formula (II), L has the structure of L2. In one embodiment of the structure of formula (III), L has the structure of L2. In one embodiment of the structure of formula (IV), L has the structure of L2. In one embodiment of the structure of formula (V), L has the structure of L2. In one embodiment of the structure of formula (VI), L has the structure of L2. In one embodiment of the structure of formula (VI), L has the structure of L2.

[0274] 10) Shipping Tatsukei In a further embodiment, equation (VI) [ka] [wherein L is selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles and combinations thereof, where formula (VI) optionally further comprises one or more branching points B and one or more spacers S; where B is independently a polyvalent organic species or a derivative thereof in each case; S is independently selected from ethylene glycol chains, alkyl chains, peptides, RNA, DNA, phosphates, phosphonates, phosphoramidates, esters, amides, triazoles and combinations thereof in each case; each cNA is independently a carrier nucleic acid comprising one or more chemical modifications; and n is 2, 3, 4, 5, 6, 7 or 8.] A delivery system for therapeutic nucleic acids having the structure is provided.

[0275] In one embodiment of the delivery system, L is an ethylene glycol chain. In another embodiment of the delivery system, L is an alkyl chain. In another embodiment of the delivery system, L is a peptide. In another embodiment of the delivery system, L is RNA. In another embodiment of the delivery system, L is DNA. In another embodiment of the delivery system, L is a phosphate. In another embodiment of the delivery system, L is a phosphonate. In another embodiment of the delivery system, L is a phosphoramidate. In another embodiment of the delivery system, L is an ester. In another embodiment of the delivery system, L is an amide. In another embodiment of the delivery system, L is a triazole.

[0276] In one embodiment of the delivery system, S is an ethylene glycol chain. In another embodiment, S is an alkyl chain. In yet another embodiment of the delivery system, S is a peptide. In yet another embodiment, S is RNA. In yet another embodiment of the delivery system, S is DNA. In yet another embodiment of the delivery system, S is a phosphate. In yet another embodiment of the delivery system, S is a phosphonate. In yet another embodiment of the delivery system, S is a phosphoramidate. In yet another embodiment of the delivery system, S is an ester. In yet another embodiment, S is an amide. In yet another embodiment, S is a triazole.

[0277] In one embodiment of the delivery system, n is 2. In another embodiment of the delivery system, n is 3. In another embodiment of the delivery system, n is 4. In another embodiment of the delivery system, n is 5. In another embodiment of the delivery system, n is 6. In another embodiment of the delivery system, n is 7. In another embodiment of the delivery system, n is 8.

[0278] In one embodiment, each cNA contains >95%, >90%, >85%, >80%, >75%, >70%, >65%, >60%, >55%, or >50% of chemically modified nucleotides.

[0279] In one embodiment, the compound of formula (VI) has a structure selected from formulas (VI-1) to (VI-9) in Table 3. [Table 3]

[0280] In one embodiment, the compound of formula (VI) has the structure of formula (VI-1). In one embodiment, the compound of formula (VI) has the structure of formula (VI-2). In one embodiment, the compound of formula (VI) has the structure of formula (VI-3). In one embodiment, the compound of formula (VI) has the structure of formula (VI-4). In one embodiment, the compound of formula (VI) has the structure of formula (VI-5). In one embodiment, the compound of formula (VI) has the structure of formula (VI-6). In one embodiment, the compound of formula (VI) has the structure of formula (VI-7). In one embodiment, the compound of formula (VI) has the structure of formula (VI-8). In one embodiment, the compound of formula (VI) has the structure of formula (VI-9).

[0281] In one embodiment, a compound of formula (VI) (for example, including formulas (VI-1) to (VI-9)) contains, each cNA independently, at least 15 consecutive nucleotides. In another embodiment, each cNA independently consists of chemically modified nucleotides.

[0282] In one embodiment, the delivery system further comprises n therapeutic nucleic acids (NAs), where each NA comprises a complementation region substantially complementary to a region of the gene containing an allele polymorphism, where the antisense strand comprises a single nucleotide polymorphism (SNP) position nucleotide complementary to the allele polymorphism at positions 2–7 from the 5' end; and a mismatch (MM) position nucleotide located 2–11 nucleotides from the SNP position nucleotide that is mismatched with the nucleotide in the gene. In an exemplary embodiment, the SNP position nucleotide is at positions 2, 4, or 6 from the 5' end, and the mismatch (MM) position nucleotide is located 2–6 nucleotides from the SNP position nucleotide. Also, each NA hybridizes to at least one cNA. In one embodiment, the delivery system consists of 2 NAs. In another embodiment, the delivery system consists of 3 NAs. In another embodiment, the delivery system consists of 4 NAs. In another embodiment, the delivery system consists of 5 NAs. In another embodiment, the delivery system consists of 6 NAs. In another embodiment, the delivery system consists of 7 NAs. In another embodiment, the delivery system consists of eight NAs.

[0283] In one embodiment, each NA independently contains at least 16 consecutive nucleotides. In another embodiment, each NA independently contains 16-20 consecutive nucleotides. In yet another embodiment, each NA independently contains 16 consecutive nucleotides. In yet another embodiment, each NA independently contains 17 consecutive nucleotides. In yet another embodiment, each NA independently contains 18 consecutive nucleotides. In yet another embodiment, each NA independently contains 19 consecutive nucleotides. In yet another embodiment, each NA independently contains 20 consecutive nucleotides.

[0284] In one embodiment, each NA includes an unpaired overhang of at least two nucleotides. In another embodiment, each NA includes an unpaired overhang of at least three nucleotides. In yet another embodiment, each NA includes an unpaired overhang of at least four nucleotides. In yet another embodiment, each NA includes an unpaired overhang of at least five nucleotides. In yet another embodiment, each NA includes an unpaired overhang of at least six nucleotides. In one embodiment, the nucleotides of the overhangs are linked via phosphorothioate bonds.

[0285] In one embodiment, each NA is independently selected from the group consisting of DNA, siRNA, antagomiR, miRNA, gapmer, mixed mer, or guide RNA. In one embodiment, each NA is independently DNA. In another embodiment, each NA is independently siRNA. In another embodiment, each NA is independently antagomiR. In another embodiment, each NA is independently miRNA. In another embodiment, each NA is independently a gapmer. In another embodiment, each NA is independently a mixed mer. In another embodiment, each NA is independently a guide RNA. In one embodiment, each NA is the same. In another embodiment, each NA is not the same.

[0286] In one embodiment, a delivery system comprising n therapeutic nucleic acids (NAs) further has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein. In one embodiment, the delivery system comprises two therapeutic nucleic acids (NAs) further and has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein. In another embodiment, the delivery system comprises three therapeutic nucleic acids (NAs) further and has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein. In one embodiment, the delivery system comprises four therapeutic nucleic acids (NAs) further and has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein. In one embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein, further comprising 5 therapeutic nucleic acids (NA). In one embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein, further comprising 6 therapeutic nucleic acids (NA). In one embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein, further comprising 7 therapeutic nucleic acids (NA). In one embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), (VI) and their embodiments described herein, further comprising 8 therapeutic nucleic acids (NA).

[0287] In one embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), and (VI), and further includes a linker of structure L1 or L2, where R is R3 and n is 2. In another embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), and (VI), and further includes a linker of structure L1, where R is R3 and n is 2. In yet another embodiment, the delivery system has a structure selected from formulas (I), (II), (III), (IV), (V), and (VI), and further includes a linker of structure L2, where R is R3 and n is 2.

[0288] Pharmaceutical composition and administration method In one embodiment, a pharmaceutical composition comprising one or more of the compounds, oligonucleotides or nucleic acids described herein and a pharmaceutically acceptable carrier is provided herein. In one embodiment, the pharmaceutical composition comprises one or more double-stranded, chemically modified nucleic acids described herein and a pharmaceutically acceptable carrier. In a particular embodiment, the pharmaceutical composition comprises one double-stranded, chemically modified nucleic acid described herein and a pharmaceutically acceptable carrier. In another particular embodiment, the pharmaceutical composition comprises two double-stranded, chemically modified nucleic acids described herein and a pharmaceutically acceptable carrier.

[0289] In certain embodiments, the pharmaceutical composition comprises a double-stranded RNA molecule containing approximately 15-35 nucleotides complementary to a region of a gene encoding a heterozygous SNP mutant protein, wherein the region contains an allele polymorphism, and the second strand contains approximately 15-35 nucleotides complementary to the first strand, where the dsRNA molecule contains a mismatch that is not at the position of the allele polymorphism; and the nucleotides corresponding to the mismatch and polymorphism are not at the center of the dsRNA molecule.

[0290] In one embodiment, the mismatch is located 4 nucleotides upstream, 3 nucleotides upstream of the nucleotide corresponding to the allele polymorphism, 2 nucleotides upstream of the nucleotide corresponding to the allele polymorphism, 1 nucleotide upstream, 1 nucleotide downstream of the nucleotide corresponding to the allele polymorphism, 2 nucleotides downstream of the nucleotide corresponding to the allele polymorphism, 3 nucleotides downstream of the nucleotide corresponding to the allele polymorphism, 4 nucleotides downstream of the nucleotide corresponding to the allele polymorphism, or 5 nucleotides downstream of the nucleotide corresponding to the allele polymorphism. In one embodiment, the mismatch is not adjacent to the nucleotide corresponding to the allele polymorphism.

[0291] In other embodiments of the pharmaceutical composition, the double-stranded RNA contains nucleotides corresponding to allele polymorphisms, located at positions 2, 3, 4, 5, or 6 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 2 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 3 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 4 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 5 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 6 from the 5' end.

[0292] In one embodiment of the pharmaceutical composition, the double-stranded RNA selectively silences mutant alleles having allelic polymorphism, such as heterozygous SNPs. In another embodiment of the pharmaceutical composition, the double-stranded RNA silences mutant alleles having allelic polymorphism without affecting the wild-type allele of the same gene. In yet another embodiment of the pharmaceutical composition, the double-stranded RNA provided herein silences mutant alleles having allelic polymorphism and silences the wild-type allele of the same gene to a lesser extent than the mutant allele.

[0293] The pharmaceutical compositions of the present invention are formulated to suit the intended route of administration. Examples of routes of administration include non-enteral administration, e.g., intravenous (IV), intradermal, subcutaneous (SC or SQ), intraperitoneal, intramuscular, oral (e.g., inhalation), transdermal (topical), and transmucosal administration. Solutions or suspensions used for non-enteral, intradermal, or subcutaneous application may contain the following components: sterile diluents such as water for injection, saline solution, fixative oil, polyethylene glycol, glycerin, propylene glycol, or other synthetic solvents; antibacterial agents such as benzyl alcohol or methylparaben; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetic acid, citric acid, or phosphoric acid, and tonic modifiers such as sodium chloride or dextrose. The pH can be adjusted with an acid or base such as hydrochloric acid or sodium hydroxide. Non-enteral preparations can be sealed in glass or plastic ampoules, disposable syringes, or multi-dose vials.

[0294] Pharmaceutical compositions suitable for injection include sterile aqueous solutions (when water-soluble) or dispersions, and sterile powders for the immediate preparation of sterile injection solutions or dispersions. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, NJ), or phosphate-buffered saline (PBS). In all cases, the composition must be sterile and pass easily through the injection needle. It must be stable under manufacturing and storage conditions and protected against contamination by microorganisms such as bacteria and fungi. The carrier may be a solvent or dispersion medium, for example, containing water, ethanol, polyols (e.g., glycerol, propylene glycol, and liquid polyethylene glycol) and suitable mixtures thereof. Adequate fluidity can be maintained, for example, by the use of coatings such as lecithin, by maintaining the required particle size in the case of dispersions, and by the use of surfactants. Prevention of microbial action can be achieved by various antibacterial and antifungal agents, such as parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, etc. In many cases, it is desirable to include isotonic agents in the composition, such as sugars, polyalcohols, such as mannitol, sorbitol, and sodium chloride. Long-term absorption of the injectable composition can be achieved by including absorption-delaying agents in the composition, such as aluminum monostearate and gelatin.

[0295] Sterile injectable solutions can be prepared by placing the required amount of the active compound in a suitable solvent containing one or a combination of the above components as needed, followed by sterilization by filtration. Generally, dispersions are prepared by placing the active compound in a sterile medium containing a basic dispersion medium and other necessary components from the above. In the case of sterile powders for the preparation of sterile injectable solutions, typical preparation methods are vacuum drying and freeze-drying, which yield a powder of the active component and any additional desired components from a pre-sterilized filtered solution.

[0296] Data obtained from cell culture assays and animal studies can be used to calculate dosage ranges for human use. Dosages of such compounds are generally low to no toxicity and ED 50 It falls within the range of circulating concentrations, including [specific component]. The dosage may vary within this range depending on the dosage form used and the route of administration utilized. For any compound used in the method of the present invention, the therapeutically effective dose can first be estimated from a cell culture assay. In animal models, the EC determined by cell culture... 50 The dose can be calculated to achieve a circulating plasma concentration range that includes (i.e., the concentration of the test compound that achieves half of the maximum response). Using this information, a more accurate dose useful in humans can be determined. Plasma levels can be measured, for example, by high-performance liquid chromatography.

[0297] Treatment method The present invention provides methods for both the prevention and treatment of subjects at risk (or suspected) of a disease or disorder caused by all or part allele polymorphism (e.g., heterozygous SNPs). In one embodiment, the disease or disorder is a trinucleotide repetition disease or disorder. In another embodiment, the disease or disorder is a polyglutamine disease. In one embodiment, the method comprises the administration of a therapeutically effective amount of the double-stranded RNA molecule provided herein. In one embodiment, the disease or disorder is a disorder related to huntingtin expression, such as the clinical manifestation seen in patients with Huntington's disease, in which alterations of huntingtin, particularly amplification of CAG repeat copy numbers, lead to a defect in the huntingtin gene (structure or function) or the huntingtin protein (structure or function or expression).

[0298] In embodiments of the method, the double-stranded RNA disclosed herein is homologous to the allele polymorphism, except for one mismatched oligonucleotide at a specific position of the nucleotide corresponding to the allele polymorphism. In some embodiments, the mismatch is within approximately 6 nucleotides of the nucleotide corresponding to the allele polymorphism, within approximately 5 nucleotides of the nucleotide corresponding to the allele polymorphism, within approximately 4 nucleotides of the nucleotide corresponding to the allele polymorphism, within approximately 3 nucleotides of the nucleotide corresponding to the allele polymorphism, within approximately 2 nucleotides of the nucleotide corresponding to the allele polymorphism, or within approximately 1 nucleotide of the nucleotide corresponding to the allele polymorphism. In specific exemplary embodiments, the mismatch is not adjacent to the nucleotide corresponding to the allele polymorphism.

[0299] In other embodiments of the method, the double-stranded RNA contains nucleotides corresponding to allele polymorphisms, which are located at positions 2, 3, 4, 5, or 6 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 2 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 3 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 4 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 5 from the 5' end. In one embodiment, the nucleotide corresponding to the allele polymorphism is at position 6 from the 5' end.

[0300] In one embodiment of the method, the dsRNA contains a nucleotide corresponding to the polymorphism from the 5' end to position 6 and a mismatch from the 5' end to position 11. In another embodiment of the method, the dsRNA contains a nucleotide corresponding to the polymorphism from the 5' end to position 4 and a mismatch from the 5' end to position 7.

[0301] In other embodiments of the method, double-stranded RNA selectively silences mutant alleles having allele polymorphism. In one embodiment, double-stranded RNA silences mutant alleles having allele polymorphism without affecting the wild-type allele of the same gene. In another embodiment, double-stranded RNA silences mutant alleles having allele polymorphism and silences the wild-type allele of the same gene to a lesser extent than the mutant allele.

[0302] In one embodiment of the method, the dsRNA includes one or more VP subunit inter-subunit binding modifications, where the inter-subunit binding has the following formula: [ka]

[0303] In a further embodiment, the dsRNA includes one or more of the inter-subunit binding modifications shown in Figure 43.

[0304] As used herein, “treatment” or “to treat” is defined as the application or administration of a therapeutic agent (e.g., an RNA agent or a vector or transgene encoding it) to a patient or the application or administration of a therapeutic agent to isolated tissue or cell lines from a patient, the patient having a disease or disorder, symptoms of a disease or disorder or a predisposition to a disease or disorder, and the treatment aims to cure, treat, alleviate, mitigate, modify, correct, improve, improve or correct the disease or disorder, symptoms of a disease or disorder or a predisposition to a disease.

[0305] In one embodiment, a method is provided for preventing the aforementioned disease or disorder in a subject by administering a therapeutic agent (e.g., an RNAi agent or a vector or transgene encoding it) to the subject. Subjects at risk of the disease may be identified, for example, by any or a combination of the diagnostic or prognostic assays described herein. Administration of the prophylactic agent may be carried out before the manifestation of characteristic symptoms of the disease or disorder, so as to prevent the disease or disorder or delay its progression.

[0306] Another aspect of the present invention relates to methods for therapeutically treating a subject, i.e., altering the onset of symptoms of a disease or disorder. In one exemplary embodiment, the modulatory method of the present invention involves contacting cells expressing a gain-of-function mutant with a therapeutic agent (e.g., an RNAi agent or a vector or transgene encoding it) that is specific to one or more target sequences in the gene, such that sequence-specific interference at the gene is achieved. These methods can be carried out in vitro (e.g., by culturing cells with the agent) or in vivo (e.g., by administering the agent to the subject).

[0307] RNA silencing agents modified for enhanced uptake into nerve cells are administered in doses of less than approximately 1.4 mg / kg body weight or less than 10, 5, 2, 1, 0.5, 0.1, 0.05, 0.01, 0.005, 0.001, 0.0005, 0.0001, 0.00005, or 0.00001 mg / kg body weight and 200 nmole RNA agents (e.g., approximately 4.4 × 10⁻¹⁰). 16 RNA silencing agents may be administered in unit doses of less than 1500, 750, 300, 150, 75, 15, 7.5, 1.5, 0.75, 0.15, 0.075, 0.015, 0.0075, 0.0015, 0.00075, or 0.00015 nmole / kg body weight. The unit dose may be administered, for example, by injection (e.g., intravenously or intramuscularly, intrathecally or directly into the brain), by inhalation, or by topical application. In exemplary embodiments, the dose is less than 2, 1, or 0.1 mg / kg body weight.

[0308] Direct delivery of RNA silencing agents to organs (e.g., the brain) can be in the order of magnitude of approximately 0.00001 mg to 3 mg / organ, or approximately 0.0001 to 0.001 mg / organ, approximately 0.03 to 3.0 mg / organ, approximately 0.1 to 3.0 mg / organ, or approximately 0.3 to 3.0 mg / organ. The dosage may be an effective amount for the treatment or prevention of neurological disorders or conditions (e.g., Huntington's disease). In one embodiment, the unit dose is administered less than once daily, for example, every 2 days, every 4 days, every 8 days, or less than every 30 days. In other embodiments, the unit dose is not administered at any frequency (e.g., not at a constant frequency). For example, the unit dose may be administered in a single dose. In one embodiment, the effective dose is administered in conjunction with other traditional therapeutic modalities.

[0309] In one embodiment, the subject is administered an initial dose and one or more maintenance doses of an RNA silencing agent. One or more maintenance doses are generally lower than the initial dose, for example, half the initial dose. The maintenance regimen involves treating the subject with one or more doses ranging from 0.01 μg to 1.4 mg / kg body weight / day, for example, 10, 1, 0.1, 0.01, 0.001, or 0.00001 mg / kg body weight / day. Maintenance doses are generally administered less than once every 5 days, 10 days, or 30 days. Furthermore, the treatment regimen may continue for a period of time that varies depending on the nature of the specific disease, its severity, and the patient's overall condition. In a specific embodiment, the dose may be delivered less than once a day, for example, less than once every 24 hours, 36 hours, 48 ​​hours, or more, for example, less than once every 5 or 8 days. After treatment, the patient may be monitored for changes in their condition and reduction of symptoms of the disease state. The dosage of the compound may be increased if the patient does not respond significantly to the current dosage level, or the dosage may be decreased if a reduction in the symptoms of the disease condition is observed, the disease condition is eliminated, or undesirable side effects are observed.

[0310] Huntington's disease In one embodiment of the present invention, RNA silencing agents are designed for target polymorphisms (e.g., heterozygous single nucleotide polymorphisms) in mutant human huntingtin protein (htt) for the treatment of Huntington's disease. Accordingly, in another embodiment, a method is provided for treating or managing Huntington's disease, comprising administering to a patient in need of such treatment or management a therapeutically effective amount of the compound, oligonucleotide or nucleic acid described herein, or a pharmaceutical composition comprising the compound, oligonucleotide or nucleic acid.

[0311] Huntington's disease is an autosomal dominant disorder that results in cognitive impairment and motor disorders. Patients may survive for more than 10 years in a severely debilitated state before dying prematurely from starvation or infection. The disease mostly develops in the 40s or 50s, but a subset of patients may develop the disease in their teens. The gene mutation in Huntington's disease is an extension of the CAG repeat in the huntingtin gene. The number of CAG repeats varies from 8 to 35 copies in normal individuals (Kremer et al., 1994). The gene mutation (e.g., an extension from a length of less than 36 CAG repeats in the normal huntingtin gene to a length of more than 36 in the diseased gene) is associated with the synthesis of a mutant huntingtin protein with more than 36 consecutive polyglutamine residues (Aronin et al., 1995). Generally, individuals with 36 or more CAG repeats develop Huntington's disease. As a prototype for about 20 other diseases that have extended CAG as the underlying mutation, Huntington's disease still has no effective treatment. A variety of interventions—e.g., disruption of the apoptotic pathway, addition of drugs to boost mitochondrial efficiency, and NMDA receptor blockade—have shown promise in cell cultures and mouse models of Huntington's disease. However, these approaches only slightly extend cell or animal survival at best.

[0312] The disease gene associated with Huntington's disease is called huntingtin or (htt). The huntingtin locus is large, spanning 180kb and consisting of 67 exons. The huntingtin gene is widely expressed and necessary for normal development. It is expressed as two different polyadenylated forms, differing in relative amounts in various fetal and adult tissues. The larger transcript is approximately 13.7kb and is mainly expressed in the adult and fetal brain, while the smaller transcript, approximately 10.3kb, is more widely expressed. The two transcripts differ in their 3' untranslated region (Lin et al., 1993). Both messages are predicted to encode a 348-kilodalton protein containing 3144 amino acids. Gene deletions leading to Huntington's disease are thought to confer new properties to the mRNA or alter the function of the protein.

[0313] Huntington's disease fulfills the central dogma of genetics: the mutant gene acts as a template for mutant mRNA production; the mutant mRNA then directs the synthesis of the mutant protein (Aronin et al., 1995; DiFiglia et al., 1997). The mutant huntingtin (protein) accumulates in selective neurons in the striatum and cortex, disrupting undefined cellular activity and potentially causing neuronal dysfunction and death (Aronin et al., 1999; Laforet et al., 2001). Since one copy of the mutant gene is sufficient to cause Huntington's disease, the most frugal treatment is to deactivate the mutant gene. Theoretical approaches include transcription arrest of the mutant huntingtin gene, disruption of the mutant mRNA, and translation blockade, each resulting in the same outcome—loss of mutant huntingtin.

[0314] Huntington SNP Exemplary huntingtin gene sequence SNPs suitable for targeting according to one exemplary embodiment are disclosed in Table 4 below. The genomic sequence of each SNP site can be found, for example, in the publicly available "SNP Entrez" database maintained by NCBI. The heterozygosity frequencies of each SNP site in HD patient and control DNA are further shown in Table 4. Targeting high-frequency heterozygous SNP combinations allows for the treatment of a large portion of the HD population with the use of a relatively small number of allele-specific RNA silencing agents. [Table 4]

[0315] In one embodiment, the RNA silencing agent of the present invention can target one or more of the SNP sites listed in Table 4. In one embodiment, the RNA silencing agent of the present invention can target the rs363125 SNP site of huntingtin mRNA. In another embodiment, the RNA silencing agent of the present invention can target the rs362273 SNP site of huntingtin mRNA. In another embodiment, the RNA silencing agent of the present invention can target the rs362307 SNP site of huntingtin mRNA. In another embodiment, the RNA silencing agent of the present invention can target the rs362336 SNP site of huntingtin mRNA. In another embodiment, the RNA silencing agent of the present invention can target the rs362331 SNP site of huntingtin mRNA. In another embodiment, the RNA silencing agent of the present invention can target the rs362272 SNP site of huntingtin mRNA. In other embodiments, the RNA silencing agent of the present invention can target the rs362306 SNP site of huntingtin mRNA. In other embodiments, the RNA silencing agent of the present invention can target the rs362268 SNP site of huntingtin mRNA. In other embodiments, the RNA silencing agent of the present invention can target the rs362267 SNP site of huntingtin mRNA. In other embodiments, the RNA silencing agent of the present invention can target the rs363099 SNP site of huntingtin mRNA. In one embodiment, the SNP site targeted by the RNA silencing agent is associated with Huntington's disease. In a specific exemplary embodiment, the SNP site targeted by the RNA silencing agent is significantly associated with Huntington's disease.

[0316] In a further exemplary embodiment, the RNA silencing agent comprises one or more sequences from Tables 5-7. [Table 5] [Table 6] [Table 7]

[0317] In some embodiments shown in Tables 5-7, the U nucleotide can be replaced with a T nucleotide.

[0318] Methods for delivering nucleic acids The RNA silencing agent of the present invention can be introduced directly into cells (e.g., nerve cells) (i.e., intracellularly); or extracellularly into the lumens, interstitial spaces, or circulation of an organism, by oral administration, or by immersing cells or organisms in a nucleic acid-containing solution. Blood vessels or extravascular circulation, the blood or lymphatic system, and cerebrospinal fluid are sites into which nucleic acids can be introduced.

[0319] The RNA silencing agent of the present invention can be introduced using nucleic acid delivery methods known in the art, including injection of nucleic acid-containing solutions, irradiation of nucleic acid-coated particles, immersion of cells or organisms in nucleic acid solutions, or electroporation of cell membranes in the presence of nucleic acids. Other methods known in the art for introducing nucleic acids into cells, such as lipid-mediated carrier transport, chemical-mediated transport, and cationic liposome transfection such as calcium phosphate, may be used. Nucleic acids may be introduced together with other components that perform one or more of the following activities: enhanced nucleic acid uptake by cells or increased inhibition of other target genes.

[0320] Physical methods for introducing nucleic acids include injection of RNA-containing solutions, irradiation with RNA-coated particles, immersion of cells or organisms in RNA solutions, or electroporation of cell membranes in the presence of RNA. Viral constructs packaged in viral particles achieve both efficient introduction of expression constructs into cells and transcription of RNA encoded by the expression constructs. Other methods known in the art for introducing RNA into cells may be used, such as lipid-mediated carrier transport and chemical-IS-mediated transport such as calcium phosphate. Thus, RNA may be introduced together with other components that perform one or more of the following activities: enhanced RNA uptake by cells, inhibition of single-strand annealing, single-strand stabilization, or increased inhibition of other target genes.

[0321] RNA agents can be introduced directly into cells (e.g., nerve cells) (i.e., intracellularly) or extracellularly into the lumens, interstitial spaces, or circulation of organisms, either orally or by immersing cells or organisms in an RNA-containing solution. Blood vessels or extravascular circulation, the blood or lymphatic system, and cerebrospinal fluid are sites into which RNA can be introduced.

[0322] Cells possessing the target gene may originate from germline or somatic cells, totipotent or pluripotent, mitotic or non-mitotic, parenchymal or epithelial, immortalized or transformed, etc. Cells may be stem cells or differentiated cells. Differentiated cell types include adipocytes, fibroblasts, myocytes, cardiomyocytes, endothelial cells, neurons, glial cells, hematopoietic cells, megakaryocytes, lymphocytes, macrophages, neutrophils, eosinophils, basophils, mast cells, leukocytes, granulocytes, keratinizing cells, chondrocytes, osteoblasts, osteoclasts, hepatocytes, and cells of endocrine or exocrine glands.

[0323] Depending on the specific target gene and the dose of the double-stranded RNA substance delivered, this process may result in partial or complete loss of function of the target gene. Typical results include a reduction or loss of gene expression of at least 50%, 60%, 70%, 80%, 90%, 95%, or 99% or more in the target cell. Inhibition of gene expression refers to the absence (or observable decrease) of protein and / or mRNA product levels from the target gene. Specificity refers to the ability to inhibit a target gene without affecting other genes in the cell. The results of inhibition can be confirmed by testing the external properties of the cell or organism (as described in the examples below) or by biochemical techniques such as RNA solution hybridization, nuclease protection, Northern hybridization, reverse transcription, gene expression monitoring in microarrays, antibody binding, enzyme-linked immunosorbent assay (ELISA), Western blotting, radioimmunoassay (RIA), other immunoassays, and fluorescence-activated cell analysis (FACS).

[0324] For RNA-mediated inhibition of cell lines or whole organisms, gene expression is assayed using reporters or drug resistance genes whose protein products are readily assayed. Such reporter genes include acetohydroxy acid synthase (AHAS), alkaline phosphatase (AP), beta-galactosidase (LacZ), beta-glucuronidase (GUS), chloramphenicol acetyltransferase (CAT), green fluorescent protein (GFP), horseradish peroxidase (HRP), luciferase (Luc), nopalin synthase (NOS), octopine synthase (OCS), and their derivatives. Multiple selectable markers are available that confer resistance to ampicillin, bleomycin, chloramphenicol, gentamicin, hygromycin, kanamycin, lincomycin, methotrexate, phosphinothricin, puromycin, and tetracycline. The assay allows for the determination of the degree of inhibition, greater than 10%, 33%, 50%, 90%, 95%, or 99% compared to cells not treated with the present invention, by quantifying gene expression levels. A lower amount of injected material and a longer time after RNAi agent administration may result in a lower percentage of inhibited cells (e.g., at least 10%, 20%, 50%, 75%, 90%, or 95% of target cells). Quantification of cellular gene expression may indicate similar levels of inhibition at the accumulation of target mRNA or the translation level of the target protein. As an example, inhibition efficiency may be determined by assessing the amount of gene product in the cells. mRNA can be detected with a hybridization probe having an extraregional nucleotide sequence used for inhibitory double-stranded RNA, or the translated polypeptide can be detected with an antibody induced against the polypeptide sequence in that region.

[0325] RNA can be introduced in amounts that allow for delivery of at least one copy per cell. High doses of the substance (e.g., at least 5, 10, 100, 500, or 1000 copies per cell) can be effective inhibitory; low doses may also be useful in specific applications.

[0326] In certain embodiments, the efficacy of the RNAi agent of the present invention (e.g., siRNA targeting polymorphisms of mutant genes) is tested for its ability to specifically degrade mutant mRNA (e.g., production of mutant htt mRNA and / or mutant huntingtin protein) in cells, particularly neurons (e.g., striatal or cortical neuronal clonal systems and / or primary neurons). Other readily transfectable cells, e.g., HeLa cells or COS cells, are also suitable for cell-based validation assays. Cells are transfected with human wild-type or mutant cDNA (e.g., human wild-type or mutant huntingtin cDNA). Standard siRNA, modified iRNA, or a vector capable of producing siRNA from U-loop mRNA is co-transfected. The selective reduction of mutant mRNA (e.g., mutant huntingtin mRNA) and / or mutant protein (e.g., mutant huntingtin) is measured. The reduction of mutant mRNA or protein can be compared to normal mRNA or protein levels. Exogenously introduced normal mRNA or protein (or endogenous normal mRNA or protein) can be assayed for comparison. When using neuronal cells that are known to be somewhat resistant to standard transfection techniques, it may be desirable to introduce RNAi agents (e.g., siRNA) by dynamic uptake.

[0327] In one exemplary embodiment, a composition comprising the RNA agent of the present invention, such as a dsRNA agent, can be delivered to the target nervous system via a variety of routes. Exemplary routes include intrathecal, parenchymal (e.g., brain), nasal, and ocular delivery. The composition can also be delivered systemically, for example, by intravenous, subcutaneous, or intramuscular injection, which is particularly useful for delivering RNA agents, such as dsRNA agents, to peripheral nerve cells. Exemplary delivery routes include direct delivery to the brain, for example, the ventricles or hypothalamus, or to the lateral or dorsal regions of the brain. RNA agents for nerve cell delivery, such as dsRNA agents, may be incorporated into pharmaceutical compositions suitable for administration.

[0328] For example, a composition may comprise one or more species of RNA agents, such as dsRNA agents, and a pharmaceutically acceptable carrier. The pharmaceutical compositions of the present invention may be administered in a number of ways, depending on whether topical or systemic treatment is preferred and the area to be treated. Administration may include topical (including ocular, intranasal, and transdermal), oral, or non-enteral administration. Non-enteral administration may include intravenous infusion, subcutaneous, intraperitoneal, or intramuscular injection, intrathecal, or intraventricular (e.g., lateral ventricle) administration. In an exemplary embodiment, the RNA silencing agent of the present invention is made to cross the blood-brain barrier (BBB) ​​using a variety of suitable compositions and methods described herein.

[0329] The delivery route may depend on the patient's condition. For example, the anti-htt RNA agent of the present invention, such as a dsRNA agent, may be administered directly to the brain (e.g., near the globus pallidus or striatum and medium spiny neurons of the striatum) in a subject diagnosed with Huntington's disease. In addition to the RNA silencing agent of the present invention, the patient may be administered secondary therapies, such as palliative care and / or disease-specific therapies. Secondary therapies may be, for example, symptomatic (e.g., for symptom relief), neuroprotective (e.g., for delaying or halting disease progression), or restorative (e.g., for reversing the disease process). For Huntington's disease treatment, for example, symptomatic treatment includes the drugs haloperidol, carbamazepine, or valoproate. Other therapies include psychotherapy, physiotherapy, speech therapy, communication and memory aids, social support services, and dietary guidance.

[0330] RNA agents, such as dsRNA agents, can be delivered to nerve cells in the brain. Delivery methods that do not require the composition to cross the blood-brain barrier can be used. For example, a pharmaceutical composition containing an RNA agent, such as a dsRNA agent, can be delivered to a patient by direct injection into a region containing diseased cells. For example, a pharmaceutical composition can be delivered by direct injection into the brain. The injection is delivered by stereotactic injection into a specific region of the brain (e.g., substantia nigra, cortex, hippocampus, striatum, or globus pallidus). RNA agents, such as dsRNA agents, can be delivered to multiple regions of the central nervous system (e.g., multiple regions of the brain and / or spinal cord). RNA agents, such as dsRNA agents, can be delivered to generalized regions of the brain (e.g., generalized delivery to the cerebral cortex).

[0331] In one embodiment, RNA agents, such as dsRNA agents, can be delivered by means of a cannula or other delivery device having one end implanted in a tissue, such as the brain, such as the substantia nigra, cortex, hippocampus, striatum, or globus pallidus. The cannula can be connected to a reservoir for the RNA agent, such as a dsRNA agent. Flow or delivery may be mediated by a pump, such as an osmotic pump or minipump, such as an Alzet pump (Durect, Cupertino, CA). In one embodiment, the pump and reservoir - The device is implanted distal to the tissue, for example, in the abdomen, and delivery is carried out by a conduit from the pump or reservoir to the discharge site. Devices for delivery to the brain are described, for example, in U.S. Patents 6,093,180 and 5,814,014.

[0332] The RNA agent of the present invention, for example, a dsRNA agent, can be further modified to cross the blood-brain barrier. For example, the RNA agent, for example, a dsRNA agent, can be conjugated with a molecule that enables drug passage through the barrier. Such a modified RNA agent, for example, a dsRNA agent, can be administered by any desired method, such as intraventricular or intramuscular injection or, for example, pulmonary delivery.

[0333] In one embodiment, exosomes can be used to deliver the RNA agent of the present invention, for example, a dsRNA agent. Exosomes can cross the blood-brain barrier (BBB) ​​and, after systemic injection, specifically deliver siRNA, antisense oligonucleotides, chemotherapeutic agents, and proteins to nerve cells (Alvarez-Erviti L, Seow Y, Yin H, Betts C, Lakhal S, Wood MJ. (2011). Delivery of siRNA to the mouse brain by systemic injection of targeted exosomes. Nat Biotechnol. 2011 Apr;29(4):341-5. doi: 10.1038 / nbt.1807; El-Andaloussi S, Lee Y, Lakhal-Littleton S, Li J, Seow Y, Gardiner C, Alvarez-Erviti L, Sargent IL, Wood MJ.(2011). Exosome-mediated delivery of siRNA in vitro and in vivo. Nat Protoc. 2012 Dec;7(12):2112-26. doi: 10.1038 / nprot.2012.131; EL Andaloussi S, Mager I, Breakefield XO, Wood MJ. (2013). Extracellular vesicles: biology and emerging therapeutic opportunities. Nat Rev Drug Discov. 2013 May;12(5):347-57. doi: 10.1038 / nrd3978; El Andaloussi S, Lakhal S, Maeger I, Wood MJ. (2013). Exosomes for targeted siRNA delivery across biological barriers. Adv. Drug Deliv Rev. 2013 Mar;65(3):391-7. doi: 10.1016 / j.addr.2012.08.008).

[0334] In one embodiment, one or more lipophilic molecules are used to enable the delivery of the RNA agent of the present invention, such as a dsRNA agent, across the blood-brain barrier (Alvarez-Ervit (2011)). The RNA silencing agent is then activated, for example, by enzymatic degradation of the lipophilic coverts, to release the drug in its active form.

[0335] In one embodiment, one or more receptor-mediated permeability compounds may be used to increase blood-brain barrier (BBB) ​​permeability in order to enable delivery of the RNA silencing agents of the present invention. These drugs temporarily increase BBB permeability by increasing the osmotic pressure of the blood, which loosens tight junctions between endothelial cells ((El-Andaloussi (2012)). By loosening tight junctions, the RNA silencing agents can be administered by conventional intravenous injection.

[0336] In one embodiment, an RNA agent of the present invention, such as a dsRNA agent, is delivered across the BBB using a nanoparticle-based delivery system. The “nanoparticles” used herein refer to polymer nanoparticles, generally solid, biodegradable, and colloidal, which are widely studied as drug or gene carriers (SP Egusquiaguirre, M. Igartua, RM Hernandez, and JL Pedraz, “Nanoparticle delivery systems for cancer therapy: advances in clinical and preclinical research,” Clinical and Translational Oncology, vol. 14, no. 2, pp. 83-93, 2012). Polymer nanoparticles are classified into two major categories: natural polymers and synthetic polymers. Natural polymers for siRNA delivery include, but are not limited to, cyclodextrins, chitosan, and atelocollagen (Y. Wang, Z. Li, Y. Han, LH Liang, and A. Ji, “Nanoparticle-based delivery system for application of siRNA in vivo,” Current Drug Metabolism, vol. 11, no. 2, pp. 182-196, 2010). Synthetic polymers include, but are not limited to, polyethyleneimine (PEI), poly(dl-lactide-coglycolide) (PLGA), and dendrimers, which have been thoroughly investigated (X. Yuan, S. Naguib, and Z. Wu, “Recent advances of siRNA delivery by nanoparticles,” Expert Opinion on Drug Delivery, vol. 8, no. 4, pp. 521-536, 2011).For a review of nanoparticles and other suitable delivery systems, see Jong-Min Lee, Tae-Jong Yoon, and Young-Seok Cho, “Recent Developments in Nanoparticle-Based siRNA Delivery for Cancer Therapy,” BioMed Research International, vol. 2013, Article ID 782041, 10 pages, 2013. doi:10.1155 / 2013 / 782041 (which is incorporated herein by reference in its entirety).

[0337] The RNA agent of the present invention, for example, a dsRNA agent, may be administered into the eye for the treatment of retinal disorders, such as retinopathy. For example, the pharmaceutical composition may be applied to the ocular surface or neighboring tissue, for example, the inside of the eyelid. They may be applied topically, for example by droplet spray, as an eyewash or ointment. The ointment or droppable liquid may be delivered by an ocular delivery system known in the art, such as an applicator or eyedropper. Such compositions may contain mucomimetics such as hyaluronic acid, chondroitin sulfate, hydroxypropyl methylcellulose or poly(vinyl alcohol), preservatives such as sorbic acid, EDTA or benzylcuronium chloride, and normal amounts of diluents and / or carriers. The pharmaceutical composition may also be administered inside the eye and may be introduced by a needle or other delivery device that can be introduced into a selected area or structure. Compositions containing RNA silencing agents may also be applied via ocular patches.

[0338] In general, the RNA agent of the present invention, such as a dsRNA agent, may be administered by any suitable method. Local delivery as used herein may refer to the direct application of the RNA agent, such as a dsRNA agent, to any surface of the body, including the eyes, mucous membranes, and body cavity surfaces, or to any internal surface. Topical formulations include transdermal patches, ointments, lotions, creams, gels, droplets, sprays, and liquids. Conventional pharmaceutical carriers, aqueous, powder, or oily bases, thickeners, etc., may be required or desired. Topical delivery also selectively delivers the RNA agent, such as a dsRNA agent, to the epidermis or dermis or a specific layer or underlying tissue of the target. means It can also be used as such.

[0339] Compositions for intrathecal or intraventricular (e.g., lateral ventricle) administration may include sterile aqueous solutions that may also contain buffers, diluents, and other suitable additives. Generally, compositions for intrathecal or intraventricular administration do not contain transfection reagents or additional lipophilic moieties other than those bound to, for example, RNA agents, such as dsRNA agents.

[0340] Non-enteral administration formulations may include sterile aqueous solutions that may also contain buffers, diluents, and other appropriate additives. Intracerebroventricular injection may be facilitated, for example, by an intracerebroventricular catheter coupled to a reservoir. For intravenous use, the total concentration of the solute must be controlled to make the preparation isotonic.

[0341] The RNA agent of the present invention, for example, a dsRNA agent, can be administered to a subject by pulmonary delivery. The pulmonary delivery composition can be delivered by inhalation of the dispersion so that it can reach the lungs, where the composition within the dispersion can be readily absorbed directly into the bloodstream via the alveolar region. Pulmonary delivery can be effective for both systemic and local delivery for the treatment of lung diseases. In one embodiment, the RNA agent administered by pulmonary delivery, for example, a dsRNA agent, is modified to be able to cross the blood-brain barrier.

[0342] Lung delivery can be achieved by various approaches, including the use of spray, aerosolization, micelle, and dry powder-based formulations. Delivery can be achieved with liquid nebulizers, aerosol-based inhalers, and dry powder dispersion devices. Quantitative devices are a typical example. One advantage of using atomizers or inhalers is that the amount of contamination is minimized because the device is self-contained. Dry powder dispersion devices deliver drugs that can be readily formulated as dry powders, for example. RNA silencing agent compositions can be stored stably as lyophilized or spray-dried powders, either by themselves or in combination with a suitable powder carrier. Delivery of compositions for inhalation may be mediated by administration timing elements, which may include timers, dose counters, time measurement devices, or time indicators, enabling dose tracking, compliance monitoring, and / or administration triggering for patients during aerosol drug administration when incorporated into a device.

[0343] Useful pharmaceutical additives as carriers include stabilizers such as human serum albumin (HSA), fillers such as carbohydrates, amino acids, and polypeptides; pH adjusters or buffers; and salts such as sodium chloride. These carriers may be in crystalline or amorphous form, or a mixture of the two.

[0344] Particularly valuable fillers include suitable carbohydrates, polypeptides, amino acids, or combinations thereof. Suitable carbohydrates include monosaccharides such as galactose, D-mannose, and sorbose; disaccharides such as lactose and trehalose; cyclodextrins such as 2-hydroxypropyl-beta-cyclodextrin; and polysaccharides such as raffinose, maltodextrin, and dextran; and algitols such as mannitol and xylitol. Exemplary carbohydrates include lactose, trehalose, raffinose, maltodextrin, and mannitol. Suitable polypeptides include aspartame. Amino acids include alanine and glycine, with glycine being representative.

[0345] Suitable pH adjusters or buffers include organic salts prepared from organic acids and bases, such as sodium citrate and sodium ascorbate; sodium citrate is a typical example.

[0346] The RNA agents of the present invention, such as dsRNA agents, can be administered orally and nasally. For example, drugs administered via these membranes have a rapid onset of action, deliver therapeutic plasma levels, avoid the first-pass effect of hepatic metabolism, and avoid the drug being unfavorable to the gastrointestinal (GI) environment. Additional advantages include easy access to membrane sites so that the drug can be easily applied, localized, and removed. In one embodiment, the RNA silencing agent administered orally or nasally is modified to cross the blood-brain barrier.

[0347] In one embodiment, a unit dose or quantity of a composition containing an RNA agent, such as a dsRNA agent, is dispersed by an implantable device. The device may include sensors that monitor parameters within the object. For example, the device may include a pump, such as an osmotic pump, and optionally associated electronic equipment.

[0348] It will be readily apparent to those skilled in the art that other suitable modifications and adaptations of the methods described herein can be made using appropriate equivalents without departing from the scope of the embodiments disclosed herein. Certain embodiments are described in detail herein and will be more clearly understood by referring to the following embodiments, which are included for illustrative purposes only and are not intended to be limiting. [Examples]

[0349] Example 1: SNP identification varies depending on the mismatch location. Figure 46 is a flowchart illustrating a method for producing and selecting SNP-recognizing siRNAs, which was performed in the case of HTT but is also applicable to SNPs in other genes. A primary screening is performed to determine which SNP placement yields the greatest recognition. The best-performing mismatch site is then selected, and its affinity for non-target alleles is further reduced in a secondary screening where chemical and structural optimizations are selected to improve the selectivity and / or potency of the siRNA molecule.

[0350] The HTT gene contains several SNPs that exhibit high heterozygosity in HD patients (Figure 45). To optimize SNP-specific RNAi-mediated silencing of huntingtin, the SNP rs362273 in exon 57 of HTT mRNA was used as a model target for optimizing SNP-selective silencing. This SNP heterozygosity occurs in 35% of the HD patient population.

[0351] The psiCHECK reporter plasmid described here contains the SNP rs362273 from exon 57 of htt and a partial flanking region within the Rluc 3' UTR. The wild-type psiCHECK reporter plasmid contains the same region of htt without the SNP (Figure 1).

[0352] Hydrophobic modified RNA (hsiRNA) designed to complement huntingtin (htt) mRNA containing a mutant SNP (2273-1 (A)) was screened for efficacy using the psiCheck reporter plasmid system. The post-SNP number indicates the position of the SNP in the siRNA (Figure 47). Figure 2 shows that SNP placement at positions 2, 4, or 6 provided maximum SNP recognition without impairing efficacy against the mutant allele. HeLa cells transfected with one of two reporter plasmids were reverse-transfected with 1.5 μM hsiRNA by dynamic uptake and treated for 72 hours. Luciferase activity was measured 72 hours after transfection (Figure 2).

[0353] hsiRNA was further tested for allele discrimination in a dose-response dual luciferase assay in HeLa cells (Figure 3). Multiple hsiRNAs preferentially silenced reporter plasmids containing mutant SNPs compared to wild-type reporter plasmids. HeLa cells transfected with one of two reporter plasmids were reverse-transfected with 1.5 μM hsiRNA by dynamic uptake and treated for 72 hours. Reporter plasmid expression was measured 72 hours after transfection (Figure 3).

[0354] Example 2: SNP identification in endogenous Htt mRNA The efficacy of hsiRNA against endogenous huntingtin mRNA containing the homozygous rs362273 SNP was tested. Allele discrimination was not evaluated in this assay because HeLa cells are homozygous for rs362273 and each allele is A. Instead, Figure 4 shows that two hsiRNAs, SNP4-0 and SNP6-0, were highly effective in silencing htt mRNA containing the exact SNP. mRNA levels were measured using the Quantigene 2.0 bDNA assay after treating HeLa cells with hsiRNA for 72 hours by dynamic uptake. Human htt mRNA levels were normalized to human HPRT.

[0355] Example 3: Design of an hsiRNA with a second mismatch to enhance allele recognition For each of the three pre-selected hsiRNAs for dose response (named mm2, mm4, and mm6, respectively, SNP2-0, SNP4-0, and SNP6-0), 16 novel hsiRNAs were designed and synthesized with minor sequence modifications (Figure 34). These sequences were modified by introducing one mismatch at every possible position along the original sequence to test that a second mismatch significantly interferes with off-target SNP silencing more than the first, while having little effect on the silencing target SNP. The antisense strand sequences are shown in the 5' to 3' direction, with SNP sites in red and novel mismatches in blue (Figure 12).

[0356] The primary screening of hsiRNA efficacy in Figure 12 showed that the location of the second mismatch relative to the nucleotide position corresponding to the SNP resulted in varying levels of SNP recognition in HeLa cells. HeLa cells transfected with one of two psiCHECK reporter plasmids were reverse-transfected with 1.5 μM hsiRNA by dynamic uptake and treated for 72 hours. Luciferase activity was measured 72 hours after transfection. Figure 5 shows that multiple hsiRNAs identify and silence reporter plasmids containing SNP mutations compared to the wild-type reporter plasmid.

[0357] The most effective hsiRNA containing a second mismatch was further tested in dose-response curves to verify improved SNP recognition. HeLa cells transfected with one of two reporter plasmids were reverse-transfected with hsiRNA by dynamic uptake and treated for 72 hours. Reporter expression was measured by dual-luciferase assay. Figures 6–8 show the IC50 of hsiRNA with two mismatches compared to the silencing of reporter plasmids containing SNP mutations against wild-type reporter plasmids. 50 The values ​​are shown. SNP6-11 hsiRNA (an hsiRNA molecule with a polymorphism-corresponding nucleotide at position 6 from the 5' end and a mismatch at position 11 from the 5' end) and SNP4-7 hsiRNA (an hsiRNA molecule with a polymorphism-corresponding nucleotide at position 4 from the 5' end and a mismatch at position 7 from the 5' end) were shown to be the most effective (see Figures 7-9). Surprisingly, altering the modification pattern around the SNP restores the effectiveness lost by introducing a second mismatch without impairing recognition. SNP6-11 hsiRNA was modified to have a 2'O-methyl modified flanking mismatch nucleotide (as well as the mismatch nucleotide itself with 2'O-methyl modification) (see Figure 10).

[0358] Example 4: Further Modification A variety of oligonucleotide types (e.g., gapmers, mixedmers, miRNA inhibitors, splice-switching oligonucleotides ("SSO"), phosphorodiamidate morpholino oligonucleotides ("PMO"), peptide nucleic acids ("PNA"), etc.) can be used in the oligonucleotides described herein, if desired, by utilizing various combinations of modifications (e.g., chemical modifications) and / or conjugations described herein, for example, in U.S. applications 15 / 089,423; 15 / 236,051; 15 / 419,593; 15 / 697,120 and U.S. patents 9,809,817; and U.S. applications 15 / 814,350 and U.S. patents 9,862,350 (each of which is incorporated herein by reference in whole)

[0359] For example, the oligonucleotides described herein may be denoted as di-siRNA (see, for example, Figure 14). The oligonucleotides described herein may have one or more different main chain bonds (see, for example, Figure 15). The oligonucleotides described herein may contain a variety of sugar modifications (see, for example, Figure 16). The oligonucleotides described herein may contain a variety of internucleotide bonds (see, for example, Figure 17). The oligonucleotides described herein may contain one or more 5' stabilization modifications (see, for example, Figure 18). The oligonucleotides described herein may contain one or more conjugate moieties (see, for example, Figure 19). Figure 35 shows numerous exemplary oligonucleotide main chain modifications.

[0360] The oligonucleotides described herein can be efficiently used to target the G base at the SNP site simply by altering the base at the SNP site. As shown in Figure 33, compound SNP6-11 was synthesized a second time, targeting the G base instead of the A base at the SNP site. This enables selective silencing of either allele, which is an extremely useful strategy for patients with different heterozygotes at the same SNP site.

[0361] In one exemplary embodiment, one or more debasalized nucleotides are used as SNP-position nucleotides, MM-position nucleotides, 5' ends, 3' ends, or any combination thereof.

[0362] In one exemplary embodiment, hsiRNA is synthesized by using various sugar modifications around the mismatch to improve allele specificity, for example, using 2'FANA instead of 2'F; triple 2'F or triple 2'OMe around the SNP / mismatch site.

[0363] Example 5: HTT Mouse Model BAC97-HD refers to a transgenic mouse containing a human bacterial artificial chromosome (BAC) transgenic insert that includes an entire pathogenic 170kb human huntingtin (htt) genome locus modified by replacing human htt exon 1 with a loxP-adjacent human mutant htt exon 1 sequence containing 97 mixed CAA-CAG repeats encoding a continuous polyglutamine (polyQ) stretch.

[0364] Lead compounds (SNP6-11) were synthesized on bifurcated chemical scaffolds having the structure shown in Figure 31, and subsequently tested in vivo in 8-week-old BAC97-HD female mice by 40 nmol bilateral lateral ventricular (ICV) injection (20 nmol per side). The mice had two copies of the transgenic insert of the normal mouse htt gene (G) at SNP rs362273 and the pathogenic human htt gene (A) at SNP rs362273A. Nonsense sequences without target matching in the RNA transcriptome were also synthesized on the same bifurcated scaffolds and injected into mice as a negative control (NTC).

[0365] One month after injection, several brain regions of mice were collected for RNA and protein analysis, and HTT protein levels were measured by Western blotting using the Ab1 antibody. Figure 32A shows the Western blots performed on the collected striatal tissue, and Figure 32B shows the protein levels normalized to vinculin.

[0366] Example 6: SNP targeting is sequence-independent. We evaluated whether the SNP recognition of the lead compounds was sequence-dependent. We used hydrophobic modified RNA (hsiRNA) designed to complement huntingtin (htt) mRNA containing U-to-G mismatches or C-to-A mismatches at rs362273. Both 6-11 hsiRNA complementary to U-to-G mismatches and 6-11 hsiRNA complementary to C-to-A mismatches preferentially cleaved the target SNP (Figure 20).

[0367] Example 7: Synthesis of vinylphosphonate-modified interunit bonds Representative synthesis methods for vinyl phosphinate-modified subunit bonds are shown in Figures 21 and 29. The synthesis method for Figure 21 is described in detail below.

[0368] Synthesis of compound 3a To an aqueous solution of compound 2a (16.6 g, 20.8 mmol) in pyridine (100 mL), anhydrous DIPEA (6.5 mL, 37.4 mmol) and benzoyl chloride (3.6 mL, 31.2 mmol) were added. The mixture was stirred at room temperature for 4 hours, after which the excess pyridine was evaporated and diluted with CH2Cl2. The organic solution was washed with saturated NaHCO3 aqueous solution. The organic layer was collected, dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by silica gel column chromatography (hexane-ethyl acetate, 4:1-1:1) to obtain compound 3a as a slightly yellow foam (14.5 g, 78%); 1 H NMR (500 MHz, CDCl3) δ 7.88-7.87 (m, 2H), 7.84 (d, 1H, J = 8.3 Hz), 7.67-7.58 (m, 5H), 7.48-7.45 (m, 4H), 7.39-7.32 (m, 4H), 7.25-7.23 (m, 3H), 7.18-7.17 (m, 2H), 7.12-7.07 (m, 4H), 6.80-6.75 (m, 4H), 6.08 (dd, 1H, J HH = 1.5 Hz, J HF= 15.2 Hz), 5.14, (d, 1H, J HH = 8.3 Hz), 4.59 (ddd, 1H, J HH = 3.7, 1.5 Hz, J HF = 51.9 Hz), 4.43 (ddd, 1H, J HH = 7.4, 4.0 Hz, J HF = 19.1 Hz), 4.24-4.23 (m, 1H), 3.79 (s, 6H), 3.62 (dd, 1H, J HH = 11.2, 2.0 Hz), 3.35 (dd, 1H, J HH = 11.1, 2.0 Hz), 1.00 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 168.4, 161.8, 158.72, 158.66, 148.9, 143.9, 139.4, 135.71. 135.70, 135.1, 134.8, 134.7, 132.3, 132.2, 131.3, 130.4, 130.2, 130.1, 129.1, 128.2, 128.0,127.91, 127.89, 127.2, 113.19, 113.16, 102.2, 92.5 (d, JCF = 194.4 Hz), 87.7 (d, J CF = 34.5 Hz), 87.2, 82.4, 70.0 (d, J CF = 15.4 Hz), 60.7, 60.4, 55.2, 26.6

[0369] Synthesis of compound 4a Compound 3a (14.5 g, 16.3 mmol) was dissolved in a 3% trichloroacetic acid / CH2Cl2 solution (200 mL) containing triethylsilane (8.0 mL, 50.1 mmol) and stirred at room temperature for 1 hour. After washing the solution three times with saturated NaHCO3 aqueous solution, the collected organic layer was dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by silica gel column chromatography (hexane / ethyl acetate, 4:1-3:7) to obtain compound 4a as a white foam (8.67 g, 91%). 1H NMR (500 MHz, CDCl3) δ 7.89-7.88 (m, 2H), 7.68-7.64 (6H, m), 7.51-7.45 (m, 4H), 7.42-7.38 (4H, m), 5.93 (dd, 1H, J HH = 2.9 Hz, J HF = 15.1 Hz), 5.73 (d, 1H, J HH = 8.2 Hz), 4.74 (ddd, 1H, J HH = 4.1, 3.2 Hz, J HF = 52.2 Hz), 4.31 (ddd, 1H, J HH = 5.8, 4.7, J HF = 15.4 Hz), 4.11-4.09 (m, 1H), 3.82-3.79 (m, 1H), 3.39 (ddd, 1H, J HH = 12.1, 5.6, 1.5 Hz), 1.64 (br, 1H), 1.11 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 168.3, 161.8, 149.0, 140.5, 135.7, 135.2, 132.8, 132.3, 131.3, 130.5, 130.4, 130.3, 129.2, 128.02, 127.96, 102.4, 91.8 (d, J CF = 91.8 Hz), 89.5 (d, J CF = 33.6 Hz), 69.5 (d, J CF = 69.5 Hz), 60.3, 26.8

[0370] Synthesis of compound 6a IBX (7.7g, 27.6mmol) was added to an aqueous solution of compound 4a (6.5g, 11.0mmol) and stirred at 85°C for 2 hours. After cooling the mixture in an ice bath, the precipitate in the solution was filtered off with Celite. The collected eluent was evaporated and then evaporated three times with anhydrous CH3CN under an argon atmosphere. Compound 5a obtained as a white foam was used without further purification. In a separate flask, PPh3 (11.6g, 44.2mmol) was added at 0°C to an anhydrous CH2Cl2 (25mL) solution containing CBr4 (7.3g, 22.1mmol) and stirred at 0°C for 0.5 hours. To this solution, an anhydrous CH2Cl2 solution of compound 5a (25mL) was added dropwise at 0°C (for 10 minutes) and stirred at 0°C for 2 hours. After dilution with CH2Cl2, the organic solution was washed with saturated NH4Cl aqueous solution, dried over MgSO4, filtered, and evaporated. The obtained substance was dissolved in a minimum amount of diethyl ether and added dropwise to an excess diethyl ether solution while vigorously stirring at 0°C. The precipitate in the solution was filtered through Celite and the eluent was evaporated. The resulting crude material was purified by silica gel column chromatography (hexane / ethyl acetate, 9:1-1:1) to obtain compound 6a as a white foam (4.3 g, 52%). 1 H NMR (500 MHz, CDCl3) δ 7.68-7.84 (m, 2H), 7.70-7.65 (m, 3H), 7.60-7.58 (m, 2H), 7.52-7.49 (m, 2H), 7.42-7.36 (m,4H), 7.31-7.28 (m, 2H), 7.09 (d, 1H, J = 8.2 Hz), 6.25 (d, 1H, J = 8.9 Hz), 5.75 (dd, 1H, J HF = 8.24 Hz), 5.49 (dd, 1H, J HF = 21.4 Hz), 4.77 (t, 1H, J HH = 8.5 Hz, J HF = 8.5 Hz), 4.38 (dd, 1H, J HH = 4.1 Hz, J HF = 52.1 Hz), 4.25 (ddd, 1H, J HH = 8.1, 4.9 Hz, J HF= 19.4 Hz), 1.10 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 167.9, 161.6, 148.3, 141.4, 135.8, 134.7 (d, J C-Br 132.5, 132.2, 131.1, 130.5, 130.3, 130.2, 129.2, 127.9, 102.7, 97.3, 93.3 (d, J CF = 39.1 Hz), 91.5 (d, J CF = 190.7 Hz), 82.4, 73.9 (d, J CF = 16.4 Hz), 26.7

[0371] Synthesis of compounds 7a-E and 7a-Z To an aqueous solution of compound 6a (4.2 g, 5.66 mmol) in DMF (25 mL), dimethyl phosphite (2.09 mL, 22.6 mmol) and triethylamine (1.58 mL, 11.3 mmol) were added at 0°C, and the mixture was stirred overnight at room temperature. After diluting the solution with ethyl acetate, the organic solution was washed with saturated aqueous NH4Cl solution and brine. The organic solution was then dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by repeated silica gel column chromatography (hexane / ethyl acetate, 9:1~1:1) until all pure isomer compounds were collected individually, and compound 7a-E (1.95 g, 52%) was obtained. 1 H NMR (500 MHz, CDCl3) δ 7.87-7.85 (m, 2H), 7.89-7.85 (m, 3H), 7.61-7.59 (m, 2H), 7.52-7.48 (m, 2H), 7.45-7.32 (m, 6H), 7.08 (d, 1H, J HH = 8.2), 6.49 (d, 1H, J HH = 13.7), 5.99 (dd, 1H, J HH = 13.7 Hz, 8.1 Hz), 5.75 (d, 1H, J HH = 8.2), 5.63 (d, 1H, J HF = 19.8 Hz), 4.43 (dd, 1H, JHF = 52.6 Hz, J HH = 4.3 Hz), 4.42 (t, 1H, J HH = 8.0 Hz), 4.07 (ddd, J HH = 7.8, 4.7 Hz, J HF = 19.5 Hz), 1.08 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 127.95, 127.93, 112.4, 102.7, 91.7 (d, J CF = 36.3 Hz), 91.6 (d, J CF = 191.6 Hz), 82.8, 73.9 (d, J CF = 16.4 Hz), 26.7, 19.1)および7a-Z(0.58g、15%)( 1 H NMR (500 MHz, CDCl3) δ 7.87–7.85 (m, 2H), 7.68–7.65 (m, 3H), 7.61–7.59 (m, 2H), 7.52–7.48 (m, 2H), 7.27–m 7.39 (m, 2H), 7.42.7.3.39 4H), 7.12 (d, 1H, J HH = 8.2 Hz), 6.51 (d, 1H, J HH = 7.4 Hz), 5.96 (dd, 1H, J HH = 8.4 Hz, 7.4 Hz), 5.75 (d, 1H, J HH = 8.2 Hz), 5.57 (dd, 1H, J HH = 1.2 Hz, J HF = 20.6 Hz), 5.04 (dd, 1H, J HH = 8.2 Hz), 4.48 ( J HH = 3.5 Hz, J HF = 53.1 Hz), 4.24 (ddd, 1H, J HH = 7.8, 4.9 Hz, J HF= 18.6 Hz), 1.09 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 168.0, 161.7, 148.4, 141.4, 135.9, 135.8, 135.2, 132.6, 132.5, 131.2, 130.6, 130.5, 130.2, 130.1, 129.2, 127.8, 127.7, 114.5, 102.6, 93.0 (d, J CF = 37.2 Hz), 91.6 (d, J CF =191.6 Hz), 80.3, 74.3 (d, J CF We obtained values ​​of 16.4 Hz, 26.7 Hz, and 19.1 Hz.

[0372] Synthesis of compound 9a Anhydrous compound 7a-E (1.95 g, 2.94 mmol), Pd(OAc)2 (125 mg, 0.59 mmol), and [1,1'-bis(diphenylphosphino)ferrocene]dichloropalladium(II) (652 mg, 1.18 mmol) were purged with argon and then dissolved in anhydrous THF (50 mL). After adding propylene oxide (2.06 mL, 29.4 mmol), compound 8a (2.07 g, 3.24 mmol) was added all at once, and the mixture was stirred at 70°C for 4 hours. After removing the solvent under reduced pressure, the crude mixture was purified by silica gel column chromatography (hexane / ethyl acetate, 50:50~0:100), and the fraction containing compound 9a was further purified by silica gel column chromatography (CH2Cl2-MeOH, 0%~5%) to obtain compound 9a as a diastereoisomer mixture (2.04 g, 57%). 31 P NMR (202 MHz, CDCl3) δ 18.3

[0373] Synthesis of compound 10a To a solution of compound 9a (2.0 g, 1.64 mmol) in anhydrous THF (22.5 mL), 1.0 M TBAF-THF (2.5 mL, 2.5 mmol) was added and the mixture was stirred at ambient temperature for 30 minutes. After dilution with CH2Cl2 (120 mL), the organic layer was washed with brine, dried over MgSO4, filtered, and then evaporated. The resulting crude material was purified by silica gel column chromatography (1% TEA-CH2Cl2 / MeOH, 0%~6%) to obtain compound 10a (1.52 g, 94%). 31 P NMR (202 MHz, CDCl3) δ 19.0, 18.7

[0374] Synthesis of compound 11a Compound 10a (589.7 mg, 0.6 mmol) was anhydrous by repeated co-evaporation with anhydrous CH3CN, and then dissolved in anhydrous CH2Cl2 (6.0 mL). To this solution, N,N-diisopropylethylamine (0.31 mL, 1.8 mmol) and 2-cyanoethyl N,N-diisopropyl chlorophosphoramidite (0.16 mL, 0.72 mmol) were added at 0°C. After stirring at 0°C for 30 minutes, the reaction mixture was diluted with excess CH2Cl2. The organic layer was repeatedly washed with saturated aqueous NaHCO3 solution, dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by silica gel column chromatography (1% TEA-CH2Cl2 / MeOH, 100%~4%) to obtain compound 11a as a white foam (570 mg, 80%). 31 P NMR (202 MHz, CDCl3) δ 150.3, 151.2, 151.1, 151.0, 18.72, 18.65, 18.55, 18.3

[0375] Synthesis of compound 4b To an unaqueous solution of compound 3b (1.35 g, 2.0 mmol) in pyridine (10 mL), DIPEA (0.63 mL, 3.6 mmol) and benzoyl chloride (0.35 mL, 3.0 mmol) were added, and the mixture was stirred at room temperature for 3 hours. After dilution with excess CH2Cl2, the organic solution was washed with saturated aqueous NaHCO3 solution and brine. After drying over MgSO4, the mixture was filtered and evaporated, and the resulting crude material was used in the next reaction without further purification. To the resulting crude material containing compound 3b, a 3% trichloroacetic acid solution in CH2Cl2 (25 mL) and triethylsilane (1 mL, 6.26 mmol) were added, and the mixture was stirred at room temperature for 1 hour. After dilution of the reaction mixture with CH2Cl2, the solution was washed three times with saturated aqueous NaHCO3 solution, dried over MgSO4, filtered, and then evaporated. The obtained crude material was purified by silica gel column chromatography (hexane / ethyl acetate, 4:1 to 1:4) to obtain pure compound 4b (596.7 mg, 63% in two steps). 1 H NMR (500 MHz, DMSO-d6) δ 8.13 (d, 1H, J HH = 8.2 Hz), 7.95 (d, 2H, J HH = 7.3 Hz), 7.81 (t, 1H, J HH = 7.5 Hz), 7.69-7.68 (m, 2H), 7.64-7.59 (m, 4H), 7.49-7.42 (m, 6H), 5.93 (d, 1H, J HH = 4.6 Hz), 5.26 (t, 1H, J HH = 4.6 Hz), 4.36 (dd, 1H, J HH = 4.6, 4.6 Hz), 4.02-4.00 (m, 1H), 3.65-3.61 (m, 1H), 3.54 (dd, 1H, J HH = 4.6, 4.6 Hz), 3.09 (s, 3H), 1.03 (s, 9H); 13C NMR (126 Hz, DMSO-d6) 169.8, 162.1, 149.5, 141.3, 136.1, 135.9, 135.8, 133.4, 133.2, 131.5, 130.7, 130.52, 130.48, 130.0, 128.4, 128.3, 102.1, 86.7, 85.6, 82.8, 79.7, 70.8, 60.2, 57.8, 27.2, 19.4 33 H 35 N2O7Si - m / z calculated value [M - H] - m / z 599.2219, measured value m / z 599.2258

[0376] Synthesis of compound 6b To an aqueous solution of compound 4b (300.4 mg, 0.5 mmol) in CH3CN (5 mL), IBX (350 mg, 1.3 mmol) was added and the mixture was stirred at 85°C for 2 hours. After cooling the solution to 0°C, the precipitate was filtered off by Celite filtration. The resulting compound 5b-containing eluent was evaporated and repeatedly co-evaporated with anhydrous CH3CN to obtain anhydrous material, which was used in the next reaction without further purification. To a separately prepared aqueous solution of CBr4 (331.6 mg, 1.0 mmol) in CH2Cl2 (5.0 mL), triphenylphosphine (524.6 mg, 2.0 mmol) was added all at once at 0°C and the mixture was stirred at 0°C for 30 minutes. To this solution, compound 5b in anhydrous CH2Cl2 (1.5 mL) was added dropwise at 0°C (for 10 minutes) and the mixture was stirred at 0°C for 2 hours. The solution was then diluted with CH2Cl2 and washed with saturated aqueous NaHCO3 and brine. The organic solution was dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by silica gel column chromatography (hexane / ethyl acetate, 9:1-4:6) to obtain compound 6b (210.9 mg, 56%). 1 H NMR (500 MHz, CDCl3) δ 7.88 (d, 2H, J HH = 7.3 Hz), 7.70-7.62 (5H, m), 7.51-7.38 (m, 9H), 7.08 (d, 1H, J HH = 8.2 Hz), 6.26 (d, 1H, JHH = 8.6 Hz), 5.75 (d, 1H, J HH = 8.2 Hz), 5.68 (d, 1H, J HH = 0.8 Hz), 4.84 (dd, 1H, J HH = 8.6 Hz, 8.6 Hz), 3.86 (dd, 1H, J HH = 7.5 Hz, 5.0 Hz), 3.30 (s, 3H), 3.18 (br, 1H), 1.11 (s, 9H); 13 C NMR (126 Hz, CDCl3) 168.3, 161.7, 148.6, 138.9, 135.9, 135.8, 134.3, 132.6, 132.4, 131.2, 130.5, 130.4, 130.3, 129.2, 128.0, 127.9, 102.4, 97.5, 90.0, 82.44, 82.39, 74.4, 58.2, 26.7, 19.1 34 H 33 Br2N2O6Si - m / z calculated value [M - H] - m / z 751.0480 [MH] - , Measured value m / z 753.6495

[0377] Synthesis of 7b-E and 7b-Z To an aqueous solution of compound 6b (6.11 g, 8.1 mmol) in DMF (35 mL), dimethyl phosphite (2.97 mL, 34.0 mmol) and triethylamine (2.26 mL, 17.0 mmol) were added at 0°C, and the mixture was stirred overnight at room temperature. After diluting the solution with ethyl acetate, the organic solution was washed with saturated aqueous NH4Cl solution and brine. The organic solution was then dried over MgSO4, filtered, evaporated, and the resulting crude material was purified by repeated silica gel column chromatography (hexane / ethyl acetate, 9:1~1:1) until all pure isomer compounds were collected, yielding compound 7b-E (3.0 g, 55%). 1H NMR (500 MHz, CDCl3) δ 7.89-7.87 (m, 2H), 7.70-7.62 (m, 5H), 7.51-7.39 (m, 8H), 7.10 (d, 1H, J HH = 8.3 Hz), 6.47 (dd, 1H, J HH = 13.6, 0.8 Hz), 6.01 (dd, 1H, J HH = 13.6, 7.9 Hz), 5.76-5.74 (m, 2H), 4.51 (dd, 1H, J HH = 7.8, 7.8 Hz), 7.36 (dd, 1H, J HH = 7.8 Hz, 4.9 Hz), 3.34 (s, 3H), 3.17 (dd, 1H, J HH = 4.7, 1.2 Hz), 1.09 (s, 9H); 13 C NMR (126 Hz, CDCl3) δ 168.3, 161.7, 148.7, 138.4, 135.9, 135.8, 135.3, 133.8, 132.6, 132.4, 131.2, 130.5, 130.4, 130.3, 129.2, 128.0, 127.9, 112.1, 102.3, 88.9, 82.8, 82.6, 77.2, 74.2, 58.1, 26.8, 19.1)および7b-Z(1.23g、22%)( 1 H NMR (500 MHz, CDCl3) δ 7.89-7.87 (m, 2H), 7.72-7.70 (m, 2H), 7.68-7.63 (m, 3H), 7.51-7.44 (m, 4H), 7.41-7.37 (m, 4H), 7.16 (d, 1H, J-8.2 Hz), 6.53 (dd, 1H, J HH = 7.4, 0.6 Hz), 6.03 (dd, 1H, J HH = 8.5, 7.4 Hz), 5.75-5.73 (m, 2H), 5.12 (t, 1H, J HH = 8.1 Hz), 3.93 (dd, 1H, J HH= 6.9, 5.0 Hz), 3.32 (br, 1H), 3.26 (s, 3H), 1.10 (s, 9H); 13 ¹³C NMR (126 Hz, CDCl₃) yielded the following δ values: 168.3, 161.8, 148.7, 139.3, 135.91, 135.85, 135.22, 132.74, 132.71, 131.2, 130.8, 130.5, 130.23, 130.16, 129.2, 127.78, 127.75, 114.6, 102.2, 90.1, 82.4, 80.6, 77.2, 74.8, 58.1, 26.8, 19.2).

[0378] Synthesis of compound 8b Anhydrous 5'-O-DMTr-2'-deoxy-2'-fluoro-3'-[methyl-N,N-(diisopropyl)amino]phosphoamidite (4.26 g, 6.0 mmol) was dissolved in 0.45 M 1H-tetrazole / CH3CN solution (27 mL, 12 mmol) and stirred at room temperature for 30 minutes. H2O (3.6 mL) was added to this solution and stirred at room temperature for 30 minutes. After dilution with ethyl acetate, the organic solution was washed six times with brine, dried over MgSO4, filtered, and then evaporated. The resulting compound 8b, with a small amount of impurities, was used in the subsequent reaction without further purification; 31 P NMR (CDCl3, 202 MHz) δ 8.92, 8.28

[0379] Synthesis of compound 9b Anhydrous compound 7b-E (2.84 g, 4.20 mmol), Pd(OAc)2 (188.6 mg, 0.84 mmol), and [1,1'-bis(diphenylphosphino)ferrocene]dichloropalladium(II) (931.4 mg, 1.68 mmol) were purged with argon and then dissolved in anhydrous THF (50 mL). After adding propylene oxide (2.94 mL, 42.0 mmol), compound 9b (3.16 g, 5.04 mmol) was added all at once, and the mixture was stirred at 70°C for 4 hours. After removing the solvent under reduced pressure, the crude mixture was purified by silica gel column chromatography (hexane-ethyl acetate, 50:50~0:100), and the fraction containing compound 9b was further purified by silica gel column chromatography (1% TEA-CH2Cl2 / MeOH, 0%~5%) to obtain compound 9b as a diastereoisomer mixture (3.3 g, 64%). 31 P NMR (202 MHz, CDCl3) δ 19.31, 18.72

[0380] Synthesis of compound 10b To a solution of compound 9b (3.3 g, 2.70 mmol) in anhydrous THF (36.5 mL), 1.0 M TBAF-THF (4.05 mL, 4.05 mmol) was added and the mixture was stirred at ambient temperature for 30 minutes. After dilution with CH2Cl2 (150 mL), the organic layer was washed with brine, dried over MgSO4, filtered, and then evaporated. The resulting crude material was purified by silica gel column chromatography (1% TEA-CH2Cl2 / MeOH, 0%~8%) to obtain compound 10b (1.25 g, 47%). 31 P NMR (202 MHz, CDCl3) δ 19.8, 19.1

[0381] Synthesis of compound 11b Compound 10b (393.2 mg, 0.4 mmol) was anhydrous by repeated co-evaporation with anhydrous CH3CN, and then dissolved in anhydrous CH2Cl2 (4.0 mL). To this solution, N,N-diisopropylethylamine (0.21 mL, 1.2 mmol) and 2-cyanoethyl N,N-diisopropyl chlorophosphoramidite (0.11 mL, 0.48 mmol) were added at 0°C. After stirring at 0°C for 30 minutes, the reaction mixture was diluted with excess CH2Cl2. The organic layer was repeatedly washed with saturated aqueous NaHCO3 solution, dried over MgSO4, filtered, and evaporated. The resulting crude material was purified by silica gel column chromatography (1% TEA-CH2Cl2 / MeOH, 100%~4%) to obtain compound 11b as a white foam (319.6 mg, 68%). 31 P NMR (202 MHz, CDCl3) δ150.7, 150.4, 150.3, 19.9, 19.5, 19.4, 18.8

[0382] Example 8: Solid support-mediated synthesis of vinyl phosphonate-modified alkyl groups A typical synthesis of oligonucleotides having vinyl phosphinate-modified subunit bonds is shown in Figure 22. Examples of synthesized VP-modified sequences can be seen in Figures 28A and 28B.

[0383] Synthesis of internucleotide (E)-vinylphosphonate modified RNA oligonucleotides RNA oligonucleotides with a single vinyl phosphonate linkage were synthesized using a MerMade 12 automated RNA synthesizer (BioAutomation) with 0.1 M anhydrous CH3CN solutions of 2'-modified (2'-fluoro, 2'-O-methyl) phosphonoamidites and vinyl phosphonate-linked dimer phosphoramidites. UnyLinker supports (ChemGenes) were used as the solid support. Synthesis was carried out using a standard 1.0 μmol-scale RNA phosphoramidite synthesis cycle consisting of (i) detritylation, (ii) coupling, (iii) capping, and (iv) iodine oxidation. An anhydrous CH3CN solution of 5-(benzylthio)-1H-tetrazole was used as the phosphoramidite activator, and a 3% dichloroacetic acid CH2Cl2 solution was used for detritylation. A 16% N-methylimidazole solution in tetrahydrofuran (Cap A) and an 80:10:10 (v / v / v) tetrahydrofuran-Ac2O-2,6-lutidine (Cap B) were used for the capping reaction. A 0.02 M I2 THF-pyridine-H2O (7:2:1, v / v / v) solution was used for oxidation, and a 0.1 M 3-[(dimethylamino-methylidene)amino]-3H-1,2,4-dithiazole 3-thione pyridine:CH3CN (9:1, v / v) solution was used for sulfidation. Bis(2-cyanoethyl)-N,N-diisopropyl phosphoramidite was used for 5'-terminus phosphorylation. Cholesterol 3'-ICAA CPG 500 Å (ChemGenes) was used for 3'-cholesterol-modified RNA oligonucleotide synthesis, and RNA synthesis was carried out under the same conditions as those used for VP-modified RNA. After chemical chain elongation, deprotection and cleavage from the solid support were performed with NH4OH-EtOH (3:1, v / v) for 48 hours at 26°C. For vinyl phosphonate-modified RNA, the RNA on the solid support was first treated with TMSBr-pyridine-CH2Cl2 (3:1:18, v / v / v) for 1 hour at ambient temperature in an RNA synthesis column. The solid support was then washed with water (1 mL × 3), CH3CN (1 mL × 3), and CH2Cl2 (1 mL × 3) by passing the solution through the synthesis column, and then dried under reduced pressure.After transferring the solid support to a screw-capped sample tube, base treatment was performed with NH4OH-EtOH (3:1, v / v) for 48 hours at 26°C. Crude RNA oligonucleotides without cholesterol conjugates were purified by standard anion exchange HPLC, while RNA with cholesterol conjugates was purified by reverse-phase HPLC. All purified RNAs were desalted using Sephadex G-25 (GE Healthcare) and characterized by electrospray ionized mass spectrometry (ESI-MS).

[0384] Example 9: Silencing effectiveness Figures 23 and 24 provide a visual representation of the VP-modified iRNAs tested here. Figure 25 illustrates the effect of one or more vinyl phosphonate modifications on silencing in inter-subunit binding at various positions on the guide strand. As seen in the data in Figure 25, RISC is highly sensitive to VP modifications, and mismatched base pairs at various positions can interfere with siRNA efficacy.

[0385] Figures 26, 27A, and 27B also demonstrate the ability of VP-modified iRNAs to silence mutant alleles. As seen in Figures 27A and 27B, mismatch addition to the siRNA sequence improves allele recognition without affecting mutant allele silencing. Figure 30 shows that introducing VP modification binding adjacent to the SNP site significantly enhanced the target / non-target recognition of SNP-selective siRNA. Compounds containing primary (position 6) and secondary (position 11) SNPs were synthesized with or without VP modification between positions 5 and 6. As seen in Figure 30, the presence of VP modification did not affect "on-target" activity but completely eliminated any detectable silencing of non-target mRNA. The data preparation methods for Figures 25, 26, 27A, and 27B are described below.

[0386] HsiRNA passive delivery. Cells were seeded at a rate of 8,000 cells per well in Dulbecco's modified Eagle medium containing 6% FBS in 96-well cell culture plates. hsiRNA was diluted to 2-fold the final concentration with OptiMEM (Carlsbad, CA; 31985-088), and 50 μL of the diluted hsiRNA was added to 50 μL of cells to achieve a final 3% FBS concentration. Cells were incubated for 72 hours at 37°C and 5% CO2. The maximum dose for the in vitro dose-response assay was 1.5 μM of the compound.

[0387] Quantitative analysis method for target mRNA. mRNA was quantified from cells using the Quantigene 2.0 assay kit (Affymetrix, QS0011). Cells were lysed at 55°C for 30 minutes in a 250 μL diluted lysate consisting of 1 part lysate (Affymetrix, 13228), 2 parts H2O, and 0.167 μg / μL proteinase K (Affymetrix, QS0103). The cell lysates were thoroughly mixed, and 40 μL of each lysate was added to each well of a capture plate containing 20 μL of diluted lysate without proteinase K. Human HTT and HPRT probe sets (Affymetrix; #SA-50339, SA-10030) were diluted and used according to the manufacturer's recommended protocol. The dataset was normalized to HPRT.

[0388] How to create a bar graph. The data was analyzed using GraphPad Prism 7 software (GraphPad Software, Inc., San Diego, CA). Concentration-dependent IC 50 The curves were fitted using log(inhibitor) vs. response-variable slope (4 parameters). For each cell treatment plate, the knockdown level for each dose was normalized relative to the mean of the control group (untreated group). The lower limit of the curve was set to less than 5, and the upper limit was set to greater than 95. To create bar graphs, the percentage difference was expressed as the IC for each corresponding control compound. 50 From the values, the IC of each compound 50 The value is reduced, and the IC of the control compound is reduced. 50The calculation was performed by dividing by the value and multiplying by 100. If the percentage difference was less than -500%, the percentage difference was artificially set to -500%. The lower limit of the graph was cut off at -300%.

[0389] All cited references (including articles, patents, patent applications, and websites) that are implicitly cited throughout this specification are expressly incorporated herein by reference in their entirety. Unless otherwise specified, the present invention uses conventional techniques of immunology, molecular biology, and cell biology that are well known in the art.

[0390] The present invention can be embodied in other specific forms without departing from its spirit or essential features. The embodiments described above are therefore all to be construed as descriptions, not limitations, of the invention. The scope of the invention is therefore indicated, rather than, by the appended claims, and all variations falling within the meaning and scope of equivalents of the claims are therefore intended to be encompassed herein.

[0391] Example 10: Primary screening produces multiple effective siRNA sequences heterozygous for SNP rs362307. siRNAs designed to be complementary to HTT mRNA containing the surrogate mutant SNP (rs362307) (Figure 39) were all screened using a reporter plasmid containing the target region of the target SNP (Figure 40). HeLa cells transfected with one of two reporter plasmids were reverse-transfected with 1.5 μM hsiRNA by dynamic uptake and treated for 72 hours. The post-SNP values ​​indicate the position of the SNP in the siRNA. This SNP was predicted to be difficult to target due to the high G / C content of the surrounding region. The placement of the SNP at position 3 was thought to provide maximum SNP recognition without compromising efficacy against the mutant allele, demonstrating that the best SNP position was sequence-specific (Figure 41). This primary screening process was thus performed to select the best SNP position for all SNPs.

[0392] Example 11: When applied to SNP rs362307, secondary mismatch continues to improve allele identification. As shown in Figure 42, primary screening of novel sequences with mismatches at all possible positions yielded several effective hsiRNAs, similarly increasing SNP recognition at position rs362307. Mismatch introductions at positions 7 and 8 appeared to improve selectivity while maintaining targeted silencing efficacy. Other secondary mismatches yielded good recognition but overall lower activity.

[0393] Example 12: Measurement of SNP identification in sequences containing SNPs To measure the SNP recognition of each sequence disclosed in Tables 5-7 (i.e., each hsiRNA with specific SNP-position nucleotides and mismatch (MM)-position nucleotide combinations), psiCHECK reporter plasmids containing either the wild-type region of htt or the same region of the htt sequence with the SNP were prepared and tested with dual-luciferase. HeLa cells transfected with one of the two reporter plasmids were reverse-transfected with hsiRNA by dynamic uptake and treated for 72 hours. Luciferase activity was measured by assay with and without additional mismatches and plotted on dose-response curves to compare and identify the sequences that yielded the best results in terms of recognition and silencing efficacy.

[0394] Example 13: Synthesis of phosphinate-modified interunit bonds A method for preparing phosphinate-modified subunit bonds is summarized in Figures 44A-44C. This method involves Jones oxidation from a free alcohol to the corresponding ketone, followed by Wittig olefination, to obtain the exomethylene moiety shown in intermediate compound 3. Protection of the amide with BOM, followed by hydroboration-oxidation, yields the free alcohol intermediate 5. Mesylation, followed by a modification Finkelstein reaction, yields the iodized intermediate 7, which is then further functionalized to obtain the methylphosphinate monomer 9.

[0395] To obtain monomer 18, intermediate 13 is obtained using various protection and deprotection steps. IBX oxidation yields the corresponding ketone, which is then accessed by Wittigolefination to access methylene. Again, monomer 18 is obtained by hydroboration-oxidation, followed by mesylation and Finkelstein reaction.

[0396] The bonding of monomers 9 and 18 under basic conditions yields a phosphinate-bonded dimer 19. Acid-mediated deprotection and Perlman-catalyzed deprotection, followed by further phosphatamine functionalization, yields dimer 22.

[0397] Example 14: Modification of 2'-OMe / 2'-F content to enhance efficacy and identification The efficacy and recognition of siRNA were modified by altering the 2'-O-methyl / fluoro backbone modification pattern around SNPs and mismatch sites (Figures 48A-48D). Severe 2'-fluorination adjacent to the SNP site improved target binding but decreased target recognition. Subsequent severe 2'-O-methylation around the mismatch restored the recognition loss caused by fluorination. While the original chemical modification patterns described above were beneficial in in vivo testing, the techniques described in this example can be used to fine-tune the SNP-targeting compounds described herein and identify further novel SNP-targeting compounds. Furthermore, the present invention encompasses the following aspects. 1. (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) A single nucleotide polymorphism (SNP) site nucleotide located within the seed region that is complementary to the allele polymorphism; (d) Mismatched (MM) position nucleotides that are mismatched with nucleotides in a gene; and (e) At least one modified nucleotide (X) on either side of the SNP site nucleotide (where each X is located within 4, 3, or 2 nucleotides of the SNP site nucleotide) Nucleic acids, including 2. (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) A single nucleotide polymorphism (SNP) site nucleotide located within the seed region that is complementary to the allele polymorphism; (d) Mismatched (MM) position nucleotides that are mismatched with nucleotides in a gene; and (e) At least one modified nucleotide (Y) on either side of the MM position nucleotide (where each Y is located within 4, 3, or 2 nucleotides of the MM position nucleotide) Nucleic acids, including 3. The nucleic acid of item 1, wherein X comprises a sugar modification selected from the group consisting of 2'-O-methyl (2'-OMe), 2'-fluoro (2'-F), 2'-ribo, 2'-deoxyribo, 2'-F-4'-thioarabino (2'-F-ANA), 2'-O-(2-methoxyethyl) (2'-MOE), 4'-S-RNA, locked nucleic acid (LNA), 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, 2'-O-cyanoethyl-RNA (CNet-RNA), tricyclo-DNA, cyclohexenyl nucleic acid (CeNA), arabino nucleic acid (ANA), and hexitol nucleic acid (HNA). 4. The nucleic acid of item 2, wherein Y contains a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA. 5. The nucleic acid of item 1, wherein X is located adjacent to the 5' side or the 3' side of the SNP site nucleotide. 6. The nucleic acid of item 1, wherein X is located adjacent to the 5' side and adjacent to the 3' side of the SNP site nucleotide. 7. The nucleic acid of item 2, wherein Y is located adjacent to the 5' side or the 3' side of the MM position nucleotide. 8. The nucleic acid of item 2, wherein Y is located adjacent to the 5' side and adjacent to the 3' side of the MM position nucleotide. 9. A nucleic acid of type 1 or 2, in which the SNP site nucleotide is located at positions 2 to 6 from the 5' end. 10. A nucleic acid of type 1 or 2, in which the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide. 11. A nucleic acid of item 1 or 2, in which the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide. 12. (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) A single nucleotide polymorphism (SNP) site nucleotide located within the seed region that is complementary to the allele polymorphism; (d) Mismatched (MM) position nucleotides, which are nucleotides that are mismatched with other nucleotides in a gene; (e) at least one modified nucleotide (X) on either side of the SNP site nucleotide (where each X is located within 4, 3, or 2 nucleotides of the SNP site nucleotide); and (f) At least one modified nucleotide (Y) on either side of the MM position nucleotide (where each Y is located within 4, 3, or 2 nucleotides of the MM position nucleotide) Nucleic acids, including 13. The nucleic acid of item 12, wherein X comprises a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA. 14. The nucleic acid of item 12, wherein Y comprises a glycosylation selected from the group consisting of 2'-OMe, 2'-F, 2'-ribo, 2'-deoxyribo, 2'-F-ANA, 2'-MOE, 4'-S-RNA, LNA, 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, CNet-RNA, tricyclo-DNA, CeNA, ANA, and HNA. 15. The nucleic acid of item 12, wherein X is located adjacent to the 5' side or the 3' side of the SNP site nucleotide. 16. The nucleic acid of item 12, wherein X is located adjacent to the 5' side and adjacent to the 3' side of the SNP site nucleotide. 17. The nucleic acid of item 12, wherein Y is located adjacent to the 5' side or the 3' side of the MM position nucleotide. 18. The nucleic acid of item 12, wherein Y is located adjacent to the 5' side or the 3' side of the MM position nucleotide. 19. A nucleic acid of item 12 in which the SNP site nucleotide is located at positions 2 to 6 from the 5' end. 20. The nucleic acid of item 12, in which the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide. 21. The nucleic acid of item 12, in which the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide. 22. The nucleic acid of item 12, wherein X and Y have the same nucleotide modification. 23. The nucleic acid of item 12, in which X and Y have different nucleotide modifications. 24. (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) Single nucleotide polymorphism (SNP) nucleotides that are complementary to allele polymorphisms; (d) Mismatched (MM) position nucleotides, which are nucleotides that are mismatched with other nucleotides in a gene; (e) at least one 2'-fluororibonucleotide on either side of the SNP site nucleotide (where each 2'-fluororibonucleotide is located within 4, 3, or 2 nucleotides of the SNP site nucleotide); and (f) At least one 2'-methoxyribonucleotide on either side of the MM position nucleotide (where each 2'-methoxyribonucleotide is located within 4, 3, or 2 nucleotides of the MM position nucleotide). Nucleic acids, including 25. The nucleic acid of item 24, wherein the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide or adjacent to the 3' side of the SNP site nucleotide. 26. The nucleic acid of item 24, wherein the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide and the 2'-fluororibonucleotide is located adjacent to the 3' side of the SNP site nucleotide. 27. The nucleic acid of item 24, wherein the 2'-methoxyribonucleotide is located adjacent to the 5' side of the MM position nucleotide or the 2'-methoxyribonucleotide is located adjacent to the 3' side of the MM position nucleotide. 28. The nucleic acid of item 24, wherein the 2'-methoxyribonucleotide is located adjacent to the 5' side of the MM position nucleotide and the 2'-methoxyribonucleotide is located adjacent to the 3' side of the MM position nucleotide. 29. The nucleic acid of item 24, wherein the SNP-position nucleotide is located in the seed region, and the MM-position nucleotide is located 2 to 11 nucleotides from the SNP-position nucleotide. 30. The nucleic acid of item 29, wherein the SNP site nucleotide is located at positions 2 to 6 from the 5' end, and the MM site nucleotide is located 2 to 6 nucleotides from the SNP site nucleotide. 31. The nucleic acid of item 24, containing 3, 4, 5, or 6 2'-fluoro-ribonucleotides. 32. The nucleic acid of item 24, containing 3, 4, 5, or 6 2'-methoxy-ribonucleotides. 33. (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) Single nucleotide polymorphism (SNP) nucleotides that are complementary to allele polymorphisms; (d) Mismatched (MM) position nucleotides, which are nucleotides that are mismatched with other nucleotides in a gene; (e) at least three 2'-fluororibonucleotides located within 4, 3, or 2 nucleotides of the SNP site nucleotide; and (f) At least three 2'-methoxyribonucleotides located within 4, 3, or 2 nucleotides of the MM position nucleotide Nucleic acids, including 34. The nucleic acid of item 33, wherein the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide or adjacent to the 3' side of the SNP site nucleotide. 35. The nucleic acid of item 33, wherein the 2'-fluororibonucleotide is located adjacent to the 5' side of the SNP site nucleotide and the 2'-fluororibonucleotide is located adjacent to the 3' side of the SNP site nucleotide. 36. The nucleic acid of item 33, wherein the 2'-methoxyribonucleotide is located adjacent to the 5' side of the MM position nucleotide or the 2'-methoxyribonucleotide is located adjacent to the 3' side of the MM position nucleotide. 37. The nucleic acid of item 33, wherein the 2'-methoxyribonucleotide is located adjacent to the 5' side of the MM position nucleotide and the 2'-methoxyribonucleotide is located adjacent to the 3' side of the MM position nucleotide. 38. The nucleic acid of item 33, wherein the SNP-position nucleotide is located in the seed region, and the MM-position nucleotide is located 2 to 11 nucleotides from the SNP-position nucleotide. 39. The nucleic acid of item 38, wherein the SNP site nucleotide is located at positions 2 to 6 from the 5' end, and the MM site nucleotide is located 2 to 6 nucleotides from the SNP site nucleotide. 40. An siRNA molecule comprising a sense strand complementary to a target gene and an antisense strand complementary to the sense strand, wherein the antisense strand comprises any nucleic acid of items 1 to 39. 41. An siRNA molecule of item 40, wherein the sense strand has a length of 13 nucleotides or nucleotide analog to 17 nucleotides or nucleotide analog. 42. An siRNA molecule of item 40 or 41, wherein the antisense strand has a length of 18 nucleotides or nucleotide analog ~ 22 nucleotides or nucleotide analog. 43. Any siRNA molecule according to items 40-42, wherein the sense strand has a length of 15 nucleotides or a nucleotide analog and the antisense strand has a length of 20 nucleotides or a nucleotide analog. 44. Any siRNA molecule according to items 40-42, wherein the sense strand has a length of 16 nucleotides or a nucleotide analog and the antisense strand has a length of 20 nucleotides or a nucleotide analog. 45. A branched oligonucleotide comprising two or more siRNA molecules covalently bonded to each other, wherein each siRNA molecule is independently one of the siRNA molecules described in items 40 to 44. 46. ​​The branched oligonucleotide of item 45, comprising two siRNA molecules covalently bonded to each other. 47. Branched oligonucleotides of item 45 or 46, in which siRNA molecules are covalently linked to each other via a linker. 48. (a) The first strand of a nucleotide, (i) 5' end and 3' end; (ii) Seed regions that are complementary to gene regions containing allele polymorphisms; (iii) A single nucleotide polymorphism (SNP) site nucleotide located within the seed region that is complementary to the allele polymorphism; (iv) Mismatched (MM) nucleotides in genes that are not complementary to the nucleotides; and (v) At least one modified nucleotide located on either side of an SNP-position nucleotide, on either side of an MM-position nucleotide, or in combination thereof; each modified nucleotide located within 4, 3, or 2 nucleotides of the SNP-position nucleotide or the MM-position nucleotide, respectively. The first chain, including; (b) The second chain of a nucleotide that is complementary to the first chain of a nucleotide. Double-stranded nucleic acids, including [the specified substance]. 49. Double-stranded nucleic acids of item 48, wherein the modified nucleotides include modifications selected from the group consisting of 2'-O-methyl (2'-OMe), 2'-fluoro (2'-F), 2'-ribo, 2'-deoxyribo, 2'-F-4'-thioarabino (2'-F-ANA), 2'-O-(2-methoxyethyl) (2'-MOE), 4'-S-RNA, locked nucleic acid (LNA), 4'-SF-ANA, 2'-O-allyl, 2'-O-ethylamine, 2'-O-cyanoethyl-RNA (CNet-RNA), tricyclo-DNA, cyclohexenyl nucleic acid (CeNA), arabino nucleic acid (ANA), hexitol nucleic acid (HNA), and combinations thereof. 50. The nucleic acid of item 48, wherein the modified nucleotide is located adjacent to the 5' side of the SNP site nucleotide, adjacent to the 3' side of the SNP site nucleotide, or a mixture thereof. 51. The nucleic acid of item 48, wherein the modified nucleotide is located adjacent to the 5' side of the MM position nucleotide, adjacent to the 3' side of the MM position nucleotide, or a mixture thereof. 52. A nucleic acid of item 48 in which the SNP site nucleotide is located at positions 2 to 6 from the 5' end of the first nucleotide chain. 53. The nucleic acid of item 48, in which the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide of the first chain of the nucleotide. 54. The nucleic acid of item 48, in which the MM position nucleotide is located 2 to 6 nucleotides from the SNP position nucleotide of the first chain of the nucleotide. 55. The nucleic acid of item 48, wherein the modified nucleotides include identical nucleotide modifications, different nucleotide modifications, or a mixture thereof. 56. The nucleic acid of item 48, having a first chain of 13-17 nucleotides in length. 57. The nucleic acid of item 48, wherein the second strand has a length of 18 to 22 nucleotides. 58. The nucleic acid of item 48, having a first strand with a length of 15 nucleotides and a second strand with a length of 20 nucleotides. 59. The nucleic acid of item 48, having a first strand with a length of 16 nucleotides and a second strand with a length of 20 nucleotides. 60. The nucleic acid of item 48, in which the first strand has 3 to 7 more nucleotides than the second strand. 61. A branched oligonucleotide containing two or more siRNA molecules covalently bonded to each other, wherein each siRNA molecule (a) The first strand of a nucleotide, (i) 5' end, 3' end; (ii) Seed regions that are complementary to gene regions containing allele polymorphisms; (iii) A single nucleotide polymorphism (SNP) site nucleotide located within the seed region that is complementary to the allele polymorphism; (iv) Mismatched (MM) nucleotides in genes that are not complementary to the nucleotides; and (v) At least one modified nucleotide located on either side of an SNP-position nucleotide, on either side of an MM-position nucleotide, or in combination thereof; wherein each modified nucleotide is located within 4, 3, or 2 nucleotides of the SNP-position nucleotide or the MM-position nucleotide, respectively. The first chain, including; (b) The second chain of a nucleotide that is complementary to the first chain of a nucleotide. A branched oligonucleotide containing double-stranded nucleic acid. 62. The branched oligonucleotide of item 61, comprising two siRNA molecules covalently bonded to each other. 63. Branched oligonucleotides of item 61, in which siRNA molecules are covalently linked to each other via linkers.

Claims

1. A siRNA molecule comprising a sense strand complementary to a target gene and an antisense strand complementary to the sense strand, wherein the antisense strand is (a) 5' end and 3' end; (b) Seed regions that are complementary to the gene regions containing allele polymorphisms; (c) A single nucleotide polymorphism (SNP) positional nucleotide located within the seed region that is complementary to the allele polymorphism; (d) Mismatched (MM) position nucleotides that are mismatched with nucleotides in a gene; (e) at least three 2'-fluororibonucleotides located within 4, 3, or 2 nucleotides of the SNP site nucleotide, one of which is adjacent to the 3' side of the SNP site nucleotide; and (f) At least three 2'-methoxyribonucleotides located within 4, 3, or 2 nucleotides of the MM position nucleotide An siRNA molecule that contains nucleic acids.

2. The siRNA molecule according to claim 1, wherein the SNP position nucleotide is located 2 to 6 positions from the 5' end, or the MM position nucleotide is located 2 to 11 nucleotides from the SNP position nucleotide.

3. The siRNA molecule according to claim 1, wherein the SNP position nucleotide is located at positions 2 to 6 from the 5' end and the MM position nucleotide is located at positions 2 to 11 nucleotides from the SNP position nucleotide.

4. The siRNA molecule according to claim 1, wherein the sense strand has a length of 13 nucleotides or a nucleotide analog to 17 nucleotides or a nucleotide analog.

5. The siRNA molecule according to claim 1, wherein the antisense strand has a length of 18 nucleotides or a nucleotide analog to 22 nucleotides or a nucleotide analog.

6. The siRNA molecule according to claim 1, wherein the sense strand has a length of 15 nucleotides or a nucleotide analog, and the antisense strand has a length of 20 nucleotides or a nucleotide analog.

7. The siRNA molecule according to claim 1, wherein the sense strand has a length of 16 nucleotides or a nucleotide analog, and the antisense strand has a length of 20 nucleotides or a nucleotide analog.

8. A branched oligonucleotide comprising two or more siRNA molecules covalently bonded to each other, wherein each siRNA molecule is independently the siRNA molecule of claim 1.

9. The branched oligonucleotide according to claim 8, comprising two siRNAs covalently bonded to each other.

10. The branched oligonucleotide of claim 8, wherein siRNAs are covalently linked to each other via linkers.

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