Method for preparing cemdisiran

By using RNA ligase to catalyze base pairing and phosphodiester bond linkage between the sense and antisense strands, the problems of low purity and high cost in the preparation of Cemdisiran have been solved, realizing a high-purity, low-impurity preparation method that is easy for large-scale production.

WO2026011779A1PCT designated stage Publication Date: 2026-01-15ASYMCHEM LAB TIANJIN +1
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Patent Information

Application Number
PCT/CN2025/079378
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Priority Date
2024-07-10
Filing Date
2025-02-26
Publication Date
2026-01-15

AI Technical Summary

Technical Problem

Existing methods for preparing Cemdisiran suffer from problems such as low purity, high impurities, high cost, and difficulty in large-scale production.

Method used

Cemdisiran was prepared by using RNA ligase to catalyze complementary base pairing between the sense and antisense strands of the substrate to form a nicked double-stranded nucleotide structure, which was then linked by phosphodiester bonds.

Benefits of technology

This improved the purity of Cemdisiran, reduced impurities, lowered production costs, and facilitated large-scale industrial production.

✦ Generated by Eureka AI based on patent content.

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Abstract

Provided in the present invention is a method for preparing cemdisran, wherein cemdisran is an siRNA composed of a sense strand and an antisense strand by means of complementary pairing. The preparation method comprises mixing sense strand substrates, antisense strand substrates and an RNA ligase, and using the RNA ligase to catalyze the ligation between the sense strand substrates and between the antisense strand substrates via phosphodiester bonds, so as to obtain the sense strand and the antisense strand, and thereby obtaining cemdisran. The sense strand substrates can form the sense strand, and the antisense strand substrates can form the antisense strand. Compared with the preparation of cemdisiran by means of chemical synthesis, a product obtained by means of the preparation method of the present application has a relatively high purity and few impurities. Moreover, the reaction conditions are mild, thus facilitating the realization of industrial scaled-up production.
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Description

Methods for preparing Cemdisiran

[0001] This application is based on and claims priority to Chinese application CN application number 202410921736.6 filed on July 10, 2024, the disclosure of which is incorporated herein by reference in its entirety. Technical Field

[0002] This invention relates to the field of pharmaceutical biosynthesis, and more specifically, to a method for preparing Cemdisiran. Background Technology

[0003] Small interfering RNA (siRNA) is a double-stranded RNA of 19-25 nt in length. After entering the cell, siRNA dissociates into single strands. The sense strand specifically binds to the messenger RNA (mRNA) of the target gene through base matching, inducing a series of actions that ultimately degrade the target gene's mRNA, preventing mRNA translation and thus inhibiting target gene expression. In recent years, the development of siRNA drugs has received widespread attention. siRNA drugs act on mRNA, making their target sites significantly larger than those of traditional small molecule drugs that act on proteins. Furthermore, siRNA drugs can target new sites by changing their sequence, resulting in relatively short development times.

[0004] Cemdisiran is a double-stranded siRNA drug developed by Alnylam in collaboration with Regeneron, and is currently in Phase 3 clinical trials. Cemdisiran is indicated to improve proteinuria levels in adult patients with immunoglobulin A nephropathy (IgAN). IgAN is a leading cause of chronic kidney disease and renal failure; it is a chronic, progressive inflammatory disease associated with kidney damage, affecting approximately 25,000 people out of every 100,000 annually, particularly those aged 30 to 40. Globally, there are approximately 200,000 patients with IgAN.

[0005] The existing synthesis method for Cemdisiran is a chemical solid-phase synthesis, using a solid support such as controlled-porous glass (CPG) or polystyrene resin. The oligonucleotide chain is extended along the 3' to 5' direction via a cyclic synthesis using a phosphoramidite method. After the synthesis cycle is complete, the Cemdisiran chain is removed from the solid support by ammonolysis, followed by purification to obtain the pure product. This synthesis process requires expensive nucleic acid synthesizers, and the scale of synthesis is limited by the size of the synthesizer. Batch processes are on the order of kg, and increasing the synthesis throughput requires adding more equipment or more batches, making scale-up very costly. Furthermore, solid-phase synthesis is a cyclic method, and the yield decreases with increasing chain length. Impurities generated during the synthesis process, such as impurities with one more nucleotide than the target sequence (N+1 impurities) or one less nucleotide than the target sequence (N-1 impurities), also increase with increasing chain length, ultimately resulting in N+1 and N-1 impurity contents of 1-3%. Summary of the Invention

[0006] The main objective of this invention is to provide a method for preparing Cemdisiran, thereby solving the problem of low purity in the prior art.

[0007] To achieve the above objective, according to a first aspect of the present invention, a method for preparing Cemdisiran is provided. Cemdisiran is siRNA composed of a sense strand and an antisense strand through complementary pairing. The method includes: mixing a sense strand substrate, an antisense strand substrate, and an RNA ligase, wherein the sense strand substrate can form a sense strand, and the antisense strand substrate can form an antisense strand; the sense strand substrate and the antisense strand substrate are linked by hydrogen bonds formed by complementary bases, and the head and tail bases of the sense strand substrate and the antisense strand substrate are not linked to each other, forming a double-stranded nucleotide structure containing a nick; using the RNA ligase to link the bases at both ends of the nick with phosphodiester bonds to form Cemdisiran; the bases at both ends of the nick are the 5' end and the 3' end of different substrates, respectively, with the 5' end being a phosphate group and the 3' end being a hydroxyl group; using the RNA ligase to link the phosphate group at the 5' end and the hydroxyl group at the 3' end upstream and downstream of the nick to form phosphodiester bonds, thereby obtaining Cemdisiran.

[0008] Further, the RNA ligase is selected from RNA ligase family 1 or RNA ligase family 2; the RNA ligase includes one or more of the RNA ligases shown in SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5 or SEQ ID NO: 6; or has more than 70% identity with any of the RNA ligases shown in SEQ ID NO: 1-SEQ ID NO: 6, and has the activity of catalyzing the formation of the phosphodiester bond.

[0009] Furthermore, the sense and antisense substrates are obtained by solid-phase synthesis or liquid-phase synthesis; preferably, the sense strand is the nucleic acid sequence shown in SEQ ID NO: 13 and the antisense strand is the nucleic acid sequence shown in SEQ ID NO: 14.

[0010] Furthermore, the justice chain consists of two or more justice chain substrates, the length of which is 3-18nt, more preferably 4-16nt; preferably, the antisense chain consists of two or more antisense chain substrates, the length of which is 3-22nt, more preferably 8-13nt.

[0011] Furthermore, the double-stranded RNA formed after annealing the sense and antisense substrates has three or more complementary base pairs; preferably, the ends of the double-stranded RNA are sticky ends; preferably, the sticky ends are 2-8 nt in length.

[0012] Furthermore, both the sense and antisense substrates comprise two substrates: the sense substrate comprises a first sense substrate and a second sense substrate, and the antisense substrate comprises a first antisense substrate and a second antisense substrate. The preparation method includes: mixing the first sense substrate, the second sense substrate, the first antisense substrate, and the second antisense substrate; using RNA ligase to catalyze the ligation of the first and second sense substrates to form a sense strand; catalyzing the ligation of the first and second antisense substrates to form an antisense strand; and the sense and antisense strands complementaryly pairing to form Cemdisiran.

[0013] Further, the 3' end of the first sense strand substrate and the 5' end of the second sense strand substrate are ligated under the catalysis of RNA ligase to form a sense strand; the 3' end of the first antisense strand substrate and the 5' end of the second antisense strand substrate are ligated under the catalysis of RNA ligase to form an antisense strand; preferably, the 5' end of the first sense strand substrate is a hydroxyl group, and the 3' end is a hydroxyl group; the 5' end of the second sense strand substrate is a phosphate group, and the 3' end is an L96 group; preferably, the 5' end of the first antisense strand substrate is a hydroxyl group, and the 3' end is a hydroxyl group; the 5' end of the second antisense strand substrate is a phosphate group, and the 3' end is a hydroxyl group.

[0014] Furthermore, the first positive-strand substrate is the nucleic acid sequence shown in SEQ ID NO: 10 or 15, and the second positive-strand substrate is the nucleic acid sequence UmAfAmUmAm or UmUmAfUmAfAmUmAm.

[0015] Furthermore, the first antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 12 or 17, and the second antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 11 or 16.

[0016] Furthermore, both the justice chain substrate and the antisense chain substrate include three substrates: the justice chain substrate includes the first justice chain substrate, the second justice chain substrate, and the third justice chain substrate; the antisense chain substrate includes the first antisense chain substrate, the second antisense chain substrate, and the third antisense chain substrate.

[0017] Furthermore, the first-strand substrate is the nucleic acid sequence AmsAmsGfCmAfAmGf; the second-strand substrate is the nucleic acid sequence shown in SEQ ID NO: 18; and the third-strand substrate is the nucleic acid sequence AfAmUmAm.

[0018] Furthermore, the first antisense substrate is the nucleic acid sequence UmsAfsUfUmAfUmAmAf; the second antisense substrate is the nucleic acid sequence AmAfAmUmAmUfCmUfUm; and the third antisense substrate is the nucleic acid sequence GfCmUmUmsUmsUmdTdT.

[0019] Furthermore, the concentrations of the sense and antisense substrates were 0.1–4.5 mM.

[0020] Further, the concentration of RNA ligase is 0.05-0.6 mg / mL, more preferably 0.2 mg / mL; preferably, the reaction system formed by mixing the sense substrate, antisense substrate, and RNA ligase also includes ATP, Tris-HCl, MgCl2, and DTT; preferably, the temperature of the enzyme-catalyzed reaction is 0-60℃, more preferably 4-37℃; preferably, the time of the enzyme-catalyzed reaction is 0.5-24 h, more preferably 16-24 h; preferably, the pH value of the enzyme-catalyzed reaction is 6.0-8.5; preferably, after the enzyme-catalyzed reaction, the product is purified and freeze-dried to obtain Cemdisiran.

[0021] By applying the technical solution of this invention and utilizing the above-described preparation method, RNA ligase catalyzes the ligation between sense and antisense substrates to form the sense strand of Cemdisiran, and catalyzes the ligation between antisense substrates to form the antisense strand of Cemdisiran. This allows for the biosynthetic preparation of this complex siRNA with multiple modifications. Compared to the chemical synthesis of Cemdisiran, the preparation method of this application yields a product with higher purity and fewer impurities, and the reaction conditions are mild, facilitating industrial-scale production. Attached Figure Description

[0022] The accompanying drawings, which form part of this application, are used to provide a further understanding of the invention. The illustrative embodiments of the invention and their descriptions are used to explain the invention and do not constitute an undue limitation of the invention. In the drawings:

[0023] Figure 1 shows a schematic diagram of the synthesis of Cemdisiran using RNA ligase according to the present invention;

[0024] Figure 2 shows the Urea-PAGE detection results of the catalytic products of ligase 31, ligase 48 and ligase 11 in Example 1 of the present invention;

[0025] Figure 3 shows the HPLC detection results of ligase 48 in Example 2 of the present invention. Detailed Implementation

[0026] It should be noted that, unless otherwise specified, the embodiments and features described in this application can be combined with each other. The present invention will now be described in detail with reference to the embodiments.

[0027] Terminology Explanation:

[0028] N+1 impurities: Nucleic acid impurities that have an additional single nucleotide link compared to the target synthetic sequence.

[0029] N-1 impurities: Nucleic acid impurities that have a single nucleotide deletion compared to the target synthetic sequence.

[0030] As mentioned in the background section, existing technologies for preparing Cemdisiran employ chemical synthesis, which not only uses large amounts of organic solvents, contradicting the principles of green chemistry, but also incurs very high costs for scaling up the synthesis. Furthermore, the prepared product suffers from low purity and numerous impurities, particularly the presence of difficult-to-remove N+1 and N-1 impurities, affecting subsequent product purification. In this application, the inventors attempt to develop a method for preparing siRNA for treating immunoglobulin A nephropathy, utilizing enzymatic synthesis of Cemdisiran, and thus propose a series of protective schemes in this application.

[0031] In a first typical embodiment of this application, a method for preparing Cemdisiran is provided. Cemdisiran is siRNA composed of a sense strand and an antisense strand through complementary pairing. The method includes: mixing a sense strand substrate, an antisense strand substrate, and an RNA ligase, wherein the sense strand substrate can form a sense strand, and the antisense strand substrate can form an antisense strand; the sense strand substrate and the antisense strand substrate are linked by hydrogen bonds formed by complementary bases, and the head and tail bases of the sense strand substrate and the antisense strand substrate are not linked to each other, forming a double-stranded nucleotide structure with a nick; using RNA ligase to link the bases at both ends of the nick with phosphodiester bonds to form Cemdisiran; the bases at both ends of the nick are the 5' end and the 3' end of different substrates, with the 5' end being a phosphate group and the 3' end being a hydroxyl group; using RNA ligase to connect the phosphate group at the 5' end and the hydroxyl group at the 3' end upstream and downstream of the nick to form phosphodiester bonds to obtain Cemdisiran.

[0032] In a preferred embodiment, the RNA ligase is selected from RNA ligase family 1 or RNA ligase family 2; the RNA ligase includes one or more of the RNA ligases shown in SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5 or SEQ ID NO: 6; or an enzyme having more than 70% identity with any of the RNA ligases shown in SEQ ID NO: 1-SEQ ID NO: 6 and having catalytic activity in forming phosphodiester bonds. The notched double-stranded nucleotide structure formed by the above-mentioned sense substrate and antisense substrate has sticky ends.

[0033] The sense and antisense substrates can be chemically synthesized using either a solid-phase or liquid-phase method.

[0034] In the above preparation method, the positive sense substrate consists of two or more nucleotide sequences that can form the positive sense strand. That is, multiple nucleotide sequences of the positive sense substrate can be spliced ​​together to form a sequence identical to the positive sense strand. The difference between the positive sense substrate and the positive sense strand is that there are notches between the positive sense substrates; they are not linked by phosphodiester bonds. Similarly, RNA ligase is used to link two or more antisense substrates with phosphodiester bonds to obtain the antisense strand of Cemdisiran.

[0035] In the above preparation method, the sense and antisense substrates and RNA ligase are mixed together and Cemdisiran is directly prepared in a one-pot ligation process. In this one-pot ligation, the sense and antisense substrates can undergo complementary base pairing to form a double-stranded structure. The RNA ligase recognizes this double-stranded structure and ligates the nicks within it, thereby obtaining the target product, Cemdisiran.

[0036] Any method capable of RNA synthesis is applicable to this application. In a preferred embodiment, the sense and antisense substrates are obtained by solid-phase or liquid-phase synthesis. In a preferred embodiment, the sense strand is the nucleic acid sequence shown in SEQ ID NO: 13, and the antisense strand is the nucleic acid sequence shown in SEQ ID NO: 14.

[0037] SEQ ID NO: 13:

[0038] AmsAmsGfCmAfAmGfAmUfAfUfUmUfUmUmAfUmAfAmUmAm.

[0039] SEQ ID NO: 14:

[0040] UmsAfsUfUmAfUmAmAfAmAfAmUmAmUfCmUfUmGfCmUmUmsUmsUmdTdT.

[0041] In this application, the 'm' following A, C, G, or U indicates a 2' methoxy modification of the ribonucleotide. 'f' indicates a 2' fluorine modification of the ribonucleotide. In notations such as 'sAm' and 'sGf', 's' indicates a thiomodification of the 5' phosphate of the ribonucleotide. 'd' preceding A, C, G, or T indicates that the nucleotide is a deoxyribonucleotide.

[0042] Cemdisiran has a 21nt positive strand and a 25nt negative strand. By dividing the positive / negative strands into several segments of different lengths based on their ligation efficiency and then ligating them via an enzymatic reaction, a product with high purity can be obtained. In a preferred embodiment, the positive strand consists of two or more positive strands of substrate, with a length of 3-18nt, more preferably 4-16nt; preferably, the negative strand consists of two or more negative strands of substrate, with a length of 3-22nt, more preferably 8-13nt.

[0043] In the one-pot synthesis of Cemdisiran, as shown in Figure 1, the sense and antisense substrates can undergo complementary base pairing to form a double-stranded structure. RNA ligase recognizes the notched double-stranded structure formed by the complementary base pairing and ligates the sense and antisense substrates to obtain Cemdisiran. In a preferred embodiment, the double-stranded RNA formed after annealing of the sense and antisense substrates contains three or more complementary base combinations. In a preferred embodiment, the double-stranded RNA ends are sticky ends with a length of 2-8 nt.

[0044] Any RNA ligase capable of recognizing a notched double-stranded structure formed by complementary pairing of substrates and catalyzing the formation of phosphodiester bonds between phosphate groups and hydroxyl groups is applicable to this application. In a preferred embodiment, the RNA ligase is selected from RNA ligase family 1 or RNA ligase family 2.

[0045] In a preferred embodiment, the RNA ligase comprises one or more of the RNA ligases shown in SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5 or SEQ ID NO: 6; or an enzyme having more than 70% identity with any of the RNA ligases shown in SEQ ID NO: 1-SEQ ID NO: 6, including but not limited to 75%, 80%, 85%, 90%, 95%, 99% or more (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 98.5%, 99%, 99.5%, 99.6%, 99.7%, 99.8% or more, or even 99.9% or more) and having catalytic activity for the formation of phosphodiester bonds. Among them, RNA ligases of RNA ligase family 1 include SEQ ID NO: 4 or SEQ ID NO: 6, and RNA ligases of RNA ligase family 2 include SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3 or SEQ ID NO: 5.

[0046] SEQ ID NO: 1: (Ligase 48, Escherichia phage JN02)

[0047] SEQ ID NO: 2: (Ligase 25, Vibrio phage NT-1)

[0048] SEQ ID NO: 3: (Ligase 26, Escherichia phage AR1)

[0049] SEQ ID NO: 4: (Ligase 31, Vibrio phage VH12019)

[0050] SEQ ID NO: 5: (Ligase 41, Vibrio phage VH7D)

[0051] SEQ ID NO: 6: (Ligase 42, Escherichia phage JN02)

[0052] SEQ ID NO: 7: (Ligase 11, Thermococcus)

[0053] SEQ ID NO: 8: (Lyse 20, Archea)

[0054] SEQ ID NO: 9: (Ligase 32, bacteria)

[0055] In this application, "identity" refers to the "identity" between amino acid sequences or nucleic acid sequences, that is, the total ratio of the same type of amino acid residues or nucleotides in the amino acid or nucleic acid sequences. The identity of amino acid sequences or nucleic acid sequences can be determined using alignment programs such as BLAST (Basic Local Alignment Search Tool) and FASTA.

[0056] Proteins with 70%, 75%, 80%, 85%, 90%, 95%, or more than 99% (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 98.5%, 99%, 99.5%, 99.6%, 99.7%, 99.8%, or even more than 99.9%) of identicality and function have an active site, active pocket, active mechanism, protein structure, etc., which are highly likely to be the same as the protein provided by sequence a).

[0057] As used herein, the amino acid residue abbreviations are as follows: alanine (Ala; A), asparagine (Asn; N), aspartic acid (Asp; D), arginine (Arg; R), cysteine ​​(Cys; C), glutamic acid (Glu; E), glutamine (Gln; Q), glycine (Gly; G), histidine (His; H), isoleucine (Ile; I), leucine (Leu; L), lysine (Lys; K), methionine (Met; M), phenylalanine (Phe; F), proline (Pro; P), serine (Ser; S), threonine (Thr; T), tryptophan (Trp; W), tyrosine (Tyr; Y), and valine (Val; V).

[0058] Substitution and replacement rules generally apply to amino acids with similar properties; the effects of substitution are similar. For example, conserved amino acid substitutions can occur in the aforementioned homologous proteins. "Conserved amino acid substitutions" include, but are not limited to:

[0059] Hydrophobic amino acids (Ala, Cys, Gly, Pro, Met, Val, Ile, Leu) are replaced by other hydrophobic amino acids;

[0060] Hydrophobic amino acids with large side chains (Phe, Tyr, Trp) are replaced by other hydrophobic amino acids with large side chains;

[0061] Amino acids with positively charged side chains (Arg, His, Lys) are replaced by other amino acids with positively charged side chains;

[0062] Amino acids with polar, uncharged side chains (Ser, Thr, Asn, Gln) are replaced by other amino acids with polar, uncharged side chains.

[0063] Those skilled in the art can also perform conservative substitutions of amino acids based on amino acid substitution rules well known to them, such as the "blosum62 score matrix" in the prior art.

[0064] In this application, only RNA ligases shown in SEQ ID NO: 1 to SEQ ID NO: 6, or enzymes with more than 70% identity with any of the RNA ligases shown in SEQ ID NO: 1 to SEQ ID NO: 6, can catalyze the formation of phosphodiester bonds between the substrates in this application to obtain the product Cemdisiran. In the relevant experiments of this application, the inventors obtained the aforementioned RNA ligases shown in SEQ ID NO: 1 to SEQ ID NO: 6 that are capable of synthesizing Cemdisiran by screening from a large number of enzymes (50 types). However, a large proportion (up to 70%) of the negative results in the experiments showed that most RNA ligases are difficult to catalyze the synthesis of Cemdisiran, including but not limited to the RNA ligases shown in SEQ ID NO: 7 to SEQ ID NO: 9. In this application specification, only SEQ ID NO: 7 to SEQ ID NO: 9 are used as examples to illustrate this type of RNA ligase that does not have the activity to catalyze the synthesis of Cemdisiran.

[0065] In a preferred embodiment, both the sense and antisense substrates comprise two substrates. The sense substrate comprises a first sense substrate and a second sense substrate, and the antisense substrate comprises a first antisense substrate and a second antisense substrate. The preparation method includes: mixing the first sense substrate, the second sense substrate, the first antisense substrate, and the second antisense substrate; using RNA ligase to catalyze the ligation of the first and second sense substrates to form a sense strand; catalyzing the ligation of the first and second antisense substrates to form an antisense strand; and the sense and antisense strands complementaryly pairing to form a Cemdisiran.

[0066] In a preferred embodiment, the 3' end of the first sense strand substrate and the 5' end of the second sense strand substrate are ligated under the catalysis of RNA ligase to form a sense strand; the 3' end of the first antisense strand substrate and the 5' end of the second antisense strand substrate are ligated under the catalysis of RNA ligase to form an antisense strand; preferably, the 5' end of the first sense strand substrate is a hydroxyl group, and the 3' end is a hydroxyl group; the 5' end of the second sense strand substrate is a phosphate group, and the 3' end is an L96 group; preferably, the 5' end of the first antisense strand substrate is a hydroxyl group, and the 3' end is a hydroxyl group; the 5' end of the second antisense strand substrate is a phosphate group, and the 3' end is a hydroxyl group.

[0067] In a preferred embodiment, the first positive-strand substrate is the nucleic acid sequence shown in SEQ ID NO: 10 or 15, and the second positive-strand substrate is the nucleic acid sequence UmAfAmUmAm or UmUmAfUmAfAmUmAm.

[0068] In a preferred embodiment, the first antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 12 or 17, and the second antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 11 or 16.

[0069] Cemdisiran can be prepared using the above preparation method and the substrates shown in UmAfAmUmAm, UmUmAfUmAfAmUmAm, SEQ ID NOs: 10-12, or SEQ ID NOs: 15-17. However, it should be noted that the choice of substrate is not limited to the substrates shown in UmAfAmUmAm, UmUmAfUmAfAmUmAm, SEQ ID NOs: 10-12, or SEQ ID NOs: 15-17. Substrates that can be combined to form both the sense and antisense strands can be used in the above preparation method. The above preparation method is applicable to the preparation of Cemdisiran but is not limited to different substrate connection positions. The above preparation method has good connection effects on both the sense and antisense strand sequences of Cemdisiran. The number of sense or antisense strand substrates includes, but is not limited to, 2, 3, 4, or even more.

[0070] SEQ ID NO: 10:

[0071] AmsAmsGfCmAfAmGfAmUfAfUfUmUfUmUmAf.

[0072] SEQ ID NO: 11:

[0073] UfCmUfUmGfCmUmUmsUmsUmdTdT.

[0074] SEQ ID NO: 12:

[0075] UmsAfsUfUmAfUmAmAfAmAfAmUmAm.

[0076] SEQ ID NO: 15:

[0077] AmsAmsGfCmAfAmGfAmUfAfUfUmUf.

[0078] SEQ ID NO: 16:

[0079] UmAmUfCmUfUmGfCmUmUmsUmsUmdTdT.

[0080] SEQ ID NO: 17:

[0081] UmsAfsUfUmAfUmAmAfAmAfAm.

[0082] In a preferred embodiment, both the positive and negative substrates comprise three substrates: a first positive substrate, a second positive substrate, and a third positive substrate; and a first antisense substrate, a second antisense substrate, and a third antisense substrate. Preferably, the first positive substrate is the nucleic acid sequence AmsAmsGfCmAfAmGf; the second positive substrate is the nucleic acid sequence shown in SEQ ID NO: 18; and the third positive substrate is the nucleic acid sequence AfAmUmAm. Preferably, the first antisense substrate is the nucleic acid sequence UmsAfsUfUmAfUmAmAf; the second antisense substrate is the nucleic acid sequence AmAfAmUmAmUfCmUfUm; and the third antisense substrate is the nucleic acid sequence GfCmUmUmsUmsUmdTdT.

[0083] SEQ ID NO: 18:

[0084] AmUfAfUfUmUfUmUmAfUm.

[0085] In a preferred embodiment, the concentrations of the sense and antisense substrates are 0.1-4.5 mM; preferably, the concentration of the RNA ligase is 0.05-0.6 mg / mL, more preferably 0.2 mg / mL; preferably, the reaction system formed by mixing the sense and antisense substrates and the RNA ligase also includes ATP, Tris-HCl, MgCl2, and DTT; preferably, the temperature of the enzyme-catalyzed reaction is 0-60°C, more preferably 4-37°C; preferably, the reaction time is 0.5-24 h, more preferably 16-24 h; preferably, the pH of the enzyme-catalyzed reaction is 6.0-8.5; preferably, after the enzyme-catalyzed reaction, the product is purified and freeze-dried to obtain Cemdisiran.

[0086] The concentrations of the aforementioned sense and antisense substrate fragments are each selected from, but not limited to, 0.1, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, or 4.5 mM; the reaction temperatures of the aforementioned preparation methods are, but not limited to, 10, 15, 16, 20, 25, 30, 35, or 40 °C; and the reaction times of the aforementioned preparation methods are, but not limited to, 2, 5, 10, 15, 16, 20, 24, 25, 30, 35, 40, 45, or 48 h.

[0087] The present application will be further described in detail below with reference to specific embodiments, which should not be construed as limiting the scope of protection claimed in the present application.

[0088] Example 1

[0089] Based on the Cemdisiran sequence, the following four single-stranded RNA fragments were designed:

[0090] The above four single-stranded RNA fragments were prepared using a solid-phase synthesis method. In the symbols A, C, G, or U, 'm' indicates a 2' methoxy modification of the ribonucleotide, 'f' indicates a 2' fluorine modification, 's' in notations such as 'sAm' and 'sGf' indicates a thiomodification of the 5' phosphate group, 'd' before A, C, G, or T indicates that the nucleotide is a deoxyribonucleotide, and L96 is an N-acetylgalactosamine group (GalNAc), as shown in the following formula. The wavy line on the far left of the L96 protecting group indicates that this group is linked to the last nucleotide of the sense strand.

[0091] Cemdisiran-1 has a 2' methoxy modification on the ribonucleotides at positions 1, 2, 4, 6, 8, 12, 14, and 15; a 2' fluorine modification on the ribonucleotides at positions 3, 5, 7, 9, 10, 11, 13, and 16; and a thiomodification on the 5' phosphate of the ribonucleotides at positions 2 and 3.

[0092] Cemdisiran-2 has a 2' methoxy modification at positions 1, 3, 4, and 5, and a 2' fluorine modification at position 2.

[0093] Cemdisiran-3 has 2' methoxy modification at positions 2, 4, 6, 7, 8, 9, and 10; 2' fluorine modification at positions 1, 3, and 5; thiomodification at the 5' phosphate of positions 9 and 10; and deoxyribonucleotides at positions 11 and 12, which are thymine (T).

[0094] Cemdisiran-4 has 2' methoxy modification on the ribonucleotides at positions 1, 4, 6, 7, 9, 11, 12, and 13, 2' fluorine modification on the ribonucleotides at positions 2, 3, 5, 8, and 10, and thio modification on the 5' phosphate of the ribonucleotides at positions 2 and 3.

[0095] The prepared Cemdisiran has a sense strand of 5'-AmsAmsGfCmAfAmGfAmUfAfUfUmUfUmUmAfUmAm(SEQ ID NO:13)-L96-3' and an antisense strand of 5'-UmsAfsUfUmAfUmAmAfAmAfAmUmAmUfCmUfUmGfCmUmUmsUmsUmdTdT-3'(SEQ ID NO:14).

[0096] Four single-stranded RNA fragments were mixed in equimolar proportions to obtain a substrate mixture, which was then annealed to obtain an annealed RNA fragment mixture. The annealed RNA fragment mixture was subjected to an enzymatic ligation reaction under the following conditions: 100 μM substrate fragment, 10 eq ATP, 100 eq MgCl2, 10 eq DTT, and RNA ligase at a final concentration of 0.2 mg / mL were added sequentially to a 10 μL reactor. The reaction was carried out at 1911V, 50 mM Tris-HCl, and pH 7.5, and incubated at 16℃ for 16 h. After the reaction, the protein was inactivated by heating at 80℃ for 5 min. The supernatant was collected by centrifugation, and the Urea-PAGE results are shown in Figure 2. In Figure 2, lane M represents the RNA molecule marker, lane 1 represents the reaction system of ligase 31, lane 2 represents the reaction system of ligase 48, and lane 3 represents the reaction system of ligase 11. The yield was estimated based on the grayscale analysis of the product bands in the Urea-PAGE results. The final yield results are shown in the table below.

[0097] In Example 1, the yield was estimated based on the grayscale analysis results of the target band in the Urea-PAGE results. "None" indicates that no target product band was detected, "++" indicates a yield of 25-50% (excluding the 50% endpoint), "+++" indicates a yield of 50-90%, and "++++" indicates a yield >90%.

[0098] The grayscale data of the product and substrate were obtained by grayscale analysis of the Urea-PAGE gel electrophoresis results image. In the example, the yield calculation formula was: Yield = Product grayscale data / (Product grayscale data + Substrate grayscale data).

[0099] Activity screening of six RNA ligases revealed that ligases 48, 25, and 31 exhibited better ligation performance, converting most of the substrate into Cemdisiran.

[0100] Example 2

[0101] Ligase 48, with good reactivity, was selected for enzymatic ligation using an annealed substrate fragment. The reaction conditions were as follows: 800 μM substrate fragment, 4 eq ATP, 12.5 eq MgCl2, and 1.25 eq DTT were added sequentially to a 50 μL reactor, resulting in a final concentration of 0.2 mg / mL of the RNA ligase. The reaction was carried out at 239 V with 50 mM Tris-HCl at pH 7.5, and incubated at 16 °C for 16 h. After the reaction, the protein was inactivated by heating at 80 °C for 5 min, and the supernatant was collected by centrifugation. The results were analyzed by HPLC and LC-MS. An example of the HPLC results for ligase 48 is shown in Figure 3.

[0102] The yield was measured by the approximate percentage of the product peak in the HPLC data of the reaction system sample, and the results are shown in the table below:

[0103] In Example 2, the yield was calculated based on the statistical results of the target peak in the HPLC results, with ++++ indicating a yield >90%.

[0104] The molecular weight of the positive strand product was determined by LC-MS to be 8677.95, and the molecular weight of the negative strand product was 8096.11. The theoretical values ​​for the positive strand product and the negative strand product were 8677.94±8 and 8096.11±8, respectively, indicating that ligase 48 ligated to generate Cemdisiran.

[0105] Comparative Example 1

[0106] The average yield of the full-length Cemdisiran product synthesized using solid-phase synthesis was 32.6%, with a total N+1 and N-1 impurity content of 1.47%.

[0107] The Cemdisiran product produced using the enzymatic ligation method of this invention achieved a yield of 87.48% in the enzymatic synthesis step, while the average yield of the substrates used in solid-phase synthesis was 39.2%. Multiplying these yields yielded an overall process yield of 34.3%, which is higher than the average yield of full-length Cemdisiran products synthesized in solid-phase synthesis. Furthermore, the total proportion of N+1 and N-1 impurities in the enzymatically synthesized Cemdisiran product was 0.4%, which is lower than the proportion of such impurities in the full-length Cemdisiran product synthesized in solid-phase synthesis.

[0108] As can be seen from the above description, the embodiments of the present invention achieve the following technical effects: In the preparation method of this application, RNA ligase catalyzes the ligation between sense strand substrates to form the sense strand of Cemdisiran, and catalyzes the ligation between antisense strand substrates to form the antisense strand of Cemdisiran, thereby realizing the preparation of this structurally complex siRNA with multiple modifications through biosynthesis. Compared with the preparation of Cemdisiran through chemical synthesis, the preparation method of this application yields products with higher purity, fewer impurities (N+1 and N-1 impurities <0.5%), lower pressure for subsequent final product purification, and milder reaction conditions without the use of large amounts of organic reagents, which can reduce production costs and facilitate industrial-scale production.

[0109] The above description is merely a preferred embodiment of the present invention and is not intended to limit the invention. Various modifications and variations can be made to the present invention by those skilled in the art. Any modifications, equivalent substitutions, improvements, etc., made within the spirit and principles of the present invention should be included within the scope of protection of the present invention.

Claims

1. A method for preparing Cemdisiran, characterized in that, The Cemdisiran is an siRNA, composed of a sense strand and an antisense strand through complementary pairing. The method includes: Mix the sense strand substrate, antisense strand substrate, and RNA ligase. Wherein, the substrates of the justice chain can form the justice chain, and the substrates of the antisense chain can form the antisense chain; The positive and negative substrates are connected by hydrogen bonds formed by complementary bases, and the head and tail bases of the positive and negative substrates are not connected to each other, forming a double-stranded nucleotide structure with notches. The bases at both ends of the notch are linked by phosphodiester bonds using the RNA ligase to form the Cemdisiran; The bases at both ends of the notch are the 5' and 3' ends of different substrates, respectively, with the 5' end being a phosphate group and the 3' end being a hydroxyl group; The 5' phosphate group and the 3' hydroxyl group upstream and downstream of the notch are linked using the RNA ligase to form the phosphodiester bond, thereby obtaining the Cemdisiran.

2. The method according to claim 1, characterized in that, The RNA ligase is selected from RNA ligase family 1 or RNA ligase family 2; The RNA ligase includes one or more of the RNA ligases shown in SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5 or SEQ ID NO: 6; or It has more than 70% identity with any of the RNA ligases shown in SEQ ID NO: 1-SEQ ID NO: 6 and has the activity of catalyzing the formation of the phosphodiester bond.

3. The method according to claim 1, characterized in that, The sense and antisense substrates are obtained by solid-phase synthesis or liquid-phase synthesis. Preferably, the sense strand is the nucleic acid sequence shown in SEQ ID NO: 13, and the antisense strand is the nucleic acid sequence shown in SEQ ID NO:

14.

4. The method according to claim 1, characterized in that, The justice chain consists of two or more justice chain substrates, and the length of the justice chain substrate is 3-18nt. Preferably, the antisense chain consists of two or more antisense chain substrates, and the length of the antisense chain substrate is 3-22 nt.

5. The method according to claim 3, characterized in that, The double-stranded RNA formed by annealing the sense and antisense substrates has three or more complementary base pairs. Preferably, the ends of the double-stranded RNA are sticky ends; Preferably, the length of the viscous end is 2-8 nt.

6. The method according to claim 3, characterized in that, Both the justice chain substrate and the antisense chain substrate include two substrates. The justice chain substrate includes a first justice chain substrate and a second justice chain substrate. The antisense chain substrate includes a first antisense chain substrate and a second antisense chain substrate. The preparation method includes: mixing the first sense strand substrate, the second sense strand substrate, the first antisense strand substrate, and the second antisense strand substrate; using RNA ligase to catalyze the ligation of the first sense strand substrate and the second sense strand substrate to form the sense strand; catalyzing the ligation of the first antisense strand substrate and the second antisense strand substrate to form the antisense strand; and the sense strand and the antisense strand complementaryly pairing to form the Cemdisiran.

7. The method according to claim 6, characterized in that, The 3' end of the first sense strand substrate and the 5' end of the second sense strand substrate are ligated under the catalysis of the RNA ligase to form the sense strand; the 3' end of the first antisense strand substrate and the 5' end of the second antisense strand substrate are ligated under the catalysis of the RNA ligase to form the antisense strand. Preferably, the 5' end of the first positive chain substrate is a hydroxyl group, and the 3' end is a hydroxyl group; the 5' end of the second positive chain substrate is a phosphate group, and the 3' end is an L96 group. Preferably, the 5' end of the first antisense substrate is a hydroxyl group and the 3' end is a hydroxyl group; the 5' end of the second antisense substrate is a phosphate group and the 3' end is a hydroxyl group.

8. The method according to claim 7, characterized in that, The first positive-strand substrate is the nucleic acid sequence shown in SEQ ID NO: 10 or 15, and the second positive-strand substrate is the nucleic acid sequence UmAfAmUmAm or UmUmAfUmAfAmUmAm.

9. The method according to claim 7, characterized in that, The first antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 12 or 17, and the second antisense substrate is the nucleic acid sequence shown in SEQ ID NO: 11 or 16.

10. The method according to claim 3, characterized in that, Both the justice chain substrate and the antisense chain substrate include three substrates. The base of the justice chain includes a first justice chain base, a second justice chain base, and a third justice chain base; The antisense substrate includes a first antisense substrate, a second antisense substrate, and a third antisense substrate.

11. The method according to claim 10, characterized in that, The first positive-signal substrate is the nucleic acid sequence AmsAmsGfCmAfAmGf; The second positive-strand substrate is the nucleic acid sequence shown in SEQ ID NO: 18; The third positive chain substrate is the nucleic acid sequence AfAmUmAm.

12. The method according to claim 10, characterized in that, The first antisense substrate is the nucleic acid sequence UmsAfsUfUmAfUmAmAf; The second antisense substrate is the nucleic acid sequence AmAfAmUmAmUfCmUfUm; The third antisense substrate is the nucleic acid sequence GfCmUmUmsUmsUmdTdT.

13. The method according to any one of claims 1-5, characterized in that, The concentrations of the sense substrate and the antisense substrate are 0.1-4.5 mM.

14. The method according to any one of claims 1-5, characterized in that, The concentration of the RNA ligase is 0.05-0.6 mg / mL, more preferably 0.2 mg / mL; Preferably, the reaction system formed by mixing the sense substrate, the antisense substrate, and the RNA ligase further includes ATP, Tris-HCl, MgCl2, and DTT. Preferably, the temperature of the enzyme-catalyzed reaction is 0-60°C, more preferably 4-37°C; Preferably, the enzyme-catalyzed reaction time is 0.5-24 h, more preferably 16-24 h; Preferably, the pH value of the enzyme-catalyzed reaction is 6.0-8.5; Preferably, after the enzyme-catalyzed reaction, the product is purified and freeze-dried to obtain the Cemdisiran.

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