The present invention provides
double stranded ribonucleic acid (dsRNA) agents for inhibiting expression of a
target gene, comprising an antisense strand which is complementary to the
target gene; a
sense strand which is complementary to the antisense strand and forms a
double stranded region with the antisense strand; and at least one alpha-v-beta-6 (αvβ6)
integrin targeting ligand that mediates delivery to an extrahepatic tissues, e.g.,
muscle tissue, e.g.,
skeletal muscle tissue and / or
cardiac muscle tissue, or
lung tissue, conjugated to at least one strand, compositions comprising such dsRNA agents, and methods of use thereof for treating a subject having a disorder that would benefit from reduction in expression of the
target gene. The dsRNA may optionally contain an
in vivo delivery enhancing agent.