Mismatch anchoring compounds (MACs) are disclosed that recognize and bind to specific base-pair mismatches (mmBP) present within single stranded or
double stranded DNA,
RNA, and
oligonucleotide sequences, and enable the
ex vivo identification of
DNA /
RNA point mutations (DNAPM / RNAPM), including
disease-associated, rare, and low abundance DNAPM / RNAPM, and the isolation and
elimination of mmBP-positive cells. The use of MACs
in vitro and
in vivo (a) blocks mmBP-positive
DNA replication and
gene transcription / expression, (b) inhibits mmBP-positive
cell proliferation, (c) reverses, prevents, and / or treats mmBP-rnediated
disease, aging, and age-related disorders, (d) blocks mmBP-positive
RNA and / or RNA-DNA duplex translation and inhibits the production of abnormal
disease-causing proteins, (e)
silence mmBP-positive genes, and (f) blocks
intracellular pathogen replication. MAC-conjugates and their uses are disclosed, including MACs radiolabeled with SPECT / PET / particle-emitting isotopes for radioimaging and / or radiotherapy of mmBP-positive diseases.