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Antisense drugs and Oligonucleotides
Basic Science: 
Genes contain the information necessary to produce 
proteins. 
Protein production occurs in two phases called 
transcription and translation. 
In the transcription phase, the DNA strand is used as a 
template for manufacturing an mRNA molecule.
mRNA is responsible for communicating the genetic 
message in the DNA to the cell so that protein 
production can take place. 
In the translation phase, the mRNA travels to the 
ribosome, and carry out protein synthesis.
Overview: 
Currently, a total of ~4,000 genetic disorders are 
known. 
The mutated genes produce proteins that cannot 
function properly, leading to the occurance of the 
diseases. 
Examples: Sickle-cell anemia, Cystic fibrosis, Color 
blindness
Antisense drugs and Oligonucleotides
How to stop genetic disorder using 
DNA drugs? 
Design a short DNA sequence that matches the 
sequence of mRNA that is transcribed from the 
mutated gene (which causes diseases). 
The DNA drug binds to the mRNA 
The mRNA cannot be translated to protein 
Because no disease-causing protein, disease is cured
What are the ways? 
The available possible ways to achieve this include the 
use of : 
Oligonucleotides 
Ribozyme 
RNAi 
Newer techniques like LNA and CeNA 
The Collective use of these techniques is called 
Antisense Technology
Antisense Technology 
Antisense technologies are a suite of techniques that, 
together, form a very powerful weapon for studying 
Gene function (functional genomics) 
For discovering new and more specific treatments of 
diseases in 
Humans, 
Animals, 
Plants.
Antisense Technology 
Antisense technology interrupts the translation phase of 
the protein production process by 
Preventing the mRNA instructions from reaching the 
ribosome. 
Inhibiting the protein systhesis. 
Antisense drugs are short, chemically modified 
complementary nucleotide chains that hybridize to a 
specific complementary area of mRNA.
What are antisense oligonucleotides? 
Antisense Oligonucleotides are unmodified or 
chemically modified ssDNA, RNA or their analogs. 
They are 13-25 nucleotides long and are specifically 
designed to hybridize to the corresponding mRNA by 
Watson-Crick binding .
In this technique Short segments of single stranded 
DNA called Oligodeoxynucleotides are introduced 
in to the cell. 
These Oligonucleotides are complementary to the 
mRNA, and physically bind to it.
Antisense drugs and Oligonucleotides
The antisense effect of a oligonucleotide sequence was 
first demonstrated in 1970s by Zamecnik and 
Stephenson, in Rous sarcoma virus. 
When these oligonucleotides combined with target 
mRNA, a DNA/RNA hybrid is formed,which is 
degraded by the enzyme RNase H.
Despite the simplicity of the idea behind the Antisense 
oligonucleotides, several problems have to be overcome 
for successful application: 
Accessible sites of the target RNA for oligonucleotide 
binding have to be identified. 
Antisense agents have to be protected against nuclease 
enzyme attack. 
Cellular uptake and correct intracellular localization.
It is therefore necessary to chemically modify 
antisense oligonucleotides to make them stable in 
cells. 
Modification of the phosphodiester backbone is likely 
to inhibit nuclease action and several phosphodiester 
backbone analogues have been developed with this 
goal in mind.
On the basis of mechanism of action, two classes 
of antisense oligonucleotide can be discerned: 
The RNase H-dependent oligonucleotides, 
which induce the degradation of mRNA and 
The steric-blocker oligonucleotides, which 
physically prevent or inhibit the progression of 
splicing or the translational machinery.
First generation Antisense oligonucleotides: 
First synthesized by Eckstein and colleagues in 1960s . 
Phosphoro-thioate -deoxy-nucleotides are the first 
generation oligonucleotides and have a sulfur atom 
replacing the non-bridging oxygen of the sugar phosphate 
backbone. It preserves the overall charge and can also 
activate RNaseH for the degradation of mRNA.
Antisense drugs and Oligonucleotides
Characterstics of First generation 
Antisense oligonucleotides: 
Better stability to nucleases but still degrades. 
Can activate RNase H. 
Are highly soluble and have excellent antisense 
activity. 
They were first used as Antisense oligonucleotides for 
the inhibition of HIV.
Cannot cross the lipid bilayer because of their charge and 
polarity. 
Complement activation due to their polyanoinic nature. 
Once in the circulation they can be taken up by many cell 
types and not just the cell targeted leading to potential 
side-effects.
Observed side effects seen in clinical studies 
performed on humans include 
Thrombocytopenia 
Fatigue 
Fever 
Rashes 
Leukopenia 
There is also a transient inhibition of the clotting 
times shown by an increased activated partial 
thromboplastin time (aPTT).
Second generation Antisense 
oligonucleotides : 
Second generation Antisense oligonucleotides 
containing nucleotides with alkyl modifications at the 
2’ position of the ribose. 
2’-O-methyl and 2’-O-methoxy-ethyl RNA are the 
most important member of this class.
2’-O-methyl 2’-O-methoxy-ethyl
These “second-generation” oligonucleotides are 
resistant to degradation by cellular nucleases 
and hybridize specifically to their target mRNA 
with higher affinity than the phosphodiester or 
phosphorothioate. 
However, such antisense effects result from RNase 
H independent mechanisms.
Characterstics of second generation 
Antisense oligonucleotides : 
Mechanisms of action for the 2’ modified oligonucleotides 
do not rely on RNase H activation but on translation 
arrest by blocking 80S ribosome complex formation as 
well as with splicing interference. 
They were developed to try and avoid the toxicity 
associated with the first generation AS-ONs.
Show high binding affinity to target mRNA. 
Best stability to nucleases. 
Less toxic than first generation AS-ON. 
Higher lipophilicity compared to first generation AS-Ons.
Third generation Antisense oligonucleotides 
Newest and most promising. 
Enhance binding affinity and biostability. 
Peptide nucleic acids (PNAs) 
Locked nucleic acid (LNA) 
Tricyclo-DNA (tcDNA) 
Cyclohexene nucleic acids (CeNA)
Peptide nucleic acids (PNA) : 
In PNAs the deoxyribose phosphate backbone is 
replaced by polyamide linkages. 
The property of high-affinity nucleic acid binding can be 
explained by the lack of electrostatic repulsion because of 
the absence of negative charges on the PNA oligomers. 
The antisense mechanism of PNAs depends on steric 
hindrance.
Locked nucleic acid (LNA) : 
The ribose ring is connected by a 
methylene bridge (orange) between 
the 2’-O and 4’-C atoms thus 
“locking” the ribose ring in the 
ideal conformation for Watson- 
Crick binding. 
Thus the Pairing with a 
complementary nucleotide strand 
is more rapid and increases the 
stability of the resulting duplex.
LNA oligonucleotides exhibit unprecedented 
thermal stability when hybridized to a 
complementary DNA or RNA strand. 
LNA based hepatitis C drug called Miravirsen, 
targeting miR-122, is in Phase II clinical testing as of 
late 2010.
Tricyclo-DNA (tcDNA) : 
Chemically, tc-DNA deviates from natural DNA by 
three additional C-atoms between C(5’) and C(3’). 
Cyclohexene nucleic acids (CeNA) : 
The replacement of the furanose moiety of DNA by 
a cyclohexene ring gives Cyclohexene nucleic acids 
or CeNA. 
CeNA is stable against degradation in serum and a 
CeNA/RNA hybrid is able to activate RNase H, resulting in 
cleavage of the RNA strand.
These chemical modifications change the properties of 
natural oligodeoxynucleotides in the following way: 
Increased RNA affinity. 
Increased hydrophobicity. 
Increased stability towards nucleolytic degradation. 
Inability to elicit RNaseH activity.
Delivery vectors: 
Delivery vectors can take care of both toxicity and drug 
delivery problems .The vector can also protect the drug 
from degradation and also from rapid clearance from 
the body. The vector must: 
Be of small size to allow intercalation between tissues. 
To allow intracellular transport, they must be non-toxic 
and stable in the blood stream
They must retain the drug when in the circulation, 
and 
Must release it at its target before elimination. 
These are quite challenging tasks but many ideas 
have been developed such as liposomes, protein or 
peptide constructs and polymers.
Liposomes are small 
microscopic spheres of one 
or more concentric, closed 
phospholipid bilayer. 
Polar drugs such as 1st and 
2nd generation 
oligonucleotides can be 
entrapped in the internal 
space.
Advantage to liposomes is that they tend to accumulate at 
sites of infection, inflammation and tumors. 
Liposomes protect the oligonucleotides from degradation 
and clearance and promise a long half-life in the body. 
Another potential delivery vector is composed of 
polymerized nanoparticles . One example is the 
commercially available NanoGel and can be used for oral 
delivery of antisense drugs.
Application of Antisense 
Oligonucleotides: 
Antisense drugs are being researched to treat a variety of 
diseases such as : 
Lung cancer, 
Colorectal carcinoma 
Pancreatic carcinoma 
Malignant melanoma 
Diabetes 
Amyotrophic lateral sclerosis (ALS), 
Duchenne muscular dystrophy 
Asthma, 
Arthritis.
Most potential therapies have not yet produced 
significant clinical results though two antisense 
drugs have been approved by the U.S. FDA : 
Fomivirsen -marketed as Vitravene as a 
treatment for cytomegalovirus retinitis. 
Mipomersen- marketed as Kynamro for 
homozygous familial hypercholesterolemia.
Ribozymes: 
Ribozymes are RNA molecules that have catalytic 
activity. 
Ribozyme Bind to the target RNA moiety and 
inactivate it by cleaving the phosphodiester backbone 
at a specific cutting site.
Ribozymes in clinical trials: 
Angiozyme : VEGF receptor 
and angiogenesis inhibitors - 
treatment of kidney cancer. 
Herzyme : Anti- 
Human Epidermal growth 
factor Receptor type 2 (HER2)- 
treatment of breast and 
ovarian cancer 
Heptazyme : Reduces Serum 
HCV RNA Levels In Chronic 
Hepatitis C Patients 
Hammerhead ribozyme
RNA interference (RNAi) : 
RNAi is an antisense mechanism that involves using 
small interfering RNA, or siRNA, to target a mRNA 
sequence. With siRNA, the cell utilizes a protein 
complex called RNA-induced silencing complex 
(RISC) to destroy the mRNA, thereby preventing the 
production of a disease-causing protein. 
Applications of RNAi : 
Cancer 
HIV 
Cardiovascular and Cerebrovascular Diseases 
Neurodegenerative Disorders
Antisense drugs and Oligonucleotides
Conclusion: 
Antisense oligonucleotides show a great potential as a 
molecular biology investigative tool as well as highly 
selective therapeutic agents. 
They can produce non-specific effects such as 
hematologic disturbances or activation of immune 
system components. 
They have limited uptake due to their polarity and 
specific delivery to target tissues is difficult to obtain.
2nd generation antisense oligonucleotides show 
promise as an alternative to 1st as they can function at 
other levels than RNase H. 
Drug delivery systems may be the key in making 
antisense oligonucleotides better therapeutic agents, 
as they can produce enhanced uptake, they protect 
from degradation or prevent non-specific effects
Thank you

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Antisense drugs and Oligonucleotides

  • 2. Basic Science: Genes contain the information necessary to produce proteins. Protein production occurs in two phases called transcription and translation. In the transcription phase, the DNA strand is used as a template for manufacturing an mRNA molecule.
  • 3. mRNA is responsible for communicating the genetic message in the DNA to the cell so that protein production can take place. In the translation phase, the mRNA travels to the ribosome, and carry out protein synthesis.
  • 4. Overview: Currently, a total of ~4,000 genetic disorders are known. The mutated genes produce proteins that cannot function properly, leading to the occurance of the diseases. Examples: Sickle-cell anemia, Cystic fibrosis, Color blindness
  • 6. How to stop genetic disorder using DNA drugs? Design a short DNA sequence that matches the sequence of mRNA that is transcribed from the mutated gene (which causes diseases). The DNA drug binds to the mRNA The mRNA cannot be translated to protein Because no disease-causing protein, disease is cured
  • 7. What are the ways? The available possible ways to achieve this include the use of : Oligonucleotides Ribozyme RNAi Newer techniques like LNA and CeNA The Collective use of these techniques is called Antisense Technology
  • 8. Antisense Technology Antisense technologies are a suite of techniques that, together, form a very powerful weapon for studying Gene function (functional genomics) For discovering new and more specific treatments of diseases in Humans, Animals, Plants.
  • 9. Antisense Technology Antisense technology interrupts the translation phase of the protein production process by Preventing the mRNA instructions from reaching the ribosome. Inhibiting the protein systhesis. Antisense drugs are short, chemically modified complementary nucleotide chains that hybridize to a specific complementary area of mRNA.
  • 10. What are antisense oligonucleotides? Antisense Oligonucleotides are unmodified or chemically modified ssDNA, RNA or their analogs. They are 13-25 nucleotides long and are specifically designed to hybridize to the corresponding mRNA by Watson-Crick binding .
  • 11. In this technique Short segments of single stranded DNA called Oligodeoxynucleotides are introduced in to the cell. These Oligonucleotides are complementary to the mRNA, and physically bind to it.
  • 13. The antisense effect of a oligonucleotide sequence was first demonstrated in 1970s by Zamecnik and Stephenson, in Rous sarcoma virus. When these oligonucleotides combined with target mRNA, a DNA/RNA hybrid is formed,which is degraded by the enzyme RNase H.
  • 14. Despite the simplicity of the idea behind the Antisense oligonucleotides, several problems have to be overcome for successful application: Accessible sites of the target RNA for oligonucleotide binding have to be identified. Antisense agents have to be protected against nuclease enzyme attack. Cellular uptake and correct intracellular localization.
  • 15. It is therefore necessary to chemically modify antisense oligonucleotides to make them stable in cells. Modification of the phosphodiester backbone is likely to inhibit nuclease action and several phosphodiester backbone analogues have been developed with this goal in mind.
  • 16. On the basis of mechanism of action, two classes of antisense oligonucleotide can be discerned: The RNase H-dependent oligonucleotides, which induce the degradation of mRNA and The steric-blocker oligonucleotides, which physically prevent or inhibit the progression of splicing or the translational machinery.
  • 17. First generation Antisense oligonucleotides: First synthesized by Eckstein and colleagues in 1960s . Phosphoro-thioate -deoxy-nucleotides are the first generation oligonucleotides and have a sulfur atom replacing the non-bridging oxygen of the sugar phosphate backbone. It preserves the overall charge and can also activate RNaseH for the degradation of mRNA.
  • 19. Characterstics of First generation Antisense oligonucleotides: Better stability to nucleases but still degrades. Can activate RNase H. Are highly soluble and have excellent antisense activity. They were first used as Antisense oligonucleotides for the inhibition of HIV.
  • 20. Cannot cross the lipid bilayer because of their charge and polarity. Complement activation due to their polyanoinic nature. Once in the circulation they can be taken up by many cell types and not just the cell targeted leading to potential side-effects.
  • 21. Observed side effects seen in clinical studies performed on humans include Thrombocytopenia Fatigue Fever Rashes Leukopenia There is also a transient inhibition of the clotting times shown by an increased activated partial thromboplastin time (aPTT).
  • 22. Second generation Antisense oligonucleotides : Second generation Antisense oligonucleotides containing nucleotides with alkyl modifications at the 2’ position of the ribose. 2’-O-methyl and 2’-O-methoxy-ethyl RNA are the most important member of this class.
  • 24. These “second-generation” oligonucleotides are resistant to degradation by cellular nucleases and hybridize specifically to their target mRNA with higher affinity than the phosphodiester or phosphorothioate. However, such antisense effects result from RNase H independent mechanisms.
  • 25. Characterstics of second generation Antisense oligonucleotides : Mechanisms of action for the 2’ modified oligonucleotides do not rely on RNase H activation but on translation arrest by blocking 80S ribosome complex formation as well as with splicing interference. They were developed to try and avoid the toxicity associated with the first generation AS-ONs.
  • 26. Show high binding affinity to target mRNA. Best stability to nucleases. Less toxic than first generation AS-ON. Higher lipophilicity compared to first generation AS-Ons.
  • 27. Third generation Antisense oligonucleotides Newest and most promising. Enhance binding affinity and biostability. Peptide nucleic acids (PNAs) Locked nucleic acid (LNA) Tricyclo-DNA (tcDNA) Cyclohexene nucleic acids (CeNA)
  • 28. Peptide nucleic acids (PNA) : In PNAs the deoxyribose phosphate backbone is replaced by polyamide linkages. The property of high-affinity nucleic acid binding can be explained by the lack of electrostatic repulsion because of the absence of negative charges on the PNA oligomers. The antisense mechanism of PNAs depends on steric hindrance.
  • 29. Locked nucleic acid (LNA) : The ribose ring is connected by a methylene bridge (orange) between the 2’-O and 4’-C atoms thus “locking” the ribose ring in the ideal conformation for Watson- Crick binding. Thus the Pairing with a complementary nucleotide strand is more rapid and increases the stability of the resulting duplex.
  • 30. LNA oligonucleotides exhibit unprecedented thermal stability when hybridized to a complementary DNA or RNA strand. LNA based hepatitis C drug called Miravirsen, targeting miR-122, is in Phase II clinical testing as of late 2010.
  • 31. Tricyclo-DNA (tcDNA) : Chemically, tc-DNA deviates from natural DNA by three additional C-atoms between C(5’) and C(3’). Cyclohexene nucleic acids (CeNA) : The replacement of the furanose moiety of DNA by a cyclohexene ring gives Cyclohexene nucleic acids or CeNA. CeNA is stable against degradation in serum and a CeNA/RNA hybrid is able to activate RNase H, resulting in cleavage of the RNA strand.
  • 32. These chemical modifications change the properties of natural oligodeoxynucleotides in the following way: Increased RNA affinity. Increased hydrophobicity. Increased stability towards nucleolytic degradation. Inability to elicit RNaseH activity.
  • 33. Delivery vectors: Delivery vectors can take care of both toxicity and drug delivery problems .The vector can also protect the drug from degradation and also from rapid clearance from the body. The vector must: Be of small size to allow intercalation between tissues. To allow intracellular transport, they must be non-toxic and stable in the blood stream
  • 34. They must retain the drug when in the circulation, and Must release it at its target before elimination. These are quite challenging tasks but many ideas have been developed such as liposomes, protein or peptide constructs and polymers.
  • 35. Liposomes are small microscopic spheres of one or more concentric, closed phospholipid bilayer. Polar drugs such as 1st and 2nd generation oligonucleotides can be entrapped in the internal space.
  • 36. Advantage to liposomes is that they tend to accumulate at sites of infection, inflammation and tumors. Liposomes protect the oligonucleotides from degradation and clearance and promise a long half-life in the body. Another potential delivery vector is composed of polymerized nanoparticles . One example is the commercially available NanoGel and can be used for oral delivery of antisense drugs.
  • 37. Application of Antisense Oligonucleotides: Antisense drugs are being researched to treat a variety of diseases such as : Lung cancer, Colorectal carcinoma Pancreatic carcinoma Malignant melanoma Diabetes Amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy Asthma, Arthritis.
  • 38. Most potential therapies have not yet produced significant clinical results though two antisense drugs have been approved by the U.S. FDA : Fomivirsen -marketed as Vitravene as a treatment for cytomegalovirus retinitis. Mipomersen- marketed as Kynamro for homozygous familial hypercholesterolemia.
  • 39. Ribozymes: Ribozymes are RNA molecules that have catalytic activity. Ribozyme Bind to the target RNA moiety and inactivate it by cleaving the phosphodiester backbone at a specific cutting site.
  • 40. Ribozymes in clinical trials: Angiozyme : VEGF receptor and angiogenesis inhibitors - treatment of kidney cancer. Herzyme : Anti- Human Epidermal growth factor Receptor type 2 (HER2)- treatment of breast and ovarian cancer Heptazyme : Reduces Serum HCV RNA Levels In Chronic Hepatitis C Patients Hammerhead ribozyme
  • 41. RNA interference (RNAi) : RNAi is an antisense mechanism that involves using small interfering RNA, or siRNA, to target a mRNA sequence. With siRNA, the cell utilizes a protein complex called RNA-induced silencing complex (RISC) to destroy the mRNA, thereby preventing the production of a disease-causing protein. Applications of RNAi : Cancer HIV Cardiovascular and Cerebrovascular Diseases Neurodegenerative Disorders
  • 43. Conclusion: Antisense oligonucleotides show a great potential as a molecular biology investigative tool as well as highly selective therapeutic agents. They can produce non-specific effects such as hematologic disturbances or activation of immune system components. They have limited uptake due to their polarity and specific delivery to target tissues is difficult to obtain.
  • 44. 2nd generation antisense oligonucleotides show promise as an alternative to 1st as they can function at other levels than RNase H. Drug delivery systems may be the key in making antisense oligonucleotides better therapeutic agents, as they can produce enhanced uptake, they protect from degradation or prevent non-specific effects