NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019

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NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Next generation ASO chemistries
 and chemical ASO conjugates
         Suzan M Hammond, PhD
         Department of Paediatrics
           University of Oxford
            25-February-2019
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Functions of Antisense Oligonucleotides

                      Starting with the birth of ASOs >40 years ago to the discovery
                      of siRNAs and the recent surge of mRNAs, The Problem has
                      remained the same:

                      Delivery! Delivery! Delivery!
                                                         ~Dowdy and Levy 2018 NAT

          Lundin et al., (2015)
          Hum Gene Ther. 26(8):475-85.
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
What’s the problem?

• Less than 1% reach the correct cellular compartment
• Rapid excretion via kidney
• No delivery to brain and spinal cord
• Cellular uptake into the endosome / lysosome
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
1. Survive serum degradation

                                      2. Translocate across the blood endothelium

Juliano (2016)                        3. Avoid uptake by the liver/kidney
Nucleic Acids Res. 44(14):6518-6548
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Cytoplasmic Trafficking

                                                                1. Endocytosis

                                                                2. Intracellular trafficking

                                                                3. Endosomal escape –
                                                                endosomal entrapment is
                                                                the main rate-limiting step
                                                                in AON delivery

                                                                4. Nuclear entry

Juliano (2016)
Nucleic Acids Res. 44(14):6518-6548
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Modifications to chemical structure of nucleic acid

                                                  BASE

INTERNUCLEOTIDE
LINKAGE

                                                  SUGAR
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Chemical structures for charged ASOs

                 conformationally constrained oligonucleotides
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Chemical structure of charged neutral ASOs
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Next Generation ASOs - TriycloDNA
                                      (Modified Sugar)

     Improved In Vivo Efficacy over
     2’OMe and PMO ASOs

Goyenvalle et al., 2015
Nature Medicine 21:270-275
NEXT GENERATION ASO CHEMISTRIES AND CHEMICAL ASO CONJUGATES - SUZAN M HAMMOND, PHD DEPARTMENT OF PAEDIATRICS UNIVERSITY OF OXFORD 25-FEBRUARY-2019
Next Generation ASO – Mesyl
                     (Internucleotide Linkages)
                Nuclease Resistant
                                                        Methanesulfonyl phosphoramidate group

Hybridization
                                     RNase H Activity
 to miR-21

                                                                 Miroshnichenko et al., (2019)
                                                                 PNAS 116:1229-1234
Chemical Conjugates of ASOs
                                      Cell Penetrating Peptides

                                                                                Imre Mager, Characterization of cell-
                                                                                penetrating peptides: assessment of
                                                                                cellular internalization kinetics,
                                                                                mechanisms, and bioactivity.

            Carbohydrates: (GalNAc)                        Antibody and Antibody Fragments

                                                        Freskgard and Urich (2017)
                                                        Neuropharmacology 120:38-55
Rajeev et al., 2015
ChemBioChem 16:903-908
GalNAc
            N-acetyl galactosamine

     GalNAc improves efficacy of MOE and cEt Oligos   GalNAc directs MOE into the hepatocytes

Prakash TP et al., 2014 NAR 42:8796-8807
GalNac receptor, asialoglycoprotein receptor, rapidly internalizes large quantities of GalNAc-modified oligos
                                   so that even a low percentage of escaping cargo is sufficient

Dowdy SF 2017
Nature Biotechnology 35:222-229
Cell Penetrating Peptides
CPP              Sequence                      Reference
Transportan      GWTLNSAGYLLGKINLKALAALAKKIL   Chaubey B et al. Virology. (2005)
Oligoarginine    RRRRRRRRR                     Moulton et al., Bioconjug Chem. (2004)
pTat Peptide     CGRKKRRQRRR
Penetratin       RQIKIWFQNRRMKWKK              Rogers et al., Mol. Ther. (2012)
B Peptide        RXRRBRRXRRBRXB                Wu et al., PNAS (2008)
B-MSP            RXRRBRRXRRBRXB ASSLNIAX       Yin et al., Hum Mol Gen (2009)
Pip6a            RXRRBRRXR YQFLI RXRBRXRB      Betts et al., Mol Ther - Nucl Acids (2012)
(RXR)4           RXRRXRRXRRXR                  Gomez et al., J Clin Invest (2014)
F3                                             Henke et al., Nat Biotechnol (2008)
RKKKRKV          RKKKRKV                       Boffa et al., Cancer Gene Ther (2007)
Lys4             KKKK                          Fabani et al., Nucleic Acids Res 2010
(RFF)3RXB        RFFRFFRFFRXB                  Tilley et al., Antibicrob. Chemother (2007)
(KFF)3K          KFFKFFKFFK                    Tan et al., Agents Chemother (2005)
R9F2             RRRRRRRRRFF                   Nelson et al., Bioconjug. Chem. (2005)
T-cell-derived   YARVRRRGPRGYARVRRRGPRRC       Wesolowski et al., PNAS (2011)
CPP
CPPs enhance in vivo efficacy of ASO therapy

Hammond et al (2016)
PNAS 113(39):10962-7
Looking Forward: improving safety
     Brain              Spinal Cord
                         (Cervical)

                                                                                                                 KIM-1
Skeletal Muscle           Liver                                                    200

  Quadriceps

                                        R e la tiv e K IM - 1 /C r e a t in in e
                                                                                   150

                                                                                   100

                                                                                    50

                                                                                     0
                                                                                         S a lin e   D ay 2        D ay 7   D ay 2         D ay 7

                                                                                                          D P E P 5 -6           D P E P 5 -1 7

                                                                                                                                             Dr. Graham McClorey
Antibodies and Antibody Fragments.

https://absoluteantibody.com/antibody-resources/antibody-
engineering/antibody-fragments/
Antibody-siRNAs

                  Antibody: anti-CD71 Fab′ fragment

                  Payload: siRNA toward HPRT

                  i.v. administration at 10mg/kg.

                    Sugo et al., 2016
                    J Control Release 237:1–13
Antibody-ASOs for treating PreB Leukemia

engrafted leukemia cells in mice   apoptotic leukemia cells

  murine cells (CD22 negative),
ANTIBODY–DRUG CONJUGATES
Collaborators

                                                        Michael Gait
SMA Group   Prof. Matthew Wood

            •     Graham McClorey
            •     Larissa Goli
            •     Jessica Stoodley
            •     Anna Kordala
            •     Audrey Winkelsas
            •     Nina Ahlskog                      Frank Abendroth

                PMO ELISA

                Miguel Varela
                David Seoane Miraz

                                     Andrey Arzumanov
% Uptake based
               On ELISA data from
               SMA and DM1

Live Science
Functions of Antisense Oligonucleotides

                                     Lundin KE, Gissberg O, Smith CI. 2015
                                     Hum Gene Ther. 26(8):475-85.
“The main obstacle impeding the clinical translation of
[splice-switching antisense therapy] is the relatively
poor delivery of antisense oligonucleotides to target
tissues after systemic delivery”
Next Generation ASOs - TriycloDNA
                               (Modified Sugar)
            200 mg/kg/week      15 umol/kg/week

                                                           Goyenvalle et al., 2015
Reference                                                  Nature Medicine 21:270-275
Next generation ASO chemistries and
1. Next Generation ASOs
                                                                  various functionalized chemical ASO
    • Various uses of ASOs
                                                                  conjugates (like peptide-PMOs, Galnac-
         • Steric blockage
                                                                  ASOs etc). How do they improve the
         • Knockdown gapmers
                                                                  distribution and efficacy in various
    • WAVE Stereoisomers
                                                                  tissues/disease models and their
    • Dimitri ASOs
                                                                  impact on potentially improving on the
    • IONIS next generation ASOs
                                                                  previous generation naked ASOs. What
    • Tricyclo DNA
                                                                  are the advantages and limitations
2. Chemical ASO Conjugates
                                                                  with such ASO conjugates. To which
    • CPPs – cell penetrating peptides
                                                                  extent the targeting can be achieved
    • Antibodies
                                                                  with present state-of-the-art methods.
    • Gal-NAc – N-acetylgalactosamine (Akinc 2010; Rajeev 2015)
    • Cyclic peptides – octaguanidine dendrimer
Examples of CPPs directly conjugated to oligonucleotides and their applications.
Peptide Sequence Application Reference
Transportan-PNA GWTLNSAGYLLGKINLKALAALAKKIL Galanin
receptor
antagonist
[123]
B-PMO RXRRBRRXRRBRXB DMD [51]
B-MSP-PMO RXRRBRRXRRBRXB ASSLNIAX DMD [52]
Pip5e-PMO RXRRBRRXR ILFQY RXRBRXRB DMD [53]
Pip6a-PMO RXRRBRRXR YQFLI RXRBRXRB DMD [54]

T-cell-derived CPP-PMO
YARVRRRGPRGYARVRRRGPRR Antibacterial [66] D. Wesolowski, H.S. Tae, N. Gandotra, P. Llopis, N. Shen, S. Altman, Basic peptidemorpholino
oligomer conjugate that is very effective in killing bacteria by genespecific
and nonspecific modes, Proc. Natl. Acad. Sci. U. S. A. 108 (2011)
16582–16587, http://dx.doi.org/10.1073/pnas.1112561108.

(RXR)4-PMO RXRRXRRXRRXR Antibacterial [68] B.L. Geller, K. Marshall-Batty, F.J. Schnell, M.M. McKnight, P.L. Iversen, D.E.
Greenberg, Gene-silencing antisense oligomers inhibit acinetobacter growth
in vitro and in vivo, J. Infect. Dis. 208 (2013) 1553–1560, http://dx.doi.org/10.
1093/infdis/jit460.

R. Abes, H.M. Moulton, P. Clair, S.T. Yang, S. Abes, K. Melikov, P. Prevot, D.S.
Youngblood, P.L. Iversen, L.V. Chernomordik, B. Lebleu, Delivery of steric block
morpholino oligomers by (R-X-R)4 peptides: structure–activity studies, Nucleic
Acids Res. 36 (2008) 6343–6354, http://dx.doi.org/10.1093/nar/gkn541.

(RXR)4XB-PMO RXRRXRRXRRXRXB Antiviral [60,61] S.-H. Lai, D.A. Stein, A. Guerrero-Plata, S.-L. Liao, T. Ivanciuc, C. Hong, P.L. Iversen, A.
Casola, R.P. Garofalo, Inhibition of respiratory syncytial virus infections with
morpholino oligomers in cell cultures and in mice, Mol. Ther. J. Am. Soc. Gene
Ther. 16 (2008) 1120–1128, http://dx.doi.org/10.1038/mt.2008.81.
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