Evidence map›Paper›PMID 28829437›Full record

ArticleNature biotechnology2017

Control of phosphorothioate stereochemistry substantially increases the efficacy of antisense oligonucleotides.

Naoki Iwamoto, David C D Butler, Nenad Svrzikapa, Susovan Mohapatra, Ivan Zlatev, Dinah W Y Sah, Meena, Stephany M Standley, Genliang Lu, Luciano H Apponi and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature biotechnology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 171 papers.

0numbers the graph read from it
0cells of the map it votes in
171citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

171 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. The Versatile Applications of Antisense Oligonucleotides in Modern Medicine.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Review
  9. Current CMC challenges in oligonucleotide API development: from IND to NDA.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Development of Antisense Gapmers for the Treatment of Huntington's Disease.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  17. Review
  18. Chalcogen-modified Nucleic Acid Analogues.Current medicinal chemistry · 2026
    Article
  19. Article
  20. Review

111 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Naoki IwamotoWave Life Sciences, Cambridge, Massachusetts, USA.
David C D ButlerWave Life Sciences, Cambridge, Massachusetts, USA.
Nenad SvrzikapaWave Life Sciences, Cambridge, Massachusetts, USA.
Susovan MohapatraWave Life Sciences, Cambridge, Massachusetts, USA.
Ivan ZlatevWave Life Sciences, Cambridge, Massachusetts, USA.
Dinah W Y SahWave Life Sciences, Cambridge, Massachusetts, USA.
MeenaWave Life Sciences, Cambridge, Massachusetts, USA.
Stephany M StandleyWave Life Sciences, Cambridge, Massachusetts, USA.
Genliang LuWave Life Sciences, Cambridge, Massachusetts, USA.
Luciano H ApponiWave Life Sciences, Cambridge, Massachusetts, USA.
Maria Frank-KamenetskyWave Life Sciences, Cambridge, Massachusetts, USA.
Jason Jingxin ZhangWave Life Sciences, Cambridge, Massachusetts, USA.
Chandra VargeeseWave Life Sciences, Cambridge, Massachusetts, USA.
Gregory L VerdineWave Life Sciences, Cambridge, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whereas stereochemical purity in drugs has become the standard for small molecules, stereoisomeric mixtures containing as many as a half million components persist in antisense oligonucleotide (ASO) therapeutics because it has been feasible neither to separate the individual stereoisomers, nor to synthesize stereochemically pure ASOs. Here we report the development of a scalable synthetic process that yields therapeutic ASOs having high stereochemical and chemical purity. Using this method, we synthesized rationally designed stereopure components of mipomersen, a drug comprising 524,288 stereoisomers. We demonstrate that phosphorothioate (PS) stereochemistry substantially affects the pharmacologic properties of ASOs. We report that Sp-configured PS linkages are stabilized relative to Rp, providing stereochemical protection from pharmacologic inactivation of the drug. Further, we elucidated a triplet stereochemical code in the stereopure ASOs, 3'-SpSpRp, that promotes target RNA cleavage by RNase H1 in vitro and provides a more durable response in mice than stereorandom ASOs.

Indexed as

AnimalsDrug StabilityFemaleGenetic TherapyHumansHydrophobic and Hydrophilic InteractionsMaleMiceMice, Inbred C57BLMice, TransgenicOligonucleotidesOligonucleotides, AntisensePhosphorothioate OligonucleotidesRatsRats, Sprague-DawleyRibonuclease HmipomersenOligonucleotidesOligonucleotides, AntisensePhosphorothioate OligonucleotidesRibonuclease Hribonuclease HI

Identifiers

PMID28829437

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.