Evidence map›Paper›PMID 33544849›Full record

ArticleNucleic acids research2021

Site-specific incorporation of 5'-methyl DNA enhances the therapeutic profile of gapmer ASOs.

Guillermo Vasquez, Graeme C Freestone, W Brad Wan, Audrey Low, Cheryl Li De Hoyos, Jinghua Yu, Thazha P Prakash, Michael E Ǿstergaard, Xue-Hai Liang, Stanley T Crooke and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nucleic acids research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
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

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  3. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
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  14. Review
  15. Review
  16. Antisense Gapmers with LNA-Wings and (Molecules (Basel, Switzerland) · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Preclinical Safety Assessment of Therapeutic Oligonucleotides.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
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

13 authors at 1 institution in 1 country.

Guillermo VasquezIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Graeme C FreestoneIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
W Brad WanIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Audrey LowIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Cheryl Li De HoyosIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Jinghua YuIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Thazha P PrakashIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Michael E ǾstergaardIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Xue-Hai LiangIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Stanley T CrookeIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Eric E SwayzeIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Michael T MigawaIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Punit P SethIonis Pharmaceuticals Inc., 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Ionis Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We recently showed that site-specific incorporation of 2'-modifications or neutral linkages in the oligo-deoxynucleotide gap region of toxic phosphorothioate (PS) gapmer ASOs can enhance therapeutic index and safety. In this manuscript, we determined if introducing substitution at the 5'-position of deoxynucleotide monomers in the gap can also enhance therapeutic index. Introducing R- or S-configured 5'-Me DNA at positions 3 and 4 in the oligodeoxynucleotide gap enhanced the therapeutic profile of the modified ASOs suggesting a different positional preference as compared to the 2'-OMe gap modification strategy. The generality of these observations was demonstrated by evaluating R-5'-Me and R-5'-Ethyl DNA modifications in multiple ASOs targeting HDAC2, FXI and Dynamin2 mRNA in the liver. The current work adds to a growing body of evidence that small structural changes can modulate the therapeutic properties of PS ASOs and ushers a new era of chemical optimization with a focus on enhancing the therapeutic profile as opposed to nuclease stability, RNA-affinity and pharmacokinetic properties. The 5'-methyl DNA modified ASOs exhibited excellent safety and antisense activity in mice highlighting the therapeutic potential of this class of nucleic acid analogs for next generation ASO designs.

Indexed as

AnimalsDNAGlucoseHeLa CellsHumansLiverMaleMiceMice, Inbred BALB CNIH 3T3 CellsOligonucleotides, AntisenseOrganophosphorus CompoundsRibonuclease H1,2-5,6-di-O-isopropylidene-D-glucofuranoseDNAGlucoseOligonucleotides, AntisenseOrganophosphorus CompoundsphosphoramiditeRibonuclease Hribonuclease HI

Identifiers

PMID33544849
PMCPMC7913697
OpenAlexW3128616486

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.