Evidence map›Paper›PMID 34417625›Full record

ArticleNucleic acids research2021

Towards next generation antisense oligonucleotides: mesylphosphoramidate modification improves therapeutic index and duration of effect of gapmer antisense oligonucleotides.

Brooke A Anderson, Graeme C Freestone, Audrey Low, Cheryl L De-Hoyos, William J Drury Iii, Michael E Østergaard, Michael T Migawa, Michael Fazio, W Brad Wan, Andres Berdeja and 7 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 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

82 citing papers in PubMed, 121 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. The Versatile Applications of Antisense Oligonucleotides in Modern Medicine.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Tissue Pharmacokinetics of Antisense Oligonucleotides.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  15. Article
  16. RNA chemistry and therapeutics.Nature reviews. Drug discovery · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Review

22 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

17 authors at 1 institution in 1 country.

Brooke A AndersonIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Graeme C FreestoneIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.ORCID 0000-0002-9474-5753
Audrey LowIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Cheryl L De-HoyosIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
William J Drury IiiIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Michael E ØstergaardIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Michael T MigawaIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Michael FazioIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
W Brad WanIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Andres BerdejaIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Eli ScandalisIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Sebastien A BurelIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Timothy A VickersIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Stanley T CrookeIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.ORCID 0000-0002-4260-1520
Eric E SwayzeIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
Xuehai LiangIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.ORCID 0000-0001-9333-8622
Punit P SethIonis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.ORCID 0000-0002-1783-7806
Ionis Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The PS modification enhances the nuclease stability and protein binding properties of gapmer antisense oligonucleotides (ASOs) and is one of very few modifications that support RNaseH1 activity. We evaluated the effect of introducing stereorandom and chiral mesyl-phosphoramidate (MsPA) linkages in the DNA gap and flanks of gapmer PS ASOs and characterized the effect of these linkages on RNA-binding, nuclease stability, protein binding, pro-inflammatory profile, antisense activity and toxicity in cells and in mice. We show that all PS linkages in a gapmer ASO can be replaced with MsPA without compromising chemical stability and RNA binding affinity but these designs reduced activity. However, replacing up to 5 PS in the gap with MsPA was well tolerated and replacing specific PS linkages at appropriate locations was able to greatly reduce both immune stimulation and cytotoxicity. The improved nuclease stability of MsPA over PS translated to significant improvement in the duration of ASO action in mice which was comparable to that of enhanced stabilized siRNA designs. Our work highlights the combination of PS and MsPA linkages as a next generation chemical platform for identifying ASO drugs with improved potency and therapeutic index, reduced pro-inflammatory effects and extended duration of effect.

Indexed as

Therapeutic Index, DrugAnimalsHEK293 CellsHeLa CellsHumansLiverMaleMesylatesMiceMice, Inbred C57BLNIH 3T3 CellsOligonucleotides, AntisensePhosphoramidesProtein BindingTissue DistributionMesylatesOligonucleotides, AntisensePhosphoramides

Identifiers

PMID34417625
PMCPMC8450106
OpenAlexW3196079692

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.