Abstract
One of the most exciting aspects of antisense therapeutic agents is their remarkable pharmacologic specificity. Because antisense activity depends on Watson and Crick base-pairing rules, sequence specificity ensures that antisense agents have high selectivity for the intended mRNA target. The selective inhibition of the expression of disease-related genes is the pharmacologic equivalent of laser surgery, well aimed and presumably with minimal inadvertent effects. This specificity suggests that these agents will have favorable therapeutic indices.
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Agrawal S, Temsamani J, Tang JY (1991) Pharmacokinetics, biodistribution, and stability of oligodeoxynucleotide phosphorothioates in mice. Proc Natl Acad Sci USA 88:7595–7599
Agrawal S, Rustagi P, Shaw DR (1995a) Novel enzymatic and immunological responses to oligonucleotides. In: Reed DJ (ed) Proceedings of the international congress of toxicology VII. Elsevier, Amsterdam, pp 431–434
Agrawal S, Zhang X, Lu Z, Zhao H, Tamburin JM, Yan J, Cai H, Diasio RG, Habus I, Jiang Z, Iyer RP, Yu D, Zhang R (1995b) Absorption, tissue distribution and in vivo stability in rats of a hybrid antisense oligonucleotide following oral administration. Biochem Pharmacol 50:571–576
Altmann K-H, Dean NM, Fabbro D, Freier SM, Geiger T, Haner R, Husken D, Martin P, Monia BP, Muller M, Natt F, Nicklin P, Phillips J, Pieles U, Sasmor H, Moser HE (1996) Second generation of antisense oligonucleotides: from nuclease resistance to biological efficant in animals. Chimia 50:168–176
Anderson KP, Fox MC, Brown-Driver V, Martin MJ, Azad RF (1996) Inhibition of human cytomegalovirus immediate-early gene expression by an antisense oligonucleotide complementary to immediate-early RNA. Antimicrob Agents Chemother 40:2004–2011
Augustine KA, Liu ET, Sadler TW (1995) Antisense inhibition of engrailed genes in mouse embryos reveals roles for these genes in craniofacial and neural tube development. Teratology 51:300–310
Bavik C, Ward SJ, Chambon P (1996) Developmental abnormalities in cultured mouse embryos deprived of retinoic acid by inhibition of yolk-sac retinol binding protein synthesis. Proc Natl Acad Sci USA 93:3110–3114
Bennett CF (1994) Inhibition of cell adhesion molecule expression with antisense oligonucleotides: activity in-vitro and in-vivo. J Immunol 152:3530–3540
Bennett CF, Chiang M-Y, Chan H, Shoemaker JEE, Mirabelli CK (1992) Cationic lipids enhance cellular uptake and activity of phosphorothioate antisense oligonucleotides. Mol Pharmacol 41:1023–1033
Bennett CF, Dean N, Ecker DJ, Monia BP (1996) Pharmacology of antisense therapeutic agents: cancer and inflammation. In: Agrawal S (ed) Methods in molecular medicine: antisense therapeutics. Humana, Totowa, New York, pp 13–46
Bennett CF, Kornbrust D, Henry S, Stecker K, Howard R, Cooper S, Dutson S, Hall W, Jacoby HI (1997) An ICAM-1 antisense oligonucleotide prevents and reverses dextran sulfate sodium-induced colitis in mice. J Pharmacol Exp Ther 280:988–1000
Bennett RM, Gabor GT, Merritt MM (1985) DNA binding to human leukocytes. J Clin Invest 76:2182–2190
Bitter-Suermann D, Burger R, Hadding U (1981) Activation of the alternative pathway of complement: efficient fluid-phase amplification by blockade of the regulatory complement protein bl h through sulfated polyanions. Eur J Immunol 11:291–295
Black LE, DeGeorge JJ, Cavagnaro JA, Jordan A, Ahn C-H (1993) Regulatory considerations for evaluating the pharmacology and toxicology of antisense drugs. Antisense Res Dev 3:399–404
Black LE, Farrelly JG, Cavagnaro JA, Ahn C-H, DeGeorge JJ, Taylor AS, DeFelice AF, Jordan A (1994) Regulatory considerations of oligonucleotide drugs: updated recommendations for pharmacology and toxicology studies. Antisense Res Dev 4:299–301
Branda RF, Moore AL, Mathews L, McCormack JJ, Zon G (1993) Immune stimulation by an antisense oligomer complementary to the rev gene of HIV-1. Biochem Pharmacol 45:2037–2043
Branda RF, Moore AL, Lafayette AR, Mathews L, Hong R, Zon G, Brown T, McCormack JJ (1996) Amplification of antibody production by phosphorothioate oligodeoxynucleotides. J Lab Clin Med 128:329–338
Brown DA, Kang S-H, Gryaznov SM, DeDionisio L, Heidenreich O, Sullivan S, Xu X, Nerenberg MI (1994) Effect of phosphorothioate modification of oligodeoxynucleotides on specific protein binding. J Biol Chem 269:26801–26805
Butler M, Stecker K, Bennett CF (1997) Histologic localization of phosphorothioate deoxyoligonucleotides in normal rat tissues. Lab Invest 77(4):379–388
Chiang M-Y, Chan H, Zounes MA, Freier SM, Lima WF, Bennett CF (1991) Antisense oligonucleotides inhibit intercellular adhesion molecule 1 expression by two distinct mechanisms. J Biol Chem 266:18162–18171
Cornish KG, Iversen P, Smith L, Arneson M, Bayever E (1993) Cardiovascular effects of a phosphorothioate oligonucleotide with sequence antisense to p53 in the conscious rhesus monkey. Pharmacol Commun 3:239–247
Cossum PA, Sasmor H, Dellinger D, Troung L, Cummins L, Owens SR, Markham PM, Shea JP, Crooke S (1993) Disposition of the 14C-labeled phosphorothioate oligonucleotide ISIS 2105 after intravenous administration to rats. J Pharmacol Exp Ther 267:1181–1190
Cossum PA, Troung L, Owens SR, Markham PM, Shea JP, Crooke ST (1994) Pharmacokinetics of a 14C-labeled phosphorothioate oligonucleotide, ISIS 2105, after intradermal administration to rats. J Pharmacol Exp Ther 269:89–94
Crooke RM, Crooke ST, Graham MJ, Cooke ME (1996) Effect of antisense oligonucleotides on cytokine release from human keratinocytes in an in vitro model of skin. Toxicol Appl Pharmacol 140:85–93
Cummins LL, Leeds JM, Greig M, Griffey RJ, Graham MJ, Crooke R, Gaus HJ (1997) Capillary gel electrophoresis and mass spectrometry: powerful tools for the analysis of antisense oligonucleotides and their metabolites. In: Cook PD, Manoharan M (eds) Nucleosides and nucleotides. Marcel Decker, New York (in press)
Dean NM, McKay R, Condon TP, Bennett CF (1994) Inhibition of protein kinase C-a expression in human A549 cells by antisense oligonucleotides inhibits induction of intercellular adhesion molecule 1 (ICAM-1) mRNA by phorbol esters. J Biol Chem 269:16416–16424
de Serres M, McNulty MJ, Christensen L, Zon G, Findlay JWA (1996) Development of a novel scintillation proximity competitive hybridization assay for the determination of phosphorothioate antisense oligonucleotide plasma concentrations in a toxicokinetic study. Anal Biochem 233:228–233
Diamantstein T, Blistein-Willinger E (1978) Specific binding of poly (I)-poly (C) to the membrane of murine B lymphocyte subsets. Eur J Immunol 8:896–899
Diamantstein T, Wagner B, Beyse I, Odenwald MV, Schultz G (1971a) Stimulation of humoral antibody formation by polyanions. I. The effect of polyacrylic acid on the primary immune response in mice immunized with sheep red blood cells. Eur J Immunol 1:335–340
Diamantstein T, Wagner B, Beyse I, Odenwald MV, Schultz G (1971b) Stimulation of humoral antibody formation by polyanions. II. The influence of sulfate esters of polymers on the immune response in mice. Eur J Immunol 1:340–343
Galbraith WM, Hobson WC, Giclas PC, Schechter PJ, Agrawal S (1994) Complement activation and hemodynamic changes following intravenous administration of phosphorothioate oligonucleotides in the monkey. Antisense Res Dev 4:201–206
Gaudette MF, Hampikian G, Metelev V, Agrawal S, Crain W (1993) Effect on embryos of injection of phosphorothioate-modified oligonucleotides into pregnant mice. Antisense Res Dev 3:391–397
Geary R, Leeds J, Henry SP, Monteith DK, Levin AA (1997) Antisense oligonucleotide inhibitors for the treatment of cancer. 1. Pharmacokinetic properties of phosphorothioate oligodeoxynucleotides. Anti Cancer Drug Des 12:383–393
Glover JM, Leeds JM, Mant TGK, Amin D, Kisner DL, Zuckerman J, Levin AA, Shanahan WR (1997) Phase 1 safety and pharmacokinetic profile of an ICAM-1 antisense oligodeoxynucleotide (ISIS 2302). J Pharmacol Exp Ther 282:1173–1180
Griffin LC, Tidmarsh GF, Bock LC, Toole JJ, Leung LLK (1993) In vivo anticoagulant properties of a novel nucleotide-based thrombin inhibitor and demonstration of regional anticoagulation in extracorporeal circuits. Blood 81:3271–3276
Henry SP, Larkin R, Novotny WF, Kornbrust DJ (1994) Effects of ISIS 2302, a phosphorothioate oligonucleotide, on in vitro and in vivo coagulation parameters. Pharmaceut Res 11:S-353
Henry SP, Leeds J, Giclas PC, Gillett NA, Pribble JP, Kornbrust DJ, Levin AA (1996) The toxicity of ISIS 3521, a phosphorothioate oligonucleotide, following intravenous (iv) and subcutaneous (se) administration in cynomolgus monkeys. Toxicologist 30:112
Henry SP, Bolte H, Auletta C, Kornbrust DJ (1997a) Evaluation of the toxicity of ISIS 2302, a phosphorothioate oligonucleotide, in a 4-week study in cynomolgus monkeys. Toxicology 120:145–155
Henry SP, Giclas PC, Leeds J, Pangborn M, Auletta C, Levin AA, Kornbrust DJ (1997b) Activation of the alternative pathway of complement by a phosphorothioate oligonucleotide: potential mechanism of action. J Pharmacol Exp Ther 281:810–816
Henry SP, Monteith DK, Bennett CF, Levin AA (1997c) Toxicologic and pharmacokinetic parameters of chemically modified antisense oligonucleotide inhibitors of PKC-alpha and C-raf kinase. Anti Cancer Drug Des 12:409–420
Henry SP, Monteith DK, Levin AA (1997d) Antisense oligonucleotide inhibitors for treatment of cancer. 2. Toxicologic properties of phosphorothioate oligodeoxynucleotides. Anti Cancer Drug Des 12:395–408
Henry SP, Taylor J, Midgley L, Levin AA, Kornbrust DL (1997e) Evaluation of the toxicity of ISIS 2302, a phosphorothioate oligonucleotide, in a 4-week study in CD-1 mice. Antisense Nucleic Acid Drug Dev 7:473–481
Henry SP, Novotny W, Leeds J, Auletta C, Kornbrust DJ (1997f) Inhibition of coagulation by a phosphorothioate oligonucleotide. Antisense Nucleic Acid Drug Dev 7:503–510
Henry SP, Orr JL, Brunner RH, Kornbrust DJ (1997g) Comparison of the toxicity profiles of ISIS 1082 and ISIS 2105, phosphorothioate oligonucleotides, following subacute intradermal administration in Sprague-Dawley rats. Toxicology 116:77–88
Homer MJ, Monteith DK, Gillett NA, Butler M, Henry SP, Bennett CF, Levin AA (1997) Evaluation of the renal effects of phosphorothioate oligonucleotides in monkeys. Fundam Appl Toxico 136:147
Iversen P (1991) In vivo studies with phosphorothioate oligonucleotides: pharmacokinetics prologue. Anti Cancer Drug Des 6:531–538
Klinman DM, AE-Kyung Y, Beaucage SL, Conover J, Krieg AM (1996) CpG motifs present in bacterial DNA rapidly induce lymphocytes to secrete interleukin 6, interleukin 12, and interferon g. Proc Natl Acad Sci USA 93:2879–2883
Krieg AM, Stein CA (1995) Phosphorothioate oligodeoxynucleotides: antisense or anti-protein? Antisense Res Dev 5:241
Krieg AM, Yi A-K, Matson S, Waldschmidt TJ, Bishop GA, Teasdale R, Koretzky GA, Klinman DM (1995) CpG motifs in bacterial DNA trigger direct B-cell activation. Nature 374:546–549
Leeds JM, Kiorpes A, Geary RS, Henry SP, Goldensoph C, Levin AA (1996a) Single dose subcutaneous bioavailability of ISIS 2302, a phosphorothioate oligonucleotide. In: Research P (ed) Cynomolgus monkeys, vol 13. Plenum, Seattle, p S395
Leeds JM, Williams K, Scherrill S, Levin AA, Bistner S, Henry SP (1996b) Potential for retinal accumulation of a phosphorothioate oligonucleotide (ISIS 2922) after intravitreal injection in cynomolgus monkeys. Fundam Appl Toxicol 30:40
Leeds JM, Geary RS, Henry SP, Glover J, Shanahan W, Fitchett J, Burckin T, Truong L, Levin AA (1997a) Pharmacokinetic properties of phosphorothioate oligonucle-otides. In: Cook PD, Manoharan M (eds) Nucleosides and nucleotides. Marcel Decker, New York 16(7–9):1689–1693
Leeds JM, Henry SP, Truong L, Zutsi A, Levin AA, Douglas KJ (1997b) Pharmacokinetics of a potential human cytomegalovirus therapeutic, A phosphorothioate oligonucleotide after intravitreal injection in the rabbit. Drug Metab Dispos 25(8):921–926
Liang H, Nishioka Y, Reich CF, Pisetsky DS, Lipsky PE (1996a) Activation of human B cells by phosphorothioate oligodeoxynucleotides. J Clin Invest 98:1119–1129
Liang WW, Shi X, Deshpande D, Malanga CJ, Rojanasakul Y (1996b) Oligonucleotide targeting to alveolar macrophages by mannose. Biochim Biophys Acta 1279:227–234
Lieberman R, Boyer D, Terry B, Antoszyk A, Park S, Cantrill H, Ai E, Holland G, Palestine A. (submitted) Antisense oligonucleotide dose response for treatment of cytomegalovirus retinitis. Am J Ophthal
Manza LL, Butler MM, Bennett CF, Levin AA, de Peyster AA, Monteith DK (1997) Renal toxicity of phosphorothioate oligonucleotides in rats. Fundam Appl Toxicol 36:147
McIntyre KW, Lombard-Gillooly K, Perez JR, Kunsch C, Sarmiento UM, Larigan JD, Landreth KT, Narayanan R (1993) A sense phosphorothioate oligonucleotide directed to the initiation codon of transcription factor NF-Kb p65 causes sequence-specific immune stimulation. Antisense Res Dev 3:309–322
Miraglia L, Geiger T, Bennett CF, Dean N (1996) Inhibition of interleukin-1 type receptor expression in human cell-lines by an antisense phosphorothioate oligonucleotide. Int J Immunopharmacol 18:227–240
Monia BP, Johnston JF, Ecker DJ, Zounes M, Lima WF, Freier SM (1992) Selective inhibition of mutant Ha-ras mRNA expression by antisense oligonucleotides. J Biol Chem 267:19954–19962
Monia BP, Johnston JF, Geiger T, Muller M, Fabbro D (1995) Antitumor activity of a phosphorothioate oligodeoxynucleotide targeted against C-raf kinase. Nature Med 2:668–675
Monia BP, Sasmor H, Johnston JF, Freier SM, Lesnik EA, Muller M, Geiger T, Altmann K-H, Moser H, Fabbro D (1996) Sequence-specific antitumor activity of a phosphorothioate oligodeoxyribonucleotide targeted to human c-raf kinase supports an antisense mechanism of action in vivo. Proc Natl Acad Sci USA 93:15481–15484
Monteith DK, Henry SP, Howard RB, Flournoy S, Levin AA, Bennett CF, Crooke ST (1997) Immune stimulation — a class effect of phosphorothioate oligonucleotides in rodents. Anti Cancer Drug Des 12:421–432
Nicklin PL, Ambler J, Mitchelson A, Bayley D, Phillips JA, Craig SJ, Monia BP (1997) Preclinical profiling of modified oligonucleotides: anticoagulant and pharmacokinetic properties. In: Cook PD, Manoharan M (eds) Nucleosides and nucleotides. Marcel Decker, New York 16(7–9):1145–1153
Oberbauer R, Schreiner GF, Meyer TW (1995) Renal uptake of an 18-mer phosphorothioate oligonucleotide. Kidney Int 48:1226–1232
Palestine AG, Cantrill HL, Luckie AP, Ai E (1994) Intravitreal treatment of CMV retinitis with an antisense oligonucleotide, ISIS 2922, 10th international conference on AIDS and the international conference on STD, Yokohama, Japan, August 1994, vol 2, p 404
Palestine AG, Cantrill H, Ai E, Liberman R (1995) Treatment of cytomegalovirus retinitis with ISIS 2922. Invest Ophthalmol Vis Sci 36:S181
Plenat F (1996) Animal models of antisense oligonucleotides: lessons for use in humans. Mol Med Today 2:250–257
Plenat F, Klein-Monhoven N, Marie B, Vignaud J-M, Duprez A (1994) Cell and tissue distribution of synthetic oligonucleotides in healthy and tumor-bearing nude mice. Am J Pathol 147:124–135
Rappaport J, Hanss B, Kopp JB, Copelend TD, Bruggeman LA, Coffman TM, Klotman PE (1995) Transport of phosphorothioate oligonucleotide in kidney: implications for molecular therapy. Kidney Int 47:1462–1469
Rapaport E, Levina A, Metelev V, Zamecnik PC (1996) Antimycobacterial activities of antisense oligodeoxynucleotide phosphorothioates in drug-resistant strains. Proc Natl Acad Sci USA 93:709–713
Rifai A, Brysch W, Fadden K, Clark J, Schlingensiepen KH (1996) Clearance kinetics, biodistribution, and organ saturability of phosphorothioate oligodeoxynucleotides in mice. Am J Pathol 149:717–725
Rosenberger RD (1989) Biochemistry of heparin antithrombin interactions, and the physiologic role of this natural anticoagulant mechanism. Am J Med 87:2S–3S
Sadler TW, Liu ET, Augustine KA (1995) Antisense targeting of Engrailed-1 causes abnormal axis formation in mouse embryos. Teratology 51:292–299
Saijo Y, Perlaky L, Wang H, Busch H (1994) Pharmacokinetics, tissue distribution, and stability of antisense oligodeoxynucleotide phosphorothioate ISIS 3466 in mice. Oncol Res 6:243–249
Sands H, Gorey-Feret LJ, Cocuzza AJ, Hobbs FW, Chidester D, Trainor GL (1994) Biodistribution and metabolism of internally 3H-labeled oligonucleotides. I. Comparison of a phosphodiester and phosphorothioate. Mol Pharmacol 45:932–943
Sarmiento UM, Perez JR, Becker JM, Narayanan R (1994) In vivo toxicological effects of rel A antisense phosphorothioates in CD-1 mice. Antisense Res Dev 4:99107
Sawai K, Miyao T, Takakura Y, Hashida M (1995) Renal disposition characteristics of oligonucleotides modified at terminal linkages in the perfused rat kidney. Antisense Res Dev 5:279–287
Srinivasan SK, Iversen P (1995a) Review of in vivo pharmacokinetics and toxicology of phosphorothioate oligonucleotides. J Clin Lab Anal 9:129–137
Srinivasan SK, Tewary HK, Iversen PL (1995b) Characterization of binding sites, extent of binding and drug interactions of oligonucleotides with albumin. Antisense Res Dev 5:131–139
Stepkowski SM, Tu Y, Condon TP, Bennett CF (1994a) Blocking of heart allograft rejection by intercellular adhesion molecule-1 antisense oligonucleotides alone or in combination with other immunosuppressive modalities. J Immunol 153:5336–5346
Talmadge JE, Adams J, Phillips H, Collins M, Lenz B, Schneider M, Schlick E, Ruffmann R, Wiltrout RH, Chirigos MA (1985) Immunomodulatory effects in mice of polyinosinic-polycytidylic acid complexed with poly-L-lysine and carboxymenthycellulosel. Cancer Res 45:1058–1065
Temsamani J, Tang J-Y, Padmapriya A, Kubert M, Agrawal S (1993) Pharmacokinetics, biodistribution, and stability of capped oligodeoxynucleotide phosphorothioates in mice. Antisense Res Dev 3:277–284
Wallace TL, Bazemore SA, Kornbrust DJ, Cossum PA (1996a) Repeat-dose toxicity and pharmacokinetics of a partial phosphorothioate anti-HIV oligonucleotide (AR177) after bolus intravenous administration to cynomolgus monkeys 2. J Pharmacol Exp Ther 278:1313–1317
Wallace TL, Bazemore SA, Kornbrust DJ, Cossum PA (1996b) Single-dose hemodynamic toxicity and pharmacokinetics of a partial phosphorothioate anti-HIV oligonucleotide (AR177) after intravenous infusion to cynomolgus monkeys 1. J Pharmacol Exp Ther 278:1306–1312
Wu-Pong S, Weiss TL, Hunt AC (1994) Antisense c-myc oligonucleotide cellular uptake and activity. Antisense Res Dev 4:155–163
Yamamoto T, Yamamoto S, Kataoka T, Tokunaga T (1994) Ability of oligonucleotides with certain palindromes to induce interferon production and augment natural killer cell activity is associated with their base length. Antisense Res Dev 4:119–122
Yi A-K, Chace JH, Cowdery JS, Krieg AM (1996) IFN-gamma promotes IL-6 and IgM secretion in response to CpG motifs in bacterial DNA and oligonucleotides. Immunology 156:558–564
Zhao Q, Temsamani J, ladarola PL, Jiang Z, Agrawal S (1995) Effect of different chemically modified oligodeoxynucleotides on immune stimulation. Biochem Pharmacol 51:173–182
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Levin, A.A. et al. (1998). Toxicity of Oligodeoxynucleotide Therapeutic Agents. In: Crooke, S.T. (eds) Antisense Research and Application. Handbook of Experimental Pharmacology, vol 131. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58785-6_5
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