SELECTIVE ANTISENSE COMPOUNDS AND USES THEREOF

Abstract

The present invention provides oligomeric compounds. Certain such oligomeric compounds are useful for hybridizing to a complementary nucleic acid, including but not limited, to nucleic acids in a cell. In certain embodiments, hybridization results in modulation of the amount, activity, or expression of the target nucleic acid in a cell. In certain embodiments, hybridization results in selective modulation of the amount, activity, or expression of a target Huntingtin gene or Huntingtin transcript in a cell.

Description

SEQUENCE LISTING

The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled CORE0109WOSEQ.txt, created Oct. 11, 2013, which is 392 Kb in size. The information in the electronic format of the sequence listing is incorporated herein by reference in its entirety.

BACKGROUND

Antisense compounds have been used to modulate target nucleic acids. Antisense compounds comprising a variety of chemical modifications and motifs have been reported. In certain instances, such compounds are useful as research tools, diagnostic reagents, and as therapeutic agents. In certain instances antisense compounds have been shown to modulate protein expression by binding to a target messenger RNA (mRNA) encoding the protein. In certain instances, such binding of an antisense compound to its target mRNA results in cleavage of the mRNA. Antisense compounds that modulate processing of a pre-mRNA have also been reported. Such antisense compounds alter splicing, interfere with polyadenlyation or prevent formation of the 5′-cap of a pre-mRNA.

SUMMARY

In certain embodiments, the present invention provides oligomeric compounds comprising oligonucleotides. In certain embodiments, such oligonucleotides comprise a region having a gapmer motif. In certain embodiments, such oligonucleotides consist of a region having a gapmer motif.

The present disclosure provides the following non-limiting numbered embodiments:

• • Embodiment 1: A compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides, wherein the linked nucleosides comprise at least 8 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 2: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 10 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 3: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 12 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 4: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 14 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 5: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 16 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 6: The compound of embodiment 1, wherein the modified oligonucleotide comprises a nucleobase sequence selected from among SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 7: The compound of embodiment 1, wherein the modified oligonucleotide consists of a nucleobase sequence selected from among SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
  • Embodiment 8: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 14 to 26 linked nucleosides.
  • Embodiment 9: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 25 linked nucleosides.
  • Embodiment 10: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 to 25 linked nucleosides.
  • Embodiment 11: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 17 to 25 linked nucleosides.
  • Embodiment 12: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 22 linked nucleosides.
  • Embodiment 13: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 20 linked nucleosides.
  • Embodiment 14: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 to 20 linked nucleosides.
  • Embodiment 15: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 14 linked nucleosides.
  • Embodiment 16: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 linked nucleosides.
  • Embodiment 17: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 linked nucleosides.
  • Embodiment 18: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 17 linked nucleosides.
  • Embodiment 19: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 18 linked nucleosides.
  • Embodiment 20: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 19 linked nucleosides.
  • Embodiment 21: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 20 linked nucleosides.
  • Embodiment 22: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 21 linked nucleosides.
  • Embodiment 23: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 22 linked nucleosides.
  • Embodiment 24: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 90% complementary to SEQ ID NO. 1.
  • Embodiment 25: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 95% complementary to SEQ ID NO. 1.
  • Embodiment 26: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 100% complementary to SEQ ID NO. 1.
  • Embodiment 27: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeedk-d7-keee motif
  • Embodiment 28: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-eeee motif
  • Embodiment 29: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-keee motif
  • Embodiment 30: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-kkee motif
  • Embodiment 31: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeee-d9-eeeee motif
  • Embodiment 32: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeedk-d7-eeeee motif
  • Embodiment 33: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeeeeek-d7-eee motif
  • Embodiment 34: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeeeek-d7-eeee motif
  • Embodiment 35: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-eee motif
  • Embodiment 36: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-eeeeee motif
  • Embodiment 37: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-kee motif
  • Embodiment 38: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-kke motif
  • Embodiment 39: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-eeee motif
  • Embodiment 40: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-eeeeeee motif
  • Embodiment 41: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-keee motif
  • Embodiment 42: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-keeee motif
  • Embodiment 43: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-kke motif
  • Embodiment 44: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-kkee motif
  • Embodiment 45: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d3-k-d3-keke motif
  • Embodiment 46: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kee motif
  • Embodiment 47: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-keke motif
  • Embodiment 48: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kke motif
  • Embodiment 49: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kkee motif
  • Embodiment 50: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-eeeeeeee motif
  • Embodiment 51: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-keeeee motif
  • Embodiment 52: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-kkee motif
  • Embodiment 53: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-kkeee motif
  • Embodiment 54: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d8-kee motif
  • Embodiment 55: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d9-keee motif
  • Embodiment 56: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d9-keke motif
  • Embodiment 57: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-eeee motif
  • Embodiment 58: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-keee motif
  • Embodiment 59: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kke motif
  • Embodiment 60: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kkee motif
  • Embodiment 61: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kkeee motif
  • Embodiment 62: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-eeeeeeeee motif
  • Embodiment 63: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-keeeeee motif
  • Embodiment 64: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-kkeee motif
  • Embodiment 65: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d8-kkee motif
  • Embodiment 66: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kee motif
  • Embodiment 67: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kkee motif
  • Embodiment 68: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kkeee motif
  • Embodiment 69: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d7-eeeeeeeeee motif
  • Embodiment 70: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d8-kkeee motif
  • Embodiment 71: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d9-kkke motif
  • Embodiment 72: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d6-k-dd-keke motif
  • Embodiment 73: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d8-kkeke motif
  • Embodiment 74: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d9-keee motif
  • Embodiment 75: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d9-keke motif
  • Embodiment 76: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekekek-d7-keke motif
  • Embodiment 77: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekekk-d8-keke motif
  • Embodiment 78: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d7-kkeee motif
  • Embodiment 79: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d7-kkeeeee motif
  • Embodiment 80: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkee motif
  • Embodiment 81: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkeee motif
  • Embodiment 82: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkeeee motif
  • Embodiment 83: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkke motif
  • Embodiment 84: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d9-kke motif
  • Embodiment 85: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkdk-d7-kke motif
  • Embodiment 86: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkk-d8-kke motif
  • Embodiment 87: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkk-d9-ke motif
  • Embodiment 88: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkkk-d7-kke motif
  • Embodiment 89: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkkk-d7-kkke motif
  • Embodiment 90: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a kkekk-d9-kkekk motif
  • Embodiment 91: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a kkkkk-d7-kkkkk motif
  • Embodiment 92: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekkdk-d7-kke motif
  • Embodiment 93: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekek-d8-kekee motif
  • Embodiment 94: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-f-d8-kke motif
  • Embodiment 95: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-z-d8-kke motif
  • Embodiment 96: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-h-d8-kke motif
  • Embodiment 97: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d2-h-d6-kke motif
  • Embodiment 98: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d-h-d7-kke motif
  • Embodiment 99: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-f-d5-kke motif
  • Embodiment 100: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-z-d5-kke motif
  • Embodiment 101: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-h-d5-kke motif
  • Embodiment 102: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d4-h-d4-kke motif
  • Embodiment 103: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-f-d3-kke motif
  • Embodiment 104: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-z-d3-kke motif
  • Embodiment 105: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-h-d3-kke motif
  • Embodiment 106: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-f-d2-kke motif
  • Embodiment 107: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-z-d2-kke motif
  • Embodiment 108: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-h-d2-kke motif
  • Embodiment 109: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-f-d-kke motif
  • Embodiment 110: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-z-d-kke motif
  • Embodiment 111: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-h-d-kke motif
  • Embodiment 112: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-f-dkke motif
  • Embodiment 113: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-z-kke motif
  • Embodiment 114: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-h-kke motif
  • Embodiment 115: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d9-kke motif
  • Embodiment 116: The oligomeric compound of any of embodiments 1 to 115 comprising at least one modified internucleoside linkage.
  • Embodiment 117: The oligomeric compound of embodiment 116, wherein each internucleoside linkage is a modified internucleoside linkage.
  • Embodiment 118: The oligomeric compound of embodiment 115 or 116 comprising at least one phosphorothioate internucleoside linkage.
  • Embodiment 119: The oligomeric compound of embodiment 117 wherein each internucleoside linkage is a phosphorothioate internucleoside linkage.
  • Embodiment 120: The oligomeric compound of any of embodiments 1 to 119 comprising at least one methylphosphonate internucleoside linkage.
  • Embodiment 121: The oligomeric compound of any of embodiments 1 to 119 comprising one methylphosphonate internucleoside linkage.
  • Embodiment 122: The oligomeric compound of any of embodiments 1 to 120 comprising two methylphosphonate internucleoside linkages.
  • Embodiment 123: The oligomeric compound of any of embodiments 1 to 120 comprising at least one modified nucleobase.
  • Embodiment 124: The oligomeric compound of embodiment 123, comprising at least one 2-thio-thymidine.
  • Embodiment 125: The oligomeric compound of embodiment 1, having an eeeekk-d7-kke motif and consisting of the nucleobase sequence of SEQ ID NO.: 24.
  • Embodiment 126: The oligomeric compound of any of embodiments 1 to 119 comprising at least one 5′-Me-DNA modification.
  • Embodiment 127: The oligomeric compound of any of embodiments 1 to 119 comprising one 5′-Me-DNA modification.
  • Embodiment 128: The oligomeric compound of embodiment 126 or 127, wherein the 5′-Me-DNA modification is an S-5′-Me-DNA.
  • Embodiment 129: The oligomeric compound of embodiment 126 or 127, wherein the 5′-Me-DNA modification is an R-5′-Me-DNA.
  • Embodiment 130: The oligomeric compound of any of embodiments 126 to 129, wherein the 5′-Me-DNA modification is at position 6 from the 5′-end.
  • Embodiment 131: The oligomeric compound of any of embodiments 126 to 129, wherein the 5′-Me-DNA modification is at position 7 from the 5′-end.
  • Embodiment 132: The oligomeric compound of any of embodiments 126 to 129, consisting of the nucleobase sequence of SEQ ID NO.: 3.
  • Embodiment 133: The oligomeric compound of any of embodiments 1 to 132, having an EC₅₀ for reduction of expression of target that is at least two-fold lower than its EC₅₀ for reduction of expression of the non-target, when measured in cells.
  • Embodiment 134: The oligomeric compound of any of embodiments 1 to 132, having an ED₅₀ for reduction of expression of target that is at least two-fold lower than its ED₅₀ for reduction of expression of the non-target, when measured in an animal.
  • Embodiment 135: A compound consisting of ISIS 572772.
  • Embodiment 136: A pharmaceutical composition comprising an oligomeric compound of any of embodiments 1-135 and a pharmaceutically acceptable carrier or diluent.
  • Embodiment 137: A method comprising contacting a cell with an oligomeric compound of any of embodiments 1-136.
  • Embodiment 138: The method of embodiment 137, wherein the cell is in vitro.
  • Embodiment 139: The method of embodiment 137, wherein the cell is in an animal.
  • Embodiment 140: The method of embodiment 137, wherein the animal is a human.
  • Embodiment 141: The method of embodiment 137, wherein the animal is a mouse.
  • Embodiment 142: A method of administering a pharmaceutical composition of embodiment 136 to an animal.
  • Embodiment 143: The method of embodiment 142, wherein the animal is a human.
  • Embodiment 144: The method of embodiment 143, wherein the animal is a mouse.
  • Embodiment 145: Use of an oligomeric compound of any of embodiments 1-136 for the preparation of a medicament for the treatment or amelioration of Huntington's disease.
  • Embodiment 146: A method of ameliorating a symptom of Huntington's disease, comprising administering an oligomeric compound of any of embodiments 1-136 to an animal in need thereof
  • Embodiment 147: The method of embodiment 146, wherein the animal is a human.
  • Embodiment 148: The method of embodiment 147, wherein the animal is a mouse.
  • Embodiment 149: A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof a compound of any of embodiments 1-136, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.
  • Embodiment 150: A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof a compound of any of embodiments 1-136, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.
  • Embodiment 151: A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of the compound of any of embodiments 1-136.
  • Embodiment 152: The method of embodiment 149, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.
  • Embodiment 153: A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof ISIS 572772, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.
  • Embodiment 154: A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof ISIS 572772, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.
  • Embodiment 155: A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of ISIS 572772.
  • Embodiment 156: The method of embodiment 153, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.

DETAILED DESCRIPTION

It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the invention, as claimed. Herein, the use of the singular includes the plural unless specifically stated otherwise. As used herein, the use of “or” means “and/or” unless stated otherwise. Furthermore, the use of the term “including” as well as other forms, such as “includes” and “included”, is not limiting. Also, terms such as “element” or “component” encompass both elements and components comprising one unit and elements and components that comprise more than one subunit, unless specifically stated otherwise.

The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described. All documents, or portions of documents, cited in this application, including, but not limited to, patents, patent applications, articles, books, and treatises, are hereby expressly incorporated by reference in their entirety for any purpose.

A. DEFINITIONS

Unless specific definitions are provided, the nomenclature used in connection with, and the procedures and techniques of, analytical chemistry, synthetic organic chemistry, and medicinal and pharmaceutical chemistry described herein are those well known and commonly used in the art. Standard techniques may be used for chemical synthesis, and chemical analysis. Certain such techniques and procedures may be found for example in “Carbohydrate Modifications in Antisense Research” Edited by Sangvi and Cook, American Chemical Society, Washington D.C., 1994; “Remington's Pharmaceutical Sciences,” Mack Publishing Co., Easton, Pa., 21^st edition, 2005; and “Antisense Drug Technology, Principles, Strategies, and Applications” Edited by Stanley T. Crooke, CRC Press, Boca Raton, Fla.; and Sambrook et al., “Molecular Cloning, A laboratory Manual,” 2^nd Edition, Cold Spring Harbor Laboratory Press, 1989, which are hereby incorporated by reference for any purpose. Where permitted, all patents, applications, published applications and other publications and other data referred to throughout in the disclosure are incorporated by reference herein in their entirety.

Unless otherwise indicated, the following terms have the following meanings:

As used herein, “nucleoside” means a compound comprising a nucleobase moiety and a sugar moiety. Nucleosides include, but are not limited to, naturally occurring nucleosides (as found in DNA and RNA) and modified nucleosides. Nucleosides may be linked to a phosphate moiety.

As used herein, “chemical modification” means a chemical difference in a compound when compared to a naturally occurring counterpart. Chemical modifications of oligonucleotides include nucleoside modifications (including sugar moiety modifications and nucleobase modifications) and internucleoside linkage modifications. In reference to an oligonucleotide, chemical modification does not include differences only in nucleobase sequence.

As used herein, “furanosyl” means a structure comprising a 5-membered ring comprising four carbon atoms and one oxygen atom.

As used herein, “naturally occurring sugar moiety” means a ribofuranosyl as found in naturally occurring RNA or a deoxyribofuranosyl as found in naturally occurring DNA.

As used herein, “sugar moiety” means a naturally occurring sugar moiety or a modified sugar moiety of a nucleoside.

As used herein, “modified sugar moiety” means a substituted sugar moiety or a sugar surrogate.

As used herein, “substituted sugar moiety” means a furanosyl that is not a naturally occurring sugar moiety. Substituted sugar moieties include, but are not limited to furanosyls comprising substituents at the 2′-position, the 3′-position, the 5′-position and/or the 4′-position. Certain substituted sugar moieties are bicyclic sugar moieties.

As used herein, “2′-substituted sugar moiety” means a furanosyl comprising a substituent at the 2′-position other than H or OH. Unless otherwise indicated, a 2′-substituted sugar moiety is not a bicyclic sugar moiety (i.e., the 2′-substituent of a 2′-substituted sugar moiety does not form a bridge to another atom of the furanosyl ring.

As used herein, “MOE” means —OCH₂CH₂OCH₃.

As used herein, “2′-F nucleoside” refers to a nucleoside comprising a sugar comprising fluoroine at the 2′ position. Unless otherwise indicated, the fluorine in a 2′-F nucleoside is in the ribo position (replacing the OH of a natural ribose).

As used herein, “2′-(ara)-F” refers to a 2′-F substituted nucleoside, wherein the fluoro group is in the arabino position.

As used herein the term “sugar surrogate” means a structure that does not comprise a furanosyl and that is capable of replacing the naturally occurring sugar moiety of a nucleoside, such that the resulting nucleoside sub-units are capable of linking together and/or linking to other nucleosides to form an oligomeric compound which is capable of hybridizing to a complementary oligomeric compound. Such structures include rings comprising a different number of atoms than furanosyl (e.g., 4, 6, or 7-membered rings); replacement of the oxygen of a furanosyl with a non-oxygen atom (e.g., carbon, sulfur, or nitrogen); or both a change in the number of atoms and a replacement of the oxygen. Such structures may also comprise substitutions corresponding to those described for substituted sugar moieties (e.g., 6-membered carbocyclic bicyclic sugar surrogates optionally comprising additional substituents). Sugar surrogates also include more complex sugar replacements (e.g., the non-ring systems of peptide nucleic acid). Sugar surrogates include without limitation morpholinos, cyclohexenyls and cyclohexitols.

As used herein, “bicyclic sugar moiety” means a modified sugar moiety comprising a 4 to 7 membered ring (including but not limited to a furanosyl) comprising a bridge connecting two atoms of the 4 to 7 membered ring to form a second ring, resulting in a bicyclic structure. In certain embodiments, the 4 to 7 membered ring is a sugar ring. In certain embodiments the 4 to 7 membered ring is a furanosyl. In certain such embodiments, the bridge connects the 2′-carbon and the 4′-carbon of the furanosyl.

As used herein, “nucleotide” means a nucleoside further comprising a phosphate linking group. As used herein, “linked nucleosides” may or may not be linked by phosphate linkages and thus includes, but is not limited to “linked nucleotides.” As used herein, “linked nucleosides” are nucleosides that are connected in a continuous sequence (i.e. no additional nucleosides are present between those that are linked).

As used herein, “nucleobase” means a group of atoms that can be linked to a sugar moiety to create a nucleoside that is capable of incorporation into an oligonucleotide, and wherein the group of atoms is capable of bonding with a complementary naturally occurring nucleobase of another oligonucleotide or nucleic acid. Nucleobases may be naturally occurring or may be modified.

As used herein the terms, “unmodified nucleobase” or “naturally occurring nucleobase” means the naturally occurring heterocyclic nucleobases of RNA or DNA: the purine bases adenine (A) and guanine (G), and the pyrimidine bases thymine (T), cytosine (C) (including 5-methyl C), and uracil (U).

As used herein, “modified nucleobase” means any nucleobase that is not a naturally occurring nucleobase.

As used herein, “modified nucleoside” means a nucleoside comprising at least one chemical modification compared to naturally occurring RNA or DNA nucleosides. Modified nucleosides comprise a modified sugar moiety and/or a modified nucleobase.

As used herein, “bicyclic nucleoside” or “BNA” means a nucleoside comprising a bicyclic sugar moiety.

As used herein, “constrained ethyl nucleoside” or “cEt” means a nucleoside comprising a bicyclic sugar moiety comprising a 4′-CH(CH₃)—O-2′ bridge.

As used herein, “locked nucleic acid nucleoside” or “LNA” means a nucleoside comprising a bicyclic sugar moiety comprising a 4′-CH₂—O-2′ bridge.

As used herein, “2′-substituted nucleoside” means a nucleoside comprising a substituent at the 2′-position other than H or OH. Unless otherwise indicated, a 2′-substituted nucleoside is not a bicyclic nucleoside.

As used herein, “2′-deoxynucleoside” means a nucleoside comprising 2′-H furanosyl sugar moiety, as found in naturally occurring deoxyribonucleosides (DNA). In certain embodiments, a 2′-deoxynucleoside may comprise a modified nucleobase or may comprise an RNA nucleobase (e.g., uracil).

As used herein, “RNA-like nucleoside” means a modified nucleoside that adopts a northern configuration and functions like RNA when incorporated into an oligonucleotide. RNA-like nucleosides include, but are not limited to 3′-endo furanosyl nucleosides and RNA surrogates.

As used herein, “3′-endo-furanosyl nucleoside” means an RNA-like nucleoside that comprises a substituted sugar moiety that has a 3′-endo conformation. 3′-endo-furanosyl nucleosides include, but are not limited to: 2′-MOE, 2′-F, 2′-OMe, LNA, ENA, and cEt nucleosides.

As used herein, “RNA-surrogate nucleoside” means an RNA-like nucleoside that does not comprise a furanosyl. RNA-surrogate nucleosides include, but are not limited to hexitols and cyclopentanes.

As used herein, “oligonucleotide” means a compound comprising a plurality of linked nucleosides. In certain embodiments, an oligonucleotide comprises one or more unmodified ribonucleosides (RNA) and/or unmodified deoxyribonucleosides (DNA) and/or one or more modified nucleosides.

As used herein “oligonucleoside” means an oligonucleotide in which none of the internucleoside linkages contains a phosphorus atom. As used herein, oligonucleotides include oligonucleosides.

As used herein, “modified oligonucleotide” means an oligonucleotide comprising at least one modified nucleoside and/or at least one modified internucleoside linkage.

As used herein “internucleoside linkage” means a covalent linkage between adjacent nucleosides in an oligonucleotide.

As used herein “naturally occurring internucleoside linkage” means a 3′ to 5′ phosphodiester linkage.

As used herein, “modified internucleoside linkage” means any internucleoside linkage other than a naturally occurring internucleoside linkage.

As used herein, “oligomeric compound” means a polymeric structure comprising two or more sub-structures. In certain embodiments, an oligomeric compound comprises an oligonucleotide. In certain embodiments, an oligomeric compound comprises one or more conjugate groups and/or terminal groups. In certain embodiments, an oligomeric compound consists of an oligonucleotide.

As used herein, “terminal group” means one or more atom attached to either, or both, the 3′ end or the 5′ end of an oligonucleotide. In certain embodiments a terminal group is a conjugate group. In certain embodiments, a terminal group comprises one or more terminal group nucleosides.

As used herein, “conjugate” means an atom or group of atoms bound to an oligonucleotide or oligomeric compound. In general, conjugate groups modify one or more properties of the compound to which they are attached, including, but not limited to pharmacodynamic, pharmacokinetic, binding, absorption, cellular distribution, cellular uptake, charge and/or clearance properties.

As used herein, “conjugate linking group” means any atom or group of atoms used to attach a conjugate to an oligonucleotide or oligomeric compound.

As used herein, “antisense compound” means a compound comprising or consisting of an oligonucleotide at least a portion of which is complementary to a target nucleic acid to which it is capable of hybridizing, resulting in at least one antisense activity.

As used herein, “antisense activity” means any detectable and/or measurable change attributable to the hybridization of an antisense compound to its target nucleic acid.

As used herein, “detecting” or “measuring” means that a test or assay for detecting or measuring is performed. Such detection and/or measuring may result in a value of zero. Thus, if a test for detection or measuring results in a finding of no activity (activity of zero), the step of detecting or measuring the activity has nevertheless been performed.

As used herein, “detectable and/or measureable activity” means a measurable activity that is not zero.

As used herein, “essentially unchanged” means little or no change in a particular parameter, particularly relative to another parameter which changes much more. In certain embodiments, a parameter is essentially unchanged when it changes less than 5%. In certain embodiments, a parameter is essentially unchanged if it changes less than two-fold while another parameter changes at least ten-fold. For example, in certain embodiments, an antisense activity is a change in the amount of a target nucleic acid. In certain such embodiments, the amount of a non-target nucleic acid is essentially unchanged if it changes much less than the target nucleic acid does, but the change need not be zero.

As used herein, “expression” means the process by which a gene ultimately results in a protein. Expression includes, but is not limited to, transcription, post-transcriptional modification (e.g., splicing, polyadenlyation, addition of 5′-cap), and translation.

As used herein, “target nucleic acid” means a nucleic acid molecule to which an antisense compound is intended to hybridize.

As used herein, “non-target nucleic acid” means a nucleic acid molecule to which hybridization of an antisense compound is not intended or desired. In certain embodiments, antisense compounds do hybridize to a non-target, due to homology between the target (intended) and non-target (un-intended).

As used herein, “mRNA” means an RNA molecule that encodes a protein.

As used herein, “pre-mRNA” means an RNA transcript that has not been fully processed into mRNA. Pre-RNA includes one or more intron.

As used herein, “object RNA” means an RNA molecule other than a target RNA, the amount, activity, splicing, and/or function of which is modulated, either directly or indirectly, by a target nucleic acid. In certain embodiments, a target nucleic acid modulates splicing of an object RNA. In certain such embodiments, an antisense compound modulates the amount or activity of the target nucleic acid, resulting in a change in the splicing of an object RNA and ultimately resulting in a change in the activity or function of the object RNA.

As used herein, “microRNA” means a naturally occurring, small, non-coding RNA that represses gene expression of at least one mRNA. In certain embodiments, a microRNA represses gene expression by binding to a target site within a 3′ untranslated region of an mRNA. In certain embodiments, a microRNA has a nucleobase sequence as set forth in miRBase, a database of published microRNA sequences found at http://microrna.sanger.ac.uk/sequences/. In certain embodiments, a microRNA has a nucleobase sequence as set forth in miRBase version 12.0 released September 2008, which is herein incorporated by reference in its entirety.

As used herein, “microRNA mimic” means an oligomeric compound having a sequence that is at least partially identical to that of a microRNA. In certain embodiments, a microRNA mimic comprises the microRNA seed region of a microRNA. In certain embodiments, a microRNA mimic modulates translation of more than one target nucleic acids. In certain embodiments, a microRNA mimic is double-stranded.

As used herein, “differentiating nucleobase” means a nucleobase that differs between two nucleic acids. In certain instances, a target region of a target nucleic acid differs by 1-4 nucleobases from a non-target nucleic acid. Each of those differences is refered to as a differentiating nucleobase. In certain instances, a differentiating nucleobase is a single-nucleotide polymorphism.

As used herein, “target-selective nucleoside” means a nucleoside of an antisense compound that corresponds to a differentiating nucleobase of a target nucleic acid.

As used herein, “allele” means one of a pair of copies of a gene existing at a particular locus or marker on a specific chromosome, one member of a pair of nucleobases existing at a particular locus or marker on a specific chromosome, or one member of a pair of nucleobase sequences existing at a particular locus or marker on a specific chromosome. For a diploid organism or cell or for autosomal chromosomes, each allelic pair will normally occupy corresponding positions (loci) on a pair of homologous chromosomes, one inherited from the mother and one inherited from the father. If these alleles are identical, the organism or cell is said to be “homozygous” for that allele; if they differ, the organism or cell is said to be “heterozygous” for that allele. “Wild-type allele” refers to the genotype typically not associated with disease or dysfunction of the gene product. “Mutant allele” refers to the genotype associated with disease or dysfunction of the gene product.

As used herein, “allelic variant” means a particular identity of an allele, where more than one identity occurs. For example, an allelic variant may refer to either the mutant allele or the wild-type allele.

As used herein, “single nucleotide polymorphism” or “SNP” means a single nucleotide variation between the genomes of individuals of the same species. In some cases, a SNP may be a single nucleotide deletion or insertion. In general, SNPs occur relatively frequently in genomes and thus contribute to genetic diversity. The location of a SNP is generally flanked by highly conserved sequences. An individual may be homozygous or heterozygous for an allele at each SNP site.

As used herein, “single nucleotide polymorphism site” or “SNP site” refers to the nucleotides surrounding a SNP contained in a target nucleic acid to which an antisense compound is targeted.

As used herein, “targeting” or “targeted to” means the association of an antisense compound to a particular target nucleic acid molecule or a particular region of a target nucleic acid molecule. An antisense compound targets a target nucleic acid if it is sufficiently complementary to the target nucleic acid to allow hybridization under physiological conditions.

As used herein, “nucleobase complementarity” or “complementarity” when in reference to nucleobases means a nucleobase that is capable of base pairing with another nucleobase. For example, in DNA, adenine (A) is complementary to thymine (T). For example, in RNA, adenine (A) is complementary to uracil (U). In certain embodiments, complementary nucleobase means a nucleobase of an antisense compound that is capable of base pairing with a nucleobase of its target nucleic acid. For example, if a nucleobase at a certain position of an antisense compound is capable of hydrogen bonding with a nucleobase at a certain position of a target nucleic acid, then the position of hydrogen bonding between the oligonucleotide and the target nucleic acid is considered to be complementary at that nucleobase pair.

Nucleobases comprising certain modifications may maintain the ability to pair with a counterpart nucleobase and thus, are still capable of nucleobase complementarity.

As used herein, “non-complementary” in reference to nucleobases means a pair of nucleobases that do not form hydrogen bonds with one another.

As used herein, “complementary” in reference to oligomeric compounds (e.g., linked nucleosides, oligonucleotides, or nucleic acids) means the capacity of such oligomeric compounds or regions thereof to hybridize to another oligomeric compound or region thereof through nucleobase complementarity under stringent conditions. Complementary oligomeric compounds need not have nucleobase complementarity at each nucleoside. Rather, some mismatches are tolerated. In certain embodiments, complementary oligomeric compounds or regions are complementary at 70% of the nucleobases (70% complementary). In certain embodiments, complementary oligomeric compounds or regions are 80% complementary. In certain embodiments, complementary oligomeric compounds or regions are 90% complementary. In certain embodiments, complementary oligomeric compounds or regions are 95% complementary. In certain embodiments, complementary oligomeric compounds or regions are 100% complementary.

As used herein, “mismatch” means a nucleobase of a first oligomeric compound that is not capable of pairing with a nucleobase at a corresponding position of a second oligomeric compound, when the first and second oligomeric compound are aligned. Either or both of the first and second oligomeric compounds may be oligonucleotides.

As used herein, “hybridization” means the pairing of complementary oligomeric compounds (e.g., an antisense compound and its target nucleic acid). While not limited to a particular mechanism, the most common mechanism of pairing involves hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleobases.

As used herein, “specifically hybridizes” means the ability of an oligomeric compound to hybridize to one nucleic acid site with greater affinity than it hybridizes to another nucleic acid site. In certain embodiments, an antisense oligonucleotide specifically hybridizes to more than one target site.

As used herein, “fully complementary” in reference to an oligonucleotide or portion thereof means that each nucleobase of the oligonucleotide or portion thereof is capable of pairing with a nucleobase of a complementary nucleic acid or contiguous portion thereof. Thus, a fully complementary region comprises no mismatches or unhybridized nucleobases in either strand.

As used herein, “percent complementarity” means the percentage of nucleobases of an oligomeric compound that are complementary to an equal-length portion of a target nucleic acid. Percent complementarity is calculated by dividing the number of nucleobases of the oligomeric compound that are complementary to nucleobases at corresponding positions in the target nucleic acid by the total length of the oligomeric compound.

As used herein, “percent identity” means the number of nucleobases in a first nucleic acid that are the same type (independent of chemical modification) as nucleobases at corresponding positions in a second nucleic acid, divided by the total number of nucleobases in the first nucleic acid.

As used herein, “modulation” means a change of amount or quality of a molecule, function, or activity when compared to the amount or quality of a molecule, function, or activity prior to modulation. For example, modulation includes the change, either an increase (stimulation or induction) or a decrease (inhibition or reduction) in gene expression. As a further example, modulation of expression can include a change in splice site selection of pre-mRNA processing, resulting in a change in the absolute or relative amount of a particular splice-variant compared to the amount in the absence of modulation.

As used herein, “modification motif” means a pattern of chemical modifications in an oligomeric compound or a region thereof. Motifs may be defined by modifications at certain nucleosides and/or at certain linking groups of an oligomeric compound.

As used herein, “nucleoside motif” means a pattern of nucleoside modifications in an oligomeric compound or a region thereof. The linkages of such an oligomeric compound may be modified or unmodified. Unless otherwise indicated, motifs herein describing only nucleosides are intended to be nucleoside motifs. Thus, in such instances, the linkages are not limited.

As used herein, “sugar motif” means a pattern of sugar modifications in an oligomeric compound or a region thereof.

As used herein, “linkage motif” means a pattern of linkage modifications in an oligomeric compound or region thereof. The nucleosides of such an oligomeric compound may be modified or unmodified. Unless otherwise indicated, motifs herein describing only linkages are intended to be linkage motifs. Thus, in such instances, the nucleosides are not limited.

As used herein, “nucleobase modification motif” means a pattern of modifications to nucleobases along an oligonucleotide. Unless otherwise indicated, a nucleobase modification motif is independent of the nucleobase sequence.

As used herein, “sequence motif” means a pattern of nucleobases arranged along an oligonucleotide or portion thereof. Unless otherwise indicated, a sequence motif is independent of chemical modifications and thus may have any combination of chemical modifications, including no chemical modifications.

As used herein, “type of modification” in reference to a nucleoside or a nucleoside of a “type” means the chemical modification of a nucleoside and includes modified and unmodified nucleosides. Accordingly, unless otherwise indicated, a “nucleoside having a modification of a first type” may be an unmodified nucleoside.

As used herein, “differently modified” mean chemical modifications or chemical substituents that are different from one another, including absence of modifications. Thus, for example, a MOE nucleoside and an unmodified DNA nucleoside are “differently modified,” even though the DNA nucleoside is unmodified. Likewise, DNA and RNA are “differently modified,” even though both are naturally-occurring unmodified nucleosides. Nucleosides that are the same but for comprising different nucleobases are not differently modified. For example, a nucleoside comprising a 2′-OMe modified sugar and an unmodified adenine nucleobase and a nucleoside comprising a 2′-OMe modified sugar and an unmodified thymine nucleobase are not differently modified.

As used herein, “the same type of modifications” refers to modifications that are the same as one another, including absence of modifications. Thus, for example, two unmodified DNA nucleoside have “the same type of modification,” even though the DNA nucleoside is unmodified. Such nucleosides having the same type modification may comprise different nucleobases.

As used herein, “pharmaceutically acceptable carrier or diluent” means any substance suitable for use in administering to an animal. In certain embodiments, a pharmaceutically acceptable carrier or diluent is sterile saline. In certain embodiments, such sterile saline is pharmaceutical grade saline.

As used herein, “substituent” and “substituent group,” means an atom or group that replaces the atom or group of a named parent compound. For example a substituent of a modified nucleoside is any atom or group that differs from the atom or group found in a naturally occurring nucleoside (e.g., a modified 2′-substituent is any atom or group at the 2′-position of a nucleoside other than H or OH). Substituent groups can be protected or unprotected. In certain embodiments, compounds of the present invention have substituents at one or at more than one position of the parent compound. Substituents may also be further substituted with other substituent groups and may be attached directly or via a linking group such as an alkyl or hydrocarbyl group to a parent compound.

Likewise, as used herein, “substituent” in reference to a chemical functional group means an atom or group of atoms differs from the atom or a group of atoms normally present in the named functional group. In certain embodiments, a substituent replaces a hydrogen atom of the functional group (e.g., in certain embodiments, the substituent of a substituted methyl group is an atom or group other than hydrogen which replaces one of the hydrogen atoms of an unsubstituted methyl group). Unless otherwise indicated, groups amenable for use as substituents include without limitation, halogen, hydroxyl, alkyl, alkenyl, alkynyl, acyl (—C(O)R_aa), carboxyl (—C(O)O—R_aa), aliphatic groups, alicyclic groups, alkoxy, substituted oxy (—O—R_aa), aryl, aralkyl, heterocyclic radical, heteroaryl, heteroarylalkyl, amino (—N(R_bb)(R_cc)), imino(═NR_bb), amido (—C(O)N(R_bb)(R_cc) or —N(R_bb)C(O)R_aa), azido (—N₃), nitro (—NO₂), cyano (—CN), carbamido (—OC(O)N(R_bb)(R_cc) or —N(R_bb)C(O)OR_aa), ureido (—N(R_bb)C(O)N(R_bb)(R_cc)), thioureido (—N(R_bb)C(S)N(R_bb)—(R_cc)), guanidinyl (—N(R_bb)C(═NR_bb)N(R_bb)(R_cc)), amidinyl (—C(═NR_bb)N(R_bb)(R_cc) or —N(R_bb)C(═NR_bb)(R_aa)), thiol (—SR_bb), sulfinyl (—S(O)R_bb), sulfonyl (—S(O)₂R_bb) and sulfonamidyl (—S(O)₂N(R_bb)(R_cc) or —N(R_bb)S—(O)₂R_bb). Wherein each R_aa, R_bb and R_cc is, independently, H, an optionally linked chemical functional group or a further substituent group with a preferred list including without limitation, alkyl, alkenyl, alkynyl, aliphatic, alkoxy, acyl, aryl, aralkyl, heteroaryl, alicyclic, heterocyclic and heteroarylalkyl. Selected substituents within the compounds described herein are present to a recursive degree.

As used herein, “alkyl,” as used herein, means a saturated straight or branched hydrocarbon radical containing up to twenty four carbon atoms. Examples of alkyl groups include without limitation, methyl, ethyl, propyl, butyl, isopropyl, n-hexyl, octyl, decyl, dodecyl and the like. Alkyl groups typically include from 1 to about 24 carbon atoms, more typically from 1 to about 12 carbon atoms (C₁-C₁₂ alkyl) with from 1 to about 6 carbon atoms being more preferred.

As used herein, “alkenyl,” means a straight or branched hydrocarbon chain radical containing up to twenty four carbon atoms and having at least one carbon-carbon double bond. Examples of alkenyl groups include without limitation, ethenyl, propenyl, butenyl, 1-methyl-2-buten-1-yl, dienes such as 1,3-butadiene and the like. Alkenyl groups typically include from 2 to about 24 carbon atoms, more typically from 2 to about 12 carbon atoms with from 2 to about 6 carbon atoms being more preferred. Alkenyl groups as used herein may optionally include one or more further substituent groups.

As used herein, “alkynyl,” means a straight or branched hydrocarbon radical containing up to twenty four carbon atoms and having at least one carbon-carbon triple bond. Examples of alkynyl groups include, without limitation, ethynyl, 1-propynyl, 1-butynyl, and the like. Alkynyl groups typically include from 2 to about 24 carbon atoms, more typically from 2 to about 12 carbon atoms with from 2 to about 6 carbon atoms being more preferred. Alkynyl groups as used herein may optionally include one or more further substituent groups.

As used herein, “acyl,” means a radical formed by removal of a hydroxyl group from an organic acid and has the general Formula —C(O)—X where X is typically aliphatic, alicyclic or aromatic. Examples include aliphatic carbonyls, aromatic carbonyls, aliphatic sulfonyls, aromatic sulfinyls, aliphatic sulfinyls, aromatic phosphates, aliphatic phosphates and the like. Acyl groups as used herein may optionally include further substituent groups.

As used herein, “alicyclic” means a cyclic ring system wherein the ring is aliphatic. The ring system can comprise one or more rings wherein at least one ring is aliphatic. Preferred alicyclics include rings having from about 5 to about 9 carbon atoms in the ring. Alicyclic as used herein may optionally include further substituent groups.

As used herein, “aliphatic” means a straight or branched hydrocarbon radical containing up to twenty four carbon atoms wherein the saturation between any two carbon atoms is a single, double or triple bond. An aliphatic group preferably contains from 1 to about 24 carbon atoms, more typically from 1 to about 12 carbon atoms with from 1 to about 6 carbon atoms being more preferred. The straight or branched chain of an aliphatic group may be interrupted with one or more heteroatoms that include nitrogen, oxygen, sulfur and phosphorus. Such aliphatic groups interrupted by heteroatoms include without limitation, polyalkoxys, such as polyalkylene glycols, polyamines, and polyimines Aliphatic groups as used herein may optionally include further substituent groups.

As used herein, “alkoxy” means a radical formed between an alkyl group and an oxygen atom wherein the oxygen atom is used to attach the alkoxy group to a parent molecule. Examples of alkoxy groups include without limitation, methoxy, ethoxy, propoxy, isopropoxy, n-butoxy, sec-butoxy, tert-butoxy, n-pentoxy, neopentoxy, n-hexoxy and the like. Alkoxy groups as used herein may optionally include further substituent groups.

As used herein, “aminoalkyl” means an amino substituted C₁-C₁₂ alkyl radical. The alkyl portion of the radical forms a covalent bond with a parent molecule. The amino group can be located at any position and the aminoalkyl group can be substituted with a further substituent group at the alkyl and/or amino portions.

As used herein, “aralkyl” and “arylalkyl” mean an aromatic group that is covalently linked to a C₁-C₁₂ alkyl radical. The alkyl radical portion of the resulting aralkyl (or arylalkyl) group forms a covalent bond with a parent molecule. Examples include without limitation, benzyl, phenethyl and the like. Aralkyl groups as used herein may optionally include further substituent groups attached to the alkyl, the aryl or both groups that form the radical group.

As used herein, “aryl” and “aromatic” mean a mono- or polycyclic carbocyclic ring system radicals having one or more aromatic rings. Examples of aryl groups include without limitation, phenyl, naphthyl, tetrahydronaphthyl, indanyl, idenyl and the like. Preferred aryl ring systems have from about 5 to about 20 carbon atoms in one or more rings. Aryl groups as used herein may optionally include further substituent groups.

As used herein, “halo” and “halogen,” mean an atom selected from fluorine, chlorine, bromine and iodine.

As used herein, “heteroaryl,” and “heteroaromatic,” mean a radical comprising a mono- or polycyclic aromatic ring, ring system or fused ring system wherein at least one of the rings is aromatic and includes one or more heteroatoms. Heteroaryl is also meant to include fused ring systems including systems where one or more of the fused rings contain no heteroatoms. Heteroaryl groups typically include one ring atom selected from sulfur, nitrogen or oxygen. Examples of heteroaryl groups include without limitation, pyridinyl, pyrazinyl, pyrimidinyl, pyrrolyl, pyrazolyl, imidazolyl, thiazolyl, oxazolyl, isooxazolyl, thiadiazolyl, oxadiazolyl, thiophenyl, furanyl, quinolinyl, isoquinolinyl, benzimidazolyl, benzooxazolyl, quinoxalinyl and the like. Heteroaryl radicals can be attached to a parent molecule directly or through a linking moiety such as an aliphatic group or hetero atom. Heteroaryl groups as used herein may optionally include further substituent groups.

As used herein, “huntingtin transcript” means a transcript transcribed from a huntingtin gene.

As used herein, “Intracerebroventricular” or “ICV” means administration into the ventricular system of the brain.

B. OLIGOMERIC COMPOUNDS

In certain embodiments, the present invention provides oligomeric compounds. In certain embodiments, such oligomeric compounds comprise oligonucleotides optionally comprising one or more conjugate and/or terminal groups. In certain embodiments, an oligomeric compound consists of an oligonucleotide. In certain embodiments, oligonucleotides comprise one or more chemical modifications.

Such chemical modifications include modifications of one or more nucleoside (including modifications to the sugar moiety and/or the nucleobase) and/or modifications to one or more internucleoside linkage.

a. Certain Modified Nucleosides

In certain embodiments, provided herein are oligomeric compounds comprising or consisting of oligonucleotides comprising at least one modified nucleoside. Such modified nucleosides comprise a modified sugar moeity, a modified nucleobase, or both a modified sugar moiety and a modified nucleobase.

i. Certain Modified Sugar Moieties

In certain embodiments, oligomeric compounds of the invention comprise one or more modified nucleosides comprising a modified sugar moiety. Such oligomeric compounds comprising one or more sugar-modified nucleosides may have desirable properties, such as enhanced nuclease stability or increased binding affinity with a target nucleic acid relative to oligomeric compounds comprising only nucleosides comprising naturally occurring sugar moieties. In certain embodiments, modified sugar moieties are substituted sugar moieties. In certain embodiments, modified sugar moieties are bicyclic or tricyclic sugar moieties. In certain embodiments, modified sugar moieties are sugar surrogates. Such sugar surrogates may comprise one or more substitutions corresponding to those of substituted sugar moieties.

In certain embodiments, modified sugar moieties are substituted sugar moieties comprising one or more substituent, including but not limited to substituents at the 2′ and/or 5′ positions. Examples of sugar substituents suitable for the 2′-position, include, but are not limited to: 2′-F, 2′-OCH₃ (“OMe” or “O-methyl”), and 2′-O(CH₂)₂OCH₃ (“MOE”). In certain embodiments, sugar substituents at the 2′ position is selected from allyl, amino, azido, thio, O-allyl, 0-C₁-C₁₀ alkyl, 0-C₁-C₁₀ substituted alkyl; O—C₁-C₁₀ alkoxy; O—C₁-C₁₀ substituted alkoxy, OCF₃, O(CH₂)₂SCH₃, O(CH₂)₂—O—N(Rm)(Rn), and O—CH₂—C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H or substituted or unsubstituted C₁-C₁₀ alkyl. Examples of sugar substituents at the 5′-position, include, but are not limited to: 5′-methyl (R or S); 5′-vinyl, and 5′-methoxy. In certain embodiments, substituted sugars comprise more than one non-bridging sugar substituent, for example, 2′-F-5′-methyl sugar moieties (see, e.g., PCT International Application WO 2008/101157, for additional 5′,2′-bis substituted sugar moieties and nucleosides).

Nucleosides comprising 2′-substituted sugar moieties are referred to as 2′-substituted nucleosides. In certain embodiments, a 2′-substituted nucleoside comprises a 2′-substituent group selected from halo, allyl, amino, azido, O—C₁-C₁₀ alkoxy; O—C₁-C₁₀ substituted alkoxy, SH, CN, OCN, CF₃, OCF₃, O-alkyl, S-alkyl, N(R_m)-alkyl; O-alkenyl, S-alkenyl, or N(R_m)-alkenyl; O-alkynyl, S-alkynyl, N(R_m)-alkynyl; O-alkylenyl-O-alkyl, alkynyl, alkaryl, aralkyl, O-alkaryl, O-aralkyl, O(CH₂)₂SCH₃, O—(CH₂)₂—O—N(R_m)(R_n) or O—CH₂—C(═O)—N(R_m)(R_n), where each R_m and R_n is, independently, H, an amino protecting group or substituted or unsubstituted C₁-C₁₀ alkyl. These 2′-substituent groups can be further substituted with one or more substituent groups independently selected from hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO₂), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.

In certain embodiments, a 2′-substituted nucleoside comprises a 2′-substituent group selected from F, NH₂, N₃, OCF₃, O—CH₃, O(CH₂)₃NH₂, CH₂—CH₂═CH₂, O—CH₂—CH═CH₂, OCH₂CH₂OCH₃, O(CH₂)₂SCH₃, O—(CH₂)₂—O—N(R_m)(R_n), O(CH₂)₂O(CH₂)₂N(CH₃)₂, and N-substituted acetamide (O—CH₂—C(═O)—N(R_m)(R_n) where each R_m and R_n is, independently, H, an amino protecting group or substituted or unsubstituted C₁-C₁₀ alkyl.

In certain embodiments, a 2′-substituted nucleoside comprises a sugar moiety comprising a 2′-substituent group selected from F, OCF₃, O—CH₃, OCH₂CH₂OCH₃, O(CH₂)₂SCH₃, O—(CH₂)₂—O—N(CH₃)₂, —O(CH₂)₂O(CH₂)₂N(CH₃)₂, and O—CH₂—C(═O)—N(H)CH₃.

In certain embodiments, a 2′-substituted nucleoside comprises a sugar moiety comprising a 2′-substituent group selected from F, O—CH₃, and OCH₂CH₂OCH₃.

Certain modified sugar moieties comprise a bridging sugar substituent that forms a second ring resulting in a bicyclic sugar moiety. In certain such embodiments, the bicyclic sugar moiety comprises a bridge between the 4′ and the 2′ furanose ring atoms. Examples of such 4′ to 2′ sugar substituents, include, but are not limited to: —[C(R_a)(R_b)]_n—, —[C(R_a)(R_b)]_n—O—, —C(R_aR_b)—N(R)—O— or, —C(R_aR_b)—O—N(R)—; 4′-CH₂-2′, 4′-(CH₂)₂-2′, 4′-(CH₂)₃-2′, 4′-(CH₂)—O-2′ (LNA); 4′-(CH₂)—S-2; 4′-(CH₂)₂—O-2′ (ENA); 4′-CH(CH₃)—O-2′ (cEt) and 4′-CH(CH₂OCH₃)—O-2′, and analogs thereof (see, e.g., U.S. Pat. No. 7,399,845, issued on Jul. 15, 2008); 4′-C(CH₃)(CH₃)—O-2′ and analogs thereof, (see, e.g., WO2009/006478, published Jan. 8, 2009); 4′-CH₂—N(OCH₃)-2′ and analogs thereof (see, e.g., WO2008/150729, published Dec. 11, 2008); 4′-CH₂—O—N(CH₃)-2′ (see, e.g., US2004/0171570, published Sep. 2, 2004); 4′-CH₂—O—N(R)-2′, and 4′-CH₂—N(R)—O-2′-, wherein each R is, independently, H, a protecting group, or C₁-C₁₂ alkyl; 4′-CH₂—N(R)—O-2′, wherein R is H, C₁-C₁₂ alkyl, or a protecting group (see, U.S. Pat. No. 7,427,672, issued on Sep. 23, 2008); 4′-CH₂—C(H)(CH₃)-2′ (see, e.g., Chattopadhyaya, et al., J. Org. Chem., 2009, 74, 118-134); and 4′-CH₂—C(═CH₂)-2′ and analogs thereof (see, published PCT International Application WO 2008/154401, published on Dec. 8, 2008).

In certain embodiments, such 4′ to 2′ bridges independently comprise from 1 to 4 linked groups independently selected from —[C(R_a)(R_b)]_n—, —C(R_a)═C(R_b)—, —C(R_a)═N—, —C(═NR_a)—, —C(═O)—, —C(═S)—, —O—, —Si(R_a)₂—, —S(═O)_x—, and —N(R_a)—;

wherein:

• • x is 0, 1, or 2;
  • n is 1, 2, 3, or 4;
  • each R_a and R_b is, independently, H, a protecting group, hydroxyl, C₁-C₁₂ alkyl, substituted C₁-C₁₂ alkyl, C₂-C₁₂ alkenyl, substituted C₂-C₁₂ alkenyl, C₂-C₁₂ alkynyl, substituted C₂-C₁₂ alkynyl, C₅-C₂₀ aryl, substituted C₅-C₂₀ aryl, heterocycle radical, substituted heterocycle radical, heteroaryl, substituted heteroaryl, C₅-C₇ alicyclic radical, substituted C₅-C₇ alicyclic radical, halogen, OJ₁, NJ₁J₂, SJ₁, N₃, COOJ₁, acyl (C(═O)—H), substituted acyl, CN, sulfonyl (S(═O)₂-J₁), or sulfoxyl (S(═O)-J₁); and

each J₁ and J₂ is, independently, H, C₁-C₁₂ alkyl, substituted C₁-C₁₂ alkyl, C₂-C₁₂ alkenyl, substituted C₂-C₁₂ alkenyl, C₂-C₁₂ alkynyl, substituted C₂-C₁₂ alkynyl, C₅-C₂₀ aryl, substituted C₅-C₂₀ aryl, acyl (C(═O)—H), substituted acyl, a heterocycle radical, a substituted heterocycle radical, C₁-C₁₂ aminoalkyl, substituted C₁-C₁₂ aminoalkyl, or a protecting group.

Nucleosides comprising bicyclic sugar moieties are referred to as bicyclic nucleosides or BNAs. Bicyclic nucleosides include, but are not limited to, (A) α-L-Methyleneoxy (4′-CH₂—O-2′) BNA, (B) β-D-Methyleneoxy (4′-CH₂—O-2′) BNA (also referred to as locked nucleic acid or LNA), (C) Ethyleneoxy (4′-(CH₂)₂—O-2′) BNA, (D) Aminooxy (4′-CH₂—O—N(R)-2′) BNA, (E) Oxyamino (4′-CH₂—N(R)—O-2′) BNA, (F) Methyl(methyleneoxy) (4′-CH(CH₃)—O-2′) BNA (also referred to as constrained ethyl or cEt), (G) methylene-thio (4′-CH₂—S-2′) BNA, (H) methylene-amino (4′-CH2-N(R)-2′) BNA, (I) methyl carbocyclic (4′-CH₂—CH(CH₃)-2′) BNA, (J) propylene carbocyclic (4′-(CH₂)₃-2′) BNA, and (M) 4′-CH₂—O—CH₂-2′ as depicted below.

wherein Bx is a nucleobase moiety and R is, independently, H, a protecting group, or C₁-C₁₂ alkyl.

Additional bicyclic sugar moieties are known in the art, for example: Singh et al., Chem. Commun., 1998, 4, 455-456; Koshkin et al., Tetrahedron, 1998, 54, 3607-3630; Wahlestedt et al., Proc. Natl. Acad. Sci. U.S.A., 2000, 97, 5633-5638; Kumar et al., Bioorg. Med. Chem. Lett., 1998, 8, 2219-2222; Singh et al., J. Org. Chem., 1998, 63, 10035-10039; Srivastava et al., J. Am. Chem. Soc., 129(26) 8362-8379 (Jul. 4, 2007); Elayadi et al., Curr. Opinion Invens. Drugs, 2001, 2, 558-561; Braasch et al., Chem. Biol., 2001, 8, 1-7; Orum et al., Curr. Opinion Mol. Ther., 2001, 3, 239-243; U.S. Pat. Nos. 7,053,207, 6,268,490, 6,770,748, 6,794,499, 7,034,133, 6,525,191, 6,670,461, and 7,399,845; WO 2004/106356, WO 1994/14226, WO 2005/021570, and WO 2007/134181; U.S. Patent Publication Nos. US2004/0171570, US2007/0287831, and US2008/0039618; U.S. patent Ser. Nos. 12/129,154, 60/989,574, 61/026,995, 61/026,998, 61/056,564, 61/086,231, 61/097,787, and 61/099,844; and PCT International Applications Nos. PCT/US2008/064591, PCT/US2008/066154, and PCT/US2008/068922.

In certain embodiments, bicyclic sugar moieties and nucleosides incorporating such bicyclic sugar moieties are further defined by isomeric configuration. For example, a nucleoside comprising a 4′-2′ methylene-oxy bridge, may be in the α-L configuration or in the β-D configuration. Previously, α-L-methyleneoxy (4′-CH₂—O-2′) bicyclic nucleosides have been incorporated into antisense oligonucleotides that showed antisense activity (Frieden et al., Nucleic Acids Research, 2003, 21, 6365-6372).

In certain embodiments, substituted sugar moieties comprise one or more non-bridging sugar substituent and one or more bridging sugar substituent (e.g., 5′-substituted and 4′-2′ bridged sugars). (see, PCT International Application WO 2007/134181, published on Nov. 22, 2007, wherein LNA is substituted with, for example, a 5′-methyl or a 5′-vinyl group).

In certain embodiments, modified sugar moieties are sugar surrogates. In certain such embodiments, the oxygen atom of the naturally occurring sugar is substituted, e.g., with a sulfur, carbon or nitrogen atom. In certain such embodiments, such modified sugar moiety also comprises bridging and/or non-bridging substituents as described above. For example, certain sugar surogates comprise a 4′-sulfur atom and a substitution at the 2′-position (see, e.g., published U.S. Patent Application US2005/0130923, published on Jun. 16, 2005) and/or the 5′ position. By way of additional example, carbocyclic bicyclic nucleosides having a 4′-2′ bridge have been described (see, e.g., Freier et al., Nucleic Acids Research, 1997, 25(22), 4429-4443 and Albaek et al., J. Org. Chem., 2006, 71, 7731-7740).

In certain embodiments, sugar surrogates comprise rings having other than 5-atoms. For example, in certain embodiments, a sugar surrogate comprises a six-membered tetrahydropyran. Such tetrahydropyrans may be further modified or substituted. Nucleosides comprising such modified tetrahydropyrans include, but are not limited to, hexitol nucleic acid (HNA), anitol nucleic acid (ANA), manitol nucleic acid (MNA) (see Leumann, C J. Bioorg. & Med. Chem. (2002) 10:841-854), fluoro HNA (F-HNA), and those compounds having Formula VII:

wherein independently for each of said at least one tetrahydropyran nucleoside analog of Formula VII:

Bx is a nucleobase moiety;

T₃ and T₄ are each, independently, an internucleoside linking group linking the tetrahydropyran nucleoside analog to the antisense compound or one of T₃ and T₄ is an internucleoside linking group linking the tetrahydropyran nucleoside analog to the antisense compound and the other of T₃ and T₄ is H, a hydroxyl protecting group, a linked conjugate group, or a 5′ or 3′-terminal group;

q₁, q₂, q₃, q₄, q₅, q₆ and q₇ are each, independently, H, C₁-C₆ alkyl, substituted C₁-C₆ alkyl, C₂-C₆ alkenyl, substituted C₂-C₆ alkenyl, C₂-C₆ alkynyl, or substituted C₂-C₆ alkynyl; and each of R₁ and R₂ is independently selected from among: hydrogen, halogen, substituted or unsubstituted alkoxy, NJ₁J₂, SJ₁, N₃, OC(═X)J₁, OC(═X)NJ₁J₂, NJ₃C(═X)NJ₁J₂, and CN, wherein X is O, S or NJ₁, and each J₁, J₂, and J₃ is, independently, H or C₁-C₆ alkyl.

In certain embodiments, the modified THP nucleosides of Formula VII are provided wherein q₁, q₂, q₃, q₄, q₅, q₆ and q₇ are each H. In certain embodiments, at least one of q₁, q₂, q₃, q₄, q₅, q₆ and q₇ is other than H. In certain embodiments, at least one of q₁, q₂, q₃, q₄, q₅, q₆ and q₇ is methyl. In certain embodiments, THP nucleosides of Formula VII are provided wherein one of R₁ and R₂ is F. In certain embodiments, R₁ is fluoro and R₂ is H, R₁ is methoxy and R₂ is H, and R₁ is methoxyethoxy and R₂ is H.

Many other bicyclic and tricyclic sugar and sugar surrogate ring systems are known in the art that can be used to modify nucleosides (see, e.g., review article: Leumann, J. C, Bioorganic & Medicinal Chemistry, 2002, 10, 841-854).

In certain embodiments, sugar surrogates comprise rings having more than 5 atoms and more than one heteroatom. For example nucleosides comprising morpholino sugar moieties and their use in oligomeric compounds has been reported (see for example: Braasch et al., Biochemistry, 2002, 41, 4503-4510; and U.S. Pat. Nos. 5,698,685; 5,166,315; 5,185,444; and 5,034,506). As used here, the term “morpholino” means a sugar surrogate having the following structure:

In certain embodiments, morpholinos may be modified, for example by adding or altering various substituent groups from the above morpholino structure. Such sugar surrogates are referred to herein as “modified morpholinos.”

Combinations of modifications are also provided without limitation, such as 2′-F-5′-methyl substituted nucleosides (see PCT International Application WO 2008/101157 Published on Aug. 21, 2008 for other disclosed 5′,2′-bis substituted nucleosides) and replacement of the ribosyl ring oxygen atom with S and further substitution at the 2′-position (see published U.S. Patent Application US2005-0130923, published on Jun. 16, 2005) or alternatively 5′-substitution of a bicyclic nucleic acid (see PCT International Application WO 2007/134181, published on Nov. 22, 2007 wherein a 4′-CH₂—O-2′ bicyclic nucleoside is further substituted at the 5′ position with a 5′-methyl or a 5′-vinyl group). The synthesis and preparation of carbocyclic bicyclic nucleosides along with their oligomerization and biochemical studies have also been described (see, e.g., Srivastava et al., J. Am. Chem. Soc. 2007, 129(26), 8362-8379).

In certain embodiments, the present invention provides oligonucleotides comprising modified nucleosides. Those modified nucleotides may include modified sugars, modified nucleobases, and/or modified linkages. The specific modifications are selected such that the resulting oligonucleotides possess desirable characteristics. In certain embodiments, oligonucleotides comprise one or more RNA-like nucleosides. In certain embodiments, oligonucleotides comprise one or more DNA-like nucleotides.

ii. Certain Modified Nucleobases

In certain embodiments, nucleosides of the present invention comprise one or more unmodified nucleobases. In certain embodiments, nucleosides of the present invention comprise one or more modified nucleobases.

In certain embodiments, modified nucleobases are selected from: universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases as defined herein. 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and 0-6 substituted purines, including 2-aminopropyladenine, 5-propynyluracil; 5-propynylcytosine; 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-halouracil and cytosine, 5-propynyl (—C≡C—CH₃) uracil and cytosine and other alkynyl derivatives of pyrimidine bases, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and other 5-substituted uracils and cytosines, 7-methylguanine and 7-methyladenine, 2-F-adenine, 2-amino-adenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine, 3-deazaguanine and 3-deazaadenine, universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases as defined herein. Further modified nucleobases include tricyclic pyrimidines such as phenoxazine cytidine([5,4-b][1,4]benzoxazin-2(3H)-one), phenothiazine cytidine (1H-pyrimido[5,4-b][1,4]benzothiazin-2(3H)-one), G-clamps such as a substituted phenoxazine cytidine (e.g. 9-(2-aminoethoxy)-H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one), carbazole cytidine (2H-pyrimido[4,5-b]indol-2-one), pyridoindole cytidine (H-pyrido[3′,2′:4,5]pyrrolo[2,3-d]pyrimidin-2-one). Modified nucleobases may also include those in which the purine or pyrimidine base is replaced with other heterocycles, for example 7-deaza-adenine, 7-deazaguanosine, 2-aminopyridine and 2-pyridone. Further nucleobases include those disclosed in U.S. Pat. No. 3,687,808, those disclosed in The Concise Encyclopedia Of Polymer Science And Engineering, Kroschwitz, J. I., Ed., John Wiley & Sons, 1990, 858-859; those disclosed by Englisch et al., Angewandte Chemie, International Edition, 1991, 30, 613; and those disclosed by Sanghvi, Y. S., Chapter 15, Antisense Research and Applications, Crooke, S. T. and Lebleu, B., Eds., CRC Press, 1993, 273-288.

Representative United States patents that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include without limitation, U.S. Pat. No. 3,687,808; 4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066; 5,432,272; 5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711; 5,552,540; 5,587,469; 5,594,121; 5,596,091; 5,614,617; 5,645,985; 5,681,941; 5,750,692; 5,763,588; 5,830,653 and 6,005,096, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference in its entirety.

a. Certain Internucleoside Linkages

In certain embodiments, nucleosides may be linked together using any internucleoside linkage to form oligonucleotides. The two main classes of internucleoside linking groups are defined by the presence or absence of a phosphorus atom. Representative phosphorus containing internucleoside linkages include, but are not limited to, phosphodiesters (P═O), phosphotriesters, methylphosphonates, phosphoramidate, and phosphorothioates (P═S). Representative non-phosphorus containing internucleoside linking groups include, but are not limited to, methylenemethylimino (—CH₂—N(CH₃)—O—CH₂—), thiodiester (—O—C(O)—S—), thionocarbamate (—O—C(O)(NH)—S—); siloxane (—O—Si(H)₂—O—); and N,N′-dimethylhydrazine (—CH₂—N(CH₃)—N(CH₃)—). Modified linkages, compared to natural phosphodiester linkages, can be used to alter, typically increase, nuclease resistance of the oligonucleotide. In certain embodiments, internucleoside linkages having a chiral atom can be prepared as a racemic mixture, or as separate enantiomers. Representative chiral linkages include, but are not limited to, alkylphosphonates and phosphorothioates. Methods of preparation of phosphorous-containing and non-phosphorous-containing internucleoside linkages are well known to those skilled in the art.

The oligonucleotides described herein contain one or more asymmetric centers and thus give rise to enantiomers, diastereomers, and other stereoisomeric configurations that may be defined, in terms of absolute stereochemistry, as (R) or (S), α or β such as for sugar anomers, or as (D) or (L) such as for amino acids etc. Included in the antisense compounds provided herein are all such possible isomers, as well as their racemic and optically pure forms.

Neutral internucleoside linkages include without limitation, phosphotriesters, methylphosphonates, MMI (3′-CH₂—N(CH₃)—O-5′), amide-3 (3′-CH₂—C(═O)—N(H)-5′), amide-4 (3′-CH₂—N(H)—C(═O)-5′), formacetal (3′-O—CH₂—O-5′), and thioformacetal (3′-S—CH₂—O-5′). Further neutral internucleoside linkages include nonionic linkages comprising siloxane (dialkylsiloxane), carboxylate ester, carboxamide, sulfide, sulfonate ester and amides (See for example: Carbohydrate Modifications in Antisense Research; Y. S. Sanghvi and P. D. Cook, Eds., ACS Symposium Series 580; Chapters 3 and 4, 40-65). Further neutral internucleoside linkages include nonionic linkages comprising mixed N, O, S and CH₂ component parts.

iii. 3′-Endo Modifications

In one aspect of the present disclosure, oligomeric compounds include nucleosides synthetically modified to induce a 3′-endo sugar conformation. A nucleoside can incorporate synthetic modifications of the heterocyclic base moiety, the sugar moiety or both to induce a desired 3′-endo sugar conformation. These modified nucleosides are used to mimic RNA like nucleosides so that particular properties of an oligomeric compound can be enhanced while maintaining the desirable 3′-endo conformational geometry. There is an apparent preference for an RNA type duplex (A form helix, predominantly 3′-endo) as a requirement of RNA interference which is supported in part by the fact that duplexes composed of 2′-deoxy-2′-F-nucleosides appear efficient in triggering RNAi response in the C. elegans system. Properties that are enhanced by using more stable 3′-endo nucleosides include but aren't limited to modulation of pharmacokinetic properties through modification of protein binding, protein off-rate, absorption and clearance; modulation of nuclease stability as well as chemical stability; modulation of the binding affinity and specificity of the oligomer (affinity and specificity for enzymes as well as for complementary sequences); and increasing efficacy of RNA cleavage. The present invention provides oligomeric compounds having one or more nucleosides modified in such a way as to favor a C3′-endo type conformation.

Nucleoside conformation is influenced by various factors including substitution at the 2′, 3′ or 4′-positions of the pentofuranosyl sugar. Electronegative substituents generally prefer the axial positions, while sterically demanding substituents generally prefer the equatorial positions (Principles of Nucleic Acid Structure, Wolfgang Sanger, 1984, Springer-Verlag.) Modification of the 2′ position to favor the 3′-endo conformation can be achieved while maintaining the 2′-OH as a recognition element, as exemplified in Example 35, below (Gallo et al., Tetrahedron (2001), 57, 5707-5713. Harry-O′kuru et al., J. Org. Chem., (1997), 62(6), 1754-1759 and Tang et al., J. Org. Chem. (1999), 64, 747-754.) Alternatively, preference for the 3′-endo conformation can be achieved by deletion of the 2′-OH as exemplified by 2′deoxy-2′F-nucleosides (Kawasaki et al., J. Med. Chem. (1993), 36, 831-841), which adopts the 3′-endo conformation positioning the electronegative fluorine atom in the axial position. Other modifications of the ribose ring, for example substitution at the 4′-position to give 4′-F modified nucleosides (Guillerm et al., Bioorganic and Medicinal Chemistry Letters (1995), 5, 1455-1460 and Owen et al., J. Org. Chem. (1976), 41, 3010-3017), or for example modification to yield methanocarba nucleoside analogs (Jacobson et al., J. Med. Chem. Lett. (2000), 43, 2196-2203 and Lee et al., Bioorganic and Medicinal Chemistry Letters (2001), 11, 1333-1337) also induce preference for the 3′-endo conformation. Some modifications actually lock the conformational geometry by formation of a bicyclic sugar moiety e.g. locked nucleic acid (LNA, Singh et al, Chem. Commun. (1998), 4, 455-456), and ethylene bridged nucleic acids (ENA, Morita et al, Bioorganic & Medicinal Chemistry Letters (2002), 12, 73-76.)

b. Certain Motifs

In certain embodiments, oligomeric compounds comprise or consist of oligonucleotides. In certain embodiments, such oligonucleotides comprise one or more chemical modification. In certain embodiments, chemically modified oligonucleotides comprise one or more modified sugars. In certain embodiments, chemically modified oligonucleotides comprise one or more modified nucleobases. In certain embodiments, chemically modified oligonucleotides comprise one or more modified internucleoside linkages. In certain embodiments, the chemical modifications (sugar modifications, nucleobase modifications, and/or linkage modifications) define a pattern or motif. In certain embodiments, the patterns of chemical modifications of sugar moieties, internucleoside linkages, and nucleobases are each independent of one another. Thus, an oligonucleotide may be described by its sugar modification motif, internucleoside linkage motif and/or nucleobase modification motif (as used herein, nucleobase modification motif describes the chemical modifications to the nucleobases independent of the sequence of nucleobases).

iv. Certain Sugar Motifs

In certain embodiments, oligonucleotides comprise one or more type of modified sugar moieties and/or naturally occurring sugar moieties arranged along an oligonucleotide or region thereof in a defined pattern or sugar motif Such sugar motifs include but are not limited to any of the sugar modifications discussed herein.

In certain embodiments, the oligonucleotides comprise or consist of a region having a gapmer sugar motif, which comprises two external regions or “wings” and a central or internal region or “gap.” The three regions of a gapmer sugar motif (the 5′-wing, the gap, and the 3′-wing) form a contiguous sequence of nucleosides wherein at least some of the sugar moieties of the nucleosides of each of the wings differ from at least some of the sugar moieties of the nucleosides of the gap. Specifically, at least the sugar moieties of the nucleosides of each wing that are closest to the gap (the 3′-most nucleoside of the 5′-wing and the 5′-most nucleoside of the 3′-wing) differ from the sugar moiety of the neighboring gap nucleosides, thus defining the boundary between the wings and the gap. In certain embodiments, the sugar moieties within the gap are the same as one another. In certain embodiments, the gap includes one or more nucleoside having a sugar moiety that differs from the sugar moiety of one or more other nucleosides of the gap. In certain embodiments, the sugar motifs of the two wings are the same as one another (symmetric sugar gapmer). In certain embodiments, the sugar motifs of the 5′-wing differs from the sugar motif of the 3′-wing (asymmetric sugar gapmer).

v. Certain Nucleobase Modification Motifs

In certain embodiments, oligonucleotides comprise chemical modifications to nucleobases arranged along the oligonucleotide or region thereof in a defined pattern or nucleobases modification motif. In certain embodiments, each nucleobase is modified. In certain embodiments, none of the nucleobases is chemically modified.

In certain embodiments, oligonucleotides comprise a block of modified nucleobases. In certain such embodiments, the block is at the 3′-end of the oligonucleotide. In certain embodiments the block is within 3 nucleotides of the 3′-end of the oligonucleotide. In certain such embodiments, the block is at the 5′-end of the oligonucleotide. In certain embodiments the block is within 3 nucleotides of the 5′-end of the oligonucleotide.

In certain embodiments, nucleobase modifications are a function of the natural base at a particular position of an oligonucleotide. For example, in certain embodiments each purine or each pyrimidine in an oligonucleotide is modified. In certain embodiments, each adenine is modified. In certain embodiments, each guanine is modified. In certain embodiments, each thymine is modified. In certain embodiments, each cytosine is modified. In certain embodiments, each uracil is modified.

In certain embodiments, oligonucleotides comprise one or more nucleosides comprising a modified nucleobase. In certain embodiments, oligonucleotides having a gapmer sugar motif comprise a nucleoside comprising a modified nucleobase. In certain such embodiments, one nucleoside comprising a modified nucleobases is in the central gap of an oligonucleotide having a gapmer sugar motif. In certain embodiments, the sugar is an unmodified 2′deoxynucleoside. In certain embodiments, the modified nucleobase is selected from: a 2-thio pyrimidine and a 5-propyne pyrimidine

In certain embodiments, some, all, or none of the cytosine moieties in an oligonucleotide are 5-methyl cytosine moieties. Herein, 5-methyl cytosine is not a “modified nucleobase.” Accordingly, unless otherwise indicated, unmodified nucleobases include both cytosine residues having a 5-methyl and those lacking a 5 methyl. In certain embodiments, the methylation state of all or some cytosine nucleobases is specified.

vi. Certain Nucleoside Motifs

In certain embodiments, oligonucleotides comprise nucleosides comprising modified sugar moieties and/or nucleosides comprising modified nucleobases. Such motifs can be described by their sugar motif and their nucleobase motif separately or by their nucleoside motif, which provides positions or patterns of modified nucleosides (whether modified sugar, nucleobase, or both sugar and nucleobase) in an oligonucleotide.

In certain embodiments, the oligonucleotides comprise or consist of a region having a gapmer nucleoside motif, which comprises two external regions or “wings” and a central or internal region or “gap.” The three regions of a gapmer nucleoside motif (the 5′-wing, the gap, and the 3′-wing) form a contiguous sequence of nucleosides wherein at least some of the sugar moieties and/or nucleobases of the nucleosides of each of the wings differ from at least some of the sugar moieties and/or nucleobase of the nucleosides of the gap. Specifically, at least the nucleosides of each wing that are closest to the gap (the 3′-most nucleoside of the 5′-wing and the 5′-most nucleoside of the 3′-wing) differ from the neighboring gap nucleosides, thus defining the boundary between the wings and the gap. In certain embodiments, the nucleosides within the gap are the same as one another. In certain embodiments, the gap includes one or more nucleoside that differs from one or more other nucleosides of the gap. In certain embodiments, the nucleoside motifs of the two wings are the same as one another (symmetric gapmer). In certain embodiments, the nucleoside motifs of the 5′-wing differs from the nucleoside motif of the 3′-wing (asymmetric gapmer).

vii. Certain 5′-Wings

In certain embodiments, the 5′-wing of a gapmer consists of 1 to 6 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 4 or 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 or 2 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 to 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 or 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 or 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 nucleoside. In certain embodiments, the 5′-wing of a gapmer consists of 2 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 6 linked nucleosides.

In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least two bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least three bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least four bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one LNA nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a bicyclic nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a constrained ethyl nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a LNA nucleoside.

In certain embodiments, the 5′-wing of a gapmer comprises at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-OMe nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a non-bicyclic modified nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-substituted nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-MOE nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-OMe nucleoside.

In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-deoxynucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-deoxynucleoside. In a certain embodiments, the 5′-wing of a gapmer comprises at least one ribonucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a ribonucleoside. In certain embodiments, one, more than one, or each of the nucleosides of the 5′-wing is an RNA-like nucleoside.

In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-deoxynucleoside.

In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-deoxynucleoside.

In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: ADDA; ABDAA; ABBA; ABB; ABAA; AABAA; AAABAA; AAAABAA; AAAAABAA; AAABAA; AABAA; ABAB; ABADB; ABADDB; AAABB; AAAAA; ABBDC; ABDDC; ABBDCC; ABBDDC; ABBDCC; ABBC; AA; AAA; AAAA; AAAAB; AAAAAAA; AAAAAAAA; ABBB; AB; ABAB; AAAAB; AABBB; AAAAB; and AABBB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, each C is a modified nucleoside of a third type, and each D is an unmodified deoxynucleoside.

In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: AB, ABB, AAA, BBB, BBBAA, AAB, BAA, BBAA, AABB, AAAB, ABBW, ABBWW, ABBB, ABBBB, ABAB, ABABAB, ABABBB, ABABAA, AAABB, AAAABB, AABB, AAAAB, AABBB, ABBBB, BBBBB, AAABW, AAAAA, BBBBAA, and AAABW; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.

In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: ABB; ABAA; AABAA; AAABAA; ABAB; ABADB; AAABB; AAAAA; AA; AAA; AAAA; AAAAB; ABBB; AB; and ABAB; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.

In certain embodiments, an oligonucleotide comprises any 5′-wing motif provided herein. In certain such embodiments, the oligonucleotide is a 5′-hemimer (does not comprise a 3′-wing). In certain embodiments, such an oligonucleotide is a gapmer. In certain such embodiments, the 3′-wing of the gapmer may comprise any nucleoside motif

In certain embodiments, the 5′-wing of a gapmer has a sugar motif selected from among those listed in the following non-limiting tables:

TABLE 1
Certain 5′-Wing Sugar Motifs
AAAAA	ABCBB	BABCC	BCBBA	CBACC
AAAAB	ABCBC	BACAA	BCBBB	CBBAA
AAAAC	ABCCA	BACAB	BCBBC	CBBAB
AAABA	ABCCB	BACAC	BCBCA	CBBAC
AAABB	ABCCC	BACBA	BCBCB	CBBBA
AAABC	ACAAA	BACBB	BCBCC	CBBBB
AAACA	ACAAB	BACBC	BCCAA	CBBBC
AAACB	ACAAC	BACCA	BCCAB	CBBCA
AAACC	ACABA	BACCB	BCCAC	CBBCB
AABAA	ACABB	BACCC	BCCBA	CBBCC
AABAB	ACABC	BBAAA	BCCBB	CBCAA
AABAC	ACACA	BBAAB	BCCBC	CBCAB
AABBA	ACACB	BBAAC	BCCCA	CBCAC
AABBB	ACACC	BBABA	BCCCB	CBCBA
AABBC	ACBAA	BBABB	BCCCC	CBCBB
AABCA	ACBAB	BBABC	CAAAA	CBCBC
AABCB	ACBAC	BBACA	CAAAB	CBCCA
AABCC	ACBBA	BBACB	CAAAC	CBCCB
AACAA	ACBBB	BBACC	CAABA	CBCCC
AACAB	ACBBC	BBBAA	CAABB	CCAAA
AACAC	ACBCA	BBBAB	CAABC	CCAAB
AACBA	ACBCB	BBBAC	CAACA	CCAAC
AACBB	ACBCC	BBBBA	CAACB	CCABA
AACBC	ACCAA	BBBBB	CAACC	CCABB
AACCA	ACCAB	BBBBC	CABAA	CCABC
AACCB	ACCAC	BBBCA	CABAB	CCACA
AACCC	ACCBA	BBBCB	CABAC	CCACB
ABAAA	ACCBB	BBBCC	CABBA	CCACC
ABAAB	ACCBC	BBCAA	CABBB	CCBAA
ABAAC	ACCCA	BBCAB	CABBC	CCBAB
ABABA	ACCCB	BBCAC	CABCA	CCBAC
ABABB	ACCCC	BBCBA	CABCB	CCBBA
ABABC	BAAAA	BBCBB	CABCC	CCBBB
ABACA	BAAAB	BBCBC	CACAA	CCBBC
ABACB	BAAAC	BBCCA	CACAB	CCBCA
ABACC	BAABA	BBCCB	CACAC	CCBCB
ABBAA	BAABB	BBCCC	CACBA	CCBCC
ABBAB	BAABC	BCAAA	CACBB	CCCAA
ABBAC	BAACA	BCAAB	CACBC	CCCAB
ABBBA	BAACB	BCAAC	CACCA	CCCAC
ABBBB	BAACC	BCABA	CACCB	CCCBA
ABBBC	BABAA	BCABB	CACCC	CCCBB
ABBCA	BABAB	BCABC	CBAAA	CCCBC
ABBCB	BABAC	BCACA	CBAAB	CCCCA
ABBCC	BABBA	BCACB	CBAAC	CCCCB
ABCAA	BABBB	BCACC	CBABA	CCCCC
ABCAB	BABBC	BCBAA	CBABB
ABCAC	BABCA	BCBAB	CBABC
ABCBA	BABCB	BCBAC	CBACA

TABLE 2
Certain 5′-Wing Sugar Motifs
AAAAA	BABC	CBAB	ABBB	BAA
AAAAB	BACA	CBAC	BAAA	BAB
AAABA	BACB	CBBA	BAAB	BBA
AAABB	BACC	CBBB	BABA	BBB
AABAA	BBAA	CBBC	BABB	AA
AABAB	BBAB	CBCA	BBAA	AB
AABBA	BBAC	CBCB	BBAB	AC
AABBB	BBBA	CBCC	BBBA	BA
ABAAA	BBBB	CCAA	BBBB	BB
ABAAB	BBBC	CCAB	AAA	BC
ABABA	BBCA	CCAC	AAB	CA
ABABB	BBCB	CCBA	AAC	CB
ABBAA	BBCC	CCBB	ABA	CC
ABBAB	BCAA	CCBC	ABB	AA
ABBBA	BCAB	CCCA	ABC	AB
ABBBB	BCAC	CCCB	ACA	BA
BAAAA	ABCB	BCBA	ACB
BAAAB	ABCC	BCBB	ACC
BAABA	ACAA	BCBC	BAA
BAABB	ACAB	BCCA	BAB
BABAA	ACAC	BCCB	BAC
BABAB	ACBA	BCCC	BBA
BABBA	ACBB	CAAA	BBB
BABBB	ACBC	CAAB	BBC
BBAAA	ACCA	CAAC	BCA
BBAAB	ACCB	CABA	BCB
BBABA	ACCC	CABB	BCC
BBABB	BAAA	CABC	CAA
BBBAA	BAAB	CACA	CAB
BBBAB	BAAC	CACB	CAC
BBBBA	BABA	CACC	CBA
BBBBB	BABB	CBAA	CBB
AAAA	AACC	CCCC	CBC
AAAB	ABAA	AAAA	CCA
AAAC	ABAB	AAAB	CCB
AABA	ABAC	AABA	CCC
AABB	ABBA	AABB	AAA
AABC	ABBB	ABAA	AAB
AACA	ABBC	ABAB	ABA
AACB	ABCA	ABBA	ABB

In certain embodiments, each A, each B, and each C located at the 3′-most 5′-wing nucleoside is a modified nucleoside. For example, in certain embodiments the 5′-wing motif is selected from among ABB , BBB, and CBB, wherein the underlined nucleoside represents the 3′-most 5′-wing nucleoside and wherein the underlined nucleoside is a modified nucleoside. In certain embodiments, the 3′-most 5′-wing nucleoside comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, the 3′-most 5′-wing nucleoside comprises a bicyclic sugar moiety selected from among cEt and LNA. In certain embodiments, the 3′-most 5′-wing nucleoside comprises cEt. In certain embodiments, the 3′-most 5′-wing nucleoside comprises LNA.

In certain embodiments, each A comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase.

In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises a F-HNA. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.

In certain embodiments, each B comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises a F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.

In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH₃ and O(CH₂)₂—OCH₃ and each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises O(CH₂)₂—OCH₃ and each B comprises cEt.

In certain embodiments, each C comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA.

viii. Certain 3′-Wings

In certain embodiments, the 3′-wing of a gapmer consists of 1 to 6 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 4 or 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 or 2 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 to 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 or 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 or 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 nucleoside. In certain embodiments, the 3′-wing of a gapmer consists of 2 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 6 linked nucleosides.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a bicyclic nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a constrained ethyl nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a LNA nucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least two non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least three non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least four non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-OMe nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a non-bicyclic modified nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-substituted nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-MOE nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-OMe nucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-deoxynucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-deoxynucleoside. In a certain embodiments, the 3′-wing of a gapmer comprises at least one ribonucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a ribonucleoside. In certain embodiments, one, more than one, or each of the nucleosides of the 5′-wing is an RNA-like nucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside.

In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: ABB, ABAA, AAABAA, AAAAABAA, AABAA, AAAABAA, AAABAA, ABAB, AAAAA, AAABB, AAAAAAAA, AAAAAAA, AAAAAA, AAAAB, AAAA, AAA, AA, AB, ABBB, ABAB, AABBB; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type. In certain embodiments, an oligonucleotide comprises any 3′-wing motif provided herein. In certain such embodiments, the oligonucleotide is a 3′-hemimer (does not comprise a 5′-wing). In certain embodiments, such an oligonucleotide is a gapmer. In certain such embodiments, the 5′-wing of the gapmer may comprise any nucleoside motif

In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: BBA, AAB, AAA, BBB, BBAA, AABB, WBBA, WAAB, BBBA, BBBBA, BBBB, BBBBBA, ABBBBB, BBAAA, AABBB, BBBAA, BBBBA, BBBBB, BABA, AAAAA, BBAAAA, AABBBB, BAAAA, and ABBBB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.

In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: ABB; AAABAA; AABAA; AAAABAA; AAAAA; AAABB; AAAAAAAA; AAAAAAA; AAAAAA; AAAAB; AB; ABBB; and ABAB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.

In certain embodiments, the 3′-wing of a gapmer has a sugar motif selected from among those listed in the following non-limiting tables:

TABLE 3
Certain 3′-Wing Sugar Motifs
AAAAA	ABCBB	BABCC	BCBBA	CBACC
AAAAB	ABCBC	BACAA	BCBBB	CBBAA
AAAAC	ABCCA	BACAB	BCBBC	CBBAB
AAABA	ABCCB	BACAC	BCBCA	CBBAC
AAABB	ABCCC	BACBA	BCBCB	CBBBA
AAABC	ACAAA	BACBB	BCBCC	CBBBB
AAACA	ACAAB	BACBC	BCCAA	CBBBC
AAACB	ACAAC	BACCA	BCCAB	CBBCA
AAACC	ACABA	BACCB	BCCAC	CBBCB
AABAA	ACABB	BACCC	BCCBA	CBBCC
AABAB	ACABC	BBAAA	BCCBB	CBCAA
AABAC	ACACA	BBAAB	BCCBC	CBCAB
AABBA	ACACB	BBAAC	BCCCA	CBCAC
AABBB	ACACC	BBABA	BCCCB	CBCBA
AABBC	ACBAA	BBABB	BCCCC	CBCBB
AABCA	ACBAB	BBABC	CAAAA	CBCBC
AABCB	ACBAC	BBACA	CAAAB	CBCCA
AABCC	ACBBA	BBACB	CAAAC	CBCCB
AACAA	ACBBB	BBACC	CAABA	CBCCC
AACAB	ACBBC	BBBAA	CAABB	CCAAA
AACAC	ACBCA	BBBAB	CAABC	CCAAB
AACBA	ACBCB	BBBAC	CAACA	CCAAC
AACBB	ACBCC	BBBBA	CAACB	CCABA
AACBC	ACCAA	BBBBB	CAACC	CCABB
AACCA	ACCAB	BBBBC	CABAA	CCABC
AACCB	ACCAC	BBBCA	CABAB	CCACA
AACCC	ACCBA	BBBCB	CABAC	CCACB
ABAAA	ACCBB	BBBCC	CABBA	CCACC
ABAAB	ACCBC	BBCAA	CABBB	CCBAA
ABAAC	ACCCA	BBCAB	CABBC	CCBAB
ABABA	ACCCB	BBCAC	CABCA	CCBAC
ABABB	ACCCC	BBCBA	CABCB	CCBBA
ABABC	BAAAA	BBCBB	CABCC	CCBBB
ABACA	BAAAB	BBCBC	CACAA	CCBBC
ABACB	BAAAC	BBCCA	CACAB	CCBCA
ABACC	BAABA	BBCCB	CACAC	CCBCB
ABBAA	BAABB	BBCCC	CACBA	CCBCC
ABBAB	BAABC	BCAAA	CACBB	CCCAA
ABBAC	BAACA	BCAAB	CACBC	CCCAB
ABBBA	BAACB	BCAAC	CACCA	CCCAC
ABBBB	BAACC	BCABA	CACCB	CCCBA
ABBBC	BABAA	BCABB	CACCC	CCCBB
ABBCA	BABAB	BCABC	CBAAA	CCCBC
ABBCB	BABAC	BCACA	CBAAB	CCCCA
ABBCC	BABBA	BCACB	CBAAC	CCCCB
ABCAA	BABBB	BCACC	CBABA	CCCCC
ABCAB	BABBC	BCBAA	CBABB
ABCAC	BABCA	BCBAB	CBABC
ABCBA	BABCB	BCBAC	CBACA

TABLE 4
Certain 3′-Wing Sugar Motifs
AAAAA	BABC	CBAB	ABBB	BAA
AAAAB	BACA	CBAC	BAAA	BAB
AAABA	BACB	CBBA	BAAB	BBA
AAABB	BACC	CBBB	BABA	BBB
AABAA	BBAA	CBBC	BABB	AA
AABAB	BBAB	CBCA	BBAA	AB
AABBA	BBAC	CBCB	BBAB	AC
AABBB	BBBA	CBCC	BBBA	BA
ABAAA	BBBB	CCAA	BBBB	BB
ABAAB	BBBC	CCAB	AAA	BC
ABABA	BBCA	CCAC	AAB	CA
ABABB	BBCB	CCBA	AAC	CB
ABBAA	BBCC	CCBB	ABA	CC
ABBAB	BCAA	CCBC	ABB	AA
ABBBA	BCAB	CCCA	ABC	AB
ABBBB	BCAC	CCCB	ACA	BA
BAAAA	ABCB	BCBA	ACB
BAAAB	ABCC	BCBB	ACC
BAABA	ACAA	BCBC	BAA
BAABB	ACAB	BCCA	BAB
BABAA	ACAC	BCCB	BAC
BABAB	ACBA	BCCC	BBA
BABBA	ACBB	CAAA	BBB
BABBB	ACBC	CAAB	BBC
BBAAA	ACCA	CAAC	BCA
BBAAB	ACCB	CABA	BCB
BBABA	ACCC	CABB	BCC
BBABB	BAAA	CABC	CAA
BBBAA	BAAB	CACA	CAB
BBBAB	BAAC	CACB	CAC
BBBBA	BABA	CACC	CBA
BBBBB	BABB	CBAA	CBB
AAAA	AACC	CCCC	CBC
AAAB	ABAA	AAAA	CCA
AAAC	ABAB	AAAB	CCB
AABA	ABAC	AABA	CCC
AABB	ABBA	AABB	AAA
AABC	ABBB	ABAA	AAB
AACA	ABBC	ABAB	ABA
AACB	ABCA	ABBA	ABB

In certain embodiments, each A, each B, and each C located at the 5′-most 3′-wing region nucleoside is a modified nucleoside. For example, in certain embodiments the 3′-wing motif is selected from among ABB, BBB, and CBB, wherein the underlined nucleoside represents the 5′-most 3′-wing region nucleoside and wherein the underlined nucleoside is a modified nucleoside.

In certain embodiments, each A comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.

In certain embodiments, each B comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-subsituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises an F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.

In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH₃ and O(CH₂)₂—OCH₃ and each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises O(CH₂)₂—OCH₃ and each B comprises cEt.

In certain embodiments, each C comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA.

ix. Certain Central Regions (gaps) In certain embodiments, the gap of a gapmer consists of 6 to 20 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 15 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 12 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 or 7 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 to 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 or 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 or 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 11 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 12 linked nucleosides.

In certain embodiments, each nucleoside of the gap of a gapmer is a 2′-deoxynucleoside. In certain embodiments, the gap comprises one or more modified nucleosides. In certain embodiments, each nucleoside of the gap of a gapmer is a 2′-deoxynucleoside or is a modified nucleoside that is “DNA-like.” In such embodiments, “DNA-like” means that the nucleoside has similar characteristics to DNA, such that a duplex comprising the gapmer and an RNA molecule is capable of activating RNase H. For example, under certain conditions, 2′-(ara)-F have been shown to support RNase H activation, and thus is DNA-like. In certain embodiments, one or more nucleosides of the gap of a gapmer is not a 2′-deoxynucleoside and is not DNA-like. In certain such embodiments, the gapmer nonetheless supports RNase H activation (e.g., by virtue of the number or placement of the non-DNA nucleosides).

In certain embodiments, gaps comprise a stretch of unmodified 2′-deoxynucleoside interrupted by one or more modified nucleosides, thus resulting in three sub-regions (two stretches of one or more 2′-deoxynucleosides and a stretch of one or more interrupting modified nucleosides). In certain embodiments, no stretch of unmodified 2′-deoxynucleosides is longer than 5, 6, or 7 nucleosides. In certain embodiments, such short stretches is achieved by using short gap regions. In certain embodiments, short stretches are achieved by interrupting a longer gap region.

In certain embodiments, the gap comprises one or more modified nucleosides. In certain embodiments, the gap comprises one or more modified nucleosides selected from among cEt, FHNA, LNA, and 2-thio-thymidine. In certain embodiments, the gap comprises one modified nucleoside. In certain embodiments, the gap comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, the gap comprises two modified nucleosides. In certain embodiments, the gap comprises three modified nucleosides. In certain embodiments, the gap comprises four modified nucleosides. In certain embodiments, the gap comprises two or more modified nucleosides and each modified nucleoside is the same. In certain embodiments, the gap comprises two or more modified nucleosides and each modified nucleoside is different.

In certain embodiments, the gap comprises one or more modified linkages. In certain embodiments, the gap comprises one or more methyl phosphonate linkages. In certain embodiments the gap comprises two or more modified linkages. In certain embodiments, the gap comprises one or more modified linkages and one or more modified nucleosides. In certain embodiments, the gap comprises one modified linkage and one modified nucleoside. In certain embodiments, the gap comprises two modified linkages and two or more modified nucleosides.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDXDDDDD; DDDDDXDDDDD; DDDXDDDDD; DDDDXDDDDDD; DDDDXDDDD; DDXDDDDDD; DDDXDDDDDD; DXDDDDDD; DDXDDDDDDD; DDXDDDDD; DDXDDDXDDD; DDDXDDDXDDD; DXDDDXDDD; DDXDDDXDD; DDXDDDDXDDD; DDXDDDDXDD; DXDDDDXDDD; DDDDXDDD; DDDXDDD; DXDDDDDDD; DDDDXXDDD; and DXXDXXDXX;

• • wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDDDDDD; DXDDDDDDD; DDXDDDDDD; DDDXDDDDD; DDDDXDDDD; DDDDDXDDD; DDDDDDXDD; DDDDDDDXD; DXXDDDDDD; DDDDDDXXD; DDXXDDDDD; DDDXXDDDD; DDDDXXDDD; DDDDDXXDD; DXDDDDDXD; DXDDDDXDD; DXDDDXDDD; DXDDXDDDD; DXDXDDDDD; DDXDDDDXD; DDXDDDXDD; DDXDDXDDD; DDXDXDDDD; DDDXDDDXD; DDDXDDXDD; DDDXDXDDD; DDDDXDDXD; DDDDXDXDD; and DDDDDXDXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDXDDDD, DXDDDDDDD, DXXDDDDDD, DDXDDDDDD, DDDXDDDDD, DDDDXDDDD, DDDDDXDDD, DDDDDDXDD, and DDDDDDDXD, wherein each D is an unmodified deoxynucleoside;

• • and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDDDDD, DXDDDDDD, DDXDDDDD, DDDXDDDD, DDDDXDDD, DDDDDXDD, DDDDDDXD, DXDDDDXD, DXDDDXDD, DXDDXDDD, DXDXDDDD, DXXDDDDD, DDXXDDDD, DDXDXDDD, DDXDDXDD, DXDDDDXD, DDDXXDDD, DDDXDXDD, DDDXDDXD, DDDDXXDD, DDDDXDXD, and DDDDDXXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDDD, DDXDDDD, DDDXDDD, DDDDXDD, DDDDDXD, DXDDDXD, DXDDXDD, DXDXDDD, DXXDDDD, DDXXDDD, DDXDXDD, DDXDDXD, DDDXXDD, DDDXDXD, and DDDDXXD, wherein each D is an unmodified deoxynucleoside; and each Xis a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDD, DDXDDD, DDDXDD, DDDDXD, DXXDDD, DXDXDD, DXDDXD, DDXXDD, DDXDXD, and DDDXXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDD, DDXDDD, DDDXDD, DDDDXD, DXDDDDD, DDXDDDD, DDDXDDD, DDDDXDD, DDDDDXD, DXDDDDDD, DDXDDDDD, DDDXDDDD, DDDDXDDD, DDDDDXDD, DDDDDDXD, DXDDDDDDD; DDXDDDDDD, DDDXDDDDD, DDDDXDDDD, DDDDDXDDD, DDDDDDXDD, DDDDDDDXD, DXDDDDDDDD, DDXDDDDDDD, DDDXDDDDDD, DDDDXDDDDD, DDDDDXDDDD, DDDDDDXDDD, DDDDDDDXDD, and DDDDDDDDXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.

In certain embodiments, each X comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each X comprises a modified sugar moiety. In certain embodiments, each X comprises a 2′-substituted sugar moiety. In certain embodiments, each X comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each X comprises a 5′-substituted sugar moiety. In certain embodiments, each X comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each X comprises a bicyclic sugar moiety. In certain embodiments, each X comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each X comprises a modified nucleobase. In certain embodiments, each X comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each X comprises a 2-thio-thymidine nucleoside. In certain embodiments, each X comprises an HNA. In certain embodiments, each C comprises an F-HNA. In certain embodiments, X represents the location of a single differentiating nucleobase.

x. Certain Gapmer Motifs

In certain embodiments, a gapmer comprises a 5′-wing, a gap, and a 3′ wing, wherein the 5′-wing, gap, and 3′ wing are independently selected from among those discussed above. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among any of those listed in the tables above and any 5′-wing may be paired with any gap and any 3′-wing. For example, in certain embodiments, a 5′-wing may comprise AAABB, a 3′-wing may comprise BBA, and the gap may comprise DDDDDDD. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among those listed in the following non-limiting table, wherein each motif is represented as (5′-wing)-(gap)-(3′-wing), wherein each number represents the number of linked nucleosides in each portion of the motif, for example, a 5-10-5 motif would have a 5′-wing comprising 5 nucleosides, a gap comprising 10 nucleosides, and a 3′-wing comprising 5 nucleosides:

TABLE 5
Certain Gapmer Sugar Motifs
	2-10-2	3-10-2	4-10-2	5-10-2
	2-10-3	3-10-3	4-10-3	5-10-3
	2-10-4	3-10-4	4-10-4	5-10-4
	2-10-5	3-10-5	4-10-5	5-10-5
	2-9-2	3-9-2	4-9-2	5-9-2
	2-9-3	3-9-3	4-9-3	5-9-3
	2-9-4	3-9-4	4-9-4	5-9-4
	2-9-5	3-9-5	4-9-5	5-9-5
	2-11-2	3-11-2	4-11-2	5-11-2
	2-11-3	3-11-3	4-11-3	5-11-3
	2-11-4	3-11-4	4-11-4	5-11-4
	2-11-5	3-11-5	4-11-5	5-11-5
	2-8-2	3-8-2	4-8-2	5-8-2
	2-8-3	3-8-3	4-8-3	5-8-3
	2-8-4	3-8-4	4-8-4	5-8-4
	2-8-5	3-8-5	4-8-5	5-8-5

In certain embodiments, a gapmer comprises a 5′-wing, a gap, and a 3′ wing, wherein the 5′-wing, gap, and 3′ wing are independently selected from among those discussed above. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among those listed in the following non-limiting tables:

TABLE 6
Certain Gapmer Nucleoside Motifs
5′-wing region	Central gap region	3′-wing region
ADDA	DDDDDD	ABB
ABBA	DDDADDDD	ABAA
AAAAAAA	DDDDDDDDDDD	AAA
AAAAABB	DDDDDDDD	BBAAAAA
ABB	DDDDADDDD	ABB
ABB	DDDDBDDDD	BBA
ABB	DDDDDDDDD	BBA
AABAA	DDDDDDDDD	AABAA
ABB	DDDDDD	AABAA
AAABAA	DDDDDDDDD	AAABAA
AAABAA	DDDDDDDDD	AAB
ABAB	DDDDDDDDD	ABAB
AAABB	DDDDDDD	BBA
ABADB	DDDDDDD	BBA
ABA	DBDDDDDDD	BBA
ABA	DADDDDDDD	BBA
ABAB	DDDDDDDD	BBA
AA	DDDDDDDD	BBBBBBBB
ABB	DDDDDD	ABADB
AAAAB	DDDDDDD	BAAAA
ABBB	DDDDDDDDD	AB
AB	DDDDDDDDD	BBBA
ABBB	DDDDDDDDD	BBBA
AB	DDDDDDDD	ABA
ABB	DDDDWDDDD	BBA
AAABB	DDDWDDD	BBAAA
ABB	DDDDWWDDD	BBA
ABADB	DDDDDDD	BBA
ABBDC	DDDDDDD	BBA
ABBDDC	DDDDDD	BBA
ABBDCC	DDDDDD	BBA
ABB	DWWDWWDWW	BBA
ABB	DWDDDDDDD	BBA
ABB	DDWDDDDDD	BBA
ABB	DWWDDDDDD	BBA
AAABB	DDWDDDDDD	AA
BB	DDWDWDDDD	BBABBBB
ABB	DDDD(ND)DDDD	BBA
AAABB	DDD(ND)DDD	BBAAA
ABB	DDDD(ND)(ND)DDD	BBA
ABB	D(ND)(ND)D(ND)(ND)D(ND)(ND)	BBA
ABB	D(ND)DDDDDDD	BBA
ABB	DD(ND)DDDDDD	BBA
ABB	D(ND)(ND)DDDDDD	BBA
AAABB	DD(ND)DDDDDD	AA
BB	DD(ND)D(ND)DDDD	BBABBBB
ABAB	DDDDDDDDD	BABA

TABLE 7
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	ABBW	DDDDDDDD	BBA
	ABB	DWDDDDDDD	BBA
	ABB	DDWDDDDDD	BBA
	ABB	DDDWDDDDD	BBA
	ABB	DDDDWDDDD	BBA
	ABB	DDDDDWDDD	BBA
	ABB	DDDDDDWDD	BBA
	ABB	DDDDDDDWD	BBA
	ABB	DDDDDDDD	WBBA
	ABBWW	DDDDDDD	BBA
	ABB	DWWDDDDDD	BBA
	ABB	DDWWDDDDD	BBA
	ABB	DDDWWDDDD	BBA
	ABB	DDDDWWDDD	BBA
	ABB	DDDDDWWDD	BBA
	ABB	DDDDDDWWD	BBA
	ABB	DDDDDDD	WWBBA
	ABBW	DDDDDDD	WBBA
	ABBW	DDDDDDWD	BBA
	ABBW	DDDDDWDD	BBA
	ABBW	DDDDWDDD	BBA
	ABBW	DDDWDDDD	BBA
	ABBW	DDWDDDDD	BBA
	ABBW	DWDDDDDD	BBA
	ABB	DWDDDDDD	WBBA
	ABB	DWDDDDDWD	BBA
	ABB	DWDDDDWDD	BBA
	ABB	DWDDDWDDD	BBA
	ABB	DWDDWDDDD	BBA
	ABB	DWDWDDDDD	BBA
	ABB	DDWDDDDD	WBBA
	ABB	DDWDDDDWD	BBA
	ABB	DDWDDDWDD	BBA
	ABB	DDWDDWDDD	BBA
	ABB	DDWDWDDDD	BBA
	ABB	DDWWDDDDD	BBA
	ABB	DDDWDDDD	WBBA
	ABB	DDDWDDDWD	BBA
	ABB	DDDWDDWDD	BBA
	ABB	DDDWDWDDD	BBA
	ABB	DDDWWDDDD	BBA
	ABB	DDDDWDDD	WBBA
	ABB	DDDDWDDWD	BBA
	ABB	DDDDWDWDD	BBA
	ABB	DDDDWWDDD	BBA
	ABB	DDDDDWDD	WBBA
	ABB	DDDDDWDWD	BBA
	ABB	DDDDDWWDD	BBA
	ABB	DDDDDDWD	WBBA

TABLE 8
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	ABBB	DDDDDDDD	BBA
	ABB	DBDDDDDDD	BBA
	ABB	DDBDDDDDD	BBA
	ABB	DDDBDDDDD	BBA
	ABB	DDDDBDDDD	BBA
	ABB	DDDDDBDDD	BBA
	ABB	DDDDDDBDD	BBA
	ABB	DDDDDDDBD	BBA
	ABB	DDDDDDDD	BBBA
	ABBBB	DDDDDDD	BBA
	ABB	DBBDDDDDD	BBA
	ABB	DDBBDDDDD	BBA
	ABB	DDDBBDDDD	BBA
	ABB	DDDDBBDDD	BBA
	ABB	DDDDDBBDD	BBA
	ABB	DDDDDDBBD	BBA
	ABB	DDDDDDD	BBBBA
	ABBB	DDDDDDD	BBBA
	ABB	DDDDDDBD	BBA
	ABBB	DDDDDBDD	BBA
	ABBB	DDDDBDDD	BBA
	ABBB	DDDBDDDD	BBA
	ABBB	DDBDDDDD	BBA
	ABBB	DBDDDDDD	BBA
	ABB	DBDDDDDD	BBBA
	ABB	DBDDDDDBD	BBA
	ABB	DBDDDDBDD	BBA
	ABB	DBDDDBDDD	BBA
	ABB	DBDDBDDDD	BBA
	ABB	DBDBDDDDD	BBA
	ABB	DDBDDDDD	BBBA
	ABB	DDBDDDDBD	BBA
	ABB	DDBDDDBDD	BBA
	ABB	DDBDDBDDD	BBA
	ABB	DDBDBDDDD	BBA
	ABB	DDBBDDDDD	BBA
	ABB	DDDBDDDD	BBBA
	ABB	DDDBDDDBD	BBA
	ABB	DDDBDDBDD	BBA
	ABB	DDDBDBDDD	BBA
	ABB	DDDBBDDDD	BBA
	ABB	DDDDBDDD	BBBA
	ABB	DDDDBDDBD	BBA
	ABB	DDDDBDBDD	BBA
	ABB	DDDDBBDDD	BBA
	ABB	DDDDDBDD	BBBA
	ABB	DDDDDBDBD	BBA
	ABB	DDDDDBBDD	BBA
	ABB	DDDDDDBD	BBBA

TABLE 9
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	ABB	DDDDDDDDD	BBA
	AB	DBDDDDDDDD	BBA
	AB	DDBDDDDDDD	BBA
	AB	DDDBDDDDDD	BBA
	AB	DDDDBDDDDD	BBA
	AB	DDDDDBDDDD	BBA
	AB	DDDDDDBDDD	BBA
	AB	DDDDDDDBDD	BBA
	AB	DDDDDDDDBD	BBA
	AB	DDDDDDDDD	BBBA
	ABBB	DDDDDDDD	BBA
	AB	DBBDDDDDDD	BBA
	AB	DDBBDDDDDD	BBA
	AB	DDDBBDDDDD	BBA
	AB	DDDDBBDDDD	BBA
	AB	DDDDDBBDDD	BBA
	AB	DDDDDDBBDD	BBA
	AB	DDDDDDDBBD	BBA
	AB	DDDDDDDD	BBBBA
	ABBBB	DDDDDDD	BBA
	AB	DBBBDDDDDD	BBA
	AB	DDBBBDDDDD	BBA
	AB	DDDBBBDDDD	BBA
	AB	DDDDBBBDDD	BBA
	AB	DDDDDBBBDD	BBA
	AB	DDDDDDBBBD	BBA
	AB	DDDDDDD	BBBBBA
	AB	DDDDDDDDD	BBBA
	AB	DDDDDDDBD	BBBA
	AB	DDDDDBDD	BBBA
	AB	DDDDBDDD	BBBA
	AB	DDDBDDDD	BBBA
	AB	DDBDDDDD	BBBA
	AB	DBDDDDDD	BBBA
	AB	DDDDDBD	BBBBA
	AB	DDDDBDD	BBBBA
	AB	DDDBDDD	BBBBA
	AB	DDBDDDD	BBBBA
	AB	DBDDDDD	BBBBA
	AB	DDDDBD	BBBBBA
	AB	DDDBDD	BBBBBA
	AB	DDBDDD	BBBBBA
	AB	DBDDDD	BBBBBA

TABLE 10
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	AAAAAA	DDDDDDD	BABA
	AAAAAB	DDDDDDD	BABA
	AAAABA	DDDDDDD	BABA
	AAABAA	DDDDDDD	BABA
	AABAAA	DDDDDDD	BABA
	ABAAAA	DDDDDDD	BABA
	BAAAAA	DDDDDDD	BABA
	ABAAAB	DDDDDDD	BABA
	ABAABA	DDDDDDD	BABA
	ABABAA	DDDDDDD	BABA
	ABBAAA	DDDDDDD	BABA
	AABAAB	DDDDDDD	BABA
	AABABA	DDDDDDD	BABA
	AABBAA	DDDDDDD	BABA
	AAABAB	DDDDDDD	BABA
	AAABBA	DDDDDDD	BABA
	AAAABB	DDDDDDD	BABA
	BAAAAB	DDDDDDD	BABA
	BAAABA	DDDDDDD	BABA
	BAABAA	DDDDDDD	BABA
	BABAAA	DDDDDDD	BABA
	BBAAAA	DDDDDDD	BABA
	BBBAAA	DDDDDDD	BABA
	BBABAA	DDDDDDD	BABA
	BBAABA	DDDDDDD	BABA
	BBAAAB	DDDDDDD	BABA
	ABABAB	DDDDDDD	BABA
	BBBBAA	DDDDDDD	BABA
	BBBABA	DDDDDDD	BABA
	BBBAAB	DDDDDDD	BABA
	BBBBBA	DDDDDDD	BABA
	BBBBAB	DDDDDDD	BABA
	AAABBB	DDDDDDD	BABA
	AABABB	DDDDDDD	BABA
	ABAABB	DDDDDDD	BABA
	BAAABB	DDDDDDD	BABA
	AABBBB	DDDDDDD	BABA
	ABABBB	DDDDDDD	BABA
	BAABBB	DDDDDDD	BABA
	ABBBBB	DDDDDDD	BABA
	BABBBB	DDDDDDD	BABA
	BBBBBB	DDDDDDD	BABA

TABLE 11
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	AAAAA	DDDDDDD	AAAAA
	AAAAB	DDDDDDD	AAAAA
	AAABA	DDDDDDD	AAAAA
	AAABB	DDDDDDD	AAAAA
	AABAA	DDDDDDD	AAAAA
	AABAB	DDDDDDD	AAAAA
	AABBA	DDDDDDD	AAAAA
	AABBB	DDDDDDD	AAAAA
	ABAAA	DDDDDDD	AAAAA
	ABAAB	DDDDDDD	AAAAA
	ABABA	DDDDDDD	AAAAA
	ABABB	DDDDDDD	AAAAA
	ABBAA	DDDDDDD	AAAAA
	ABBAB	DDDDDDD	AAAAA
	ABBBA	DDDDDDD	AAAAA
	ABBBB	DDDDDDD	AAAAA
	BAAAA	DDDDDDD	AAAAA
	BAAAB	DDDDDDD	AAAAA
	BAABA	DDDDDDD	AAAAA
	BAABB	DDDDDDD	AAAAA
	BABAA	DDDDDDD	AAAAA
	BABAB	DDDDDDD	AAAAA
	BABBA	DDDDDDD	AAAAA
	BABBB	DDDDDDD	AAAAA
	BBAAA	DDDDDDD	AAAAA
	BBAAB	DDDDDDD	AAAAA
	BBABA	DDDDDDD	AAAAA
	BBABB	DDDDDDD	AAAAA
	BBBAA	DDDDDDD	AAAAA
	BBBAB	DDDDDDD	AAAAA
	BBBBA	DDDDDDD	AAAAA
	BBBBB	DDDDDDD	AAAAA
	AAAAA	DDDDDDD	BAAAA
	AAAAB	DDDDDDD	BAAAA
	AAABA	DDDDDDD	BAAAA
	AAABB	DDDDDDD	BAAAA
	AABAA	DDDDDDD	BAAAA
	AABAB	DDDDDDD	BAAAA
	AABBA	DDDDDDD	BAAAA
	AABBB	DDDDDDD	BAAAA
	ABAAA	DDDDDDD	BAAAA
	ABAAB	DDDDDDD	BAAAA
	ABABA	DDDDDDD	BAAAA
	ABABB	DDDDDDD	BAAAA
	ABBAA	DDDDDDD	BAAAA
	ABBAB	DDDDDDD	BAAAA
	ABBBA	DDDDDDD	BAAAA
	ABBBB	DDDDDDD	BAAAA
	BAAAA	DDDDDDD	BAAAA
	BAAAB	DDDDDDD	BAAAA
	BAABA	DDDDDDD	BAAAA
	BAABB	DDDDDDD	BAAAA
	BABAA	DDDDDDD	BAAAA
	BABAB	DDDDDDD	BAAAA
	BABBA	DDDDDDD	BAAAA
	BABBB	DDDDDDD	BAAAA
	BBAAA	DDDDDDD	BAAAA
	BBAAB	DDDDDDD	BAAAA
	BBABA	DDDDDDD	BAAAA
	BBABB	DDDDDDD	BAAAA
	BBBAA	DDDDDDD	BAAAA
	BBBAB	DDDDDDD	BAAAA
	BBBBA	DDDDDDD	BAAAA
	BBBBB	DDDDDDD	BAAAA
	AAAAA	DDDDDDD	BBAAA
	AAAAB	DDDDDDD	BBAAA
	AAABA	DDDDDDD	BBAAA
	AAABB	DDDDDDD	BBAAA
	AABAA	DDDDDDD	BBAAA
	AABAB	DDDDDDD	BBAAA
	AABBA	DDDDDDD	BBAAA
	AABBB	DDDDDDD	BBAAA
	ABAAA	DDDDDDD	BBAAA
	ABAAB	DDDDDDD	BBAAA
	ABABA	DDDDDDD	BBAAA
	ABABB	DDDDDDD	BBAAA
	ABBAA	DDDDDDD	BBAAA
	ABBAB	DDDDDDD	BBAAA
	ABBBA	DDDDDDD	BBAAA
	ABBBB	DDDDDDD	BBAAA
	BAAAA	DDDDDDD	BBAAA
	BAAAB	DDDDDDD	BBAAA
	BAABA	DDDDDDD	BBAAA
	BAABB	DDDDDDD	BBAAA
	BABAA	DDDDDDD	BBAAA
	BABAB	DDDDDDD	BBAAA
	BABBA	DDDDDDD	BBAAA
	BABBB	DDDDDDD	BBAAA
	BBAAA	DDDDDDD	BBAAA
	BBAAB	DDDDDDD	BBAAA
	BBABA	DDDDDDD	BBAAA
	BBABB	DDDDDDD	BBAAA
	BBBAA	DDDDDDD	BBAAA
	BBBAB	DDDDDDD	BBAAA
	BBBBA	DDDDDDD	BBAAA
	BBBBB	DDDDDDD	BBAAA
	AAAAA	DDDDDDD	BBBAA
	AAAAB	DDDDDDD	BBBAA
	AAABA	DDDDDDD	BBBAA
	AAABB	DDDDDDD	BBBAA
	AABAA	DDDDDDD	BBBAA
	AABAB	DDDDDDD	BBBAA
	AABBA	DDDDDDD	BBBAA
	AABBB	DDDDDDD	BBBAA
	ABAAA	DDDDDDD	BBBAA
	ABAAB	DDDDDDD	BBBAA
	ABABA	DDDDDDD	BBBAA
	ABABB	DDDDDDD	BBBAA
	ABBAA	DDDDDDD	BBBAA
	ABBAB	DDDDDDD	BBBAA
	ABBBA	DDDDDDD	BBBAA
	ABBBB	DDDDDDD	BBBAA
	BAAAA	DDDDDDD	BBBAA
	BAAAB	DDDDDDD	BBBAA
	BAABA	DDDDDDD	BBBAA
	BAABB	DDDDDDD	BBBAA
	BABAA	DDDDDDD	BBBAA
	BABAB	DDDDDDD	BBBAA
	BABBA	DDDDDDD	BBBAA
	BABBB	DDDDDDD	BBBAA
	BBAAA	DDDDDDD	BBBAA
	BBAAB	DDDDDDD	BBBAA
	BBABA	DDDDDDD	BBBAA
	BBABB	DDDDDDD	BBBAA
	BBBAA	DDDDDDD	BBBAA
	BBBAB	DDDDDDD	BBBAA
	BBBBA	DDDDDDD	BBBAA
	BBBBB	DDDDDDD	BBBAA
	AAAAA	DDDDDDD	BBBBA
	AAAAB	DDDDDDD	BBBBA
	AAABA	DDDDDDD	BBBBA
	AAABB	DDDDDDD	BBBBA
	AABAA	DDDDDDD	BBBBA
	AABAB	DDDDDDD	BBBBA
	AABBA	DDDDDDD	BBBBA
	AABBB	DDDDDDD	BBBBA
	ABAAA	DDDDDDD	BBBBA
	ABAAB	DDDDDDD	BBBBA
	ABABA	DDDDDDD	BBBBA
	ABABB	DDDDDDD	BBBBA
	ABBAA	DDDDDDD	BBBBA
	ABBAB	DDDDDDD	BBBBA
	ABBBA	DDDDDDD	BBBBA
	ABBBB	DDDDDDD	BBBBA
	BAAAA	DDDDDDD	BBBBA
	BAAAB	DDDDDDD	BBBBA
	BAABA	DDDDDDD	BBBBA
	BAABB	DDDDDDD	BBBBA
	BABAA	DDDDDDD	BBBBA
	BABAB	DDDDDDD	BBBBA
	BABBA	DDDDDDD	BBBBA
	BABBB	DDDDDDD	BBBBA
	BBAAA	DDDDDDD	BBBBA
	BBAAB	DDDDDDD	BBBBA
	BBABA	DDDDDDD	BBBBA
	BBABB	DDDDDDD	BBBBA
	BBBAA	DDDDDDD	BBBBA
	BBBAB	DDDDDDD	BBBBA
	BBBBA	DDDDDDD	BBBBA
	BBBBB	DDDDDDD	BBBBA
	AAAAA	DDDDDDD	BBBBB
	AAAAB	DDDDDDD	BBBBB
	AAABA	DDDDDDD	BBBBB
	AAABB	DDDDDDD	BBBBB
	AABAA	DDDDDDD	BBBBB
	AABAB	DDDDDDD	BBBBB
	AABBA	DDDDDDD	BBBBB
	AABBB	DDDDDDD	BBBBB
	ABAAA	DDDDDDD	BBBBB
	ABAAB	DDDDDDD	BBBBB
	ABABA	DDDDDDD	BBBBB
	ABABB	DDDDDDD	BBBBB
	ABBAA	DDDDDDD	BBBBB
	ABBAB	DDDDDDD	BBBBB
	ABBBA	DDDDDDD	BBBBB
	ABBBB	DDDDDDD	BBBBB
	BAAAA	DDDDDDD	BBBBB
	BAAAB	DDDDDDD	BBBBB
	BAABA	DDDDDDD	BBBBB
	BAABB	DDDDDDD	BBBBB
	BABAA	DDDDDDD	BBBBB
	BABAB	DDDDDDD	BBBBB
	BABBA	DDDDDDD	BBBBB
	BABBB	DDDDDDD	BBBBB
	BBAAA	DDDDDDD	BBBBB
	BBAAB	DDDDDDD	BBBBB
	BBABA	DDDDDDD	BBBBB
	BBABB	DDDDDDD	BBBBB
	BBBAA	DDDDDDD	BBBBB
	BBBAB	DDDDDDD	BBBBB
	BBBBA	DDDDDDD	BBBBB
	BBBBB	DDDDDDD	BBBBB

TABLE 12
Certain Gapmer Nucleoside Motifs
	5′-wing region	Central gap region	3′-wing region
	AAAW	DDDDDDDD	BBA
	AABW	DDDDDDDD	BBA
	ABAW	DDDDDDDD	BBA
	ABBW	DDDDDDDD	BBA
	BAAW	DDDDDDDD	BBA
	BABW	DDDDDDDD	BBA
	BBAW	DDDDDDDD	BBA
	BBBW	DDDDDDDD	BBA
	ABB	DDDDDDDD	WAAA
	ABB	DDDDDDDD	WAAB
	ABB	DDDDDDDD	WABA
	ABB	DDDDDDDD	WABB
	ABB	DDDDDDDD	WBAA
	ABB	DDDDDDDD	WBAB
	ABB	DDDDDDDD	WBBA
	ABB	DDDDDDDD	WBBB
	AAAWW	DDDDDDD	BBA
	AABWW	DDDDDDD	BBA
	ABAWW	DDDDDDD	BBA
	ABBWW	DDDDDDD	BBA
	BAAWW	DDDDDDD	BBA
	BABWW	DDDDDDD	BBA
	BBAWW	DDDDDDD	BBA
	BBBWW	DDDDDDD	BBA
	ABB	DDDDDDD	WWAAA
	ABB	DDDDDDD	WWAAB
	ABB	DDDDDDD	WWABA
	ABB	DDDDDDD	WWABB
	ABB	DDDDDDD	WWBAA
	ABB	DDDDDDD	WWBAB
	ABB	DDDDDDD	WWBBA
	ABB	DDDDDDD	WWBBB
	AAAAW	DDDDDDD	BBA
	AAABW	DDDDDDD	BBA
	AABAW	DDDDDDD	BBA
	AABBW	DDDDDDD	BBA
	ABAAW	DDDDDDD	BBA
	ABABW	DDDDDDD	BBA
	ABBAW	DDDDDDD	BBA
	ABBBW	DDDDDDD	BBA
	BAAAW	DDDDDDD	BBA
	BAABW	DDDDDDD	BBA
	BABAW	DDDDDDD	BBA
	BABBW	DDDDDDD	BBA
	BBAAW	DDDDDDD	BBA
	BBABW	DDDDDDD	BBA
	BBBAW	DDDDDDD	BBA
	BBBBW	DDDDDDD	WAAAA
	ABB	DDDDDDD	WAAAB
	ABB	DDDDDDD	WAABA
	ABB	DDDDDDD	WAABB
	ABB	DDDDDDD	WABAA
	ABB	DDDDDDD	WABAB
	ABB	DDDDDDD	WABBA
	ABB	DDDDDDD	WABBB
	ABB	DDDDDDD	WBAAA
	ABB	DDDDDDD	WBAAB
	ABB	DDDDDDD	WBABA
	ABB	DDDDDDD	WBABB
	ABB	DDDDDDD	WBBAA
	ABB	DDDDDDD	WBBAB
	ABB	DDDDDDD	WBBBA
	ABB	DDDDDDD	WBBBB

wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type and each W is a modified nucleoside or nucleobase of either the first type, the second type or a third type, each D is a nucleoside comprising an unmodified 2′ deoxy sugar moiety and unmodified nucleobase, and ^ND is modified nucleoside comprising a modified nucleobase and an unmodified 2′ deoxy sugar moiety.

In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises an F-HNA. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me.

In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-subsituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises an F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me.

In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA. In certain embodiments, each W comprises a modified sugar moiety. In certain embodiments, each

W comprises a 2′-substituted sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each W comprises a 5′-substituted sugar moiety. In certain embodiments, each W comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each W comprises a bicyclic sugar moiety. In certain embodiments, each W comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each W comprises a sugar surrogate. In certain embodiments, each W comprises a sugar surrogate selected from among HNA and F-HNA. In certain embodiments, each W comprises a 2-thio-thymidine nucleoside.

In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-substituted sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-MOE sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-F sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-MOE sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-F sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and C comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of

A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar HNA surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, at least two of A, B or W comprises a 2′-substituted sugar moiety, and the other comprises a bicyclic sugar moiety. In certain embodiments, at least two of A, B or W comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, a gapmer has a sugar motif other than: E-K-K-(D)₉-K-K-E; E-E-E-E-K-(D)₉-E-E-E-E-E; E-K-K-K-(D)₉-K-K-K-E; K-E-E-K-(D)₉-K-E-E-K; K-D-D-K-(D)₉-K-D-D-K; K-E-K-E-K-(D)₉-K-E-K-E-K; K-D-K-D-K-(D)₉-K-D-K-D-K; E-K-E-K-(D)₉-K-E-K-E; E-E-E-E-E-K-(D)₉-E-E-E-E-E; or E-K-E-K-E-(D)₉-E-K-E-K-E, E-E-E-K-K-(D)₇-E-E-K, E-K-E-K-K-K-(D)₇-K-E-K-E, E-K-E-K-E-K-(D)₇-K-E-K-E, wherein K is a nucleoside comprising a cEt sugar moiety and E is a nucleoside comprising a 2′-MOE sugar moiety.

In certain embodiments a gapmer comprises a A-(D)₄-A-(D)₄-A-(D)₄-AA motif. In certain embodiments a gapmer comprises a B-(D)₄-A-(D)₄-A-(D)₄-AA motif. In certain embodiments a gapmer comprises a A-(D)₄-B-(D)₄-A-(D)₄-AA motif. In certain embodiments a gapmer comprises a A-(D)₄-A-(D)₄-B-(D)₄-AA motif. In certain embodiments a gapmer comprises a A-(D)₄-A-(D)₄-A-(D)₄-BA motif. In certain embodiments a gapmer comprises a A-(D)₄-A-(D)₄-A-(D)₄-BB motif. In certain embodiments a gapmer comprises a K-(D)₄-K-(D)₄-K-(D)₄-K-E motif xi. Certain Internucleoside Linkage Motifs

In certain embodiments, oligonucleotides comprise modified internucleoside linkages arranged along the oligonucleotide or region thereof in a defined pattern or modified internucleoside linkage motif. In certain embodiments, internucleoside linkages are arranged in a gapped motif, as described above for nucleoside motif. In such embodiments, the internucleoside linkages in each of two wing regions are different from the internucleoside linkages in the gap region. In certain embodiments the internucleoside linkages in the wings are phosphodiester and the internucleoside linkages in the gap are phosphorothioate. The nucleoside motif is independently selected, so such oligonucleotides having a gapped internucleoside linkage motif may or may not have a gapped nucleoside motif and if it does have a gapped nucleoside motif, the wing and gap lengths may or may not be the same.

In certain embodiments, oligonucleotides comprise a region having an alternating internucleoside linkage motif. In certain embodiments, oligonucleotides of the present invention comprise a region of uniformly modified internucleoside linkages. In certain such embodiments, the oligonucleotide comprises a region that is uniformly linked by phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide is uniformly linked by phosphorothioate. In certain embodiments, each internucleoside linkage of the oligonucleotide is selected from phosphodiester and phosphorothioate. In certain embodiments, each internucleoside linkage of the oligonucleotide is selected from phosphodiester and phosphorothioate and at least one internucleoside linkage is phosphorothioate.

In certain embodiments, the oligonucleotide comprises at least 6 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least 8 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least 10 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 6 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 8 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 10 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least block of at least one 12 consecutive phosphorothioate internucleoside linkages. In certain such embodiments, at least one such block is located at the 3′ end of the oligonucleotide. In certain such embodiments, at least one such block is located within 3 nucleosides of the 3′ end of the oligonucleotide.

In certain embodiments, oligonucleotides comprise one or more methylphosponate linkages. In certain embodiments, oligonucleotides having a gapmer nucleoside motif comprise a linkage motif comprising all phosphorothioate linkages except for one or two methylphosponate linkages. In certain embodiments, one methylphosponate linkage is in the central gap of an oligonucleotide having a gapmer nucleoside motif

xii. Certain Modification Motifs

Modification motifs define oligonucleotides by nucleoside motif (sugar motif and nucleobase motif) and linkage motif For example, certain oligonucleotides have the following modification motif:

A_sA_sA_sD_sD_sD_sD_s(^ND)_sD_sD_sD_sD_sB_sB_sB;

• • wherein each A is a modified nucleoside comprising a 2′-substituted sugar moiety; each D is an unmodified 2′-deoxynucleoside; each B is a modified nucleoside comprising a bicyclic sugar moiety; ^ND is a modified nucleoside comprising a modified nucleobase; and s is a phosphorothioate internucleoside linkage. Thus, the sugar motif is a gapmer motif. The nucleobase modification motif is a single modified nucleobase at 8^th nucleoside from the 5′-end. Combining the sugar motif and the nucleobase modification motif, the nucleoside motif is an interrupted gapmer where the gap of the sugar modified gapmer is interrupted by a nucleoside comprising a modified nucleobase. The linkage motif is uniform phosphorothioate. The following non-limiting Table further illustrates certain modification motifs:

TABLE 13
Certain Modification Motifs
5′-wing region	Central gap region	3′-wing region
BsBs	sDsDsDsDsDsDsDsDsDs	AsAsAsAsAsAsAsA
AsBsBs	DsDsDsDsDsDsDsDsDs	BsBsA
AsBsBs	DSDSDSDS(ND)SDSDSDSDS	BsBsA
AsBsBs	DsDsDsDsAsDsDsDsDs	BsBsA
AsBsBs	DsDsDsDsBsDsDsDsDs	BsBsA
AsBsBs	DsDsDsDsWsDsDsDsDs	BsBsA
AsBsBsBs	DsDsDsDsDsDsDsDsDs	BsBsAsBsB
AsBsBs	DsDsDsDsDsDsDsDsDs	BsBsAsBsB
BsBsAsBsBs	DsDsDsDsDsDsDsDsDs	BsBsA
AsBsBs	DsDsDsDsDsDsDsDsDs	BsBsAsBsBsBsB
AsAsBsAsAs	DsDsDsDsDsDsDsDsDs	BsBsA
AsAsAsBsAsAs	DsDsDsDsDsDsDsDsDs	BsBsA
AsAsBsAsAs	DsDsDsDsDsDsDsDsDs	AsAsBsAsA
AsAsAsBsAsAs	DsDsDsDsDsDsDsDsDs	AsAsBsAsAsA
AsAsAsAsBsAsAs	DsDsDsDsDsDsDsDsDs	BsBsA
AsBsAsBs	DsDsDsDsDsDsDsDsDs	BsAsBsA
AsBsAsBs	DsDsDsDsDsDsDsDsDs	AsAsBsAsAs
AsBsBs	DsDsDsDsDsDsDsDsDs	BsAsBsA
BsBsAsBsBsBsB	DsDsDsDsDsDsDsDsDs	BsAsBsA
AsAsAsAsAs	DsDsDsDsDsDsDsDsDs	AsAsAsAsA
AsAsAsAsAs	DsDsDsDsDsDsDs	AsAsAsAsA
AsAsAsAsAs	DsDsDsDsDsDsDsDsDs	BsBsAsBsBsBsB
AsAsAsBsBs	DsDsDsDsDsDsDs	BsBsA
AsBsAsBs	DsDsDsDsDsDsDsDs	BsBsA
AsBsAsBs	DsDsDsDsDsDsDs	AsAsAsBsBs
AsAsAsAsBs	DsDsDsDsDsDsDs	BsAsAsAsA
BsBs	DsDsDsDsDsDsDsDs	AsA
AsAs	DsDsDsDsDsDsDs	AsAsAsAsAsAsAsA
AsAsAs	DsDsDsDsDsDsDs	AsAsAsAsAsAsA
AsAsAs	DsDsDsDsDsDsDs	AsAsAsAsAsA
AsBs	DsDsDsDsDsDsDs	BsBsBsA
AsBsBsBs	DsDsDsDsDsDsDsDsDs	BsA
AsBs	DsDsDsDsDsDsDsDsDs	BsBsBsA
AsAsAsBsBs	DsDsDs(ND)sDsDsDs	BsBsAsAsA
AsAsAsBsBs	DsDsDsAsDsDsDs	BsBsAsAsA
AsAsAsBsBs	DsDsDsBsDsDsDs	BsBsAsAsA
AsAsAsAsBs	DsDsDsDsDsDsDs	BsAsAsAsA
AsAsBsBsBs	DsDsDsDsDsDsDs	BsBsBsAsA
AsAsAsAsBs	DsDsDsDsDsDsDs	AsAsAsAsAs
AsAsAsBsBs	DsDsDsDsDsDsDs	AsAsAsAsAs
AsAsBsBsBs	DsDsDsDsDsDsDs	AsAsAsAsAs
AsAsAsAsAs	DsDsDsDsDsDsDs	BsAsAsAsAs
AsAsAsAsAs	DsDsDsDsDsDsDs	BsBsAsAsAs
AsAsAsAsAs	DsDsDsDsDsDsDs	BsBsBsAsAs
AsBsBs	DsDsDsDs(ND)s(ND)sDsDsDs	BsBsA
AsBsBs	Ds(ND)s(ND)sDs(ND)s(ND)sDs	BsBsA
	(ND)s(ND)s
AsBsBs	Ds(ND)sDsDsDsDsDsDsDs	BsBsA
AsBsBs	DsDs(ND)sDsDsDsDsDsDs	BsBsA
AsBsBs	Ds(ND)s(ND)sDsDsDsDsDsDs	BsBsA
AsBsBs	DsDs(D)zDsDsDsDsDsDs	BsBsA
AsBsBs	Ds(D)zDsDsDsDsDsDsDs	BsBsA
AsBsBs	(D)zDsDsDsDsDsDsDsDs	BsBsA
AsBsBs	DsDsAsDsDsDsDsDsDs	BsBsA
AsBsBs	DsDsBsDsDsDsDsDsDs	BsBsA
AsBsBs	AsDsDsDsDsDsDsDsDs	BsBsA
AsBsBs	BsDsDsDsDsDsDsDsDs	BsBsA
AsBsAsBs	DsDs(D)zDsDsDsDsDsDs	BsBsBsAsAs
AsAsAsBsBs	DSDS(ND)SDSDSDSDSDSDS	ASA
AsBsBsBs	Ds(D)zDsDsDsDsDsDsDs	AsAsAsBsBs
AsBsBs	DsDsDsDsDsDsDsDs(D)z	BsBsA
AsAsBsBsBs	DsDsDsAsDsDsDs	BsBsBsAsA
AsAsBsBsBs	DsDsDsBsDsDsDs	BsBsBsAsA
AsBsAsBs	DsDsDsAsDsDsDs	BsBsAsBsBsBsB
AsBsBsBs	DsDsDsDs(D)zDsDsDsDs	BSA
AsAsBsBsBs	DsDsAsAsDsDsDs	BsBsA
AsBsBs	DsDsDsDs(D)zDsDsDsDs	BsBsBsA
BsBs	DsDs(ND)sDs(ND)sDsDsDsDs	BsBsAsBsBsBsB

wherein each A and B are nucleosides comprising differently modified sugar moieties, each D is a nucleoside comprising an unmodified 2′deoxy sugar moiety, each W is a modified nucleoside of either the first type, the second type or a third type, each ^ND is a modified nucleoside comprising a modified nucleobase, s is a phosphorothioate internucleoside linkage, and z is a non-phosphorothioate internucleoside linkage. In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-subsituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises an F-HNA.

In certain embodiments, each W comprises a modified sugar moiety. In certain embodiments, each

W comprises a 2′-substituted sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH₃ and O(CH₂)₂—OCH₃. In certain embodiments, each W comprises a 5′-substituted sugar moiety. In certain embodiments, each W comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each W comprises a bicyclic sugar moiety. In certain embodiments, each W comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each W comprises a sugar surrogate. In certain embodiments, each W comprises a sugar surrogate selected from among HNA and F-HNA.

In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or

B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-substituted sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-MOE sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-F sugar moiety.

In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-MOE sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-F sugar moiety.

In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety.

In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and C comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises 2-thio-thymidine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises sugar surrogate. In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar HNA surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.

In certain embodiments, at least two of A, B or W comprises a 2′-substituted sugar moiety, and the other comprises a bicyclic sugar moiety. In certain embodiments, at least two of A, B or W comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety.

c. Certain Overall Lengths

In certain embodiments, the present invention provides oligomeric compounds including oligonucleotides of any of a variety of ranges of lengths. In certain embodiments, the invention provides oligomeric compounds or oligonucleotides consisting of X to Y linked nucleosides, where X represents the fewest number of nucleosides in the range and Y represents the largest number of nucleosides in the range. In certain such embodiments, X and Y are each independently selected from 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, and 50; provided that X<Y. For example, in certain embodiments, the invention provides oligomeric compounds which comprise oligonucleotides consisting of 8 to 9, 8 to 10, 8 to 11, 8 to 12, 8 to 13, 8 to 14, 8 to 15, 8 to 16, 8 to 17, 8 to 18, 8 to 19, 8 to 20, 8 to 21, 8 to 22, 8 to 23, 8 to 24, 8 to 25, 8 to 26, 8 to 27, 8 to 28, 8 to 29, 8 to 30, 9 to 10, 9 to 11, 9 to 12, 9 to 13, 9 to 14, 9 to 15, 9 to 16, 9 to 17, 9 to 18, 9 to 19, 9 to 20, 9 to 21, 9 to 22, 9 to 23, 9 to 24, 9 to 25, 9 to 26, 9 to 27, 9 to 28, 9 to 29, 9 to 30, 10 to 11, 10 to 12, 10 to 13, 10 to 14, 10 to 15, 10 to 16, 10 to 17, 10 to 18, 10 to 19, 10 to 20, 10 to 21, 10 to 22, 10 to 23, 10 to 24, 10 to 25, 10 to 26, 10 to 27, 10 to 28, 10 to 29, 10 to 30, 11 to 12, 11 to 13, 11 to 14, 11 to 15, 11 to 16, 11 to 17, 11 to 18, 11 to 19, 11 to 20, 11 to 21, 11 to 22, 11 to 23, 11 to 24, 11 to 25, 11 to 26, 11 to 27, 11 to 28, 11 to 29, 11 to 30, 12 to 13, 12 to 14, 12 to 15, 12 to 16, 12 to 17, 12 to 18, 12 to 19, 12 to 20, 12 to 21, 12 to 22, 12 to 23, 12 to 24, 12 to 25, 12 to 26, 12 to 27, 12 to 28, 12 to 29, 12 to 30, 13 to 14, 13 to 15, 13 to 16, 13 to 17, 13 to 18, 13 to 19, 13 to 20, 13 to 21, 13 to 22, 13 to 23, 13 to 24, 13 to 25, 13 to 26, 13 to 27, 13 to 28, 13 to 29, 13 to 30, 14 to 15, 14 to 16, 14 to 17, 14 to 18, 14 to 19, 14 to 20, 14 to 21, 14 to 22, 14 to 23, 14 to 24, 14 to 25, 14 to 26, 14 to 27, 14 to 28, 14 to 29, 14 to 30, 15 to 16, 15 to 17, 15 to 18, 15 to 19, 15 to 20, 15 to 21, 15 to 22, 15 to 23, 15 to 24, 15 to 25, 15 to 26, 15 to 27, 15 to 28, 15 to 29, 15 to 30, 16 to 17, 16 to 18, 16 to 19, 16 to 20, 16 to 21, 16 to 22, 16 to 23, 16 to 24, 16 to 25, 16 to 26, 16 to 27, 16 to 28, 16 to 29, 16 to 30, 17 to 18, 17 to 19, 17 to 20, 17 to 21, 17 to 22, 17 to 23, 17 to 24, 17 to 25, 17 to 26, 17 to 27, 17 to 28, 17 to 29, 17 to 30, 18 to 19, 18 to 20, 18 to 21, 18 to 22, 18 to 23, 18 to 24, 18 to 25, 18 to 26, 18 to 27, 18 to 28, 18 to 29, 18 to 30, 19 to 20, 19 to 21, 19 to 22, 19 to 23, 19 to 24, 19 to 25, 19 to 26, 19 to 29, 19 to 28, 19 to 29, 19 to 30, 20 to 21, 20 to 22, 20 to 23, 20 to 24, 20 to 25, 20 to 26, 20 to 27, 20 to 28, 20 to 29, 20 to 30, 21 to 22, 21 to 23, 21 to 24, 21 to 25, 21 to 26, 21 to 27, 21 to 28, 21 to 29, 21 to 30, 22 to 23, 22 to 24, 22 to 25, 22 to 26, 22 to 27, 22 to 28, 22 to 29, 22 to 30, 23 to 24, 23 to 25, 23 to 26, 23 to 27, 23 to 28, 23 to 29, 23 to 30, 24 to 25, 24 to 26, 24 to 27, 24 to 28, 24 to 29, 24 to 30, 25 to 26, 25 to 27, 25 to 28, 25 to 29, 25 to 30, 26 to 27, 26 to 28, 26 to 29, 26 to 30, 27 to 28, 27 to 29, 27 to 30, 28 to 29, 28 to 30, or 29 to 30 linked nucleosides. In embodiments where the number of nucleosides of an oligomeric compound or oligonucleotide is limited, whether to a range or to a specific number, the oligomeric compound or oligonucleotide may, nonetheless further comprise additional other substituents. For example, an oligonucleotide comprising 8-30 nucleosides excludes oligonucleotides having 31 nucleosides, but, unless otherwise indicated, such an oligonucleotide may further comprise, for example one or more conjugates, terminal groups, or other substituents. In certain embodiments, a gapmer oligonucleotide has any of the above lengths.

Further, where an oligonucleotide is described by an overall length range and by regions having specified lengths, and where the sum of specified lengths of the regions is less than the upper limit of the overall length range, the oligonucleotide may have additional nucleosides, beyond those of the specified regions, provided that the total number of nucleosides does not exceed the upper limit of the overall length range.

d. Certain Oligonucleotides

In certain embodiments, oligonucleotides of the present invention are characterized by their modification motif and overall length. In certain embodiments, such parameters are each independent of one another. Thus, unless otherwise indicated, each internucleoside linkage of an oligonucleotide having a gapmer sugar motif may be modified or unmodified and may or may not follow the gapmer modification pattern of the sugar modifications. For example, the internucleoside linkages within the wing regions of a sugar-gapmer may be the same or different from one another and may be the same or different from the internucleoside linkages of the gap region. Likewise, such sugar-gapmer oligonucleotides may comprise one or more modified nucleobase independent of the gapmer pattern of the sugar modifications. One of skill in the art will appreciate that such motifs may be combined to create a variety of oligonucleotides. Herein if a description of an oligonucleotide or oligomeric compound is silent with respect to one or more parameter, such parameter is not limited. Thus, an oligomeric compound described only as having a gapmer sugar motif without further description may have any length, internucleoside linkage motif, and nucleobase modification motif. Unless otherwise indicated, all chemical modifications are independent of nucleobase sequence.

e. Certain Conjugate Groups

In certain embodiments, oligomeric compounds are modified by attachment of one or more conjugate groups. In general, conjugate groups modify one or more properties of the attached oligomeric compound including but not limited to pharmacodynamics, pharmacokinetics, stability, binding, absorption, cellular distribution, cellular uptake, charge and clearance. Conjugate groups are routinely used in the chemical arts and are linked directly or via an optional conjugate linking moiety or conjugate linking group to a parent compound such as an oligomeric compound, such as an oligonucleotide. Conjugate groups includes without limitation, intercalators, reporter molecules, polyamines, polyamides, polyethylene glycols, thioethers, polyethers, cholesterols, thiocholesterols, cholic acid moieties, folate, lipids, phospholipids, biotin, phenazine, phenanthridine, anthraquinone, adamantane, acridine, fluoresceins, rhodamines, coumarins and dyes. Certain conjugate groups have been described previously, for example: cholesterol moiety (Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86, 6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Let., 1994, 4, 1053-1060), a thioether, e.g., hexyl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660, 306-309; Manoharan et al., Bioorg. Med. Chem. Let., 1993, 3, 2765-2770), a thiocholesterol

(Oberhauser et al., Nucl. Acids Res., 1992, 20, 533-538), an aliphatic chain, e.g., do-decan-diol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10, 1111-1118; Kabanov et al., FEBS Lett., 1990, 259, 327-330; Svinarchuk et al., Biochimie, 1993, 75, 49-54), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethyl-ammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et al., Nucl. Acids Res., 1990, 18, 3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14, 969-973), or adamantane acetic acid (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654), a palmityl moiety (Mishra et al., Biochim Biophys. Acta, 1995, 1264, 229-237), or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277, 923-937).

In certain embodiments, a conjugate group comprises an active drug substance, for example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen, fen-bufen, ketoprofen, (S)-(+)-pranoprofen, carprofen, dansylsarcosine, 2,3,5-triiodobenzoic acid, flufenamic acid, folinic acid, a benzothiadiazide, chlorothiazide, a diazepine, indo-methicin, a barbiturate, a cephalosporin, a sulfa drug, an antidiabetic, an antibacterial or an antibiotic.

In certain embodiments, conjugate groups are directly attached to oligonucleotides in oligomeric compounds. In certain embodiments, conjugate groups are attached to oligonucleotides by a conjugate linking group. In certain such embodiments, conjugate linking groups, including, but not limited to, bifunctional linking moieties such as those known in the art are amenable to the compounds provided herein. Conjugate linking groups are useful for attachment of conjugate groups, such as chemical stabilizing groups, functional groups, reporter groups and other groups to selective sites in a parent compound such as for example an oligomeric compound. In general a bifunctional linking moiety comprises a hydrocarbyl moiety having two functional groups. One of the functional groups is selected to bind to a parent molecule or compound of interest and the other is selected to bind essentially any selected group such as chemical functional group or a conjugate group. In some embodiments, the conjugate linker comprises a chain structure or an oligomer of repeating units such as ethylene glycol or amino acid units. Examples of functional groups that are routinely used in a bifunctional linking moiety include, but are not limited to, electrophiles for reacting with nucleophilic groups and nucleophiles for reacting with electrophilic groups. In some embodiments, bifunctional linking moieties include amino, hydroxyl, carboxylic acid, thiol, unsaturations (e.g., double or triple bonds), and the like.

Some nonlimiting examples of conjugate linking moieties include pyrrolidine, 8-amino-3,6-dioxaoctanoic acid (ADO), succinimidyl 4-(N-maleimidomethyl) cyclohexane-1-carboxylate (SMCC) and 6-aminohexanoic acid (AHEX or AHA). Other linking groups include, but are not limited to, substituted C₁-C₁₀ alkyl, substituted or unsubstituted C₂-C₁₀ alkenyl or substituted or unsubstituted C₂-C₁₀ alkynyl, wherein a nonlimiting list of preferred substituent groups includes hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro, thiol, thioalkoxy, halogen, alkyl, aryl, alkenyl and alkynyl.

Conjugate groups may be attached to either or both ends of an oligonucleotide (terminal conjugate groups) and/or at any internal position.

In certain embodiments, conjugate groups are at the 3′-end of an oligonucleotide of an oligomeric compound. In certain embodiments, conjugate groups are near the 3′-end. In certain embodiments, conjugates are attached at the 3′end of an oligomeric compound, but before one or more terminal group nucleosides. In certain embodiments, conjugate groups are placed within a terminal group.

In certain embodiments, the present invention provides oligomeric compounds. In certain embodiments, oligomeric compounds comprise an oligonucleotide. In certain embodiments, an oligomeric compound comprises an oligonucleotide and one or more conjugate and/or terminal groups. Such conjugate and/or terminal groups may be added to oligonucleotides having any of the motifs discussed above. Thus, for example, an oligomeric compound comprising an oligonucleotide having region of alternating nucleosides may comprise a terminal group.

C. ANTISENSE COMPOUNDS

In certain embodiments, oligomeric compounds provided herein are antisense compounds. Such antisense compounds are capable of hybridizing to a target nucleic acid, resulting in at least one antisense activity. In certain embodiments, antisense compounds specifically hybridize to one or more target nucleic acid. In certain embodiments, a specifically hybridizing antisense compound has a nucleobase sequence comprising a region having sufficient complementarity to a target nucleic acid to allow hybridization and result in antisense activity and insufficient complementarity to any non-target so as to avoid non-specific hybridization to any non-target nucleic acid sequences under conditions in which specific hybridization is desired (e.g., under physiological conditions for in vivo or therapeutic uses, and under conditions in which assays are performed in the case of in vitro assays).

In certain embodiments, the present invention provides antisense compounds comprising oligonucleotides that are fully complementary to the target nucleic acid over the entire length of the oligonucleotide. In certain embodiments, oligonucleotides are 99% complementary to the target nucleic acid. In certain embodiments, oligonucleotides are 95% complementary to the target nucleic acid. In certain embodiments, such oligonucleotides are 90% complementary to the target nucleic acid.

In certain embodiments, such oligonucleotides are 85% complementary to the target nucleic acid. In certain embodiments, such oligonucleotides are 80% complementary to the target nucleic acid. In certain embodiments, an antisense compound comprises a region that is fully complementary to a target nucleic acid and is at least 80% complementary to the target nucleic acid over the entire length of the oligonucleotide. In certain such embodiments, the region of full complementarity is from 6 to 14 nucleobases in length.

a. Certain Antisense Activities and Mechanisms

In certain antisense activities, hybridization of an antisense compound results in recruitment of a protein that cleaves of the target nucleic acid. For example, certain antisense compounds result in RNase H mediated cleavage of target nucleic acid. RNase H is a cellular endonuclease that cleaves the RNA strand of an RNA:DNA duplex. The “DNA” in such an RNA:DNA duplex, need not be unmodified DNA. In certain embodiments, the invention provides antisense compounds that are sufficiently “DNA-like” to elicit RNase H activity. Such DNA-like antisense compounds include, but are not limited to gapmers having unmodified deoxyfuronose sugar moieties in the nucleosides of the gap and modified sugar moieties in the nucleosides of the wings.

Antisense activities may be observed directly or indirectly. In certain embodiments, observation or detection of an antisense activity involves observation or detection of a change in an amount of a target nucleic acid or protein encoded by such target nucleic acid; a change in the ratio of splice variants of a nucleic acid or protein; and/or a phenotypic change in a cell or animal.

In certain embodiments, compounds comprising oligonucleotides having a gapmer nucleoside motif described herein have desirable properties compared to non-gapmer oligonucleotides or to gapmers having other motifs. In certain circumstances, it is desirable to identify motifs resulting in a favorable combination of potent antisense activity and relatively low toxicity. In certain embodiments, compounds of the present invention have a favorable therapeutic index (measure of activity divided by measure of toxicity).

b. Certain Selective Antisense Compounds

In certain embodiments, antisense compounds provided are selective for a target relative to a non-target nucleic acid. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 4 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 3 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 2 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by a single differentiating nucleobase in the targeted region. In certain embodiments, the target and non-target nucleic acids are transcripts from different genes. In certain embodiments, the target and non-target nucleic acids are different alleles for the same gene. In certain embodiments, the introduction of a mismatch between an antisense compound and a non-target nucleic acid may alter the RNase H cleavage site of a target nucleic acid compared to a non-target nucleic acid. In certain embodiments, the target and non-target nucleic acids are not functionally related to one another (e.g., are transcripts from different genes). In certain embodiments, the target and not-target nucleic acids are allelic variants of one another. In certain embodiments, the allelic variant contains a single nucleotide polymorphism (SNP). In certain embodiments, a SNP is associated with a mutant allele. In certain embodiments, a mutant SNP is associated with a disease. In certain embodiments a mutant SNP is associated with a disease, but is not causative of the disease. In certain embodiments, mRNA and protein expression of a mutant allele is associated with disease.

Selectivity of antisense compounds is achieved, principally, by nucleobase complementarity. For example, if an antisense compound has no mismatches for a target nucleic acid and one or more mismatches for a non-target nucleic acid, some amount of selectivity for the target nucleic acid will result. In certain embodiments, provided herein are antisense compounds with enhanced selectivity (i.e. the ratio of activity for the target to the activity for non-target is greater). For example, in certain embodiments, a selective nucleoside comprises a particular feature or combination of features (e.g., chemical modification, motif, placement of selective nucleoside, and/or self-complementary region) that increases selectivity of an antisense compound compared to an antisense compound not having that feature or combination of features. In certain embodiments, such feature or combination of features increases antisense activity for the target. In certain embodiments, such feature or combination of features decreases activity for the target, but decreases activity for the non-target by a greater amount, thus resulting in an increase in selectivity.

Without being limited by mechanism, enhanced selectivity may result from a larger difference in the affinity of an antisense compound for its target compared to its affinity for the non-target and/or a larger difference in RNase H activity for the resulting duplexes. For example, in certain embodiments, a selective antisense compound comprises a modified nucleoside at that same position as a differentiating nucleobase (i.e., the selective nucleoside is modified). That modification may increase the difference in binding affinity of the antisense compound for the target relative to the non-target. In addition or in the alternative, the chemical modification may increase the difference in RNAse H activity for the duplex formed by the antisense compound and its target compared to the RNase activity for the duplex formed by the antisense compound and the non-target. For example, the modification may exaggerate a structure that is less compatible for RNase H to bind, cleave and/or release the non-target.

In certain embodiments, an antisense compound binds its intended target to form a target duplex. In certain embodiments, RNase H cleaves the target nucleic acid of the target duplex. In certain such embodiments, there is a primary cleavage site between two particular nucleosides of the target nucleic acid (the primary target cleavage site), which accounts for the largest amount of cleavage of the target nucleic acid. In certain nembodiments, there are one or more secondary target cleavage sites. In certain embodiments, the same antisence compound hybridizes to a non-target to form a non-target duplex. In certain such embodiments, the non-target differs from the target by a single nucleobase within the target region, and so the antisense compound hybridizes with a single mismatch. Because of the mismatch, in certain embodiments, RNase H cleavage of the non-target may be reduced compared to cleavage of the target, but still occurs. In certain embodiments, though, the primary site of that cleavage of the non-target nucleic acid (primary non-target cleavage site) is different from that of the target. That is; the primary site is shifted due to the mismatch. In such a circumstance, one may use a modification placed in the antisense compound to disrupt RNase H cleavage at the primary non-target cleavage site. Such modification will result in reduced cleavage of the non-target, but will result little or no decrease in cleavage of the target. In certain embodiments, the modification is a modified sugar, nucleobase and/or linkage.

In certain embodiments, the primary non-target cleavage site is towards the 5′-end of the antisense compound, and the 5′-end of an antisense compound may be modified to prevent RNaseH cleavage. In this manner, it is thought that one having skill in the art may modify the 5′-end of an antisense compound, or modify the nucleosides in the gap region of the 5′-end of the antisense compound, or modify the 3′-most 5′-region nucleosides of the antisense compound to selectively inhibit RNaseH cleavage of the non-target nucleic acid duplex while retaining RNase H cleavage of the target nucleic acid duplex. In certain embodiments, 1-3 of the 3′-most 5′-region nucleosides of the antisense compound comprises a bicyclic sugar moiety.

For example, in certain embodiments the target nucleic acid may have an allelic variant, e.g. a non-target nucleic acid, containing a single nucleotide polymorphism. An antisense compound may be designed having a single nucleobase mismatch from the non-target nucleic acid, but which has full complementarity to the target nucleic acid. The mismatch between the antisense compound and the non-target nucleic acid may destabilize the antisense compound non-target nucleic acid duplex, and consequently the cleavage site of RNaseH may shift upstream towards the 5′-end of the antisense compound. Modification of the 5′-end of the antisense compound or the gap region near the 5′-end of the antisense compound, or one or more of the 3′-most nucleosides of the 5′-wing region, will then prevent RNaseH cleavage of the non-target nucleic acid. Since the target nucleic acid is fully complementary to the antisense compound, the antisense compound and the target nucleic acid will form a more stabilized antisense compound-target nucleic acid duplex and the cleavage site of RnaseH will be more downstream, towards the 3′ end of the antisense compound. Accordingly, modifications at the 5′-end of the antisense compound will prevent RNaseH cleavage of the non-target nucleic acid, but will not substantially effect RNaseH cleavage of the target nucleic acid, and selectivity between a target nucleic acid and its allelic variant may be achieved. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises a bicyclic sugar moiety. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises a bicyclic sugar moiety selected from cEt and LNA. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises cEt. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises LNA.

In certain embodiments, the introduction of a mismatch between an antisense compound and a target nucleic acid may alter the RNase H cleavage site of a target nucleic acid compared to a non-target nucleic acid by shifting the RNaseH cleavage site downstream from the mismatch site and towards the 3′-end of the antisense compound. In certain embodiments where the cleavage site of a target nucleic acid compared to a non-target nucleic acid has shifted downstream towards the 3′-end of the antisense compound, the 3′-end of an antisense compound may be modified to prevent RNaseH cleavage. In this manner, it is thought that one having skill in the art may modify the 3′-end of an antisense compound, or modify the nucleosides in the gap region near the 3′-end of antisense compound, to selectively inhibit RNaseH cleavage of the non-target nucleic acid while retaining RNase H cleavage of the target nucleic acid.

For example, in certain embodiments the target nucleic acid may have an allelic variant, e.g. a non-target nucleic acid, containing a single nucleotide polymorphism. An antisense compound may be designed having a single nucleobase mismatch from the non-target nucleic acid, but which has full complementarity to target nucleic acid. The mismatch between the antisense compound and the non-target nucleic acid may destabilize the antisense compound-non-target nucleic acid duplex, and consequently the cleavage site of RNaseH may shift downstream towards the 3′-end of the antisense compound. Modification of the 3′-end of the antisense compound, or one or more of the 5′-most nucleosides of the 3′-wing region, or the gap region of the antisense compound near the 3′-end will then prevent RNaseH cleavage of the non-target nucleic acid. Since the target nucleic acid is fully complementary to the antisense compound, the antisense compound and the target nucleic acid will form a more stabilized antisense compound-target nucleic acid duplex and the cleavage site of RnaseH will be more upstream, towards the 5′ end of the antisense compound. Accordingly, modifications at the 3′-end of the antisense compound will prevent RNaseH cleavage of the non-target nucleic acid, but will not substantially effect RNaseH cleavage of the target nucleic acid, and selectivity between a target nucleic acid and its allelic variant may be achieved. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises a bicyclic sugar moiety. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises a bicyclic sugar moiety selected from cEt and LNA. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises cEt. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises LNA.

In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of five bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside are selected from among cEt, cMOE, LNA, α-LNA, ENA and 2′-thio LNA. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise cEt. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise LNA.

In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicylic nucleosides at the 5′-most 3′-wing nucleoside.

In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of five bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside are selected from among cEt, cMOE, LNA, α-LNA, ENA and 2′-thio LNA. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise cEt. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise LNA.

Antisense compounds having certain specified motifs have enhanced selectivity, including, but not limited to motifs described above. In certain embodiments, enhanced selectivity is achieved by oligonucleotides comprising any one or more of:

a modification motif comprising a long 5′-wing (longer than 5, 6, or 7 nucleosides);

a modification motif comprising a long 3′-wing (longer than 5, 6, or 7 nucleosides);

a modification motif comprising a short gap region (shorter than 8, 7, or 6 nucleosides); and

a modification motif comprising an interrupted gap region (having no uninterrupted stretch of unmodified 2′-deoxynucleosides longer than 7, 6 or 5).

i. Certain Selective Nucleobase Sequence Elements

In certain embodiments, selective antisense compounds comprise nucleobase sequence elements. Such nucleobase sequence elements are independent of modification motifs. Accordingly, oligonucleotides having any of the motifs (modification motifs, nucleoside motifs, sugar motifs, nucleobase modification motifs, and/or linkage motifs) may also comprise one or more of the following nucleobase sequence elements.

ii. Alignment of Differentiating Nucleobase/Target-Selective Nucleoside

In certain embodiments, a target region and a region of a non-target nucleic acid differ by 1-4 differentiating nucleobase. In such embodiments, selective antisense compounds have a nucleobase sequence that aligns with the non-target nucleic acid with 1-4 mismatches. A nucleoside of the antisense compound that corresponds to a differentiating nucleobase of the target nucleic acid is referred to herein as a target-selective nucleoside. In certain embodiments, selective antisense compounds having a gapmer motif align with a non-target nucleic acid, such that a target-selective nucleoside is positioned in the gap. In certain embodiments, a target-selective nucleoside is the 1^st nucleoside of the gap from the 5′ end. In certain embodiments, a target-selective nucleoside is the 2^nd nucleoside of the gap from the 5′ end. In certain embodiments, a target-selective nucleoside is the 3^rd nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 4^th nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 5^th nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 6^rd nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 8^th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 7^th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 6^th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 5^th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 4^th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 3^rd nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 2^nd nucleoside of the gap from the 3′-end.

In certain embodiments, a target-selective nucleoside comprises a modified nucleoside. In certain embodiments, a target-selective nucleoside comprises a modified sugar. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate selected from among HNA and F-HNA. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate selected from among F-CeNA, FRNA, and FANA. In certain embodiments, a target-selective nucleoside comprises a 2′-substituted sugar moiety. In certain embodiments, a target-selective nucleoside comprises a 2′-substituted sugar moiety selected from among MOE, F and (ara)-F. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety selected from 5′-(R)-Me DNA. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety selected from 5′-(S)-Me DNA. In certain embodiments, a target-selective nucleoside comprises a bicyclic sugar moiety. In certain embodiments, a target-selective nucleoside comprises a bicyclic sugar moiety selected from among cEt, and α-L-LNA. In certain embodiments, a target-selective nucleoside comprises a modified nucleobase. In certain embodiments, a target-selective nucleoside comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine.

In certain embodiments, a modification at position 4 from the 5′-end increases selectivity. In certain embodiments, a modification at position 5 from the 5′-end increases selectivity. In certain embodiments, a modification at position 7 from the 5′-end increases selectivity. In certain embodiments, a modification at position 8 from the 5′-end increases potency and selectivity. In certain embodiments, a modification at position 9 from the 5′-end increases potency. In certain embodiments, a modification at position 10 from the 5′-end increases selectivity. In certain embodiments, a modification at position 11 from the 5′-end increases selectivity. In certain embodiments, a modification at position 12 from the 5′-end increases potency. In certain embodiments, an S-5′-Me-DNA modification increases allele selectivity.

iii. Mismatches to the Target Nucleic Acid

In certain embodiments, selective antisense compounds comprise one or more mismatched nucleobases relative to the target nucleic acid. In certain such embodiments, antisense activity against the target is reduced by such mismatch, but activity against the non-target is reduced by a greater amount. Thus, in certain embodiments selectivity is improved. Any nucleobase other than the differentiating nucleobase is suitable for a mismatch. In certain embodiments, however, the mismatch is specifically positioned within the gap of an oligonucleotide having a gapmer motif. In certain embodiments, a mismatch relative to the target nucleic acid is at positions 1, 2, 3, 4, 5, 6, 7, or 8 from the 5′-end of the gap region. In certain embodiments, a mismatch relative to the target nucleic acid is at positions 9, 8, 7, 6, 5, 4, 3, 2, 1 of the antisense compounds from the 3′-end of the gap region. In certain embodiments, a mismatch relative to the target nucleid acid is at positions 1, 2, 3, or 4 of the antisense compounds from the 5′-end of the wing region. In certain embodiments, a mismatch relative to the target nucleid acid is at positions 4, 3, 2, or 1 of the antisense compounds from the 3′-end of the wing region.

iv. Self Complementary Regions

In certain embodiments, selective antisense compounds comprise a region that is not complementary to the target. In certain embodiments, such region is complementary to another region of the antisense compound. Such regions are referred to herein as self-complementary regions. For example, in certain embodiments, an antisense compound has a first region at one end that is complementary to a second region at the other end. In certain embodiments, one of the first and second regions is complementary to the target nucleic acid. Unless the target nucleic acid also includes a self-complementary region, the other of the first and second region of the antisense compound will not be complementary to the target nucleic acid. For illustrative purposes, certain antisense compounds have the following nucleobase motif:

ABCXXXXXXXXXC′B′A′;

ABCXXXXXXX(X/C′)(X/B′)(X/A′);

(X/A)(X/B)(X/C)XXXXXXXXXC′B′A′

where each of A, B, and C are any nucleobase; A′, B′, and C′ are the complementary bases to A, B, and C, respectively; each X is a nucleobase complementary to the target nucleic acid; and two letters in parentheses (e.g., (X/C′)) indicates that the nucleobase is complementary to the target nucleic acid and to the designated nucleoside within the antisense oligonucleotide.

Without being bound to any mechanism, in certain embodiments, such antisense compounds are expected to form self-structure, which is disrupted upon contact with a target nucleic acid. Contact with a non-target nucleic acid is expected to disrupt the self-structure to a lesser degree, thus increasing selectivity compared to the same antisense compound lacking the self-complementary regions.

v. Combinations of features

Though it is clear to one of skill in the art, the above motifs and other elements for increasing selectivity may be used alone or in combination. For example, a single antisense compound may include any one, two, three, or more of: self-complementary regions, a mismatch relative to the target nucleic acid, a short nucleoside gap, an interrupted gap, and specific placement of the selective nucleoside.

D. CERTAIN TARGET NUCLEIC ACIDS

In certain embodiments, antisense compounds comprise or consist of an oligonucleotide comprising a region that is complementary to a target nucleic acid. In certain embodiments, the target nucleic acid is an endogenous RNA molecule. In certain embodiments, the target nucleic acid is a non-coding RNA. In certain such embodiments, the target non-coding RNA is selected from: a long-non-coding RNA, a short non-coding RNA, an intronic RNA molecule, a snoRNA, a scaRNA, a microRNA (including pre-microRNA and mature microRNA), a ribosomal RNA, and promoter directed RNA. In certain embodiments, the target nucleic acid encodes a protein. In certain such embodiments, the target nucleic acid is selected from: an mRNA and a pre-mRNA, including intronic, exonic and untranslated regions. In certain embodiments, oligomeric compounds are at least partially complementary to more than one target nucleic acid. For example, antisense compounds of the present invention may mimic microRNAs, which typically bind to multiple targets. In certain embodiments, the target nucleic acid is a nucleic acid other than a mature mRNA. In certain embodiments, the target nucleic acid is a nucleic acid other than a mature mRNA or a microRNA. In certain embodiments, the target nucleic acid is a non-coding RNA other than a microRNA. In certain embodiments, the target nucleic acid is a non-coding RNA other than a microRNA or an intronic region of a pre-mRNA. In certain embodiments, the target nucleic acid is a long non-coding RNA. In certain embodiments, the target RNA is an mRNA. In certain embodiments, the target nucleic acid is a pre-mRNA.

In certain such embodiments, the target region is entirely within an intron. In certain embodiments, the target region spans an intron/exon junction. In certain embodiments, the target region is at least 50% within an intron. In certain embodiments, the target nucleic acid is selected from among non-coding RNA, including exonic regions of pre-mRNA. In certain embodiments, the target nucleic acid is a ribosomal RNA (rRNA). In certain embodiments, the target nucleic acid is a non-coding RNA associated with splicing of other pre-mRNAs. In certain embodiments, the target nucleic acid is a nuclear-retained non-coding RNA.

In certain embodiments, antisense compounds described herein are complementary to a target nucleic acid comprising a single-nucleotide polymorphism. In certain such embodiments, the antisense compound is capable of modulating expression of one allele of the single-nucleotide polymorphism-containing-target nucleic acid to a greater or lesser extent than it modulates another allele. In certain embodiments an antisense compound hybridizes to a single-nucleotide polymorphism-containing-target nucleic acid at the single-nucleotide polymorphism site. In certain embodiments, the target nucleic acid is a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is a single-nucleotide polymorphism-containing-target nucleic acid of a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is not a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is a single-nucleotide polymorphism-containing-target nucleic acid of a gene transcript other than Huntingtin. In certain embodiments, the target nucleic acid is any nucleic acid other than a Huntingtin gene transcript.

a. Single-Nucleotide Polymorphism

In certain embodiments, the invention provides selective antisense compounds that have greater activity for a target nucleic acid than for a homologous or partially homologous non-target nucleic acid. In certain such embodiments, the target and non-target nucleic acids are not functionally related to one another (e.g., are transcripts from different genes). In certain embodiments, the target and not-targe nucleic acids are allelic variants of one another. Certain embodiments of the present invention provide methods, compounds, and compositions for selectively inhibiting mRNA and protein expression of an allelic variant of a particular gene or DNA sequence. In certain embodiments, the allelic variant contains a single nucleotide polymorphism (SNP). In certain embodiments, a SNP is associated with a mutant allele. In certain embodiments, a mutant SNP is associated with a disease. In certain embodiments a mutant SNP is associated with a disease, but is not causative of the disease. In certain embodiments, mRNA and protein expression of a mutant allele is associated with disease.

In certain embodiments, the expressed gene product of a mutant allele results in aggregation of the mutant proteins causing disease. In certain embodiments, the expressed gene product of a mutant allele results in gain of function causing disease. In certain embodiments, genes with an autosomal dominant mutation resulting in a toxic gain of function of the protein are the APP gene encoding amyloid precursor protein involved in Alzheimer's disease (Gene, 371: 68, 2006); the PrP gene encoding prion protein involved in Creutzfeldt-Jakob disease and in fatal familial insomnia (Nat. Med. 1997, 3: 1009); GFAP gene encoding glial fibrillary acidic protein involved in Alexander disease (J. Neurosci. 2006, 26:111623); alpha-synuclein gene encoding alpha-synuclein protein involved in Parkinson's disease (J. Clin. Invest. 2003, 111: 145); SOD-1 gene encoding the SOD-1 protein involved in amyotrophic lateral sclerosis (Science 1998, 281: 1851); atrophin-1 gene encoding atrophin-1 protein involved in dentato-rubral and pallido-luysian atrophy (DRPA) (Trends Mol. Med. 2001, 7: 479); SCA1 gene encoding ataxin-1 protein involved in spino-cerebellar ataxia-1 (SCA1) (Protein Sci. 2003, 12: 953); PLP gene encoding proteolipid protein involved in Pelizaeus-Merzbacher disease (NeuroMol Med. 2007, 4: 73); DYT1 gene encoding torsinA protein involved in Torsion dystonia (Brain Res. 2000, 877: 379); and alpha-B crystalline gene encoding alpha-B crystalline protein involved in protein aggregation diseases, including cardiomyopathy (Cell 2007, 130: 427); alpha1-antitrypsin gene encoding alpha1-antitrypsin protein involved in chronic obstructive pulmonary disease (COPD), liver disease and hepatocellular carcinoma (New Engl J Med. 2002, 346: 45); Ltk gene encoding leukocyte tyrosine kinase protein involved in systemic lupus erythematosus (Hum. Mol. Gen. 2004, 13: 171); PCSK9 gene encoding PCSK9 protein involved in hypercholesterolemia (Hum Mutat. 2009, 30: 520); prolactin receptor gene encoding prolactin receptor protein involved in breast tumors (Proc. Natl. Assoc. Sci. 2008, 105: 4533); CCL5 gene encoding the chemokine CCL5 involved in COPD and asthma (Eur. Respir. J. 2008, 32: 327); PTPN22 gene encoding PTPN22 protein involved in Type 1 diabetes, Rheumatoid arthritis, Graves disease, and SLE (Proc. Natl. Assoc. Sci. 2007, 104: 19767); androgen receptor gene encoding the androgen receptor protein involved in spinal and bulbar muscular atrophy or Kennedy's disease (J Steroid Biochem. Mol. Biol. 2008, 108: 245); CHMP4B gene encoding chromatin modifying protein-4B involved in progressive childhood posterior subcapsular cataracts (Am. J. Hum. Genet 2007, 81: 596); FXR/NR1H4 gene encoding Farnesoid X receptor protein involved in cholesterol gallstone disease, arthrosclerosis and diabetes (Mol. Endocrinol. 2007, 21: 1769); ABCA1 gene encoding ABCA1 protein involved in cardiovascular disease (Transl. Res. 2007, 149: 205); CaSR gene encoding the calcium sensing receptor protein involved in primary hypercalciuria (Kidney Int. 2007, 71: 1155); alpha-globin gene encoding alpha-globin protein involved in alpha-thallasemia (Science 2006, 312: 1215); httlpr gene encoding HTTLPR protein involved in obsessive compulsive disorder (Am. J. Hum. Genet. 2006, 78: 815); AVP gene encoding arginine vasopressin protein in stress-related disorders such as anxiety disorders and comorbid depression (CNS Neurol. Disord. Drug Targets 2006, 5: 167); GNAS gene encoding G proteins involved in congenital visual defects, hypertension, metabolic syndrome (Trends Pharmacol. Sci. 2006, 27: 260); APAF1 gene encoding APAF1 protein involved in a predisposition to major depression (Mol. Psychiatry 2006, 11: 76); TGF-beta1 gene encoding TGF-beta1 protein involved in breast cancer and prostate cancer (Cancer Epidemiol. Biomarkers Prev. 2004, 13: 759); AChR gene encoding acetylcholine receptor involved in congential myasthenic syndrome (Neurology 2004, 62: 1090); P2Y12 gene encoding adenosine diphosphate (ADP) receptor protein involved in risk of peripheral arterial disease (Circulation 2003, 108: 2971); LQT1 gene encoding LQT1 protein involved in atrial fibrillation (Cardiology 2003, 100: 109); RET protooncogene encoding RET protein involved in sporadic pheochromocytoma (J. Clin. Endocrinol. Metab. 2003, 88: 4911); filamin A gene encoding filamin A protein involved in various congenital malformations (Nat. Genet. 2003, 33: 487); TARDBP gene encoding TDP-43 protein involved in amyotrophic lateral sclerosis (Hum. Mol. Gene.t 2010, 19: 671); SCA3 gene encoding ataxin-3 protein involved in Machado-Joseph disease (PLoS One 2008, 3: e3341); SCAT gene encoding ataxin-7 protein involved in spino-cerebellar ataxia-7 (PLoS One 2009, 4: e7232); and HTT gene encoding huntingtin protein involved in Huntington's disease (Neurobiol Dis. 1996, 3:183); and the CA4 gene encoding carbonic anhydrase 4 protein, CRX gene encoding cone-rod homeobox transcription factor protein, FSCN2 gene encoding retinal fascin homolog 2 protein, IMPDH1 gene encoding inosine monophosphate dehydrogenase 1 protein, NR2E3 gene encoding nuclear receptor subfamily 2 group E3 protein, NRL gene encoding neural retina leucine zipper protein, PRPF3 (RP18) gene encoding pre-mRNA splicing factor 3 protein, PRPF8 (RP13) gene encoding pre-mRNA splicing factor 8 protein, PRPF31 (RP11) gene encoding pre-mRNA splicing factor 31 protein, RDS gene encoding peripherin 2 protein, ROM1 gene encoding rod outer membrane protein 1 protein, RHO gene encoding rhodopsin protein, RP1 gene encoding RP1 protein, RPGR gene encoding retinitis pigmentosa GTPase regulator protein, all of which are involved in Autosomal Dominant Retinitis Pigmentosa disease (Adv Exp Med Biol. 2008, 613:203)

In certain embodiments, the mutant allele is associated with any disease from the group consisting of Alzheimer's disease, Creutzfeldt-Jakob disease, fatal familial insomnia, Alexander disease, Parkinson's disease, amyotrophic lateral sclerosis, dentato-rubral and pallido-luysian atrophy DRPA, spino-cerebellar ataxia, Torsion dystonia, cardiomyopathy, chronic obstructive pulmonary disease (COPD), liver disease, hepatocellular carcinoma, systemic lupus erythematosus, hypercholesterolemia, breast cancer, asthma, Type 1 diabetes, Rheumatoid arthritis, Graves disease, SLE, spinal and bulbar muscular atrophy, Kennedy's disease, progressive childhood posterior subcapsular cataracts, cholesterol gallstone disease, arthrosclerosis, cardiovascular disease, primary hypercalciuria, alpha-thallasemia, obsessive compulsive disorder, Anxiety, comorbid depression, congenital visual defects, hypertension, metabolic syndrome, prostate cancer, congential myasthenic syndrome, peripheral arterial disease, atrial fibrillation, sporadic pheochromocytoma, congenital malformations, Machado-Joseph disease, Huntington's disease, and Autosomal Dominant Retinitis Pigmentosa disease.

i. Certain Huntingtin Targets

In certain embodiments, an allelic variant of huntingtin is selectively reduced. Nucleotide sequences that encode huntingtin include, without limitation, the following: GENBANK Accession No. NT_—006081.18, truncated from nucleotides 1566000 to 1768000 (replaced by GENBANK Accession No. NT_—006051), incorporated herein as SEQ ID NO: 1, and NM_—002111.6, incorporated herein as SEQ ID NO: 574.

Table 14 provides SNPs found in the GM04022, GM04281, GMO2171, and GMO2173B cell lines. Also provided are the allelic variants found at each SNP position, the genotype for each of the cell lines, and the percentage of HD patients having a particular allelic variant. For example, the two allelic variants for SNP rs6446723 are T and C. The GM04022 cell line is heterozygous TC, the GMO2171 cell line is homozygous CC, the GMO2173 cell line is heterozygous TC, and the GM04281 cell line is homozygous TT.

Fifty percent of HD patients have a T at SNP position rs6446723.

TABLE 14
Allelic Variations for SNPs Associated with HD
SNP	Variation	GM04022	GM02171	GM02173	GM04281	TargetPOP	allele
rs6446723	T/C	TC	CC	TC	TT	0.50	T
rs3856973	A/G	AG	AA	AG	GG	0.50	G
rs2285086	A/G	AG	GG	AG	AA	0.50	A
rs363092	A/C	AC	AA	AC	CC	0.49	C
rs916171	C/G	GC	GG	GC	CC	0.49	C
rs6844859	T/C	TC	CC	TC	TT	0.49	T
rs7691627	A/G	AG	AA	AG	GG	0.49	G
rs4690073	A/G	AG	AA	AG	GG	0.49	G
rs2024115	A/G	AG	GG	AG	AA	0.48	A
rs11731237	T/C	CC	CC	TC	TT	0.43	T
rs362296	A/C	CC	AC	AC	AC	0.42	C
rs10015979	A/G	AA	AA	AG	GG	0.42	G
rs7659144	C/G	CG	CG	CG	CC	0.41	C
rs363096	T/C	CC	CC	TC	TT	0.40	T
rs362273	A/G	AA	AG	AG	AA	0.39	A
rs16843804	T/C	CC	TC	TC	CC	0.38	C
rs362271	A/G	GG	AG	AG	GG	0.38	G
rs362275	T/C	CC	TC	TC	CC	0.38	C
rs3121419	T/C	CC	TC	TC	CC	0.38	C
rs362272	A/G	GG	—	AG	GG	0.38	G
rs3775061	A/G	AA	AG	AG	AA	0.38	A
rs34315806	T/C	CC	TC	TC	CC	0.38	C
rs363099	T/C	CC	TC	TC	CC	0.38	C
rs2298967	T/C	TT	TC	TC	TT	0.38	T
rs363088	A/T	AA	TA	TA	AA	0.38	A
rs363064	T/C	CC	TC	TC	CC	0.35	C
rs363102	A/G	AG	AA	AA	AA	0.23	G
rs2798235	A/G	AG	GG	GG	GG	0.21	A
rs363080	T/C	TC	CC	CC	CC	0.21	T
rs363072	A/T	TA	TA	AA	AA	0.13	A
rs363125	A/C	AC	AC	CC	CC	0.12	C
rs362303	T/C	TC	TC	CC	CC	0.12	C
rs362310	T/C	TC	TC	CC	CC	0.12	C
rs10488840	A/G	AG	AG	GG	GG	0.12	G
rs362325	T/C	TC	TC	TT	TT	0.11	T
rs35892913	A/G	GG	GG	GG	GG	0.10	A
rs363102	A/G	AG	AA	AA	AA	0.09	A
rs363096	T/C	CC	CC	TC	TT	0.09	C
rs11731237	T/C	CC	CC	TC	TT	0.09	C
rs10015979	A/G	AA	AA	AG	GG	0.08	A
rs363080	T/C	TC	CC	CC	CC	0.07	C
rs2798235	A/G	AG	GG	GG	GG	0.07	G
rs1936032	C/G	GC	CC	CC	CC	0.06	C
rs2276881	A/G	GG	GG	GG	GG	0.06	G
rs363070	A/G	AA	AA	AA	AA	0.06	A
rs35892913	A/G	GG	GG	GG	GG	0.04	G
rs12502045	T/C	CC	CC	CC	CC	0.04	C
rs6446723	T/C	TC	CC	TC	TT	0.04	C
rs7685686	A/G	AG	GG	AG	AA	0.04	G
rs3733217	T/C	CC	CC	CC	CC	0.03	C
rs6844859	T/C	TC	CC	TC	TT	0.03	C
rs362331	T/C	TC	CC	TC	TT	0.03	C

E. CERTAIN INDICATIONS

In certain embodiments, provided herein are methods of treating an animal or individual comprising administering one or more pharmaceutical compositions as described herein. In certain embodiments, the individual or animal has Huntington's disease.

In certain embodiments, compounds targeted to huntingtin as described herein may be administered to reduce the severity of physiological symptoms of Huntington's disease. In certain embodiments, compounds targeted to huntingtin as described herein may be administered to reduce the rate of degeneration in an individual or an animal having Huntington's disease. In certain embodiments, compounds targeted to huntingtin as described herein may be administered regeneration function in an individual or an animal having Huntington's disease. In certain embodiments, symptoms of Huntingtin's disease may be reversed by treatment with a compound as described herein.

In certain embodiments, compounds targeted to huntingtin as described herein may be administered to ameliorate one or more symptoms of Huntington's disease. In certain embodiments administration of compounds targeted to huntingtin as described herein may improve the symptoms of Huntington's disease as measured by any metric known to those having skill in the art. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's rotaraod assay performance. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's plus maze assay. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's open field assay performance.

Accordingly, provided herein are methods for ameliorating a symptom associated with Huntington's disease in a subject in need thereof. In certain embodiments, provided is a method for reducing the rate of onset of a symptom associated with Huntington's disease. In certain embodiments, provided is a method for reducing the severity of a symptom associated with Huntington's disease. In certain embodiments, provided is a method for regenerating neurological function as shown by an improvement of a symptom associated with Huntington's disease. In such embodiments, the methods comprise administering to an individual or animal in need thereof a therapeutically effective amount of a compound targeted to a huntingtin nucleic acid.

Huntington's disease is characterized by numerous physical, neurological, psychiatric, and/or peripheral symptoms. Any symptom known to one of skill in the art to be associated with Huntington's disease can be ameliorated or otherwise modulated as set forth above in the methods described above. In certain embodiments, the symptom is a physical symptom selected from the group consisting of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, and sleep disturbances. In certain embodiments, the symptom is a cognitive symptom selected from the group consisting of impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination and dementia. In certain embodiments, the symptom is a psychiatric symptom selected from the group consisting of anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability and suicidal ideation. In certain embodiments, the symptom is a peripheral symptom selected from the group consisting of reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy.

In certain embodiments, the symptom is restlessness. In certain embodiments, the symptom is lack of coordination. In certain embodiments, the symptom is unintentionally initiated motions. In certain embodiments, the symptom is unintentionally uncompleted motions. In certain embodiments, the symptom is unsteady gait. In certain embodiments, the symptom is chorea. In certain embodiments, the symptom is rigidity. In certain embodiments, the symptom is writhing motions. In certain embodiments, the symptom is abnormal posturing. In certain embodiments, the symptom is instability. In certain embodiments, the symptom is abnormal facial expressions. In certain embodiments, the symptom is difficulty chewing. In certain embodiments, the symptom is difficulty swallowing. In certain embodiments, the symptom is difficulty speaking. In certain embodiments, the symptom is seizures. In certain embodiments, the symptom is sleep disturbances.

In certain embodiments, the symptom is impaired planning. In certain embodiments, the symptom is impaired flexibility. In certain embodiments, the symptom is impaired abstract thinking. In certain embodiments, the symptom is impaired rule acquisition. In certain embodiments, the symptom is impaired initiation of appropriate actions. In certain embodiments, the symptom is impaired inhibition of inappropriate actions. In certain embodiments, the symptom is impaired short-term memory. In certain embodiments, the symptom is impaired long-term memory. In certain embodiments, the symptom is paranoia. In certain embodiments, the symptom is disorientation. In certain embodiments, the symptom is confusion. In certain embodiments, the symptom is hallucination. In certain embodiments, the symptom is dementia.

In certain embodiments, the symptom is anxiety. In certain embodiments, the symptom is depression. In certain embodiments, the symptom is blunted affect. In certain embodiments, the symptom is egocentrism. In certain embodiments, the symptom is aggression. In certain embodiments, the symptom is compulsive behavior. In certain embodiments, the symptom is irritability. In certain embodiments, the symptom is suicidal ideation.

In certain embodiments, the symptom is reduced brain mass. In certain embodiments, the symptom is muscle atrophy. In certain embodiments, the symptom is cardiac failure. In certain embodiments, the symptom is impaired glucose tolerance. In certain embodiments, the symptom is weight loss. In certain embodiments, the symptom is osteoporosis. In certain embodiments, the symptom is testicular atrophy. In certain embodiments, symptoms of Huntington's disease may be quantifiable. For example, osteoporosis may be measured and quantified by, for example, bone density scans. For such symptoms, in certain embodiments, the symptom may be reduced by about 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 99%, or a range defined by any two of these values.

In certain embodiments, provided are methods of treating an individual comprising administering one or more pharmaceutical compositions as described herein. In certain embodiments, the individual has Huntington's disease.

In certain embodiments, administration of an antisense compound targeted to a huntingtin nucleic acid results in reduction of huntingtin expression by at least about 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 99%, or a range defined by any two of these values.

In certain embodiments, pharmaceutical compositions comprising an antisense compound targeted to huntingtin are used for the preparation of a medicament for treating a patient suffering or susceptible to Huntington's disease.

F. CERTAIN PHARMACEUTICAL COMPOSITIONS

In certain embodiments, the present invention provides pharmaceutical compositions comprising one or more antisense compound. In certain embodiments, such pharmaceutical composition comprises a suitable pharmaceutically acceptable diluent or carrier. In certain embodiments, a pharmaceutical composition comprises a sterile saline solution and one or more antisense compound. In certain embodiments, such pharmaceutical composition consists of a sterile saline solution and one or more antisense compound. In certain embodiments, the sterile saline is pharmaceutical grade saline. In certain embodiments, a pharmaceutical composition comprises one or more antisense compound and sterile water. In certain embodiments, a pharmaceutical composition consists of one or more antisense compound and sterile water. In certain embodiments, the sterile saline is pharmaceutical grade water. In certain embodiments, a pharmaceutical composition comprises one or more antisense compound and phosphate-buffered saline (PBS). In certain embodiments, a pharmaceutical composition consists of one or more antisense compound and sterile phosphate-buffered saline (PBS). In certain embodiments, the sterile saline is pharmaceutical grade PBS.

In certain embodiments, antisense compounds may be admixed with pharmaceutically acceptable active and/or inert substances for the preparation of pharmaceutical compositions or formulations. Compositions and methods for the formulation of pharmaceutical compositions depend on a number of criteria, including, but not limited to, route of administration, extent of disease, or dose to be administered.

Pharmaceutical compositions comprising antisense compounds encompass any pharmaceutically acceptable salts, esters, or salts of such esters. In certain embodiments, pharmaceutical compositions comprising antisense compounds comprise one or more oligonucleotide which, upon administration to an animal, including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to pharmaceutically acceptable salts of antisense compounds, prodrugs, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents. Suitable pharmaceutically acceptable salts include, but are not limited to, sodium and potassium salts.

A prodrug can include the incorporation of additional nucleosides at one or both ends of an oligomeric compound which are cleaved by endogenous nucleases within the body, to form the active antisense oligomeric compound.

Lipid moieties have been used in nucleic acid therapies in a variety of methods. In certain such methods, the nucleic acid is introduced into preformed liposomes or lipoplexes made of mixtures of cationic lipids and neutral lipids. In certain methods, DNA complexes with mono- or poly-cationic lipids are formed without the presence of a neutral lipid. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to a particular cell or tissue. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to fat tissue. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to muscle tissue.

In certain embodiments, pharmaceutical compositions provided herein comprise one or more modified oligonucleotides and one or more excipients. In certain such embodiments, excipients are selected from water, salt solutions, alcohol, polyethylene glycols, gelatin, lactose, amylase, magnesium stearate, talc, silicic acid, viscous paraffin, hydroxymethylcellulose and polyvinylpyrrolidone.

In certain embodiments, a pharmaceutical composition provided herein comprises a delivery system. Examples of delivery systems include, but are not limited to, liposomes and emulsions. Certain delivery systems are useful for preparing certain pharmaceutical compositions including those comprising hydrophobic compounds. In certain embodiments, certain organic solvents such as dimethylsulfoxide are used.

In certain embodiments, a pharmaceutical composition provided herein comprises one or more tissue-specific delivery molecules designed to deliver the one or more pharmaceutical agents of the present invention to specific tissues or cell types. For example, in certain embodiments, pharmaceutical compositions include liposomes coated with a tissue-specific antibody.

In certain embodiments, a pharmaceutical composition provided herein comprises a co-solvent system. Certain of such co-solvent systems comprise, for example, benzyl alcohol, a nonpolar surfactant, a water-miscible organic polymer, and an aqueous phase. In certain embodiments, such co-solvent systems are used for hydrophobic compounds. A non-limiting example of such a co-solvent system is the VPD co-solvent system, which is a solution of absolute ethanol comprising 3% w/v benzyl alcohol, 8% w/v of the nonpolar surfactant Polysorbate 80™ and 65% w/v polyethylene glycol 300. The proportions of such co-solvent systems may be varied considerably without significantly altering their solubility and toxicity characteristics. Furthermore, the identity of co-solvent components may be varied: for example, other surfactants may be used instead of Polysorbate 80™; the fraction size of polyethylene glycol may be varied; other biocompatible polymers may replace polyethylene glycol, e.g., polyvinyl pyrrolidone; and other sugars or polysaccharides may substitute for dextrose.

In certain embodiments, a pharmaceutical composition provided herein is prepared for oral administration. In certain embodiments, pharmaceutical compositions are prepared for buccal administration.

In certain embodiments, a pharmaceutical composition is prepared for administration by injection (e.g., intravenous, subcutaneous, intramuscular, etc.). In certain of such embodiments, a pharmaceutical composition comprises a carrier and is formulated in aqueous solution, such as water or physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiological saline buffer. In certain embodiments, other ingredients are included (e.g., ingredients that aid in solubility or serve as preservatives). In certain embodiments, injectable suspensions are prepared using appropriate liquid carriers, suspending agents and the like. Certain pharmaceutical compositions for injection are presented in unit dosage form, e.g., in ampoules or in multi-dose containers. Certain pharmaceutical compositions for injection are suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents. Certain solvents suitable for use in pharmaceutical compositions for injection include, but are not limited to, lipophilic solvents and fatty oils, such as sesame oil, synthetic fatty acid esters, such as ethyl oleate or triglycerides, and liposomes. Aqueous injection suspensions may contain.

G. ADMINISTRATION

In certain embodiments, the compounds and compositions as described herein are administered parenterally.

In certain embodiments, parenteral administration is by infusion. Infusion can be chronic or continuous or short or intermittent. In certain embodiments, infused pharmaceutical agents are delivered with a pump. In certain embodiments, parenteral administration is by injection.

In certain embodiments, compounds and compositions are delivered to the CNS. In certain embodiments, compounds and compositions are delivered to the cerebrospinal fluid. In certain embodiments, compounds and compositions are administered to the brain parenchyma. In certain embodiments, compounds and compositions are delivered to an animal by intrathecal administration, or intracerebroventricular administration. Broad distribution of compounds and compositions, described herein, within the central nervous system may be achieved with intraparenchymal administration, intrathecal administration, or intracerebroventricular administration.

In certain embodiments, parenteral administration is by injection. The injection may be delivered with a syringe or a pump. In certain embodiments, the injection is a bolus injection. In certain embodiments, the injection is administered directly to a tissue, such as striatum, caudate, cortex, hippocampus and cerebellum.

Therefore, in certain embodiments, delivery of a compound or composition described herein can affect the pharmacokinetic profile of the compound or composition. In certain embodiments, injection of a compound or composition described herein, to a targeted tissue improves the pharmacokinetic profile of the compound or composition as compared to infusion of the compound or composition. In a certain embodiment, the injection of a compound or composition improves potency compared to broad diffusion, requiring less of the compound or composition to achieve similar pharmacology. In certain embodiments, similar pharmacology refers to the amount of time that a target mRNA and/or target protein is down-regulated (e.g. duration of action). In certain embodiments, methods of specifically localizing a pharmaceutical agent, such as by bolus injection, decreases median effective concentration (EC50) by a factor of about 50 (e.g. 50 fold less concentration in tissue is required to achieve the same or similar pharmacodynamic effect). In certain embodiments, methods of specifically localizing a pharmaceutical agent, such as by bolus injection, decreases median effective concentration (EC50) by a factor of 20, 25, 30, 35, 40, 45 or 50. In certain embodiments the pharmaceutical agent in an antisense compound as further described herein. In certain embodiments, the targeted tissue is brain tissue. In certain embodiments the targeted tissue is striatal tissue. In certain embodiments, decreasing EC50 is desirable because it reduces the dose required to achieve a pharmacological result in a patient in need thereof.

In certain embodiments, an antisense oligonucleotide is delivered by injection or infusion once every month, every two months, every 90 days, every 3 months, every 6 months, twice a year or once a year.

H. CERTAIN COMBINATION THERAPIES

In certain embodiments, one or more pharmaceutical compositions are co-administered with one or more other pharmaceutical agents. In certain embodiments, such one or more other pharmaceutical agents are designed to treat the same disease, disorder, or condition as the one or more pharmaceutical compositions described herein. In certain embodiments, such one or more other pharmaceutical agents are designed to treat a different disease, disorder, or condition as the one or more pharmaceutical compositions described herein. In certain embodiments, such one or more other pharmaceutical agents are designed to treat an undesired side effect of one or more pharmaceutical compositions as described herein. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to treat an undesired effect of that other pharmaceutical agent. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to produce a combinational effect. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to produce a synergistic effect.

In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are administered at the same time. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are administered at different times. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are prepared together in a single formulation. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are prepared separately.

In certain embodiments, pharmaceutical agents that may be co-administered with a pharmaceutical composition of include antipsychotic agents, such as, e.g., haloperidol, chlorpromazine, clozapine, quetapine, and olanzapine; antidepressant agents, such as, e.g., fluoxetine, sertraline hydrochloride, venlafaxine and nortriptyline; tranquilizing agents such as, e.g., benzodiazepines, clonazepam, paroxetine, venlafaxin, and beta-blockers; mood-stabilizing agents such as, e.g., lithium, valproate, lamotrigine, and carbamazepine; paralytic agents such as, e.g., Botulinum toxin; and/or other experimental agents including, but not limited to, tetrabenazine (Xenazine), creatine, conezyme Q10, trehalose, docosahexanoic acids, ACR16, ethyl-EPA, atomoxetine, citalopram, dimebon, memantine, sodium phenylbutyrate, ramelteon, ursodiol, zyprexa, xenasine, tiapride, riluzole, amantadine, [123I]MNI-420, atomoxetine, tetrabenazine, digoxin, detromethorphan, warfarin, alprozam, ketoconazole, omeprazole, and minocycline.

Nonlimiting Disclosure and Incorporation by Reference

While certain compounds, compositions and methods described herein have been described with specificity in accordance with certain embodiments, the following examples serve only to illustrate the compounds described herein and are not intended to limit the same. Each of the references, GenBank accession numbers, and the like recited in the present application is incorporated herein by reference in its entirety.

Although the sequence listing accompanying this filing identifies each sequence as either “RNA” or

“DNA” as required, in reality, those sequences may be modified with any combination of chemical modifications. One of skill in the art will readily appreciate that such designation as “RNA” or “DNA” to describe modified oligonucleotides is, in certain instances, arbitrary. For example, an oligonucleotide comprising a nucleoside comprising a 2′-OH sugar moiety and a thymine base could be described as a DNA having a modified sugar (2′-OH for the natural 2′-H of DNA) or as an RNA having a modified base (thymine (methylated uracil) for natural uracil of RNA).

Accordingly, nucleic acid sequences provided herein, including, but not limited to those in the sequence listing, are intended to encompass nucleic acids containing any combination of natural or modified RNA and/or DNA, including, but not limited to such nucleic acids having modified nucleobases. By way of further example and without limitation, an oligomeric compound having the nucleobase sequence “ATCGATCG” encompasses any oligomeric compounds having such nucleobase sequence, whether modified or unmodified, including, but not limited to, such compounds comprising RNA bases, such as those having sequence “AUCGAUCG” and those having some DNA bases and some RNA bases such as “AUCGATCG” and oligomeric compounds having other modified or naturally occurring bases, such as “AT′CGAUCG,” wherein ^meC indicates a cytosine base comprising a methyl group at the 5-position.

EXAMPLES

The following examples illustrate certain embodiments of the present invention and are not limiting. Moreover, where specific embodiments are provided, the inventors have contemplated generic application of those specific embodiments. For example, disclosure of an oligonucleotide having a particular motif provides reasonable support for additional oligonucleotides having the same or similar motif And, for example, where a particular high-affinity modification appears at a particular position, other high-affinity modifications at the same position are considered suitable, unless otherwise indicated.

Example 1

Single Nucleotide Polymorphisms (SNPs) in the Huntingtin (HTT) Gene Sequence

SNP positions (identified by Hayden et al, WO/2009/135322) associated with the HTT gene were mapped to the HTT genomic sequence, designated herein as SEQ ID NO: 1 (NT_—006081.18 truncated from nucleotides 1566000 to 1768000). Table 15 provides SNP positions associated with the HTT gene. Table 15 provides a reference SNP ID number from the Entrez SNP database at the National Center for Biotechnology Information (NCBI, http://www.ncbi.nlm.nih.gov/sites/entrez?db=snp), incorporated herein by reference. Table 15 furnishes further details on each SNP. The ‘Reference SNP ID number’ or ‘RS number’ is the number designated to each SNP from the Entrez SNP database at NCBI, incorporated herein by reference. ‘SNP position’ refers to the nucleotide position of the SNP on SEQ ID NO: 1. ‘Polymorphism’ indicates the nucleotide variants at that SNP position. ‘Major allele’ indicates the nucleotide associated with the major allele, or the nucleotide present in a statistically significant proportion of individuals in the human population. ‘Minor allele’ indicates the nucleotide associated with the minor allele, or the nucleotide present in a relatively small proportion of individuals in the human population.

TABLE 15
Single Nuclear Polymorphisms (SNPs)
and their positions on SEQ ID NO: 1
		SNP		Major	Minor
	RS No.	position	Polymorphism	allele	allele
	rs2857936	1963	C/T	C	T
	rs12506200	3707	A/G	G	A
	rs762855	14449	A/G	G	A
	rs3856973	19826	G/A	G	A
	rs2285086	28912	G/A	A	G
	rs7659144	37974	C/G	C	G
	rs16843804	44043	C/T	C	T
	rs2024115	44221	G/A	A	G
	rs10015979	49095	A/G	A	G
	rs7691627	51063	A/G	G	A
	rs2798235	54485	G/A	G	A
	rs4690072	62160	G/T	T	G
	rs6446723	66466	C/T	T	C
	rs363081	73280	G/A	G	A
	rs363080	73564	T/C	C	T
	rs363075	77327	G/A	G	A
	rs363064	81063	T/C	C	T
	rs3025849	83420	A/G	A	G
	rs6855981	87929	A/G	G	A
	rs363102	88669	G/A	A	G
	rs11731237	91466	C/T	C	T
	rs4690073	99803	A/G	G	A
	rs363144	100948	T/G	T	G
	rs3025838	101099	C/T	C	T
	rs34315806	101687	A/G	G	A
	rs363099	101709	T/C	C	T
	rs363096	119674	T/C	T	C
	rs2298967	125400	C/T	T	C
	rs2298969	125897	A/G	G	A
	rs6844859	130139	C/T	T	C
	rs363092	135682	C/A	C	A
	rs7685686	146795	A/G	A	G
	rs363088	149983	A/T	A	T
	rs362331	155488	C/T	T	C
	rs916171	156468	G/C	C	G
	rs362322	161018	A/G	A	G
	rs362275	164255	T/C	C	T
	rs362273	167080	A/G	A	G
	rs2276881	171314	G/A	G	A
	rs3121419	171910	T/C	C	T
	rs362272	174633	G/A	G	A
	rs362271	175171	G/A	G	A
	rs3775061	178407	C/T	C	T
	rs362310	179429	A/G	G	A
	rs362307	181498	T/C	C	T
	rs362306	181753	G/A	G	A
	rs362303	181960	T/C	C	T
	rs362296	186660	C/A	C	A
	rs1006798	198026	A/G	A	G

Example 2

Modified Oligonucleotides Targeting Huntingtin (HTT) Single Nucleotide Polymorphisms (SNP)

A series of modified oligonucleotides were designed. These modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In the tables, the ‘k’ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; ‘g’ subscript indicates a 3′-fluoro-HNA modification; ‘f subscript indicates 2’-alpha-fluoro-2′-deoxyribose; ‘m’ before the cytosine residue indicates a 5-methylcytosine; ‘x’ before the thymine residue indicates a 2-thiothymine; number along with ‘d’ indicates a the number of deoxyribose nucleosides; the ‘o’ subscript after the sugar modification subscripts indicates a phosphate ester linkage; ‘mp’ subscript after the nucleoside indicates a methylphosphonate full linker; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkages. The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.

TABLE 16
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs2024115
				SEQ ID.
Isis No.	SEQUENCE	SNP	Motif	NO.
589567	Tes mCes Aks Aks Gds mCds Tds Ads Gds Tds Ads Ads	rs2024115	eekk-d8-kkeee	37
	mCks Gks Aes Tes Ge
607448	mCes Aks Aks Gds mCds Tds Ads Gds Tds Ads Ads mCks	rs2024115	ekk-d8-kkeee	102
	Gks Aes Tes Ge
607441	Tes mCes Aks Aks Gds mCds Tds Ads Gds Tds Ads Ads	rs2024115	eekk-d8-kkee	103
	mCks Gks Aes Te
607455	Aes Aks Gds mCds Tds Ads Gds Tds Ads Ads mCks Gks Aes	rs2024115	ek-d8-kkeee	104
	TesGe
607462	mCes Aes Aks Gds mCds Tds Ads Gds Tds Ads Ads mCks	rs2024115	eek-d8-kkee	105
	Gks Aes Te
607469	Tes mCes Aes Aks Gds mCds Tds Ads Gds Tds Ads Ads mCks	rs2024115	eeek-d8-kee	106
	Ges Ae

TABLE 17
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs6446723
				SEQ
				ID.
Isis No.	SEQUENCE	SNP	Motif	NO.
589450	Tes Aes Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks	rs6446723	eeekk-d7-kkeee	32
	Tes TesAe
589546	Tes Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks	rs6446723	eekk-d8-kkeee	35
	Tes Tes Ae
589547	Aes Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks	rs6446723	eekk-d8-kkeee	36
	Tes Aes Te
589718	Tes Aks Aes Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tes	rs6446723	ekek-d8-kekee	44
	Tks Tes Ae
617104	Tes Aes Aeo Tko Tks Tds Tds mCds Tds Ads Gds Ads mCko Tko	rs6446723	eeekk-d7-kkeee	84
	Tes Tes Ae
617106	Tes Aeo Ako Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads	rs6446723	eekk-d8-kkeee	85
	mCko Tko Tes Tes Ae
617108	Tes Ako Aeo Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads	rs6446723	ekek-d8-kekee	86
	mCko Teo Tks Tes Ae
617109	Aes Aeo Tko Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads Tko	rs6446723	eekk-d8-kkeee	87
	Tko Tes Aes Te
607446	Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes	rs6446723	ekk-d8-kkeee	92
	TesAe
607439	TesAes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks	rs6446723	eekk-d8-kkee	93
	Tes Te
607453	Aes Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes Tes	rs6446723	ek-d8-kkeee	94
	Ae
607460	Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes	rs6446723	ekk-d8-kkee	95
	Te
607467	Tes Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks	rs6446723	eekk-d8-kee	96
	TesTe
607447	Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks Tes	rs6446723	ekk-d8-kkeee	97
	AesTes
607440	Aes Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks	rs6446723	eekk-d8-kkee	98
	Tes Ae
607454	Tes Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks Tes Aes	rs6446723	ek-d8-kkeee	99
	Te
607461	Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks Tes	rs6446723	ekk-d8-kkee	100
	Ae
607468	Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tes	rs6446723	eeek-d8-kee	101
	Te
607474	Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes	rs6446723	eeek-d7-kkeee	127
	Tes Ae
607475	Tes Aes Aes Tks Tds Tds Tds mCds Tds Ads Gds Aks mCks Tes	rs6446723	eeek-d7-kkeee	128
	Tes Te
607476	Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes Tes	rs6446723	eek-d7-kkeee	129
	Ae
607477	Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes	rs6446723	eeek-d7-kkee	130
	Te
607478	Tes Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks	rs6446723	eeeek-d7-kke	131
	Te

TABLE 18
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363080
				SEQ ID.
Isis No.	SEQUENCE	SNP	Motif	NO.
609234	Aes Gks Aks Gds Ads Ads mCds Ads Ads Gds Ads Aks Gks	rs363080	ekk-d8-kkee	156
	Ges mCe
609235	Ges Aks Gks Ads Ads mCds Ads Ads Gds Ads Ads Gks Gks	rs363080	ekk-d8-kkee	157
	mCes Te
609236	Aes Gks Aks Ads mCds Ads Ads Gds Ads Ads Gds Gks	rs363080	ekk-d8-kkee	158
	mCks Tes mCe
609237	Ges Aks Aks mCds Ads Ads Gds Ads Ads Gds Gds mCks	rs363080	ekk-d8-kkee	159
	Tks mCes mCe
609238	Aes Gks Aks Gds Ads Ads mCds Ads Ads Gds Ads Aks	rs363080	ekk-d8-kkeee	160
	Gks Ges mCes Te
609239	Ges Aks Gks Ads Ads mCds Ads Ads Gds Ads Ads Gks Gks	rs363080	ekk-d8-kkeee	161
	mCes Tes mCe
609240	Aes Gks Aks Ads mCds Ads Ads Gds Ads Ads Gds Gks	rs363080	ekk-d8-kkeee	162
	mCks Tes mCes mCe
609241	Ges Aks Aks mCds Ads Ads Gds Ads Ads Gds Gds mCks	rs363080	ekk-d8-kkeee	163
	Tks mCes mCes Ae

TABLE 19
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363064
				SEQ
				ID.
Isis No.	SEQUENCE	SNP	Motif	NO.
589532	Ges Aes Aes Tks Aks mCds Gds Gds Gds Tds Ads Ads mCks	rs363064	eeekk-d7-kkeee	33
	Aks Tes Tes Te
589645	Ges Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks	rs363064	eekk-d8-kkeee	42
	Aks Tes Tes Te
589646	Aes Aes Tks Aks mCdsGds Gds Gds Tds Ads Ads mCds Aks	rs363064	eekk-d8-kkeee	43
	Tks Tes Tes Te
617107	Aes Aeo Tko Aks mCds Gds Gds Gds Tds Ads Ads mCds Ako	rs363064	eekk-d8-kkeee	88
	Tko Tes Tes Te
617110	Ges Aes Aeo Tko Aks mCds Gds Gds Gds Tds Ads Ads mCko	rs363064	eeekk-d7-kkeee	89
	Tko Tes Tes Te
607449	Aes Tks Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks	rs363064	ekk-d8-kkeee	107
	Tes Tes Te
607442	Aes Aes Tks Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks	rs363064	eekk-d8-kkee	108
	Tks Tes Te
607456	Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks Tes Tes	rs363064	ek-d8-kkeee	109
	Te
607463	Aes Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks	rs363064	eek-d8-kkee	110
	Tes Te
607470	Aes Aes Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks	rs363064	eeek-d8-kee	111
	Tes Te
607450	Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks	rs363064	ekk-d8-kkeee	112
	Tes Tes Te
607443	Ges Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks	rs363064	eekk-d8-kkee	113
	Aks Tes Te
607457	Aes Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks Tes	rs363064	ek-d8-kkeee	114
	Tes Te
607464	Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks	rs363064	ekk-d8-kkee	115
	Tes Te
607471	Ges Aes Aes Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks	rs363064	eeek-d8-kee	116
	Aes Te

TABLE 20
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686
				SEQ
				ID.
Isis No.	SEQUENCE	SNP	Motif	NO.
460209	Tes Aks Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds Aks mCks	rs7685686	ekk-d9-kke	3
	mCe
476333	Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekek-d9-keke	4
	mCes mCks Ae
540083	Aes Aks Tks Tks Gds Tds mCds Ads Tds mCds Ads mCds mCds	rs7685686	ekkk-d9-ke	7
	Aks Ge
540094	Tes Tks Gds Tds mCds Ads Tds mCds Ads mCds mCds Aks Gks	rs7685686	ek-d9-kkke	8
	Aks Ae
540095	Aes Tks Tds Gds Tds mCds Ads Tds mCds Ads mCds mCks Aks	rs7685686	ek-d9-kkke	9
	Gks Ae
540096	Aes Aks Tds Tds Gds Tds mCds Ads Tds mCds Ads mCks mCks	rs7685686	ek-d9-kkke	10
	Aks Ge
540108	Aes Tes Aes Aks Aks Tds Tds Gds Tds mCds Ads Tds mCks Aks	rs7685686	eeekk-d7-kkeee	11
	mCes mCes Ae
550913	Aks Aks Tes Aks Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds	rs7685686	kkekk-d9-kkekk	12
	Aks mCks mCes Tks Tk
551429	Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeekk-d7-kke	13
	mCks mCe
556845	Tes Aks Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekk-d9-kke	14
	mCks mCe
558257	Tes Aks Aks Ads Tds Tdmp Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekk-d9-kke	15
	mCks mCe
566267	Tes Aks Aks Ads Tgs Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekkdk-d7-kke	16
	mCks mCe
568876	Aks Tks Aks Aks Aks Tds Tds Gds Tds mCds Ads Tds mCks Aks	rs7685686	kkkkk-d7-kkkkk	17
	mCks mCks Ak
571036	Aes Tks Aes Aks Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekekek-d7-keke	18
	mCes mCks Ae
571037	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeekk-d7-keke	19
	mCes mCks Ae
571039	Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekek-d9-keke	20
	mCes mCks Ae
571069	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeekk-d7-kkee	21
	mCks mCes Ae
571171	Aes Tks Aes Aks Ads Tds Tdmp Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekek-d9-keke	22
	mCes mCks Ae
572771	Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeekk-d7-kkee	23
	mCks mCes Ae
572772	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeekk-d7-kke	24
	mCks mCe
575007	Tes Aks Aks Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekkdk-d7-kke	25
	mCks mCe
575008	Tes Aks Aks Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekkkk-d7-kke	26
	mCks mCe
585246	Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeekk-d7-kkeee	31
	mCks mCes Aes Ge
589537	Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Ads mCks	rs7685686	eekk-d8-kkeee	34
	mCks Aes Ges Ae
593199	Tes Aes Aeo Ako Tks Tds Gds Tds mCds Ads Tds mCds Ako Cks	rs7685686	eeekk-d7-kke	47
	Ce
593200	Aes Tks Tds Gds Tds mCAds Tds mCds Ads mCds mCko Ako	rs7685686	ek-d9-kkke	48
	Gks Ae
593201	Aes Tko Aes Ako Aes Tks Tds Gds Tds mCds Ads Tds mCds Ako	rs7685686	ekekek-d7-keke	49
	mCes mCks Ae
593202	Aes Tko Ako Ako Aks Tks Tds Gds Tds mCds Ads Tds mCds Ako	rs7685686	ekkkk-d7-kkke	50
	mCko mCks Ae
593203	Tks Ako Ako Ako Tks Tds Gds Tds mCds Ads Tds mCds Ako	rs7685686	kkkkk-d7-kkkkk	51
	mCko mCko Aks Gk
593204	Aks Tko Ako Ako Ako Tds Tds Gds Tds mCds Ads Tds mCko Ako	rs7685686	kkkkk-d7-kkkkk	52
	mCko mCko Ak
598229	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCks Ads Tds mCds Aks	rs7685686	eeeekk-d3-k-	53
	mCes mCks Ae		d3-keke
598299	Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes	rs7685686	eeekk-d7-keee	54
	mCes Ae
598300	Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes	rs7685686	eeekk-d7-eeee	55
	mCes Ae
598301	Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks mCks	rs7685686	eeeek-d7-kkee	56
	mCes Ae
598302	Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes	rs7685686	eeeek-d7-keee	57
	mCes Ae
598303	Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes	rs7685686	eeeek-d7-eeee	58
	mCes Ae
598304	Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes	rs7685686	eeedk-d7-keee	59
	mCes Ae
598305	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeedk-d7-kkee	60
	mCks mCes Ae
598306	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeedk-d7-keee	61
	mCes mCes Ae
598307	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aes	rs7685686	eeeedk-d7-eeee	62
	mCes mCes Ae
598308	Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeek-d7-keeee	63
	mCeo mCeo Aes Ge
598309	Aes Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes	rs7685686	eeek-d7-keeeee	64
	mCeo Aeo Ges Ae
598310	Aes Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes mCes	rs7685686	eek-d7-keeeeee	65
	Aeo Geo Aes Ae
606560	Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeek-d9-keke	66
	mCes mCks Ae
606561	Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	ekek-d9-keee	67
	mCes mCes Ae
606562	Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeek-d9-keee	68
	mCes mCes Ae
606578	Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Afs Tds mCds Aks	rs7685686	ekek-d6-k-dd-	69
	mCes mCks Ae		keke
617115	Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeeek-d7-kke	70
	mCks mCe
617116	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeekk-d7-kee	71
	mCes mCe
617117	Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeeek-d7-kee	72
	mCes mCe
617118	Aes Teo Aeo Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks	rs7685686	eeeeek-d7-kee	73
	mCes mCe
617119	Aes Teo Aeo Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aes	rs7685686	eeeeek-d7-eee	74
	mCes mCe
617425	Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes	rs7685686	eeeeek-d7-eee	75
	mCes mCe
613581	Aes Aeo Teo Aeo Aes Ads Tks Tds Gds Tds mCds Ads Tds	rs7685686	eeeeedk-d7-	76
	mCds Aeo mCeo mCes Aes Ge		eeeee
613582	Aes Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds	rs7685686	eeeeek-d7-	77
	Aeo mCeo mCeo Aes Ges Ae		eeeeee
613583	Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes	rs7685686	eeeek-d7-	78
	mCeo mCeo Aeo Ges Aes Ae		eeeeeee
613584	Aes Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCeo	rs7685686	eeek-d7-	79
	mCeo Aeo Geo Aes Aes Ae		eeeeeeee
613585	Aes Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes	rs7685686	eek-d7-	80
	mCeo Aeo Geo Aeo Aes Aes Ae		eeeeeeeee
613586	Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes mCeo	rs7685686	ek-d7-	81
	Aeo Geo Aeo Aeo Aes Aes Ae		eeeeeeeeee
613588	Tes Aes Aeo Teo Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds	rs7685686	eeeeeeek-d7-	82
	mCds Aeo mCes mCes Ae		eeee
613589	Tes Tes Aeo Aeo Teo Aeo Aeo Aes Tks Tds Gds Tds mCds Ads	rs7685686	eeeeeeeek-d7-	83
	Tds mCds Aes mCes mCe		eee
617105	Aes Aeo Ako Tks Tds Gds Tds mCds Ads Tds mCds Ads mCko	rs7685686	eekk-d8-kkeee	90
	mCko Aes Ges Ae
617111	Aes Tko Aeo Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Ako	rs7685686	ekek-d9-keke	91
	mCes mCks Ae

TABLE 21
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363088
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
435871	Tes mCes Aes mCes Aes Gds mCds Tds Ads	rs363088	eeeee-d9-eeeee	2
	Tds mCds Tds Tds mCds Tes mCes Aes Tes
	mCe
525366	mCes Aks mCes Aks Gds mCds Tds Ads Tds	rs363088	ekek-d9-keke	5
	mCds Tds Tds mCds Tks mCes Ads Te
525368	Aks mCes Aks Gks mCds Tds Ads Tds mCds	rs363088	kekk-d8-keke	6
	Tds Tds mCds Tks mCes Aks Te
575172	Aes mCks Aks Gks mCds Tds Ads Tds mCds	rs363088	ekkk-d8-kke	27
	Tds Tds mCds Tks mCks Ae
575175	Aes mCks Aks Gds mCds Tds Ads Tds mCds	rs363088	ekk-d8-kkke	28
	Tds Tds mCks Tks mCks Ae
582658	mCes Aks mCes Aks Gks mCds Tds Ads Tds	rs363088	ekekk-d8-keke	29
	mCds Tds Tds mCds Tks mCes Aks Te
582661	Ces Aks mCes Aks Gds mCds Tds Ads Tds	rs363088	ekek-d8-kkeke	30
	mCds Tds Tds mCks Tks mCes Aks Te
589595	mCes Aes mCks Aks Gds mCds Tds Ads Tds	rs363088	eekk-d8-kkeee	38
	mCds Tds Tds mCks Tks mCes Aes Te
589596	Aes mCes Aks Gks mCds Tds Ads Tds mCds	rs363088	eekk-d8-kkeee	39
	Tds Tds mCds Tks mCks Aes Tes mCe
591416	mCes Aes mCes Aks Gks mCds Tds Ads Tds	rs363088	eeekk-d8-kkee	46
	mCds Tds Tds mCds Tks mCks Aes Te

TABLE 22
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362307
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
609230	Ges Gks Gks mCds Ads mCds Ads Gds Ads	rs362307	ekk-d8-kkee	148
	mCds Tds Tks mCks mCes Ae
609231	Aes Gks Gks Gds mCds Ads mCds Ads Gds	rs362307	ekk-d8-kkee	149
	Ads mCds Tks Tks mCes mCe
609232	Aes Aks Gks Gds Gds mCds Ads mCds Ads	rs362307	ekk-d8-kkee	150
	Gds Ads mCks Tks Tes mCe
609233	mCes Aks Aks Gds Gds Gds mCds Ads mCds	rs362307	ekk-d8-kkee	151
	Ads Gds Aks mCks Tes Te
609242	Ges Gks Gks mCds Ads mCds Ads Gds Ads	rs362307	ekk-d8-kkeee	152
	mCds Tds Tks mCks mCes Aes Ae
609243	Aes Gks Gks Gds mCds Ads mCds Ads Gds	rs362307	ekk-d8-kkeee	153
	Ads mCds Tks Tks mCes mCes Ae
609244	Aes Aks Gks Gds Gds mCds Ads mCds Ads	rs362307	ekk-d8-kkeee	154
	Gds Ads mCks Tks Tes mCes mCe
609245	mCes Aks Aks Gds Gds Gds mCds Ads mCds	rs362307	ekk-d8-kkeee	155
	Ads Gds Aks mCks Tes Tes mCe

TABLE 22
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686 (G)
As described above in Example 1, certain SNPs may have two or more allelic variants.
For example, the two allelic variants for SNP rs7685686 are A and G. In certain embodiments,
antisense oligonucleotides can be designed that target either allelic variant. In certain
embodiments, a higher percentage of the population may have a particular allelic variant.
Modified oligonucleotides were designed to target the G allelic variant of rs7685686.
These modified oligonucleotides are described further in Table 22 below.
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
609274	Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads	rs7685686	ekk-d7-kkeee	132
	Tks mCks Aes mCes mCe	(G)
609226	Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads	rs7685686	ekk-d8-kkee	136
	Tds mCks Aks mCes mCes	(G)
609266	Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads	rs7685686	ekk-d7-kkeeeee	140
	Tks mCks Aes mCes mCes Aes Ge	(G)
609270	Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads	rs7685686	ekk-d8-kkeeee	144
	Tds mCks Aks mCes mCes Aes Ge	(G)
611714	TesAesAesAksTksTdsGdsmCdsmCdsAds	rs7685686	eeekk-d7-kke	164
	TdsmCdsAksmCksmCe	(G)
611715	Aes Tks Aes AksAds xTds Tds Gds mCds mCds	rs7685686	ekek-d9-keke	165
	Ads Tds mCds Aks mCes mCks Ae	(G)
611716	Aes Tks Aes Aks Ads Tds Tdx Gds mCds mCds Ads	rs7685686	ekek-d9-keke	166
	Tds mCds AksmCes mCksAe	(G)
611717	Aes TesAesAesAksTksTds Gds mCds mCdsAds	rs7685686	eeeekk-d7-kke	167
	Tds mCdsAksmCks mCe	(G)
611718	TeAksAksAds TksTds Gds mCds mCds Ads Tds	rs7685686	ekk-d-k-d7-kke	168
	mCdsAksmCksmCe	(G)
611719	Te AksAksAksTksTdsGdsmCdsmCdsAdsTds	rs7685686	ekkkk-d7-kke	169
	mCdsAksmCksmCe	(G)
611720	AeTksTdsGdsmCdsmCdsAdsTdsmCdsAds mCds	rs7685686 (G)	ek-d9-kkke	170
	mCkoAkoGksAe	(G)
611721	Tes AesAesAesTksTdsGdsmCdsmCdsAdsTds	rs7685686	eeeek-d7-keee	171
	mCdsAksmCesmCesAes	(G)
611722	Aes Tes Aes Aes Ads Tks Tds Gds mCds mCds Ads	rs7685686	eeee-d-k-d7-keee	172
	Tds mCds Aks mCesmCes Ae	(G)
611723	Tes AeoAeoAesTksTds GdsmCdsmCdsAdsTds	rs7685686	eeeek-d7-keeee	173
	mCdsAksmCeomCeoAesGe	(G)
609275	Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d7-kkeee	133
	mCks Aks mCes mCes Ae	(G)
609227	Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d8-kkee	137
	mCds Aks mCks mCes Ae	(G)
609267	Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d7-kkeeeee	141
	mCks Aks mCes mCes Aes Ges Ae	(G)
609271	Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d8-kkeeee	145
	mCds Aks mCks mCes Aes Ges Ae	(G)
609276	Aes Aks Tks Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d7-kkeee	134
	mCds Aks mCks mCes Aes Ge	(G)
609228	Aes Aks Tks Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d8-kkee	138
	mCds Ads mCks mCks Aes Ge	(G)
609268	Aes Aks Tks Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d7-kkeeeee	142
	mCds Aks mCks mCes Aes Ges Aes Ae	(G)
609272	Aes Aks Tks Tds Gds mCds mCds Ads Tds	rs7685686	ekk-d8-kkeeee	146
	mCds Ads mCks mCks Aes Ges Aes Ae	(G)
609277	Aes Tks Tks Gds mCds mCds Ads Tds mCds	rs7685686	ekk-d7-kkeee	135
	Ads mCks mCks Aes Ges Ae	(G)
609229	Aes Tks Tks Gds mCds mCds Ads Tds mCds	rs7685686	ekk-d8-kkee	139
	Ads mCds mCks Aks Ges Ae	(G)
609269	Aes Tks Tks Gds mCds mCds Ads Tds mCds	rs7685686	ekk-d7-kkeeeee	143
	Ads mCks mCks Aes Ges Aes Aes Ae	(G)
609273	Aes Tks Tks Gds mCds mCds Ads Tds mCds	rs7685686	ekk-d8-kkeeee	147
	Ads mCds mCks Aks Ges Aes Aes Ae	(G)

TABLE 23
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362273
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
589601	Tes Tes Gks Aks Tds mCds Tds Gds Tds Ads	rs362273	eekk-d8-kkeee	40
	Gds mCds Aks Gks mCes Aes Ge
589602	Tes Ges Aks Tks mCds Tds Gds Tds Ads Gds	rs362273	eekk-d8-kkeee	41
	mCds Ads Gks mCks Aes Ges mCe
589737	Tes Tks Ges Aks Tds mCds Tds Gds Tds Ads	rs362273	ekek-d8-kekee	45
	Gds mCds Aks Ges mCks Aes Ge
607451	Ges Aks Tks mCds Tds Gds Tds Ads Gds	rs362273	ekk-d8-kkeee	117
	mCds Ads Gks mCks Aes Ges mCe
607452	Tes Gks Aks Tds mCds Tds Gds Tds Ads Gds	rs362273	ekk-d8-kkeee	122
	mCds Aks Gks mCes Aes Ge

TABLE 24
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362274
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
607444	Tes Ges Aks Tks mCds Tds Gds Tds Ads Gds	rs3 62274	eekk-d8-kkee	118
	mCds Ads Gks mCks Aes Ge
607445	Tes Tes Gks Aks Tds mCds Tds Gds Tds Ads	rs3 62274	eekk-d8-kkee	123
	Gds mCds Aks Gks mCes Ae

TABLE 25
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362275
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
607458	Aes Tks mCds Tds Gds Tds Ads Gds mCds	rs362275	ek-d8-kkeee	119
	Ads Gks mCks Aes Ges mCe
607459	Ges Aks Tds mCds Tds Gds Tds Ads Gds	rs362275	ek-d8-kkeee	124
	mCds Aks Gks mCes Aes Ge

TABLE 25
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362276
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
607465	Ges Aes Tks mCds Tds Gds Tds Ads Gds	rs362276	eek-d8-kkee	120
	mCds Ads Gks mCks Aes Ge
607466	Tes Ges Aks Tds mCds Tds Gds Tds Ads Gds	rs362276	eek-d8-kkee	125
	mCds Aks Gks mCes Ae

TABLE 26
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362277
Isis No.	SEQUENCE	SNP	Motif	SEQ ID. NO.
607472	Tes Ges Aes Tks mCds Tds Gds Tds Ads Gds	rs362276	eeek-d8-kee	121
	mCds Ads Gks mCes Ae
607473	Tes Tes Ges Aks Tds mCds Tds Gds Tds Ads	rs362276	eeek-d8-kee	126
	Gds mCds Aks Ges mCe

Example 3

Modified Oligonucleotides Targeting Huntingtin (HTT) Single Nucleotide Polymorphisms (SNP)

A series of modified oligonucleotides targeting Huntingtin (HTT) were designed. These modified oligonucleotides were designed to target SNP positions associated with the HTT gene. The table below provides the sequence and motif for each modified oligonucleotide. The motifs indicate certain 2′-modifications to the nucleobases in the nucleobase sequences. In the table below, ‘k’ indicates an (S)-cEt modification; ‘e’ indicates a MOE modification; a number along with ‘d’ indicates the number of deoxyribose nucleosides. For example, a compound having an ekk-d9-kke motif would have the following structure: N_eN_kN_kN_dN_dN_dN_dN_dN_dN_dN_dN_dN_kN_kN_e, wherein each N represents a nucleobase and wherein each subscript represents a nucleobase modification according to the examples described above. All interncleoside linkages are phosphorothioate unless otherwise indicated.

				SEQ ID
Isis No.	SNP	SEQUENCE (5′ to 3′)	MOTIF (5′ to 3′)	NO.
460207	rs362332	ACACAGTAGATGAGG	ekk-d9-kke	174
460218	rs362332	GCACACAGTAGATGAGGGA	eeeee-d3-k-d5-eeeee	175
460026	rs2298969	AAGGGATGCTGACTTGGGC	eeee-d9-eeeee	176
460208	rs4690072	CAGTGCTACCCAACC	ekk-d9-kke	177
525364	rs4690072	ACAGTGCTACCCAACCT	ekek-d9-keke	178
435331	rs2024115	TTCAAGCTAGTAACGATGC	eeeee-d9-eeeee	179
525365	rs2024115	CTTCAAGCTAGTAACGA	ekek-d9-keke	180
525368	rs363088	ACAGCTATCTTCTCA	ekk-d9-kke	181
460065	rs7685686	ATAAATTGTCATCACCAG	eeee-d9-eeeee	182
435879	rs7685686	AATAAATTGTCATCACCAG	eeeee-d9-eeeee	183
460085	rs7685686	ATAAATTGTCATCACCA	eeeee-d7-eeeee	184
435870	rs362331	GCACACAGTAGATGAGGGA	eeeee-d9-eeeee	185
460071	rs362331	GCACACAGTAGATGAGGGA	eeeee-d10-eeee	186
460212	rs362331	GCACACAGTAGATGAGGGA	eeeee-d4-k-d4-eeeee	187
460231	rs362331	ACAGTAGATGAGGGAGCAG	eeeee-k-d8-eeeee	188
474892	rs362331	CACACAGTAGATGAGGG	kekk-d9-kkek	189
435890	rs2298969	AAGGGATGCTGACTTGGGC	eeeee-d9-eeeee	190
460210	rs2298969	GGGATGCTGACTTGG	ekk-d9-kke	191
474871	rs7685686	ATAAATTGTCATCACCA	ekkk-d9-kkke	192
474891	rs7685686	ATAAATTGTCATCACCA	kekk-d9-kkek	193
474919	rs7685686	AATAAATTGTCATCACCAG	kekek-d9-kekek	194
474923	rs7685686	AATAAATTGTCATCACCAG	kdkdk-d9-kdkdk	195
476337	rs7685686	AATAAATTGTCATCACCAG	ekeke-d9-ekeke	196
460012	rs4690072	ACAGTGCTACCCAACCT	eee-d9-eeeee	197
525367	rs2024115	TTCAAGCTAGTAACG	ekk-d9-kke	198
435869	rs362306	GAGCAGCTGCAACCTGGCA	eeeee-d9-eeeee	199
460069	rs362306	GAGCAGCTGCAACCTGGCA	eeeee-d10-eeee	200
460206	rs362306	GCAGCTGCAACCTGG	ekk-d9-kke	201
463571	rs362273	TTGATCTGTAGCAGCAGCT	eeeee-d9-eeeee	202
476444	rs6844859	CCTTCCTCACTGAGGATGA	eeeee-d9-eeeee	203
435330	rs3856973	TAACACTCGATTAACCCTG	eeeee-d9-eeeee	204
435868	rs362275	AAGAAGCCTGATAAAATCT	eeeee-d9-eeeee	205
491416	rs7685686	TGCTTCAGAGCTGAGCAGAA	eeeee-d10-eeeee	206
553748		ACCACAACGGCGATT	ekk-d9-kke	207
553751		TACCTAAGAGCACAT	ekk-d9-kke	208
553752	rs2285086	TAGTTCATCCCAGTG	ekk-d9-kke	209
553754	rs2798235	GAGGAGGTATACTGT	ekk-d9-kke	210
553762	rs362303	TGGTGCCGGGTGTCT	ekk-d9-kke	211
553764	rs362310	AAACGGCGCAGCGGG	ekk-d9-kke	212
553765		CGCCTATACCATACA	ekk-d9-kke	213
553767		GATAATATCCTATCA	ekk-d9-kke	214
553768	rs363080	AGAGAACAAGAAGGC	ekk-d9-kke	215
553769	rs363092	AACCACTGTGGGATG	ekk-d9-kke	216
553772	rs363102	CTAAAACTAACTTGA	ekk-d9-kke	217
553773		CGTTGAAGTACTGTC	ekk-d9-kke	218
553775	rs3856973	TAACACTCGATTAAC	ekk-d9-kke	219
553776	rs4690073	CCTAAATCAATCTAC	ekk-d9-kke	220
553777	rs6446723	ATTTTCTAGACTTTA	ekk-d9-kke	221
553778	rs6844859	CTTCCTCACTGAGGA	ekk-d9-kke	222
553779	rs7659144	GAAATGGGTTTTTCC	ekk-d9-kke	223
553780	rs7691627	TAAGAAACACAATCA	ekk-d9-kke	224
553781	rs916171	GAACAAACAGAAGAA	ekk-d9-kke	225
553782	rs362303	TGGTGCCAGGTGTCT	ekk-d9-kke	226
553784	rs362310	AAACGGCACAGCGGG	ekk-d9-kke	227
435295	rs2024115	ACTTCAAGCTAGTAACGAT	eeeee-d9-eeeee	228
553742		ACACCACAACGGCGATTTG	eeeee-d9-eeeee	229
553743		CTTACCTAAGAGCACATTT	eeeee-d9-eeeee	230
435864	rs2285086	GCTAGTTCATCCCAGTGAG	eeeee-d9-eeeee	231
435910	rs2798235	CAGAGGAGGTATACTGTAT	eeeee-d9-eeeee	232
435311	rs362303	AATGGTGCCGGGTGTCTAG	eeeee-d9-eeeee	233
435309	rs362310	AGAAACGGCGCAGCGGGAA	eeeee-d9-eeeee	234
553744		TCCGCCTATACCATACAAT	eeeee-d9-eeeee	235
553745		ATGATAATATCCTATCAAA	eeeee-d9-eeeee	236
435911	rs363080	AGAGAGAACAAGAAGGCTC	eeeee-d9-eeeee	237
435872	rs363092	CAAACCACTGTGGGATGAA	eeeee-d9-eeeee	238
435300	rs363102	ATCTAAAACTAACTTGAGA	eeeee-d9-eeeee	239
553746		AGCGTTGAAGTACTGTCCC	eeeee-d9-eeeee	240
435294	rs3856973	GTTAACACTCGATTAACCC	eeeee-d9-eeeee	241
435301	rs4690073	TCCCTAAATCAATCTACAA	eeeee-d9-eeeee	242
435875	rs6446723	TAATTTTCTAGACTTTATG	eeeee-d9-eeeee	243
435876	rs6844859	ACCTTCCTCACTGAGGATG	eeeee-d9-eeeee	244
435878	rs7659144	TGGAAATGGGTTTTTCCAC	eeeee-d9-eeeee	245
435880	rs7691627	AATAAGAAACACAATCAAA	eeeee-d9-eeeee	246
435906	rs916171	CAGAACAAACAGAAGAATT	eeeee-d9-eeeee	247
435329	rs362303	AATGGTGCCAGGTGTCTAG	eeeee-d9-eeeee	248
435327	rs362310	AGAAACGGCACAGCGGGAA	eeeee-d9-eeeee	249
553766	rs363064	AGAATACGGGTAACA	ekk-d9-kke	250
553771	rs363099	CTGAGCGGAGAAACC	ekk-d9-kke	251
553770	rs363096	TTCCCTAAAAACAAA	ekk-d9-kke	252
553753	rs2298967	CTTTTCTATTGTCTG	ekk-d9-kke	253
553758	rs362272	TAGAGGACGCCGTGC	ekk-d9-kke	254
553783	rs363096	TTCCCTAGAAACAAA	ekk-d9-kke	255
553763	rs362307	CAAGGGCACAGACTT	ekk-d9-kke	256
553750	rs16843804	TAACCGTGGCATGGG	ekk-d9-kke	257
553755	rs3121419	GACTATAGCACCCAG	ekk-d9-kke	258
553757	rs362271	GTGTGTACAGAACCT	ekk-d9-kke	259
553760	rs362275	GAAGCCTGATAAAAT	ekk-d9-kke	260
553774	rs3775061	TTCAGAATGCCTCAT	ekk-d9-kke	261
553761	rs362296	GGACAGGGTGTGCTC	ekk-d9-kke	262
553747	rs10015979	AGCTAGGCTAAAGAG	ekk-d9-kke	263
553749	rs11731237	TGGGCAGAAAGGACT	ekk-d9-kke	264
553759	rs362273	TGATCTGTAGCAGCA	ekk-d9-kke	265
553756	rs34315806	CTTTTCCGTGCTGTT	ekk-d9-kke	266
435298	rs363064	GGAGAATACGGGTAACATT	eeeee-d9-eeeee	267
435303	rs363099	GGCTGAGCGGAGAAACCCT	eeeee-d9-eeeee	268
435304	rs363096	GATTCCCTAAAAACAAAAA	eeeee-d9-eeeee	269
435305	rs2298967	TGCTTTTCTATTGTCTGTC	eeeee-d9-eeeee	270
435308	rs362272	CATAGAGGACGCCGTGCAG	eeeee-d9-eeeee	271
435322	rs363096	GATTCCCTAGAAACAAAAA	eeeee-d9-eeeee	272
435328	rs362307	CACAAGGGCACAGACTTCC	eeeee-d9-eeeee	273
435863	rs16843804	TTTAACCGTGGCATGGGCA	eeeee-d9-eeeee	274
435866	rs3121419	GAGACTATAGCACCCAGAT	eeeee-d9-eeeee	275
435867	rs362271	ACGTGTGTACAGAACCTGC	eeeee-d9-eeeee	276
435873	rs3775061	TGTTCAGAATGCCTCATCT	eeeee-d9-eeeee	277
435882	rs362296	GGGGACAGGGTGTGCTCTC	eeeee-d9-eeeee	278
435887	rs10015979	GCAGCTAGGCTAAAGAGTC	eeeee-d9-eeeee	279
435909	rs11731237	GGTGGGCAGAAAGGACTGA	eeeee-d9-eeeee	280
463566	rs362273	GTTGATCTGTAGCAGCAGC	eeeee-d9-eeeee	281
463567	rs34315806	AACTTTTCCGTGCTGTTCT	eeeee-d9-eeeee	282
589448	rs3856973	AACACTCGATTAACCCT	eeekk-d7-kkeee	283
589447	rs3856973	TAACACTCGATTAACCC	eeekk-d7-kkeee	284
589163	rs3856973	TTAACACTCGATTAACC	eeekk-d7-kkeee	285
589446	rs3856973	GTTAACACTCGATTAAC	eeekk-d7-kkeee	286
589445	rs3856973	AGTTAACACTCGATTAA	eeekk-d7-kkeee	287
589669	rs3856973	AACACTCGATTAACCCT	eekek-d7-kekee	288
589668	rs3856973	TAACACTCGATTAACCC	eekek-d7-kekee	289
589667	rs3856973	TTAACACTCGATTAACC	eekek-d7-kekee	290
589666	rs3856973	GTTAACACTCGATTAAC	eekek-d7-kekee	291
589665	rs3856973	AGTTAACACTCGATTAA	eekek-d7-kekee	292
589544	rs3856973	ACACTCGATTAACCCTG	eekk-d8-kkeee	293
589543	rs3856973	AACACTCGATTAACCCT	eekk-d8-kkeee	294
589542	rs3856973	TAACACTCGATTAACCC	eekk-d8-kkeee	295
589541	rs3856973	TTAACACTCGATTAACC	eekk-d8-kkeee	296
589540	rs3856973	GTTAACACTCGATTAAC	eekk-d8-kkeee	297
589539	rs3856973	AGTTAACACTCGATTAA	eekk-d8-kkeee	298
589716	rs3856973	ACACTCGATTAACCCTG	ekek-d8-kekee	299
589715	rs3856973	AACACTCGATTAACCCT	ekek-d8-kekee	300
589714	rs3856973	TAACACTCGATTAACCC	ekek-d8-kekee	301
589713	rs3856973	TTAACACTCGATTAACC	ekek-d8-kekee	302
589712	rs3856973	GTTAACACTCGATTAAC	ekek-d8-kekee	303
589711	rs3856973	AGTTAACACTCGATTAA	ekek-d8-kekee	304
589444	rs7685686	AAATTGTCATCACCAGA	eeekk-d7-kkeee	305
589443	rs7685686	AATAAATTGTCATCACC	eeekk-d7-kkeee	306
589442	rs7685686	TAATAAATTGTCATCAC	eeekk-d7-kkeee	307
589664	rs7685686	AAATTGTCATCACCAGA	eekek-d7-kekee	308
589663	rs7685686	TAAATTGTCATCACCAG	eekek-d7-kekee	309
589662	rs7685686	ATAAATTGTCATCACCA	eekek-d7-kekee	310
589661	rs7685686	AATAAATTGTCATCACC	eekek-d7-kekee	311
589660	rs7685686	TAATAAATTGTCATCAC	eekek-d7-kekee	312
589538	rs7685686	AATTGTCATCACCAGAA	eekk-d8-kkeee	313
589536	rs7685686	TAAATTGTCATCACCAG	eekk-d8-kkeee	314
589535	rs7685686	ATAAATTGTCATCACCA	eekk-d8-kkeee	315
589534	rs7685686	AATAAATTGTCATCACC	eekk-d8-kkeee	316
589533	rs7685686	TAATAAATTGTCATCAC	eekk-d8-kkeee	317
589710	rs7685686	AATTGTCATCACCAGAA	ekek-d8-kekee	318
589709	rs7685686	AAATTGTCATCACCAGA	ekek-d8-kekee	319
589708	rs7685686	TAAATTGTCATCACCAG	ekek-d8-kekee	320
589707	rs7685686	ATAAATTGTCATCACCA	ekek-d8-kekee	321
589706	rs7685686	AATAAATTGTCATCACC	ekek-d8-kekee	322
589705	rs7685686	TAATAAATTGTCATCAC	ekek-d8-kekee	323
589468	rs2024115	TCAAGCTAGTAACGATG	eeekk-d7-kkeee	324
589467	rs2024115	TTCAAGCTAGTAACGAT	eeekk-d7-kkeee	325
589466	rs2024115	CTTCAAGCTAGTAACGA	eeekk-d7-kkeee	326
589465	rs2024115	ACTTCAAGCTAGTAACG	eeekk-d7-kkeee	327
589464	rs2024115	AACTTCAAGCTAGTAAC	eeekk-d7-kkeee	328
589568	rs2024115	CAAGCTAGTAACGATGC	eekk-d8-kkeee	329
589566	rs2024115	TTCAAGCTAGTAACGAT	eekk-d8-kkeee	330
589565	rs2024115	CTTCAAGCTAGTAACGA	eekk-d8-kkeee	331
589564	rs2024115	ACTTCAAGCTAGTAACG	eekk-d8-kkeee	332
589563	rs2024115	AACTTCAAGCTAGTAAC	eekk-d8-kkeee	333
589453	rs6446723	TTTTCTAGACTTTATGA	eeekk-d7-kkeee	334
589452	rs6446723	ATTTTCTAGACTTTATG	eeekk-d7-kkeee	335
589451	rs6446723	AATTTTCTAGACTTTAT	eeekk-d7-kkeee	336
589449	rs6446723	TTAATTTTCTAGACTTT	eeekk-d7-kkeee	337
589674	rs6446723	TTTTCTAGACTTTATGA	eekek-d7-kekee	338
589673	rs6446723	ATTTTCTAGACTTTATG	eekek-d7-kekee	339
589672	rs6446723	AATTTTCTAGACTTTAT	eekek-d7-kekee	340
589671	rs6446723	TAATTTTCTAGACTTTA	eekek-d7-kekee	341
589670	rs6446723	TTAATTTTCTAGACTTT	eekek-d7-kekee	342
589550	rs6446723	TTTCTAGACTTTATGAT	eekk-d8-kkeee	343
589549	rs6446723	TTTTCTAGACTTTATGA	eekk-d8-kkeee	344
589548	rs6446723	ATTTTCTAGACTTTATG	eekk-d8-kkeee	345
589545	rs6446723	TTAATTTTCTAGACTTT	eekk-d8-kkeee	346
589722	rs6446723	TTTCTAGACTTTATGAT	ekek-d8-kekee	347
589721	rs6446723	TTTTCTAGACTTTATGA	ekek-d8-kekee	348
589720	rs6446723	ATTTTCTAGACTTTATG	ekek-d8-kekee	349
589719	rs6446723	AATTTTCTAGACTTTAT	ekek-d8-kekee	350
589717	rs6446723	TTAATTTTCTAGACTTT	ekek-d8-kekee	351
589463	rs6844859	TTCCTCACTGAGGATGA	eeekk-d7-kkeee	352
589462	rs6844859	CTTCCTCACTGAGGATG	eeekk-d7-kkeee	353
589461	rs6844859	CCTTCCTCACTGAGGAT	eeekk-d7-kkeee	354
589460	rs6844859	ACCTTCCTCACTGAGGA	eeekk-d7-kkeee	355
589459	rs6844859	CACCTTCCTCACTGAGG	eeekk-d7-kkeee	356
590761	rs6844859	TTCCTCACTGAGGATGA	eekek-d7-kekee	357
590760	rs6844859	CTTCCTCACTGAGGATG	eekek-d7-kekee	358
590759	rs6844859	CCTTCCTCACTGAGGAT	eekek-d7-kekee	359
590758	rs6844859	ACCTTCCTCACTGAGGA	eekek-d7-kekee	360
590757	rs6844859	CACCTTCCTCACTGAGG	eekek-d7-kekee	361
589562	rs6844859	TCCTCACTGAGGATGAA	eekk-d8-kkeee	362
589561	rs6844859	TTCCTCACTGAGGATGA	eekk-d8-kkeee	363
589560	rs6844859	CTTCCTCACTGAGGATG	eekk-d8-kkeee	364
589559	rs6844859	CCTTCCTCACTGAGGAT	eekk-d8-kkeee	365
589558	rs6844859	ACCTTCCTCACTGAGGA	eekk-d8-kkeee	366
589557	rs6844859	CACCTTCCTCACTGAGG	eekk-d8-kkeee	367
590767	rs6844859	TCCTCACTGAGGATGAA	ekek-d8-kekee	368
590766	rs6844859	TTCCTCACTGAGGATGA	ekek-d8-kekee	369
590765	rs6844859	CTTCCTCACTGAGGATG	ekek-d8-kekee	370
590764	rs6844859	CCTTCCTCACTGAGGAT	ekek-d8-kekee	371
590763	rs6844859	ACCTTCCTCACTGAGGA	ekek-d8-kekee	372
590762	rs6844859	CACCTTCCTCACTGAGG	ekek-d8-kekee	373
589483	rs363092	ACCACTTTGGGATGAAT	eeekk-d7-kkeee	374
589482	rs363092	AACCACTTTGGGATGAA	eeekk-d7-kkeee	375
589481	rs363092	AAACCACTTTGGGATGA	eeekk-d7-kkeee	376
589480	rs363092	CAAACCACTTTGGGATG	eeekk-d7-kkeee	377
589479	rs363092	GCAAACCACTTTGGGAT	eeekk-d7-kkeee	378
589586	rs363092	CCACTTTGGGATGAATA	eekk-d8-kkeee	379
589585	rs363092	ACCACTTTGGGATGAAT	eekk-d8-kkeee	380
589584	rs363092	AACCACTTTGGGATGAA	eekk-d8-kkeee	381
589583	rs363092	AAACCACTTTGGGATGA	eekk-d8-kkeee	382
589582	rs363092	CAAACCACTTTGGGATG	eekk-d8-kkeee	383
589581	rs363092	GCAAACCACTTTGGGAT	eekk-d8-kkeee	384
589458	rs2285086	AGTTCATCCCAGTGAGA	eeekk-d7-kkeee	385
589457	rs2285086	TAGTTCATCCCAGTGAG	eeekk-d7-kkeee	386
589456	rs2285086	CTAGTTCATCCCAGTGA	eeekk-d7-kkeee	387
589455	rs2285086	GCTAGTTCATCCCAGTG	eeekk-d7-kkeee	388
589454	rs2285086	TGCTAGTTCATCCCAGT	eeekk-d7-kkeee	389
589679	rs2285086	AGTTCATCCCAGTGAGA	eekek-d7-kekee	390
589678	rs2285086	TAGTTCATCCCAGTGAG	eekek-d7-kekee	391
589677	rs2285086	CTAGTTCATCCCAGTGA	eekek-d7-kekee	392
589676	rs2285086	GCTAGTTCATCCCAGTG	eekek-d7-kekee	393
589675	rs2285086	TGCTAGTTCATCCCAGT	eekek-d7-kekee	394
589556	rs2285086	GTTCATCCCAGTGAGAA	eekk-d8-kkeee	395
589555	rs2285086	AGTTCATCCCAGTGAGA	eekk-d8-kkeee	396
589554	rs2285086	TAGTTCATCCCAGTGAG	eekk-d8-kkeee	397
589553	rs2285086	CTAGTTCATCCCAGTGA	eekk-d8-kkeee	398
589552	rs2285086	GCTAGTTCATCCCAGTG	eekk-d8-kkeee	399
589551	rs2285086	TGCTAGTTCATCCCAGT	eekk-d8-kkeee	400
589728	rs2285086	GTTCATCCCAGTGAGAA	ekek-d8-kekee	401
589727	rs2285086	AGTTCATCCCAGTGAGA	ekek-d8-kekee	402
589726	rs2285086	TAGTTCATCCCAGTGAG	ekek-d8-kekee	403
589725	rs2285086	CTAGTTCATCCCAGTGA	ekek-d8-kekee	404
589724	rs2285086	GCTAGTTCATCCCAGTG	ekek-d8-kekee	405
589723	rs2285086	TGCTAGTTCATCCCAGT	ekek-d8-kekee	406
589473	rs2798235	AGGAGGCATACTGTATT	eeekk-d7-kkeee	407
589472	rs2798235	GAGGAGGCATACTGTAT	eeekk-d7-kkeee	408
589471	rs2798235	AGAGGAGGCATACTGTA	eeekk-d7-kkeee	409
589470	rs2798235	CAGAGGAGGCATACTGT	eeekk-d7-kkeee	410
589469	rs2798235	ACAGAGGAGGCATACTG	eeekk-d7-kkeee	411
589574	rs2798235	GGAGGCATACTGTATTT	eekk-d8-kkeee	412
589573	rs2798235	AGGAGGCATACTGTATT	eekk-d8-kkeee	413
589572	rs2798235	GAGGAGGCATACTGTAT	eekk-d8-kkeee	414
589571	rs2798235	AGAGGAGGCATACTGTA	eekk-d8-kkeee	415
589570	rs2798235	CAGAGGAGGCATACTGT	eekk-d8-kkeee	416
589569	rs2798235	ACAGAGGAGGCATACTG	eekk-d8-kkeee	417
589478	rs363080	GAGAACGAGAAGGCTCC	eeekk-d7-kkeee	418
589477	rs363080	AGAGAACGAGAAGGCTC	eeekk-d7-kkeee	419
589476	rs363080	GAGAGAACGAGAAGGCT	eeekk-d7-kkeee	420
589475	rs363080	AGAGAGAACGAGAAGGC	eeekk-d7-kkeee	421
589474	rs363080	AAGAGAGAACGAGAAGG	eeekk-d7-kkeee	422
589580	rs363080	AGAACGAGAAGGCTCCA	eekk-d8-kkeee	423
589579	rs363080	GAGAACGAGAAGGCTCC	eekk-d8-kkeee	424
589578	rs363080	AGAGAACGAGAAGGCTC	eekk-d8-kkeee	425
589577	rs363080	GAGAGAACGAGAAGGCT	eekk-d8-kkeee	426
589576	rs363080	AGAGAGAACGAGAAGGC	eekk-d8-kkeee	427
589575	rs363080	AAGAGAGAACGAGAAGG	eekk-d8-kkeee	428
589497	rs362273	GATCTGTAGCAGCAGCT	eeekk-d7-kkeee	429
589496	rs362273	TGATCTGTAGCAGCAGC	eeekk-d7-kkeee	430
589495	rs362273	TTGATCTGTAGCAGCAG	eeekk-d7-kkeee	431
589494	rs362273	GTTGATCTGTAGCAGCA	eeekk-d7-kkeee	432
589493	rs362273	GGTTGATCTGTAGCAGC	eeekk-d7-kkeee	433
589689	rs362273	GATCTGTAGCAGCAGCT	eekek-d7-kekee	434
589688	rs362273	TGATCTGTAGCAGCAGC	eekek-d7-kekee	435
589687	rs362273	TTGATCTGTAGCAGCAG	eekek-d7-kekee	436
589686	rs362273	GTTGATCTGTAGCAGCA	eekek-d7-kekee	437
589685	rs362273	GGTTGATCTGTAGCAGC	eekek-d7-kekee	438
589604	rs362273	ATCTGTAGCAGCAGCTT	eekk-d8-kkeee	439
589603	rs362273	GATCTGTAGCAGCAGCT	eekk-d8-kkeee	440
589600	rs362273	GTTGATCTGTAGCAGCA	eekk-d8-kkeee	441
589599	rs362273	GGTTGATCTGTAGCAGC	eekk-d8-kkeee	442
589740	rs362273	ATCTGTAGCAGCAGCTT	ekek-d8-kekee	443
589739	rs362273	GATCTGTAGCAGCAGCT	ekek-d8-kekee	444
589738	rs362273	TGATCTGTAGCAGCAGC	ekek-d8-kekee	445
589736	rs362273	GTTGATCTGTAGCAGCA	ekek-d8-kekee	446
589735	rs362273	GGTTGATCTGTAGCAGC	ekek-d8-kekee	447
589492	rs363088	CAGCTATCTTCTCATCA	eeekk-d7-kkeee	448
589491	rs363088	ACAGCTATCTTCTCATC	eeekk-d7-kkeee	449
575481	rs363088	CACAGCTATCTTCTCAT	eeekk-d7-kkeee	450
589490	rs363088	TCACAGCTATCTTCTCA	eeekk-d7-kkeee	451
589489	rs363088	TTCACAGCTATCTTCTC	eeekk-d7-kkeee	452
589684	rs363088	CAGCTATCTTCTCATCA	eekek-d7-kekee	453
589683	rs363088	ACAGCTATCTTCTCATC	eekek-d7-kekee	454
589682	rs363088	CACAGCTATCTTCTCAT	eekek-d7-kekee	455
589681	rs363088	TCACAGCTATCTTCTCA	eekek-d7-kekee	456
589680	rs363088	TTCACAGCTATCTTCTC	eekek-d7-kekee	457
589598	rs363088	AGCTATCTTCTCATCAA	eekk-d8-kkeee	458
589597	rs363088	CAGCTATCTTCTCATCA	eekk-d8-kkeee	459
589594	rs363088	TCACAGCTATCTTCTCA	eekk-d8-kkeee	460
589593	rs363088	TTCACAGCTATCTTCTC	eekk-d8-kkeee	461
589734	rs363088	AGCTATCTTCTCATCAA	ekek-d8-kekee	462
589733	rs363088	CAGCTATCTTCTCATCA	ekek-d8-kekee	463
589732	rs363088	ACAGCTATCTTCTCATC	ekek-d8-kekee	464
589731	rs363088	CACAGCTATCTTCTCAT	ekek-d8-kekee	465
589730	rs363088	TCACAGCTATCTTCTCA	ekek-d8-kekee	466
589729	rs363088	TTCACAGCTATCTTCTC	ekek-d8-kekee	467
589502	rs362271	TGTGTACAGAACCTGCC	eeekk-d7-kkeee	468
589501	rs362271	GTGTGTACAGAACCTGC	eeekk-d7-kkeee	469
589500	rs362271	CGTGTGTACAGAACCTG	eeekk-d7-kkeee	470
589499	rs362271	ACGTGTGTACAGAACCT	eeekk-d7-kkeee	471
589498	rs362271	CACGTGTGTACAGAACC	eeekk-d7-kkeee	472
589694	rs362271	TGTGTACAGAACCTGCC	eekek-d7-kekee	473
589693	rs362271	GTGTGTACAGAACCTGC	eekek-d7-kekee	474
589692	rs362271	CGTGTGTACAGAACCTG	eekek-d7-kekee	475
589691	rs362271	ACGTGTGTACAGAACCT	eekek-d7-kekee	476
589690	rs362271	CACGTGTGTACAGAACC	eekek-d7-kekee	477
589610	rs362271	GTGTACAGAACCTGCCG	eekk-d8-kkeee	478
589609	rs362271	TGTGTACAGAACCTGCC	eekk-d8-kkeee	479
589608	rs362271	GTGTGTACAGAACCTGC	eekk-d8-kkeee	480
589607	rs362271	CGTGTGTACAGAACCTG	eekk-d8-kkeee	481
589606	rs362271	ACGTGTGTACAGAACCT	eekk-d8-kkeee	482
589605	rs362271	CACGTGTGTACAGAACC	eekk-d8-kkeee	483
589746	rs362271	GTGTACAGAACCTGCCG	ekek-d8-kekee	484
589745	rs362271	TGTGTACAGAACCTGCC	ekek-d8-kekee	485
589744	rs362271	GTGTGTACAGAACCTGC	ekek-d8-kekee	486
589743	rs362271	CGTGTGTACAGAACCTG	ekek-d8-kekee	487
589742	rs362271	ACGTGTGTACAGAACCT	ekek-d8-kekee	488
589741	rs362271	CACGTGTGTACAGAACC	ekek-d8-kekee	489
589517	rs363099	TGAGCGGAGAAACCCTC	eeekk-d7-kkeee	490
589516	rs363099	CTGAGCGGAGAAACCCT	eeekk-d7-kkeee	491
589515	rs363099	GCTGAGCGGAGAAACCC	eeekk-d7-kkeee	492
589514	rs363099	GGCTGAGCGGAGAAACC	eeekk-d7-kkeee	493
589513	rs363099	AGGCTGAGCGGAGAAAC	eeekk-d7-kkeee	494
589628	rs363099	GAGCGGAGAAACCCTCC	eekk-d8-kkeee	495
589627	rs363099	TGAGCGGAGAAACCCTC	eekk-d8-kkeee	496
589626	rs363099	CTGAGCGGAGAAACCCT	eekk-d8-kkeee	497
589625	rs363099	GCTGAGCGGAGAAACCC	eekk-d8-kkeee	498
589624	rs363099	GGCTGAGCGGAGAAACC	eekk-d8-kkeee	499
589623	rs363099	AGGCTGAGCGGAGAAAC	eekk-d8-kkeee	500
589531	rs363064	AGAATACGGGTAACATT	eeekk-d7-kkeee	501
589530	rs363064	GAGAATACGGGTAACAT	eeekk-d7-kkeee	502
589529	rs363064	GGAGAATACGGGTAACA	eeekk-d7-kkeee	503
589528	rs363064	TGGAGAATACGGGTAAC	eeekk-d7-kkeee	504
589644	rs363064	AGAATACGGGTAACATT	eekk-d8-kkeee	505
589643	rs363064	GAGAATACGGGTAACAT	eekk-d8-kkeee	506
589642	rs363064	GGAGAATACGGGTAACA	eekk-d8-kkeee	507
589522	rs16843804	AACCGTGGCATGGGCAG	eeekk-d7-kkeee	508
589521	rs16843804	TAACCGTGGCATGGGCA	eeekk-d7-kkeee	509
589520	rs16843804	TTAACCGTGGCATGGGC	eeekk-d7-kkeee	510
589519	rs16843804	TTTAACCGTGGCATGGG	eeekk-d7-kkeee	511
589518	rs16843804	CTTTAACCGTGGCATGG	eeekk-d7-kkeee	512
589634	rs16843804	ACCGTGGCATGGGCAGT	eekk-d8-kkeee	513
589633	rs16843804	AACCGTGGCATGGGCAG	eekk-d8-kkeee	514
589632	rs16843804	TAACCGTGGCATGGGCA	eekk-d8-kkeee	515
589631	rs16843804	TTAACCGTGGCATGGGC	eekk-d8-kkeee	516
589630	rs16843804	TTTAACCGTGGCATGGG	eekk-d8-kkeee	517
589629	rs16843804	CTTTAACCGTGGCATGG	eekk-d8-kkeee	518
589512	rs3121419	ACTATAGCACCCAGATT	eeekk-d7-kkeee	519
589511	rs3121419	GACTATAGCACCCAGAT	eeekk-d7-kkeee	520
589510	rs3121419	AGACTATAGCACCCAGA	eeekk-d7-kkeee	521
589509	rs3121419	GAGACTATAGCACCCAG	eeekk-d7-kkeee	522
589508	rs3121419	AGAGACTATAGCACCCA	eeekk-d7-kkeee	523
589704	rs3121419	ACTATAGCACCCAGATT	eekek-d7-kekee	524
589703	rs3121419	GACTATAGCACCCAGAT	eekek-d7-kekee	525
589702	rs3121419	AGACTATAGCACCCAGA	eekek-d7-kekee	526
589701	rs3121419	GAGACTATAGCACCCAG	eekek-d7-kekee	527
589700	rs3121419	AGAGACTATAGCACCCA	eekek-d7-kekee	528
589622	rs3121419	CTATAGCACCCAGATTT	eekk-d8-kkeee	529
589621	rs3121419	ACTATAGCACCCAGATT	eekk-d8-kkeee	530
589620	rs3121419	GACTATAGCACCCAGAT	eekk-d8-kkeee	531
589619	rs3121419	AGACTATAGCACCCAGA	eekk-d8-kkeee	532
589618	rs3121419	GAGACTATAGCACCCAG	eekk-d8-kkeee	533
589617	rs3121419	AGAGACTATAGCACCCA	eekk-d8-kkeee	534
589758	rs3121419	CTATAGCACCCAGATTT	ekek-d8-kekee	535
589757	rs3121419	ACTATAGCACCCAGATT	ekek-d8-kekee	536
589756	rs3121419	GACTATAGCACCCAGAT	ekek-d8-kekee	537
589755	rs3121419	AGACTATAGCACCCAGA	ekek-d8-kekee	538
589754	rs3121419	GAGACTATAGCACCCAG	ekek-d8-kekee	539
589753	rs3121419	AGAGACTATAGCACCCA	ekek-d8-kekee	540
589527	rs2298967	TTTTCTATTGTCTGTCC	eeekk-d7-kkeee	541
589526	rs2298967	CTTTTCTATTGTCTGTC	eeekk-d7-kkeee	542
589525	rs2298967	GCTTTTCTATTGTCTGT	eeekk-d7-kkeee	543
589524	rs2298967	TGCTTTTCTATTGTCTG	eeekk-d7-kkeee	544
589523	rs2298967	TTGCTTTTCTATTGTCT	eeekk-d7-kkeee	545
589640	rs2298967	TTTCTATTGTCTGTCCC	eekk-d8-kkeee	546
589639	rs2298967	TTTTCTATTGTCTGTCC	eekk-d8-kkeee	547
589638	rs2298967	CTTTTCTATTGTCTGTC	eekk-d8-kkeee	548
589637	rs2298967	GCTTTTCTATTGTCTGT	eekk-d8-kkeee	549
589636	rs2298967	TGCTTTTCTATTGTCTG	eekk-d8-kkeee	550
589635	rs2298967	TTGCTTTTCTATTGTCT	eekk-d8-kkeee	551
589507	rs34315806	TTTTCCGTGCTGTTCTG	eeekk-d7-kkeee	552
589506	rs34315806	CTTTTCCGTGCTGTTCT	eeekk-d7-kkeee	553
589505	rs34315806	ACTTTTCCGTGCTGTTC	eeekk-d7-kkeee	554
589504	rs34315806	AACTTTTCCGTGCTGTT	eeekk-d7-kkeee	555
589503	rs34315806	AAACTTTTCCGTGCTGT	eeekk-d7-kkeee	556
589699	rs34315806	TTTTCCGTGCTGTTCTG	eekek-d7-kekee	557
589698	rs34315806	CTTTTCCGTGCTGTTCT	eekek-d7-kekee	558
589697	rs34315806	ACTTTTCCGTGCTGTTC	eekek-d7-kekee	559
589696	rs34315806	AACTTTTCCGTGCTGTT	eekek-d7-kekee	560
589695	rs34315806	AAACTTTTCCGTGCTGT	eekek-d7-kekee	561
589616	rs34315806	TTTCCGTGCTGTTCTGA	eekk-d8-kkeee	562
589615	rs34315806	TTTTCCGTGCTGTTCTG	eekk-d8-kkeee	563
589614	rs34315806	CTTTTCCGTGCTGTTCT	eekk-d8-kkeee	564
589613	rs34315806	ACTTTTCCGTGCTGTTC	eekk-d8-kkeee	565
589612	rs34315806	AACTTTTCCGTGCTGTT	eekk-d8-kkeee	566
589611	rs34315806	AAACTTTTCCGTGCTGT	eekk-d8-kkeee	567
589752	rs34315806	TTTCCGTGCTGTTCTGA	ekek-d8-kekee	568
589751	rs34315806	TTTTCCGTGCTGTTCTG	ekek-d8-kekee	569
589750	rs34315806	CTTTTCCGTGCTGTTCT	ekek-d8-kekee	570
589749	rs34315806	ACTTTTCCGTGCTGTTC	ekek-d8-kekee	571
589748	rs34315806	AACTTTTCCGTGCTGTT	ekek-d8-kekee	572
589747	rs34315806	AAACTTTTCCGTGCTGT	ekek-d8-kekee	573

Example 4

300 μg ICV Bolus 8 Week Study With Mice

Oligos were screened in human patient fibroblasts (either GM4022 or GM2173B) at 4 μM with electroporation (2 mm multiwell, 115V, 6 mS, 1 pulse, 3.5e5 cells per well). Target message was measured with an allele specific ABI primer probe set 24-hours post electroporation. Results were normalized to Ribogreen. The half maximal inhibitory concentration (IC₅₀) of each oligonucleotide is presented in the Table below and was calculated by plotting the concentrations of oligonucleotides used versus the percent inhibition of HTT mRNA expression achieved at each concentration, and noting the concentration of oligonucleotide at which 50% inhibition of HTT mRNA expression was achieved compared to the control. The IC₅₀ at which each oligonucleotide inhibits the mutant HTT mRNA expression is denoted as ‘mut IC₅₀’. The IC₅₀ at which each oligonucleotide inhibits the wild-type HTT mRNA expression is denoted as ‘wt IC₅₀’. “ND” means data not available.

Mice were separated into groups of 4 mice. Each mouse in each group of mice was administered a single 300 μg ICV dose of each of the oligonucleotides in the table below. At 3 hours post injection, each mouse was evaluated according to 7 different criteria. The 7 criteria are (1) the mouse was bright, alert, and responsive; (2) the mouse was standing or hunched without stimuli; (3) the mouse shows any movement without stimuli (4) the mouse demonstrates forward movement after it is lifted; (5) the mouse demonstrates any movement after it is lifted; (6) the mouse responds to a tail pinch; (7) the mouse has a regular respiratory rate. For each of the 7 different criteria, each mouse was given a sub-score of 0 if it met the criteria or 1 if it did not. After each of the 7 criteria were evaluated, the sub-scores were summed for each mouse and then averaged for each group. For example, if a mouse was bright, alert, and responsive 3 hours after the 300 μg ICV dose, and met all other criteria, it would get a summed score of 0. If another mouse was not bright, alert, and responsive 3 hours after the 300 μg ICV dose but met all other criteria, it would receive a score of 1. Saline treated mice generally receive a score of 0. A score of at the top end of the range would be suggestive of acute toxicity. In the table below, a subscript ‘k’ indicates an (S)-cEt modification; a subscript ‘e’ indicates a MOE modification; a subscript ‘d’ indicates a 2′-deoxynucleoside and an “N” without a subscript also indicates a 2′-deoxynucleoside. In the table below, an “x” represents a 2-thiothymine Subscripts “s” and “o” refer to phosphorothioate and phosphodiester internucleoside bonds, respectively.

Each mouse was then evaluated weekly by a trained observer for 8 weeks and examined for adverse events. Adverse events are defined as any behavior not typical in a naive matched control animal. Animals were evaluated for adverse events including, but not limited to: limb clasping, abnormal limb splay, abnormal gait, tremors, abnormal respiration, paralysis, spasticity, impaired righting reflex, hyperactivity and lethargy. For each group, the number of animals that exhibited any adverse events during any of the 8 weekly observations was calculated. For example, a group of animals where no animals exhibited any adverse events is given a score of 0.

TABLE 28
300 μg ICV Bolus 8 Week Study With Mice
					# of Mice in
		Mut	Wt	Score at	group with one
		IC50	Ic50	3 hours	or more adverse
Isis No.	SNP	(μM)	(μM)	post injection	events for 8 weeks
540083	rs7685686	ND	ND	ND	4
540094	rs7685686	0.31	4.8	4.3	2
540095	rs7685686	0.69	8.3	6	4
540096	rs7685686	0.65	10	3.5	2
540108	rs7685686	0.41	>10	0.8	4
550913	rs7685686	0.12	0.6	2	3
551429	rs7685686	0.24	>10	0.3	0
566267	rs7685686	0.34	>15	1.5	0
568876	rs7685686	0.1	>10	1.3	4
571036	rs7685686	0.17	>10	1	4
571037	rs7685686	0.11	>10	0	4
575007	rs7685686	0.67	>10	1.8	0
585246	rs7685686	0.6	>10	4.5	4
571069	rs7685686	0.29	>10	0	4
572771	rs7685686	0.54	>10	0	3
572772	rs7685686	0.57	>10	0	0
575008	rs7685686	0.18	>10	0	1
460209	rs7685686	0.34	1.7	1.3	0
476333	rs7685686	0.32	1.6	0	1
540108	rs7685686	0.41	>10	0.3	2
593199	rs7685686	ND	ND	0	3
593200	rs7685686	ND	ND	0.5	0
593201	rs7685686	ND	ND	0	4
593202	rs7685686	ND	ND	0	4
593203	rs7685686	ND	ND	0	3
593204	rs7685686	ND	ND	0	4
558257	rs7685686	0.6	>10	0	ND
571039	rs7685686	0.34	>10	2.5	ND
598229	rs7685686	ND	ND	0	ND
598300	rs7685686	ND	ND	1.3	ND
598301	rs7685686	ND	ND	2.3	ND
598302	rs7685686	ND	ND	0.3	ND
598303	rs7685686	ND	ND	1.5	ND
598304	rs7685686	ND	ND	1.5	ND
598305	rs7685686	ND	ND	0	ND
598306	rs7685686	ND	ND	0.5	ND
598307	rs7685686	ND	ND	0.8	ND
598308	rs7685686	ND	ND	1.8	ND
606560	rs7685686	ND	ND	1.5	ND
606578	rs7685686	ND	ND	2.8	ND
435871	rs363088	ND	ND	4.8	3
525366	rs363088	0.6	2.88	ND	4
525368	rs363088	0.8	6.88	.3	4
575172	rs363088	0.9	5.0	0	4
575175	rs363088	0.4	2.64	0	4
582658	rs363088	0.8	6.9	0	4
582661	rs363088	0.4	3.0	0	4
589595	rs363088	1.2	9.6	0	4
589596	rs363088	1.4	>10	0	4
591416	rs363088	ND	ND	0	3
589450	rs6446723	1.3	>10	3.8	0
589532	rs363064	2.5	>10	5.8	2
589537	rs7685686	0.8	4.8	2.8	2
589546	rs6446723	1.3	>10	1.8	0
589547	rs6446723	1.5	>10	2.3	1
589567	rs6446723	0.8	9.6	6	3
589601	rs362273	1.3	7	6	4
589602	rs362273	1.4	>10	6	3
589645	rs363088	1.5	>10	5.7	2
589646	rs363088	3.2	>10	4.3	0
589718	rs6446723	1.4	>10	3.3	1
589737	rs363088	1.3	4.8	5.8	4
556845	rs7685686	ND	ND	3	ND
598309	rs7685686	ND	ND	0.5	ND
598310	rs7685686	ND	ND	0.3	ND
606561	rs7685686	ND	ND	1.5	ND
606562	rs7685686	ND	ND	2.3	ND
598299	rs7685686	ND	ND	1	ND

Example 5

300 μg ICV Bolus Study With Mice

Additional oligonucleotides, shown in the table below, were administered to mice at a single 300 μg ICV dose. The mice were evaluated according to the procedures in Example 4 above.

TABLE 29
300 μg ICV Bolus Study With Mice
				Score at
				3 hours
				post	SEQ ID
ISIS NO.	SNP	Sequence (5′ to 3′)	Sugar Motif	injection	NO
551429	rs7685686	TeAeAeAkTkTGTCATCAkCkCe	5-7-3	.3	3
571037	rs7685686	AeTeAeAeAkTkTGT mCATmCAkmCemCkAe	6-7-4	0	11
540108	rs7685686	AeTeAeAkAkTTGT mCATmCkAkmCemCeAe	5-7-5	.3	11
571036	rs7685686	AeTkAeAkAeTkTGT mCATmCAkmCemCkAe	6-7-4	1	11
568876	rs7685686	AkTkAkAkAkTTGTCATCkAkCkCkAk	5-7-5	1.3	11
566267	rs7685686	TeAkAkATzTGT mCATmCAkmCkmCe	3-9-3 or	1.5	3
			5-7-3
575007	rs7685686	TeAkAkATkTGT mCATmCAkmCkmCe	3-9-3 or	1.8	3
			5-7-3
550913	rs7685686	AkAkTeAkAkATTGTCATCAkCkCeTkTk	5-9-5	2	12
540096	rs7685686	AeAkTTGTCATCACkCkAkGe	2-9-4	3.5	7
585246	rs7685686	TeAeAeAkTkTGTCATCAkCkCeAeGe	5-7-5	4.5	31
540094	rs7685686	TeTkGTmCATmCA mCmCAkGkAkAe	2-9-4	4.3	8
540095	rs7685686	AeTkTGTCATCACCkAkGkAe	2-9-4	6	48
540083	rs7685686	AeAkTkTkGTCATCACCAkGe	4-9-2	ND	7
593200	rs7685686	Aes Tks Tds Gds Tds mCAds Tds mCds Ads mCds	2-9-4	0.5	48
		mCko Ako Gks Ae
593202	rs7685686	Aes Tko Ako Ako Aks Tks Tds Gds Tds mCds Ads	6-7-4	0	4
		Tds mCds Ako mCko mCks Ae
476333	rs7685686	Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Ads Tds	4-9-4	0	4
		mCds Aks mCes mCks Ae
571039	rs7685686	Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads	4-9-4	2.5	4
		Tds mCds Aks mCes mCks Ae
598229	rs7685686	Aes Tes Aes Aes Aks Tks Tds Gds Tds mCks Ads	6-7-4	0	4
		Tds mCds Aks mCes mCks Ae
593203	rs7685686	Tks Ako Ako Ako Tks Tds Gds Tds mCds Ads Tds	5-7-5	0	31
		mCds Ako mCko mCko Aks Gk
593204	rs7685686	Aks Tko Ako Ako Ako Tds Tds Gds Tds mCds Ads	5-7-5	0	4
		Tds mCko Ako mCko mCko Ak
598305	rs7685686	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds	4-9-4 or	0	4
		mCds Aks mCks mCes Ae	6-7-4
598306	rs7685686	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds	4-9-4 or	0.5	4
		mCds Aks mCes mCes Ae	6-7-4
598307	rs7685686	Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds	4-9-4 or	0.8	4
		mCds Aes mCes mCes Ae	6-7-4
606560	rs7685686	Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads	4-9-4	1.5	4
		Tds mCds Aks mCes mCks Ae
606561	rs7685686	Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads	4-9-4	1.5	4
		Tds mCds Aks mCes mCes Ae
606562	rs7685686	Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads	4-9-4	2.3	4
		Tds mCds Aks mCes mCes Ae
606578	rs7685686	Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Afs Tds	4-9-4	2.8	4
		mCds Aks mCes mCks Ae
617107	rs363064	AesAeo Tko Aks mCds Gds Gds Gds Tds Ads Ads	4-8-5	1.25	108
		mCds Ako Tko Tes Tes Te
617110	rs363064	Ges Aes Aeo Tko Aks mCds Gds Gds Gds Tds Ads	5-7-5	1.75	89
		Ads mCko Tko Tes Tes Te

Example 6

Modified Oligonucleotides Targeting HTT SNP rs7685686 or rs6446723

The modified oligonucleotides described in the previous examples were tested in vitro targeting HTT SNP rs7685686 or rs6446723. Human patient fibroblasts GM04022 cell line was used. Cultured GM04022 cells at a density of 35,000 cells per well were transfected using electroporation at 130V with 0.37, 1.1, 3.3 and 10 μM concentrations of modified oligonucleotides. After a treatment period of approximately 24 hours, RNA was isolated from the cells and mRNA levels were measured by quantitative real-time PCR using ABI assay C_—2229297_—10 which measures at dbSNP rs362303. The HTT mRNA levels were adjusted according to total RNA content, as measured by RIBOGREEN and the results are presented in Table 30.

The IC₅₀ of each modified oligonucleotide is presented in the table below and was calculated by plotting the concentrations of oligonucleotides used versus the percent inhibition of HTT mRNA expression achieved at each concentration, and noting the concentration of oligonucleotide at which 50% inhibition of HTT mRNA expression was achieved compared to the control. The IC₅₀ at which each oligonucleotide inhibits the mutant HTT mRNA expression is denoted as ‘mut IC₅₀’. The IC₅₀ at which each oligonucleotide inhibits the wild-type HTT mRNA expression is denoted as ‘wt IC₅₀’. Selectivity was calculated by dividing the IC₅₀ for inhibition of the wild-type HTT versus the IC₅₀ for inhibiting expression of the mutant HTT mRNA.

ISIS 141923 (C_eC_eT_eT_eC_eCCTGAAGGTTC_eC_eT_eC_eC_e, 5-10-5 MOE (SEQ ID NO: 575)) was included in the study as a negative control and is denoted as “neg control”. A non-allele specific antisense oligonucleotide, ISIS 387916 (T_eC_eT_eC_eT_eATTGCACATTC_eC_eA_eA_eG_e, 5-10-5 MOE (SEQ ID NO: 576)) was used as a positive control and is denoted as “pos control”. ISIS 460209 or 572772 was also included in the study for comparison.

TABLE 30
Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686 or rs6446723
		IC50 (μM)	Selectivity		SEQ ID.
Isis No.	SNP	Mut	Wt	(wt vs mut)	Motif	NO.
4602091	rs7685686	<0.4	2.25	5.6	ekk-d9-kke	3
5727722	rs7685686	0.27	>10	>37	eeeekk-d7-kke	24
551429	rs7685686	<0.4	>10	>25	eeekk-d7-kke	13
556845	rs7685686	<0.4	>10	>25	ekk-d9-kke	14
617425	rs7685686	1.3	>10	>8	eeeeek-d7-eee	75
617115	rs7685686	<0.4	>10	>25	eeeeek-d7-kke	70
617116	rs7685686	<0.4	>10	>25	eeeekk-d7-kee	71
617117	rs7685686	0.7	>10	>14	eeeeek-d7-kee	72
617118	rs7685686	0.4	>10	>25	eeeeek-d7-kee	73
617119	rs7685686	0.8	>10	>13	eeeeek-d7-eee	74
617111	rs7685686	<0.4	>10	>25	ekek-d9-keke	91
613581	rs7685686	0.9	>10	>11	eeeeedk-d7-eeeee	76
613582	rs7685686	0.4	>10	>25	eeeeek-d7-eeeeee	77
613583	rs7685686	0.7	>10	>14	eeeek-d7-eeeeeee	78
613584	rs7685686	0.4	>10	>25	eeek-d7-eeeeeeee	79
613585	rs7685686	0.4	>10	>25	eek-d7-eeeeeeeee	80
613586	rs7685686	0.7	>10	>14	ek-d7-eeeeeeeeee	81
613588	rs7685686	0.7	>10	>14	eeeeeeek-d7-eeee	82
613589	rs7685686	1.2	>10	>8	eeeeeeeek-d7-eee	83
617105	rs7685686	<0.4	5.9	15	eekk-d8-kkeee	90
606561	rs7685686	<4	>10	25	ekek-d9-keee	67
606562	rs7685686	0.7	>10	25	eeek-d9-keee	68
611714	rs7685686	0.6	4.7	8	eeekk-d7-kke	164
	(G)
611715	rs7685686	0.6	5.6	9	ekek-d9-keke	165
	(G)
611717	rs7685686	0.8	4.7	6	eeeekk-d7-kke	167
	(G)
611718	rs7685686	0.8	7.0	9	ekk-d-k-d7-kke	168
	(G)
611719	rs7685686	0.9	3.2	4	ekkkk-d7-kke	169
	(G)
611720	rs7685686	<0.4	2.5	6	ek-d9-kkke	170
	(G)
611721	rs7685686	0.9	>10	>11	eeeek-d7-keee	171
	(G)
611722	rs7685686	1.5	>10	>7	eeee-d-k-d7-keee	172
	(G)
611723	rs7685686	2.7	9.6	4	eeeek-d7-keeee	173
	(G)
617104	rs6446723	<0.4	6.8	17	eeekk-d7-kkeee	84
617106	rs6446723	<0.4	5.7	14	eekk-d8-kkeee	85
617108	rs6446723	<0.4	5.8	14	ekek-d8-kekee	86
617109	rs6446723	<0.4	3.6	9	eekk-d8-kkeee	87
387916		<0.4	0.6	2	eeeee-d10-eeeee	575
(pos control)
141923		>10	>10	1	eeeee-d10-eeeee	576
(neg control)
1IC50 measured from average of 2 independent assays
2IC50 measured from average of 3 independent assays

Example 7

Modified Oligonucleotides Targeting HTT SNP rs7685686

The modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In Table 31, the ‘k’ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; the ‘y’ subscript indicates a tricyclo DNA (tcDNA) modification; the ‘z’ subscript indicates a 2′-(ara)-F modification; the ‘f’ subscript indicates a 2′-F modification; ‘m’ before the cytosine residue indicates a 5-methylcytosine; number along with ‘d’ indicates the number of deoxyribose nucleosides; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkage. The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.

TABLE 31
Modified oligonucleotides targeting HTT SNP rs7685686
					SEQ
Isis No.	SNP	Sequence (5′ to 3′)	Gap Chemistry	Motif	ID NO
460209	rs7685686	Tes Aks Aks Ads Tds Tds Gds Tds mCds	Full deoxy	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe
582670	rs7685686	Tes Aks Aks Ads Tds Tds Gds Tds mCds	Full deoxy	ekk-d7-kkeee	3
		Ads Tks mCks Aes mCes mCe
566270	rs7685686	Tes Aks Aks Ads Tzs Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d-z-d7-kke	3
		Ads Tds mCds Aks mCks mCe
566271	rs7685686	Tes Aks Aks Ads Tds Tzs Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d2-z-d6-kke	3
		Ads Tds mCds Aks mCks mCe
581400	rs7685686	Tes Aks Aks Ads Ufs Tds Gds Tds mCds	Deoxy/2′-F	ekk-d-f-d7-kke	577
		Ads Tds mCds Aks mCks mCe
581401	rs7685686	Tes Aks Aks Ads Tds Ufs Gds Tds mCds	Deoxy/2′-F	ekk-d2-f-d6-kke	578
		Ads Tds mCds Aks mCks mCe
539557	rs7685686	Tes Aks Aks Ads Tds Tds Gds  Tys mCds	Deoxy/Tricyclo	ekk-d4-y-d4-kke	3
		Ads Tds mCds Aks mCks mCe	DNA (tcDNA)

Example 8

Selectivity of Modified Oligonucleotides Targeting HTT SNP rs7685686

Several modified oligonucleotides presented in Table 31 were tested in vitro targeting HTT SNP rs7685686. Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 0.06, 0.19, 0.56, 1.7, 5.0 and 15 μM concentrations of ISIS 460209, 566270, 566271, 581400, or 581401 or 0.027, 0.082, 0.25, 0.7, 2.2, 6.7 and 20 μM concentrations of ISIS 582670. Treated cells were maintained at 37° C. and 5% CO₂ in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C_—2231945_—10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The IC₅₀ and selectivity were calculated using methods described previously in Example 6 and the results are presented in Table 32. ISIS 460209 was included in the study for comparison.

TABLE 32
Selectivity of modified oligonucleotides
targeting Huntingtin (HTT) SNP rs7685686
		Mut IC50	Selectivity		SEQ ID
Isis No.	SNP	(μM)	(wt vs mut)	Motif	No.
460209	rs7685686	0.29	6.9	ekk-d9-kke	3
566270	rs7685686	0.14	7.4	ekk-d7-kkeee	3
566271	rs7685686	0.11	7.1	ekk-d-z-d7-kke	3
581400	rs7685686	0.6	>25	ekk-d2-z-d6-kke	577
581401	rs7685686	0.77	>19	ekk-d-f-d7-kke	3
582670	rs7685686	0.42	>47	ekk-d7-kkeee	3

Example 9

Tm and Selectivity of Modified Oligonucleotide Containing Tricyclo DNA (tcDNA) Modification Targeting HTT SNP rs7685686

ISIS 539557 from Table 31 was tested for thermal stability. Its potency and selectivity targeting HTT SNP rs7685686 were also evaluated in vitro. ISIS 460209 was included in the study for comparison.

Thermal Stability Assay

The T_m for ISIS 539557 was measured using the method described herein. The modified oligonucleotide and RNA was mixed in a 1:1 ratio (4 μM duplex) in buffer containing 10 mM phosphate, 100 mM NaCl and 10 mM EDTA at pH 7.0. The duplex was denatured at 85° C. and slowly cooled to the starting temperature of the experiment (15° C.). Thermal denaturation temperatures (T_m values) were measured in quartz cuvettes (pathlength 1.0 cm) on a Cary 100 UV/VIS spectrophotometer equipped with a Peltier temperature controller. Absorbance at 260 nm was measured as a function of temperature using a temperature ramp of 0.5° C. per min T_m value was determined using the hyperchromicity method incorporated into the instrument software. The results for T_m versus matched and mismatched RNA are presented in Table 33.

Cell Culture, Transfection and Selectivity Analysis

Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 2 μM concentrations of ISIS 460209 or 539557. Treated cells were maintained at 37° C. and 5% CO₂ in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C2231945_—10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The percent of HTT mRNA reduction, relative to untreated control levels was measured. The results for selectivity in Table 33 are presented as the ratio of wt HTT/mut HTT mRNA reduction in GM4022 fibroblasts.

TABLE 33
Tm and selectivity of ISIS 582670 targeting HTT SNP rs7685686 in GM4022 cells
		mut Tm	wt Tm	ΔTm	Ratio		SEQ ID
Isis No.	SNP	(° C.)	(° C.)	mut-wt	(wt vs mut)	Motif	NO
460209	rs7685686	53.7	52.2	1.5	2.6	ekk-d9-kke	3
582670	rs7685686	53.8	51.7	2.1	3.3	ekk-d7-kkeee	3

Example 10

Duration of Action of Modified Oligonucleotides

Mice were given a single ICV injection of modified oligonucleotides targeted to mutant HTT nucleic acid transcripts. The modified oligonucleotides had either 2′-MOE modifications or cEt modifications. After the initial ICV injection, mice from each group were sacrificed at 1, 2, 4, 8, 12, and 16 weeks and the amoung of mutant HTT protein was analyzed. It was found that the modified oligonucleotides having cEt modifications reduced mutant HTT protein for up to 16 weeks after a single ICV dose. It was found that 2′-MOE modified oligonucleotides reduced mutant HTT protein for 4-8 weeks, after which point in time mutant

HTT levels began to rise and approach mutant HTT levels found in animals treated with PBS control. This example shows that a single dose of modified oligonucleotides targeted to mutant huntingtin transcript can inhibit mutant HTT protein expression for greater than 16 weeks.

Example 11

Modified Oligonucleotides Targeting HTT SNP rs7685686

The modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In Table 31, the ‘k’ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; the ‘y’ subscript indicates a tricyclo DNA (tcDNA) modification; the ‘z’ subscript indicates a 2′-(ara)-F modification (shown below); the ‘f’ subscript indicates a 2′-F modification in the ribo orientation (shown below); the ‘h’ subscript indicates a F-CeNA modification; ‘m’ before the cytosine residue indicates a 5-methylcytosine; number along with ‘d’ indicates the number of deoxyribose nucleosides; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkage; ‘^s5’ before a residue indicates an S-5′-Me-DNA modification, e.g. “^s5T”; ‘^r5’ before a residue indicates an S-5′-Me-DNA modification, e.g. “^r5T.” The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.

Examples of the 2′-(ribo)-flouro (f), 2′-(ara)-fluor (z), and F-CeNA (h) modifications are provided below:

Examples of R-5′-Me-DNA and S-5′-Me-DNA modifications are provided below:

TABLE 34
Modified oligonucleotides targeting HTT SNP rs7685686
					SEQ ID
Isis No.	SNP	Sequence (5′ to 3′)	Gap Chemistry	Motif	NO
460209	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Full deoxy	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe
582670	rs7685686	Tes Aks Aks Ads Tds Tds Gds Tds mCds	Full deoxy	ekk-d7-kkeee	3
		Ads Tks mCks Aes mCes mCe
566270	rs7685686	Tes Aks Aks Ads Tzs Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d-z-d7-kke	3
		Ads Tds mCds Aks mCks mCe
566271	rs7685686	Tes Aks Aks Ads Tds Tzs Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d2-z-d6-kke	3
		Ads Tds mCds Aks mCks mCe
581400	rs7685686	Tes Aks Aks Ads Ufs Tds Gds Tds mCds	Deoxy/2′-F	ekk-d-f-d7-kke	577
		Ads Tds mCds Aks mCks mCe
581401	rs7685686	Tes Aks Aks Ads Tds Ufs Gds Tds mCds	Deoxy/2′-F	ekk-d2-f-d6-kke	578
		Ads Tds mCds Aks mCks mCe
539557	rs7685686	Tes Aks Aks Ads Tds Tds Gds Tys mCds	Deoxy/Tricyclo	ekk-d4-y-d4-kke	3
		Ads Tds mCds Aks mCks mCe	DNA (tcDNA)
575837	rs7685686	Tes Aks Aks AfsTds Tds Gds Tds mCds	Deoxy/2′-F	ekk-f-d8-kke	3
		Ads Tds mCds Aks mCks mCe
575831	rs7685686	Tes Aks Aks AzsTds Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-z-d8-kke	3
		Ads Tds mCds Aks mCks mCe
XXXX1	rs7685686	Tes Aks Aks AhsTds Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-h-d8-kke	3
		Ads Tds mCds Aks mCks mCe
582981	rs7685686	Tes Aks Aks AdsTds Ths Gds Tds mCds	Deoxy/F-CeNA	ekk-d2-h-d6-	3
		Ads Tds mCds Aks mCks mCe		kke
582980	rs7685686	Tes Aks Aks AdsThs Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-d-h-d7-kke	3
		Ads Tds mCds Aks mCks mCe
575840	rs7685686	Tes Aks Aks AdsTds Tds Gfs Tds mCds	Deoxy/2′-F	ekk-d3-f-d5-	3
		Ads Tds mCds Aks mCks mCe		kke
566272	rs7685686	Tes Aks Aks AdsTds Tds Gzs Tds mCds	Deoxy/2′-(ara)-F	ekk-d3-z-d5-	3
		Ads Tds mCds Aks mCks mCe		kke
XXXX2	rs7685686	Tes Aks Aks AdsTds Tds Ghs Tds mCds	Deoxy/F-CeNA	ekk-d3-h-d5-	3
		Ads Tds mCds Aks mCks mCe		kke
586156	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-d4-h-d4-	3
		Ads Tds mCds Aks mCks mCe		kke
581402	rs7685686	Tes Aks Aks AdsTds Tds Gds Ths mCfs	Deoxy/2′-F	ekk-d5-f-d3-	3
		Ads Tds mCds Aks mCks mCe		kke
566273	rs7685686	Tes Aks Aks AdsTds Tds Gds Tzs mCds	Deoxy/2′-(ara)-F	ekk-d5-z-d3-	3
		Ads Tds mCds Aks mCks mCe		kke
582982	rs7685686	Tes Aks Aks AdsTds Tds Gds Ths mCds	Deoxy/F-CeNA	ekk-d5-h-d3-	3
		Ads Tds mCds Aks mCks mCe		kke
575842	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-F	ekk-d6-f-d2-	3
		Afs Tds mCds Aks mCks mCe		kke
566274	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d6-z-d2-	3
		Azs Tds mCds Aks mCks mCe		kke
XXXX3	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-d6-h-d2-	3
		Ahs Tds mCds Aks mCks mCe		kke
581403	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-F	ekk-d7-f-d-kke	579
		Ads Ufs mCds Aks mCks mCe
566275	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d7-z-d-kke	3
		Ads Tzs mCds Aks mCks mCe
582983	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-d7-h-d-kke	3
		Ads Ths mCds Aks mCks mCe
581404	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-F	ekk-d8-f-dkke	3
		Ads Tds mCfs Aks mCks mCe
578228	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/2′-(ara)-F	ekk-d8-z-kke	3
		Ads Tds mCzs Aks mCks mCe
582984	rs7685686	Tes Aks Aks AdsTds Tds Gds Tds mCds	Deoxy/F-CeNA	ekk-d8-h-kke	3
		Ads Tds mChs Aks mCks mCe
XXXX4	rs7685686	Tes Aks Aks Adsr5Tds Tds Gds Tds mCds	Deoxy/R-5′-Me	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe	DNA
XXXX5	rs7685686	Tes Aks Aks Adss5TdsTds Gds Tds mCds	Deoxy/S-5′-Me	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe	DNA
XXXX6	rs7685686	Tes Aks Aks AdsTdsr5Tds Gds Tds mCds	Deoxy/R-5′-Me	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe	DNA
XXXX7	rs7685686	Tes Aks Aks AdsTdss5Tds Gds Tds mCds	Deoxy/S-5′-Me	ekk-d9-kke	3
		Ads Tds mCds Aks mCks mCe	DNA

Example 12

Selectivity of Modified Oligonucleotides Targeting HTT SNP rs7685686

Several modified oligonucleotides presented in Table 31 were tested in vitro targeting HTT SNP rs7685686. Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well or 450,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 0.06, 0.19, 0.56, 1.7, 5.0 and 15 μM concentrations of the modified oligonucleotides presented in Table 31, except for ISIS 582670, in which concentrations of 0.027, 0.082, 0.25, 0.7, 2.2, 6.7 and 20 μM were used. Treated cells were maintained at 37° C. and 5% CO₂ in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C_—2231945_—10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The IC₅₀ and selectivity were calculated using methods described previously in Example 6 and the results are presented in Table 32. ISIS 460209 was included in the study for comparison.

In certain embodiments, a modification at position 4 from the 5′-end increases selectivity. In certain embodiments, a modification at position 5 from the 5′-end increases selectivity. In certain embodiments, a modification at position 7 from the 5′-end increases selectivity. In certain embodiments, a modification at position 8 from the 5′-end increases potency and selectivity. In certain embodiments, a modification at position 9 from the 5′-end increases potency. In certain embodiments, a modification at position 10 from the 5′-end increases selectivity. In certain embodiments, a modification at position 11 from the 5′-end increases selectivity. In certain embodiments, a modification at position 12 from the 5′-end increases potency. In certain embodiments, an S-5′-Me-DNA modification increases allele selectivity.

TABLE 35
Selectivity of modified oligonucleotides
targeting Huntingtin (HTT) SNP rs7685686
		Mut IC50	Selectivity		SEQ ID
Isis No.	SNP	(μM)	(wt vs mut)	Motif	No.
460209	rs7685686	.31	9	ckk-d9-kkc	3
575837	rs7685686	.28	15	ekk-f-d8-kke	3
575831	rs7685686	.21	19	ekk-z-d8-kke	3
XXXX1	rs7685686	ND	ND	ekk-h-d8-kke	3
582981	rs7685686	.35	>29	ekk-d2-h-d6-kke	3
582980	rs7685686	.34	7	ckk-d-h-d7-kke	3
575840	rs7685686	.94	>11	ckk-d3-f-d5-kke	3
566272	rs7685686	.07	27	ckk-d3-z-d5-kke	3
XXXX2	rs7685686	ND	ND	ckk-d3-h-d5-kkc	3
586156	rs7685686	.39	5	ckk-d4-h-d4-kke	3
581402	rs7685686	.16	5	ekk-d5-f-d3-kke	3
566273	rs7685686	.09	18	ckk-d5-z-d3-kke	3
582982	rs7685686	.23	13	ckk-d5-h-d3-kkc	3
575842	rs7685686	.20	50	ekk-d6-f-d2-kke	3
566274	rs7685686	.20	>50	ekk-d6-z-d2-kke	3
XXXX3	rs7685686	ND	ND	ekk-d6-h-d2-kke	3
581403	rs7685686	.35	18	ckk-d7-f-d-kkc	579
566275	rs7685686	.22	28	ekk-d7-z-d-kke	3
582983	rs7685686	.30	17	ekk-d7-h-d-kke	3
581404	rs7685686	.07	18	ckk-d8-f-dkkc	3
578228	rs7685686	.10	32	ekk-d8-z-kke	3
582984	rs7685686	.06	10	ekk-d8-h-kke	3
XXXX4	rs7685686	.15	6.9	ekk-d9-kke	3
XXXX5	rs7685686	.38	16.3	ekk-d9-kke	3
XXXX6	rs7685686	.31	5.7	ekk-d9-kke	3
XXXX7	rs7685686	.40	>38	ekk-d9-kke	3

Claims

1. A compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides, wherein the linked nucleosides comprise at least 8 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.

2. The compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide is 90% complementary to SEQ ID NO. 1.

3. The compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide is 95% complementary to SEQ ID NO. 1.

4. The compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide is 100% complementary to SEQ ID NO. 1.

5. The compound of any of claims 1 to 4, wherein the oligonucleotide has a sugar motif selected from among: eeedk-d7-keee; eeeedk-d7-eeee; eeeedk-d7-keee; eeeedk-d7-kkee; eeeee-d9-eeeee; eeeeedk-d7-eeeee; an eeeeeeeek-d7-eee; eeeeeeek-d7-eeee; eeeeek-d7-eee; eeeeek-d7-eeeeee; eeeeek-d7-kee; eeeeek-d7-kke; eeeek-d7-eeee; eeeek-d7-eeeeeee; eeeek-d7-keee; eeeek-d7-keeee; eeeek-d7-kke; eeeek-d7-kkee; eeeekk-d3-k-d3-keke; eeeekk-d7-kee; eeeekk-d7-keke; eeeekk-d7-kke; eeeekk-d7-kkee; eeek-d7-eeeeeeee; eeek-d7-keeeee; eeek-d7-kkee; eeek-d7-kkeee; eeek-d8-kee; eeek-d9-keee; eeek-d9-keke; eeekk-d7-eeee; eeekk-d7-keee; eeekk-d7-kke; eeekk-d7-kkee; eeekk-d7-kkeee; eek-d7-eeeeeeeee; eek-d7-keeeeee; eek-d7-kkeee; eek-d8-kkee; eekk-d8-kee; eekk-d8-kkee; eekk-d8-kkeee; ek-d7-eeeeeeeeee; ek-d8-kkeee; ek-d9-kkke; ekek-d6-k-dd-keke; ekek-d8-kkeke; ekek-d9-keee; ekek-d9-keke; ekekek-d7-keke; ekekk-d8-keke; ekk-d7-kkeee; ekk-d7-kkeeeee; ekk-d8-kkee; ekk-d8-kkeee; ekk-d8-kkeeee; ekk-d8-kkke; ekk-d9-kke; ekkdk-d7-kke; ekkk-d8-kke; ekkk-d9-ke; ekkkk-d7-kke; ekkkk-d7-kkke; kkekk-d9-kkekk; kkkkk-d7-kkkkk; ekkdk-d7-kke; ekek-d8-kekee; ekk-f-d8-kke; ekk-z-d8-kke; ekk-h-d8-kke; ekk-d2-h-d6-kke; ekk-d-h-d7-kke; ekk-d3-f-d5-kke; ekk-d3-z-d5-kke; ekk-d3-h-d5-kke; ekk-d4-h-d4-kke; ekk-d5-f-d3-kke; ekk-d5-z-d3-kke; ekk-d5-h-d3-kke; ekk-d6-f-d2-kke; ekk-d6-z-d2-kke; ekk-d6-h-d2-kke; ekk-d7-f-d-kke; ekk-d7-z-d-kke; ekk-d7-h-d-kke; ekk-d8-f-dkke; ekk-d8-z-kke; ekk-d8-h-kke; and ekk-d9-kke.

6. A compound comprising an oligonucleotide, wherein the oligonucleotide has a sugar motif selected from among: eeedk-d7-keee; eeeedk-d7-eeee; eeeedk-d7-keee; eeeedk-d7-kkee; eeeee-d9-eeeee; eeeeedk-d7-eeeee; an eeeeeeeek-d7-eee; eeeeeeek-d7-eeee; eeeeek-d7-eee; eeeeek-d7-eeeeee; eeeeek-d7-kee; eeeeek-d7-kke; eeeek-d7-eeee; eeeek-d7-eeeeeee; eeeek-d7-keee; eeeek-d7-keeee; eeeek-d7-kke; eeeek-d7-kkee; eeeekk-d3-k-d3-keke; eeeekk-d7-kee; eeeekk-d7-keke; eeeekk-d7-kke; eeeekk-d7-kkee; eeek-d7-eeeeeeee; eeek-d7-keeeee; eeek-d7-kkee; eeek-d7-kkeee; eeek-d8-kee; eeek-d9-keee; eeek-d9-keke; eeekk-d7-eeee; eeekk-d7-keee; eeekk-d7-kke; eeekk-d7-kkee; eeekk-d7-kkeee; eek-d7-eeeeeeeee; eek-d7-keeeeee; eek-d7-kkeee; eek-d8-kkee; eekk-d8-kee; eekk-d8-kkee; eekk-d8-kkeee; ek-d7-eeeeeeeeee; ek-d8-kkeee; ek-d9-kkke; ekek-d6-k-dd-keke; ekek-d8-kkeke; ekek-d9-keee; ekek-d9-keke; ekekek-d7-keke; ekekk-d8-keke; ekk-d7-kkeee; ekk-d7-kkeeeee; ekk-d8-kkee; ekk-d8-kkeee; ekk-d8-kkeeee; ekk-d8-kkke; ekk-d9-kke; ekkdk-d7-kke; ekkk-d8-kke; ekkk-d9-ke; ekkkk-d7-kke; ekkkk-d7-kkke; kkekk-d9-kkekk; kkkkk-d7-kkkkk; ekkdk-d7-kke; ekek-d8-kekee; ekk-f-d8-kke; ekk-z-d8-kke; ekk-h-d8-kke; ekk-d2-h-d6-kke; ekk-d-h-d7-kke; ekk-d3-f-d5-kke; ekk-d3-z-d5-kke; ekk-d3-h-d5-kke; ekk-d4-h-d4-kke; ekk-d5-f-d3-kke; ekk-d5-z-d3-kke; ekk-d5-h-d3-kke; ekk-d6-f-d2-kke; ekk-d6-z-d2-kke; ekk-d6-h-d2-kke; ekk-d7-f-d-kke; ekk-d7-z-d-kke; ekk-d7-h-d-kke; ekk-d8-f-dkke; ekk-d8-z-kke; ekk-d8-h-kke; and ekk-d9-kke.

7. The oligomeric compound of any of claims 1 to 6 comprising at least one modified internucleoside linkage.

8. The oligomeric compound of claim 7 comprising at least one phosphorothioate internucleoside linkage.

9. The oligomeric compound of claim 8 wherein each internucleoside linkage is a phosphorothioate internucleoside linkage.

10. The oligomeric compound of any of claims 1 to 8 comprising at least one methylphosphonate internucleoside linkage.

11. The oligomeric compound of any of claims 1 to 10 comprising at least one modified nucleobase.

12. The oligomeric compound of claim 11, comprising at least one 2-thio-thymidine.

13. An oligomeric compound having a sugar motif of: eeeekk-d7-kke motif and having a nucleobase sequence consisting of the nucleobase sequence of SEQ ID NO.: 24.

14. The oligomeric compound of any of claims 1 to 13 comprising at least one 5′-Me-DNA modification.

15. The oligomeric compound of claim 14, comprising an S-5′-Me-DNA.

16. The oligomeric compound of claim 15, comprising an R-5′-Me-DNA.

17. The oligomeric compound of any of claims 1-16, having a nucleobase sequence consisting of the nucleobase sequence of SEQ ID NO.: 3.

18. The oligomeric compound of any of claims 1 to 17, having an EC50 for reduction of expression of target that is at least two-fold lower than its EC50 for reduction of expression of a non-target that differs from the target in the target region by a single nucleobase, when measured in cells.

19. The oligomeric compound of any of claims 1 to 18, having an ED50 for reduction of expression of target that is at least two-fold lower than its ED50 for reduction of expression of a non-target that differs from the target in the target region by a single nucleobase, when measured in an animal.

20. A pharmaceutical composition comprising an oligomeric compound of any of claims 1-19 and a pharmaceutically acceptable carrier or diluent.

21. A method comprising contacting a cell with an oligomeric compound of any of claims 1-19.

22. The method of claim 21, wherein the cell is in vitro.

23. The method of claim 21, wherein the cell is in an animal.

24. The method of claim 22, wherein the animal is a human.

25. The method of claim 22, wherein the animal is a mouse.

26. A method of administering a pharmaceutical composition of claim 20 to an animal.

27. The method of claim 26, wherein the animal is a human.

28. The method of claim 26, wherein the animal is a mouse.

29. Use of an oligomeric compound of any of claims 1-19 for the preparation of a medicament for the treatment or amelioration of Huntington's disease.

30. A method of ameliorating a symptom of Huntington's disease, comprising administering an oligomeric compound of any of claims 1-19 to an animal in need thereof.

31. The method of claim 30, wherein the animal is a human.

32. The method of claim 30, wherein the animal is a mouse.

33. A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof a compound of any of claims 1-19, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.

34. A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof a compound of any of claims 1-19, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.

35. A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of the compound of any of claims 1-19.

36. The method of embodiment 35, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.

37. A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof ISIS 572772, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.

38. A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof ISIS 572772, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.

39. A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of ISIS 572772.

40. The method of embodiment 39, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.