Skip to main content

Small Nucleic Acid-Based Drugs: Successes and Pitfalls

  • Chapter
  • 1866 Accesses

Abstract

Since the discovery of the application of small nucleic acid molecules as inhibitors of gene expression, literally thousands of new research papers have used this technique for functional genomics or to test these molecules as potential therapeutic agents. During this time, the field has evolved from simple phosphodiester oligonucleotide (ODN) binding to complementary mRNA in vitro, to the development of hundreds of chemically modified ODNs with improved properties and mechanisms of action. RNA-based gene inhibitors have also powerfully merged onto the scene with first ribozymes, and now siRNA, providing new approaches to gene inhibition. This chapter will review the area of small nucleic acid drugs in terms of their design, delivery, and application.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Zamecnik, P. C. and Stephenson, M. L. (1978) Inhibition of Rous sarcoma virus replication and cell transformation by a specific oligodeoxynucleotide. Proc. Natl Acad Sci U. S. A. 75(1), 280–284.

    Article  CAS  PubMed  Google Scholar 

  2. Crook, S. T. (1998) Molecular mechanisms of antisense drugs: RNase H. Antisense Nucleic Acid Drug Dev. 8(2), 133–134.

    Google Scholar 

  3. Monia, B. P., Lesnik, E. A., Gonzalez, C., et al. (1993) Evaluation of 2′-modified oligonucleotides containing 2′-deoxy gaps as antisense inhibitors of gene expression. J. Biol. Chem. 268(19), 14,514–14,522.

    CAS  PubMed  Google Scholar 

  4. Fire, A., Xu, X., Montgomery, M. K., Kostas, S. A., Driver, S. E., and Mello, C. C. (1998) Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans. Nature 391, 806–811.

    Article  CAS  PubMed  Google Scholar 

  5. Elbashir, S. M., Harborth, J., Lendeckel, W., Yalcin, A., Weber, K., and Tuschl, T. (2001) Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 411(6836), 494–498.

    Article  CAS  PubMed  Google Scholar 

  6. Soutschek, J., Akinc, A., Bramlage, B., et al. (2004) Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432(7014), 173–178.

    Article  CAS  PubMed  Google Scholar 

  7. Zamore, P. D., Tuschl, T., Sharp, P. A., and Bartel, D. P. (2000) RNAi: doublestranded RNA directs the ATP-dependent cleavage of mRNA at 21 to 23 nucleotide intervals. Cell 101(1), 25–33.

    Article  CAS  PubMed  Google Scholar 

  8. McManus, M. T., Haines, B. B., Dillon, C. P., et al. (2002) Small interfering RNA-mediated gene silencing in T lymphocytes. J. Immunol. 169(10), 5754–5760.

    CAS  PubMed  Google Scholar 

  9. Ambros, V. (2004) The functions of animal microRNAs. Nature 431(7006), 350–355.

    Article  CAS  PubMed  Google Scholar 

  10. Uprichard, S. L., Boyd, B., Althage, A., and Chisari, F. V. (2005) Clearance of hepatitis B virus from the liver of transgenic mice by short hairpin RNAs. Proc. Natl Acad. Sci. U. S. A. 102(3), 773–778.

    Article  CAS  PubMed  Google Scholar 

  11. Phylactou, L. A., Kilpatrick, M. W., and Wood, M. J. (1998) Ribozymes as therapeutic tools for genetic disease. Hum. Mol. Genet. 7(10), 1649–1653.

    Article  CAS  PubMed  Google Scholar 

  12. Bramlage, B., Alefelder, S., Marschall, P., and Eckstein, F. (1999) Inhibition of luciferase expression by synthetic hammerhead ribozymes and their cellular uptake. Nucleic Acids Res. 27(15), 3159–3167.

    Article  CAS  PubMed  Google Scholar 

  13. Parry, T. J., Cushman, C., Gallegos, A. M., et al. (1999) Bioactivity of antiangiogenic ribozymes targeting Flt-1 and KDR mRNA. Nucleic Acids Res. 27(13), 2569–2577.

    Article  CAS  PubMed  Google Scholar 

  14. Morishita, R., Higaki, J., Tomita, N., and Ogihara, T. (1998) Application of transcription factor “decoy” strategy as means of gene therapy and study of gene expression in cardiovascular disease. Circ. Res. 82(10), 1023–1028.

    CAS  PubMed  Google Scholar 

  15. Alexander, J. H., Hafley, G., Harrington, R. A., et al. (2005) Efficacy and safety of edifoligide, an E2F transcription factor decoy, for prevention of vein graft failure following coronary artery bypass graft surgery: PREVENT IV: a randomized controlled trial. JAMA 294(19), 2446–2454.

    Article  PubMed  Google Scholar 

  16. Campbell, J. M., Bacon, T. A., and Wickstrom, E. (1990) Oligodeoxynucleoside phosphorothioate stability in subcellular extracts, culture media, sera and cerebrospinal fluid. J. Biochem. Biophys. Methods. 20(3), 259–267.

    Article  CAS  PubMed  Google Scholar 

  17. Guvakova, M. A., Yakubov, L. A., Vlodavsky, I., Tonkinson, J. L., and Stein, C. A. (1995) Phosphorothioate oligodeoxynucleotides bind to basic flbroblast growth factor, inhibit its binding to cell surface receptors, and remove it from low affinity binding sites on extracellular matrix. J. Biol. Chem. 270(6), 2620–2627.

    Article  CAS  PubMed  Google Scholar 

  18. Levin, A. A. (1999) A review of the issues in the pharmacokinetics and toxicology of phosphorothioate antisense oligonucleotides. Biochim. Biophys. Acta. 1489(1), 69–84.

    CAS  PubMed  Google Scholar 

  19. Benimetskaya, L., Wittenberger, T., Stein, C. A., et al. (2004) Changes in gene expression induced by phosphorothioate oligodeoxynucleotides (including G3139) in PC3 prostate carcinoma cells are recapitulated at least in part by treatment with interferon-beta and-gamma. Clin. Cancer Res. 10(11), 3678–3688.

    Article  CAS  PubMed  Google Scholar 

  20. Benimetskaya, L., Tonkinson, J. L., Koziolkiewicz, M., et al. (1995) Binding of phosphorothioate oligodeoxynucleotides to basic flbroblast growth factor, recombinant soluble CD4, laminin and fibronectin is P-chirality independent. Nucleic Acids Res. 23(21), 4239–4245.

    Article  CAS  PubMed  Google Scholar 

  21. Freier, S. M. and Altmann, K. H. (1997) The ups and downs of nucleic acid duplex stability: structure-stability studies on chemically-modified DNA:RNA duplexes. Nucleic Acids Res. 25(22), 4429–4443.

    Article  CAS  PubMed  Google Scholar 

  22. Baker, B. F., Lot, S. S., Condon, T. P., et al. (1997) 2′-O-(2-Methoxy)ethyl-modified anti-intercellular adhesion molecule 1 (ICAM-1) oligonucleotides selectively increase the ICAM-1 mRNA level and inhibit formation of the ICAM-1 translation initiation complex in human umbilical vein endothelial cells. J Biol Chem. 272(18), 11,994–12,000.

    Article  CAS  PubMed  Google Scholar 

  23. Zellweger, T., Miyake, H., Cooper, S., et al. (2001) Antitumor activity of antisense clusterin oligonucleotides is improved in vitro and in vivo by incorporation of 2′-O-(2-methoxy)ethyl chemistry. J. Pharmacol. Exp. Ther. 298(3), 934–940.

    CAS  PubMed  Google Scholar 

  24. Chi, K. N., Eisenhauer, E., Fazli, L., et al. (2005) A phase I pharmacokinetic and pharmacodynamic study of OGX-011, a 2′-methoxyethyl antisense oligonucleotide to clusterin, in patients with localized prostate cancer. J. Natl Cancer Inst. 97(17), 1287–1296.

    CAS  PubMed  Google Scholar 

  25. Kurreck, J., Wyszko, E., Gillen, C., and Erdmann, V. A. (2002) Design of antisense oligonucleotides stabilized by locked nucleic acids. Nucleic Acids Res. 30(9), 1911–1918.

    Article  CAS  PubMed  Google Scholar 

  26. Bondensgaard, K., Petersen, M., Singh, S. K., et al. (2000) Structural studies of LNA:RNA duplexes by NMR: conformations and implications for RNase H activity. Chemistry 6(15), 2687–2695.

    Article  CAS  PubMed  Google Scholar 

  27. Wahlestedt, C., Salmi, P., Good, L., et al. (2000) Potent and nontoxic antisense oligonucleotides containing locked nucleic acids. Proc. Natl Acad. Sci. U. S. A. 97(10), 5633–5638.

    Article  CAS  PubMed  Google Scholar 

  28. Devi, G. R., Beer, T. M., Corless, C. L., Arora, V., Weller, D. L., and Iversen, P. L. (2005) In vivo bioavailability and pharmacokinetics of a c-MYC antisense phosphorodiamidate morpholino oligomer, AVI-4126, in solid tumors. Clin. Cancer Res. 11(10), 3930–3938.

    Article  CAS  PubMed  Google Scholar 

  29. Ghosh, C. and Iversen, P. L. (2000) Intracellular delivery strategies for antisense phosphorodiamidate morpholino oligomers. Antisense Nucleic Acid Drug Dev. 10(4), 263–274.

    Article  CAS  PubMed  Google Scholar 

  30. London, C. A., Sekhon, H. S., Arora, V., Stein, D. A., Iversen, P. L., and Devi, G. R. (2003) A novel antisense inhibitor of MMP-9 attenuates angiogenesis, human prostate cancer cell invasion and tumorigenicity. Cancer Gene Ther. 10(11), 823–832.

    Article  CAS  PubMed  Google Scholar 

  31. Iversen, P. L., Arora, V., Acker, A. J., Mason, D. H., and Devi, G. R. (2003) Efficacy of antisense morpholino oligomer targeted to c-myc in prostate cancer xenograft murine model and a Phase I safety study in humans. Clin. Cancer Res. 9(7), 2510–2519.

    CAS  PubMed  Google Scholar 

  32. Bertrand, J. R., Pottier, M., Vekris, A., Opolon, P., Maksimenko, A., and Malvy, C. (2002) Comparison of antisense oligonucleotides and siRNAs in cell culture and in vivo. Biochem. Biophys. Res. Commun. 296(4), 1000–1004.

    Article  CAS  PubMed  Google Scholar 

  33. Braasch, D. A., Jensen, S., Liu, Y., et al. (2003) RNA interference in mammalian cells by chemically-modified RNA. Biochemistry. 42(26), 7967–7975.

    Article  CAS  PubMed  Google Scholar 

  34. Braasch, D. A., Paroo, Z., Constantinescu, A., et al. (2004) Biodistribution of phosphodiester and phosphorothioate siRNA. Bioorg. Med. Chem. Lett. 14(5), 1139–1143.

    Article  CAS  PubMed  Google Scholar 

  35. Czauderna, F., Fechtner, M., Dames, S., et al. (2003) Structural variations and stabilising modifications of synthetic siRNAs in mammalian cells. Nucleic Acids Res. 31(11), 2705–2716.

    Article  CAS  PubMed  Google Scholar 

  36. Hamada, M., Ohtsuka, T., Kawaida, R., et al. (2002) Effects on RNA interference in gene expression (RNAi) in cultured mammalian cells of mismatches and the introduction of chemical modifications at the 3′-ends of siRNAs. Antisense Nucleic Acid Drug Dev. 12(5), 301–309.

    Article  CAS  PubMed  Google Scholar 

  37. Harborth, J., Elbashir, S. M., Vandenburgh, K., et al. (2003) Sequence, chemical, and structural variation of small interfering RNAs and short hairpin RNAs and the effect on mammalian gene silencing. Antisense Nucleic Acid Drug Dev. 13(2), 83–105.

    Article  CAS  PubMed  Google Scholar 

  38. Morrissey, D. V., Blanchard, K., Shaw, L., et al. (2005) Activity of stabilized short interfering RNA in a mouse model of hepatitis B virus replication. Hepatology. 41(6), 1349–1356.

    Article  CAS  PubMed  Google Scholar 

  39. Bilanges, B. and Stokoe, D. (2005) Direct comparison of the specificity of gene silencing using antisense oligonucleotides and RNAi. Biochem. J. 388(Pt 2), 573–583.

    CAS  PubMed  Google Scholar 

  40. Jackson, A. L., Bartz, S. R., Schelter, J., et al. (2003) Expression profiling reveals offtarget gene regulation by RNAi. Nat. Biotechnol. 21(6), 635–637. Epub 2003 May 18.

    Google Scholar 

  41. Chin, D. J., Green, G. A., Zon, G., Szoka, F. C. Jr., and Straubinger, R. M. (1990) Rapid nuclear accumulation of injected oligodeoxyribonucleotides. New Biol. 2(12), 1091–1100.

    CAS  PubMed  Google Scholar 

  42. Krieg, A. M., Gmelig-Meyling, F., Gourley, M. F., Kisch, W. J., Chrisey, L. A., and Steinberg, A. D. (1991) Uptake of oligodeoxyribonucleotides by lymphoid cells is heterogeneous and inducible. Antisense Res. Dev. 1(2), 161–171.

    CAS  PubMed  Google Scholar 

  43. Yakubov, L. A., Deeva, E. A., Zarytova, V. F., et al. (1989) Mechanism of oligonucleotide uptake by cells: involvement of specific receptors? Proc. Natl Acad. Sci. U. S.A. 86(17), 6454–6458.

    Article  CAS  PubMed  Google Scholar 

  44. Stein, C. A., Tonkinson, J. L., Zhang, L. M, et al. (1993) Dynamics of the internalization of phosphodiester oligodeoxynucleotides in HL60 cells. Biochemistry. 32(18), 4855–4861.

    Article  CAS  PubMed  Google Scholar 

  45. Loke, S. L., Stein, C. A., Zhang, X. H., et al. (1989) Characterization of oligonucleotide transport into living cells. Proc. NatlAcad. Sci. U. S. A. 86(10), 3474–3478.

    Article  CAS  Google Scholar 

  46. Beltinger, C., Saragovi, H. U., Smith, R. M., et al. (1995) Binding, uptake, and intracellular trafficking of phosphorothioate-modified oligodeoxynucleotides. J. Clin. Invest. 95(4), 1814–1823.

    Article  CAS  PubMed  Google Scholar 

  47. Laktionov, P., Dazard, J. E., Piette, J., et al. (1999) Uptake of oligonucleotides by keratinocytes. Nucleosides Nucleotides 18(6–7), 1697–1699.

    Article  CAS  PubMed  Google Scholar 

  48. Yao, G. Q., Corrias, S., and Cheng, Y. C. (1996) Identification of two oligodeoxyribonucleotide binding proteins on plasma membranes of human cell lines. Biochem. Pharmacol. 51(4), 431–436.

    Article  CAS  PubMed  Google Scholar 

  49. Wu-Pong, S., Weiss, T. L., and Hunt, C. A. (1992) Antisense c-myc oligodeoxyribonucleotide cellular uptake. Pharm. Res. 9(8), 1010–1017.

    Article  CAS  PubMed  Google Scholar 

  50. Wu-Pong, S. (2000) Alternative interpretations of the oligonucleotide transport literature: insights from nature. Adv. Drug Deliv. Rev. 44(1), 59–70.

    Article  CAS  PubMed  Google Scholar 

  51. Hanss, B., Leal-Pinto, E., Bruggeman, L. A., Copeland, T. D., and Klotman, P. E. (1998) Identification and characterization of a cell membrane nucleic acid channel. Proc. Natl Acad. Sci. U. S. A. 95(4), 1921–1926.

    Article  CAS  PubMed  Google Scholar 

  52. Grzanna, R., Dubin, J. R., Dent, G. W., et al. (1998) Intrastriatal and intraventricular injections of oligodeoxynucleotides in the rat brain: tissue penetration, intracellular distribution and c-fos antisense effects. Brain Res. Mol. Brain Res. 63(1), 35–52.

    Article  CAS  PubMed  Google Scholar 

  53. Budker, V., Budker, T., Zhang, G., Subbotin, V., Loomis, A., and Wolff, J. A. (2000) Hypothesis: naked plasmid DNA is taken up by cells in vivo by a receptor-mediated process. J. Gene Med. 2(2), 76–88.

    Article  CAS  PubMed  Google Scholar 

  54. Feigner, J. H., Kumar, R., Sridhar, C. N., et al. (1994) Enhanced gene delivery and mechanism studies with a novel series of cationic lipid formulations. J. Biol. Chem. 269(4), 2550–2561.

    Google Scholar 

  55. Zabner, J., Fasbender, A. J., Moninger, T., Poellinger, K. A., and Welsh, M. J. (1995) Cellular and molecular barriers to gene transfer by a cationic lipid. J. Biol. Chem. 270(32), 18,997–19,007.

    Article  CAS  PubMed  Google Scholar 

  56. Zelphati, O., Uyechi, L. S., Barron, L. G., and Szoka, F. C. Jr. (1998) Effect of serum components on the physico-chemical properties of cationic lipid/oligonucleotide complexes and on their interactions with cells. Biochim. Biophys. Acta. 1390(2), 119–133.

    CAS  PubMed  Google Scholar 

  57. Dass, C. R. (2002) Cytotoxicity issues pertinent to lipoplex-mediated gene therapy in-vivo. J. Pharm. Pharmacol. 54(5), 593–601.

    Article  CAS  PubMed  Google Scholar 

  58. Omidi, Y., Hollins, A. J., Benboubetra, M., Drayton, R., Benter, I. F., and Akhtar, S. (2003) Toxicogenomics of non-viral vectors for gene therapy: a microarray study of lipofectin-and oligofectamine-induced gene expression changes in human epithelial cells. J. Drug Target. 11(6), 311–323.

    Article  CAS  PubMed  Google Scholar 

  59. Bertrand, J. R., Pottier, M, Vekris, A., Opolon, P., Maksimenko, A., and Malvy, C. (2002) Comparison of antisense oligonucleotides and siRNAs in cell culture and in vivo. Biochem. Biophys. Res. Commun. 296(4), 1000–1004.

    Article  CAS  PubMed  Google Scholar 

  60. Khan, A., Sommer, W., Fuxe, K., and Akhtar, S. (2000) Site-specific administration of antisense oligonucleotides using biodegradable polymer microspheres provides sustained delivery and improved subcellular biodistribution in the neostriatum of the rat brain. J. Drug Target. 8(5), 319–334.

    Article  CAS  PubMed  Google Scholar 

  61. Kircheis, R., Wightman, L., Schreiber, A., et al. (2001) Polyethylenimine/DNA complexes shielded by transferrin target gene expression to tumors after systemic application. Gene Ther. 8(1), 28–40.

    Article  CAS  PubMed  Google Scholar 

  62. Hudson, A. J., Normand, N., Ackroyd, J., and Akhtar, S. (1999) Cellular delivery of hammerhead ribozymes conjugated to a transferrin receptor antibody. Int. J. Pharm. 182(1), 49–58.

    Article  CAS  PubMed  Google Scholar 

  63. Lorenz, C., Hadwiger, P., John, M., Vornlocher, H. P., and Unverzagt, C. (2004) Steroid and lipid conjugates of siRNAs to enhance cellular uptake and gene silencing in liver cells. Bioorg. Med. Chem. Lett. 14(19), 4975–4977.

    Article  CAS  PubMed  Google Scholar 

  64. Soutschek, J., Akinc, A., Bramlage, B., et al. (2004) Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432(7014), 173–178.

    Article  CAS  PubMed  Google Scholar 

  65. Oehlke, J., Beyermann, M., Wiesner, B., et al. (1997) Evidence for extensive and non-specific translocation of oligopeptides across plasma membranes of mammalian cells. Biochim. Biophys. Acta. 1330(1), 50–60.

    Article  CAS  PubMed  Google Scholar 

  66. Niidome, T., Wakamatsu, M., Wada, A., Hirayama, T., and Aoyagi, H. (2000) Required structure of cationic peptide for oligonucleotide-binding and-delivering into cells. J. Pept. Sci. 6(6), 271–279.

    Article  CAS  PubMed  Google Scholar 

  67. Morris, M. C., Vidal, P., Chaloin, L., Heitz, F., and Divita, G. (1997) A new peptide vector for efficient delivery of oligonucleotides into mammalian cells. Nucleic Acids Res. 25(14), 2730–2736.

    Article  CAS  PubMed  Google Scholar 

  68. Astriab-Fisher, A., Sergueev, D. S., Fisher, M., Shaw, B. R., and Juliano, R. L. (2000) Antisense inhibition of P-glycoprotein expression using peptide-oligonucleotide conjugates. Biochem. Pharmacol. 60(1), 83–90.

    Article  CAS  PubMed  Google Scholar 

  69. Dvorchik, B. H. (2000) The disposition (ADME) of antisense oligonucleotides. Curr. Opin. Mol. Ther. 2(3), 253–257.

    CAS  PubMed  Google Scholar 

  70. Levin, A. A. (1999) A review of the issues in the pharmacokinetics and toxicology of phosphorothioate antisense oligonucleotides. Biochim. Biophys. Acta. 1489(1), 69–84.

    CAS  PubMed  Google Scholar 

  71. Butler, M., Crooke, R. M., Graham, M. J., et al. (2000) Phosphorothioate oligodeoxynucleotides distribute similarly in class A scavenger receptor knockout and wild-type mice. J. Pharmacol. Exp. Ther. 292(2), 489–496.

    CAS  PubMed  Google Scholar 

  72. Henry, S., Beattie, G., Yen, G., et al. (2002) Complement activation is responsible for acute toxicities in rhesus monkeys treated with a phosphorothioate oligodeoxynucleotide. Int. Immunopharmacol. 2, 1657–1666.

    Article  CAS  PubMed  Google Scholar 

  73. Stevenson, J. P., Yao, K.-S., Gallagher, M., et al. (1999) Phase I clinical/pharmacokinetic and pharmacodynamic trial of the c-raf-1 antisense oligonucleotide ISIS 5132 (CGP 69846A). J. Clin. Oncol. 17(7), 2227–2236.

    CAS  PubMed  Google Scholar 

  74. Yuen, A. R., Halsey, J., Fisher, G. A., et al. (1999) Phase I study of an antisense oligonucleotide to protein kinase C-α (ISIS 3521/CGP 64128A) in patients with cancer. Clin. Cancer Res. 5(11), 3357–3363.

    CAS  PubMed  Google Scholar 

  75. Amantana, A. and Iversen, P. L. (2005) Pharmacokinetics and biodistribution of phosphorodiamidate morpholino antisense oligomers. Curr. Opin. Pharmacol. 5(5), 550–555.

    Article  CAS  PubMed  Google Scholar 

  76. Yu, R. Z., Geary, R. S., Monteith, D. K., et al. (2004) Tissue disposition of 2′-O-(2-methoxy) ethyl modified antisense oligonucleotides in monkeys. J. Pharm. Sci. 93(1), 48–59.

    Article  CAS  PubMed  Google Scholar 

  77. Geary, R. S., Khatsenko, O., Bunker, K., et al. (2001) Absolute bioavailability of 2′-O-(2-methoxyethyl)-modified antisense oligonucleotides following intraduodenal instillation in rats. J. Pharmacol. Exp. Ther. 296(3), 898–904.

    CAS  PubMed  Google Scholar 

  78. Paroo, Z. and Corey, D. R. (2004) Challenges for RNAi in vivo. Trends Biotechnol. 22(8), 390–394.

    Article  CAS  PubMed  Google Scholar 

  79. Senn, C., Hangartner, C., Moes, S., Guerini, D., and Hofbauer, K. G. (2005) Central administration of small interfering RNAs in rats: a comparison with antisense oligonucleotides. Eur. J. Pharmacol. 522(1–3), 30–37.

    CAS  PubMed  Google Scholar 

  80. Zimmermann, T., Lee, A., Akinc, A., et al. (2006) RNAi-mediated gene silencing in non-human primates. Nature Advanced online publication.

    Google Scholar 

  81. Judge, A. D., Scood, V., Shaw, J. R., Fang, D., McClintock, K., and MacLachlan, I. (2005) Sequence-dependent stimulation of the mammalian innate immune response by synthetic siRNA. Nat. Biotechnol. 23, 457–462.

    Article  CAS  PubMed  Google Scholar 

  82. Rai, K., Moore, J., Boyd, T., et al. (2004). Phase 3 randomized trial of fludarabine/cyclophosphamide chemotherapy with or without Oblimersen sodium (Bcl-2 Antisense; Genasense; G3139) for patients with relapsed or refractory chronic lymphocytic leukemia (CLL). Blood 104, abstract #338.

    Google Scholar 

  83. O’Brien, S. M., Cunningham, C. C., Golenkov, A. K., Turkina, A. G., Novick, S. C. and Rai, K. R. (2005) Phase I to II multicenter study of oblimersen sodium, a Bcl-2 antisense oligonucleotide, in patients with advanced chronic lymphocytic leukemia. J. Clin. Oncol. 23(30), 7697–7702.

    Article  PubMed  CAS  Google Scholar 

  84. Chi, K.N., Eisenhauer, E., Fazli, L., et al. (2005) A phase I pharmacokinetic and pharmacodynamic study of OGX-011, a 2′-methoxyethyl antisense oligonucleotide to clusterin, in patients with localized prostate cancer. J. Natl Cancer Inst. 97(17), 1287–1296.

    Article  CAS  PubMed  Google Scholar 

  85. Kurreck, J. (2003) Antisense technologies. Improvement through novel chemical modifications. Eur. J. Biochem. 270, 1628–1644.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Zhang, A.Y., Wu-Pong, S. (2008). Small Nucleic Acid-Based Drugs: Successes and Pitfalls. In: Wu-Pong, S., Rojanasakul, Y. (eds) Biopharmaceutical Drug Design and Development. Humana Press. https://doi.org/10.1007/978-1-59745-532-9_10

Download citation

Publish with us

Policies and ethics