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TW201201819A - Treatment of BCL2-like 11 (BCL2L11) related diseases by inhibition of natural antisense transcript to BCL2L11 - Google Patents

Treatment of BCL2-like 11 (BCL2L11) related diseases by inhibition of natural antisense transcript to BCL2L11 Download PDF

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TW201201819A
TW201201819A TW100117636A TW100117636A TW201201819A TW 201201819 A TW201201819 A TW 201201819A TW 100117636 A TW100117636 A TW 100117636A TW 100117636 A TW100117636 A TW 100117636A TW 201201819 A TW201201819 A TW 201201819A
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oligonucleotide
bcl2l11
antisense
bcl2
polynucleotide
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Joseph Collard
Sherman Olga Khorkova
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Opko Curna Llc
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    • C12N15/00Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
    • C12N15/09Recombinant DNA-technology
    • C12N15/11DNA or RNA fragments; Modified forms thereof; Non-coding nucleic acids having a biological activity
    • C12N15/113Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
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    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2310/00Structure or type of the nucleic acid
    • C12N2310/10Type of nucleic acid
    • C12N2310/11Antisense

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Abstract

The present invention relates to antisense oligonucleotides that modulate the expression of and/or function of BCL2-like 11 (BCL2L11), in particular, by targeting natural antisense polynucleotides of BCL2-like 11 (BCL2L11). The invention also relates to the identification of these antisense oligonucleotides and their use in treating diseases and disorders associated with the expression of BCL2L11.

Description

201201819 六、發明說明: 【發明所屬之技術領域】 本發明實施例包括調節BCL2L11之表現及/或功能之寡 核苷酸及相關分子。 本申請案主張2010年5月19日提出申請之美國臨時專利 申請案第61/346,252號之優先權,其全部内容以引用方式 併入本文中。 【先前技術】 DNA-RNA及RNA-RNA雜交對於包含DNA複製、轉錄、 及轉譯在内之許多核酸功能態樣甚為重要。雜交對於檢測 特定核酸或改變其表現之各種技術亦至關重要。舉例而 言,反義核苷酸藉由與靶RNA雜交來破壞基因表現,由此 干擾RNA剪接、轉錄、轉譯、及複製。反義DNA具有額外 特性,亦即DNA-RNA雜合體可用作核糖核酸酶Η消化之受 質,該活性存在於大部分細胞類型中。反義分子可遞送至 細胞中,例如寡去氧核苷酸(ODN)之情形,或其可自内源 基因表現為RNA分子。FDA最近批准了反義藥物 VITRAVENE™(用於治療巨細胞病毒視網膜炎),此表明該 反義藥物具有治療用途。 【發明内容】 提供本概述以呈現本發明之概述從而簡要顯示本發明之 性質及大意。提交本概述係基於下列理解:其並非用於解 釋或限制本申請專利範圍之範圍或含義。 在一實施例中,本發明提供抑制天然反義轉錄本之作用 156341.doc 201201819 之方法,其係藉由使用鞋向天然反義轉錄本之任一區域的 反義寡核普酸從而上調相應有義基因來達成。本文亦涵 蓋’可藉由siRNA、核糖酶及小分子來抑制天然反義轉錄 本,此視為屬於本發明範圍内。 一實施例提供在活體内或活體外調節患者細胞或組織中 BCL2L11聚核苷酸之功能及/或表現之方法,其包括使該 等細胞或組織與長度為5至30個核苷酸之反義寡核苷酸接 觸,其中該寡核苷酸與聚核苷酸之反向互補序列具有至少 50%的序列一致性,該聚核苷酸包括SEQ ID NO: 2中核苷 酸1至3026及SEQ ID NO: 3中核苷酸1至1512内之5至30個 連續核苷酸’由此在活體内或活體外調節患者細胞或組織 中BCL2L11聚核苷酸之功能及/或表現。 在一實施例中,寡核苷酸靶向BCL2L11聚核苷酸之天然 反義序列(例如,SEQ ID NO: 2及3中所述之核苷酸)、及其 任一變體、等位基因、同系物、突變體、衍生物、片段及 互補序列》反義寡核苷酸之實例係如SEQ ID NO: 4至13所 示0 另一實施例提供在活體内或活體外調節患者細胞或組織 中BCL2L11聚核苷酸之功能及/或表現之方法,其包括使 該等細胞或組織與長度為5至30個核苷酸之反義寡核苷酸 接觸’其中該寡核苷酸與BCL2L11聚核苷酸反義轉錄本之 反向互補序列具有至少50%的序列一致性;由此在活體内 或活體外調節患者細胞或組織中BCL2L11聚核苷酸之功能 及/或表現。 156341.doc 201201819 另一實施例提供在活體内或活體外調節患者細胞或組織 中BCL2L11聚核苷酸之功能及/或表現之方法,其包括使 s亥等細胞或組織與長度為5至30個核苷酸之反義寡核苷酸 接觸’其中該募核苷酸與BCL2L11反義聚核苷酸之反義寡 核普酸具有至少50%的序列一致性;由此在活體内或活體 外調節患者細胞或組織中BCL2L11聚核苷酸之功能及/或 表現。 在一實施例中,組合物包括一或多種結合至有義及/或 反義BCL2L11聚核苷酸之反義寡核苷酸。 在一實施例中,寡核苷酸包括一或多個經修飾或取代之 核苷酸。 在一實施例中’寡核苷酸包括一或多個經修飾鍵。 在又一實施例中,經修飾核苷酸包括含有以下之經修飾 鹼基.硫代磷酸酯、膦酸曱酯、肽核酸、2,曱基、氟_ 或碳、亞甲基或其他鎖核酸(LNA)分子。較佳地,經修飾 核苦酸係鎖核酸分子,包含a-L-LNA。 貫施例中,經皮下、肌内、靜脈内或腹膜腔内將寡 核苷酸投與患者。 在-實施例中,以醫藥組合物形式投與寡㈣酸。治療 方案包括至少一次向患者投與反義化合物;然而,此治療 可經改良以在—定時間内包含多個劑量。該治療可與—或 多個其他類型之療法組合。 5 在-實施例中,將寡核皆酸囊封於脂質體中或附 劑分子(例如膽固醇、TAT肽)。 156341.doc 201201819 其他態樣闡述於下文中。 【實施方式】 下文參照闡釋用實例應用來闡述本發明之若干態樣。應 理解,本文列舉各種具體細節、關係及方法以提=對本發 明之完全理解。然而,熟習相關技術者易於認識到,可在 不使用一或多個具體細節或使用其他方法之情形下來實踐 本發明。本發明並不限於各個動作或事件之順序,此乃因 一些作用可以不同順序發生及/或與其他動作或事件同時 發生。另外,未必需要所有所闡釋動作或事件來實施本發 明方法。 本文所揭示之所有基因、基因名稱、及基因產物意欲對 應於可應用本文所揭示組合物及方法之來自任一物種的同 系物。因此,該等術語包含但不限於人類及小鼠之基因及 基因產物。應理解’在揭示來自特定物種之基因或基因產 物時,此揭示内容意欲僅具有實例性,且不應解釋為限制 意義,除非上下文明確指明。因此,舉例而言,在某些關 於哺乳動物核酸及胺基酸序列之實施例中,本文所揭示基 因意欲涵蓋來自其他動物之同源及/或直系同源基因及基 因產物’該等其他動物包含但不限於其他哺乳動物、魚、 兩棲動物、爬行動物、及鳥。在一實施例中,基因或核酸 序列係人類。 本文所用之術語僅用於闡述特定實施例之目的而並非意 欲限定本發明。如本文中所使用,單數形式「一(a)」、 15634 丨.doc 201201819 一(an)」及「該(the)」亦意欲包含複數形式,除非上下 文另外月確‘明。另外,在詳細闡述及/或申請專利範圍 中使用術語「包含(ineluding)」、「包含(ineludes)」、 /、有(1^7丨11§)」、「具有(has)」、「具有(with)」、或其 變化形式時’該等術語意欲以類似於術語「包括 (comprising)」之方式來表示包含範圍。 術語「約」或「近似地 特定值的可接受誤差範圍 」意指熟習此項技術者所測定之 ,其部分地取決於該值之量測或 測定方式,亦即,量測系統之侷限性。舉例而言,根據業 内實踐,「約」可意指在1個或丨個以上之標準偏差内。另 一選擇為,「約」可意指與給定值相差至多2〇%、較佳至 多10%、更佳至多5%、及更佳至多1%的範圍。另一選擇 為,尤其對於生物系統或過程而言,該術語可意指在一數 值之一個數量級内、較佳在5倍内、及更佳在2倍内。在申 請案及申請專利範圍中闡述特定值時,除非另有闡述,否 則應假ax術§吾「約」意指在該特定值之可接受誤差範圍 内。 本文所用之術語「mRNA」意指靶向基因之當前已知 mRNA轉錄本、及可闡釋之任一其他轉錄本。 「反義寡核苷酸」或「反義化合物」意指結合至另一 RNA或DNA(靶RNA、DNA)之RNA或DNA分子。舉例而 言,若係RNA寡核苷酸,則其藉助RNA-RNA相互作用結 合至另一 RNA輕並改變乾RNA之活性。反義寡核苦酸可上 調或下调特定聚核Θ酸之表現及/或功能。該定義竟欲包 I56341.doc 201201819 含可用於治療、診斷、或其他方面之任一外來RNA或DNA 分子。該等分子包含(例如)反義RNA或DNA分子、干擾 RNA (RNAi)、微小 RNA、誘斜 RNA 分子、siRNA、酶 RNA、治療性編輯RNA及RNA激動劑與拮抗劑、反義寡聚 化合物、反義寡核苷酸、外部引導序列(EGS)寡核苷酸、 交替剪接、引物、探針、及與靶核酸之至少一部分雜交之 其他寡聚化合物。因此,該等化合物可以單鏈、雙鏈、部 分單鏈、或環狀寡聚化合物形式引入。 在本發明之上下文中,術語「寡核苷酸」係指核糖核酸 (RNA)或去氧核糖核酸(DNA)之寡聚物或聚合物或其模擬 物。術語「寡核苷酸」亦包含天然及/或經修飾單體或鍵 聯之直鏈或環狀寡聚物,包含去氧核糖核苷、核糖核苷、 其經取代及α-變旋異構形式、肽核酸(PNA)、鎖核酸 (LNA)、硫代構酸酉旨、膦酸甲酯、及諸如此類。寡核苷酸 能夠藉助單體與單體相互作用之規則模式特異性結合至靶 聚核苦酸,例如Watson-Crick型驗基配對、Ho0gsteen型驗 基配對或反向Ho6gsteen型驗基配對、或諸如此類。 寡核苷酸可為「嵌合」寡核苷酸,亦即,由不同區域組 成。在本發明之上下文中,「嵌合」化合物係寡核苷酸, 其含有兩個或更多個化學區域,例如DNA區域、RNA區 域、PNA區域等。在寡核苷酸化合物之情形下,每一化學 區域係由至少一個單體單元(亦即,核苷酸)組成。該等寡 核苷酸通常包括至少一個對寡核苷酸進行修飾以顯示一或 多個期望性質之區域。寡核苷酸之期望性質包含但不限於 156341.doc 201201819 (例如):增加對於核酸酶降解之抗性、增加細胞攝取、及/ 或增加對於靶核酸之結合親和力。寡核苷酸之不同區域可 由此具有不同性質。本發明之嵌合寡核苷酸可形成為兩種 或更多種上述寡核苷酸、經修飾募核苷酸、寡核苷及/或 券核苷酸類似物的混合結構。 寡核苷酸可由可在「記錄(register)」中連接之區域組 成,亦即,單體係連續連接(如天然DNA中)、或經由間隔 體連接。間隔體意欲在區域之間構成共價「橋」且在較佳 情形下具有不超過約100個碳原子之長度。間隔體可具有 不同功能,例如具有正電荷或負電荷,具有特異性核酸結 合性質(嵌合劑、槽溝黏合劑、毒素、螢光團等),具有親 脂性,誘導特異性二級結構(例如,誘細累旋之含丙胺酸 之肽)。 本文所用之「BCL2L11」及「類BCL2U」包含所有家 族成員、突變體、等位基因、片@、物種、編碼及非編碼 序列、有義及反義聚核苷酸鏈等。 本文所用之詞語類BCL2 U、BCL2LU、BAM、細胞死 亡之Bcl2相互作用介體、Bcl2_L_u、麵、醜-^,麵_ β6、ΒΙΜ-β7、BimEL、BimL、卿在文獻中視為相同, 且在本申請案争可互換使用。 「本文所周之術語「對......具有特異性之寡核苦酸」或 靶向......之暴核苷酸」係指具有如下序列之寡核苷酸: ⑴能夠與乾向基因之一部分形成穩定複合物,或⑼能夠 與乾向基因之mRNA轉錄本的—部分形成穩定雙鏈體。複 15634I.doc 201201819 合物及雙鏈體之穩定性可藉由理論計算及/或活體外分析 進行測定。測定雜交複合物及雙鏈體之穩定性的實例性分 析闡述於下文實例中。 本文所用之術語「靶核酸」涵蓋自該DNA轉錄之DNA、 RNA(包括mRNA前體及mRNA)、以及源自該RNA、編碼序 列、非編碼序列、有義或反義聚核苷酸之cDNA。寡聚化 合物與其靶核酸之特異性雜交會干擾該核酸之正常功能。 與把核酸特異性雜交之化合物對該輕核酸功能的此調節通 常稱為「反義」。擬干擾之DNA功能包含(例如)複製及轉 錄。擬干擾之RNA功能包含所有重要功能,例如,RNA至 蛋白質轉譯位點之移位、蛋白質自RNA之轉譯、使RNA產 生一或多種mRNA物質之剪接、及RNA可參與或促進之催 化活性。對於靶核酸功能之該干擾的總體效應係可調節編 碼產物或寡核苷酸之表現。 RNA干擾(「RNAi」)係藉由與「靶」核酸序列具有序列 特異性同源性之雙鏈RNA (dsRNA)分子來調介。在本發明 某些實施例中,介質係具有5-25個核苷酸之「小干擾」 RNA雙鏈體(siRNA)。siRNA源自稱為Dicer之RNase酶對於 dsRNA之處理。siRNA雙鏈體產物募集至稱為RISC之多蛋 白siRNA複合物(RNA誘導之沉默複合物)中。不期望受限 於任一特定理論,由此據信,RISC可引導至靶核酸 (mRNA較為適宜),在此siRNA雙鏈體以序列特異性方式發 生相互作用從而以催化方式來調介裂解。可用於本發明中 之小干擾RNA可根據業内所熟知且為熟習此項技術者所習 156341.doc •10- 201201819 知的程序來合成及使用。用於本發明方法中之小干擾⑽八 適宜地包括約1至約50個核苷酸(nt)。在非限制性實施例之 實例中,siRNA可包括約5至約40個加、約5至約川個加、 約丨0至約30個nt、約15至約25個加、或約2〇_25個核苷酸。 藉由使用自動對準核酸序列並指示一致性或同源性區域 之電腦程式來促進適當寡核㈣㈣擇。使用該等程式藉 由(例如)搜索諸如GenBank等數據庫或藉由對pCR產物測 序來比較所獲得的核酸序列。對於來自各種物種之核酸序 列之比較使得可選擇顯示適當物種間一致性程度的核酸序 列。在並未測序之基因情形下,實施南方印跡(s〇uthern blot)以測定靶物種及其他物種之基因間的一致性程度。藉 由在不同嚴格度下實施南方印跡(如業内所熟知),可大致 量測一致性。該等程序使得可選擇如下寡核苷酸:其對欲 控制個體中之乾核酸序列呈現高互補性程度且對其他物種 中之相應核酸序列呈現較低互補性程度。熟習此項技術者 應》Λϋ識到,可在較大範圍中選擇適用於本發明中之基因區 域。 「酶RNA」意指具有酶活性之RNA分子(Cech,(1988)201201819 VI. Description of the Invention: TECHNICAL FIELD OF THE INVENTION Embodiments of the invention include oligonucleotides and related molecules that modulate the performance and/or function of BCL2L11. The present application claims priority to U.S. Provisional Patent Application Serial No. 61/346,252, filed on Jan. [Prior Art] DNA-RNA and RNA-RNA hybridization are important for many nucleic acid functional aspects including DNA replication, transcription, and translation. Hybridization is also critical for the detection of specific nucleic acids or the various techniques that alter their performance. For example, antisense nucleotides disrupt gene expression by hybridizing to a target RNA, thereby interfering with RNA splicing, transcription, translation, and replication. Antisense DNA has the additional property that DNA-RNA hybrids can be used as receptors for ribonuclease digestion, which is present in most cell types. The antisense molecule can be delivered to a cell, such as in the case of an oligodeoxynucleotide (ODN), or it can be expressed as an RNA molecule from an endogenous gene. The FDA recently approved the antisense drug VITRAVENETM (for the treatment of cytomegalovirus retinitis), indicating that the antisense drug has therapeutic utility. BRIEF DESCRIPTION OF THE DRAWINGS The Summary is provided to introduce a summary of the invention This Summary is submitted with the understanding that it is not to be construed as limiting or limiting the scope or meaning of the scope of the application. In one embodiment, the invention provides a method of inhibiting the action of a natural antisense transcript 156341.doc 201201819 by up-regulating an antisense oligonucleotide by using a shoe to any region of a natural antisense transcript The righteous gene is reached. It is also contemplated herein to inhibit natural antisense transcripts by siRNA, ribozymes and small molecules, which are considered to be within the scope of the invention. One embodiment provides a method of modulating the function and/or expression of a BCL2L11 polynucleotide in a patient's cells or tissues in vivo or in vitro, comprising subjecting the cells or tissues to a length of 5 to 30 nucleotides The oligonucleotide is contacted, wherein the oligonucleotide has at least 50% sequence identity to the reverse complement of the polynucleotide, the polynucleotide comprising nucleotides 1 to 3026 of SEQ ID NO: 2 and 5 to 30 contiguous nucleotides within nucleotides 1 to 1512 of SEQ ID NO: 3 ' thereby modulating the function and/or expression of BCL2L11 polynucleotides in a patient's cells or tissues in vivo or in vitro. In one embodiment, the oligonucleotide targets a natural antisense sequence of a BCL2L11 polynucleotide (eg, the nucleotides set forth in SEQ ID NOS: 2 and 3), and any variants thereof, allelic Examples of genes, homologs, mutants, derivatives, fragments and complementary sequences of antisense oligonucleotides are set forth in SEQ ID NOs: 4 to 13 . Another embodiment provides for the regulation of patient cells in vivo or in vitro. Or a method of functioning and/or expressing a BCL2L11 polynucleotide in a tissue comprising contacting the cells or tissues with an antisense oligonucleotide of 5 to 30 nucleotides in length, wherein the oligonucleotide The reverse complement of the BCL2L11 polynucleotide antisense transcript has at least 50% sequence identity; thereby modulating the function and/or expression of the BCL2L11 polynucleotide in a patient cell or tissue in vivo or in vitro. 156341.doc 201201819 Another embodiment provides a method of modulating the function and/or expression of a BCL2L11 polynucleotide in a cell or tissue of a patient in vivo or in vitro, comprising culturing a cell or tissue such as shai with a length of 5 to 30 One nucleotide antisense oligonucleotide contacts 'where the nucleotide has at least 50% sequence identity with the antisense oligonucleotide of the BCL2L11 antisense polynucleotide; thus in vivo or in vivo Externally regulates the function and/or performance of BCL2L11 polynucleotides in a patient's cells or tissues. In one embodiment, the composition comprises one or more antisense oligonucleotides that bind to a sense and/or antisense BCL2L11 polynucleotide. In one embodiment, the oligonucleotide comprises one or more modified or substituted nucleotides. In one embodiment the 'oligonucleotide comprises one or more modified linkages. In yet another embodiment, the modified nucleotide comprises a modified base comprising the following: a phosphorothioate, a phosphonium phosphonate, a peptide nucleic acid, a 2, a fluorenyl group, a fluoro- or a carbon, a methylene group or other lock. Nucleic acid (LNA) molecule. Preferably, the modified nucleotide acid-locked nucleic acid molecule comprises a-L-LNA. In one embodiment, the oligonucleotide is administered to the patient subcutaneously, intramuscularly, intravenously or intraperitoneally. In an embodiment, the oligo(tetra) acid is administered as a pharmaceutical composition. The treatment regimen includes administering the antisense compound to the patient at least once; however, the treatment can be modified to include multiple doses over a set period of time. The treatment can be combined with - or a plurality of other types of therapies. 5 In the examples, the oligonucleotide is encapsulated in a liposome or an accessory molecule (e.g., cholesterol, TAT peptide). 156341.doc 201201819 Other aspects are set out below. [Embodiment] Several aspects of the present invention are explained below by way of example application with reference to the explanation. It is to be understood that the specific details, aspects However, it will be readily apparent to those skilled in the art that the present invention may be practiced without the use of one or more specific details or other methods. The present invention is not limited to the order of the various acts or events, as some of the acts may occur in different orders and/or concurrently with other acts or events. In addition, not all illustrated acts or events may be required to implement the methods of the invention. All of the genes, gene names, and gene products disclosed herein are intended to correspond to homologs from any species to which the compositions and methods disclosed herein can be applied. Thus, such terms include, but are not limited to, human and mouse genes and gene products. It is to be understood that the disclosure is intended to be illustrative only, and is not intended to be limiting, unless the context clearly indicates otherwise. Thus, for example, in certain embodiments relating to mammalian nucleic acid and amino acid sequences, the genes disclosed herein are intended to encompass homologous and/or orthologous genes and gene products from other animals' such other animals. Includes, but is not limited to, other mammals, fish, amphibians, reptiles, and birds. In one embodiment, the gene or nucleic acid sequence is human. The terminology used herein is for the purpose of the description of the embodiments and As used herein, the singular forms "a", "a", "the", "the", "the", "the", "the", "the", and "the" are also intended to include the plural. In addition, the terms "ineluding", "ineludes", /, (1^7丨11§), "has", "have" are used in the detailed description and/or patent application. The terms "with", or variations thereof, are intended to mean a range of inclusions in a manner similar to the term "comprising." The term "about" or "approximately acceptable range of acceptable values for a particular value" is intended to be determined by those skilled in the art, and is determined in part by the manner in which the value is measured or measured, that is, the limitations of the measurement system. . For example, according to industry practice, "about" can mean within one or more standard deviations. Alternatively, "about" can mean a range that differs from a given value by at most 2%, preferably at most 10%, more preferably at most 5%, and even more preferably at most 1%. Alternatively, especially for biological systems or processes, the term may mean within an order of magnitude, preferably within 5 times, and more preferably within 2 times of a numerical value. In the case of a specific value stated in the scope of the application and the scope of the patent application, unless otherwise stated, the term "approximately" means that it is within the acceptable tolerance of the specified value. The term "mRNA" as used herein refers to a currently known mRNA transcript of a targeted gene, and any other transcript that can be elucidated. An "antisense oligonucleotide" or "antisense compound" means an RNA or DNA molecule that binds to another RNA or DNA (target RNA, DNA). For example, if an RNA oligonucleotide is used, it binds to another RNA by RNA-RNA interaction and changes the activity of the dry RNA. Antisense oligonucleotides can up- or down-regulate the performance and/or function of a particular polynucleic acid. This definition actually contains I56341.doc 201201819 containing any foreign RNA or DNA molecule that can be used for therapeutic, diagnostic, or other aspects. Such molecules include, for example, antisense RNA or DNA molecules, interfering RNA (RNAi), microRNAs, declining RNA molecules, siRNA, enzyme RNA, therapeutically editable RNA and RNA agonists and antagonists, antisense oligomeric compounds An antisense oligonucleotide, an external leader sequence (EGS) oligonucleotide, an alternative splicing, a primer, a probe, and other oligomeric compounds that hybridize to at least a portion of the target nucleic acid. Thus, such compounds can be introduced as single-stranded, double-stranded, partially single-stranded, or cyclic oligomeric compounds. In the context of the present invention, the term "oligonucleotide" refers to an oligo or polymer of ribonucleic acid (RNA) or deoxyribonucleic acid (DNA) or a mimetic thereof. The term "oligonucleotide" also encompasses natural and/or modified monomers or linked linear or cyclic oligomers, including deoxyribonucleosides, ribonucleosides, substituted and alpha-rotated Configuration form, peptide nucleic acid (PNA), locked nucleic acid (LNA), thio acid complex, methyl phosphonate, and the like. Oligonucleotides can specifically bind to a target polynucleotide such as Watson-Crick type base pairing, Ho0gsteen type base pairing And so on. Oligonucleotides can be "chimeric" oligonucleotides, i.e., composed of different regions. In the context of the present invention, a "chimeric" compound is an oligonucleotide comprising two or more chemical regions, such as a DNA region, an RNA region, a PNA region, and the like. In the case of an oligonucleotide compound, each chemical region consists of at least one monomer unit (i.e., nucleotide). Such oligonucleotides typically include at least one region that modifies the oligonucleotide to reveal one or more desired properties. Desirable properties of the oligonucleotide include, but are not limited to, 156341.doc 201201819 (for example): increasing resistance to nuclease degradation, increasing cellular uptake, and/or increasing binding affinity for a target nucleic acid. Different regions of the oligonucleotide may thus have different properties. The chimeric oligonucleotides of the invention can be formed into a hybrid structure of two or more of the above oligonucleotides, modified nucleotides, oligonucleosides and/or nucleus nucleotide analogs. Oligonucleotides can be composed of regions that can be joined in a "register", i.e., a single system of continuous linkages (e. g., in native DNA), or via a spacer. The spacers are intended to form a covalent "bridge" between the regions and, in the preferred case, have a length of no more than about 100 carbon atoms. The spacers can have different functions, such as having a positive or negative charge, having specific nucleic acid binding properties (chimeric agents, groove binders, toxins, fluorophores, etc.), having lipophilic properties, and inducing specific secondary structures (eg, , to induce the acridine-containing peptide). As used herein, "BCL2L11" and "BCL2U-like" include all family members, mutants, alleles, fragments @, species, coding and non-coding sequences, sense and antisense polynucleotide chains, and the like. The words BCL2 U, BCL2LU, BAM, cell death Bcl2 interacting mediator, Bcl2_L_u, face, ugly-^, face_β6, ΒΙΜ-β7, BimEL, BimL, Qing are used in the literature as the same, and in the literature This application is intended to be used interchangeably. "The term "oligonucleotide that is specific for ..." or a violent nucleotide that targets ... refers to an oligonucleotide having the following sequence: (1) A stable complex can be formed with a portion of the gene of the dry gene, or (9) a stable duplex can be formed with the portion of the mRNA transcript of the dry gene. The stability of the compound and duplex can be determined by theoretical calculations and/or in vitro analysis. An exemplary analysis for determining the stability of hybridization complexes and duplexes is set forth in the Examples below. The term "target nucleic acid" as used herein encompasses DNA, RNA (including mRNA precursors and mRNA) transcribed from the DNA, and cDNA derived from the RNA, coding sequence, non-coding sequence, sense or antisense polynucleotide. . The specific hybridization of an oligomeric compound to its target nucleic acid interferes with the normal function of the nucleic acid. This modulation of the function of the light nucleic acid with a compound that specifically hybridizes to the nucleic acid is commonly referred to as "antisense." The DNA function to be interfered with includes, for example, copying and transcription. The RNA function to be interfered with includes all important functions, such as shifting of RNA to protein translation sites, translation of proteins from RNA, splicing of RNA to produce one or more mRNA species, and catalytic activity in which RNA can participate or promote. The overall effect of this interference on the function of the target nucleic acid is the regulation of the expression of the encoded product or oligonucleotide. RNA interference ("RNAi") is mediated by double-stranded RNA (dsRNA) molecules with sequence-specific homology to the "target" nucleic acid sequence. In certain embodiments of the invention, the medium has a "small interference" RNA duplex (siRNA) of 5-25 nucleotides. siRNA is derived from the treatment of dsRNA by an RNase enzyme called Dicer. The siRNA duplex product is recruited into a polyprotein siRNA complex (RNA-induced silencing complex) called RISC. Without wishing to be bound by any particular theory, it is believed that RISC can be directed to a target nucleic acid (mRNA is preferred) where the siRNA duplex interacts in a sequence-specific manner to catalyze cleavage in a catalytic manner. Small interfering RNAs useful in the present invention can be synthesized and used according to procedures well known in the art and known to those skilled in the art, 156341. doc • 10-201201819. The small interference (10) VIII used in the method of the invention suitably comprises from about 1 to about 50 nucleotides (nt). In an example of a non-limiting embodiment, the siRNA can comprise from about 5 to about 40 additions, from about 5 to about 30 additions, from about 0 to about 30 nt, from about 15 to about 25 additions, or about 2 Å. _25 nucleotides. Appropriate oligocores (4) (4) are promoted by using computer programs that automatically align nucleic acid sequences and indicate regions of identity or homology. These programs are used to compare the obtained nucleic acid sequences by, for example, searching a database such as GenBank or by sequencing the pCR product. Comparison of nucleic acid sequences from various species allows selection of nucleic acid sequences that show the degree of agreement between appropriate species. In the case of unsequenced genes, Southern blotting is performed to determine the degree of agreement between the target species and other species. Consistency can be roughly measured by performing Southern blots (as is well known in the industry) with varying degrees of stringency. Such procedures allow for the selection of oligonucleotides that exhibit a high degree of complementarity to the dry nucleic acid sequences in the individual to be controlled and a lower degree of complementarity to the corresponding nucleic acid sequences in other species. Those skilled in the art will recognize that a wide range of gene regions suitable for use in the present invention can be selected. "Enzyme RNA" means an RNA molecule with enzymatic activity (Cech, (1988)

American. Med· Assoc. 260, 3030-3035)。酶性核酸(核糖 _ )首先藉由結合至靶RNA而發揮作用。該結合經由酶性 核酸之靶結合部分來進行,該靶結合部分緊鄰分子中用於 裂解乾RNA之酶性部分。因此,酶性核酸首先識別粗 且然後經由鹼基配對與靶RNA結合,且在結合至確切位點 後以酶促方式發揮作用以切割靶RN A。 156341.doc •11- 201201819 「誘餌RNA」意指模擬配體之天然結合結構域之RNA分 子。誘_ RNA由此與天然結合乾競爭結合特異性配體。舉 例而言,已顯示HIV反式活化反應(TAR) RNA之過度表現 可用作「誘斜」並有效結合HIV tat蛋白,由此預防其結合 至在HIV RNA中編碼之TAR序列。此意欲係一具體實例。 彼等熟習此項技術者應認識到,此僅為一實例,且可易於 使用業内通常已知之技術來產生其他實施例。 本文所用之術語「單體」通常表示藉由麟酸二酯鍵或其 類似物連接以形成尺寸介於數個單體單元(例如,約34個) 至約數百個單體單元之寡核苷酸的單體。磷酸二醋鍵聯之 類似物包含··硫代磷酸酯、二硫代磷酸酯、膦酸曱酿、砸 代磷酸酯、胺基磷酸酯、及諸如此類,如下 *入又金面所 述。 術語「核苷酸」涵蓋天然存在之核苷酸以及非天然存在 之核苷酸。熟習此項技術者應明瞭,先前視為「非天然广 在J之各種核苷酸後來已發現於自然界中。因此,「核^ 酸」不僅包含含有已知嘌呤及嘧啶雜環之分子, 且亦包含American. Med· Assoc. 260, 3030-3035). The enzymatic nucleic acid (ribose _) first acts by binding to the target RNA. The binding is carried out via a target binding portion of an enzymatic nucleic acid that is immediately adjacent to the enzymatic portion of the molecule used to lyse the dry RNA. Thus, the enzymatic nucleic acid first recognizes the crude and then binds to the target RNA via base pairing and acts enzymatically to cleave the target RN A upon binding to the exact site. 156341.doc •11- 201201819 “Bee RNA” means an RNA molecule that mimics the natural binding domain of a ligand. The inducer RNA thus competes with the natural binding stem for binding to a specific ligand. For example, it has been shown that overexpression of HIV transactivation (TAR) RNA can be used as a "slanting" and effective binding to the HIV tat protein, thereby preventing its binding to the TAR sequence encoded in HIV RNA. This is intended to be a specific example. Those skilled in the art will recognize that this is only an example and that other embodiments can be readily derived using techniques generally known in the art. The term "monomer" as used herein generally denotes an oligo which is bonded by a linoleic acid diester bond or an analog thereof to form a size ranging from a plurality of monomer units (for example, about 34) to about several hundred monomer units. Monomeric monomer. Phosphate diacetate linked analogs include phosphorothioate, dithiophosphate, phosphonic acid phosphatide, phosphorothioate, amino phosphate, and the like, as described below. The term "nucleotide" encompasses naturally occurring nucleotides as well as non-naturally occurring nucleotides. Those skilled in the art should be aware that the various nucleotides previously considered to be "unnaturally abundant in J" have since been discovered in nature. Therefore, "nucleic acid" includes not only molecules containing known purine and pyrimidine heterocycles, but also Also included

其雜環類似物及互變異構體。其他類型核苷酸之闞釋性A 例係含有以下部分之分子··腺嘌呤、鳥嘌呤、胸腺喷=貫 胞嘧啶、尿嘧啶、嘌呤、黃嘌呤、二胺基。入 疋 7 側氧美一 N6-曱基腺嘌呤、7-去氮黃嘌呤、7_去氮^ 〇 ^ 礼馬*呤、N4,N4 乙醇胞"密咬、N6,N6-乙醇-2,6-二胺基嘌呤、 T基胞0^ 啶、5-(C3-C6)-炔基胞嘧啶、5_氟尿嘧啶 • /昊尿喷咬、 假異胞嘧啶、2-羥基·5-甲基-4-三唑并吡啶、 心呉胞嘧啶、 I56341.doc 12 201201819 異烏嘌呤、肌苷及Benner等人之美國專利第5,432,272號中 所述之「非天然存在」核苷酸。術語「核苷酸」意欲涵蓋 每一及所有該等實例以及其類似物及互變異構體。尤其關 注之核苷酸係彼等含有腺嘌呤、烏嘌呤、胸腺嘧啶、胞嘧 啶、及尿嘧啶者’其係視為與人類之治療及診斷應用有關 之天然存在之核苷酸。核苷酸包含天然2·-去氧及2,-羥基糖 (例如’如 Kornberg及 Baker,DNA Replication,第 2版 (Freeman, San Francisco,1992)中所述)以及其類似物。 涉及核苷酸之「類似物」包含具有經修飾鹼基部分及/ 或經修飾糖部分之合成核苷酸(參見(例如)由以下所概述: Scheit, Nucleotide Analogs, John Wiley, New York, 1980 iIts heterocyclic analogs and tautomers. Other types of nucleotide release A cases include molecules of the following parts: adenine, guanine, thymus spray = cytosine, uracil, guanidine, xanthine, diamine.疋7 Side Oxygen-N6-decyl adenine, 7-deazapurine, 7_deaza^ 〇^ ritual horse*呤, N4, N4 ethanol cell" dense bite, N6, N6-ethanol-2 ,6-diaminopurine, T cyanoxyl, 5-(C3-C6)-alkynylcytosine, 5-fluorouracil, / urinary urinary tract, pseudoisomer, 2-hydroxy-5-A 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The term "nucleotide" is intended to cover each and every such instance as well as analogs and tautomers thereof. Particularly important nucleotides are those containing adenine, black mites, thymine, cytosine, and uracil, which are considered naturally occurring nucleotides associated with therapeutic and diagnostic applications in humans. Nucleotides include native 2'-deoxy and 2,-hydroxy sugars (e.g. ' as described in Kornberg and Baker, DNA Replication, 2nd Edition (Freeman, San Francisco, 1992) and analogs thereof. An "analog" involving a nucleotide comprises a synthetic nucleotide having a modified base moiety and/or a modified sugar moiety (see, for example, as outlined below: Scheit, Nucleotide Analogs, John Wiley, New York, 1980) i

Freier & Altmann, (1997) Nucl. Acid. Res., 25(22), 4429-4443, Toulme, J.J., (2001) Nature Biotechnology 19:17-18 » Manoharan M., (1999) Biochemica et Biophysica Acta 1489:1 17-139 ; Freier S. M., (1997) Nucleic Acid Research, 25:4429-4443, Uhlman, E., (2000) Drug Discovery & Development, 3: 203-213, Herdewin P., (2000) Antisense &Freier & Altmann, (1997) Nucl. Acid. Res., 25(22), 4429-4443, Toulme, JJ, (2001) Nature Biotechnology 19:17-18 » Manoharan M., (1999) Biochemica et Biophysica Acta 1489:1 17-139 ; Freier SM, (1997) Nucleic Acid Research, 25:4429-4443, Uhlman, E., (2000) Drug Discovery & Development, 3: 203-213, Herdewin P., (2000) Antisense &

Nucleic Acid Drug Dev” 10:297-310); 2’-0、3'-C連接之 [3.2.0]雙環阿糖核苷。該等類似物包含經設計以增強結合 性質(例如’雙鏈體或三鏈體穩定性、特異性、或諸如此 類)之合成核苷酸。 本文所用之「雜交」意指募聚化合物之實質上互補鏈之 配對。一種配對機制涉及募聚化合物鏈之互補核苷或核苷 酸鹼基(核苷酸)之間的氫鍵,其可為Watson-Crick、 156341.doc •13· 201201819Nucleic Acid Drug Dev" 10:297-310); 2'-0, 3'-C linked [3.2.0] bicyclic glucosinolates. These analogs are designed to enhance binding properties (eg 'double stranded' Synthetic nucleotides of bulk or triplex stability, specificity, or the like. As used herein, "hybridization" means the pairing of substantially complementary strands of a polymeric compound. A pairing mechanism involves the recruitment of a hydrogen bond between a complementary nucleoside or a nucleotide base (nucleotide) of a compound chain, which can be Watson-Crick, 156341.doc •13·201201819

Hoiigsteen或反向Hodgsteen氫鍵。舉例 , 。’腺°票呤及胸 腺嘧啶係經由形成氫鍵配對之互補核 ^ , 又雜父可在不同 在以下情形時反義化合物係「可特異性雜交」··化人物 與乾核酸之結合可干擾乾核酸之正常功能。 或活性,且存在足夠互補性程度以避免反義化合物 核酸序列在期望發生特異性結合之條件下(亦即,:活體 内分析或治療性治療情形中之生理條件下,及在活體外= 析情形中實施分析之條件下)發生非特異性結合。 本文所用之片語「嚴格雜交條件」丨「嚴格條件」舒 本發明化合物與其乾序列發生雜交、但與最少數量之^ 序列發生雜交的條件^嚴格條件具有序列依賴性且在;同 情況及本發明上下文中有所不同,藉由募聚化合物之性質 及組成及研究其之分析來測定寡聚化合物與乾序列進行雜 交的「嚴格條件」。一般而言,嚴格雜交條件包括低濃度 (<〇·15Μ)含有無機陽離子(例如^++或κ++)之鹽(亦即= 低離子強度),溫度高於2(rc_25t但低於寡聚化合物:乾 序列複合物之Tm,及存在變性劑(例如曱醯胺、二甲基曱 醯胺、二曱基亞砜)或洗滌劑十二烷基硫酸鈉(SDS)。舉例 而言,對於每一 1%甲醯胺而言,雜交速率降低1.1%。高 嚴格度雜交條件之實例係0.1X氣化鈉-擰檬酸鈉緩衝液 (SSC)/〇.1%(w/v)SDS(在 60°C 下,保持 30 分鐘)。 本文所用之「互補」係指一或兩個寡聚鏈上之兩個核苷 I之間精確配對的能力。舉例而言,若反義化合物某一位 156341.doc 201201819 置處之核鹼基能夠與靶核酸(該靶核酸係DNA、RNA、或 寡核苷酸分子)某一位置處之核鹼基發生氫鍵結,則該寡 核苷酸及該靶核酸之間發生氫鍵結之位置視為互補位置。 在每一分子中有足夠數量之互補位置由可彼此氫鍵結之核 苷酸佔據時’寡聚化合物及其他DNA、RNA、或寡核苷酸 分子彼此互補。因此,「可特異性雜交」及「互補」係用 於指示以下情形之術語:足夠數量之核苦酸中具有足夠程 度之精確配對或互補性從而寡聚化合物及靶核酸之間發生 穩定及特異性結合。 業内應理解,寡聚化合物序列無需與擬特異性雜交之其 靶核酸序列100%互補。另外,寡核苷酸可在一或多個區 段中雜交從而插入或相鄰區段並不參與雜交事件(例如, 環路結構、失配或髮夾型結構)0本發明寡聚化合物包括 與其所靶向靶核酸序列内靶區域之至少約70%、或至少約 75%、或至少約80%、或至少約85%、或至少約90%、或至 少約95%、或至少約99。/。的序列互補性。舉例而言,反義 化合物之20個核苷酸中有18個與靶區域互補且由此特異性 雜交之反義化合物將代表90%的互補性。在此實例中,剩 餘非互補核苷酸可與互補核苷酸群集或散開且無需彼此鄰 近或與互補核苷酸鄰近。因此,長度為丨8個核苷酸且具有 4(四)個非互補核苷酸(由兩個與靶核酸完整互補之區域側 接)之反義化合物與靶核酸具有77·8%之總體互補性且由此 屬於本發明範圍内。具有靶核酸區域之反義化合物的互補 性百分比通常可使用業内已知之BLAST程式(鹼基局部對 156341.doc 15 201201819 準檢索工具)及PowerBLAST程式測得。同源性、序列一致 性或互補性百分比可藉由(例如)Gap程式(Wisconsin Sequence Analysis Package, Version 8 for Unix, Genetics Computer Group, University Research Park, Madison Wis.) 使用默認設置(其使用Smith及Waterman算法)測得(Adv. Appl, Math., (1981) 2, 482-489)。 本文所用之術語「熱力學熔點(Tm)」係指在界定離子強 度、pH、及核酸濃度下與靶序列互補之寡核苷酸中之5〇0/〇 在平衡下與乾序列雜交的溫度。通常,對於短寡核苦酸 (例如’具有10至50個核苷酸)而言,嚴格條件係彼等以下 條件:鹽濃度在pH 7.0至8.3下為至少約〇.〇1至1.0 MiNa 離子濃度(或其他鹽)且溫度為至少約3 0 。嚴格條件亦可 藉由添加諸如甲醯胺等去穩定劑來達成。 本文所用之「調節」意指增加(刺激)或降低(抑制)基因 之表現。Hoiigsteen or reverse Hodgsteen hydrogen bonds. For example, . 'Glandular thyme and thymine are complementary cores formed by hydrogen bond formation, and the anti-sense compound can be "specifically hybridized" when the following conditions are different. The combination of the character and the dry nucleic acid can interfere. The normal function of dry nucleic acids. Or active, and sufficient degree of complementarity exists to avoid the antisense compound nucleic acid sequence under conditions that are expected to undergo specific binding (ie, under physiological conditions in the case of in vivo analysis or therapeutic treatment, and in vitro = analysis) Non-specific binding occurs under conditions in which the analysis is carried out. As used herein, the phrase "stringent hybridization conditions" and "stringent conditions" are the conditions under which the compound of the present invention hybridizes to its dry sequence, but hybridizes with the least number of sequences. The stringent conditions are sequence-dependent and in the same case; In the context of the invention, the "stringent conditions" for hybridization of an oligomeric compound to a dry sequence are determined by the nature and composition of the polymeric compound and its analysis. In general, stringent hybridization conditions include low concentrations (<〇15Μ) salts containing inorganic cations (e.g., ^++ or κ++) (i.e., low ionic strength), temperatures above 2 (rc_25t but below) Oligomeric compound: Tm of the dry sequence complex, and the presence of a denaturant (such as guanamine, dimethyl decylamine, dimethyl sulfoxide) or detergent sodium lauryl sulfate (SDS). For each 1% formamide, the rate of hybridization was reduced by 1.1%. Examples of high stringency hybridization conditions were 0.1X sodium sulphate-sodium citrate buffer (SSC) / 〇.1% (w/v SDS (for 30 minutes at 60 ° C). As used herein, "complementary" refers to the ability to precisely pair between two nucleosides I on one or two oligo-chains. For example, if antisense Compound 156341.doc 201201819 The nucleobase in place is capable of hydrogen bonding with a nucleobase at a position of the target nucleic acid (the target nucleic acid DNA, RNA, or oligonucleotide molecule), then the oligo The position at which hydrogen bonding occurs between the nucleotide and the target nucleic acid is regarded as a complementary position. There is a sufficient number of complementary positions in each molecule to be hydrogenable to each other. When the nucleotides of the knot occupy, the oligomeric compound and other DNA, RNA, or oligonucleotide molecules are complementary to each other. Therefore, "specifically hybridizable" and "complementary" are used to indicate the following terms: a sufficient number of There is a sufficient degree of exact pairing or complementarity in the nucleotide acid to allow for stable and specific binding between the oligomeric compound and the target nucleic acid. It is understood in the art that the oligomeric compound sequence does not require its target nucleic acid sequence 100 to specifically hybridize to it. % complementary. In addition, oligonucleotides may hybridize in one or more segments such that insertion or adjacent segments are not involved in hybridization events (eg, loop structure, mismatch or hairpin structure) The polycompound comprises at least about 70%, or at least about 75%, or at least about 80%, or at least about 85%, or at least about 90%, or at least about 95% of the target region within the target nucleic acid sequence to which it is targeted, or Sequence complementarity of at least about 99. For example, 18 of the 20 nucleotides of the antisense compound are complementary to the target region and the antisense compound that specifically hybridizes will represent 90% complementarity. In this example, the rest Complementary nucleotides may be clustered or dispersed with complementary nucleotides and need not be adjacent to each other or to a complementary nucleotide. Thus, the length is 8 nucleotides and has 4 (four) non-complementary nucleotides (by two The antisense compound flanked by the region in which the target nucleic acid is fully complementary) has a total complementarity of 77.8% with the target nucleic acid and is thus within the scope of the invention. The percent complementarity of the antisense compound having the target nucleic acid region is generally The BLAST program (base local pair 156341.doc 15 201201819 quasi-search tool) and PowerBLAST program are known in the art. The homology, sequence identity or complementarity percentage can be obtained by, for example, Gap program (Wisconsin Sequence Analysis). Package, Version 8 for Unix, Genetics Computer Group, University Research Park, Madison Wis.) was measured using default settings (which use the Smith and Waterman algorithms) (Adv. Appl, Math., (1981) 2, 482-489). The term "thermodynamic melting point (Tm)" as used herein refers to the temperature at which 5 〇 0 / 〇 in an oligonucleotide complementary to a target sequence at a defined ion intensity, pH, and nucleic acid concentration hybridizes to a dry sequence under equilibrium. Generally, for short oligonucleotides (eg, 'having 10 to 50 nucleotides), stringent conditions are those under which the salt concentration is at least about 0.1 to 1.0 MiNa ion at pH 7.0 to 8.3. Concentration (or other salt) and a temperature of at least about 30. Stringent conditions can also be achieved by the addition of destabilizing agents such as formamide. As used herein, "modulation" means the expression of an increase (stimulation) or a decrease (inhibition) of a gene.

在用於聚核苷酸序列之背景中時,術語「變體」可涵蓋 與野生型基因有關之聚核苷酸序列。此定義亦可包含(例 如)「等位基因」、「剪接」、「物種」或「多態性」變 月3·剪接變體可與參考分子具有顯著一致性,但在mRNA 處理期間因外顯子之交替剪接而通常具有較大或較小數量 之聚核苷酸。相應多肽可擁有額外功能結構域或不存在結 構域。物種變體係在物種之間有所變化之聚核苷酸序列。 在本發明中尤其有用者係野生型基因產物之變體。變體可 源自核酸序列中之至少一個突變,且可產生改變之mRNA 156341.doc -16 - 201201819 或產生結構或功能可改變或不改變的多肽。任一給定天然 或重組基因可不具有等位基因形式、具有一種或許多等位 基因形式。產生變體之常見突變變化通常歸因於核苷酸之 天然缺失、添加、或取代。該等變化類型中之每一者可在 給定序列中單獨'或與其他者組合發生一或多次。 所得多肽通常彼此之間具有顯著之胺基酸一致性。多態 性變體係給定物種個體間特定基因之聚核苷酸序列中的變 化。多態性變體亦可涵蓋「單一核苷酸多態性」(SNp)或 單驗基突變,其中聚核苷酸序列之一個鹼基有所變化。 SNP之存在可指示(例如)某一群體具有疾病狀態傾向(亦即 相對於抗性之易感性)。 衍生聚核苷酸包含經受化學修飾(例如,氫由烷基、醯 基、或胺基代替)之核酸。衍生物(例如,衍生寡核苷酸)可 包括非天然存在之部分,例如改變之糖部分或糖間鍵聯。 該等實例性衍生物係硫代磷酸酯及業内已知之其他含硫物 質。衍生核酸亦可含有標記,包含放射性核苷酸、酶、螢 光劑、化學發光劑、發色劑、受質、輔因子、抑制劑、磁 性顆粒、及諸如此類。 衍生」多肽或肽係(例如)藉由以下方式進行修飾者: 糖基化、聚乙二醇化、磷醯化、硫酸化、還原/烷基化、 醢基化、化學偶合、或輕度福爾馬林(formalin)處理。衍 生物亦可經修飾以含有可檢測標記(直接或間接),包含但 不限於放射性同位素、螢光、及酶標記。 本文所用之術語「動物」或「患者」意欲包含(例如)人 156341.doc -17- 201201819 類、绵羊、麋鹿、鹿、長耳鹿、水紹、哺乳動物、猴子、 馬、牛、豬、山羊、狗、猫、大鼠、小鼠、鳥、雞、攸行 動物、魚、昆蟲及蛾》蛛。 「哺乳動物」涵蓋通常處於醫學護理下之溫血哺乳動物 (例如’人類及家養動物)。實例包含貓、犬、馬、牛、及 人類、以及僅指人類。 「治療(treating或treatment)」涵蓋對哺乳動物之疾病狀 態之治療,且包含.(a)在哺乳動物中、特定而言在該哺乳 動物易患有疾病狀態但尚未被診斷出患有該疾病狀態時預 防該疾病狀態發生;(b)抑制疾病狀態,例如阻止其發展; 及/或(c)減緩疾病狀態,例如使疾病狀態減退直至達到期 望端點為止。治療亦包含改善疾病症狀(例如,減輕疼痛 或不適),其中該改善可直接影響或可能並不直接影響疾 病(例如,起因、傳染、表現等)。 本文所用之「癌症」係指在哺乳動物中發現之所有類型 癌症或贅瘤或惡性腫瘤,其包含但不限於:白血病、淋巴 瘤、黑素瘤、癌及肉瘤。癌症自身表現為包括癌症之惡性 細胞之「腫瘤」或組織。腫瘤之實例包含肉瘤及癌,例如 但不限於:纖維肉瘤、黏液肉瘤、脂肪肉瘤、軟骨肉瘤、 成骨性肉瘤、脊索瘤、血管肉瘤、内皮肉瘤、淋巴管肉 瘤、淋巴管内皮肉瘤、滑膜瘤、間皮瘤、尤因氏腫瘤 (Ewing's tumor)、平滑肌肉瘤、橫紋肌肉瘤、結腸癌、胰 腺癌 '乳癌、卵巢癌、前列腺癌、鱗狀細胞癌、基底細胞 癌 '腺癌、汗腺癌、皮脂腺癌、乳頭狀癌、乳頭狀腺癌、 156341.doc 201201819 囊腺癌、髓樣癌、枝氣管原癌、腎細胞癌、肝細胞瘤、膽 官癌、絨毛膜癌、精原細胞瘤、胚胎性癌、維爾姆斯氏腫 瘤(Wilms' tumor)、子宮頸癌、睾丸腫瘤、肺癌、小細胞 肺癌、膀胱癌、上皮癌、膠質瘤、星形細胞瘤、髓母細胞 瘤、顱咽管瘤、室管膜瘤、松果體瘤、血管母細胞瘤、聽 神經瘤、少突神經膠質瘤、腦膜瘤、黑素瘤、神經母細胞 瘤、及視網膜母細胞瘤。可藉由本發明所揭示組合物治療 之額外癌症包含但不限於(例如)霍奇金氏病(H〇dgkin,s Disease)、非霍奇金氏淋巴瘤(N〇n_H〇dgkin,s Lymph〇ma)、 多發性骨髓瘤、神經母細胞瘤、乳癌、卵巢癌、肺癌、橫 紋肌肉瘤、原發性血小板增多症、原發性巨球蛋白血症、 小細胞肺腫瘤、原發性腦腫瘤、胃癌、結腸癌、惡性胰腺 胰島素瘤、錄類癌、膀胱癌、胃癌、惡化前皮膚損傷、 睾丸癌、淋巴瘤、甲狀腺癌、神經母細胞瘤、食管癌、泌 尿生殖道癌症、惡性高鈣血症、子宮頸癌、子宮内膜癌 症、腎上腺皮質癌症、及前列腺癌。術語「細胞凋亡」意 指程式性細胞死亡。其亦意指「細胞死亡」或「靶向細胞 死亡」,其發生於投與本文所述反義寡核苷酸以治療或減 幸二與未控制細胞生長及/或正常細胞凋亡及/或細胞凋亡路 徑功能失常有關之疾病或病症的情形下。 本文所用之「神經疾病或病症」係指神經系統及/或視 覺系、,先之任一疾病或病症。「神經疾病或病症」包含涉及 中柩神經系統(腦、腦幹及小腦)、周邊神經系統(包含顧神 、二)及自主神經系統(位於中樞及周邊神經系統二者中之 156341.doc -19- 201201819 部分)之疾病或病症。神經疾病或病症包含但不限於後天 性癲癇失語症;急性播散性腦脊髓炎;腎上腺腦白質營養 不良;老年性黃斑退化症;胼胝體發育不全;失認症;艾 卡迪症候群(Aicardi syndrome);亞歷山大病(Alexander disease) ’阿爾站斯病(A】pers, disease);交叉性肢體癱 痪’阿爾次海默氏病(Alzheimer's disease);血管性癡呆; 肌萎縮側索硬化,·無腦畸形;天使症候群(Angelman syndrome);灰管瘤病;缺養症;失語症;失用症;蛛網 膜囊腫,·蛛網膜炎,·阿-蔡二氏畸形(Anr〇nl Chiari malformation);動靜脈畸形;阿斯佩格症候群(Asperger syndrome);運動失調性毛細血管擴張症;注意力缺陷伴 多動病症;自閉症;自主神經功能障礙;背痛;巴登氏病 (Batten disease);貝切特氏病(Behcet's disease);貝爾麻痹 (Bell’s palsy);良性本質瞼痙攣;良性局部肌萎縮;良性 顱内兩壓,負斯旺格病(Binswanger,s disease);眼險痙 落’布洛克-蘇4貝克症候群(Bi〇ch Sulzberger syndrome); 臂叢神經損傷;腦膿腫;腦損傷;腦腫瘤(包含多形性膠 質母細胞瘤);脊髓腫瘤;布朗-塞卡爾症候群(Br〇wn_When used in the context of a polynucleotide sequence, the term "variant" can encompass a polynucleotide sequence associated with a wild-type gene. This definition may also include, for example, "allele", "splicing", "species" or "polymorphism". The splicing variant may have significant agreement with the reference molecule, but during mRNA processing. The alternate splicing of the exemplants usually has a larger or smaller number of polynucleotides. The corresponding polypeptide may have additional functional domains or no domain. A sequence of nucleotides in which a species-variation system varies between species. Particularly useful in the present invention are variants of the wild type gene product. A variant may be derived from at least one mutation in a nucleic acid sequence and may produce altered mRNA 156341.doc -16 - 201201819 or a polypeptide that may or may not be altered in structure or function. Any given natural or recombinant gene may have no allelic form, with one or many allelic forms. Common mutational changes that result in variants are often attributed to natural deletions, additions, or substitutions of nucleotides. Each of these variations can occur individually or in combination with others in a given sequence one or more times. The resulting polypeptides typically have significant amino acid identity with each other. A polymorphic system changes a polynucleotide sequence of a particular gene between individuals of a given species. Polymorphic variants may also encompass "single nucleotide polymorphisms" (SNp) or single-sequence mutations in which one base of the polynucleotide sequence is altered. The presence of a SNP can indicate, for example, that a population has a predisposition to disease status (i.e., susceptibility to resistance). The derivatized polynucleotide comprises a nucleic acid that undergoes chemical modification (e.g., hydrogen is replaced by an alkyl group, a thiol group, or an amine group). Derivatives (e.g., derivatized oligonucleotides) can include non-naturally occurring moieties such as altered sugar moieties or intersaccharide linkages. Such exemplary derivatives are phosphorothioates and other sulfur-containing materials known in the art. The derivatized nucleic acid may also contain a label comprising a radioactive nucleotide, an enzyme, a fluorescent agent, a chemiluminescent agent, a chromogen, a substrate, a cofactor, an inhibitor, a magnetic particle, and the like. A derivative polypeptide or peptide is, for example, modified by: glycosylation, pegylation, phosphonium, sulfation, reduction/alkylation, thiolation, chemical coupling, or mild blessing Formalin treatment. The derivative may also be modified to contain a detectable label (directly or indirectly) including, but not limited to, radioisotopes, fluorescent, and enzymatic labels. The term "animal" or "patient" as used herein is intended to include, for example, human 156341.doc -17-201201819, sheep, elk, deer, mule deer, water, mammal, monkey, horse, cow, pig, Goats, dogs, cats, rats, mice, birds, chickens, cockroaches, fish, insects and moths. "Mammals" encompass warm-blooded mammals (such as 'humans and domestic animals) that are usually under medical care. Examples include cats, dogs, horses, cows, and humans, and only humans. "Trating or treatment" encompasses the treatment of a disease state in a mammal and includes (a) in the mammal, in particular in the mammal, which is susceptible to the disease but has not yet been diagnosed with the disease. The state is prevented from occurring in the state; (b) inhibiting the disease state, for example, preventing its development; and/or (c) slowing the disease state, for example, reducing the disease state until the desired endpoint is reached. Treatment also includes amelioration of the symptoms of the disease (e. g., pain relief or discomfort), wherein the improvement may or may not directly affect the disease (e.g., cause, infection, performance, etc.). As used herein, "cancer" refers to all types of cancer or neoplasms or malignancies found in mammals including, but not limited to, leukemia, lymphoma, melanoma, carcinoma, and sarcoma. Cancer itself manifests itself as a "tumor" or tissue that includes malignant cells of cancer. Examples of tumors include sarcomas and carcinomas such as, but not limited to, fibrosarcoma, mucinous sarcoma, liposarcoma, chondrosarcoma, osteosarcoma, chordoma, angiosarcoma, endothelial sarcoma, lymphangiosarcoma, lymphatic endothelial sarcoma, synovium Tumor, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon cancer, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland cancer, Sebaceous gland cancer, papillary carcinoma, papillary adenocarcinoma, 156341.doc 201201819 cystadenocarcinoma, medullary carcinoma, bronchial ductal carcinoma, renal cell carcinoma, hepatocellular carcinoma, biliary cancer, choriocarcinoma, seminoma, Embryonic cancer, Wilms' tumor, cervical cancer, testicular tumor, lung cancer, small cell lung cancer, bladder cancer, epithelial cancer, glioma, astrocytoma, medulloblastoma, craniopharyngioma Tumor, ependymoma, pineal tumor, hemangioblastoma, acoustic neuroma, oligodendroglioma, meningioma, melanoma, neuroblastoma, and retinoblastoma. Additional cancers treatable by the compositions disclosed herein include, but are not limited to, for example, Hodgkin's disease, non-Hodgkin's lymphoma (N〇n_H〇dgkin, s Lymph〇) Ma), multiple myeloma, neuroblastoma, breast cancer, ovarian cancer, lung cancer, rhabdomyosarcoma, essential thrombocytosis, primary macroglobulinemia, small cell lung tumor, primary brain tumor, Gastric cancer, colon cancer, malignant pancreatic insulinoma, recorded carcinoid, bladder cancer, gastric cancer, pre-malignant skin damage, testicular cancer, lymphoma, thyroid cancer, neuroblastoma, esophageal cancer, genitourinary cancer, malignant hypercalcemia Disease, cervical cancer, endometrial cancer, adrenal cortical cancer, and prostate cancer. The term "apoptosis" means programmed cell death. It also means "cell death" or "targeted cell death" which occurs by administering an antisense oligonucleotide as described herein for treatment or reduction of uncontrolled cell growth and/or normal apoptosis and/or In the case of a disease or condition associated with a malfunction of the apoptotic pathway. As used herein, "neurological disease or condition" refers to the nervous system and/or the visual system, any of the first diseases or conditions. "Nervous diseases or conditions" include the middle sacral nervous system (brain, brainstem and cerebellum), the peripheral nervous system (including Gushen, II), and the autonomic nervous system (156341.doc in both the central and peripheral nervous systems - 19-201201819 Part) A disease or condition. Neurological diseases or conditions include, but are not limited to, acquired epilepsy aphasia; acute disseminated encephalomyelitis; adrenal leukodystrophy; age-related macular degeneration; corpus callosum dysplasia; aphasia; Aicardi syndrome; Alexander disease 'A pers, disease'; Alzheimer's disease; vascular dementia; amyotrophic lateral sclerosis, · no brain malformation; Angelman syndrome; chlorocholine disease; dystrophy; aphasia; apraxia; arachnoid cyst, arachnoiditis, Anr〇nl Chiari malformation; arteriovenous malformation; Asperger syndrome; ataxia telangiectasia; attention deficit with hyperactivity disorder; autism; autonomic dysfunction; back pain; Batten disease; Bechette Behcet's disease; Bell's palsy; benign essential hernia; benign local muscle atrophy; benign intracranial pressure, negative Swann disease (Binswanger, s Disease) Fallen' Bloc-Su 4 Beck syndrome (Bi〇ch Sulzberger syndrome); Brachial plexus injury; Brain abscess; Brain injury; Brain tumor (including Glioblastoma multiforme); Spinal cord tumor; Brown-Seccar syndrome (Br〇wn_

Sequard syndrome),卡納萬病(Canavan disease);腕道症 候群;灼性神經痛;中樞性疼痛症候群;腦橋中央髓鞘溶 解;頭部病症;腦動脈瘤;腦動脈硬化症;大腦萎縮;大 腦性巨人症;大腦性麻痹;夏·馬-圖三氏病(Charc〇t_ Made-Tooth disease);化學療法誘導性神經病及神經性疼 痛,恰裏時形(Chiari malformation);舞蹈病;慢性炎症性 156341.doc -20- 201201819 脫髓鞘性多發性神經病;慢性疼痛;慢性區域性疼痛症候 群’科-勒一氏症候群(Coffin Lowry syndrome);昏迷,包 含持續性植物人狀態;先天性面癱;皮質基底退化;顱動 脈炎’顱縫早閉,克雅氏病(Creutzfeidt-Jakob disease); 積累性創傷病症,庫興氏症候群(Cushing's Syndrome);巨 細胞包涵體病;巨細胞病毒感染;舞蹈眼-舞蹈足症候 群,丹-沃二氏症候群(DandyWalker syndrome);道森病 (Dawson disease);德摩西埃症候群(De Morsier's syndrome);克隆普克-克隆普克症候群(Dejerine_Klumke palsy),癡呆;皮肌炎;糖尿病神經病變;彌漫性硬化; 自主神經機能異常;書寫困難;誦讀困難;張力失常;早 期幼兒癲癇性腦病;空蝶鞍症候群;腦炎;腦疝;腦三又 神經血管瘤病;癲癇症;歐勃麻痹⑺吒、palsy);特發性 震顫;法布裏病(Fabry's disease);法爾症候群(Fahr,s syndrome);昏厥;家族性痙攣性癱瘓;發熱性驚厥;菲 希爾症候群(Fisher syndrome);弗裏德賴希共濟失調症 (Friedreich's ataxia);額顳骨癡呆症及其他「tau病變」; 高歇氏病(Gaucher’s disease);格斯特s症候群 (Gerstmann’s syndrome);巨細胞動脈炎;巨細胞性包涵體 病;球樣細胞腦白質營養不良;格-巴_沐& > w 〇 —久症候群 (Guillain-Barre syndrome); HTLV-1相關性脊髓病;必斯 二氏病(Hallervorden-Spatz disease);頭部損傷.頭,广.半 ma 面痙攣;遺傳性痙攣性截癱;遺傳病性多神經炎樣共芦ι失 調;耳部帶狀皰疹;帶狀皰疹;平山症候群(Hiraya 156341.doc -21 · 201201819 syndrome) ; HIV相關性癡呆及神經病(以及AIDS之神經表 現),前腦無裂畸形;亨廷頓病(Huntington's disease)及其 他聚麩胺醯胺重複疾病;積水性無腦畸形;腦積水;皮質 醇增多症;缺氧;免疫介導性腦脊髓炎;包涵體肌炎;色 素失調症;嬰兒植烷酸貯積病;嬰兒雷弗蘇姆病(infantile refsum disease);嬰兒痙攣;炎性肌病;顱内囊腫;顱内 高壓;朱伯特症候群(Joubert syndrome);科姆斯-塞爾症 候群(Keams-Sayre syndrome);肯尼迪氏病(Kennedy disease),金斯布林納症候群(Kinsboume syndrome);克-費二氏症候群(Klippel Feil syndrome);克拉伯病(Krabbe disease),庫格爾貝格-韋蘭德病(Kugelberg-Welander disease),庫魯病(kuru);拉福拉病(Lafora disease);朗-愛 二氏肌無力症候群(Lambert-Eaton myasthenic syndrome); 蘭達克萊夫納症候群(Landau-Kleffner syndrome);延髓外 側(瓦儉貝克(Wallenberg))症候群;學習失能;利氏病 (Leigh's disease);倫諾克斯-加斯托症候群(Lennox-Gustaut syndrome);萊-萘二氏症候群(Lesch-Nyhan syndrome),腦白質營養不良症;路易體瘋呆(Lewy body dementia);無腦回;閉鎖症候群;盧-格裏格病(L〇u Gehrig's disease)(亦即,運動神經元病或肌萎縮側索硬 化)’腰椎間盤病;萊姆病(Lyme disease)-神經後遺症; 馬-約病(Machado-Joseph disease);腦肥大;巨腦;邁-羅 一氏症候群(Melkersson-Rosenthal syndrome);美尼爾症 (Menieres disease);髓膜炎;門克斯病(Menkes disease); 156341.doc •22- 201201819 米勒.費希 粒線體肌 異染性腦白質營養不良;小頭畸型;偏頭痛 爾症候群(Miller Fisher syndrome);小中風 病,默比烏斯症候群(Mobius syndrome);單肢肌萎縮;運 動神經元病;腦底異常血管網病;黏多糖累積病;多發梗 塞性癡呆;多灶性運動神經病;多發性硬化及其他去髓鞘 病症;具有位置性低血壓之多系統萎縮;肌營養不良症; 重症肌無力;去髓鞘彌漫性硬化;嬰兒肌陣攣性腦病;肌 陣攣,肌病;肌強直;嗜眠症;神經纖維瘤,病;神經阻滞 劑惡性症候群;AIDS之神經表現;狼瘡之神經後遺症; 神經性肌強直;神經元臘樣脂褐質症;腦神經元移行異 常,尼曼皮克病(Niemann-PickdiSease);奥沙利文麥克勞 德病症(0'SUllivan_McLe〇d syndrome);枕部神經痛;隱性 脊柱神經管閉合不全序列徵;大田原症候群⑽地咖 syndrome);撖欖體腦橋小腦萎縮;斜視性眼陣攣;視神 經炎;直立性低血壓;過度使用症候群;感覺異常;神經 退化性疾病或病症(帕金森氏病(Parkinson,s disease)、亨廷 頓病、阿爾茨海默氏病、肌萎縮側索硬化(ALs)、癡呆、 多發性硬化及與神經元細胞死亡有關之其他疾病及病 症);先天性副肌強直症;副腫瘤性疾病;陣發性發作; 帕-羅二氏症候群(Parry Romberg syndr〇me);佩_梅二氏病 (Pelizaeus-Merzbacher disease);週期性癱瘓;周邊神經 病;疼痛性神經病及神經性疼痛;持續性植物人狀態;全 身性發育遲緩;旋光性喷嚏反射;㈣酸貯積病;匹克病 (Pick’s disease);神經挾捏;垂體瘤;多肌炎,·腦穿通畸 I56341.doc •23· 201201819 形;小兒麻痹症後期症候群;帶狀皰疹後神經痛;咸染後 腦脊髓炎;體位性低血壓;帕-魏二氏症候群(Prader_Wi出 syndrome);原發性側索硬化症;朊病毒病;進行性一側 面萎縮;進行性多灶性白質腦病;進行性硬化性灰質萎 縮;進行性核上麻痹;假腦瘤;拉姆齊-亨特症候群 (Ramsay-Hunt Syndr〇me)(I及II型);羅斯默森氏腦炎 (Rasmussen’s encephalitis);反射性交感神經營養不良症候 群;雷夫敘姆病(Refsum disease);重複性運動病症;重複 性壓迫損傷;不寧腿症候群;反轉錄病毒相關性脊髓病; 蕾特氏症候群(Rett syndrome);雷依氏症候群(Reye,s syndrome);舞蹈病(Saint Vitus dance);山德霍夫氏病 (Sandhoff disease);謝耳德病(Schilder,s disease);腦裂; 透明隔-視神經發育不良;驚嚇嬰兒症候群;帶狀皰療; 夏伊-德雷格症候群(Shy-Drager syndrome);薛格連氏症候 群(Sjogren's syndrome);睡眠呼吸暫停;索托斯症候群 (Soto’s syndrome);痙攣狀態;脊柱裂;脊髓損傷;脊髓 腫瘤;脊趙性肌萎縮;僵人症候群(Stiff Pers〇n syndrome);中風·,斯特奇-韋伯二氏症候群(Sturge Weber syndrome) ’·亞急性硬化性全腦炎;皮層下動脈硬化性腦 病,西德納姆舞蹈病(Sydenham chorea);暈厥;脊髓空洞 症;遲發性運動障礙;泰-薩克斯病(Tay_Sachs disease); 顳動脈炎;脊髓牽扯症候群;湯姆森病(Th〇msen disease);胸廓出口症候群;三叉神經痛症(Tic Douloureux);托德氏麻痹(T〇dd,s paralysis);多動穢語症 156341.doc • 24 - 201201819 候群;短暫性腦缺血發作;傳播性海綿狀腦病;橫貫性脊 髓炎;外傷性腦損傷;顫抖;三又神經痛;熱帶痙攣性輕 截癱;結節性硬化症;血管性癡呆(多發梗塞性癡呆);血 I炎’包含顳動脈炎,希林二氏病(V〇n Hippel-Lindau disease);瓦倫伯格氏症候群(Wallenberg's syndrome);韋 德尼希-霍夫曼病(Werdnig-Hoffman disease);韋斯特病 (West syndrome);頸椎戮傷;威廉斯症候群(Williams syndrome),威爾森氏病(wildon's disease);及澤韋格症候 群(Zellweger syndrome)。 「增殖性疾病或病症」包含但不限於涉及以下細胞之造 血腫瘤性病症:源於骨髓樣、淋巴樣或紅血球譜系之造也 源的增生性/腫瘤性細胞、或其前體細胞。該等疾病包含 但不限於成紅細胞白血病、急性前骨髄性白血病 (APML)、慢性髓性白血病(Cml)、淋巴樣惡性腫瘤(包含 但不限於急性成淋巴細胞性白血病(ALL),其包含B-譜系 ALL及T-譜系ALL)、慢性淋巴細胞白血病(CLL)、幼淋巴 細胞白血病(PLL)、多毛細胞白血病(HLL)及沃爾登斯特倫 巨球蛋白企症(Waldenstrom's macroglobulinemia)(WM)。 惡性淋巴瘤之其他形式包含但不限於非霍奇金氏淋巴瘤及 其變體、周邊T細胞淋巴瘤、成人τ細胞白血病/淋巴瘤 (ATL)、皮膚T細胞淋巴瘤(CTCL)、巨粒淋巴細胞白血病 (LGF)、霍奇金氏病及裏德-斯藤伯格病(Reed_Sternberg disease) ° 「血液疾病或病症」包含影響造血細胞或組織之疾病、 156341.doc -25- 201201819 病症、或病狀。血液病症包含與異f血液含量或功能有關 之疾病、病症、或病狀。血液病症之實例包含源自骨髓韓 照或癌症化學療法治療之病症、諸如 -、出血❿、溶血性貧,、再生障礙性貧血、錄狀細 胞性貧血、鐵粒幼細胞貧血、與慢性感染(例如癌疾、錐 蟲病、HIV、肝炎病毒或其他病毒)有關之貧血、由骨髓缺 失引起之骨髓病性貧血、源自貧血之腎衰竭、貧血、紅細 胞增多症、感染性單核細胞增多症(IM)、急性非淋巴細胞 性白血病(ANLL)、急性髓性白血病(AML)、急性早幼粒細 胞白血病(APL)、急性粒-單核細胞白血病(AMM〇L)、真性 紅細胞增多症、淋巴瘤、急性淋巴細胞白血病(ALL)、慢 性淋巴細胞白血病、維爾姆斯腫瘤(Wilm,s tum〇r)、尤因 氏肉瘤(Ewing’s sarc〇ma)、視網膜母細胞瘤、血友病、與 血检形成風險增加有關之病症、跑療、地中海貧血、抗體 誘導之病症(例如輸血反應及成紅細胞增多病)、紅血細胞 之機械性創傷(例如微血管病性溶血性貧血、血栓性血小 板減少性紫癜及彌漫性血管内凝血)、由寄生蟲(例如癌原 愚)引起之感染、來自(例如)鉛中毒之化學性損傷、及脾功 能亢進。淋巴系統疾病包含但不限於淋巴結炎、淋巴管擴 張、淋巴管炎、淋巴水腫、淋巴囊腫、淋巴組織增殖性病 症、皮膚黏膜淋巴結症候群、網狀内皮組織增殖、脾疾 病、胸腺增生、胸腺腫瘤、肺結核、淋巴結、假性淋巴 瘤、及淋巴異常。淋巴造jk系統之病症包含但不限於非霍 奇金氏淋巴瘤、慢性淋巴細胞白血病、及反應性淋巴樣組 15634l.doc 26· 201201819 織增生。 聚核皆SllL及养核苦酸組合物及分子 與:在一實施例中,靶包括類BCL2 11 (BCL2L11)之核 酸序列’包含(不限於)與BCL2L11有關之有義及/或反義非 編碼及/或編碼序列。Sequard syndrome), Canavan disease; carpal tunnel syndrome; carcinogenic neuralgia; central pain syndrome; central medullary cerebral ischemic; head condition; cerebral aneurysm; cerebral arteriosclerosis; brain atrophy; Sexual giant disease; cerebral palsy; Charc〇t_ Made-Tooth disease; chemotherapy-induced neuropathy and neuropathic pain, Chiari malformation; chorea; chronic inflammation Sexual 156341.doc -20- 201201819 Demyelinating polyneuropathy; chronic pain; chronic regional pain syndrome 'Coffin Lowry syndrome; coma, including persistent vegetative state; congenital facial paralysis; cortex Basal degeneration; cranial arteritis 'cranial suture early closure, Creutzfeidt-Jakob disease; accumulative traumatic disorder, Cushing's Syndrome; giant cell inclusion disease; cytomegalovirus infection; - Dance foot syndrome, Dandy Walker syndrome; Dawson disease; De Morsier's syndrome; Dejerine_Klumke palsy, dementia; dermatomyositis; diabetic neuropathy; diffuse sclerosis; autonomic dysfunction; difficulty in writing; dyslexia; dystonia; early childhood epilepsy encephalopathy; Syndrome; encephalitis; cerebral palsy; brain three neuromuscular disease; epilepsy; Obo paralysis (7) 吒, palsy); idiopathic tremor; Fabry's disease; Fahr syndrome ); fainting; familial spastic paralysis; febrile seizures; Fisher syndrome; Friedreich's ataxia; frontotemporal dementia and other "tau lesions"; Gaucher's disease; Gerstmann's syndrome; giant cell arteritis; giant cell inclusion disease; globular cell leukodystrophy; Ge-Ba_Mu &> w 〇-jiu Guillain-Barre syndrome; HTLV-1 associated myelopathy; Hallervorden-Spatz disease; head injury. head, wide. semi-ma facial paralysis; hereditary spastic paraplegia; Pathogenic polyneuritis-like sputum dislocation; ear herpes zoster; herpes zoster; Pingshan syndrome (Hiraya 156341.doc -21 · 201201819 syndrome); HIV-related dementia and neuropathy (and neurological manifestations of AIDS) ), forebrain non-cracking malformation; Huntington's disease and other polyglutamine indole repeat disease; water-free no brain malformation; hydrocephalus; hypercortisolism; hypoxia; immune-mediated encephalomyelitis; Myositis; pigment disorders; infant phytanic acid storage disease; infantile refsum disease; infantile spasm; inflammatory myopathy; intracranial cyst; intracranial hypertension; jubbert syndrome (Joubert Syndrome); Keams-Sayre syndrome; Kennedy disease, Kinsboume syndrome; Klippel Feil syndrome; Klaper Krabbe disease, Kugelberg-Welander disease, Kuru disease; Lafora disease; Lang-Eaton myast syndrome (Lambert-Eaton myast) Henic syndrome); Landau-Kleffner syndrome; lateral medullary (Wallenberg) syndrome; learning disability; Leigh's disease; Lennox-Gasto Lennox-Gustaut syndrome; Lesch-Nyhan syndrome, leukodystrophy; Lewy body dementia; no cerebral gyrus; atresia syndrome; Lu-grid disease (L〇u Gehrig's disease) (ie, motor neuron disease or amyotrophic lateral sclerosis) ' lumbar disc disease; Lyme disease - neurological sequelae; Machado-Joseph disease; brain Hypertrophy; giant brain; Melkersson-Rosenthal syndrome; Menieres disease; meningitis; Menkes disease; 156341.doc •22- 201201819 Miller. Faxi granule muscle metasomal leukodystrophy; microcephaly; Miller Fisher syndrome; small stroke, Mobius syndrome; single limb muscle atrophy; motor neuron Abnormal vascular network Mucopolysaccharidosis; multiple infarct dementia; multifocal motor neuropathy; multiple sclerosis and other demyelinating disorders; multiple systemic atrophy with location hypotension; muscular dystrophy; myasthenia gravis; Sexual sclerosis; myoclonic encephalopathy; myoclonus, myopathy; myotonia; narcolepsy; neurofibromatosis, disease; neuroleptic malignant syndrome; neurological manifestations of AIDS; neurological sequelae of lupus; neuromuscular rigidity Neuronal wax-like lipofuscin; abnormal brain neuron migration, Niemann-PickdiSease; O'Sullivan's disease (0'SUllivan_McLe〇d syndrome); occipital neuralgia; recessive Spinal canal insufficiency sequence; Daejeon syndrome (10) dynasty syndrome; platycotina cerebral atrophy; strabismic cerebral palsy; optic neuritis; orthostatic hypotension; overuse syndrome; paresthesia; neurodegenerative diseases or disorders (Parkinson, s disease, Huntington's disease, Alzheimer's disease, amyotrophic lateral sclerosis (ALs), dementia, multiple sclerosis and Other diseases and conditions related to neuronal cell death); congenital accessory myotonia; paraneoplastic disease; paroxysmal attack; Parry Romberg syndr〇me; Pey-Mei's disease Pelizaeus-Merzbacher disease); peripheral paralysis; peripheral neuropathy; painful neuropathy and neuropathic pain; persistent vegetative state; systemic developmental delay; optical sneezing reflex; (4) acid storage disease; Pick's disease; Kneading; pituitary tumor; polymyositis, · brain penetrating aberration I56341.doc •23· 201201819 shape; polio late syndrome; post-herpetic neuralgia; salty encephalomyelitis; orthostatic hypotension; Wei Er's syndrome (Prader_Wi out syndrome); primary lateral sclerosis; prion disease; progressive one-sided atrophy; progressive multifocal leukoencephalopathy; progressive sclerotic gray matter atrophy; progressive supranuclear palsy; Brain tumor; Ramsay-Hunt Syndr〇me (types I and II); Rasmussen's encephalitis; reflex sympathetic dystrophy Refsum disease; repetitive motor disorder; repetitive compression injury; restless leg syndrome; retrovirus-associated myelopathy; Rett syndrome; Reye syndrome s syndrome); Saint Vitus dance; Sandhoff disease; Schilder's disease; cerebral palsy; clear septum-optical dysplasia; scare infant syndrome; Shear therapy; Shy-Drager syndrome; Sjogren's syndrome; sleep apnea; Soto's syndrome; spasticity; spina bifida; spinal cord injury; Spinal muscular atrophy; Stiff Pers〇n syndrome; Stroke, Sturge Weber syndrome' subacute sclerosing encephalitis; subcortical arteriosclerotic encephalopathy, Sydenham chorea; syncope; syringomyelia; tardive dyskinesia; Tay_Sachs disease; temporal arteritis; spinal cord syndrome; Tom Th〇msen disease; thoracic outlet syndrome; Tic Douloureux; T〇dd, s paralysis; hyperactive slang 156341.doc • 24 - 201201819 candidate; transient Cerebral ischemic attack; disseminated spongiform encephalopathy; transverse myelitis; traumatic brain injury; trembling; trigeminal neuralgia; tropical spastic paraplegia; tuberous sclerosis; vascular dementia (multiple infarct dementia); I Yan' contains temporal arteritis, V〇n Hippel-Lindau disease; Wallenberg's syndrome; Werdnig-Hoffman disease; Wei West syndrome; cervical spine bruising; Williams syndrome, wildon's disease; and Zellweger syndrome. A "proliferative disease or condition" includes, but is not limited to, a hematopoietic neoplastic disorder involving a cell derived from a proliferative/neoplastic cell, or a precursor cell thereof, which is also derived from a bone marrow-like, lymphoid or erythrocyte lineage. Such diseases include, but are not limited to, erythroblastic leukemia, acute anterior osteocholine leukemia (APML), chronic myeloid leukemia (Cml), lymphoid malignancies (including but not limited to acute lymphoblastic leukemia (ALL), which include B - lineage ALL and T-lineage ALL), chronic lymphocytic leukemia (CLL), lymphoblastic leukemia (PLL), hairy cell leukemia (HLL), and Waldenstrom's macroglobulinemia (WM) ). Other forms of malignant lymphoma include, but are not limited to, non-Hodgkin's lymphoma and its variants, peripheral T-cell lymphoma, adult tau cell leukemia/lymphoma (ATL), cutaneous T-cell lymphoma (CTCL), giant granules Lymphocytic leukemia (LGF), Hodgkin's disease, and Reed_Sternberg disease ° "Blood disease or condition" includes diseases affecting hematopoietic cells or tissues, 156341.doc -25- 201201819 Or condition. A blood disorder contains a disease, disorder, or condition associated with an abnormal blood content or function. Examples of blood disorders include conditions derived from treatment of bone marrow or cancer chemotherapy, such as -, hemorrhagic sputum, hemolytic anemia, aplastic anemia, sputum anemia, iron granulocyte anemia, and chronic infection ( For example, cancer, trypanosomiasis, HIV, hepatitis virus or other viruses) anemia, bone marrow anemia caused by bone marrow deficiency, kidney failure caused by anemia, anemia, polycythemia, infectious mononucleosis (IM), acute non-lymphocytic leukemia (ANLL), acute myeloid leukemia (AML), acute promyelocytic leukemia (APL), acute granulocyte-monocytic leukemia (AMM〇L), polycythemia vera, Lymphoma, acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia, Wilms, stum〇r, Ewing's sarc〇ma, retinoblastoma, hemophilia, and Blood tests for increased risk associated with illness, running therapy, thalassemia, antibody-induced conditions (such as transfusion reactions and erythroblastosis), red blood cell machinery Trauma (eg, microangiopathic hemolytic anemia, thrombotic thrombocytopenic purpura, and disseminated intravascular coagulation), infection by parasites (eg, cancer), chemical damage from, for example, lead poisoning, and spleen Hyperfunction. Lymphatic diseases include, but are not limited to, lymphadenitis, lymphatic expansion, lymphangitis, lymphedema, lymphocystosis, lymphoproliferative disorders, cutaneous mucosal lymph node syndrome, reticuloendothelial proliferation, spleen disease, thymic hyperplasia, thymic neoplasms, Tuberculosis, lymph nodes, pseudolymphoma, and lymphoid abnormalities. The conditions of the lymphoid jk system include, but are not limited to, non-Hodgkin's lymphoma, chronic lymphocytic leukemia, and reactive lymphoid group 15634l.doc 26·201201819 woven hyperplasia. Polynuclear SllL and Nucleic Acid Compositions and Molecules and: In one embodiment, the target comprises a nucleic acid sequence of BCL2 11 (BCL2L11) comprising (without limitation) a sense and/or antisense associated with BCL2L11 Coding and / or coding sequences.

Bcl-2家族蛋白之成員在結構上相似,但具有不同活 性°此蛋白家族分為「促凋亡」家族成員(亦即Bax、 Bak、Bok)、及「促存活」家族成員(亦即Bci_2、Bcl-XL、Bcl-w) ^前者可進一步細分為彼等含有bh3結構域之 蛋白質及彼等缺乏BH3結構域之蛋白質。人們認為,BH3 結構域可有利於該等蛋白質直接結合至「促存活」蛋白, 由此可抑制「促存活」活性並促進細胞死亡或細胞凋亡。 人類BCL2L11基因座位於染色體2qi 3上,其編碼198個 胺基酸之蛋白質,該蛋白質在結構上及功能上與促凋亡 BCL2家族成員之唯BH3類相關。基因在不同人類腫瘤中頻 繁突變,從而導致BCL2L11活性損失。藉由不同範圍之細 胞凋亡刺激(例如缺失生長因子/細胞因子、電離輻射、及 細胞毒性肽)來誘導BCL2L11之表現。 在一實施例中,使用反義寡核苷酸來預防或治療與 BCL2L11家族成員有關之疾病或病症。可使用自利用反義 化合物所獲得幹細胞再生之細胞/組織治療之實例性類 BCL2 11 (BCL2L11)介導的疾病及病症包括:癌症、異常 細胞〉周亡、增殖性疾病或病症、與粒線體細胞凋亡路徑有 關之疾病或病症、白血病、自體免疫性疾病或病症、與免 156341.doc •27- 201201819 疫性受損有關之疾病或病症、感染、過度增殖性病症、生 殖組織之過度增殖(例如子宮癌、睾丸癌及㈣癌、子宮 内膜異位症、及子宮頸之鱗狀、腺體上皮癌等)、神經學 疾病或病症、與發育中胚胎有關之發育病症、血液疾病或 病症、組織體内穩態受損、類風濕關節炎、敗血病、視網 膜神經節細胞死亡'肝病及腎病。 在一實施例中,對有需要之患者實施藉由一或多種反義 寡核苷酸來調節BCL2L11,從而預防或治療與BCL2LU異 常表現、功能、活性(與正常對照組相比)有關的任一疾病 或病症。 在一實施例中,寡核苷酸對BCL2L11之聚核苷酸具有特 異性’其包含(不限於)非編碼區域^ BCL2L11靶包括 BCL2L11之變體;BCL2L11之突變體,包含SNP ; BCL2L11之非編碼序列;等位基因、片段及諸如此類。較 佳地,寡核苷酸係反義RNA分子。 根據本發明實施例’靶核酸分子並不僅限於BCL2L11聚 核苦酸而是擴展至BCL2L11之任一同功型、受體、同系 物、非編碼區域及諸如此類。 在一實施例中,寡核苷酸靶向BCL2L11靶之天然反義序 列(編碼及非編碼區域之天然序列),其包含(不限於)其變 體、等位基因、同系物、突變體、衍生物、片段及互補序 列。較佳地,寡核苷酸係反義RNA或DNA分子。 在一實施例中,本發明之寡聚化合物亦包含在該化合物 中之一或多個核苷酸位置存在不同鹼基的變體。舉例而 156341.doc •28· 201201819 言’若第一核苷酸係腺嘌呤,則可產生在此位置含有胸 普、鳥苷、胞苷或其他天然或非天然核苷酸之變體。此可 發生於反義化合物之任一位置。然後使用本文所述方法測 試該等化合物以測定其抑制靶核酸表現之能力。 在一些實施例中,反義化合物及靶之間之同源性、序列 一致性或互補性為約50%至約60%。在一些實施例中,同 源性、序列一致性或互補性為約6〇%至約7〇%〇在一些實 施例中’同源性、序列一致性或互補性為約70〇/〇至約 80%。在一些實施例中,同源性 '序列一致性或互補性為 約80%至約90%。在一些實施例中,同源性、序列一致性 或互補性為約90%、約92%、約94%、約95%、約96%、約 97%、約 98%、約 99%或約 1〇〇%。 在以下情形時反義化合物係可特異性雜交:化合物與乾 核酸之結合可干擾靶核酸之正常功能而導致活性損失,且 存在足夠互補性程度以避免反義化合物與非乾核酸序列在 期望發生特異性結合之條件下發生非特異性結合。該等條 件包含(亦即)活體内分析或治療性治療情形下之生理條 件、及在活體外分析情形下實施分析之條件。 在以下情形下反義化合物(不論係DNA、RNA、嵌合化 合物、或經取代化合物等)可特異性雜交:該化合物與靶 DNA或RNA分子之結合可干擾靶DNA或RNA之正常功能而 導致實用性損失,且存在足夠互補性程度以避免反義化合 物與非靶序列在期望發生特異性結合之條件下(亦即,^ 活體内分析或治療性治療情形下之生理條件下,或在活體 156341.doc • 29- 201201819 外分析情形下實施分析之條件下)發生非特異性結合β 在一實施例中’無向BCL2L11(包含(不限於)使用(例 如)PCR、雜交等鑑別及擴展之反義序列、如SEq ID Ν〇: 2 及3所示之序列之一或多者及諸如此類)可調節bcl2L 11之 表現或功能。在一實施例中,與對照組相比上調表現或功 能。在一實施例中,與對照組相比下調表現或功能。 在一實施例中’寡核苷酸包括如SEQ ID NO: 4至13所示 之核酸序列,包含使用(例如)PCR、雜交等鑑別及擴展之 反義序列。該等寡核苷酸可包括一或多個經修飾核苦酸' 較短或較長片段、經修飾鍵及諸如此類。經修飾鍵或核普 酸間鍵聯之實例包括硫代磷酸酯、二硫代磷酸酯或諸如此 類。在一貫細》例中’核音酸包括填衍生物。可附接至本發 明經修飾寡核苷酸中之糖或糖類似物部分之磷衍生物(或 經修飾磷酸酯基團)可為單磷酸酯、二磷酸酯、三填酸 酯、磷酸烷基酯、烷磷酸酯、硫代磷酸酯及諸如此類。上 述鱗酸醋類似物之製備、及其進入核苷酸、經修飾核苷酸 及募核苷酸中之方法本身亦已知且無需闡述於本文中。 彼等熟習此項技術者亦在治療應用中利用反義寡核皆酸 之特異性及敏感性。採用反義寡核苷酸作為治療部分來治 療動物及人類之疾病狀態。反義募核苷酸已安全且有效地 投與人類且當前正實施許多臨床試驗。由此確定,寡核苷 酉文可為可經設置用於治療細胞、組織及動物(尤其人類)之 治療方案中的有用治療方式。 在本發明實施例中,寡聚反義化合物、尤其寡核苷酸會 156341.doc 201201819 結合至乾核酸分子並調節由靶基因編碼之分子的表現及/ 或功能。擬干擾之DNA功能包括(例如)複製及轉錄。擬干 擾之RNA功能包括所有重要功能,例如,RNA至蛋白質轉 譯位點之移位、蛋白.質自RNA之轉譯、使RNA產生一或多 種mRNA物質之剪接、及RNA可參與或促進之催化活性。 可端視期望功能來上調或抑制功能。 反義化合物包含反義寡聚化合物、反義募核苷酸、外部 引導序列(EGS)券核苷酸、交替剪接、引物、探針、及其 他與靶核酸之至少一部分雜交的寡聚化合物。因此,該等 化合物可以單鏈、雙鏈、部分單鏈、或環狀寡聚化合物形 式引入。 在本發明之上下文中,反義化合物至特定核酸分子之乾 向可為多步過程。該過程經常始於鑑別調節功能之靶核 酸。舉例而言,此靶核酸可為表現與特定病症或疾病狀態 有關之細胞基因(或自該基因轉錄之mRNA)或來自傳染原 之核酸分子。在本發明中,靶核酸編碼類bcl2 u (BCL2L11)。 靶向過程經常亦包含測定靶核酸内發生反義相互作用從 而產生期望效應(例如,調節表現)的至少一個靶區域、區 段、或位點。在本發明之上下文内,術語「區域」定義為 靶核酸中具有至少一個可鑑別結構、功能、或特性的一部 分。靶核酸之區域内具有區段。「區段」定義為靶核酸内 區域之較小或子部分。本發明所用之「位點」定義為乾核 酸内之位置。 156341.d〇) 31 201201819 在一實施例中,反義寡核苷酸結合至類BCL2 11 (BCL2L11)之天然反義序列並調節BCL2L11 (SEQ ID NO: 1)之表現及/或功能。反義序列之實例包含SEqNO: 2至 13 〇 在一實施例中’反義寡核苷酸結合至類BCL2 11 (BCL2L11)聚核苷酸之一或多個區段並調節Bcl2L1 1之表 現及/或功能。區段包括BCL2L11有義或反義聚核苷酸之 至少5個連續核苷酸。 在一實施例中,反義寡核苷酸對BCL2L11之天然反義序 列具有特異性,其中寡核苷酸與BCL2L11之天然反義序列 之結合可調節BCL2L11的表現及/或功能。 在一實施例中,寡核苷酸化合物包括如SEQ ID NO: 4至 13所示之序列、使用(例如)PCR、雜交等鑑別及擴展之反 義序列。該等寡核苷酸可包括一或多個經修飾核苷酸、較 短或較長片段、經修飾鍵及諸如此類。經修飾鍵或核苷酸 間鍵聯之實例包括硫代磷酸酯、二硫代磷酸酯或諸如此 類。在一實施例中,核苷酸包括磷衍生物。可附接至本發 明經修飾寡核苷酸中之糖或糖類似物部分之破衍生物(或 經修飾填酸酯基團)可為單鱗酸酯、二填酸酯、三磷酸 酯、磷酸烷基酯、烷磷酸酯、硫代磷酸酯及諸如此類。上 述填酸酯類似物之製備、及其在核苷酸、經修飾核苷酸及 寡核苷酸中之納入本身亦已知且無需闡述於本文中。 如業内已知,因轉譯起動密碼子通常係5’-AUG(在轉錄 mRNA分子中;在相應DNA分子中係5'-ATG),轉譯起動密 156341.doc -32· 201201819 碼子亦稱為「AUG密碼子」'「起始密碼子」或「八卩^起 始密碼子」。少數基因具有轉譯起動密碼子,其具有rna 序列 5,-GUG、51-UUG 或 51-CUG,·且已顯示 5,_AUA、 ACG及5’-CUG可在活體内發揮作用。因此,即使起動胺基 酸在每一情形令通常係甲硫胺酸(在真核生物令)或甲醯甲 硫胺酸(在原核生物中),術語「轉譯起動密碼子」及「起 始密碼子」亦可涵蓋多種密碼子序列◊真核生物及原核生 物基因可具有兩個或更多個替代性起始密碼子,其令之任 一者可優先用於在特定細胞類型或組織中或在特定條件組 下之轉譯起動。在本發明之上下文中,「起始密碼子」及 「轉譯起動密碼子」係指用於在活體内起動自編碼類 BCL2 11 (BCL2L11)之基因轉錄之mRNA之轉譯的一或多 個密碼子,不管該等密碼子之序列如何。基因之轉譯終止 密碼子(或「停止密碼子」)可具有三種序列(亦即,5·· UAA、5'-UAG及 5I-UGA,相應 DNA序列分別係 5,_TAA、 5’- TAG及 5’-TGA)中之一者。 術δ吾起始密碼子區域」及「轉譯起動密碼子區域」係 指此一 mRNA或基因中在來自轉譯起動密碼子之任一方向 (亦即,5或3’)涵蓋約25至約50個鄰近核苷酸的一部分。同 樣術停止岔碼子區域」及「轉譯終止密碼子區域」 係指此一 mRNA或基因中在來自轉譯終止密碼子之任一方 向(亦即,5’或3’)涵蓋約25至約50個鄰近核苷酸的一部分。 因此,起始密碼子區域」(或「轉譯起動密碼子區域」) 及「仔止密碼子區域」(或「轉譯終止密碼子區域」)係本 156341.doc -33- 201201819 發明反義化合物可有效乾向之所有區域。 業内已知之開放讀碼框(ORF)或「編碼區域」係指轉譯 起動密碼子及轉譯終止密碼子之間之區域,其亦係可有效 靶向之區域。在本發明之上下文内,靶向區域係涵蓋基因 之開放讀碼框(ORF)之轉譯起動或終止密碼子的基因内區 域。 另一靶區域包含業内已知之5|非轉譯區域(5,UTR),其係 指在來自轉譯起動密碼子之5,方向上之mRNA部分,且由 此包含mRNA之5’加帽位點及轉譯起動密碼子間之核苷酸 (或基因上之相應核苷酸)。另一靶區域包含業内已知之3, 非轉譯區域(rUTR),其係指在來自轉譯終止密碼子之3,方 向上之mRNA部分,且由此包含mRNA之轉譯終止密碼子 及3’端間之核苷酸(或基因上之相應核苷酸卜mRNAi5,加 巾目位點包括經由5’-5’三磷酸酯鍵聯接合至mRNA之5'-最殘 基之N7-曱基化鳥苷殘基。mRNA25,加帽區域視為包含y 加帽結構本身以及與加帽位點相鄰之前5〇個核苷酸。本發 明之另一乾區域係5'加帽區域。 儘管一些真核生物mRNA轉錄本可直接轉譯,但許多真 核生物mRNA轉錄本含有一或多個在轉譯之前自轉錄本切 割且稱為「内含子」的區域。剩餘(且由此轉譯)區域稱為 「外顯子」且一起剪接以形成連續mRNA序列。在一實施 例中,靶向剪接位點(亦即,内含子_外顯子結點或外顯子_ 内含子結點)尤其可用於異常剪接與疾病有關 '或特定剪 接產物之過度產生與疾病有關之情形中。因重排或缺失產 156341.docMembers of the Bcl-2 family of proteins are structurally similar but have different activities. This family of proteins is divided into members of the "pro-apoptotic" family (ie, Bax, Bak, Bok) and members of the "promoting survival" family (ie, Bci_2). , Bcl-XL, Bcl-w) ^ The former can be further subdivided into their proteins containing the bh3 domain and their lack of BH3 domain. It is believed that the BH3 domain facilitates the direct binding of such proteins to "promoting" proteins, thereby inhibiting "promoting" activity and promoting cell death or apoptosis. The human BCL2L11 locus is located on chromosome 2qi 3, which encodes a protein of 198 amino acids that is structurally and functionally related to the only BH3 class of pro-apoptotic BCL2 family members. Genes are frequently mutated in different human tumors, resulting in loss of BCL2L11 activity. BCL2L11 expression is induced by a range of apoptosis stimuli (e.g., deletion of growth factors/cytokines, ionizing radiation, and cytotoxic peptides). In one embodiment, an antisense oligonucleotide is used to prevent or treat a disease or condition associated with a member of the BCL2L11 family. Exemplary BCL2 11 (BCL2L11) mediated diseases and conditions that can be used in cell/tissue treatment derived from stem cell regeneration using antisense compounds include: cancer, abnormal cells > weekly death, proliferative diseases or disorders, and grain lines A disease or condition associated with a path of apoptosis in a body, a leukemia, an autoimmune disease or condition, a disease or condition associated with an epidemic damage, infection, hyperproliferative disorder, reproductive tissue Hyperproliferation (eg uterine cancer, testicular cancer and (4) cancer, endometriosis, squamous cervix, glandular epithelial cancer, etc.), neurological diseases or conditions, developmental disorders associated with developing embryos, blood Disease or condition, tissue homeostasis, rheumatoid arthritis, septicemia, retinal ganglion cell death 'liver disease and kidney disease. In one embodiment, BCL2L11 is modulated by one or more antisense oligonucleotides in a patient in need thereof to prevent or treat any of the abnormalities, functions, and activities of BCL2LU (as compared to a normal control group) A disease or condition. In one embodiment, the oligonucleotide is specific for a polynucleotide of BCL2L11, which comprises, without limitation, a non-coding region; a BCL2L11 target comprising a variant of BCL2L11; a mutant of BCL2L11 comprising a SNP; a non-BCL2L11 Coding sequences; alleles, fragments, and the like. Preferably, the oligonucleotide is an antisense RNA molecule. According to an embodiment of the invention, the target nucleic acid molecule is not limited to BCL2L11 polynucleic acid but extends to any of the isoforms, receptors, homologs, non-coding regions and the like of BCL2L11. In one embodiment, the oligonucleotide targets a natural antisense sequence (a natural sequence encoding a non-coding region) of a BCL2L11 target, including, without limitation, variants, alleles, homologs, mutants thereof, Derivatives, fragments and complementary sequences. Preferably, the oligonucleotide is an antisense RNA or DNA molecule. In one embodiment, the oligomeric compounds of the invention also comprise variants in which different bases are present at one or more nucleotide positions in the compound. For example, 156341.doc •28· 201201819 言 “If the first nucleotide is adenine, a variant containing a chestnut, guanosine, cytidine or other natural or non-natural nucleotide at this position may be produced. This can occur anywhere in the antisense compound. The compounds are then tested using the methods described herein to determine their ability to inhibit the performance of the target nucleic acid. In some embodiments, the homology, sequence identity or complementarity between the antisense compound and the target is from about 50% to about 60%. In some embodiments, homology, sequence identity, or complementarity is from about 6% to about 7%. In some embodiments, 'homology, sequence identity, or complementarity is about 70〇/〇 to About 80%. In some embodiments, the homology 'sequence identity or complementarity is from about 80% to about 90%. In some embodiments, the homology, sequence identity, or complementarity is about 90%, about 92%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or about 1〇〇%. An antisense compound can specifically hybridize in the following situations: binding of the compound to the dry nucleic acid can interfere with the normal function of the target nucleic acid resulting in loss of activity, and a sufficient degree of complementarity exists to avoid antisense compounds and non-dry nucleic acid sequences from occurring as desired. Non-specific binding occurs under conditions of specific binding. Such conditions include (i.e., physiological conditions in the case of in vivo analysis or therapeutic treatment, and conditions under which the analysis is performed in the context of in vitro analysis. An antisense compound (whether DNA, RNA, chimeric compound, or substituted compound, etc.) can specifically hybridize in the following situations: binding of the compound to a target DNA or RNA molecule can interfere with the normal function of the target DNA or RNA. Loss of utility, and sufficient degree of complementarity to avoid antisense compounds and non-target sequences under conditions that are expected to specifically bind (ie, under physiological conditions in the case of in vivo analysis or therapeutic treatment, or in vivo) 156341.doc • 29-201201819 Under the conditions of performing an analysis in the case of an external analysis, the occurrence of non-specific binding β In one embodiment, 'undirected BCL2L11 (including (not limited to) identification and expansion using, for example, PCR, hybridization, etc. Antisense sequences, such as SEq ID Ν〇: one or more of the sequences shown in 2 and 3, and the like, can modulate the performance or function of bcl2L 11. In one embodiment, the performance or function is up-regulated compared to the control group. In one embodiment, the performance or function is downregulated as compared to a control group. In one embodiment, the oligonucleotide comprises a nucleic acid sequence as set forth in SEQ ID NOS: 4 to 13, comprising an antisense sequence which is identified and expanded using, for example, PCR, hybridization or the like. Such oligonucleotides may include one or more modified nucleotides' shorter or longer fragments, modified linkages, and the like. Examples of the modified bond or the internucleoside linkage include a phosphorothioate, a dithiophosphate or the like. In the case of consistent fineness, 'nuclear acid includes a derivative. Phosphorus derivatives (or modified phosphate groups) that can be attached to a sugar or a sugar analog moiety of a modified oligonucleotide of the invention can be monophosphates, diphosphates, tri-salts, alkyl phosphates Base esters, alkyl phosphates, phosphorothioates, and the like. The preparation of the above citrate analogs, as well as the methods of their entry into nucleotides, modified nucleotides and nucleotides are also known per se and need not be set forth herein. Those skilled in the art also utilize the specificity and sensitivity of antisense oligonucleotides in therapeutic applications. Antisense oligonucleotides are used as therapeutic moieties to treat disease states in animals and humans. Antisense nucleotides have been safely and efficiently administered to humans and many clinical trials are currently being performed. It has thus been determined that oligonucleosides can be a useful therapeutic modality that can be used in the treatment of cells, tissues and animals, especially humans. In an embodiment of the invention, an oligo antisense compound, particularly an oligonucleotide, 156341.doc 201201819 binds to a dry nucleic acid molecule and modulates the expression and/or function of the molecule encoded by the target gene. DNA functions to be interfered with include, for example, replication and transcription. The RNA function to be interfered with includes all important functions, such as shifting of RNA to protein translation sites, translation of proteins from RNA, splicing of RNA to produce one or more mRNA species, and catalytic activity in which RNA can participate or promote . The function can be adjusted or suppressed depending on the desired function. An antisense compound comprises an antisense oligomeric compound, an antisense oligonucleotide, an external leader sequence (EGS) nucleus nucleotide, an alternative splicing, a primer, a probe, and other oligomeric compounds that hybridize to at least a portion of the target nucleic acid. Thus, the compounds can be introduced in the form of single-stranded, double-stranded, partially single-stranded, or cyclic oligomeric compounds. In the context of the present invention, the drying of an antisense compound to a particular nucleic acid molecule can be a multi-step process. This process often begins with the identification of target nucleic acids that regulate function. For example, the target nucleic acid can be a nucleic acid molecule that exhibits a cellular gene (or mRNA transcribed from the gene) associated with a particular disorder or disease state or from an infectious agent. In the present invention, the target nucleic acid encodes bcl2 u (BCL2L11). The targeting process also often includes determining at least one target region, region, or site within which the antisense interaction occurs within the target nucleic acid to produce a desired effect (e.g., modulate expression). Within the context of the present invention, the term "region" is defined as a portion of a target nucleic acid having at least one identifiable structure, function, or property. There is a segment within the region of the target nucleic acid. A "segment" is defined as a small or sub-portion of a region within a target nucleic acid. The "site" used in the present invention is defined as the position within the dry nucleic acid. 156341.d〇) 31 201201819 In one embodiment, the antisense oligonucleotide binds to a natural antisense sequence of BCL2 11 (BCL2L11) and regulates the expression and/or function of BCL2L11 (SEQ ID NO: 1). An example of an antisense sequence comprising SEqNO: 2 to 13 〇 In one embodiment, the 'antisense oligonucleotide binds to one or more of the BCL2 11 (BCL2L11)-like polynucleotides and modulates the expression of Bcl2L1 1 and / or function. The segment includes at least 5 contiguous nucleotides of a BCL2L11 sense or antisense polynucleotide. In one embodiment, the antisense oligonucleotide is specific for the natural antisense sequence of BCL2L11, and binding of the oligonucleotide to the natural antisense sequence of BCL2L11 modulates the expression and/or function of BCL2L11. In one embodiment, the oligonucleotide compound comprises the sequence as set forth in SEQ ID NOS: 4 to 13, and the antisense sequence identified and expanded using, for example, PCR, hybridization, or the like. Such oligonucleotides may include one or more modified nucleotides, shorter or longer fragments, modified linkages, and the like. Examples of modified bonds or internucleotide linkages include phosphorothioates, dithiophosphates or the like. In one embodiment, the nucleotide comprises a phosphorus derivative. A destructive derivative (or modified acid ester group) that can be attached to a sugar or a sugar analog moiety of a modified oligonucleotide of the invention can be a monostearate, a di-salt, a triphosphate, Alkyl phosphates, alkyl phosphates, phosphorothioates, and the like. The preparation of the above-described acid ester analogs, and their incorporation into nucleotides, modified nucleotides and oligonucleotides are also known per se and need not be set forth herein. As is known in the art, since the translation initiation codon is usually 5'-AUG (in the transcription of mRNA molecules; in the corresponding DNA molecule is 5'-ATG), the translation is activated 156341.doc -32· 201201819 It is "AUG Codon" - "Start Codon" or "Bagua ^ Start Codon". A few genes have a translation initiation codon with an rna sequence of 5, -GUG, 51-UUG or 51-CUG, and it has been shown that 5, _AUA, ACG and 5'-CUG can function in vivo. Therefore, even if the starting amino acid is usually methionine (in eukaryotes) or methotrexate (in prokaryotes) in each case, the terms "translation start codon" and "start" Codons can also encompass a wide variety of codon sequences. Eukaryotes and prokaryotic genes can have two or more alternative initiation codons, either of which can be preferentially used in a particular cell type or tissue. Or a translation start under a specific condition group. In the context of the present invention, "start codon" and "translation start codon" refer to one or more codons used to initiate translation of mRNA from a gene encoding a gene encoding BCL2 11 (BCL2L11) in vivo. , regardless of the sequence of such codons. The gene translation stop codon (or "stop codon") can have three sequences (ie, 5·· UAA, 5'-UAG, and 5I-UGA, and the corresponding DNA sequences are 5, _TAA, 5'-TAG, and One of 5'-TGA). The "delta start codon region" and "translation start codon region" mean that the mRNA or gene covers from about 25 to about 50 in either direction from the translation initiation codon (ie, 5 or 3'). Part of a nearby nucleotide. Similarly, the stop of the code sub-region and the "transition stop codon region" means that the mRNA or gene covers from about 25 to about 50 in either direction from the translation stop codon (ie, 5' or 3'). Part of a nearby nucleotide. Therefore, the start codon region (or "translation start codon region") and "catch-in codon region" (or "transfer stop codon region") are 156341.doc -33-201201819 invented antisense compounds Effectively work in all areas. An open reading frame (ORF) or "coding region" known in the art refers to the region between the translation initiation codon and the translation stop codon, which is also an area that can be effectively targeted. Within the context of the present invention, the targeting region encompasses the intragenic region of the translational start or stop codon of the open reading frame (ORF) of the gene. Another target region comprises the 5|non-translated region (5, UTR) known in the art, which refers to the portion of the mRNA in the direction from the translation initiation codon 5, and thus comprises the 5' capping site of the mRNA. And translating the nucleotides (or corresponding nucleotides in the gene) between the initiation codons. Another target region comprises the 3, non-translated region (rUTR) known in the art, which refers to the portion of the mRNA in the direction from the translation stop codon 3, and thus contains the translation stop codon and the 3' end of the mRNA. Between the nucleotides (or the corresponding nucleotide nucleoside mRNAi5, the addition of the Nb-based thiolation of the 5'-most residue of the mRNA via the 5'-5' triphosphate linkage The guanosine residue. mRNA25, the capped region is considered to contain the y capping structure itself and 5 nucleotides before the capping site. Another dry region of the invention is the 5' capped region. Nuclear biological mRNA transcripts can be translated directly, but many eukaryotic mRNA transcripts contain one or more regions that are cut from the transcript prior to translation and are referred to as "introns." The remaining (and thus translated) regions are called "Exons" and spliced together to form a continuous mRNA sequence. In one embodiment, a targeted splice site (i.e., an intron-exon node or an exon-intron node) is particularly Can be used for abnormal splicing related to disease' or excessive production of specific splicing products related to disease In the case of rearrangement or loss of production 156341.doc

-34- 201201819 生之異常融合結點係靶位點之另一實施例。經由自不同基 因源剪接兩個(或更多)mRNA之過程產生之mRNA轉錄本稱 為「融合轉錄本」。可使用靶向(例如)DNA或mRNA前體 之反義化合物來有效無向内含子。 在一實施例中,反義寡核苷酸結合至靶聚核苷酸之編碼 及/或非編碼區域並調節靶分子之表現及/或功能。 在一實施例中,反義寡核苷酸結合至天然反義聚核苷酸 並調節靶分子之表現及/或功能。 在一實施例中,反義寡核苷酸結合至有義聚核苷酸並調 節靶分子之表現及/或功能。 替代性RNA轉錄本可自DNA之相同基因組區域產生。該 等替代性轉錄本通稱為「變體」。更特定而言,「mRNA 前體變體」係自相同基因組DNA產生之轉錄本,其與自相 同基因組DNA產生之其他轉錄本在起始或停止位置方面有 所不同且含有内含子及外顯子序列。 在剪接期間切割一或多個外顯子或内含子區域、或其部 分時,mRNA前體變體會產生較小「mRNA變體」。因 此,mRNA變體係經處理之mRNA前體變體且每一唯一 mRNA前體變體必須始終藉由剪接而產生唯一 mRNA變 體。該等mRNA變體亦稱為「交替剪接變體」。若mRNA 前體變體未發生剪接,則mRNA前體變體與mRNA變體相 同。 變體可經由使用起始或停止轉錄之交替信號來產生。 mRNA前體及mRNA可具有一個以上之起始密碼子或停止 156341.doc -35- 201201819 密瑪子。源自使用替代性起始密碼子之祕前體或 mRNA的變體稱為mRNA前體或抓财之「替代性起始變 體」。彼專使用替代性停止麥琪m丄 疗止在碼子之轉錄本稱為mRNA前 體或mRNA之「替代性停止變體」。替代性停止變體之一 種具體類型係「P〇lyA變體」,其中所產生之多個轉錄本 源自轉錄機對於「p〇lyA停止信號」中之一者之替代性選 擇,由此產生在唯一polyA位點終止之轉錄本。在本發明 之上下文内,本文所述變體之類型亦係靶核酸之實施例。 靶核酸上與反義化合物雜交之位置至少定義為靶區域中 由活性反義化合物靶向之長5個核苷酸的部分。 儘管本文中闡述了某些實例性靶區段之特異性序列,但 熟習此項技術者應認識到,該等序列用於闡釋及闡述本發 明範圍内之特定實施例。熟習此項技術者根據本揭示内容 可容易地鑑別其他起區段。 人們認為長度為5-1 00個核苷酸且包括一段至少五(5)個 選自較佳闡釋性輕區段之連續核苦酸之乾區段亦適於拓 向0 輕區段可包含DNA或RNA序列,其包括至少5個來自較 佳闡釋性靶區段中之一者之5,_末端之連續核苷酸(剩餘核 苷酸係同一 DNA或RNA中之連續的一段,其緊接靶區段之 5'-末端上游開始並持續至該DNA或RNA含有約5至約1〇〇個 核苷酸為止)。同樣,較佳靶區段表示為DNA或RNA序 列’其包括至少5個來自較佳闡釋性靶區段中之一者之3,_ 末端之連續核苷酸(剩餘核苷酸係同一 DNA或RNA中之連 I56341.doc •36· 201201819 續的一段,其緊接靶區段之3,_末端下游開始並持續至該 DNA或RNA含有約5至約1〇〇個核苷酸為止)。瞭解本文所 示無區ί又之熟習此項技術者無需過多實驗即能鑑別其他較 佳靶區段。 .監另·]或夕個乾區域、區段或位點後,即可選擇组乾充 分互補(亦即雜交足夠充分且具有足夠特異性)之反義化合 物以得到期望效應。 在本發明實施例中,寡核苷酸結合至特定靶之反義股。 寡核苷酸之長度為至少5個核苷酸且可經合成以使每一寡 核苦酸皆乾向重疊序列,從而寡核㈣經合成以覆蓋乾聚 核苦酸之整個長度。乾亦包含編碼以及非編碼區域。 在一實施例中,反義寡核苷酸較佳靶向特異性核酸。反 義化δ物至特疋核酸之乾向係多步過程。該過程經常始於 鑑別調節功能之核酸序列。此可(例如)係表現與特定病症 或疾病狀態有關之細胞基因(或自基因轉錄之mRNA)、或 非編碼聚核苷酸(例如,非編碼RNA (ncRNA))。 RNA可分類為(丨)信使1^八(mRNA),其轉譯成蛋白質; 及(2)非蛋白編碼性RNA (ncRNA)。ncRNA包括微小rna、 反義轉錄本及含有高密度停止密碼子且缺乏任一廣泛性 (extensive)「開放讀碼框」的其他轉錄單元。許多 ncRNA似乎始於編碼蛋白質之基因座之3,非轉譯區域 (3 UTR)中之起動位點。ncRNA通常較罕見且fant〇m聯 盟已測序之ncRNA中至少一半似乎未經聚腺苷酸化。大部 刀研九者出於明顯原因而著重關注經處理並輸出至細胞質 156341.doc •37· 201201819 中之聚腺苷酸化mRNA。最近,顯示非聚腺苷酸化核rna 之組可能極大,且許多該等轉錄本源自所謂的基因間區 域。ncRNA可調控基因表現之機制係與靶轉錄本之鹼基配 對。藉由鹼基配對發揮作用之RNA可分組為:(1)順式編碼 之RNA,其在其發揮作用之相同遺傳位置、但在rna之相 對鏈處編碼且由此顯示與其靶之完全互補性;及(2)反式編 碼之RNA,其在與其發揮作用之RNA不同的染色體位置處 編碼且通常並不顯示與其靶之完全鹼基配對潛力。 不期望受限於理論,本文所述反義寡核苷酸對反義聚核 苷酸之干擾可改變相應有義信使RNA之表現。然而,此調 控可不協調(反義弱化(knockdown)造成信使rna增加)或協 調(反義弱化造成伴隨信使RNA減少)。在該等情形下,反 義寡核苷酸可靶向反義轉錄本之重疊或非重疊部分以產生 弱化或隔絕(sequestration)。可以相同方式靶向編碼以及非 編碼反義轉錄本,且任一種類皆能以協調或不協調方式調 控相應有義轉錄本。在鑑別針對靶使用之新寡核苷酸時採 用的策略可基於藉由反義寡核苷酸來弱化反義RNA轉錄本 或調節期望輕的任一其他方式。 灰够7 .在不協调調控之情形下,弱化反義轉錄本會增 加習用(有義)基因之表現。若後一基因編碼已知或假定藥 物靶’則可設想弱化其反義對等部分來模擬受體激動劑或 酶刺激物之作用。 茗略2 :在協調調控之情形下,可同時弱化反義及有義 轉錄本且由此協同性降低習知(有義)基因表現。舉例而 156341.doc •38· 201201819 舌’若使用反義寡核苷酸來達成弱化,則可使用此策略來 應用種輕向有義轉錄本之反義寡核芽酸及乾向相應反義 轉錄本之另一反義寡核苷酸、或同時靶向重疊有義及反義 轉錄本之單一能量對稱性反義寡核苷酸。 根據本發明,反義化合物包含反義寡核苷酸、核糖酶、 外。卩引導序列(EGS)寡核苷酸、siRNA化合物、單_或雙鏈 RNA干擾(RNAi)化合物(例如siRNA化合物)、及與靶核酸 之至少一部分雜交並調節其功能之其他寡聚化合物。因 此,其可為DNA、RNA、類DNA、類RNA、或其混合物, 或可為該等物質中一或多者之模擬物。該等化合物可為單 鍵、雙鏈、環狀或髮夾型募聚化合物,且可含有諸如内部 或末端膨脹、失配或環路等結構要素。反義化合物通常製 成直鏈形式’但可經接合或以其他方式製成環狀及/或具 支鏈形式。反義化合物可包含諸如以下構築體:經雜交以 形成完全或部分雙鏈化合物之兩股,或具有足夠自體互補 陡以進仃雜交並形成完全或部分雙鏈化合物之單鍵。兩條 鍵可在内部連接’以產生游離3,或5,末端,或可連接形成 ^續髮夹型結構或環路。髮夾型結構可在5,或Γ末端含有 懸垂部分,以延長單 ▲人4 之長早鏈特徵。雙鏈化合物視需要可在末端 吐含懸垂部分。装仙彳欠名 其他修飾可包含附接至一個末端、所選核 發酸位置、糖位置或 „ ^ ^附接至一個核苷間鍵聯之偶聯基團。 另一選擇為,兩條鏈可經 、由非核駄部分或連接體基團進行 連接。若自僅由一停錘形士、士 八m 条鍵t成時,dsRNA可呈自體互補髮夾 型分子形式,JL自畚料4匕 、斤以形成雙鏈體。因此,dsRNA可 156341.doc .39· 201201819 c^NA麥t 。可藉由在轉基因細胞系中穩定表現 N々夾型來特異性調節㈣表現,^,在-歧實施 例中,基因表現或功能經上調。若由兩條鍵、或呈自體互 補髮夹型分子形式(自身對折以形成雙鍵體)之單鏈形成 時’兩條鏈(或單鏈中形成雙鏈體之區域)係依偏_ Cnck方式鹼基配對之互補RNA鏈。 引入系統中之後’本發明化合物可引發_或多種酶或結 構蛋白質之作用’以實現靶核酸之裂解或其他修飾或可經 由基於佔據之機制進行作用。—般而t,核酸(包含募核 苦酸)可闡述為「類DNA」(亦即,通常具有一或多個2,_去 氧糖及(通常)T而非U鹼基)或「類RNA」(亦即,通常具有 一或多個2,-羥基或2,-修飾糖及(通常}u而非τ鹼基)。核酸 螺旋可採用一種以上之結構類型,最通常係Α型及8型。 據信’一般而言,具有Β型樣結構之募核苷酸係「類 DNA」且彼等具有Α型樣結構者係「類rNA」^在一些(截 合)實施例中’反義化合物可含有A-及B-型區域。 在一實施例中,期望寡核苷酸或反義化合物包括以下中 之至少一者:反義RNA、反義DNA、嵌合反義寡核苷酸、 包括經修飾鍵聯之反義寡核苷酸、干擾RNA(RNAi)、短干-34- 201201819 Another embodiment of the abnormal fusion junction node target site. An mRNA transcript produced by splicing two (or more) mRNAs from different gene sources is referred to as a "fusion transcript." Antisense compounds that target, for example, DNA or mRNA precursors can be used to effectively render the undirected intron. In one embodiment, an antisense oligonucleotide binds to a coding and/or non-coding region of a target polynucleotide and modulates the expression and/or function of the target molecule. In one embodiment, the antisense oligonucleotide binds to a natural antisense polynucleotide and modulates the expression and/or function of the target molecule. In one embodiment, the antisense oligonucleotide binds to a sense polynucleotide and modulates the expression and/or function of the target molecule. Alternative RNA transcripts can be produced from the same genomic region of DNA. Such alternative transcripts are commonly referred to as "variants." More specifically, "mRNA precursor variants" are transcripts produced from the same genomic DNA that differ from the other transcripts produced from the same genomic DNA in terms of starting or stopping positions and contain introns and Proton sequence. When one or more exons or intron regions, or portions thereof, are cleaved during splicing, the mRNA precursor variants produce smaller "mRNA variants". Thus, mRNA variants of processed mRNA precursor variants and each unique mRNA precursor variant must always produce a unique mRNA variant by splicing. These mRNA variants are also referred to as "alternate splice variants". If the mRNA precursor variant is not spliced, the mRNA precursor variant is identical to the mRNA variant. Variants can be generated via the use of alternating signals that initiate or stop transcription. The mRNA precursor and mRNA may have more than one initiation codon or stop 156341.doc -35 - 201201819 MM. Variants derived from the secret precursor or mRNA using an alternative initiation codon are referred to as mRNA precursors or "alternative initiation variants" of the capture. He used an alternative stop Maggie M丄 to treat the transcript in the code called the “alternative stop variant” of the mRNA precursor or mRNA. A specific type of alternative stop variant is a "P〇lyA variant" in which multiple transcripts are derived from an alternative to the transcription machine for one of the "p〇lyA stop signals", resulting in A transcript that terminates at a unique polyA site. Within the context of the present invention, the types of variants described herein are also examples of target nucleic acids. The position on the target nucleic acid that hybridizes to the antisense compound is defined at least as a portion of the target region that is 5 nucleotides long that is targeted by the active antisense compound. Although specific sequences of certain exemplary target segments are set forth herein, those skilled in the art will recognize that such sequences are used to exemplify and describe particular embodiments within the scope of the invention. Those skilled in the art can readily identify other starting segments in accordance with the present disclosure. It is believed that a dry segment of 5-1 00 nucleotides in length and comprising at least five (5) contiguous nucleotides selected from the preferred interpretive light segments is also suitable for extension to 0. The light segment may comprise DNA or An RNA sequence comprising at least 5 contiguous nucleotides from the 5'-end of one of the preferred interpretable target segments (the remaining nucleotides are consecutive segments of the same DNA or RNA, which are immediately adjacent to the target The upstream of the 5'-end of the segment begins and continues until the DNA or RNA contains from about 5 to about 1 nucleotide. Likewise, a preferred target segment is represented as a DNA or RNA sequence which comprises at least 5 contiguous nucleotides from the 3, _ terminus of one of the preferred interpretable target segments (the remaining nucleotides are the same DNA or In the continuation of the I56341.doc •36·201201819, the RNA starts immediately downstream of the 3,_end of the target segment and continues until the DNA or RNA contains about 5 to about 1 nucleotide. Those who are familiar with this technique can identify other better target segments without undue experimentation. An antisense compound that is sufficiently complementary (i.e., sufficiently hybridized and sufficiently specific) can be selected to achieve the desired effect, either after the vacant region, segment or site. In an embodiment of the invention, the oligonucleotide binds to an antisense strand of a particular target. The oligonucleotides are at least 5 nucleotides in length and can be synthesized such that each oligonucleotide is dried to the overlapping sequence such that the oligo (4) is synthesized to cover the entire length of the dry polyphosphate. The code also includes both coded and non-coded areas. In one embodiment, the antisense oligonucleotide preferably targets a specific nucleic acid. The dry direction of the anti-sense δ to the 疋 nucleic acid is a multi-step process. This process often begins with the identification of the nucleic acid sequence that regulates the function. This may, for example, be a cellular gene (or mRNA transcribed from a gene) associated with a particular disorder or condition, or a non-coding polynucleotide (e.g., non-coding RNA (ncRNA)). RNA can be classified into (丨) messenger 1^8 (mRNA), which translates into protein; and (2) non-protein-encoding RNA (ncRNA). ncRNAs include microRNAs, antisense transcripts, and other transcriptional units that contain high-density stop codons and lack any extensive "open reading frame". Many ncRNAs appear to start at the 3, non-translated region (3 UTR) of the locus of the protein-encoding locus. ncRNAs are generally rare and at least half of the ncRNAs that have been sequenced by the fant〇m association appear to be unpolyadenylated. For the obvious reasons, most of them focus on the polyadenylation mRNA that has been processed and exported to the cytoplasm 156341.doc •37·201201819. Recently, the group showing non-polyadenylated nuclear rna may be extremely large, and many of these transcripts are derived from the so-called intergenic region. The mechanism by which ncRNA regulates gene expression is linked to the base of the target transcript. RNAs that function by base pairing can be grouped into: (1) cis-encoded RNA, which encodes at the same genetic position at which it functions, but encodes at the opposite strand of rna and thus shows complete complementarity with its target And (2) trans-encoded RNA, which encodes at a different chromosomal location than the RNA it functions with and typically does not exhibit full base pairing potential with its target. Without wishing to be bound by theory, the interference of antisense oligonucleotides described herein with antisense polynucleotides can alter the performance of the corresponding sense messenger RNA. However, this modulation may be uncoordinated (anti-sense knockdown causes messenger rna to increase) or co-regulation (antisense weakening results in concomitant messenger RNA reduction). In such cases, the antisense oligonucleotide can target overlapping or non-overlapping portions of the antisense transcript to create a weakening or sequestration. Both coding and non-coding antisense transcripts can be targeted in the same manner, and any species can modulate the corresponding sense transcript in a coordinated or uncoordinated manner. The strategy employed in identifying new oligonucleotides for use with a target can be based on any other means of weakening the antisense RNA transcript by antisense oligonucleotides or modulating the desired lightness. Gray enough 7. In the case of uncoordinated regulation, weakening antisense transcripts will increase the performance of the conventional (sense) gene. If the latter gene encodes a known or putative drug target' then it is conceivable to attenuate its antisense counterpart to mimic the effects of a receptor agonist or an enzyme stimulator. Strategy 2: In the case of coordinated regulation, antisense and sense transcripts can be simultaneously weakened and thus synergistically reduced (negative) gene expression. For example, 156341.doc •38· 201201819 Tongue 'If antisense oligonucleotides are used to achieve weakening, this strategy can be used to apply antisense oligonuclear acid to the sense transcript and the corresponding antisense Another antisense oligonucleotide of the transcript, or a single energy symmetric antisense oligonucleotide that simultaneously targets overlapping sense and antisense transcripts. According to the invention, the antisense compound comprises an antisense oligonucleotide, a ribozyme, and the like. A leader sequence (EGS) oligonucleotide, an siRNA compound, a mono- or double-stranded RNA interference (RNAi) compound (e.g., an siRNA compound), and other oligomeric compounds that hybridize to at least a portion of the target nucleic acid and modulate its function. Thus, it can be DNA, RNA, DNA-like, RNA-like, or a mixture thereof, or can be a mimetic of one or more of such substances. The compounds may be single-stranded, double-stranded, cyclic or hairpin-type polycondensation compounds and may contain structural elements such as internal or terminal expansion, mismatch or loop. Antisense compounds are typically made in a linear form' but may be joined or otherwise formed into a cyclic and/or branched form. Antisense compounds can comprise, for example, constructs that are hybridized to form two strands of a fully or partially double-stranded compound, or that have sufficient self-complementary steepness to hybridize to form a fully or partially double-stranded compound. The two keys can be internally connected to produce a free 3, or 5, end, or can be joined to form a continuous hairpin structure or loop. The hairpin type structure may have a depending portion at the end of the 5 or Γ to extend the long chain characteristics of the single ▲ person 4. The double-stranded compound may have an overhang at the end as needed. Other modifications may include attachment to one end, a selected nuclear acid position, a sugar position, or a coupling group attached to an internucleoside linkage. Another option is two chains It can be linked by a non-nuclear moiety or a linker group. If it is formed by only one stop hammer and eight m bonds, the dsRNA can be self-complementary hairpin type molecular form, JL self-feeding 4匕, 斤 to form a duplex. Therefore, dsRNA can be 156341.doc.39· 201201819 c^NA mai t. It can specifically regulate (4) expression by stably expressing N 々 in the transgenic cell line, ^, In a differential embodiment, the gene expression or function is up-regulated. If two bonds are formed, or a single-stranded form of the auto-complementary hairpin-type molecule (self-folding to form a double bond), the two chains (or A region in which a duplex is formed in a single strand) is a complementary RNA strand that is base-paired in a partial _Cnck manner. After introduction into a system, the compound of the present invention can initiate the action of _ or a plurality of enzymes or structural proteins to effect cleavage of the target nucleic acid. Or other modifications may be made via a mechanism based on occupancy. And t, the nucleic acid (including the nucleus acid) can be described as "DNA-like" (that is, usually with one or more 2,_deoxy sugar and (usually) T instead of U base) or "RNA-like" (ie, usually having one or more 2,-hydroxy or 2,-modified sugars and (usually}u instead of tau bases). Nucleic acid helices may employ more than one type of structure, most commonly Α type and type 8 It is believed that 'generally, the nucleotides with a Β-like structure are "DNA-like" and those with a Α-like structure are "like rNA" ^ in some (intersected) embodiments The compounds may contain A- and B-type regions. In one embodiment, the desired oligonucleotide or antisense compound comprises at least one of the following: antisense RNA, antisense DNA, chimeric antisense oligonucleotides , including modified antisense oligonucleotides, interfering RNA (RNAi), short stem

擾 RNA (siRNA);微小干擾 RNA (miRNA);小時序 RNA (stRNA);或短髮夾型RNA (shRNA);小RNA誘導之基因 活化(RNAa);小活化RNA(saRNA)、或其組合。 dsRNA亦可活化基因表現,此機制稱為「小RNA誘導之 基因活化」或RNAa。靶向基因啟動子之dsRNA可誘導相 156341.doc -40- 201201819 關基因之有效轉錄活化》在使用合成dsRNA(稱為「小活 化RNA」(saRNA))之人類細胞中顯示RNAa。當前尚未瞭 解,在其他有機體中RNAa是否保守。 已發現,小雙鏈RNA (dsRNA)(例如小干擾RNA (siRNA) 及微小RNA (miRNA))係稱為RNA干擾(RNAi)之進化保守 機制的觸發物^ RNAi通常經由重塑染色質以由此阻抑轉 錄來引起基因沉默,從而降解互補mRNA、或阻斷蛋白質 轉譯。然而,在詳細闡述於下文實例部分之情形下,顯示 寡核苷酸可增強類BCL2 11 (BCL2L11)聚核苷酸及其編碼 產物之表現及/或功能《 dsRNA亦可用作小活化RNA (saRNA)。不期望受限於理論,藉由乾向基因啟動子中之 序列’ saRNA可誘導靶基因表現,此現象稱為dsRNA誘導 之轉錄活化(RNAa)。 在另一實施例中,本文所鑑別之「較佳靶區段」可用於 篩選調節類BCL2 11 (BCL2L11)聚核苷酸之表現之額外化 合物《「調節劑」係彼等如下化合物:可降低或增加編碼 BCL2L11之核酸分子之表現,且至少包括與較佳靶區段互 補之5-核苷酸部分。篩選方法包括以下步驟:使編碼 BCL2L11之有義或天然反義聚核苷酸之核酸分子的較佳靶 區段與一或多種候選調節劑接觸,且選擇一或多種可降低 或增加編碼BCL2L11聚核苷酸之核酸分子(例如SEq m NO: 4至13)之表現的候選調節劑。若顯示一或多種候選調 節劑能夠調節(例如降低或增加)編碼bCL2LU聚核苷酸之 核酸分子的表現,則該調節劑可用於BCL2L1丨聚核苷酸功 156341.doc • 41 201201819 能之其他調查性研究,或用作本發明之研究、診斷、或治 療藥劑。 靶向天然反義序列較佳地可調節靶基因之功能。例如, BCL2L11基因(例如,登錄號為nm_207002)。在一實施例 中’乾係BCL2L11基因之反義聚核皆酸。在一實施例中, 反義寡核苷酸靶向BCL2L11聚核苷酸(例如,登錄號為 NM—207002)之有義及/或天然反義序列、其變體、等位基 因、同功型、同系物、突變體、衍生物、片段及互補序 列。較佳地,寡核苷酸係反義分子且靶包含反義及/或有 義BCL2L11聚核苷酸之編碼及非編碼區域。 本發明之較佳靶區段亦可與本發明之其相應互補反義化 合物組合以形成穩定雙鏈(雙鏈體)寡核苷酸。 業内已顯示,該等雙鏈寡核苷酸部分可調節靶表現並經 由反義機制調控轉譯以及RNA處理。另外,雙鏈部分可經 受化學修飾。舉例而言,已顯示該等雙鏈部分可藉由雙鏈 體之反義股與靶之典型雜交來抑制靶,由此觸發靶之酶降 解》 在一實施例中,反義募核苷酸靶向類BCL2 11 (BCL2L11)聚核苷酸(例如,登錄號為NM_207002)、其變 體、等位基因、同功型、同系物、突變體、衍生物、片段 及互補序列。較佳地,寡核普酸係反義分子。 根據本發明實施例,靶核酸分子並不僅限於BCL2L11而 是擴展至BCL2L11分子之任一同功型、受體、同系物及諸 如此類。 156341.doc •42- 201201819 在一實施例中,寡核苷酸靶向BCL2L11聚核苷酸之天然 反義序列(例如,如SEQ ID NO: 2及3所示之聚核苷酸)、及 其任一變體、等位基因、同系物、突變體、衍生物 '片段 及互補序列。反義寡核苷酸之實例係如SEQ ID NO: 4至13 所示。 在一實施例中,寡核苷酸與BCL2L11反義分子之核酸序 列(包含(不限於)與BCL2L11聚核苷酸有關之非編碼有義及 /或反義序列)互補或結合並調節BCL2L11分子之表現及/或 功能。 在一實施例中,寡核苷酸與BCL2L11天然反義分子之核 酸序列(如SEQ ID NO: 2及3所示)互補或結合並調節 BCL2L11分子之表現及/或功能。 在一實施例中,募核苷酸包括SEQ ID NO: 4至13中至少 5個連續核苷酸之序列並調節BCL2L11分子之表現及/或功 能。 聚核苷酸靶包括BCL2L11 (包含其家族成員)、BCL2L11 之變體;BCL2L11之突變體,包含SNP ; BCL2L11之非編 碼序列;BCL2L11之等位基因;物種變體、片段及諸如此 類。較佳地,寡核苷酸係反義分子。 在一實施例中,靶向BCL2L11聚核苷酸之寡核苷酸包 括:反義 RNA、干擾 RNA (RNAi)、短干擾 RNA (siRNA); 微小干擾RNA (miRNA);小時序RNA (stRNA);或短髮夾 型RNA (shRNA);小RNA誘導之基因活化(RNAa);或小活 化 RNA (saRNA)。 156341.doc -43- 201201819 在一實施例中’歡向類BCL2 11(BCL2L11)聚核苷酸(例 如SEQ ID NO : 2至13)可調節該等靶之表現或功能。在一 實施例中,與對照組相比上調表現或功能。在一實施例 中,與對照組相比下調表現或功能。 在一實施例中,反義化合物包括如SEQ ID NO: 4至13所 示之序列。s亥4寡核皆酸可包括一或多個經修飾核苦酸、 較短或較長片段、經修飾鍵及諸如此類。 在一實施例中,SEQ id NO: 4至13包括一或多個LNA核 苷酸。表1顯示用於本發明方法中之實例性反義寡核苷 酸。 表1 ··Scrambled RNA (siRNA); small interfering RNA (miRNA); small temporal RNA (stRNA); or short hairpin RNA (shRNA); small RNA-induced gene activation (RNAa); small activating RNA (saRNA), or a combination thereof . dsRNA also activates gene expression, a mechanism known as "small RNA-induced gene activation" or RNAa. The dsRNA-inducible phase targeting the gene promoter 156341.doc -40 - 201201819 The efficient transcriptional activation of the gene" shows RNAa in human cells using synthetic dsRNA (called "small live RNA" (saRNA). It is not yet known whether RNAa is conserved in other organisms. Small double-stranded RNA (dsRNA) (eg, small interfering RNA (siRNA) and microRNA (miRNA)) has been found to be a trigger for the evolutionary conserved mechanism of RNA interference (RNAi). RNAi is usually remodeled via chromatin. This represses transcription to cause gene silencing, thereby degrading complementary mRNA, or blocking protein translation. However, in the context of the detailed description of the Examples section below, it is shown that oligonucleotides can enhance the expression and/or function of a BCL2 11 (BCL2L11)-like polynucleotide and its encoded product. "dsRNA can also be used as a small activating RNA ( saRNA). Without wishing to be bound by theory, the sequence 'saRNA can be induced by the gene in the dry gene promoter to induce target gene expression, a phenomenon known as dsRNA-induced transcriptional activation (RNAa). In another embodiment, the "preferred target segment" identified herein can be used to screen for additional compounds that modulate the expression of a BCL2 11 (BCL2L11) polynucleotide. "Modulators" are the following compounds: Or increase the expression of a nucleic acid molecule encoding BCL2L11, and at least include a 5-nucleotide portion that is complementary to the preferred target segment. The screening method comprises the steps of contacting a preferred target segment of a nucleic acid molecule encoding a sense or natural antisense polynucleotide of BCL2L11 with one or more candidate modulators, and selecting one or more to reduce or increase the encoding of BCL2L11. Candidate modulators of the expression of nucleotide nucleic acid molecules (eg, SEq m NO: 4 to 13). If one or more candidate modulators are shown to be capable of modulating (eg, reducing or increasing) the performance of a nucleic acid molecule encoding a bCL2LU polynucleotide, the modulator can be used in BCL2L1丨 polynucleotide work 156341.doc • 41 201201819 Investigative studies, or as a research, diagnostic, or therapeutic agent of the invention. Targeting a natural antisense sequence preferably modulates the function of the target gene. For example, the BCL2L11 gene (for example, accession number is nm_207002). In one embodiment, the antisense polynuclear acid of the stem BCL2L11 gene is acid. In one embodiment, the antisense oligonucleotide targets a sense and/or natural antisense sequence of a BCL2L11 polynucleotide (eg, accession number NM-207002), variants thereof, alleles, isozymes Types, homologs, mutants, derivatives, fragments and complementary sequences. Preferably, the oligonucleotide is an antisense molecule and the target comprises an encoding and non-coding region of an antisense and/or sense BCL2L11 polynucleotide. Preferred target segments of the invention may also be combined with their corresponding complementary antisense compounds of the invention to form stable double-stranded (duplex) oligonucleotides. It has been shown in the art that these double-stranded oligonucleotide moieties can modulate target expression and regulate translation and RNA processing via antisense mechanisms. In addition, the double-stranded moiety can be chemically modified. For example, it has been shown that the double-stranded portions can inhibit the target by typical hybridization of the antisense strand of the duplex to the target, thereby triggering enzymatic degradation of the target. In one embodiment, the antisense raised nucleotide Targeted BCL2 11 (BCL2L11) polynucleotides (eg, accession number NM_207002), variants thereof, alleles, isoforms, homologs, mutants, derivatives, fragments, and complementary sequences. Preferably, the oligonucleotide is an antisense molecule. According to an embodiment of the invention, the target nucleic acid molecule is not limited to BCL2L11 but extends to any of the isoforms, receptors, homologs and the like of the BCL2L11 molecule. 156341.doc • 42-201201819 In one embodiment, the oligonucleotide targets a natural antisense sequence of a BCL2L11 polynucleotide (eg, the polynucleotides set forth in SEQ ID NOS: 2 and 3), and Any of its variants, alleles, homologs, mutants, derivative 'fragments and complementary sequences. Examples of antisense oligonucleotides are set forth in SEQ ID NOS: 4 to 13. In one embodiment, the oligonucleotide complements or binds to a nucleic acid sequence of a BCL2L11 antisense molecule (including, without limitation, a non-coding sense and/or antisense sequence associated with a BCL2L11 polynucleotide) and modulates a BCL2L11 molecule Performance and / or function. In one embodiment, the oligonucleotide complements or binds to the nucleic acid sequence of the BCL2L11 natural antisense molecule (as set forth in SEQ ID NOS: 2 and 3) and modulates the expression and/or function of the BCL2L11 molecule. In one embodiment, the raised nucleotide comprises the sequence of at least 5 contiguous nucleotides of SEQ ID NOs: 4 to 13 and modulates the expression and/or function of the BCL2L11 molecule. Polynucleotide targets include BCL2L11 (including family members thereof), variants of BCL2L11; mutants of BCL2L11, including SNPs; non-coding sequences of BCL2L11; alleles of BCL2L11; species variants, fragments, and the like. Preferably, the oligonucleotide is an antisense molecule. In one embodiment, the oligonucleotides that target the BCL2L11 polynucleotide include: antisense RNA, interfering RNA (RNAi), short interfering RNA (siRNA); micro interfering RNA (miRNA); small temporal RNA (stRNA) Or short hairpin RNA (shRNA); small RNA-induced gene activation (RNAa); or small activating RNA (saRNA). 156341.doc -43- 201201819 In one embodiment, the 'BCL2 11 (BCL2L11) polynucleotides (e.g., SEQ ID NOs: 2 to 13) can modulate the performance or function of such targets. In one embodiment, the performance or function is up-regulated compared to the control group. In one embodiment, the performance or function is downregulated as compared to a control group. In one embodiment, the antisense compound comprises the sequences set forth in SEQ ID NOs: 4 to 13. The sigma 4 oligos may include one or more modified nucleotides, shorter or longer fragments, modified linkages, and the like. In one embodiment, SEQ id NO: 4 to 13 comprise one or more LNA nucleotides. Table 1 shows exemplary antisense oligonucleotides for use in the methods of the invention. Table 1 ··

序列編號 反義序列 名稱 序列 SEQ ID NO: 4 CUR-1519 G*T*T*C*C*A*C*C*T*T*C*T*C*C* 丁 *C*C*C*A*G SEQ ID NO: 5 CUR-1520 C*T*G*C*T*G*T*C*C*T*A*G*T*G*T*C*T*C3*eCi*eC SEQ ID NO: 6 CUR-1523 G*T*C*T*G*T*T*G*C*T*T*C*C*C* 丁 *C*C*T*C*T SEQ ID NO: 7 CUR-1525 G*G*A*G*G*G*A*G*G*T*G*T*G*T*G*T*G*T*G*T SEQ ID NO: 8 CUR-1524 C*C*T*T*C*T*T*T*C*T*C3|:C:*:T*C*A*C*A!*tC*CsiEC SEQ ID NO: 9 CUR-1526 G*C*C*A*C*C*C*A*G*T*A*C*A*C*A*C*A*C*C*T SEQ ID NO: 10 CUR-1521 〇*0*0*Α*Τ*Τ*0*0*Τ*Τ*Τ*0*0*Τ*0*0*ϋ*Τ*0*Α SEQ ID NO: 11 CUR-1522 g*c*t*g*c*t*a*c*t*c*t*c*a*c*c*c*a*c*a*t SEQ ID NO: 12 CUR-1174 C*C*A* 0ΦΤ*0* A*G*G* G*C*A* A*C*A* C*A*G*C*A SEQ ID NO: 13 CUR-1505 C*C*T*C*T*C*C*A*C*G*C*G*C*A*G*T*A*C*A*T*T 可以業内已知之若干方式來調節期望靶核酸。舉例而 言,使用反義寡核苷酸、siRNA等。酶性核酸分子(例如’ 核糖酶)係能夠催化一或多種不同反應之核酸分子,包含 156341.doc • 44- 201201819 能夠以核苷酸鹼基序列特異性方式重複裂解其他單獨核酸 分子。該酶性核酸分子可用於(例如)靶向實質上任一 rNA 轉錄本。 因具有序列特異性,故反式裂解之酶性核酸分子可顯示 用作人類疾病之治療劑的前景,可設計酶性核酸分子來裂 解細胞RNA背景内之特異性rnA靶。此一裂解事件使得 mRNA失去功能性並去除來自該RNA之蛋白質表現。以此 方式可選擇性抑制與疾病狀態有關之蛋白質的合成。 一般而言,具有RNA裂解活性之酶性核酸藉由首先結合 至靶RNA來發揮作用。該結合經由酶性核酸之靶結合部分 來進行’該靶結合部分緊鄰分子中用於裂解靶RNA之酶性 部分。因此,酶性核酸首先識別靶RNA且然後經由互補鹼 基配對與靶RNA結合’且在結合至確切位點後以酶促方式 發揮作用以切割靶RNA。此一靶RNA之裂解策略將破壞其 引導合成所編碼蛋白之能力。酶性核酸已結合且裂解其 RNA靶之後,其自該RNA釋放以尋找另一靶且可重複結合 及裂解新靶。 已使用諸如活體外選擇(演變)策略(〇rgel,(1979) pr〇c 1 London’ B 205, 435)等若干方式來產生能夠催化各 種反應(例如磷酸二酯鍵聯及醯胺鍵聯之裂解及連接)的新 核酸觸媒。 對於具有最適催化活性之核糖酶之研發將顯著有助於採 用RNA裂解性核糖酶來調控基因表現的任一策略。舉例而 5,錘頭狀核糖酶在飽和(1〇 濃度之Mg2+輔因子存在 156341.doc -45- 201201819 下以約1 min-l之催化速率(kcat)發揮作用。已顯示人工 「RNA連接酶」核糖酶可以約100 min-1之速率催化相應自 修飾反應。此外,已知某些經修飾錘頭狀核糖酶具有由 DNA構成之受質結合臂,其可以接近100 min-1之多倍周轉 速率催化RN A裂解。最後,使用某些核苷酸類似物代替錘 頭狀核糖酶催化核心内之特定殘基可產生經修飾核糖酶, 其催化速率顯示提高多達10倍。該等發現表明,核糖酶可 以顯著大於大部分天然自裂解核糖酶在活體外所顯示之催 化速率的催化速率來促進化學轉化。則可優化某些自裂解 核糖酶之結構以得到最大催化活性,或可製備顯示顯著較 快之RNA磷酸二酯裂解速率之全新RNA基序。 符合「錘頭」模型之RNA觸媒催化之RNA受質的分子間 裂解首次顯示於 1987年(Uhlenbeck,0· C. (1987) Nature, 328: 596-600)。回收RNA觸媒並使其與多個RNA分子進行 反應,從而表明其確實具有催化性。 基於「錘頭」基序設計之催化RNA已用於裂解特異性靶 序列,其係藉由在催化RNA中作出適當鹼基改變以維持與 把序列之必需驗基配對來達成。此使得可使用催化RN A來 裂解特異性靶序列,且表明根據「錘頭」模型設計之催化 RNA可在活體内裂解特異性受質RNA。 RNA干擾(RNAi)已成為調節哺乳動物及哺乳動物細胞中 之基因表現之有效工具。此方式需要使用表現質粒或病毒 及用於處理成siRNA之小髮夾型RNA的編碼序列以RNA自 身或DNA形式來遞送小干擾RNA (siRNA)。此系統使得能 156341.doc -46- 201201819 夠將siRNA前體有效輸送至其具有活性之細胞質中且容許 使用用於基因表現之經調控及組織特異性啟動子。 在一實施例中,募核苷酸或反義化合物包括核糖核酸 (RNA)及/或去氧核糖核酸(DNA)之寡聚物或聚合物、或其 模擬物、嵌合體、類似物或同系物,此術語包含由天然存 在之核苷酸、糖及共價核苷間(主鏈)鍵聯組成之寡核苷 酸,以及具有非天然存在部分且以相似方式發揮作用之寡 核苷酸。該等經修飾或經取代寡核苷酸經常優於天然形 式,此乃因諸如增強之細胞攝取、對於靶核酸之增強之親 和力及在核酸酶存在下之增加之穩定性等期望性質。 根據本發明’寡核苷酸或r反義化合物」包含反義寡核 苦酸(例如RNA、DNA、其模擬物、嵌合體、類似物或同 系物)、核糖酶、外部引導序列(EGS)寡核苷酸、siRNA化 合物、單鏈或雙鏈RNA干擾(RNAi)化合物(例如siRNA化合 物)、saRNA、aRNA、及其他與靶核酸之至少一個部分雜 交並調節其功能之寡聚化合物。因此,其可為DNA、 RNA、類DNA、類RNA、或其混合物,或可為該等物質中 一或多者之模擬物。該等化合物可為單鏈、雙鏈、環狀或 髮夾型寡聚化合物,且可含有諸如内部或末端膨脹、失配 或環路等結構要素。反義化合物通常製成直鏈形式,但可 經接合或以其他方式製成環狀及/或具支鏈形式。反義化 合物可包含諸如以下構築體:經雜交以形成完全或部分雙 鏈化合物之兩條鏈’或具有足夠自體互補性以進行雜交並 幵V成7L王或分雙鏈化合物之單鏈。兩條鏈可在内部連接 15634I.doc -47- 201201819 以產生游離3’或5,末端或可連接形成連續髮夾型結構或環 路髮夾型結構可在51或3'末端含有懸垂部分以延長單鏈 特徵。雙鏈化合物視需要可在末端包含懸垂部分。其他修 飾可包含附接至一個末端、所選核苷酸位置、糖位置或附 接至一個核苷間鍵聯之偶聯基團。另一選擇為,兩條鏈可 經由非核酸部分或連接體基團進行連接。在自僅—條鏈形 成時,dsRNA可呈自體互補髮夾型分子形式,其自身對折 以形成雙鏈體。因此,dsRNA可為完全或部分雙鏈。可藉 由穩定表現轉基因細胞系中之dsRNA髮夾型來特異性調節 基因表現。在自兩條鏈、或呈自體互補髮夾型分子形式 (自身對折以形成雙鏈體)之單鏈形成時,兩條鏈(或單鏈中 形成雙鏈體之區域)係以Wats〇n_CHck方式鹼基配對之互補 RNA 鍵。 引入系統中之後,本發明化合物可引發一或多種酶或結 構蛋白質<作用以實現靶核酸之裂解或其他修飾或可經由 基於伯據之機制進行作用一般而言,核酸(包含募核苦 酸)可闡述為「類DNA」(亦即,通常具有一或多個2,_去氧 糖及(通常)T而非TJ鹼基)或「類RNA」(亦即,通常具有一 或多個2,-羥基或2,_修飾糖及(通常川而非τ鹼基核酸螺 走可如用種以上之結構類型,最通常係A型及B型。據 信二般而言’具有B型樣結構之寡料酸係「類dna」 且彼等具有A型樣結構者係「類RNA」。在一些(嵌合)實 把例中,反義化合物可含有A及3_型區域。 本發月之反義化合物可包括長度為約5至約8〇個核苦酸 156341.doc •48- 201201819 (亦即,約5至約80個連接核苷)的反義部分,此係指反義化 合物之反義股或部分之長度。換言之,本發明之單鏈反義 化合物包括5至約80個核皆酸’且本發明之雙鏈反義化合 物(例如,dsRNA)包括長度為5至約80個核苷酸之有義及反 義股或部分。熟習此項技術者應瞭解,此涵蓋長度為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、或80個核苷酸、或其任一範圍之反義部分。 在一實施例中’本發明之反義化合物具有長度為1 〇至5〇 個核苷酸之反義部分。熟習此項技術者應瞭解,此展現反 義部分長度為 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、或 50個核苷酸、或其任一 範圍之寡核苷酸。在一些實施例中,寡核苷酸之長度為15 個核苷酸。 在一實施例中,本發明之反義或寡核苷酸化合物具有長 度為12或13至30個核苷酸的反義部分。熟習此項技術者應 瞭解,此展現反義部分長度為12、13、14、15、16、17、 18 、 19 、 20 、 21 、 22 、 23 、 24 、 25 、 26 、 27 、 28 、 29或30 156341.doc •49· 201201819 個核苷酸、或其任一範圍之反義化合物。 在一實施例中,本發明之寡聚化合物亦包含在該化合物 中之一或多個核苷酸位置存在不同鹼基的變體。舉例而 言’若第一核苷酸係腺嘌呤,則可產生在此位置含有胸 苷、烏苷或胞苷之變體。此可發生於反義或dsRNA化合物 之任一位置。然後使用本文所述方法測試該等化合物以測 定其抑制靶核酸表現之能力。 在一些實施例中’反義化合物及靶之間之同源性、序列 一致性或互補性為約40%至約60%。在一些實施例中.,同 源性、序列一致性或互補性為約60%至約70%«在一些實 施例中’同源性、序列一致性或互補性為約7〇%至約 80%。在一些實施例中,同源性、序列一致性或互補性為 約80%至約90%。在一些實施例中,同源性、序列一致性 或互補性為約90%、約92%、約94%、約95。/。、約96%、約 97%、約 98%、約 99%或約 100%。 在一實施例中,反義寡核苷酸(例如,SEQ ID NO: 4至 13中所述之核酸分子)包括一或多個取代或修飾。在一實 施例中,核苷酸經鎖核酸(LNA)取代。 在一實施例中,寡核苷酸靶向與BCL2L11有關之編碼及/ 或非編碼序列及如SEQ ID NO: 1至3所示之序列之有義及/ 或反義核酸分子的一或多個區域。寡核苷酸亦乾向SEQ ID NO: 1至3之重疊區域。 本發明之某些較佳寡核苷酸係嵌合寡核苷酸。本發明上 下文中之「嵌合寡核苷酸」或「嵌合體」係含有兩個或更 156341.doc •50- 201201819 多個化學上不同之區域之寡核苷酸,每個區域皆由至少一 個核苦酸構成。該等寡核苷酸通常含有至少一個經修飾核 苦酸區域,該區域賦予一或多種有益性質(例如增加核酸 酶抗性,增加細胞攝取,增加與靶之結合親和力);及係 能夠裂解RNA:DNA或RNA:RNA雜合體之酶受質的區域。 舉例而言,RNase Η係可裂解RNA:DNA雙鏈體之RNA鏈之 細胞内切核酸酶。因此’活化RNase Η可裂解RNA乾,由 此大大增強基因表現之反義調節的效率。因此’同與相同 乾區域雜交之硫代磷酸酯去氧寡核苷酸相比,在使用嵌合 券核苦酸時利用較短寡核苷酸通常可獲得可比性結果。通 常可藉由凝膠電泳及(若需要)業内已知之相關核酸雜交技 術來檢測RNA靶之裂解》在一實施例中,嵌合寡核苷酸包 括至少一個經修飾以增加靶結合親和力之區域、及(經常) 用作RNAse Η受質之區域。通常藉由量測寡核苷酸/靶配對 之Tm來測定寡核苷酸與其靶(在此情形下係編碼之核 酸)之親和力,Tm係寡核苷酸與靶離解之溫度;使用分光 光度法來檢測離解。Tm愈高,則寡核苷酸與靶之親和力 愈大。 本發明之嵌合反義化合物可以兩個或更多個如上所述之 寡核苷酸、經修飾募核苷酸、寡核苷及/或募核苷酸模擬 物之複合結構形式形成。因此,化合物在業内亦稱為雜合 體或結合體。教示該等雜合體結構之製備的代表性美國專 利包括但不限於美國專利第5,〇13,830號、第5,149,797號、 第 5,220,0〇7號、第 5,256,775 號、第 5,366,878 號、第 156341.doc •51- 201201819 5,403,711 號、第 5,491,133 號、第 5,565,350號、第 5,623,065 號、第 5,652,355號、第 5,652,356號、及第 5,700,922號,每 一者皆以引用方式併入本文中。 在一實施例中,寡核苷酸之經修飾區域包括至少一個在 糖之2'位處修飾的核苷酸,最佳係經2,_〇烷基、2'-〇-烷基-〇-烷基或2'-氟修飾之核苷酸《在另一實施例中,rnA修飾 包含對於嘧啶之核糖、無鹼基殘基或RNA中3,端之反向鹼 基之2、氟、2’-胺基及2,〇-曱基修飾。通常將該等修飾納入 寡核苷酸中且已顯示該等寡核苷酸相對於2,-去氧寡核苷酸 對於給定乾具有較高Tm(亦即,較高乾結合親和力)。該增 加之親和力效應大大增強了 RNAi寡核苷酸對基因表現之 抑制。RNAse Η係裂解RNA:DNA雙鏈體中RNA鏈之細胞内 切核酸酶;因此’活化此酶可裂解RNA靶,且由此可大大 增強RNAi抑制之效率。對rnA靶之裂解通常可藉由凝膠 電泳來顯示。在一實施例中,亦對嵌合寡核苷酸進行修飾 以增強核酸酶抗性。細胞含有多種可降解核酸之外切核酸 酶及内切核酸酶。已顯示多種核苷酸及核苷修飾可使納入 該荨修飾之寡核苷酸對核酸酶消化之抗性強於天然寡去氧 核皆酸》核酸酶抗性通常藉由將寡核苷酸與細胞提取物或 分離核酸酶溶液一起培育並在一段時間後經常藉由凝膠電 冰里測剩餘完整寡核苷酸之含量來進行量測。已經修飾以 增強其核酸酶抗性之寡核苷酸保持完整之時間長於未經修 飾之寡核苦酸。已證實多種寡核苦酸修飾可增強或賦予核 西欠S#抗性。當前’含有至少一個硫代填酸酯修飾之寡核苷 156341.doc •52- 201201819 酸更佳。在一些情形下,增強靶結合親和力之寡核苷酸經 修飾亦能獨立地增強核酸酶抗性。 擬用於本發明之一些較佳寡核苷酸的具體實例包含彼等 包括經修飾主鏈者,該等經修飾主鏈係(例如)硫代磷酸 酯、磷酸三酯、膦酸曱酯、短鏈烷基或環烷基糖間鍵聯或 短鏈雜原子或雜環糖間鍵聯*最佳者係具有硫代磷酸酯主 鏈之寡核苷酸及彼等具有雜原子主鏈者,該等雜原子主鏈 尤其係CH2 --NH--0--CH2、CH,--N(CH3)--0--CH2 [稱為 亞曱基(甲基亞胺基)或MMI主鏈]、(:112--0--:^(〇^3)--CH2、CH2 -N (CH3)--N (CH3)--CH2及0--N (CH3)--CH2 -CH2 主鏈,其中天然磷酸二酯主鏈表示為0--P--0--CH)。由De Mesmaeker 等人(1995) Acc. Chem. Res. 28:366-374 所揭示 之醯胺主鏈亦較佳。亦較佳者係具有嗎啉基主鏈結構之寡 核普酸(Summerton及.Weller,美國專利第5,034,506號)。在 另一實施例中(例如肽核酸(PNA)主鏈),寡核苷酸之磷酸 二酯主鏈由聚醯胺主鏈代替,核苷酸直接或間接結合至聚 醯胺主鏈之氮雜氮原子。寡核苷酸亦可包括一或多個經取 代糖部分。較佳寡核苷酸在2'位包括下列基團中之一者: OH、SH、SCH3、F、OCN、OCH3 OCH3、OCH3 0(CH2)n CH3、0(CH2)n NH2 或 0(CH2)n CH3(n 為 1至約 10) ; C1-C10低碳烷基、烷氧基、經取代低碳烷基、烷芳基或芳烷 基;Cl ; Br ; CN ; CF3 ; OCF3 ; 、S--、或N-烷基;0-- 、S--、或 N-烯基;SOCH3 ; S02 CH3 ; 0N02 ; N02 ; N3 ; NH2 ;雜環烷基;雜環烷芳基;胺基烷基胺基;聚烷 156341.doc •53- 201201819 基胺基;經取代甲矽烷基;RNA裂解基團;報導子基團; 遷入劑,用於改良寡核苷酸之藥物代謝動力學性質之基 團,或用於改良寡核苷酸之藥效動力學性質之基團及其他 具有相似性質之取代基。較佳修飾包含2,_甲氧基乙氧基 [2I-0-CH2 CH2 OCH3,亦稱為2,-0-(2-甲氧基乙基)]。其 他較佳修飾包含2·-甲氧基(2,-0—CH3)、2·-丙氧基(2,_ OCH2CH2CH3)及2'_氟(π)。#可在冑核苦酸上之其他位 置進打類似修飾,尤其係3,末端核苷酸上糖之3,位及5,末端 核苷酸之5’位。寡核苷酸亦可具有糖模擬物,例如使用環 丁基來代替戊呋喃醯基。 寡核苷酸亦可另外或作為另一選擇包含核鹼基(業内通 常簡寫為「鹼基」)修飾或取代。本文所用之「未經修 飾」或「天然」核苷酸包含腺嘌呤(A)、烏嘌呤、胸腺 嘧啶(τ)、胞嘧啶(C)及尿嘧啶(U)。經修飾核苷酸包含僅偶 爾或短暫在天然核酸中發現之核苷酸,例如次黃嘌呤、6 甲基腺嘌呤、5~Me嘧啶、尤其5-甲基胞嘧啶(亦稱為5_甲 基-2’去氧胞嘧啶且業内通常稱為5_Me_c)、%經甲其胞喷 啶(HMC)、糖基HMC及龍膽二糖基HMC ;以及合成核苷 酸,例如,2_胺基腺嘌呤、2_(曱基胺基)腺嘌呤、唑 基烷基)腺嘌呤、2_ (烷基烷基胺基)腺嘌呤或其他雜取代 烷基腺嘌呤、2_硫尿嘧啶、2-硫胸腺嘧啶、5_溴尿嘧啶、 羥曱基尿嘧啶、8_氮雜鳥嘌呤、7_去氮鳥嘌呤、 胺基己基)腺°票呤及2,6-二胺基票吟。可包含業内已头 「常用」驗基(例如肌苦已顯示5_Me_C取代可將核酸: 156341.doc •54· 201201819 鏈體穩定性增加以-⑽且係當前之較佳驗基取代。 對本發明寡核㈣之另—修飾涉及使—或多種可增強寡 核普酸之活性或細胞攝取之部分或偶聯物以化學方式連接 至养核苷酸。該等部分包含但不限於脂質部分(例如膽固 醇部分)、膽固醇基部分、脂肪族鍵(例如,十二烧二醇或 - 十一烷基殘基)、聚胺或聚乙二醇鏈、或金剛烷乙酸。業 内已知包括親脂性部分之寡核皆酸、及製備該等寡核苦酸 之方法,例如,美國專利第5,138,045號、第5,218,1〇5號及 第 5,459,255號。 給定寡核㈣中之所有位置並不需要經—致性修飾,且 事實上可將上述修冑中之—種以上納入單一冑核苦酸中或 甚至納入募核苦酸内之單—核苦中。本發明亦包含係上文 所定義嵌合寡核苷酸之募核苷酸。 在另一實施例中,本發明之核酸分子與另一部分偶聯, 該另一部分包含但不限於無鹼基核苷酸、聚醚、聚胺、聚 醯胺、肽、碳水化合物、脂質、或聚烴化合物。彼等熟習 此項技術者應認識到,該等分子可連接至在糖、鹼基或磷 酸酯基團上之若干位置包括核酸分子之任一核苷酸中的一 或多者上。 本發明所用之寡核苷酸可以便捷常規方式經由熟知固相 &成技術來製備。包含Applied Biosystems在内之若干供 貨商出售實施該合成之設備。亦可採用用於該合成之任一 其他方式’熟習此項技術者熟知寡核苷酸之現行合成。亦 熟知使用相似技術來製備諸如硫代磷酸酯及烷基化衍生物 156341.doc -55- 201201819 等其他寡核苷酸。業内亦熟知使用相似技術及市售經修飾 DNA合成核苷酸(amidite)及定孔玻璃(CPG)產品(例如經生 物素、螢光素、吖啶或補骨脂素修飾之DNA合成核苷酸及/ 或CPG(可自Glen Research,Sterling,VA購得))來合成經螢 光標記、經生物素化或經其他修飾之寡核苷酸,例如經膽 固醇修飾之寡核苷酸。 根據本發明’使用修飾(例如使用LNA單體)來增強作用 之功效、特異性及持續時間並拓寬寡核苷酸之投與途徑包 括諸如MOE、ANA、FANA、PS等化學方式。此可藉由使 用LNA單體代替當前寡核苷酸中之一些單體來達成。經 LNA修飾之寡核苷酸可具有類似於母體化合物之尺寸或可 較大或較佳地較小。較佳地,經LNA修飾之寡核苷酸含有 小於約70%、更佳小於約60%、最佳小於約50%之LNA單 體,且其尺寸介於約5與25個核苷酸、更佳約12與20個核 苷酸之間。 較佳經修飾寡核苷酸主鏈包括但不限於硫代磷酸酯、對 掌性硫代磷酸酯、二硫代磷酸酯、磷酸三酯、胺基烷基磷 酸三酯、膦酸曱酯及其他膦酸烷基酯(包括膦酸3,_伸烷基 酯及對掌性膦酸酯)、次膦酸酯、胺基磷酸酯(包括胺基磷 酸3胺基酯及胺基磷酸胺基烷基酯)、硫羰基胺基磷酸 酯、膦酸硫羰基烷基酯、硫羰基烷基構酸三酯、及具有常 見3'-5’鍵聯之硼烷磷酸酯、該等主鏈之2,-5,連接類似物、 及彼等具有反極性者(其中相鄰核苷單元對之連接由3'-5'變 為5'-3'或由2’-5'變為5'-2’)。亦包含各種鹽、混合鹽及游離 156341.doc •56- 201201819 酸形式。 教示上述含碟鍵聯之代表性美國專利包括但不限於美國 專利第3,687,808號、第4,仏9,863號、第4,476,301號、第 5,〇23,243號、第 5,177,196號、第 5,188,897號、第 5,264,423 號、第 5,276,019 號、第 5,278,302 號、第 5,286,717號、第 5,321,131號、第 5,399,676號、第 5,405,939號、第 5,453,496 號、第 5,455,233 號、第 5,466,677 號、第 5,476,925 號、第 5,519,126號、第 5,536,821 號、第 5,541,306號、第 5,550,1 1 1 號、第 5,563,253號、第 5,571,799號、第 5,587,361 號、及第 5,625,050號,每一者皆以引用方式併入本文中。 不含磷原子之較佳經修飾寡核苷酸主鏈具有藉由以下形 成之主鏈:短鏈烷基或環烷基核苷間鍵聯、混合雜原子及 烷基或環烷基核苷間鍵聯、或一或多個短鏈雜原子或雜環 核苷間鍵聯。該等主鏈包括彼等具有嗎啉基鍵聯者(部分 自核苷之糖部分形成);矽氧烷主鏈;硫化物、亞砜及砜 主鏈;甲醢乙醯基及硫代曱醯乙醯基主鏈;亞曱基曱醯乙 臨基及硫代甲醯乙醯基主鏈;含有烯烴之主鏈;胺基磺酸 醋主鏈,亞甲基亞胺基及亞甲基肼基主鏈;石黃酸酯及續酿 胺主鏈;醯胺主鏈;及其他具有混合N、〇、s及CH2組成 部分者。 教示上述寡核苷之代表性美國專利包括但不限於美國專 利第 5,034,506 號、第 5,166,315號、第 5,185,444 號、第 5,214,134號、第 5,216,141號、第 5,235’033號、第 5,264,562 號、第 5,264,564 號、第 5,4〇5,938 號、帛 5,434,257 號、第 156341.doc -57- 201201819 5,466,677號、第 5,470,967號、第 5,489,677號、第 5,541,307 號、第 5,561,225 號、第 5,596,086 號、第 5,602,240號、第 5,610,289號、第 5,602,240號、第 5,608,046號、第 5,610,289 號、第 5,618,704 號、第 5,623,070 號、第 5,663,312 號、第 5,633,360號、第 5,677,437號、及第 5,677,439號,每一者皆 以引用方式併入本文中。 在其他較佳寡核苷酸模擬物中’核苷酸單元中之糖及核 苷間鍵聯(亦即主鍵)二者經新基團代替。保留驗基單元以 與適宜核酸把化合物雜交° 一種該寡聚化合物(已顯示具 有極佳雜交性質之寡核苷酸模擬物)稱為肽核酸(PNA)。在 PNA化合物中’寡核苷酸中之糖-主鏈經含醯胺主鏈、特 定而言胺基乙基甘胺酸主鏈代替。保留核驗基且其與主鏈 中醯胺部分之氮雜氮原子直接或間接結合。教示PNA化合 物之製備之代表性美國專利包括但不限於美國專利第 5,539,082號、第 5,714,331號、及第 5,719,262 號,每一者 皆以引用方式併入本文中。PNA化合物之其他教示内容可 參見 Nielsen 等人 ’(1991) Science 254,1497-1500。 本發明一實施例係具有硫代磷酸酯主鏈之寡核苷酸及具 有雜原子主鏈之寡核苦,且特定而言係上文所提及美國專 利第 5,489,677號中之-CH2-NH-0-CH2-、-CH2-N (CH3)-0-CH2-[稱為亞甲基(曱基亞胺基)或MMI主鏈]、-CH2-0-N(CH3)-CH2-、-CH2N(CH3)-N(CH3) CH2-及-0-N(CH3)-CH2-CH2-[其中天然磷酸二酯主鏈表示為-Q-P-0-CH2-], 及上文所提及美國專利第5,602,240號中之醯胺主鏈。亦較 156341.doc -58 - 201201819 佳者係上文所提及美國專利第5,034,506號中之具有嗎啉基 主鏈結構之募核苷酸。 經修飾寡核苷酸亦可含有一或多個經取代糖部分。較佳 寡核苷酸在2’位包括以下中之一者:〇H ; F ; 0-、S-或N-烷基、0-、S-或N-烯基;0-、S-或N-炔基;或Ο烷基-0-烷 基,其中烷基、烯基及炔基可係經取代或未經取代之C1至 C10烷基或C2至C10烯基及炔基《尤佳者係Ο (CH2)n OmCH3、0(CH2)n、OCH3、0(CH2)nNH2、0(CH2)nCH3、 0(CH2)n0NH2、及 0(CH2n0N(CH2)nCH3)2,其中 n及 m可 為1至約10。其他較佳寡核苷酸在2'位包括以下中之一者: C1至C10低碳烷基、經取代低碳烷基、烷芳基、芳烷基、 0-烷芳基或 0-芳烷基、SH、SCH3、OCN、Cl、Br、CN、 CF3、0CF3、SOCH3、S02CH3、0N02、N02、N3、 NH2、雜環烷基、雜環烷芳基、胺基烷基胺基、聚烷基胺 基、經取代甲矽烷基、RNA裂解基團、受體基團、嵌入 劑、改良寡核苷酸之藥物代謝動力學性質之基團、或改良 寡核苷酸之藥效動力學性質之基團、及其他具有相似性質 之取代基。較佳修飾包括2·-曱氧基乙氧基(2'-0-CH2CH20CH3,亦稱為 2'-0-(2-甲氧基乙基)或 2'-MOE), 亦即,烷氧基烷氧基。其他較佳經修飾包括2’-二甲基胺基 氧基乙氧基(亦即,0(CH2)20N(CH3)2基團,亦稱為2匕 DMAOE,如下文實例中所述)、及2·-二曱基胺基乙氧基乙 氧基(業内亦稱為2'-0-二曱基胺基乙氧基乙基或2·-DMAEOE,亦即,2'-0-CH2-0-CH2-N (CH2)2)。 15634 丨.doc -59- 201201819 其他較佳修飾包括2·-甲氧基(2,-〇 CH3)、2'-胺基丙氧基 (2'-〇 CH2CH2CH2NH2)及2’-氟(2'-F)。亦可在寡核苷酸上 之其他位置進行相似修飾,尤其係3,末端核苷酸上或2,_5, 連接寡核苷酸中糖之3·位及5,末端核苷酸之5·位。寡核苷酸 亦可具有糖模擬物’例如使用環丁基部分來代替戊呋喃糖 基糖。教示該等經修飾糖結構之製備之代表性美國專利包 括但不限於美國專利第4,981,957號、第5,1 18,800號、第 5,319,080號、第 5,359,044號、第 5,393,878號、第 5,446,137 號、第 5,466,786 號、第 5,514,785 號、第 5,519,134 號、第 5,567,81 1 號、第 5,576,427號、第 5,591,722號、第 5,597,909 號、第 5,610,300 號、第 5,627,053 號、第 5,639,873 號、第 5,646,265 號、第 5,658,873 號、第 5,670,633 號、及第 5,700,920號,每一者皆以引用方式併入本文中。 寡核苷酸亦可包括核鹼基(業内通常簡寫為「鹼基」)修 飾或取代。本文所用之「’未經修飾」或「天然」核苷酸包 括嘌呤驗基(腺嘌呤(A)及鳥嘌呤(G))及嘧唆驗基(胸腺嘧啶 (T)、胞嘧啶(〇及尿嘧啶(u))。經修飾核苷酸包括其他合 成及天然核苷酸’例如5-甲基胞嘧啶(5-me-C)、5-羥曱基 胞嘧啶、黃嘌呤、次黃嘌呤、2_胺基腺嘌呤、腺嘌呤及鳥 嘌吟之6-曱基及其他烧基衍生物、腺嘌呤及鳥嘌呤之2_丙 基及其他烷基衍生物、2-硫代尿嘧啶、2-硫代胸腺嘧啶及 2-硫代胞嘧啶、5-函代尿嘧啶及胞嘧啶、5-丙炔基尿嘧啶 及胞嘧啶、6-偶氮尿嘧啶、胞嘧啶及胸腺嘧啶、5-尿嘧咬 (假尿》密咬)、4-硫代尿癌咬、8-齒代、8-胺基、8-硫醇、8- 156341.doc •60· 201201819 硫代烷基、8-羥基及其他8-取代腺嘌呤及烏嘌呤、5-鹵 代、尤其5-溴、5-三氟曱基及其他5-取代尿〇密唆及胞喊 啶、7-曱基鳥嘌呤及7-曱基腺嘌呤、8-氮雜烏嘌呤及8-氮 雜腺嘌呤、7-去氮鳥嘌呤及7-去氮腺嘌呤及3-去氮鳥嘌呤 及3-去氮腺嘌呤。 另外,核苷酸包括彼等揭示於美國專利第3,687,808號中 者、彼等揭示於 ’The Concise Encyclopedia of PolymerSequence number antisense sequence name sequence SEQ ID NO: 4 CUR-1519 G*T*T*C*C*A*C*C*T*T*C*T*C*C* D *C*C*C *A*G SEQ ID NO: 5 CUR-1520 C*T*G*C*T*G*T*C*C*T*A*G*T*G*T*C*T*C3*eCi* eC SEQ ID NO: 6 CUR-1523 G*T*C*T*G*T*T*G*C*T*T*C*C*C* D *C*C*T*C*T SEQ ID NO: 7 CUR-1525 G*G*A*G*G*G*A*G*G*T*G*T*G*T*G*T*G*T*G*T SEQ ID NO: 8 CUR-1524 C*C*T*T*C*T*T*T*C*T*C3|:C:*:T*C*A*C*A!*tC*CsiEC SEQ ID NO: 9 CUR -1526 G*C*C*A*C*C*C*A*G*T*A*C*A*C*A*C*A*C*C*T SEQ ID NO: 10 CUR-1521 〇 *0*0*Α*Τ*Τ*0*0*Τ*Τ*Τ*0*0*Τ*0*0*ϋ*Τ*0*Α SEQ ID NO: 11 CUR-1522 g*c* t*g*c*t*a*c*t*c*t*c*a*c*c*c*a*c*a*t SEQ ID NO: 12 CUR-1174 C*C*A* 0ΦΤ *0* A*G*G* G*C*A* A*C*A* C*A*G*C*A SEQ ID NO: 13 CUR-1505 C*C*T*C*T*C* C*A*C*G*C*G*C*A*G*T*A*C*A*T*T The desired target nucleic acid can be modulated in a number of ways known in the art. For example, antisense oligonucleotides, siRNA, and the like are used. An enzymatic nucleic acid molecule (e.g., a 'ribosinase) is a nucleic acid molecule capable of catalyzing one or more different reactions, including 156341.doc • 44-201201819, capable of repeatedly cleaving other individual nucleic acid molecules in a nucleotide base sequence-specific manner. The enzymatic nucleic acid molecule can be used, for example, to target substantially any rNA transcript. Because of its sequence specificity, trans-cleavable enzymatic nucleic acid molecules can be used as therapeutic agents for human diseases, and enzymatic nucleic acid molecules can be designed to cleave specific rnA targets in the background of cellular RNA. This cleavage event causes the mRNA to lose functionality and remove protein expression from the RNA. In this way, the synthesis of proteins associated with disease states can be selectively inhibited. In general, an enzymatic nucleic acid having an RNA cleavage activity functions by first binding to a target RNA. The binding is carried out via a target binding portion of the enzymatic nucleic acid. The target binding portion is immediately adjacent to the enzymatic portion of the molecule for cleavage of the target RNA. Thus, the enzymatic nucleic acid first recognizes the target RNA and then binds to the target RNA via a complementary base pair' and acts in an enzymatic manner to cleave the target RNA upon binding to the exact site. This cleavage strategy for a target RNA will disrupt its ability to direct synthesis of the encoded protein. After the enzymatic nucleic acid has bound and cleaves its RNA target, it is released from the RNA to find another target and can repeatedly bind and cleave the new target. Several methods, such as in vitro selection (evolution) strategies (〇rgel, (1979) pr〇c 1 London' B 205, 435), have been used to generate various reactions (eg, phosphodiester linkages and guanamine linkages). New nucleic acid catalyst for cleavage and ligation). The development of ribozymes with optimal catalytic activity will significantly contribute to any strategy that uses RNA lytic ribozymes to regulate gene expression. For example, 5, hammerhead ribozyme is active at a catalytic rate (kcat) of about 1 min-l under saturation of a concentration of Mg2+ cofactor 156341.doc -45-201201819. Artificial "RNA ligase" has been shown. The ribozyme can catalyze the corresponding self-modification reaction at a rate of about 100 min-1. In addition, it is known that certain modified hammerhead ribozymes have a binding arm composed of DNA, which can be close to 100 min-1. The turnover rate catalyzes the cleavage of RN A. Finally, the use of certain nucleotide analogs in place of the specific residues in the hammerhead ribozyme catalyzed core produces a modified ribozyme whose catalytic rate is shown to increase by up to 10 fold. It is shown that the ribozyme can significantly increase the catalytic rate of the catalytic rate shown by the majority of the natural self-cleaving ribozyme in vitro to promote chemical conversion. The structure of some self-cleaving ribozymes can be optimized for maximum catalytic activity, or can be prepared. A novel RNA motif showing a significantly faster rate of RNA phosphodiester cleavage. The intermolecular cleavage of RNA receptors catalyzed by RNA catalysts in accordance with the "hammerhead" model was first shown in 1987 (Uhlenb) Eck, 0·C. (1987) Nature, 328: 596-600). The RNA catalyst is recovered and reacted with a plurality of RNA molecules to indicate that it is indeed catalytic. Based on the "hammerhead" motif design Catalytic RNA has been used to cleave specific target sequences by making appropriate base changes in the catalytic RNA to maintain pairing with the necessary bases of the sequence. This allows the use of catalytic RN A to cleave specific target sequences. And indicates that the catalytic RNA designed according to the "hammerhead" model can cleave specific receptor RNA in vivo. RNA interference (RNAi) has become an effective tool for regulating gene expression in mammalian and mammalian cells. The coding sequence for the expression plasmid or virus and the small hairpin RNA for processing into siRNA delivers small interfering RNA (siRNA) in the form of RNA itself or DNA. This system enables 156341.doc -46-201201819 enough to siRNA precursor Efficient delivery into its active cytoplasm and allows the use of regulated and tissue-specific promoters for gene expression. In one embodiment, the nucleotide or antisense compound includes ribonucleic acid (RNA) And/or an oligomer or polymer of deoxyribonucleic acid (DNA), or a mimetic, chimera, analog or homolog thereof, the term encompasses between naturally occurring nucleotides, sugars, and covalent nucleosides Oligonucleotides composed of (backbone) linkages, and oligonucleotides having non-naturally occurring portions and functioning in a similar manner. Such modified or substituted oligonucleotides are often superior to natural forms, Desirable properties such as enhanced cellular uptake, enhanced affinity for target nucleic acids, and increased stability in the presence of nucleases. An 'oligonucleotide or r antisense compound according to the invention comprises antisense oligonucleotides (eg RNA, DNA, mimetics, chimeras, analogs or homologs thereof), ribozymes, external leader sequences (EGS) Oligonucleotides, siRNA compounds, single- or double-stranded RNA interference (RNAi) compounds (eg, siRNA compounds), saRNAs, aRNAs, and other oligomeric compounds that hybridize to at least a portion of a target nucleic acid and modulate its function. Thus, it can be DNA, RNA, DNA-like, RNA-like, or a mixture thereof, or can be a mimetic of one or more of such substances. The compounds may be single chain, double chain, cyclic or hairpin type oligomeric compounds and may contain structural elements such as internal or terminal expansion, mismatch or loop. Antisense compounds are typically made in a linear form, but may be joined or otherwise formed into a cyclic and/or branched form. Antisense compounds can comprise, for example, constructs that are hybridized to form two strands of a fully or partially double-stranded compound or a single strand that has sufficient auto-complementarity to hybridize and 幵V to 7L king or a double-stranded compound. The two strands can be internally connected to 15634I.doc -47 - 201201819 to create a free 3' or 5, end or connectable to form a continuous hairpin type structure or loop hairpin type structure can have an overhang at the 51 or 3' end Extend single-chain features. The double-stranded compound may contain an overhang at the end as needed. Other modifications may include attachment to one end, a selected nucleotide position, a sugar position, or a coupling group attached to an internucleoside linkage. Alternatively, the two strands can be joined via a non-nucleic acid moiety or a linker group. In the form of a single-stranded strand, the dsRNA can be in the form of an auto-complementary hairpin-type molecule that folds in itself to form a duplex. Thus, the dsRNA can be fully or partially double stranded. Gene expression can be specifically regulated by stably expressing the dsRNA hairpin type in the transgenic cell line. When formed from a single strand of two strands, or in the form of an auto-complementary hairpin-type molecule (self-folding to form a duplex), the two strands (or regions in which the duplex forms a duplex) are Wats〇 The complementary RNA bond of the base pairing of the n_CHck method. After introduction into the system, the compounds of the invention may elicit one or more enzymes or structural proteins <action to effect cleavage or other modification of the target nucleic acid or may act via a mechanism based on a primary basis, in general, nucleic acid (including nucleus acid) ) can be described as "DNA-like" (ie, usually having one or more 2,_deoxy sugars and (usually) T rather than TJ bases) or "RNA-like" (ie, usually having one or more 2,-hydroxyl or 2,_modified sugars and (usually, the snails of the sulphonic and non-tau bases can be used as the structural type of the above species, most commonly type A and type B. It is believed that the two have a type B The structural oligoacids are "like dna" and they have a type A-like structure "RNA-like". In some (chimeric) examples, antisense compounds may contain A and 3_-type regions. The antisense compound of the month may comprise an antisense portion of about 5 to about 8 nucleotides 156341.doc • 48-201201819 (that is, about 5 to about 80 linked nucleosides), which means antisense The length of the antisense strand or portion of the compound. In other words, the single chain antisense compound of the invention comprises from 5 to about 80 cores. And the double-stranded antisense compound of the invention (eg, dsRNA) comprises a sense and antisense strand or portion of from 5 to about 80 nucleotides in length. Those skilled in the art will appreciate that the length of this coverage is 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, Or an antisense portion of 80 nucleotides, or any range thereof. In one embodiment, the antisense compound of the invention has an antisense portion of from 1 Å to 5 nucleotides in length. It should be understood that the length of the antisense part is 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, or 50 Nucleotide, or an oligonucleotide thereof in any range. In some embodiments, the oligonucleotide is 15 nucleotides in length. In one embodiment, the antisense or oligonucleotide of the invention The compound has an antisense portion of 12 or 13 to 30 nucleotides in length. Those skilled in the art will appreciate that the length of the antisense portion is 12, 13, 14, 15, 16, 17, 18, 19, 20 , 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 156341.doc • 49·201201819 nucleotides, or any range of antisense compounds thereof. In one embodiment, the oligomeric compounds of the invention also comprise variants in which different bases are present at one or more nucleotide positions in the compound. For example, if the first nucleotide is adenine, a variant containing thymidine, uridine or cytidine at this position can be produced. This can occur anywhere in the antisense or dsRNA compound. The compounds are then tested using the methods described herein to determine their ability to inhibit the performance of the target nucleic acid. In some embodiments, the homology, sequence identity or complementarity between the antisense compound and the target is from about 40% to about 60%. In some embodiments, homology, sequence identity or complementarity is from about 60% to about 70% «in some embodiments, 'homology, sequence identity or complementarity is from about 7% to about 80%. %. In some embodiments, homology, sequence identity or complementarity is from about 80% to about 90%. In some embodiments, the homology, sequence identity or complementarity is about 90%, about 92%, about 94%, about 95. /. , about 96%, about 97%, about 98%, about 99% or about 100%. In one embodiment, antisense oligonucleotides (eg, the nucleic acid molecules set forth in SEQ ID NOS: 4 to 13) include one or more substitutions or modifications. In one embodiment, the nucleotide is replaced by a locked nucleic acid (LNA). In one embodiment, the oligonucleotide targets one or more of the sense and/or antisense nucleic acid molecules of the coding and/or non-coding sequence associated with BCL2L11 and the sequences set forth in SEQ ID NOs: 1 to 3. Areas. The oligonucleotides also dried to the overlapping regions of SEQ ID NOS: 1 to 3. Certain preferred oligonucleotides of the invention are chimeric oligonucleotides. "Chimeric oligonucleotides" or "chimeras" in the context of the present invention are oligonucleotides comprising two or more 156341.doc • 50-201201819 chemically distinct regions, each region being at least A nuclear bitter acid composition. The oligonucleotides typically contain at least one modified nucleotide acid region that confers one or more beneficial properties (eg, increased nuclease resistance, increased cellular uptake, increased binding affinity to the target); and is capable of cleaving RNA : DNA or RNA: the region of the RNA heterozygote that is regulated by the enzyme. For example, RNase tethers can cleave the RNA endonuclease of the RNA:DNA duplex. Thus, 'activated RNase Η cleaves RNA stems, thereby greatly enhancing the efficiency of antisense regulation of gene expression. Thus, comparable results are generally obtained with shorter oligonucleotides when using chimeric cryptonucleotides compared to phosphorothioate deoxyoligonucleotides that hybridize to the same dry region. Detection of cleavage of an RNA target can generally be performed by gel electrophoresis and, if desired, related nucleic acid hybridization techniques known in the art. In one embodiment, the chimeric oligonucleotide comprises at least one modification to increase target binding affinity. The region, and (often) used as the region of RNAse Η. The affinity of the oligonucleotide to its target (in this case, the nucleic acid encoded), the temperature at which the Tm-based oligonucleotide dissociates from the target, is typically determined by measuring the Tm of the oligonucleotide/target pair, using spectrophotometry Method to detect dissociation. The higher the Tm, the greater the affinity of the oligonucleotide to the target. The chimeric antisense compounds of the invention may be formed as a composite structure of two or more oligonucleotides, modified nucleotides, oligonucleosides and/or nucleotide mimics as described above. Thus, compounds are also known in the art as hybrids or combinations. Representative U.S. patents that teach the preparation of such hybrid structures include, but are not limited to, U.S. Patent Nos. 5, 13,830, 5,149,797, 5,220,0,7, 5,256,775, 5,366,878, 156,341. .doc • 51-201201819 5,403,711, 5,491,133, 5,565,350, 5,623,065, 5,652,355, 5,652,356, and 5,700,922 each incorporated herein by reference. In one embodiment, the modified region of the oligonucleotide comprises at least one nucleotide modified at the 2' position of the sugar, preferably via 2,-decyl, 2'-indolyl-anthracene -Alkyl or 2'-fluoro modified nucleotide "In another embodiment, the rnA modification comprises a ribose for a pyrimidine, an abasic residue or a reverse base of the 3, end of the 2, fluorine, 2'-Amino and 2, anthracene-fluorenyl modification. These modifications are typically incorporated into the oligonucleotide and have been shown to have a higher Tm (i.e., higher dry binding affinity) for a given stem relative to the 2,-deoxyoligonucleotide. This increased affinity effect greatly enhances the inhibition of gene expression by RNAi oligonucleotides. RNAse Η cleavage of RNA: an endonuclease of an RNA strand in a DNA duplex; thus 'activation of this enzyme cleaves the RNA target, and thereby greatly enhances the efficiency of RNAi inhibition. Lysis of the rnA target can usually be visualized by gel electrophoresis. In one embodiment, the chimeric oligonucleotide is also modified to enhance nuclease resistance. The cells contain a variety of degradable nucleic acid exonuclease and endonuclease. A variety of nucleotide and nucleoside modifications have been shown to allow the oligonucleotides incorporated into the oxime to be more resistant to nuclease digestion than natural oligodeoxynucleotides. Nuclease resistance is typically achieved by oligos. The cells are incubated with the cell extract or isolated nuclease solution and are often measured over time by gel electrophoresis for the amount of remaining intact oligonucleotide. Oligonucleotides that have been modified to enhance their nuclease resistance remain intact for longer than unmodified oligonucleotides. A variety of oligonucleotides have been shown to enhance or confer nuclear resistance to S#. Currently 'oligonucleosides containing at least one thioglycolate modification 156341.doc • 52- 201201819 The acid is better. In some cases, oligonucleotides that enhance target binding affinity are also modified to independently enhance nuclease resistance. Specific examples of some preferred oligonucleotides to be used in the present invention include those including modified backbones, such as phosphorothioates, phosphotriesters, decyl phosphonates, Short-chain alkyl or cycloalkyl sugar linkages or short-chain heteroatoms or heterocyclic linkages* the best oligonucleotides with a phosphorothioate backbone and those with a heteroatom backbone The hetero atom backbone is especially CH2-NH--0--CH2, CH,--N(CH3)--0--CH2 [referred to as an anthranylene group (methylimido group) or MMI master Chain], (:112--0--:^(〇^3)--CH2, CH2 -N (CH3)--N (CH3)--CH2 and 0--N (CH3)--CH2 -CH2 The main chain in which the natural phosphodiester backbone is represented by 0--P--0--CH). The guanamine backbone disclosed by De Mesmaeker et al. (1995) Acc. Chem. Res. 28:366-374 is also preferred. Also preferred are oligonucleotides having a morpholino backbone structure (Summerton & Weeller, U.S. Patent No. 5,034,506). In another embodiment (eg, a peptide nucleic acid (PNA) backbone), the phosphodiester backbone of the oligonucleotide is replaced by a polyamine backbone, and the nucleotide is directly or indirectly bound to the nitrogen of the polyamine backbone Aza atom. Oligonucleotides can also include one or more substituted sugar moieties. Preferred oligonucleotides include one of the following groups at the 2' position: OH, SH, SCH3, F, OCN, OCH3 OCH3, OCH3 0(CH2)n CH3, 0(CH2)n NH2 or 0 (CH2 n) CH3 (n is from 1 to about 10); C1-C10 lower alkyl, alkoxy, substituted lower alkyl, alkaryl or aralkyl; Cl; Br; CN; CF3; OCF3; S--, or N-alkyl; 0--, S--, or N-alkenyl; SOCH3; S02 CH3; 0N02; N02; N3; NH2; heterocycloalkyl; heterocycloalkylaryl; Alkylamine; polyalkane 156341.doc •53-201201819 arylamino; substituted methoxyalkyl; RNA cleavage group; reporter group; immigration agent for improving the pharmacokinetics of oligonucleotides a group of properties, or a group for improving the pharmacodynamic properties of an oligonucleotide and other substituents having similar properties. A preferred modification comprises 2,-methoxyethoxy [2I-0-CH2 CH2 OCH3, also known as 2,-0-(2-methoxyethyl)]. Other preferred modifications include 2·-methoxy (2,-0-CH3), 2·-propoxy (2,_OCH2CH2CH3) and 2'-fluoro(π). # Other modifications can be made to other positions on the scorpion nucleus, especially 3, the 3, and 5, and 5, terminal nucleotides of the terminal nucleotide. The oligonucleotide may also have a sugar mimetic, for example, using cyclobutyl instead of pentofuran. Oligonucleotides may also be modified or substituted, in addition or alternatively, to include nucleobases (often abbreviated as "bases"). As used herein, "unmodified" or "natural" nucleotides include adenine (A), black mites, thymine (τ), cytosine (C), and uracil (U). Modified nucleotides include nucleotides found only in natural or nucleic acids, such as hypoxanthine, 6 methyl adenine, 5 to me pyrimidine, especially 5-methylcytosine (also known as 5-a Keto-2'-deoxycytosine and commonly referred to in the industry as 5_Me_c), % by cytosine (HMC), glycosyl HMC and gentiolysyl HMC; and synthetic nucleotides, for example, 2-amine Adenine, 2_(decylamino) adenine, oxazolyl) adenine, 2_(alkylalkylamino) adenine or other hetero-substituted alkyl adenine, 2-thiouracil, 2- Thiothymidine, 5-bromouracil, hydroxyindole uracil, 8-azaguanine, 7-deazaguanine, aminohexyl) glandular and 2,6-diamino-based. It may include the "common" test base in the industry (for example, muscle bitterness has been shown to replace 5_Me_C with nucleic acid: 156341.doc •54·201201819 Chain stability is increased by -(10) and is replaced by the current preferred test. Another modification of the oligocore (IV) involves chemically linking to the nutrient nucleotides or a plurality of conjugates that enhance the activity or cellular uptake of the oligonucleotides. These moieties include, but are not limited to, lipid moieties (eg, Cholesterol moiety), cholesteryl moiety, aliphatic bond (eg, dodecyl diol or - undecyl residue), polyamine or polyethylene glycol chain, or adamantane acetate. It is known in the art to include lipophilicity. Part of the oligonucleic acid, and the method of preparing the oligo-nucleic acid, for example, U.S. Patent Nos. 5,138,045, 5,218,1,5, and 5,459,255. Given all positions in the oligo(4) and There is no need for a modified modification, and in fact, the above-mentioned repairs may be included in a single scorpion nucleus or even included in the mono-nuclear acid in the nucleus acid. The present invention also includes The nucleotides of the defined chimeric oligonucleotides. In another embodiment, the nucleic acid molecule of the invention is conjugated to another moiety, including but not limited to abasic nucleotides, polyethers, polyamines, polyamines, peptides, carbohydrates, lipids, or poly Hydrocarbon compounds. Those skilled in the art will recognize that such molecules can be attached to one or more of any of the nucleic acid molecules at several positions on the sugar, base or phosphate group. The oligonucleotides used in the present invention can be prepared in a convenient conventional manner via well-known solid phase & formation techniques. Several suppliers, including Applied Biosystems, sell equipment for carrying out the synthesis. One other approach is well known to those skilled in the art of the current synthesis of oligonucleotides. It is also well known to use similar techniques to prepare other oligonucleotides such as phosphorothioate and alkylated derivatives 156341.doc-55-201201819. Similar techniques and commercially available modified DNA synthetic amidite and fixed pore glass (CPG) products (eg, DNA synthesis nuclei modified with biotin, luciferin, acridine or psoralen) are also well known in the art. Glucosidic acid and/or CPG (available from Glen Research, Sterling, VA) to synthesize fluorescently labeled, biotinylated or otherwise modified oligonucleotides, such as cholesterol modified oligonucleotides. According to the present invention, the use of modifications (for example, using LNA monomers) to enhance the efficacy, specificity and duration of action and broaden the administration route of oligonucleotides include chemical methods such as MOE, ANA, FANA, PS, etc. This is achieved by the use of LNA monomers in place of some of the monomers in the current oligonucleotide. The LNA modified oligonucleotides may have a size similar to the parent compound or may be larger or preferably smaller. Preferably, the LNA-modified oligonucleotide contains less than about 70%, more preferably less than about 60%, optimally less than about 50% of the LNA monomer, and is between about 5 and 25 nucleotides in size, More preferably between about 12 and 20 nucleotides. Preferred modified oligonucleotide backbones include, but are not limited to, phosphorothioates, palmitic phosphorothioates, dithiophosphates, phosphotriesters, aminoalkyl phosphates, decyl phosphonates, and Other alkyl phosphonates (including phosphonic acid 3, alkylene esters and palladium phosphonates), phosphinates, amino phosphates (including amino amino phosphates and amine amino phosphate groups) Alkyl esters), thiocarbonylamino phosphates, thiocarbonylalkyl phosphonates, thiocarbonylalkyl acid triesters, and borane phosphates having a common 3'-5' linkage, such backbones 2,-5, linked analogs, and those with opposite polarity (wherein adjacent nucleoside units are changed from 3'-5' to 5'-3' or from 2'-5' to 5' -2'). Also contains a variety of salts, mixed salts and free 156341.doc • 56- 201201819 acid form. Representative U.S. patents including the above-described dish bonding include, but are not limited to, U.S. Patent Nos. 3,687,808, 4, 9, 9,863, 4,476,301, 5, 23,243, 5,177,196, 5,188,897 , Nos. 5,264,423, 5,276,019, 5,278,302, 5,286,717, 5,321,131, 5,399,676, 5,405,939, 5,453,496, 5,455,233, 5,466,677, 5,476,925, 5,519,126 , 5, 536, 821, 5, 541, 306, 5, 550, 1 1 1 , 5, 563, 253, 5, 571, 799, 5, 587, 361, and 5, 625, 050, each of which is incorporated herein by reference. Preferred modified oligonucleotide backbones containing no phosphorus atoms have a backbone formed by short-chain alkyl or cycloalkyl internucleoside linkages, mixed heteroatoms, and alkyl or cycloalkyl nucleosides Inter linkages, or one or more short chain heteroatoms or heterocyclic internucleoside linkages. The backbones include those having a morpholino linkage (partially formed from a nucleoside sugar moiety); a siloxane backbone; a sulfide, a sulfoxide, and a sulfone backbone; a formazan group and a thiopurine主 醯 主 ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; Ruthenium-based backbone; pyruvate and continuous amine backbone; guanamine backbone; and other components with mixed N, 〇, s and CH2. Representative U.S. patents for oligonucleosides include, but are not limited to, U.S. Patent Nos. 5,034,506, 5,166,315, 5,185,444, 5,214,134, 5,216,141, 5,235'033, Nos. 5,264,562, 5,264,564, 5,4,5,938, 5,434,257, 156341.doc -57-201201819 5,466,677, 5,470,967, 5,489,677, 5,541,307, 5,561,225 , 5,596,086, 5,602,240, 5,610,289, 5,602,240, 5,608,046, 5,610,289, 5,618,704, 5,623,070, 5,663,312, 5,633,360, 5,677,437, and 5,677,439, Each is incorporated herein by reference. In other preferred oligonucleotide mimetics, both the sugar and the internucleoside linkage (i.e., the primary linkage) in the nucleotide unit are replaced by a new group. The base unit is retained to hybridize the compound to a suitable nucleic acid. One such oligomeric compound (an oligonucleotide mimetic that has been shown to have excellent hybridization properties) is referred to as a peptide nucleic acid (PNA). The sugar-backbone in the 'oligonucleotide in the PNA compound is replaced by a guanamine-containing backbone, specifically an aminoethylglycine backbone. The nucleotide is retained and bonded directly or indirectly to the aza nitrogen atom of the guanamine moiety in the backbone. Representative U.S. patents which teach the preparation of PNA compounds include, but are not limited to, U.S. Patent Nos. 5,539,082, 5,714,331, and 5,719,262 each incorporated herein by reference. Further teachings of PNA compounds can be found in Nielsen et al. (1991) Science 254, 1497-1500. An embodiment of the invention is an oligonucleotide having a phosphorothioate backbone and an oligonuclear having a hetero atom backbone, and in particular, -CH2-NH of the above-mentioned U.S. Patent No. 5,489,677 -0-CH2-, -CH2-N(CH3)-0-CH2-[referred to as methylene (mercaptoimine) or MMI backbone], -CH2-0-N(CH3)-CH2-, -CH2N(CH3)-N(CH3)CH2- and -0-N(CH3)-CH2-CH2-[where the natural phosphodiester backbone is represented as -QP-0-CH2-], and as mentioned above The amine backbone of U.S. Patent No. 5,602,240. Also preferred is 156341.doc -58 - 201201819 The preferred one is the nucleotide of the morpholino backbone structure of U.S. Patent No. 5,034,506. The modified oligonucleotide may also contain one or more substituted sugar moieties. Preferred oligonucleotides include one of the following in the 2' position: 〇H; F; 0-, S- or N-alkyl, 0-, S- or N-alkenyl; 0-, S- or N-alkynyl; or decyl-0-alkyl, wherein the alkyl, alkenyl and alkynyl groups may be substituted or unsubstituted C1 to C10 alkyl or C2 to C10 alkenyl and alkynyl groups System Ο (CH2)n OmCH3, 0(CH2)n, OCH3, 0(CH2)nNH2, 0(CH2)nCH3, 0(CH2)n0NH2, and 0(CH2n0N(CH2)nCH3)2, where n and m It can be from 1 to about 10. Other preferred oligonucleotides include one of the following in the 2' position: C1 to C10 lower alkyl, substituted lower alkyl, alkaryl, aralkyl, 0-alkylaryl or 0-aryl Alkyl, SH, SCH3, OCN, Cl, Br, CN, CF3, 0CF3, SOCH3, S02CH3, 0N02, N02, N3, NH2, heterocycloalkyl, heterocycloalkylaryl, aminoalkylamino, poly Alkylamino, substituted formyl group, RNA cleavage group, acceptor group, intercalator, pharmacokinetic properties of modified oligonucleotides, or pharmacodynamics of modified oligonucleotides a group of properties, and other substituents of similar nature. Preferred modifications include 2·-methoxyethoxyethoxy (2'-0-CH2CH20CH3, also known as 2'-0-(2-methoxyethyl) or 2'-MOE), ie, alkoxy Alkoxy group. Other preferred modifications include 2'-dimethylaminooxyethoxy (i.e., 0(CH2)20N(CH3)2 groups, also known as 2匕DMAOE, as described in the Examples below), And 2·-didecylaminoethoxyethoxy (also known in the art as 2'-0-didecylaminoethoxyethyl or 2·-DMAEOE, ie, 2'-0- CH2-0-CH2-N (CH2)2). 15634 丨.doc -59- 201201819 Other preferred modifications include 2·-methoxy (2,-〇CH3), 2'-aminopropoxy (2'-〇CH2CH2CH2NH2) and 2'-fluoro (2' -F). Similar modifications can be made at other positions on the oligonucleotide, especially 3, terminal nucleotides or 2,_5, linking the 3' and 5's of the sugar in the oligonucleotide, 5 of the terminal nucleotide Bit. The oligonucleotide may also have a sugar mimetic ', for example, a cyclobutyl moiety is used instead of the pentofuranosyl sugar. Representative U.S. patents which teach the preparation of such modified sugar structures include, but are not limited to, U.S. Patent Nos. 4,981,957, 5,1 18,800, 5,319,080, 5,359,044, 5,393,878, 5,446,137, 5,466,786, 5,514,785, 5,519,134, 5,567,81 1 , 5,576,427, 5,591,722, 5,597,909, 5,610,300, 5,627,053, 5,639,873, 5,646,265, Nos. 5,658,873, 5,670,633, and 5,700,920 each incorporated herein by reference. Oligonucleotides may also include nucleobases (often abbreviated as "bases" in the art) for modification or substitution. As used herein, "unmodified" or "natural" nucleotides include purines (adenine (A) and guanine (G)) and pyrimidine (T), cytosine (〇 and Uracil (u)). Modified nucleotides include other synthetic and natural nucleotides such as 5-methylcytosine (5-me-C), 5-hydroxydecyl cytosine, astragalus, hypoxanthine , 2_Amino adenine, adenine and guanine 6-mercapto and other alkyl derivatives, adenine and guanine 2_propyl and other alkyl derivatives, 2-thiouracil, 2-thiothymidine and 2-thiocytosine, 5-norform uracil and cytosine, 5-propynyl uracil and cytosine, 6-azouracil, cytosine and thymine, 5- Urine, bite (pseudo-urine), 4-thiourea cancer bite, 8-dentate, 8-amino, 8-thiol, 8-156341.doc •60· 201201819 thioalkyl, 8- Hydroxyl and other 8-substituted adenines and black mites, 5-halogenated, especially 5-bromine, 5-trifluoromethyl and other 5-substituted urethanes and cyanosines, 7-mercapto guanines and 7 - thiol adenine, 8-azaindene and 8-azadenine, 7-Deazaguanine and 7-deaza adenine and 3-azepine guanine and 3-deaza adenine. In addition, the nucleotides include those disclosed in U.S. Patent No. 3,687,808, the disclosure of which is incorporated herein by reference. 'The Concise Encyclopedia of Polymer

Science And Engineering’,第 858-859頁,Kroschwitz,J.I. 編輯 ’ John Wiley & Sons, 1990 中者、彼等由 Englisch等 人,「Angewandle Chemie,International Edition」,1991, 30,第613頁揭示者、及彼等由Sanghvi, Y.S.,第15章, 「Antisense Research and Applications」,第 289-302 頁, Crooke,S.T·及Lebleu,Β· ea” CRC Press,1993揭示者。某 些該等核苷酸尤其用於增加本發明之寡聚化合物之結合親 和力。δ亥卓核音酸包括5 -取代《•密咬、6-氮雜喊〇定及n_2、 Ν·6及0-6取代嘌呤,包括2_胺基丙基腺嘌呤、5丙炔基尿 嘧啶及5-丙炔基胞嘧啶。已顯示甲基胞嘧啶取代可將核 酸雙鏈體穩定性增加 〇.6-l_2°C(SanghVi,Y.S·,Crooke,S.T. 及 Lebleu,Β·編輯,,Antisense Research and Applications,, CRC Press,Boca Raton,1993,第 276-278頁)且係當前較佳 之鹼基取代,甚至更尤其在與2,_〇曱氧基乙基糖修飾組合 時〇 教不上述經修飾核苷酸以及其他經修飾核苷酸之製備之 代表性美國專利包括但不限於美國專利第3,687期號、以 15634】,doc -61 - 201201819 及第 4,845,205 號、第 5,130,302 號、第 5,134,066 號、第 5,175,273號 '第 5,367,066號、第 5,432,272號、第 5,457,187 號、第 5,459,255 號、第 5,484,908 號、第 5,502,177 號、第 5,525,71 1 號、第 5,552,540號、第 5,587,469號、第 5,596,091 號、第5,614,617號、第 5,750,692號、及第 5,681,941 號,每 一者皆以引用方式併入本文中。 對本發明募核苷酸之另一修飾涉及使一或多種可增強寡 核苷酸之活性、細胞分佈或細胞攝取之部分或偶聯物以化 學方式連接至寡核苷酸。 該等部分包括但不限於脂質部分(例如膽固醇部分)、膽 酸、硫醚(例如,己基-S-三苯曱基硫醇)、硫代膽固醇、脂 肪族鏈(例如,十二烷二醇或十一烷基殘基)、磷脂(例如, 二-十六烷基-外消旋-甘油或三乙基銨1,2-二-0-十六烷基-外消旋-甘油-3-H-膦酸酯)、聚胺或聚乙二醇鏈、或金剛烷 乙酸、棕櫊基部分、或十八胺或己基胺基-羰基-氧基膽固 醇部分。 教示該等寡核苷酸偶聯物之製備之代表性美國專利包括 但不限於美國專利第4,828,979號、第4,948,882號、第 5,218,105號、第 5,525,465號、第5,541,313號、第 5,545,730 號、第 5,552,538 號、第 5,578,717 號、第 5,580,731 號、第 5,580,731 號、第 5,591,584號、第 5,109,124號、第 5,118,802 號、第 5,138,045 號、第 5,414,077 號、第 5,486,603 號、第 5,512,439號、第 5,578,718號、第 5,608,046號、第 4,587,044 號、第 4,605,735 號、第 4,667,025 號、第 4,762,779 號、第 156341.doc -62- 201201819 4,789,737號、第 4,824,941號、第 4,835,263 號、第 4,876,335 號、第 4,904,582 號、第 4,958,013 號、第 5,082,830 號、第 5,112,963 號、第 5,214,136號、第 5,082,830號、第 5,112,963 號、第 5,214,136 號、第 5,245,022 號 '第 5,254,469 號、第 5,258,506號、第 5,262,536號、第 5,272,250號、第 5,292,873 號、第 5,317,098 號、第 5,371,241 號、第 5,391,723 號、第 5,416,203號、第 5,451,463號、第 5,510,475號、第 5,512,667 號、第 5,514,785 號、第 5,565,552 號、第 5,567,810 號、第 5,574,142號、第 5,585,481 號、第 5,587,371 號、第 5,595,726 號、第 5,597,696號、第 5,599,923號、第 5,599,928號、及第 5,688,941號,每一者皆以引用方式併入本文中。 藥物研究:亦可將本發明化合物加至藥物研究及乾驗證 之區域中。本發明涵蓋本文所鑑別化合物及較佳靶區段在 藥物研究中之用途,該藥物研究試圖闡釋類BCL2 11 (BCL2L11)聚核苷酸與疾病狀態、表現型、或病狀之間所 存在之關係。該等方法包含檢測或調節BCL2L11聚核苷 酉文,其包括使試樣、組織、細胞、或有機體與本發明化合 物接觸’在治療後某一時間量測BCL2LU聚核苦酸之核酸 或蛋白質含量及/或相關表現型或化學端點,及視 較量測值與未處理試樣或經本發明中另Science And Engineering', pp. 858-859, Kroschwitz, JI Editor' John Wiley & Sons, 1990, by Englisch et al., "Angewandle Chemie, International Edition", 1991, 30, p. 613 And their disclosure by Sanghvi, YS, Chapter 15, "Antisense Research and Applications", pp. 289-302, Crooke, ST. and Lebleu, Β ea" CRC Press, 1993. Some of these nucleotides In particular, it is used to increase the binding affinity of the oligomeric compound of the present invention. The δ haizhuo nuclear acid includes a 5-substituting "• 密 bite, 6-aza 〇 及 及 and n_2, Ν·6 and 0-6 substituted 嘌呤, including 2_Aminopropyl adenine, 5 propynyl uracil and 5-propynyl cytosine. It has been shown that methylcytosine substitution can increase the stability of the nucleic acid duplex 〇.6-l_2 °C (SanghVi, YS, Crooke, ST and Lebleu, ed., ed., Antisense Research and Applications, CRC Press, Boca Raton, 1993, pp. 276-278) and are currently preferred base substitutions, even more particularly with 2, 〇曱 〇曱 乙基 乙基 糖 修饰 修饰 修饰 修饰Representative U.S. patents for the preparation of the above modified nucleotides and other modified nucleotides include, but are not limited to, U.S. Patent No. 3,687, No. 15,634, doc-61 - 201201819, and No. 4,845,205, No. 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, 71 1 and 5, 552, 540, Nos. 5,587, 469, 5, 596, 091, 5, 614, 617, 5, 750, 692, and 5, 681, 941, each of which is incorporated herein by reference. A portion or conjugate of the activity, cell distribution or cellular uptake of the oligonucleotide is chemically linked to the oligonucleotide. Such moieties include, but are not limited to, lipid moieties (eg, cholesterol moieties), cholic acid, thioethers (eg, , hexyl-S-triphenylmercaptothiol), thiocholesterol, aliphatic chain (eg, dodecanediol or undecyl residue), phospholipid (eg, di-hexadecyl-) Racemic-glycerol or triethylammonium 1,2-di-O-hexadecyl-racemic-glycerol-3-H-phosphonate), polyamine or polyethylene glycol chain, or adamantane Acetic acid, palmitoyl moiety, or octadecylamine or hexylamino-carbonyl-oxycholesterol moiety. Representative U.S. patents that teach the preparation of such oligonucleotide conjugates include, but are not limited to, U.S. Patent Nos. 4,828,979, 4,948,882, 5,218,105, 5,525,465, 5,541,313, 5,545,730. , 5,552,538, 5,578,717, 5,580,731, 5,580,731, 5,591,584, 5,109,124, 5,118,802, 5,138,045, 5,414,077, 5,486,603, 5,512,439, 5,578,718, 5,608,046, 4,587,044, 4,605,735, 4,667,025, 4,762,779, 156341.doc-62-201201819 4,789,737, 4,824,941, 4,835,263, 4,876,335, Nos. 4,904,582, 4,958,013, 5,082,830, 5,112,963, 5,214,136, 5,082,830, 5,112,963, 5,214,136, 5,245,022, 5, 254, 469, 5, 258, 506 No. 5,262,536, 5,272,250, 5,292,873, 5,317,098, 5,371,241, 5,391,723 No. 5,416,203, 5,451,463, 5,510,475, 5,512,667, 5,514,785, 5,565,552, 5,567,810, 5,574,142, 5,585,481, 5,587,371, 5,595,726, Nos. 5,597,696, 5, 599, 923, 5, 599, 928, and 5,688, 941 each incorporated herein by reference. Drug Research: The compounds of the invention may also be added to the area of drug research and dry validation. The present invention encompasses the use of the compounds identified herein and preferred target segments for drug research, which attempts to elucidate the presence of a BCL2 11 (BCL2L11)-like polynucleotide with a disease state, phenotype, or condition. relationship. The methods comprise detecting or modulating a BCL2L11 polynucleoside, which comprises contacting a sample, tissue, cell, or organism with a compound of the invention to measure the nucleic acid or protein content of BCL2LU polyphosphate at a time after treatment. And/or related phenotypes or chemical endpoints, and visually measured values with untreated samples or otherwise in accordance with the invention

效性。 明中另一化合物處理之試 實施以測定用於 或用以測定特定基因產物 狀、或表現型之靶的有 15634 丨.doc .63· 201201819 評價基因表現之上調或抑制: 可藉由直接檢測細胞或有機體中核酸之存在來評 核酸向宿主細胞或有機體中的轉移。該檢測可藉 孰 知之若干方法來達成。例如’可藉由南方印跡或藉由聚: 酶鏈反應(p⑶技術使㈣異性擴增與核酸㈣之㈣二 序列之引物來檢測外源核酸的存在。亦可使用包含基因表 現分析在内之習用方法來量測外源核酸之表現。二列而 言,可使用北方印跡及逆轉錄pcr(rt_pcr)來檢測及量化 自外源核酸產生之mRNA。 亦可藉由量測酶活性或報導子蛋白活性來檢測來外源核 酸令RNA之表現。舉例而言,可根據乾核酸表現之降低^ 增加來間接量測反義調節活性’從而指示外源核酸在效應 子隱中產生。基於序列料性,可設計引物並用於擴^ 靶基因之編碼區域。最初,可使用來自每一基因之最高表 現編碼區域來建立對照基因模㉟,但可使用任—編褐或非 編碼區域。#由將#一編碼區域插入報導子編竭區域及其 p〇ly(A)〗s號之間來組裝每一對照基因。該等質粒將產生在 基因上游部分具有報導子基因且在3,非編碼區域中具有潛 在RNAi靶之mRNA。藉由調節報導子基因來分析個別反義 寡核苷酸之有效性。用於本發明方法中之報導子基因包含 乙醯羥酸合酶(AHAS)、鹼性磷酸酶(AP)、β半乳糖苷酶 (LacZ)、β葡糖醛酸糖苷酶(GUS)、氯黴素乙醯轉移酶 (CAT)、綠色螢光蛋白(GFp)、紅色螢光蛋白(RFp)、黃色 發光蛋白(YFP)、青色螢光蛋白(CFP)、辣根過氧化物酶 156341.doc -64- 201201819 (HRP)、螢光素酶(Luc)、胭脂鹼合酶(NOS)、章魚肉鹼合 酶(OCS)、及其衍生物。可使用賦予以下物質抗性之多種 可選擇標記物:胺苄西林(ampicillin)、博來黴素(bleomycin) 、氯黴素(chloramphenicol)、慶大黴素(gentamycin.)、潮黴 素(hygromycin)、卡那黴素(kanamycin)、林可黴素 (lincomycin)、曱胺蝶呤(methotrexate)、草胺膦 (phosphinothricin)、°票呤黴素(puromycin)、及四環素 (tetracycline)。測定報導子基因之調節的方法在業内已眾 所周知,且包含但不限於螢光方法(例如螢光光譜法、螢 光活化細胞分選(FACS)、螢光顯微術)、抗生素抗性測 定。 可使用彼等熟習此項技術者已知及闡述於本文其他處之 方法來分析BCL2L11蛋白及mRNA表現。舉例而言,可使 用諸如ELISA等免疫分析來量測蛋白質含量。BCL2L11 ELISA分析套組市面有售,例如,購自R&D Systems (Minneapolis, MN)。 在實施例中,藉由與對照試樣中之BCL2L11表現進行比 較來評估使用本發明反義寡核苷酸處理之試樣(例如,活 體内或活體外中之細胞或組織)中的BCL2L11表現(例如, mRNA或蛋白質)。舉例而言,可使用彼等熟習此項技術者 已知之方法來對蛋白質或核酸之表現與模擬處理或未處理 試樣進行比較。另一選擇為,可端視期望資訊來比較所處 理試樣與對照反義寡核苷酸(例如,具有經改變或不同序 列者)。在另一實施例中,可使用經處理試樣與未處理試 156341.doc -65- 201201819 樣中不同核酸(包含研究者認為適宜之任一標準,例如, 持家基因)表現之差異來比較經處理試樣與未處理試樣中 BCL2L11蛋白質或核酸表現之差異。 可根據需要(例如)以比率或份數形式來表示所觀察之差 異以用於錢肋㈣比較。在實_巾,相對於未處理 試樣或經對照核酸處理之試樣,經本發明反義寡核菁酸處 理之試樣中BCL2LH mRNA或蛋白f之含量增加或降低約 1·25倍至約1()倍或更高。在實施例中,咖儿"爪職或 蛋白質之含量增加或降低至少約125倍、至少約13倍、至 少、々1.4倍、至少約! 5倍、至少約】6倍至少約! 7倍至 少約1.8倍、至少約2倍、至少約2 5倍、至少約3倍、至少 約3.5倍、至少約4倍、至少約4 5倍、至少約5倍、至少約 5-5L、至少約6倍、至少約6.5倍、至少約7倍、至少約7 5 倍、至少約8倍、至少約8.5倍、至少約9倍、至少約9 5 倍、或至少約10倍或更高。 套組、研究試劑、診斷、及治療 本叙明化合物可用於診斷、治療、及預防,且可用作套 組之研究試劑及組份。另外,彼等熟習此項技術者通常使 用能夠以強烈特異性抑制基因表現之反義寡核苷酸來闡釋 特定基因之功能或區別生物路徑之各個成員的功能。 對於在套組及診斷及各種生物系統中之應用而言,本發 明化合物(單獨或與其他化合物或治療劑組合)可用作差值 及/或組合分析中之工具以闡釋細胞及組織内所表現基因 之一部分或整個互補序列的表現模式。 156341.doc •66- 201201819 本文所用之術語「生物系統」或「系統」定義為表現、 或使其足以表現類BCL2 11 (BCL2L11)基因產物的任一有 機體、細胞、細胞培養物或組織。該等系統包含但不限於 人類、轉基因動物、細胞、細胞培養物、組織、異種移植 ‘ 物、移植物及其組合。 - 根據一非限制性實例,對經一或多種反義化合物處理之 細胞或組織内的表現模式與未經反義化合物處理之對照細 胞或組織進行比較,且分析所得模式關於(例如)疾病相關 性、k號傳導路徑、細胞定位、表現程度、所檢驗基因之 尺寸、結構或功能之基因表現的差異程度。該等分析可在 經刺激或未經刺激細胞中且在影響表現模式之其他化合物 存在或不存在下實施。 業内已知之基因表現分析之方法實例包含Dna陣列或微 陣列、SAGE(基因表現之系列分析)、READS(消化①财之 限制性酶擴增)、T0GA(總體基因表現分析)、蛋白質陣列 及蛋白組學、已表現序列標誌(EST)測序、消減RNA指紋 技術(SuRF)、消減選殖、差異顯示(DD)、比較基因組雜 交' FISH(螢光原位雜交)技術及質譜方法。 ' 本發明化合物可用於研究及診斷中,此乃因該等化合物 可與編碼類BCL2 11 (BCL2L11)之核酸雜交。舉例而言, 在如本文所揭示可用作有效BCL2L11調節劑之效率及條件 不雜交之寡核苷酸在分別有利於基因擴增或檢測之條件下 係有效引物或探針。該等引物及探針可用於需要特異性檢 測編碼BCL2L11之核酸分子的方法中,及擴增該等核酸分 156341.doc • 67- 201201819 子’以用於檢測或用於進一步研究BCL2L11。本發明之反 義寡核苷酸(尤其引物及探針)與編碼BCL2L11之核酸的雜 父可藉由業内已知方式進行檢測。該等方式可包含使酶與 寡核苷酸偶聯、放射性標記寡核苷酸、或任一其他適宜檢 測方式。亦可使用該等檢測試樣中BCL2L11含量的檢測方 式製成套組 彼等熟習此項技術者亦在治療應用中利用反義化合物之 特異性及敏感性。反義化合物已用作治療部分,來治療動 物(包含人類)之疾病狀態。反義寡核苷酸藥物已安全且有 效地投與人類且當前正實施許多臨床試驗。由此確定,反 義化合物可為可經設置用於治療細胞、組織及動物(尤其 人類)之治療方案中的有用治療方式。 在/α療時’藉由投與本發明反義化合物來治療懷疑患有 可藉由調節BCL2L11聚核普酸之表現進行治療之疾病或病 症的動物(較佳係人類)。舉例而言,在一非限制性實施例 中,該等方法包括向需要治療之動物投與治療有效量之 BCL2L11調節劑之步驟。本發明之BCL2L11調節劑可有效 調節BCL2L11之活性或調節BCL2L11蛋白質之表現。在一 實施例中’與對照組相比,使BCL2L11在動物中之活性或 表現抑制約10%。較佳地,使BCL2L11在動物中之活性或 表現抑制約30%。更佳地,使BCL2L11在動物中之活性或 表現抑制50%或更高。因此,與對照組相比,寡聚化合物 可將類BCL2 11 (BCL2Lll)mRNA之表現調節至少10%、至 少50%、至少25%、至少30%、至少40%、至少50%、至少 156341.doc -68 · 201201819 60%、至少70%、至少75%、至少80%、至少85%、至少 90%、至少95%、至少98%、至少99%、或100%。 在一實施例中,與對照組相比,使類BCL2 11 (BCL2L11)在動物中之活性或表現增加約10% »較佳地, 使BCL2L11在動物中之活性或表現增加約30%。更佳地, 使BCL2L11在動物中之活性或表現增加50%或更高。因 此,與對照組相比’寡聚化合物可將BCL2L11 mRNA之表 現調節至少10%、至少50%、至少25%、至少30%、至少 40%、至少50%、至少60%、至少70%、至少75%、至少 80%、至少85%、至少90%、至少95%、至少98%、至少 99%、或 100%。 舉例而言’可量測動物之血清、血液、脂肪組織、肝或 任一其他體液、組織或器官中類BCL2 11 (BCL2L11)之表 現的下降程度。較佳地,所分析該等流體、組織或器官内 所含之細胞含有編碼BCL2L11肽及/或BCL2L11蛋白質本身 的核酸分子。 可藉由將有效1之本發明化合物添加至適宜醫藥上可接 又之稀釋劑或載劑中來將該化合物用於醫藥組合物中。本 發明之化合物用途及方法亦可用於預防目的。 偶聯物 對本發明寡核苦酸之另—修倚涉及使一或多種可增強募 核«之活性、細胞分佈或細胞攝取之部分或偶聯物以化 學方式連接至寡㈣酸。該等部分或偶聯物可包含Μ结 合至諸如-級或二級經基等功能基團之偶聯基團。本發明 156341.doc -69· 201201819 之偶聯基團包含嵌入劑、報導子分子、聚胺、聚醯胺、聚 乙二醇、聚醚、增強寡聚物之藥效動力學性質之基團、及 增強寡聚物之藥物代謝動力學性質之基團。典型偶聯基團 包含膽固醇、脂質、填脂、生物素、吩嗓、葉酸酿、菲 啶、蒽醌、吖啶、螢光素、若丹明(rh〇damine)、香豆素、 及染料。在本發明之上下文中,增強藥效動力學性質之基 團包含可改良攝取、增強降解抗性、及/或增強與靶核酸 之序列特異性雜交的基團。在本發明之上下文中,增強藥 物代謝動力學性質之基團包含可改良本發明化合物之攝 取、分佈、代謝或分泌的基團。代表性偶聯基團揭示於 1992年10月23日提出申請之國際專利申請案第 PCT/US92/09196號、及美國專利第6,287,860號中,其以引 用方式併入本文中《偶聯部分包含但不限於脂質部分(例 如膽固醇部分)、膽酸、硫醚(例如,己基_5_三苯甲基硫 醇)、硫代膽固醇、脂肪族鍵(例如,十二烧二醇或十一燒 基殘基)、磷脂(例如,二-十六烷基-外消旋-甘油或三乙基 銨1,2-二-0-十六烷基-外消旋-甘油_3_H膦酸酯)、聚胺或聚 乙二醇鏈、或金剛烷乙酸、棕橺基部分、或十八胺或己基 胺基-羰基-氧基膽固醇部分》本發明之寡核苷酸亦可偶聯 至活性藥物物質,例如,阿司匹林(aspirin)、華法林 (warfarin)、保泰松(phenylbutazone)、布洛芬(ibuprofen)、 舒洛芬(suprofen)、芬布芬(fenbufen)、酮洛芬(ketoprofen) ' (S)-(+)-普拉洛芬((s)-(+)-pranoprofen)、卡洛芬 (carprofen)、丹肌胺酸(dansylsarcosine)、2,3,5-三碘苯曱 156341.doc •70· 201201819 酸、氟芬那酸(flufenamic acid)、亞葉酸、笨并嗔二嗪、氯 噻嗪、二氮呼、吲哚美辛(indomethicin)、巴比妥酸鹽、頭 抱菌素(cephalosporin)、續胺藥、抗糖尿病藥、抗菌劑或 抗生素。 教示該等寡核苷酸偶聯物之製備之代表性美國專利包含 但不限於美國專利第4,828,979號、第4,948,882號、第 5,218,105號、第 5,525,465號、第 5,541,313 號、第 5,545,730 號、第 5,552,538 號、第 5,578,717 號、第 5,580,731 號、第 5,580,731號、第 5,591,584號、第 5,109,124號、第 5,118,802 號、第 5,138,045 號、第 5,414,077 號、第 5,486,603 號、第 5,512,439號、第 5,578,718號、第 5,608,046號、第 4,587,044 號、第 4,605,735 號、第 4,667,025 號、第 4,762,779 號、第 4,789,737號、第 4,824,941號、第 4,835,263號、第 4,876,335 號、第 4,904,582 號、第 4,958,013 號、第 5,082,830 號、第 5,112,963 號、第 5,214,136號、第 5,082,830號、第 5,112,963 號、第 5,214,136號、第 5,245,022號、第 5,254,469 號、第 5,258,傷號、第 5,262,536號、第 5,272,25G號、第 5,292,873 號、第 5,317,098 號、第 5,371,241號、第 5,391,723 號、第 5,416,203號、第 5,451,463 號、第 5,510,475號、第 5,512,667 號、第 5,514,785 號、第 5,565,552 號、帛 5,567,81G 號、第 5,574,142號、第 5,585,481 號、第 5,587,371 號、第 5’595,726 號、第 5,597,696 號、第 5,599,923 號、f 5,599,928 號及第 5,688,941 號。 調配物 156341.doc • 71· 201201819 本發明化合物亦可與其他分子、分子結構或化合物混合 物(例如,脂質體、把向受體之分子、經口、直腸、局部 或其他調配物)混合、囊封、偶聯或以其他方式結合以有 助於攝取、分佈及/或吸收。教示該等有助於攝取、分佈 及/或吸收之調配物之製備的代表性美國專利包含但不限 於美國專利第5,108,921號、第5,354,844號、第5,416,016 號、第 5,459,127號、第 5,521,291號、第 5,543,165號、第 5,547,932號、第 5,583,020號、第 5,591,721號、第 4,426,330 號、第 4,534,899 號、第 5,013,556 號、第 5,108,921 號、第 5,213,804號、第 5,227,170號、第 5,264,221號、第 5,356,633 號、第 5,395,619 號、第 5,416,016 號、第 5,417,978 號、第 5,462,854號、第 5,469,854號、第 5,512,295號、第 5,527,528 號、第 5,534,259 號、第 5,543,152 號、第 5,556,948 號、第 5,580,575號、及第5,595,756號,每一者皆以引用方式併入 本文中。 儘管為調節靶表現及/或功能不需要在載體背景中投與 反義寡核苷酸,但本發明實施例係關於用於表現反義寡核 苷酸之表現載體構築體,其包括啟動子、雜合啟動子基因 序列且具有較強組成型啟動子活性,或可在期望情形下誘 導之啟動子活性。 在一實施例中,本發明實踐涉及使用適宜核酸遞送系統 投與上述反義寡核苷酸中之至少一者。在一實施例中,該 系統包含可操作地連接至聚核苷酸之非病毒載體。該等非 病毒載體之實例包含僅寡核苷酸(例如,SEQ ID NO: 4至 156341.doc •72- 201201819 13之任一者或多者)或與適宜蛋白質、多糖或脂質調配物 之組合。 另外,適宜核酸遞送系統包含病毒載體,其通常係來自 腺病毒、腺病毒相關病毒(AAV)、輔助細胞依賴性腺病 毒、逆轉錄病毒、或日本脂質體血凝病毒(HVJ)複合物中 之至少一者之序列。較佳地,病毒載體包括可操作地連接 至聚核苷&之強真核生物啟動子(例如,巨細胞病毒(CMV) 啟動子)。Effectiveness. The trial implementation of another compound treatment to determine the target used to or for the determination of a particular gene product, or phenotype, is 15634 丨.doc.63·201201819 Evaluation of gene expression up-regulation or inhibition: by direct detection The presence of a nucleic acid in a cell or organism to assess the transfer of nucleic acid into a host cell or organism. This test can be achieved by a number of methods known to the art. For example, the presence of an exogenous nucleic acid can be detected by Southern blotting or by a poly-enzyme chain reaction (p(3) technique to induce (4) anisotropic amplification and a primer of the (4) di-sequence of the nucleic acid (4). A method is used to measure the performance of exogenous nucleic acids. In the second column, Northern blot and reverse transcription PCR (rt_pcr) can be used to detect and quantify mRNA produced from exogenous nucleic acids. It can also measure enzyme activity or reporters. Protein activity to detect the expression of RNA by exogenous nucleic acids. For example, the antisense regulatory activity can be indirectly measured based on the decrease in the performance of the dry nucleic acid, thereby indicating that the exogenous nucleic acid is produced in the effector. Primers can be designed and used to amplify the coding region of the target gene. Initially, the control gene model 35 can be created using the highest expression coding region from each gene, but any-brown or non-coding regions can be used. Each of the control genes is assembled by inserting a reporter region into the reporter region and its p〇ly(A) s number. These plasmids will be generated in the upstream part of the gene with a reporter gene and at 3, mRNA having a potential RNAi target in the coding region. The effectiveness of individual antisense oligonucleotides is analyzed by modulating the reporter gene. The reporter gene used in the method of the invention comprises acetaminonate synthase (AHAS), Alkaline phosphatase (AP), β-galactosidase (LacZ), β-glucuronidase (GUS), chloramphenicol acetyltransferase (CAT), green fluorescent protein (GFp), red fluorescent Protein (RFp), yellow light-emitting protein (YFP), cyan fluorescent protein (CFP), horseradish peroxidase 156341.doc -64- 201201819 (HRP), luciferase (Luc), nopaline synthase ( NOS), octopine carnitine synthase (OCS), and derivatives thereof. A variety of selectable markers that confer resistance to the following substances: ampicillin, bleomycin, chloramphenicol ( Chloramphenicol), gentamycin., hygromycin, kanamycin, lincomycin, methotrexate, phosphinothricin, ° puromycin, and tetracycline. Determination of the regulation of reporter genes Methods are well known in the art and include, but are not limited to, fluorescent methods (eg, fluorescence spectroscopy, fluorescence activated cell sorting (FACS), fluorescence microscopy), antibiotic resistance assays. The methods known elsewhere in the art and described elsewhere herein analyze BCL2L11 protein and mRNA expression. For example, immunoassays such as ELISA can be used to measure protein content. The BCL2L11 ELISA assay kit is commercially available, for example, from R&D Systems (Minneapolis, MN). In the examples, BCL2L11 expression in a sample treated with the antisense oligonucleotide of the present invention (for example, cells or tissues in vivo or in vitro) is evaluated by comparison with BCL2L11 expression in a control sample. (eg, mRNA or protein). For example, methods known to those skilled in the art can be used to compare the performance of a protein or nucleic acid to a simulated or untreated sample. Alternatively, the treated sample can be compared to a control antisense oligonucleotide (e.g., with altered or different sequences) depending on the desired information. In another embodiment, the difference between the performance of the treated sample and the different nucleic acids in the untreated test 156341.doc-65-201201819 (including any criteria that the investigator deems appropriate, eg, housekeeping genes) can be used to compare The difference between the performance of the BCL2L11 protein or nucleic acid in the treated sample and the untreated sample. The observed difference can be expressed, for example, in ratio or fractional form for comparison with the money rib (iv). In the actual sample, the content of BCL2LH mRNA or protein f in the sample treated with the antisense oligonucleotide of the present invention is increased or decreased by about 1.25 times to about the untreated sample or the sample treated with the control nucleic acid. 1 () times or higher. In an embodiment, the content of the coffee " claw or protein is increased or decreased by at least about 125 times, at least about 13 times, at least, 1.4 times, at least about! 5 times, at least about 6 times at least about! 7 times at least about 1.8 times, at least about 2 times, at least about 25 times, at least about 3 times, at least about 3.5 times, at least about 4 times, at least about 45 times, at least about 5 times, at least about 5-5 L, At least about 6 times, at least about 6.5 times, at least about 7 times, at least about 75 times, at least about 8 times, at least about 8.5 times, at least about 9 times, at least about 9.5 times, or at least about 10 times or more . Kits, Research Reagents, Diagnosis, and Therapy The compounds described herein are useful for diagnosis, treatment, and prevention, and can be used as kit research reagents and components. In addition, those skilled in the art typically employ antisense oligonucleotides that are capable of inhibiting gene expression with strong specificity to elucidate the function of a particular gene or to distinguish the function of individual members of a biological pathway. For use in kits and diagnostics and in a variety of biological systems, the compounds of the invention (alone or in combination with other compounds or therapeutic agents) can be used as a tool in differential and/or combinatorial analysis to interpret cells and tissues. A pattern of expression of a portion of a gene or the entire complement. 156341.doc •66-201201819 The term “biological system” or “system” as used herein is defined as any organism, cell, cell culture or tissue that exhibits, or is sufficient to represent, a BCL2 11 (BCL2L11) gene product. Such systems include, but are not limited to, humans, transgenic animals, cells, cell cultures, tissues, xenografts, grafts, and combinations thereof. - according to a non-limiting example, the expression pattern in a cell or tissue treated with one or more antisense compounds is compared to a control cell or tissue not treated with an antisense compound, and the resulting pattern is analyzed, for example, for disease-related Degree of difference in gene expression, sex pathway, cell localization, degree of expression, size, structure or function of the gene being tested. Such assays can be performed in stimulated or unstimulated cells and in the presence or absence of other compounds that affect performance patterns. Examples of methods for gene expression analysis known in the art include Dna arrays or microarrays, SAGE (serial analysis of gene expression), READS (restriction enzyme amplification of digestive enzymes), T0GA (general gene expression analysis), protein arrays and Proteomics, sequenced display (EST) sequencing, subtractive RNA fingerprinting (SuRF), subtractive selection, differential display (DD), comparative genomic hybridization 'FISH (fluorescence in situ hybridization) and mass spectrometry. The compounds of the invention are useful in research and diagnostics because such compounds can hybridize to nucleic acids encoding BCL2 11 (BCL2L11). For example, oligonucleotides that are not hybridized in efficiency and conditions useful as potent BCL2L11 modulators as disclosed herein are effective primers or probes under conditions that facilitate gene amplification or detection, respectively. Such primers and probes can be used in methods requiring specific detection of nucleic acid molecules encoding BCL2L11, and amplification of such nucleic acid fragments 156341.doc • 67-201201819 sub- for detection or for further study of BCL2L11. The antisense oligonucleotides (especially primers and probes) of the invention and the parent of the nucleic acid encoding BCL2L11 can be detected by means known in the art. Such means may include coupling the enzyme to the oligonucleotide, radiolabeled oligonucleotide, or any other suitable means of detection. Kits can also be made using the BCL2L11 content of these test samples. Those skilled in the art also utilize the specificity and sensitivity of antisense compounds in therapeutic applications. Antisense compounds have been used as therapeutic moieties to treat disease states of animals, including humans. Antisense oligonucleotide drugs have been safely and effectively administered to humans and many clinical trials are currently being performed. It is thus determined that the antisense compound can be a useful therapeutic modality that can be used in the treatment of cells, tissues, and animals, particularly humans. An animal (preferably a human) suspected of having a disease or condition which can be treated by modulating the expression of BCL2L11 polynucleotide is administered by administration of an antisense compound of the present invention at the time of /α therapy. For example, in one non-limiting embodiment, the methods comprise the step of administering to a subject in need of treatment a therapeutically effective amount of a BCL2L11 modulator. The BCL2L11 modulator of the present invention can effectively modulate the activity of BCL2L11 or modulate the expression of BCL2L11 protein. In one embodiment, the activity or performance of BCL2L11 in the animal was inhibited by about 10% compared to the control group. Preferably, the activity or performance of BCL2L11 in the animal is inhibited by about 30%. More preferably, the activity or performance of BCL2L11 in an animal is inhibited by 50% or more. Therefore, the oligomeric compound can modulate the expression of BCL2 11 (BCL2L11) mRNA by at least 10%, at least 50%, at least 25%, at least 30%, at least 40%, at least 50%, at least 156341, compared to the control group. Doc -68 · 201201819 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%. In one embodiment, the activity or performance of BCL2 11 (BCL2L11) in the animal is increased by about 10% compared to the control group. Preferably, the activity or performance of BCL2L11 in the animal is increased by about 30%. More preferably, the activity or performance of BCL2L11 in animals is increased by 50% or more. Thus, an oligomeric compound can modulate the performance of BCL2L11 mRNA by at least 10%, at least 50%, at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, compared to a control group. At least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%. For example, the degree of decline in the expression of BCL2 11 (BCL2L11) in serum, blood, adipose tissue, liver or any other body fluid, tissue or organ of an animal can be measured. Preferably, the cells contained in the fluid, tissue or organ analyzed comprise nucleic acid molecules encoding the BCL2L11 peptide and/or the BCL2L11 protein itself. The compound can be used in a pharmaceutical composition by adding a compound of the invention of effect 1 to a suitable pharmaceutically acceptable diluent or carrier. The uses and methods of the compounds of the invention may also be used for prophylactic purposes. Conjugates Another aspect of the oligonucleotides of the present invention involves the chemical attachment of one or more moieties or conjugates that enhance the activity, cell distribution or cellular uptake of the nucleus to the oligo(tetra) acid. The moieties or conjugates may comprise a coupling group that is bonded to a functional group such as a - or a hydrazine group. The coupling group of the invention 156341.doc-69·201201819 comprises a group of pharmacodynamic properties of an intercalating agent, a reporter molecule, a polyamine, a polyamine, a polyethylene glycol, a polyether, and a reinforcing oligomer. And groups that enhance the pharmacokinetic properties of the oligomer. Typical coupling groups include cholesterol, lipids, fats, biotin, sulfonate, folic acid, phenanthridine, anthraquinone, acridine, luciferin, rh〇damine, coumarin, and dyes. . In the context of the present invention, a group that enhances the pharmacodynamic properties comprises a group that improves uptake, enhances degradation resistance, and/or enhances sequence-specific hybridization to a target nucleic acid. In the context of the present invention, a group that enhances the pharmacokinetic properties of a drug comprises a group that improves the uptake, distribution, metabolism or secretion of a compound of the invention. A representative coupling group is disclosed in International Patent Application No. PCT/US92/09196, filed on Oct. 23, 1992, and U.S. Patent No. 6,287,860, the disclosure of But not limited to lipid fractions (such as cholesterol fractions), cholic acid, thioethers (eg, hexyl-5-trityl mercaptan), thiocholesterol, aliphatic bonds (eg, dodecadiol or eleven Base residue), phospholipid (for example, di-hexadecyl-racemic-glycerol or triethylammonium 1,2-di-O-hexadecyl-racemic-glycerol_3_H phosphonate) , a polyamine or polyethylene glycol chain, or adamantane acetic acid, a palmidine moiety, or a octadecylamine or a hexylamino-carbonyl-oxycholesterol moiety. The oligonucleotide of the invention may also be coupled to an active drug Substances, for example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen, fenbufen, ketoprofen' S)-(+)-praloprofen ((s)-(+)-pranoprofen), carprofen (carprofen), dansylsarcic acid (dansylsarc) Osine), 2,3,5-triiodophenylhydrazine 156341.doc •70· 201201819 acid, flufenamic acid, leucovorin, stupid and oxadiazine, chlorothiazide, diazepam, hydrazine Indomethicin, barbiturate, cephalosporin, a tranexamine, an antidiabetic, an antibacterial or an antibiotic. Representative U.S. patents which teach the preparation of such oligonucleotide conjugates include, but are not limited to, U.S. Patent Nos. 4,828,979, 4,948,882, 5,218,105, 5,525,465, 5,541,313, 5,545,730. , 5,552,538, 5,578,717, 5,580,731, 5,580,731, 5,591,584, 5,109,124, 5,118,802, 5,138,045, 5,414,077, 5,486,603, 5,512,439, 5,578,718, 5,608,046, 4,587,044, 4,605,735, 4,667,025, 4,762,779, 4,789,737, 4,824,941, 4,835,263, 4,876,335, 4,904,582, 4,958,013 , 5,082,830, 5,112,963, 5,214,136, 5,082,830, 5,112,963, 5,214,136, 5,245,022, 5,254,469, 5,258, injury, 5,262,536, Nos. 5, 272, 25G, 5, 292, 873, 5, 317, 098, 5, 371, 241, 5, 391, 723, 5, 416, 203, 5,451,463, 5,510,475, 5,512,667, 5,514,785, 5,565,552, 5,567,81G, 5,574,142, 5,585,481, 5,587,371, 5'595,726, 5,597,696 , Nos. 5,599,923, f 5,599,928 and 5,688,941. Formulations 156341.doc • 71· 201201819 The compounds of the invention may also be admixed with other molecules, molecular structures or mixtures of compounds (eg, liposomes, molecules directed to the recipient, oral, rectal, topical or other formulations), capsules Sealed, coupled or otherwise combined to aid in ingestion, distribution and/or absorption. Representative U.S. patents which teach the preparation of such formulations which facilitate ingestion, distribution and/or absorption include, but are not limited to, U.S. Patent Nos. 5,108,921, 5,354,844, 5,416,016, 5,459,127, 5,521,291, 5,543,165, 5,547,932, 5,583,020, 5,591,721, 4,426,330, 4,534,899, 5,013,556, 5,108,921, 5,213,804, 5,227, 170, 5, 264, 221, 5, 356, 633, 5, 395, 619, 5, 416, 016, 5, 417, 978, 5, 462, 854, 5, 469, 854, 5, 512, 295, 5, 527, 528, 5, 534, 259, 5, 543, 152, 5,556,948, 5,580,575, and 5,595,756 each incorporated herein by reference. Although it is not necessary to administer an antisense oligonucleotide in a vector context to modulate target expression and/or function, embodiments of the invention pertain to expression vector constructs for expressing antisense oligonucleotides, including promoters , a hybrid promoter gene sequence and having a strong constitutive promoter activity, or a promoter activity that can be induced under the desired conditions. In one embodiment, the practice of the invention involves the administration of at least one of the above antisense oligonucleotides using a suitable nucleic acid delivery system. In one embodiment, the system comprises a non-viral vector operably linked to a polynucleotide. Examples of such non-viral vectors include only oligonucleotides (e.g., any one or more of SEQ ID NOs: 4 to 156341. doc • 72 to 201201819 13) or combinations with suitable protein, polysaccharide or lipid formulations. . Additionally, suitable nucleic acid delivery systems comprise a viral vector, typically from at least one of an adenovirus, an adeno-associated virus (AAV), a helper cell-dependent adenovirus, a retrovirus, or a Japanese liposome-coagulated virus (HVJ) complex. The sequence of one. Preferably, the viral vector comprises a strong eukaryotic promoter (e.g., a cytomegalovirus (CMV) promoter) operably linked to a polynucleoside &

另外,較佳載體包含病毒載體、融合蛋白及化學偶聯 物。逆轉錄載體包含“⑴仙巧小鼠白血病病毒及Hiy基病 毒。一種較佳HIV基病毒載體包括至少兩個載體,其中gag 及P〇l基因來自HIV基因組且env基因來自另一病毒。DNA 病毒載體較佳。該等載體包含pGx載體(例如正痘病毒或鳥 痘病母載體)、皰疹病毒載體(例如單純皰疹I病毒(HS v)載 體)、腺病毒載體及腺相關病毒載體。 本發明之義化合物涵蓋任一醫藥上可接受之鹽、酯、或 忒等酯之鹽、或在投與動物(包含人類)後能夠提供(直接或 間接)生物活性代謝物或其殘基的任一其他化合物。 術語「醫藥上可接受之鹽」係指本發明化合物之生理上 及醫藥上可接受H即,可保留母體化合物之期望生 I·生且並不賦予其不期望毒理學效應之鹽。對於寡核普 而。4藥上可接党之鹽及其應用之較佳實例進一步闡 述於美國專利第6,287,_號中,其以引用方式併入本文 中。 156341 .d〇c •73- 201201819 本發明亦包含含有本發明之反義化合物之醫藥組合物及 調配物。端視期望局部抑或全身性治療及擬治療區域,本 發明之醫藥組合物可以各種方式投與。投與可為局部(包 含眼:投與及投與㈣,包含陰道及直腸遞送)、肺部(例 糟由吸入或喷射粉末或氣溶膠’包含藉由霧化器); 氣管内、鼻内、表皮及經皮、經口或非經腸投與。非經腸 投與包含靜脈内、動脈内、皮下、腹膜腔内或肌内注射或 輸注;或顱内(例如,鞘内或心室内)投與。 為治療中樞神經系統中之組織,可藉由(例如)注射或輸 注至腦脊髓流體中來進行投與。反義RNA在腦脊髓流體中 之投與闡述於(例如)美國專利申請公開案第2007/01 17772 號之「Methods for slowing famiiiai Als disease progression」中’其全部内容以引用方式併入本文中。 在意欲將本發明之反義寡核苷酸投與中樞神經系統之細 胞中時,可投與一或多種能夠促進標題反義寡核苷酸滲透 經過血腦障壁之藥劑。可在(例如)内嗅皮層或海馬區中進 行注射。藉由向肌肉組織中之運動神經元投與腺病毒載體 來遞送神經營養因子闡述於(例如)美國專利第6,632,427號 之「Adenoviral-vector-mediated gene transfer into medullary motor neurons」中,其以引用方式併入本文中。業内已知 將載體直接遞送至腦(例如,紋狀體、丘腦、海馬區、或 黑質)中並闡述於(例如)美國專利第6,756,523號之 「Adenovirus vectors for the transfer of foreign genes into cells of the central nervous system particularly in brain」 156341 .doc -74- 201201819 一—引用方式併人本文中。可藉由注射快速投與或經 疋時間藉由緩慢輸注或投與緩釋調配物進行投與。 t題反義寡核㈣亦可與提供期望醫藥或藥效動力學性 質之藥舉例而言,反義隸㈣可與業内 促進在血腦障壁中之滲透或輸送之任一物質(例如鐵 傳遞蛋白文體之抗體)偶合,並藉由靜脈内注射投與。反 義化合物可與病毒載體連接,該病毒載體可(例如)使反義 化a物更有效及/或增加反義化合物在血腦障壁中之輸 达。亦可藉由(例如)輸注以下物質來破壞滲透性血腦障 壁糖,包含但不限於内消旋赤藻糖醇、木糖醇、d(+)半 礼糖、D(+)乳糖、D(+)木糖、衛矛醇、肌_肌醇、[㈠果 糖、D(-)甘露醇、d(+)葡萄糖、d(+)阿拉伯糖、d㈠阿拉 伯糖、纖維二糖、D(+)麥芽糖、D(+)棉子糖、L(+)鼠李 糖、D(+)蜜二糖、〇(-)核糖、核糖醇、〇(+)阿糖醇、l(-) 阿糖醇' D(+)岩藻糖、L(-)岩藻糖、D(-)來蘇糖、L(+)來 蘇糖、及L(-)來蘇糖;或胺基酸,包含但不限於麩胺醯 胺、離胺酸、精胺酸、天門冬醯胺、天門冬胺酸、半胱胺 酸、麩胺酸、甘胺酸、組胺酸、亮胺酸、曱硫胺酸、苯丙 胺酸、脯胺酸、絲胺酸、蘇胺酸、酪胺酸、纈胺酸、及牛 磺酸。用於增強血腦障壁滲透之方法及材料闡述於(例如) 美國專利第 4,866,042號之「Method for the delivery of genetic material across the blood brain barrier」、第 6,294,520號之「Material for passage through the blood-brain barrier」 及第 6,936,589號之 「 Parenteral delivery 156341.doc -75- 201201819 systems」中,其全部内容皆以引用方式併入本文中。 標題反義化合物可與其他分子、分子結構或化合物混合 物(例如,脂質體、靶向受體之分子、經口、直腸、局部 或其他調配物)混合、囊封、偶聯或以其他方式結合以有 助於攝取、分佈及/或吸收《舉例而言,陽離子型脂質可 包含於調配物中以促進寡核㈣攝取。—種顯示可促進攝 取之該組合物係 LIPOFECTIN(購自 GIBCO-BRL,Bethesda, MD)。 , 據仏,至少一個2’-〇-甲氧基乙基修飾之寡核苷酸尤其可 用於經口投與。用於局部投與之醫藥組合物及調配物可包 含經皮貼片、軟膏、洗劑、乳膏、凝膠、滴劑、栓劑、喷 霧劑、液體及粉末。可能需要或期望習用醫藥載劑 '水 性、粉末或油性基質、增稠劑及諸如此類。亦可使用包覆 避孕套、手套及諸如此類。 可便利地以單位劑型呈現之本發明醫藥調配物可根據醫 藥工業中熟知之習用技術製得。該等技術包含使活性成份 與j藥載劑或賦形劑結合之步驟。一般而言,調配物可藉 由使活性成份與液體載劑或微細固體載劑或二者均勻且充 分結合且然後(若必要)使該產物成型來製備。 可將本發明組合物調配成許多可能劑型中之任一者,例 如但不限於錠劑、膠囊、凝膠膠囊、液體糖漿、軟質凝 醪、栓劑、及灌腸劑。本發明組合物亦可調配成存於水 性、非水性或混合介質中之懸浮液。水性懸浮液可進一步 含有可增加懸浮液之黏度之物質,其包含(例如)羧甲基纖 156341.doc •76· 201201819 维素鈉、山梨糖醇及/或右旋糖酐。懸浮液亦可含有穩定 劑。 本發明之醫藥組合物包含但不限於溶液、乳液、發泡體 及含有脂質體之調配物。本發明之醫藥組合物及調配物可 包括一或多種滲透增強劑'載劑、賦形劑或其他活性或惰 性成份。 乳液通常係一種液體分散於另一液滴形式液體(直徑經 常超過0.1 μιη)的異質系統。乳液除分散相外亦可含有額外 組份、及可呈現為存於水相、油相中之溶液形式或自身作 為分離相的活性藥物。本發明一實施例包含微乳液。乳液 及其應用在業内已眾所周知且進一步闡述於美國專利第 6,287,860號中。 本發明調配物包含脂質體調配物。本發明所用之術語 「脂質體」意指由佈置於一或多個球形雙層中之兩親性脂 質組成的囊泡。脂質體係單層或多層囊泡,其具有自親脂 性材料形成之膜及含有擬遞送組合物之水性内部結構。陽 離子型脂質體係帶正電之脂質體,據信其可與帶負電之 DNA分子相互作用以形成穩定複合物。對ρΗ敏感或帶負電 之脂質體據信可捕獲DNA而非與其複合。陽離子型及非陽 離子型脂質體皆可用於向細胞遞送DNA。 脂質體亦包含「空間穩定」之脂質體,本文所用之該術 語係指包括一或多種特定脂質之脂質體。在納入脂質體中 犄,該等特定脂質會產生相對於缺乏該等特定脂質之脂質 體具有增強之循環壽命的脂質體。空間穩定脂質體之實例 15634 丨.doc •77· 201201819 係彼等脂質體中形成囊泡之脂質部分包括一或多種糖脂或 衍生自一或多種親水性聚合物(例如聚乙二醇(pEG)部分) 者。脂質體及其應用進一步闡述於美國專利第6,287,860號 中。 本發明之醫藥調配物及組合物亦可包含表面活性劑。表 面活性劑在藥物產物、調配物及乳液中之應用在業内已眾 所周知。表面活性劑及其應用進一步闡述於美國專利第 6,287,860號中,其以引用方式併入本文中。 在一實施例中’本發明採用各種滲透增強劑來實現核 酸、尤其寡核苷酸之有效遞送。除有助於非親脂性藥物在 細胞膜中之擴散外,滲透增強劑亦增強親脂性藥物之滲透 性。滲透增強劑可歸類為5大類中之一者:亦即,表面活 性劑、脂肪酸、膽汁鹽、螯合劑、及非螯合性非表面活性 劑。滲透增強劑及其應用進一步闡述於美國專利第 6,287,860號中,其以引用方式併入本文中。 熟I此項技術者應認識到,調配物通常根據其預期廣用 (亦即投與途徑)來進行設計。 用於局部投與之較佳調配物包含彼等本發明寡核苷酸與 局部遞送劑混合者,該局部遞送劑係(例如)脂質、脂質 體、脂肪酸、脂肪酸酯、類固醇、螯合劑及表面活性劑。 較佳脂質及脂質體包含中性脂質及脂質體(例如二油醯基_ 磷脂醯基DOPE乙醇胺、二肉豆蔻醯基磷脂醯基膽鹼 DMPC、二硬脂醯基磷脂醯基膽鹼)、負脂質及脂質體(例 如二肉豆蔻醯基磷脂醯基甘油DMPG)及陽離子型脂質及脂 156341.doc •78· 201201819 質體(例如二油醯基四f基胺基丙基D〇TAp及二油醯基-磷 脂醯基乙醇胺DOTMA)。 對於局部或其他投與而言’本發明之寡核普酸可囊封於 月曰質體内或可與其形成複合物(尤其陽離子型脂質體)。另 -選擇為’寡核苷酸可與脂質、尤其陽離子型脂質複合。 較佳脂肪酸及醋、其醫藥上可接受之鹽、及其應用進一步 闡述於美國專利第6,287,860號中。 用於經σ投與之組合物及調配物包含粉末或粒子 '微顆 粒不米顆粒、存於水或非水性介質令之懸浮液或溶液、 膠囊、凝膠膠囊、藥囊、錠劑或微錠劑。可能期望使用增 ㈣卜矯味劑、稀釋劑、乳化劑、分散助劑或黏合劑。較 佳口服調配物係彼等本發明寡核芽酸與一或多種渗透增強 劑、表面活性劑及聲合劑聯合投與者。較佳表面活性劑包 s月曰肪^及/或其g旨或鹽、膽汁酸及/或其鹽。較佳膽汁酸/ 孤及月日肪I及其應用進一步闡述於美國專利第6,287,_號 -乂引用方式併人本文中。亦較佳者係;參透增強劑之 组合,例如,脂肪酸/鹽與膽汁酸/鹽之組合。尤佳之組合 ^ ^及UDCA。其他滲透增強劑包含聚 氧乙烯9月桂基喊、聚氧乙婦_2〇_録壤基謎。本發明之寡 核苷酸可以粒子形式(包含喷霧乾燥顆粒、或經複合以形 成微顆粒或不米顆粒)經口遞送。寡核苦酸複合劑及其應 用進一步闡述於美國專利第6,287,細號中,其以引用方式 併入本文中。 用於非、&腸、|肖内或心室内投與之組合物及調配物可包 156341.doc •79- 201201819 含亦可含有緩衝劑、稀釋劑及其他適宜添加劑之無菌水溶 液,該等其他適宜添加劑係(例如)但不限於滲透增強劑、 載劑化合物及其他醫藥上可接受之載劑或賦形劑。 本發明某些實施例提供含有一或多種寡聚化合物及一或 多種藉由非反義機制發揮作用之其他化學治療劑之醫藥組 合物。該等化學治療劑之實例包含但不限於癌症化學治療 藥物,例如柔紅黴素(daunorubicin)、道諾黴素 (daunomycin)、更生黴素(dactinomycin)、多柔比星 (doxorubicin)、表柔比星(epirubicin)、伊達比星(idarubicin) 、依索比星(esorubicin)、博來黴素、馬峨酿胺 (mafosfamide)、異環填胺(ifosfamide)、胞嘯咬阿糖核苷 (cytosine arabinoside)、亞硝腺氮茶(bischloroethyl-nitrosurea)、白消安(busulfan)、絲裂黴素 C(mitomycin C)、放線菌素D(actinomycin D)、光輝黴素(mithramycin)、 潑尼松(prednisone)、經孕酮(hydroxyprogesterone)、睾銅 (testosterone)、他莫昔芬(tamoxifen)、達卡巴 °秦 (dacarbazine)、丙卡巴肼(procarbazine)、六曱三聚氰胺 (hexamethylmelamine)、五曱三聚氰胺(pentamethylmelamine) 、米托蒽 S昆(mitoxantrone)、安0丫咬(amsacrine)、苯 丁酸氮 芥(chlorambucil)、環己亞石肖脲(methylcyclohexylnitrosurea) 、氮芥(nitrogenmustards)、美法余(melphalan)、環填酿胺 (cyclophosphamide)、6-疏0票0令(6-mercaptopurine)、6-硫鳥 0票吟(6-thioguanine)、阿糖胞苦(cytarabine)、5-氮雜胞苦 (5-azacytidine)、經基脲(hydroxyurea)、喷司他丁 156341.doc -80- 201201819 (deoxycoformycin) 、 4-羥基過氧環填醢胺(4· hydroxyperoxycyclo-phosphoramide) 、5-敦尿0密咬(5-fluorouracil)(5-FU)、5-氣去氧尿苦(5-fluorodeoxyuridine) (5-FUdR)、曱胺蝶吟(MTX)、秋水仙驗(c〇ichicines)、紫杉 醇(taxol)、長春新鹼(vincristine)、長春鹼(vinblastine)、 依託泊甙(etoposide)(VP-16)、三甲曲沙(trimetrexate)、伊 立替康(irinotecan)、托泊替坎(t〇potecan)、吉西他濱 (gemcitabine)、替尼泊甙(teniposide)、順鉑(ciSpiatin)及己 烯雌酚(diethylstilbestrol)(DES)。在與本發明化合物一起 使用時’該等化學治療劑可單獨(例如,5_FIJ及寡核苦 酸)、依序(例如’ 5-FU及寡核苷酸,隨後在一定時間之後 係MTX及募核苷酸)、或與一或多種其他該等化學治療劑 組合(例如,5-FU、MTX及寡核苷酸,或5_FU、放射療法 及寡核苷酸)使用》抗炎藥(包含但不限於非類固醇抗炎藥 及皮質類固醇,以及抗病毒藥,包含但不限於利巴韋林 (ribivirin)、阿糖腺苷(vidarabine)、阿昔洛韋(acyci〇vir)及 更昔洛韋(ganciclovir))亦可組合於本發明組合物中。反義 化合物及其他非反義藥物之組合亦屬於本發明範圍内兩種 或更多種組合之化合物可一起或依序使用。 在另-相關實施例中’本發明組合物可含有一或多種靶 向第-核酸之反義化合物(尤其寡核㈣)及—或多種乾向 第二核酸靶之額外反義化合物。舉例而言,第一靶可為類 BCL211(BCL2Ul)m義序列,且第4可為來自 另一核苷酸序列之區域。另—選擇為,本發明組合物可含 156341.doc 81 201201819 有兩種或更多種乾向同-類BCL2 11 (BCL2L11)核酸乾之 不同區域的反義化合物。反義化合物之諸多實例閣釋於本 文中且其他實例可選自業内已知之適宜化合物。兩種或更 多種組合之化合物可—起或依序使用。 投藥: 據L ’彼等熟習此項技術者應瞭解治療性組合物之調配 及其隨後之投與(投藥)。投藥取決於欲治療疾病狀態之嚴 重=度及反應性中治療過程可持續數天至數月,或直 至實現治癒或減輕疾病狀態為止。可藉由量測患者體内之 藥=積累來計算最適投藥方案。熟習此項技術者可容易地 確定最適劑量、投藥方法及重複速率。最適劑量可端視個 別寡核《之相對功效而有所變化’且通常可基於發現在 :體外及活體内動物模型中有效之EC50進行估計…般而 言’劑量為0.01 _g體重至1〇〇 g/kg體重,且可每日、每 週每月或每年給予一次或更多:欠,或甚至每2至年給 予一次。熟習此項技術者可容易地基於體液或組織中藥物 之所量測滯留時間及濃度來估計投藥的重複速率。成功治 療後,可期望使患者維持該療法以預防疾病狀態復發,其 中以介於0.01吨/kg體重至1〇〇 g/kg體重之間之維持劑量投 與寡核苦酸’且每日投與—次或更多次至每2()年投與一 次。 在實施例令,使用以下劑量之藥物來治療患者:至少約 1 mg/kg體重、至少約2 mg/kg體重、至少約3 mg/kg體重、 至少約4 mg/kg體重、至少約5 mg/kg體重、至少約6 I56341.doc •82· 201201819 體重、至少約7 mg/kg體重、至少約8 mg/kg體重、至少約9 mg/kg體重、至少約10 mg/kg體重、至少約15 mg/kg體重、 至少約20 mg/kg體重、至少約25 mg/kg體重、至少約3〇 mg/kg體重、至少約35 mg/kg體重、至少約4〇 mg/kg體重、 至少約45 mg/kg體重、至少約50 mg/kg體重、至少約6〇 mg/kg體重、至少約70 mg/kg體重、至少約8〇 mg/kg體重、 至少約9〇11^/1^體重、或至少約1〇〇111§/4體重。反義寡核 苷酸之某些注射劑量闡述於(例如)美國專利第7,563,884號 之「Antisense modulation 〇f PTP1B expressi〇n」中,其全 部内容以引用方式併入本文中。 儘管上文已闡述本發明之各個實施例,然而,應理解, 該等實施錢仙實射式而非限财式提供q根據本 文之揭示内容對所揭示實施例作出諸多改變,此並不背離 本發明之精神或範圍。因此’本發明之廣度及範圍不應受 上述實施例中之任一者限制。 丰文所k及之所有文件皆以引用方式併入本文中。出於 所有目的,在本申請案中引用之所有出版物及專利文件比 係以引用方式併入,其併入程度如同每-個別出版物或; 利文件係早獨閣述-般。對於此文件中引用之各個參考文 獻,申請者不承認任一特定參考文獻係其發明之「= 術」。本發明組合物及方法之實施例闡釋於下列實例中。 實例 以下非限制性實例用 解,所示組份之元素之 於闡釋本發明之所選實施例。 比率變化及代替物已為彼等熟 應瞭 習此 I5634l.doc -83- 201201819 項技術者所明瞭且屬於本發明實施例之範圍内。 實例1 :對類BCL2 11 (BCL2L11)之反義核酸分子及f或 BCL21A 1聚核苷酸之有義股具有特異性之反義寡核苷酸的 設計 如上所述,術語「對……具有特異性之寡核苷酸」或 「靶向......之寡核苷酸」係指具有如下序列之寡核苷酸: ⑴能夠與靶向基因之一部分形成穩定複合物,或(丨丨)能夠 與靶向基因之mRNA轉錄本之一部分形成穩定雙鏈體。In addition, preferred vectors comprise viral vectors, fusion proteins and chemical conjugates. The retroviral vector comprises "(1) Xianqiao mouse leukemia virus and Hiy-based virus. A preferred HIV-based viral vector comprises at least two vectors, wherein the gag and P〇1 genes are from the HIV genome and the env gene is from another virus. DNA virus Preferably, the vector comprises a pGx vector (e.g., orthopoxvirus or avian pox mother vector), a herpesvirus vector (e.g., herpes simplex virus (HS v) vector), an adenoviral vector, and an adeno-associated viral vector. A compound of the invention encompasses a salt of any pharmaceutically acceptable salt, ester, or oxime, or is capable of providing (directly or indirectly) a biologically active metabolite or residue thereof after administration to an animal, including a human. Any other compound. The term "pharmaceutically acceptable salt" means that the compound of the present invention is physiologically and pharmaceutically acceptable, that is, it retains the desired biological properties of the parent compound and does not impart undesirable toxicology. The salt of the effect. For the oligocore. A preferred embodiment of a pharmaceutically acceptable salt and its use is further described in U.S. Patent No. 6,287, the disclosure of which is incorporated herein by reference. 156341 .d〇c • 73- 201201819 The present invention also encompasses pharmaceutical compositions and formulations containing the antisense compounds of the present invention. The pharmaceutical compositions of the present invention can be administered in a variety of ways, depending on the desired local or systemic treatment and the area to be treated. Administration may be local (including eye: administration and administration (4), including vaginal and rectal delivery), lung (eg by inhalation or spraying of powder or aerosol 'contained by nebulizer); intratracheal, intranasal , epidermis and percutaneous, oral or parenteral administration. Parenteral administration includes intravenous, intraarterial, subcutaneous, intraperitoneal or intramuscular injection or infusion; or intracranial (e.g., intrathecal or intraventricular) administration. For treatment of tissue in the central nervous system, administration can be by, for example, injection or infusion into the cerebrospinal fluid. The administration of antisense RNA in cerebrospinal fluid is described, for example, in "Methods for slowing famiiiai Als disease progression", U.S. Patent Application Publication No. 2007/0117772, the entire contents of which is incorporated herein by reference. When it is intended to administer an antisense oligonucleotide of the present invention to a cell of the central nervous system, one or more agents capable of promoting penetration of the subject antisense oligonucleotide through the blood-brain barrier may be administered. Injections can be made, for example, in the entorhinal cortex or hippocampus. The delivery of a neurotrophic factor by administering an adenoviral vector to a motor neuron in muscle tissue is described, for example, in "Adenoviral-vector-mediated gene transfer into medullary motor neurons", US Patent No. 6,632,427 The citations are incorporated herein by reference. It is known in the art to deliver a carrier directly to the brain (e.g., striatum, thalamus, hippocampus, or substantia nigra) and is described in, for example, "Adenovirus vectors for the transfer of foreign genes into cells", U.S. Patent No. 6,756,523. Of the central nervous system particularly in brain" 156341 .doc -74- 201201819 I-cited in this article. Administration can be by rapid administration by injection or by slow infusion or administration of a sustained release formulation over time. The antisense oligo (t) can also be used with drugs that provide the desired pharmaceutical or pharmacodynamic properties. For example, antisense (4) can be used in the industry to promote the penetration or transport of blood in the blood-brain barrier (such as iron). The antibody that transmits the protein stature is coupled and administered by intravenous injection. The antisense compound can be linked to a viral vector which, for example, can render the antisense a more efficient and/or increase the delivery of the antisense compound in the blood brain barrier. The osmotic blood-brain barrier can also be destroyed by, for example, infusion, including but not limited to meso-erythritol, xylitol, d(+), sugar, D(+) lactose, D (+) xylose, dulcitol, muscle_inositol, [(a) fructose, D(-) mannitol, d(+) glucose, d(+) arabinose, d(a) arabinose, cellobiose, D(+ Maltose, D(+) raffinose, L(+) rhamnose, D(+) melibiose, bismuth (-) ribose, ribitol, 〇(+) arabitol, l(-) arabin Alcohol ' D (+) fucose, L (-) fucose, D (-) to threose, L (+) to threose, and L (-) to threose; or amino acid, including but Not limited to glutamine, lysine, arginine, aspartame, aspartic acid, cysteine, glutamic acid, glycine, histidine, leucine, guanine , phenylalanine, valine, serine, threonine, tyrosine, proline, and taurine. Methods and materials for enhancing blood-brain barrier penetration are described, for example, in "Method for the delivery of genetic material across the blood brain barrier", No. 6,294, 520, "Material for passage through the blood-brain". "Blocker" and "Parental Delivery 156341.doc -75-201201819 systems", the entire contents of which are incorporated herein by reference. The title antisense compound can be mixed, encapsulated, coupled or otherwise combined with other molecules, molecular structures or mixtures of compounds (eg, liposomes, molecules that target receptors, oral, rectal, topical or other formulations). To facilitate uptake, distribution, and/or absorption. For example, cationic lipids can be included in the formulation to facilitate oligo(4) uptake. The composition shown to promote the capture is LIPOFECTIN (available from GIBCO-BRL, Bethesda, MD). According to hydrazine, at least one 2'-oxime-methoxyethyl modified oligonucleotide is particularly useful for oral administration. Pharmaceutical compositions and formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Pharmaceutical carriers 'aqueous, powder or oily bases, thickeners and the like may be required or desired. Covered condoms, gloves, and the like can also be used. The pharmaceutical formulations of the present invention which may be conveniently presented in unit dosage form can be prepared according to conventional techniques well known in the pharmaceutical industry. These techniques comprise the step of bringing the active ingredient into association with a vehicle carrier or excipient. In general, the formulations may be prepared by uniformly and intimately bringing the active ingredient into the liquid carrier or the fine solid carrier or both, and then, if necessary, shaping the product. The compositions of the present invention may be formulated into any of a number of possible dosage forms such as, but not limited to, lozenges, capsules, gel capsules, liquid syrups, soft gels, suppositories, and enemas. The compositions of the present invention may also be formulated as suspensions in aqueous, non-aqueous or mixed media. The aqueous suspension may further contain a substance which increases the viscosity of the suspension, and contains, for example, carboxymethylcellulose 156341.doc • 76· 201201819 vitamin sodium, sorbitol and/or dextran. The suspension may also contain a stabilizer. The pharmaceutical compositions of the present invention include, but are not limited to, solutions, emulsions, foams, and formulations containing liposomes. The pharmaceutical compositions and formulations of the present invention may include one or more permeation enhancer' carriers, excipients or other active or inert ingredients. An emulsion is usually a heterogeneous system in which a liquid is dispersed in another droplet form (the diameter often exceeds 0.1 μm). The emulsion may contain, in addition to the dispersed phase, an additional component, and an active drug which may be present as a solution in the aqueous phase, the oil phase or as a separate phase. One embodiment of the invention comprises a microemulsion. Emulsions and their use are well known in the art and are further described in U.S. Patent No. 6,287,860. Formulations of the invention comprise liposome formulations. The term "liposome" as used in the present invention means a vesicle composed of two hydrophilic lipids disposed in one or more spherical bilayers. Lipid system monolayer or multilamellar vesicles having a film formed from a lipophilic material and an aqueous internal structure containing the composition to be delivered. Positively charged liposomes are positively charged liposomes which are believed to interact with negatively charged DNA molecules to form stable complexes. Liposomes that are sensitive or negatively charged are believed to capture DNA rather than complex it. Both cationic and non-cationic liposomes can be used to deliver DNA to cells. Liposomes also contain "stable" liposomes, as used herein, to refer to liposomes comprising one or more specific lipids. In inclusion in liposomes, such specific lipids produce liposomes with enhanced cycle life relative to liposomes lacking such specific lipids. Examples of sterically stabilized liposomes 15634 丨.doc •77· 201201819 The lipid moiety that forms vesicles in their liposomes includes one or more glycolipids or is derived from one or more hydrophilic polymers (eg, polyethylene glycol (pEG) ) Part)). Liposomes and their use are further described in U.S. Patent No. 6,287,860. The pharmaceutical formulations and compositions of the present invention may also comprise a surfactant. The use of surfactants in pharmaceutical products, formulations and emulsions is well known in the art. Surfactants and their use are further described in U.S. Patent No. 6,287,860, incorporated herein by reference. In one embodiment, the present invention employs various permeation enhancers to effect efficient delivery of nucleic acids, particularly oligonucleotides. In addition to facilitating the diffusion of non-lipophilic drugs in the cell membrane, penetration enhancers also enhance the permeability of lipophilic drugs. Penetration enhancers can be classified into one of five broad categories: surfactants, fatty acids, bile salts, chelating agents, and non-chelating non-surfactants. Penetration enhancers and their use are further described in U.S. Patent No. 6,287,860, incorporated herein by reference. Cookers I should be aware that the formulation is usually designed according to its intended use (ie, the route of administration). Preferred formulations for topical administration comprise a blend of the oligonucleotides of the invention and a topical delivery agent, for example, lipids, liposomes, fatty acids, fatty acid esters, steroids, chelating agents, and Surfactant. Preferred lipids and liposomes comprise neutral lipids and liposomes (eg, dioleoyl phosphatidylcholine DOPE ethanolamine, dimyristoylphosphatidylcholine DMPC, distearyl phosphatidylcholine), Negative lipids and liposomes (eg dimyristylphospholipid glycerol DMPG) and cationic lipids and lipids 156341.doc •78· 201201819 plastids (eg diterpenoid tetraf-aminopropylpropyl D〇TAp and Diterpenoid-phospholipid oxime ethanolamine DOTMA). For topical or other administration, the oligonucleotides of the invention may be encapsulated in or form complexes (especially cationic liposomes) with the ruthenium. Alternatively, the 'oligonucleotide can be complexed with a lipid, especially a cationic lipid. Preferred fatty acids and vinegar, pharmaceutically acceptable salts thereof, and their use are further described in U.S. Patent No. 6,287,860. Compositions and formulations for sigma administration comprising powders or particles 'microparticulate non-granules, suspensions or solutions in water or non-aqueous medium, capsules, gel capsules, sachets, lozenges or micro-forms Lozenges. It may be desirable to use an enhancer, diluent, emulsifier, dispersing aid or binder. Preferred oral formulations are those in which the oligonucleotides of the invention are administered in combination with one or more penetration enhancers, surfactants and sonicating agents. Preferably, the surfactant comprises sucrose and/or its g- or salt, bile acid and/or its salt. The preferred bile acids/isolates and their applications are further described in U.S. Patent No. 6,287, the disclosure of which is incorporated herein by reference. Also preferred are combinations of penetration enhancers, for example, a combination of a fatty acid/salt and a bile acid/salt. The combination of Youjia ^ ^ and UDCA. Other permeation enhancers include polyoxyethylene 9 lauryl shout, polyoxymethylene _2 〇 录 基 基 。. The oligonucleotide of the present invention may be orally delivered in the form of particles comprising spray dried particles or complexed to form micro or non-rice particles. Oligonucleotide complexes and their use are further described in U.S. Patent No. 6,287, the disclosure of which is incorporated herein by reference. Compositions and formulations for use in non-, & enteral, intra- or intra-ventricular administration may be included in 156341.doc • 79-201201819 containing sterile aqueous solutions which may also contain buffers, diluents and other suitable additives, such Other suitable additives are, for example, but not limited to, penetration enhancers, carrier compounds, and other pharmaceutically acceptable carriers or excipients. Certain embodiments of the invention provide pharmaceutical compositions comprising one or more oligomeric compounds and one or more other chemotherapeutic agents that function by non-antisense mechanisms. Examples of such chemotherapeutic agents include, but are not limited to, cancer chemotherapeutic drugs, such as daunorubicin, daunomycin, dactinomycin, doxorubicin, and softness. Epirubicin, idarubicin, esorubicin, bleomycin, mafosfamide, ifosfamide, cytosolic aragonucleoside Cytosine arabinoside), bischloroethyl-nitrosurea, busulfan, mitomycin C, actinomycin D, mithramycin, prednisolone Prednisone, hydroxyprogesterone, testosterone, tamoxifen, dacarbazine, procarbazine, hexamethylmelamine, quinone Melamine (pentamethylmelamine), mitoxantrone, amsacrine, chlorambucil, methylcyclohexylnitrosurea, nitrogen mustard Ustards), melphalan, cyclophosphamide, 6-mercaptopurine, 6-thioguanine, cytarabine , 5-azacytidine, hydroxyurea, pentastatin 156341.doc -80- 201201819 (deoxycoformycin), 4-hydroxyperoxycyclic guanamine (4· hydroxyperoxycyclo- Phosphoramide), 5-fluorouracil (5-FU), 5-fluorodeoxyuridine (5-FUdR), guanamine pterin (MTX), colchicine (c〇ichicines), taxol, vincristine, vinblastine, etoposide (VP-16), trimetrexate, irinotecan, Topotecan (t〇potecan), gemcitabine, teniposide, cispiplatin and diethylstilbestrol (DES). When used with a compound of the invention, the chemotherapeutic agents can be used alone (e.g., 5_FIJ and oligo-acidic acid), sequentially (e.g., 5-FU and oligonucleotides, followed by MTX and subsequent recruitment after a certain period of time). (nucleotide), or in combination with one or more of these other chemotherapeutic agents (eg, 5-FU, MTX and oligonucleotides, or 5-FU, radiation therapy, and oligonucleotides) use anti-inflammatory drugs (including but Not limited to non-steroidal anti-inflammatory drugs and corticosteroids, as well as antiviral drugs, including but not limited to ribivirin, vidarabine, acyci〇vir and ganciclovir (ganciclovir)) can also be combined in the compositions of the invention. Combinations of antisense compounds and other non-antisense drugs are also within the scope of the invention. Two or more combinations of compounds may be used together or sequentially. In another related embodiment, the compositions of the present invention may contain one or more antisense compounds directed to the first nucleic acid (especially oligonucleic acid (tetra)) and/or additional dry anti-sense compounds to the second nucleic acid target. For example, the first target can be a BCL211-like (BCL2U1)m-sense sequence and the fourth can be a region from another nucleotide sequence. Alternatively, the compositions of the present invention may comprise 156341.doc 81 201201819 antisense compounds having different regions of two or more dry-like BCL2 11 (BCL2L11) nucleic acid stems. A number of examples of antisense compounds are disclosed herein and other examples may be selected from suitable compounds known in the art. Compounds of two or more combinations may be used together or sequentially. Dosing: According to L', those skilled in the art should be aware of the formulation of the therapeutic composition and its subsequent administration (administration). Administration depends on the severity of the condition to be treated = the degree of response and the duration of the treatment may last from several days to several months, or until a cure or amelioration of the disease is achieved. The optimal dosing regimen can be calculated by measuring the drug in the patient = accumulation. Those skilled in the art can readily determine the optimal dosage, method of administration, and rate of repetition. The optimal dose may vary depending on the relative efficacy of the individual oligo nuclei and can generally be estimated based on the EC50 found to be effective in in vitro and in vivo animal models. Generally, the dose is 0.01 _g to 1 剂量. g/kg body weight, and can be given once or more daily, weekly or yearly: owed, or even every 2 to years. Those skilled in the art can readily estimate the rate of repetition of administration based on the measured residence time and concentration of the drug in the body fluid or tissue. After successful treatment, it may be desirable to have the patient maintain the therapy to prevent recurrence of the disease state, wherein the oligonucleotide is administered at a maintenance dose between 0.01 ton / kg body weight to 1 〇〇 g / kg body weight' and daily dose Once with - or more times to every 2 () years. In an embodiment, the patient is treated with a dose of at least about 1 mg/kg body weight, at least about 2 mg/kg body weight, at least about 3 mg/kg body weight, at least about 4 mg/kg body weight, at least about 5 mg. /kg body weight, at least about 6 I56341.doc • 82· 201201819 body weight, at least about 7 mg/kg body weight, at least about 8 mg/kg body weight, at least about 9 mg/kg body weight, at least about 10 mg/kg body weight, at least about 15 mg/kg body weight, at least about 20 mg/kg body weight, at least about 25 mg/kg body weight, at least about 3 mg/kg body weight, at least about 35 mg/kg body weight, at least about 4 mg/kg body weight, at least about 45 mg/kg body weight, at least about 50 mg/kg body weight, at least about 6 mg/kg body weight, at least about 70 mg/kg body weight, at least about 8 mg/kg body weight, at least about 9〇11^/1^ body weight , or at least about 1〇〇111§/4 body weight. Some of the injectable doses of the antisense oligonucleotides are described, for example, in "Antisense modulation 〇f PTP1B expressi〇n", U.S. Patent No. 7,563,884, the disclosure of which is incorporated herein by reference. Although various embodiments of the present invention have been described above, it should be understood that the implementations of the present invention are not limited to the disclosed embodiments. The spirit or scope of the invention. Therefore, the breadth and scope of the present invention should not be limited by any of the above embodiments. All documents of Fengwen and all of them are incorporated herein by reference. All publications and patent documents cited in this application are hereby incorporated by reference in their entirety in the extent of the the the the the The Applicant does not recognize that any particular reference is the "= surgery" of its invention for each reference cited in this document. Examples of compositions and methods of the invention are illustrated in the following examples. EXAMPLES The following non-limiting examples illustrate the elements of the components shown to illustrate selected embodiments of the invention. The ratio changes and alternatives have been exemplified by those skilled in the art and are within the scope of the embodiments of the invention. Example 1: Design of an antisense nucleic acid molecule of the class BCL2 11 (BCL2L11) and an antisense oligonucleotide specific for the sense strand of f or BCL21A 1 polynucleotide, as described above, the term "has "Specific oligonucleotide" or "targeted oligonucleotide" refers to an oligonucleotide having the following sequence: (1) capable of forming a stable complex with a portion of a targeted gene, or丨丨) is capable of forming a stable duplex with a portion of the mRNA transcript of the targeted gene.

藉由使用電腦程式(例如IDT AntiSense Design,IDT 01ig〇AnalyZer)來促進適當寡核苷酸之選擇,該等電腦程 式自動鑑別每一給定序列中之19-25個核苷酸之子序列, 該等子序列與靶聚核苷酸序列形成雜合體且具有期望熔融 溫度(通常為50-60。〇,且不會形成自身二聚體或其他複雜 二級結構。 藉由使用自動對準核酸序列並指示一致性或同源性區域 之電腦程式來進一步促進適當寡核苷酸的選擇。使用該等Promoting the selection of appropriate oligonucleotides by using a computer program (eg IDT AntiSense Design, IDT 01ig〇AnalyZer) that automatically identifies sub-sequences of 19-25 nucleotides in each given sequence, The isomeric sequence forms a hybrid with the target polynucleotide sequence and has a desired melting temperature (typically 50-60 Å, and does not form a self-dimer or other complex secondary structure. By using an auto-aligned nucleic acid sequence And indicate a computer program of consensus or homology regions to further facilitate the selection of appropriate oligonucleotides.

程式藉由(例如)搜索諸如GenBank等數據庫或藉由對PCR 產物測序來比較所獲得的核酸序列。對來自給定基因組中 一定範圍基因及基因間區域之核酸序列進行比較使得可選 擇對目標基因顯示適當特異性程度的核酸序列。該等程序 使得可選擇對給定基因組中之靶核酸序列顯示高互補性程 度且對其他核酸序列顯示較低互補性程度的寡核芽酸。孰 習此項技術者應認_,可在較大範財選擇適用於本發 明中之基因區域。 156341.doc • 84 · 201201819 在以下情形時反義化合物係、「可特異性雜交」:化合物 與靶核酸之結合可干擾靶核 〜ι*功月b以调節功能及/ 或活性’且存在^夠互補性程度以避免反義化合物與非乾 核酸序列在期望發生特異性結合之條件下(亦即,在活體 内分析或治純治療情形中之生理條件下,及在活體外分 析情形中實施分析之條件下)發生非特異性結合。 本文所述寡核苦酸之雜交性f可藉由業内已知之一或多 個活體外分析進行敎。舉例而言’可藉由使㈣融曲線 分析測定乾天然反義分子及潛在藥物分子間之結合強度來 獲得本文所述寡核苷酸之性質。 可使用量測分子間相互作用之強度之已確立方法中的任 一者(例如,熔融曲線分析)來估計靶天然反義分子及潛在 藥物分子(分子)間之結合強度。 熔融曲線分析可測定對於天然反義分子/分子複合物自 雙鏈快速轉變成單鏈形態時之溫度。此溫度已廣泛接受作 為兩個分子間相互作用強度之可靠量度。 可使用實際天然反義RNA分子之CDNA拷貝或對應於分 子結合位點之合成DNA或RNA核苷酸來實施熔融曲線分 析。可使用含有所有必需試劑以實施此分析之多個套组 (例如 Applied Biosystems公司,MeltDoctor套組)。該等套 組包含含有雙鏈DNA (dsDNA)結合染料(例如ABI HRM染 料、SYBR Green、SYT0等)中之一者的適宜緩衝溶液。 dsDNA染料之性質在於其幾乎不發射游離形式之螢光,但 在與dsDNA結合時具有高螢光性。 15634l.doc * 85 · 201201819 為實施分析,以由特定製造商方案界定之濃度將cDNA 或相應养核Θ酸與分子混合。將混合物加熱至9 5 以離解 所有預形成之dsDNA複合物,然後緩慢冷卻至室溫或由套 組製造商界定之其他較低溫度以使DNA分子退火。然後將 新形成複合物緩慢加熱至95°C,同時繼續收集關於反應中 所產生螢光之量的數據。螢光強度與反應中存在之dsC)NA 量成反比》可使用與套組相容之實時PCR儀器(例如ABIisThe program compares the obtained nucleic acid sequences by, for example, searching a database such as GenBank or by sequencing the PCR products. Comparison of nucleic acid sequences from a range of genes and intergenic regions in a given genome allows for the selection of nucleic acid sequences of the appropriate degree of specificity for the target gene. Such procedures allow for the selection of oligonucleotides that exhibit a high degree of complementarity to a target nucleic acid sequence in a given genome and a lower degree of complementarity to other nucleic acid sequences.孰 This technology should be recognized as _, and the gene area applicable to the present invention can be selected in a larger form. 156341.doc • 84 · 201201819 Antisense compounds, "specifically hybridizable" in the following cases: the binding of a compound to a target nucleic acid can interfere with the target nucleus to regulate function and / or activity 'and exist a degree of complementarity to avoid the antisense compound and the non-dry nucleic acid sequence under conditions that are expected to specifically bind (ie, under physiological conditions in the case of in vivo analysis or treatment of pure treatment, and in the case of in vitro analysis) Non-specific binding occurs under conditions under which the assay is performed. The hybridization f of the oligonucleotides described herein can be carried out by one or more in vitro assays known in the art. For example, the nature of the oligonucleotides described herein can be obtained by measuring the binding strength between the dry natural antisense molecule and the potential drug molecule by (4) melting curve analysis. Any of the established methods of measuring the strength of the intermolecular interaction (e.g., melting curve analysis) can be used to estimate the binding strength between the target natural antisense molecule and the potential drug molecule (molecule). Melting curve analysis measures the temperature at which a natural antisense molecule/molecular complex rapidly transitions from a double strand to a single stranded form. This temperature has been widely accepted as a reliable measure of the strength of the interaction between two molecules. Melt curve analysis can be performed using a copy of the CDNA of the actual native antisense RNA molecule or a synthetic DNA or RNA nucleotide corresponding to the molecular binding site. Multiple kits containing all necessary reagents to perform this assay (e.g., Applied Biosystems, MeltDoctor kit) can be used. Such kits comprise a suitable buffer solution containing one of a double stranded DNA (dsDNA) binding dye (e.g., ABI HRM dye, SYBR Green, SYT0, etc.). The nature of the dsDNA dye is that it emits almost no fluorescence in free form, but has high fluorescence when bound to dsDNA. 15634l.doc * 85 · 201201819 To perform the analysis, the cDNA or the corresponding nutrient tannin is mixed with the molecule at a concentration defined by the specific manufacturer's protocol. The mixture is heated to 9 5 to dissociate all of the preformed dsDNA complexes and then slowly cooled to room temperature or other lower temperature as defined by the kit manufacturer to anneal the DNA molecules. The newly formed composite was then slowly heated to 95 ° C while continuing to collect data on the amount of fluorescence produced in the reaction. Fluorescence intensity is inversely proportional to the amount of dsC)NA present in the reaction. Real-time PCR instruments compatible with the kit can be used (eg ABIis

StepOne Plus Real Time PCR System 或 lightTyper儀器, Roche Diagnostics,Lewes,UK)來收集數據。 藉由使用適當軟體(例如lightTyper (R〇che)或SDS Dissociation Curve,ABI)繪製螢光相對於溫度之負導數(_d(螢 光)/dT) ’ y抽)與溫度(X軸)的圖線來構建熔融蜂。分析數據 以確定自dsDNA複合物快速轉變成單鏈分子時之溫度。此 溫度稱為Tm且與兩個分子間之相互作用強度成正比。通 常,Tm高於40°C。 實例2 : BCL2L11聚核苷酸之調節 使用反義寡核苷酸處理MCF-7細胞 貫例2中所用之所有反義募核苦酸皆如實例1中所述進行 設計。指示製造商(IDT公司’ Coralville,IA)來製造所設計 之硫代磷酸酯鍵寡核苷酸並提供表丨中所示之所設計硫代 填酸酯類似物。核苷酸間之星形符號表示存在硫代填酸酯 鍵。實例2中之實驗所需的寡核苷酸可使用任一適當技術 狀態之方法來合成’例如IDT所用之方法:在固體載體(例 如5微米定孔玻璃珠(CPG))上使用亞磷醯胺單體(常見核苦 I56341.doc -86 - 201201819 酸’其所有活性基團皆經保護基團保護,例如糖上之三苯 甲基、A及C上之苯甲醯基及g上之N-2-異丁醯基)。保護 基團在寡核苷酸合成期間可防止發生不期望之反應。在合 成過程結束時去除保護基團。經由3'碳使初始核苷酸連接 至固體載體且在31至5,方向上進行合成。在以下4步中向生 長之寡核苷酸鏈中添加新鹼基:〇使用三氣乙酸自固定核 苦酸之5’氧處去除保護基團;2)使用四唑使經固定核苷酸 與序列中之下一個核苷酸偶合至一起;經由四唑基亞磷醯 胺中間體使反應繼續進行;3)洗滌除去未反應之游離核苷 酸及反應副產物且將未反應之固定募核苷酸封端以防止其 參與下一輪合成;藉由使用乙酸酐及N-甲基咪唑對游離5· 經基實施乙醯化來達成封端;4)為穩定核苷酸間之鍵,使 用蛾及水(若欲產生礙酸二酯鍵)、或Beaucage試劑(3H-1,2-苯并二硫醇·3-酮-i,i-二氧化物)(若期望硫代磷酸酯鍵)來 氡化磷。藉由交替使用兩種氧化劑,可構建嵌合主鏈。對 於序列中之每一核苷酸而言,皆重複上述4步循環。合成 完整序列時’在高溫下使用氫氧化銨自固體載體解離寡核 苷酸並實施去保護。藉由去鹽來洗滌除去保護基團且將剩 餘寡核苷酸凍乾。為實施實例2中所設計之實驗,在37°C 及5% (:02下於生長培養基(MEM/EBSS(Hycl〇ne目錄編號: SH30024,或 Mediatech 目錄編號:MT-10-010-CV)+10。/。FBS (Mediatech 目錄編號:MT35-011-CV)+青徽素(penicillin)/ 鏈黴素(streptomycin)(Mediatech目錄編號:MT30-002-CI)) 中生長來自ATCC之MCF-7細胞(目錄編號:HTB-22)。在 156341.doc -87 · 201201819 實驗前一天,以1·5χ105/ml之密度將細胞再次平鋪於6孔板 中並在37°C及5% C02下培育過夜。在實驗當天,將6孔板 中之培養基更換為新鮮生長培養基。 將由製造商以凍乾形式運送之寡核苷酸在不含 RNAse/DNAse之去離子水中稀釋至濃度為20 μΜ。將2 μΐ 此溶液與400 μΐ OptiMEM培養基(Gibco目錄編號:31985-070)及 4 μΐ Lipofectamine 2000 (Invitrogen 目錄編號: 1 1668019)在室溫下一起培育20 min,然後逐滴施加至6孔 板中具有MCF-7細胞之一個孔中。使用包含2 μΐ水代替寡 核苷酸溶液之相似混合物作為模擬轉染對照組。在37°C及 5% C02下培育3-18 h之後,將培養基更換為新鮮生長培養 基。添加反義寡核苷酸48 h後,去除培養基,且使用來自 Promega 之 SV Total RNA Isolation System (目錄編號: Z3105)或來自 Qiagen之 RNeasy Total RNA Isolation套組(目 錄編號:741 81)根據製造商說明書自細胞提取RNA ^將 600 ng提取之RNA添加至使用來自Thermo Scientific之 Verso cDNA套組(目錄編號:AB1453B)或高容量cDNA逆 轉錄套組(目錄編號:4368813)實施的逆轉錄反應中,如製 造商方案中所述。使用來自此逆轉錄反應之cDNA藉由實 時 PCR使用 ABI Taqman Gene Expression Mix (目錄編號: 43 69510)及由 ABI 設計之引物 / 探針(Applied Biosystems Taqman Gene Expression Assay : HsOO 197982_ml >StepOne Plus Real Time PCR System or lightTyper instrument, Roche Diagnostics, Lewes, UK) to collect data. Plot the negative derivative of fluorescence relative to temperature (_d(fluorescence)/dT) 'y pumping) and temperature (X-axis) by using appropriate software (eg lightTyper (R〇che) or SDS Dissociation Curve, ABI) Line to build a molten bee. Analyze the data to determine the temperature at which the dsDNA complex rapidly transitions to a single-stranded molecule. This temperature is called Tm and is proportional to the strength of the interaction between the two molecules. Typically, the Tm is above 40 °C. Example 2: Modulation of BCL2L11 Polynucleotide Treatment of MCF-7 cells with antisense oligonucleotides All antisense nucleus acids used in Example 2 were designed as described in Example 1. The manufacturer (IDT Corporation Coralville, IA) was instructed to manufacture the designed phosphorothioate-bonded oligonucleotides and to provide the designed thioate analogs shown in the table. The star symbol between the nucleotides indicates the presence of a thiolate bond. The oligonucleotides required for the experiments in Example 2 can be synthesized using any suitable state of the art method, such as the method used for IDT: the use of phosphorous ruthenium on solid supports (e.g., 5 micron fixed glass beads (CPG)) Amine monomer (common nuclear bit I56341.doc -86 - 201201819 acid' all active groups are protected by protecting groups, such as trityl on sugar, benzamidine on A and C, and g on N-2-isobutyl fluorenyl). The protecting group prevents undesired reactions from occurring during oligonucleotide synthesis. The protecting group is removed at the end of the synthesis process. The initial nucleotide is attached to the solid support via 3' carbon and synthesized in the direction of 31 to 5,. Add a new base to the growing oligonucleotide strand in the following four steps: 〇 remove the protecting group from the 5' oxygen of the immobilized nuclear acid using tri-acetic acid; 2) use the tetrazole to immobilize the nucleotide Coupling with the next nucleotide in the sequence; the reaction is continued via the tetrazolylphosphinamide intermediate; 3) washing to remove unreacted free nucleotides and reaction by-products and unreacted immobilization Nucleotide capping to prevent its participation in the next round of synthesis; by using acetic anhydride and N-methylimidazole to acetylate the free 5· group to achieve capping; 4) to stabilize the bond between nucleotides, Use moths and water (if you want to generate acid diester bonds), or Beaucage reagents (3H-1,2-benzodithiol 3-keto-i,i-dioxide) (if desired phosphorothioate) Key) to bismuth phosphorus. The chimeric backbone can be constructed by alternately using two oxidizing agents. The above 4-step cycle is repeated for each nucleotide in the sequence. When the complete sequence is synthesized, the oligonucleotide is dissociated from the solid support using ammonium hydroxide at a high temperature and deprotection is carried out. The protecting group is removed by washing with desalting and the remaining oligonucleotide is lyophilized. To carry out the experiment designed in Example 2, at 37 ° C and 5% (: 02 in growth medium (MEM/EBSS (Hycl〇ne catalog number: SH30024, or Mediatech catalog number: MT-10-010-CV) +10. /. FBS (Mediatech catalog number: MT35-011-CV) + penicillin (stictotin) / streptomycin (Mediatech catalog number: MT30-002-CI)) growing MCF from ATCC 7 cells (Catalog No. HTB-22). On the day before the experiment, 156341.doc -87 · 201201819 The cells were plated again in a 6-well plate at a density of 1.5 χ 105/ml and at 37 ° C and 5% C02 Incubate overnight. On the day of the experiment, replace the medium in the 6-well plate with fresh growth medium. Oligonucleotides delivered by the manufacturer in lyophilized form were diluted to 20 μL in deionized water without RNAse/DNAse. 2 μΐ This solution was incubated with 400 μΐ OptiMEM medium (Gibco catalog number: 31985-070) and 4 μL Lipofectamine 2000 (Invitrogen catalog number: 1 1668019) for 20 min at room temperature and then applied dropwise to a 6-well plate. There is one well of MCF-7 cells. Use 2 μΐ water instead of oligo A similar mixture of acid solutions was used as a mock transfection control group. After incubation for 3-18 h at 37 ° C and 5% CO 2 , the medium was changed to fresh growth medium. After adding antisense oligonucleotide for 48 h, the medium was removed. Add 600 ng of extracted RNA to the RNA extracted from the cells using the SV Total RNA Isolation System from Promega (Catalog No.: Z3105) or the RNeasy Total RNA Isolation Kit from Qiagen (Catalog No. 741 81) according to the manufacturer's instructions. The reverse transcription reaction was performed using a Verso cDNA kit from Thermo Scientific (Catalog No.: AB1453B) or a high capacity cDNA retroviral kit (Catalog No.: 4368813) as described in the manufacturer's protocol. Use of this reverse transcription reaction The cDNA was subjected to real-time PCR using ABI Taqman Gene Expression Mix (catalog number: 43 69510) and primers/probes designed by ABI (Applied Biosystems Taqman Gene Expression Assay: HsOO 197982_ml >

Applied Biosystems公司,Foster City CA)來監測基因表 現。使用 StepOne Plus實時 PCR機器(Applied Biosystems) 156341.doc • 88 - 201201819 來實施下列PCR循環:在5(TC下保持2 min,在95亡下保持 10 min,40個循環之(在95它下保持15秒,在6〇t下保持丄 min)。基於經處理及模擬轉染試樣間18S標準化dCt值之差 值來s十算使用反義寡核苷酸處理後基因表現的變化倍數。 結果:實時PCR結果顯示,在使用設計為BIM反義 Hs.652337之养聚物處理48 h之後,MCF7細胞中之BIM mRNA之含量顯著增加。 使用反義募核苷酸處理HepG2細胞 貫例2中所用之所有反義募核普酸皆如實例1中所述進行 6又sj·。指示製造商(IDT公司,Coralville,IA)來製造所設計 之硫代磷酸酯鍵寡核苷酸並提供表1中所示之所設計硫代 構酸醋類似物。核苷酸間之星形符號表示存在硫代磷酸酯 鍵。實例2中之實驗所需的募核苷酸可使用任一適當技術 狀態之方法來合成,例如IDT所用之方法:在固體載體(例 如5微米定孔玻璃珠(CPG))上使用亞填醢胺單體(常見核苦 酸’其所有活性基團皆經保護基團保護,例如糖上之三苯 甲基、A及C上之苯曱醯基及〇上之N-2-異丁醯基)。保護 基團在募核苷酸合成期間可防止發生不期望之反應β在合 成過程結束時去除保護基團。經由3,碳使初始核苷酸連接 至固體載體且在3'至5’方向上進行合成。在以下4步中向生 長之寡核苷酸鏈中添加新鹼基:1)使用三氣乙酸自固定核 苷酸之5'氧處去除保護基團;2)使用四唑使經固定核苷酸 與序列中之下一個核苷酸偶合至一起;經由四唑基亞磷醯 胺中間體使反應繼續進行;3)洗滌除去未反應之游離核苦 15634l.doc -89- 201201819 酸及反應副產物且將未反應之固定寡核苷酸封端以防止其 參與下一輪合成;藉由使用乙酸酐及N-甲基咪唑對游離5, 羥基實施乙醯化來達成封端;4)為穩定核苷酸間之鍵,使 用蛾及水(右欲產生填酸二醋鍵)、或Beaucage試劑(3H-1,2_ 苯并二硫醇-3-酮-1,1 -二氧化物)(若期望硫代磷酸酯鍵)來 氧化磷。藉由交替使用兩種氧化劑,可構建嵌合主鏈。對 於序列中之每一核苦酸而言’皆重複上述4步循環。合成 完整序列時,在高溫下使用氫氧化銨自固體載體解離寡核 苷酸並實施去保護。藉由去鹽來洗滌除去保護基團且將剩 餘寡核苷酸凍乾。 為實施實例2中所設計之實驗,在37°C及5% C02下於生 長培養基(MEM/EBSS(Hyclone目錄編號:SH30024,或 Mediatech 目錄編號:MT-10-010-CV)+10% FBS(Mediatech 目錄編號:MT35- 011-CV)+青黴素/鏈黴素(Mediatech目錄 編號:MT30-002-CI))中生長來自ATCC之HepG2細胞(目錄 編號:HB-8065)。在實驗前一天,以〇·5 X 1 〇4/mi之密度將 細胞再次平鋪於6孔板中並在37°C及5% C02下培育過夜。 在實驗當天’將6孔板中之培養基更換為新鮮生長培養 基。 將由製造商以凉乾形式運送之寡核普酸在不含 RNAse/DNAse之去離子水中稀釋至濃度為20 μΜ。將2 μΐ 此溶液與400 μΐ OptiMEM培養基(Gibco目錄編號:3 1985-070)及 4 μΐ Lipofectamine 2000 (Invitrogen 目錄編號: 1 1668019)在室溫下一起培育20 min,然後逐滴施加至6孔 156341.doc -90- 201201819 板中具有HepG2細胞之一個孔中。使用包含2 μΐ水代替寡 核苷酸溶液之相似混合物作為模擬轉染對照組。在37°C及 5% C02下培育3-18 h之後,將培養基更換為新鮮生長培養 基。添加反義募核苷酸48 h後,去除培養基,且使用來自 Promega之 SV Total RNA Isolation System (目錄編號: Z3105)或來自 Qiagen之RNeasy Total RNA Isolation套組(目 錄編號:74181)根據製造商說明書自細胞提取RNA。將 600 ng提取之RNA添加至使用來自Thermo Scientific之 Verso cDNA套組(目錄編號:AB1453B)或高容量cDNA逆 轉錄套組(目錄編號:4368813)實施的逆轉錄反應中,如製 造商方案中所述。使用來自此逆轉錄反應之cDNA藉由實 時 PCR使用 ABI Taqman Gene Expression Mix (目錄編號: 43695 10)及由 ABI 設計之引物 / 探針(Applied Biosystems Taqman Gene Expression Assay : Hs00197982_ml(BCL2Lll), Applied Biosystems公司,Foster City CA)來監測基因表 現。使用 StepOne Plus實時 PCR機器(Applied Biosystems) 來實施下列PCR循環:在50°C下保持2 min,在95°C下保持 10 min,40個循環之(在95°C下保持15秒,在60°C下保持1 min)。基於經處理及模擬轉染試樣間18S標準化dCt值之差 值來計算使用反義寡核苷酸處理後基因表現的變化倍數》 結果:實時PCR結果顯示,在使用設計為BIM反義 Hs.652337之寡聚物處理48 h之後,HepG2細胞中之BIM mRNA之含量顯著增加(圖2)。 使用反義寡核苷酸處理初級角質形成細胞 156341.doc -91 - 201201819 在37°C及5% C02下於生長培養基(角質形成細胞生長培 養基,Lifeline目錄編號:LM0004+Lifeline生長因子1030) 生長初級角質形成細胞(來自Lifeline Technologies)。在實 驗前一天,以約5xlOA4/ml(或90%鋪滿之約1/3稀釋度)將細 胞再次平鋪於24孔膠原塗覆板(Beckton Dickinson BioCoat 板,目錄編號:35 6408)中,並在37°C及5% C02下培育過 夜。在實驗當天,將24孔板中之培養基更換為1 ml新鮮生 長培養基。將由製造商以凍乾形式運送之寡核苷酸在不含 RNAse/DNAse之去離子水中稀釋至濃度為20 μΜ將2 μΐ此 溶液與400 μΐ OptiMEM培養基(Gibco目錄編號:3 1985-070)及 4 μΐ TransIT®-LTl轉染試劑(Minis目錄編號:MIR 2300)在室溫下一起培育20 min,然後逐滴施加至6孔板中 具有HepG2細胞之一個孔中。使用包含2 μΐ水代替寡核苷 酸溶液之相似混合物作為模擬轉染對照組。投藥後,將板 在3 7°C、5% C02下培育過夜。添加反義寡核苷酸後24 h 時,使用新鮮生長培養基代替培養基且如上所述重複投 藥。第二次投藥24 h時,使用來自Promega之SV Total RNA分離系統(目錄編號:Z3 1 05)根據製造商說明書自細 胞提取RNA。將總共600 ng RNA添加至逆轉錄反應中,該 逆轉錄反應係使用來自Applied Bio systems之高容量cDN A 套組(目錄編號:43688 13)如製造商方案中所述來實施。使 用來自此逆轉錄反應之cDNA藉由實時PCR使用ABI Taqman Gene Expression Mix(目錄編號:4369510)及由 ABI設計之引物/探針(Hs00197982_ml)來監測基因表現。 156341.doc -92- 201201819 使用 StepOne Plus 實時 PCR機器(Applied Biosystems)來實 施下列PCR循環:在50°C下保持2 min,在95°C下保持10 min,40個循環之(在95°C下保持15秒,在60°C下保持1 min)。基於經處理及模擬轉染試樣間18S標準化dCt值之差 值來計算使用反義寡核苷酸處理後基因表現的變化倍數。 結果:實時PCR結果顯示,在使用設計為BIM反義 Hs.6523 3 7之寡聚物處理48 h之後,角質形成細胞中之BIM mRNA之含量顯著增加(圖3)。 實例3 :活體外細胞凋亡分析 使用HT Titer TACS分析套組根據製造商方案(Trevigen 目錄編號:4822-96-K)檢測細胞中之細胞凋亡程度。簡言 之,對寡核苷酸轉染48小時後之細胞實施胰蛋白酶化,計 數並以100,000細胞/孔之密度再次平鋪於96孔板中。然後 將96孔板在37°C、5% C02下培育過夜。次日早晨,去除 培養基且將細胞固定於使用PBS及100%曱醇(Sigma-M1 775-1GA)沖洗之3.7%緩衝甲醛溶液(Sigma-252549)中, 並在+4°C下儲存於80%乙醇(Sigma-4935 1 1)中。 為標記DNA斷裂,去除乙醇,且使用PBS洗滌細胞並與 蛋白酶K溶液在室溫下一起培育15分鐘,在水及PBS中沖 洗,然後與TACS核酸酶溶液在37°C下一起培育10分鐘。 培育後,使用PBS沖洗細胞,且在室溫下經5分鐘添加過氧 化氫溶液(Sigma-MKBD1394)。然後將細胞與lx TdT標記 在室溫下一起再培育5分鐘。去除缓衝液且隨後將細胞與 標記反應混合物在37°C下一起培育一小時,且然後經5分 156341.doc -93- 201201819 鐘添加lx TdT終止缓衝液。標記反應停止後,使用PBS洗 滌細胞,與Strep-HRP溶液在室溫下一起培育10分鐘,使 用PBS/Tween洗滌且與TACS蘭寶石在暗處一起培育30分 鐘。藉由添加0.2 N HC1 (Fluka-343102)來停止反應,且在 450 nm下於板讀數儀中讀取吸光度。 1_使用20 nM CUR-1174(p63反義寡核苷酸)及CUR-1522(BIM反義寡核苷酸)使用Lipofectamine™ 2000轉染試 劑(Invitrogen)來轉染 A549 細胞(ATCC 編號:CCL-185™)。 結果:在使用CUR-1174及CUR-1522轉染之A549細胞 中,細胞凋亡顯著增加(圖4)。 2.使用 CUR-1519、CUR-1521 及 CUR-1522 在 20 nM 下使 用 Lipofectamine™ 2000 轉染試劑(Invitrogen)來轉染 Hep G2細胞(ATCC目錄編號:HB-8065)。亦使用20 nM CUR-1 505(無活性寡核苷酸)且使用LipofectamineTM 2000及水(模 擬轉染)來轉染細胞子組。 結果:在使用CUR-1522轉染之HepG2細胞中,細胞凋亡 顯著增加。其他寡核苷酸對細胞凋亡並無顯著影響(圖5及 6) 〇 儘管已根據一或多個實施方案闡釋及闡述了本發明,但 熟習此項技術者在閱讀並理解本說明書及附圖後可作出等 效改變及修改。此外,儘管可能只根據多種實施方案中之 一者揭示了本發明之特定特徵,但該特徵可與其他實施方 案之一或多個其他特徵組合,此對於任何給定或特定之應 用而言可能係合乎要求且有利的。 156341.doc • 94- 201201819 本揭示内容之摘要使得讀者可快速地確定技術揭示内容 之性質。提交本摘要係基於以下理解:其並非用於解釋或 限制下列申請專利範圍之範圍或含義。 參考文獻 1. Vogelstein B, Kinzler KW. Cancer genes and the pathways they control. Nat Med. 2004; 10:789-799。 2. Hanahan D, Weinberg RA. The hallmarks of cancer. Cell. 2000; 100:57-70 » 3· Evan GI,Wyllie AH, Gilbert CS 等人,Induction of apoptosis in fibroblasts by c-myc protein. Cell. 1992; 69:119-128。 4. Askew DS, Ashmun RA, Simmons BC, Cleveland JL. Constitutive c-myc expression in IL-3-dependent myeloid cell line suppresses cycle arrest and accelerates apoptosis. Oncogene. 1991; 6:1915-1922 。 5. Klefstrom J, Vastrik I, Saksela E, Valle J, Eilers M, Alitalo K. c-Myc induces cellular susceptibility to the cytotoxic action of TNF-alpha. EMBO J. 1994; 13:5442-5450。 6. Lutz W, Fulda S, Jeremias I, Debatin KM, Schwab M. MycN and IFNy cooperate in apoptosis of human neuroblastoma cells. Oncogene. 1998; 17:339-346。 7. Fadeel B,Orrenius S. Apoptosis: a basic biological phenomenon with wide-ranging implications in human 156341.doc -95- 201201819 disease. J Intern Med. 2005; 258:479-517 〇 8. Lowe SW, Cepero E, Evan G. Intrinsic tumour suppression. Nature. 2004; 432:307-315 ° 9. Kaufmann SH, Vaux DL. Alterations in the apoptotic machinery and their potential role in anticancer drug resistance· Oncogene. 2003; 22:7414-7430 ° 10. Fesik SW. Promoting apoptosis as a strategy for cancer drug discovery. Nat Rev Cancer.2005; 5:876-885 o 11. Fischer U, Schulze-Osthoff K. New approaches and therapeutics targeting apoptosis in disease. Pharmacol Rev. 2005; 57:187-215 〇 12. Reed JC. Drug insight: cancer therapy strategies based on restoration of endogenous cell death mechanisms. Nat Clin Pract Oncol· 2006; 3:388-398 0 13. Reed JC, Pellecchia M. Apoptosis-based therapies for hematologic malignancies. Blood. 2005; 106:408-418。 14. Decaudin D, Marzo I, Brenner C, Kroemer G. Mitochondria in chemotherapy-induced apoptosis: a prospective novel target of cancer therapy (Review). Int J Oncol. 1998; 12:141-152 〇 15. Filomenko R, Pr0votat L, C等人,Caspase-10 involvement in cytotoxic drug-induced apoptosis of tumor cells. Oncogene. 2006; 25:7635-7645 ° 16. Fulda S, Meyer E, Friesen C, Susin SA, Kroemer G, 156341.doc -96- 201201819Applied Biosystems, Inc., Foster City CA) to monitor gene expression. The following PCR cycle was performed using the StepOne Plus Real-Time PCR Machine (Applied Biosystems) 156341.doc • 88 - 201201819: 2 min at TC, 10 min at 95 min, 40 cycles (maintained at 95) 15 seconds, 丄min at 6 〇t). Based on the difference between the 18S normalized dCt values between the treated and simulated transfected samples, the fold change in gene expression after treatment with antisense oligonucleotides was calculated. : Real-time PCR results showed that the content of BIM mRNA in MCF7 cells was significantly increased after 48 h treatment with the polymer designed as BIM antisense Hs.652337. Treatment of HepG2 cells with antisense nucleosides 2 All antisense nucleoside acids used were performed as described in Example 1. 6 indicates that the manufacturer (IDT, Coralville, IA) manufactured the designed phosphorothioate-bonded oligonucleotides and provided a table. The designed thio acid vinegar analog shown in 1. The internucleotide star symbol indicates the presence of a phosphorothioate linkage. The nucleotides required for the experiments in Example 2 can be used in any suitable state of the art. Method to synthesize, for example, the method used by IDT: Sub-filled amide monomers (common nucleotides of common nucleotides are commonly used on bulk carriers (eg 5 micron fixed glass beads (CPG)), all of which are protected by protecting groups, such as trityl, A on sugar And the phenylhydrazine group on C and the N-2-isobutyl fluorenyl group on the oxime.) The protecting group prevents undesired reaction during the synthesis of the nucleotides. The protective group is removed at the end of the synthesis process. , carbon attaches the initial nucleotide to the solid support and synthesizes in the 3' to 5' direction. Add new bases to the growing oligonucleotide strand in the following 4 steps: 1) Self-fixation using tri-acetic acid The 5' oxygen at the nucleotide removes the protecting group; 2) the tetrazole is used to couple the immobilized nucleotide to the next nucleotide in the sequence; the reaction is continued via the tetrazolylphosphinium intermediate 3) washing to remove unreacted free nuclear bitter 15634l.doc -89 - 201201819 acid and reaction by-products and capping the unreacted fixed oligonucleotide to prevent its participation in the next round of synthesis; by using acetic anhydride and N-methylimidazole acetylated to the free 5, hydroxyl to achieve end-capping; 4) is a stable core The bond between acids, using moths and water (right to produce acid-filled diacetate), or Beaucage reagent (3H-1,2_benzodithiol-3-one-1,1-dioxide) (if desired) Phosphorothioate linkage) to oxidize phosphorus. The chimeric backbone can be constructed by alternately using two oxidizing agents. The above 4-step cycle is repeated for each of the nucleotides in the sequence. When the complete sequence is synthesized, the oligonucleotide is cleaved from the solid support at a high temperature using ammonium hydroxide and deprotected. The protecting group is removed by washing with desalting and the remaining oligonucleotide is lyophilized. For the experiment designed in Example 2, the growth medium (MEM/EBSS (Hyclone catalog number: SH30024, or Mediatech catalog number: MT-10-010-CV) + 10% FBS at 37 ° C and 5% CO 2 ). HepG2 cells from ATCC (Catalog No.: HB-8065) were grown in (Mediatech catalog number: MT35-011-CV) + penicillin/streptomycin (Mediatech catalog number: MT30-002-CI)). On the day before the experiment, the cells were plated again in a 6-well plate at a density of X·5 X 1 〇 4/mi and incubated overnight at 37 ° C and 5% CO 2 . On the day of the experiment, the medium in the 6-well plate was changed to a fresh growth medium. The oligonucleotides delivered by the manufacturer in a cool dry form were diluted to a concentration of 20 μM in deionized water without RNAse/DNAse. 2 μL of this solution was incubated with 400 μΐ OptiMEM medium (Gibco catalog number: 3 1985-070) and 4 μL Lipofectamine 2000 (Invitrogen catalog number: 1 1668019) for 20 min at room temperature, then applied dropwise to 6 wells 156341 .doc -90- 201201819 The plate has one well of HepG2 cells. A similar mixture containing 2 μM water instead of the oligonucleotide solution was used as a mock transfection control group. After incubation for 3-18 h at 37 ° C and 5% CO 2 , the medium was changed to a fresh growth medium. After 48 h of antisense nucleotide addition, the medium was removed and the SV Total RNA Isolation System from Promega (catalog number: Z3105) or the RNeasy Total RNA Isolation kit from Qiagen (catalog number: 74181) was used according to the manufacturer's instructions. RNA is extracted from cells. 600 ng of extracted RNA was added to the reverse transcription reaction using the Verso cDNA kit from Thermo Scientific (catalog number: AB1453B) or the high capacity cDNA reverse transcription kit (catalog number: 4368813), as in the manufacturer's protocol. Said. The cDNA from this reverse transcription reaction was used by real-time PCR using ABI Taqman Gene Expression Mix (catalog number: 43695 10) and primers/probes designed by ABI (Applied Biosystems Taqman Gene Expression Assay: Hs00197982_ml (BCL2Lll), Applied Biosystems , Foster City CA) to monitor gene expression. The following PCR cycle was performed using a StepOne Plus real-time PCR machine (Applied Biosystems): 2 min at 50 °C, 10 min at 95 °C, 40 cycles (15 seconds at 95 °C, at 60 °C) Hold at °C for 1 min). Based on the difference between the 18S normalized dCt values between the treated and simulated transfected samples, the fold change in gene expression after treatment with antisense oligonucleotides was calculated. Results: Real-time PCR results showed that the design was BIM antisense Hs. After 48 h of oligomer treatment of 652337, the content of BIM mRNA in HepG2 cells was significantly increased (Fig. 2). Treatment of primary keratinocytes with antisense oligonucleotides 156341.doc -91 - 201201819 Growth in growth medium (keratinocyte growth medium, Lifeline catalog number: LM0004 + Lifeline growth factor 1030) at 37 ° C and 5% C02 Primary keratinocytes (from Lifeline Technologies). On the day before the experiment, cells were plated again in a 24-well collagen-coated plate (Beckton Dickinson BioCoat plate, catalog number: 35 6408) at approximately 5 x 10 OA4/ml (or approximately 1/3 dilution of 90% confluence). Incubate overnight at 37 ° C and 5% CO 2 . On the day of the experiment, the medium in the 24-well plate was changed to 1 ml of fresh growth medium. Oligonucleotides delivered by the manufacturer in lyophilized form were diluted to 20 μL in deionized water without RNAse/DNAse, 2 μM of this solution and 400 μM OptiMEM medium (Gibco Cat. No. 3 1985-070) and 4 μΐ TransIT®-LT1 transfection reagent (Minis catalog number: MIR 2300) was incubated for 20 min at room temperature and then applied dropwise to a well of a 6-well plate with HepG2 cells. A similar mixture containing 2 μM water instead of the oligonucleotide solution was used as a mock transfection control group. After administration, the plates were incubated overnight at 37 ° C, 5% CO 2 . 24 h after the addition of the antisense oligonucleotide, fresh growth medium was used instead of the medium and the administration was repeated as described above. At the second dosing for 24 h, RNA was extracted from the cells using the SV Total RNA Isolation System from Promega (Catalog No.: Z3 1 05) according to the manufacturer's instructions. A total of 600 ng of RNA was added to the reverse transcription reaction, which was performed using the high capacity cDN A kit from Applied Biosystem (catalog number: 43688 13) as described in the manufacturer's protocol. The gene expression from this reverse transcription reaction was monitored by real-time PCR using ABI Taqman Gene Expression Mix (Catalog No. 4369510) and ABI-designed primer/probe (Hs00197982_ml). 156341.doc -92- 201201819 The following PCR cycle was performed using a StepOne Plus real-time PCR machine (Applied Biosystems): 2 min at 50 °C, 10 min at 95 °C, 40 cycles (at 95 °C) Hold for 15 seconds and hold at 60 ° C for 1 min). The fold change in gene expression after treatment with antisense oligonucleotides was calculated based on the difference between the 18S normalized dCt values between the treated and mock transfected samples. Results: Real-time PCR results showed a significant increase in the amount of BIM mRNA in keratinocytes after 48 h treatment with the oligomer designed to BIM antisense Hs. 6523 37 (Fig. 3). Example 3: In vitro apoptosis assay The extent of apoptosis in cells was determined using the HT Titer TACS assay kit according to the manufacturer's protocol (Trevigen catalog number: 4822-96-K). Briefly, cells after 48 hours of oligonucleotide transfection were trypsinized, counted and plated again in 96-well plates at a density of 100,000 cells/well. The 96-well plates were then incubated overnight at 37 ° C, 5% CO 2 . The next morning, the medium was removed and the cells were fixed in a 3.7% buffered formaldehyde solution (Sigma-252549) rinsed with PBS and 100% sterol (Sigma-M1 775-1GA) and stored at 80 at +4 °C. % ethanol (Sigma-4935 1 1). For labeling DNA fragmentation, ethanol was removed, and the cells were washed with PBS and incubated with proteinase K solution for 15 minutes at room temperature, washed in water and PBS, and then incubated with TACS nuclease solution at 37 ° C for 10 minutes. After the incubation, the cells were washed with PBS, and a hydrogen peroxide solution (Sigma-MKBD1394) was added at room temperature for 5 minutes. The cells were then incubated with the lx TdT marker for 5 minutes at room temperature. The buffer was removed and the cells were then incubated with the labeling reaction mixture for one hour at 37 °C, and then lx TdT stop buffer was added via 5 minutes 156341.doc -93 - 201201819. After the labeling reaction was stopped, the cells were washed with PBS, incubated with Strep-HRP solution for 10 minutes at room temperature, washed with PBS/Tween and incubated with TACS sapphire in the dark for 30 minutes. The reaction was stopped by the addition of 0.2 N HCl (Fluka-343102) and the absorbance was read in a plate reader at 450 nm. 1_A549 cells were transfected with 20 nM CUR-1174 (p63 antisense oligonucleotide) and CUR-1522 (BIM antisense oligonucleotide) using LipofectamineTM 2000 transfection reagent (Invitrogen) (ATCC No.: CCL -185TM). Results: Apoptosis was significantly increased in A549 cells transfected with CUR-1174 and CUR-1522 (Fig. 4). 2. Hep G2 cells (ATCC catalog number: HB-8065) were transfected with CUR-1519, CUR-1521 and CUR-1522 using LipofectamineTM 2000 Transfection Reagent (Invitrogen) at 20 nM. Cell subsets were also transfected with 20 nM CUR-1 505 (inactive oligonucleotide) and LipofectamineTM 2000 and water (simulated transfection). Results: Apoptosis was significantly increased in HepG2 cells transfected with CUR-1522. Other oligonucleotides have no significant effect on apoptosis (Figures 5 and 6). Although the invention has been illustrated and described in accordance with one or more embodiments, those skilled in the art Equivalent changes and modifications can be made after the figure. In addition, although specific features of the invention may be disclosed in accordance with one of the various embodiments, the features may be combined with one or more other features of other embodiments, which may be possible for any given or particular application. It is desirable and advantageous. 156341.doc • 94-201201819 The Abstract of the Disclosure allows the reader to quickly ascertain the nature of the technical disclosure. The Abstract is submitted with the understanding that it is not intended to limit or limit the scope or meaning of the following claims. References 1. Vogelstein B, Kinzler KW. 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Debatin KM. Cell type specific involvement of death receptor and mitochondrial pathways in drug-induced apoptosis. Oncogene. 2001; 20:1063-1075 。 17. Lacour S, Hammann A, Wotawa A, Corcos L, Solary E, Dimanche-Boitrel MT. Anticancer agents sensitize tumor cells to tumor necrosis factor-related apoptosis-inducing ligand-mediated caspase-8 activation and apoptosis. Cancer Res. 2001; 61:1645-1651 。 18. Micheau O, Solary E, Hammann A, Dimanche-Boitrel MT. Fas ligand-independent, FADD-mediated activation of the Fas death pathway by anticancer drugs. J Biol Chem. 1999; 19; 274:7987-7992 。 19. Mollinedo F, Gajate C. Microtubules, microtubule-interfering agents and apoptosis. Apoptosis. 2003; 8:413-450 ° 20. Park SJ, Wu CH, Gordon JD, Zhong X, Emami A, Safa AR. Taxol induces caspase-10-dependent apoptosis. J Biol Chem· 2004; 279:51057-51067 。 21. Perkins C, Kim CN, Fang G, Bhalla KN. Overexpression of Apaf-1 promotes apoptosis of untreated and paclitaxel-or etoposide-treated HL-60 cells. Cancer Res. 1998; 58:4561-4566 o 22. Fridman JS, Lowe SW. Control of apoptosis by p53. Oncogene. 2003; 22:9030-9040。 156341.doc -97- 201201819 23. Yu J, Zhang L. The transcriptional targets of p53 in apoptosis control. Biochem Biophys Res Commun. 2005; 331:851-858 ° 24. Ashkenazi A, Pai RC, Fong S 等人,Safety and antitumor activity of recombinant soluble Apo2 ligand. J Clin Invest· 1999; 104:155-162 e 25. Lee JM, Bernstein, A. p53 mutations increase resistance to ionizing radiation. Proc Natl Acad Sci USA. 1993; 90:5742-5746 〇 26. Bunz F, Hwang PM,Torrance C 等人,Disruption of p53 in human cancer cells alters the response to therapeutic agents. J Clin Invest. 1999; 104:263-269。 27. Ashkenazi A, Holland P,Eckhardt SG. Ligand-based targeting of apoptosis in cancer: the potential of recombinant human apoptosis ligand 2/tumor necrosis factor-related apoptosis-inducing ligand (rhApo2L/TRAIL). J Clin Oncol. 2008; 26:3621-3630 = 28. Ashkenazi A. Targeting death and decoy receptors of the tumour-necrosis factor superfamily. Nat Rev Cancer. 2002; 2:420-430 ° 29. Odoux C, Albers A, Amoscato AA, Lotze MT, Wong MK. TRAIL, FasL and a blocking anti-DR5 antibody augment paclitaxel-induced apoptosis in human non-small-cell lung cancer. Int J Cancer. 2002; 97:458-465 0 -98- 156341.docDebatin KM. Cell type specific involvement of death receptor and mitochondrial pathways in drug-induced apoptosis. Oncogene. 2001; 20:1063-1075. 17. Lacour S, Hammann A, Wotawa A, Corcos L, Solary E, Dimanche-Boitrel MT. Anticancer agents sensitize tumor cells to tumor necrosis factor-related apoptosis-inducing ligand-mediated caspase-8 activation and apoptosis. Cancer Res. 2001 61:1645-1651. 18. Micheau O, Solary E, Hammann A, Dimanche-Boitrel MT. Fas ligand-independent, FADD-mediated activation of the Fas death pathway by anticancer drugs. J Biol Chem. 1999; 19; 274:7987-7992. 19. Mollinedo F, Gajate C. Microtubules, microtubule-interfering agents and apoptosis. Apoptosis. 2003; 8:413-450 ° 20. Park SJ, Wu CH, Gordon JD, Zhong X, Emami A, Safa AR. Taxol induces caspase -10-dependent apoptosis. J Biol Chem. 2004; 279: 51057-51067. 21. Perkins C, Kim CN, Fang G, Bhalla KN. Overexpression of Apaf-1 promotes apoptosis of untreated and paclitaxel-or etoposide-treated HL-60 cells. Cancer Res. 1998; 58:4561-4566 o 22. Fridman JS , Lowe SW. Control of apoptosis by p53. Oncogene. 2003; 22:9030-9040. 156341.doc -97- 201201819 23. Yu J, Zhang L. The transcriptional targets of p53 in apoptosis control. Biochem Biophys Res Commun. 2005; 331:851-858 ° 24. Ashkenazi A, Pai RC, Fong S et al. Safety and antitumor activity of recombinant soluble Apo2 ligand. J Clin Invest· 1999; 104:155-162 e 25. Lee JM, Bernstein, A. p53 mutations increase resistance to ionizing radiation. Proc Natl Acad Sci USA. 1993; 90:5742 -5746 〇 26. Bunz F, Hwang PM, Torrance C, et al., Disruption of p53 in human cancer cells alters the response to therapeutic agents. J Clin Invest. 1999; 104:263-269. 27. Ashkenazi A, Holland P, Eckhardt SG. Ligand-based targeting of apoptosis in cancer: the potential of the recombinant human apoptosis ligand 2/tumor necrosis factor-related apoptosis-inducing ligand (rhApo2L/TRAIL). J Clin Oncol. 2008; 26:3621-3630 = 28. Ashkenazi A. Targeting death and decoy receptors of the tumour-necrosis factor superfamily. Nat Rev Cancer. 2002; 2:420-430 ° 29. Odoux C, Albers A, Amoscato AA, Lotze MT, Wong MK. TRAIL, FasL and a blocking anti-DR5 antibody augment paclitaxel-induced apoptosis in human non-small-cell lung cancer. Int J Cancer. 2002; 97:458-465 0 -98- 156341.doc

201201819 30. Miihlethaler-Mottet A, Bourloud KB, Auderset K, Joseph JM, Gross N. Drug-mediated sensitization to TRAIL-induced apoptosis in caspase-8-complemented neuroblastoma cells proceeds via activation of intrinsic and extrinsic pathways and caspase-dependent cleavage of XIAP, Bcl-xL and RIP. Oncogene. 2004; 23:5415-5425 o 31. Ravi R,Jain AJ,Schulick RD等人,Elimination of hepatic metastases of colon cancer cells via p53-independent cross-talk between irinotecan and Apo2 ligand/TRAIL.201201819 30. Miihlethaler-Mottet A, Bourloud KB, Auderset K, Joseph JM, Gross N. Drug-mediated sensitization to TRAIL-induced apoptosis in caspase-8-complemented neuroblastoma cells proceeds via activation of intrinsic and extrinsic pathways and caspase-dependent cleavage Of XIAP, Bcl-xL and RIP. Oncogene. 2004; 23:5415-5425 o 31. Ravi R, Jain AJ, Schulick RD, et al., Elimination of hepatic metastases of colon cancer cells via p53-independent cross-talk between irinotecan and Apo2 ligand/TRAIL.

Cancer Res. 2004; 64:9105-9114 ° 32. Jansen B,Schlagbauer-Wadl H,Brown BD等人,Bcl-2 antisense therapy chemosensitizes human melanoma in SCID mice. Nat Med. 1998; 4:232-234。 33. Klasa RJ, Gillum AM, Klem RE, Frankel SR. Oblimersen Bcl-2 antisense: facilitating apoptosis in anticancer treatment. Antisense Nucleic Acid Drug Dev. 2002; 12:193-213。 34. Letai A. Pharmacological manipulation of Bcl-2 family members to control cell death. J Clin Invest. 2005; 115:2648- 2655 ° 35. Ashkenazi A. Directing cancer cells to self-destruct with pro-apoptotic receptor agonists. Nat Rev Drug Discov. 2008; 7:1001-1012 〇 【圖式簡單說明】 圖1係實時PCR結果之圖式,其展示在用使用Lipofectamine 156341.doc • 99 · 201201819 2000引入之硫代磷酸酯寡核苷酸處理HepG2細胞後 BCL2L11 mRNA與對照組相比之變化倍數+標準偏差。實 時PCR結果顯示,在使用兩種設計為BIM反義Hs.652337之 寡聚物處理後48 h時,MCF-7細胞中之BIM mRNA之含量 顯著增加。表示為CUR-1521及CUR-1522之條形分別對應 於使用SEQ ID NO: 10及11處理之試樣。 圖2係實時PCR結果之圖式,其展示在用使用Lipofectamine 2000引入之硫代磷酸酯寡核苷酸處理HepG2細胞後 BCL2L11 mRNA與對照組相比之變化倍數+標準偏差。實 時PCR結果顯示,在使用一種設計為BIM反義Hs.652337之 寡聚物處理後48 h時,HepG2細胞中之BIM mRNA之含量 顯著增加。表示為 CUR-1519、CUR-1520、CUR-1523、 CUR-1525、CUR-1524、CUR-1526、CUR-1521 及 CUR-1522 之條形分別對應於使用 SEQ ID NO: 4 至 13 處理之試 樣。 圖3展示使用硫代磷酸酯寡核苷酸處理之初級角質形成 細胞中BCL2L11 mRNA表現的變化倍數。CUR-1522顯著 上調角質形成細胞LL中之BIM mRNA。表示為CUR-1522 之條形對應於使用SEQ ID NO: 11處理之試樣。 圖4係細胞凋亡分析結果之圖式,其展示用使用 Lipofectamine 2000引入之硫代填酸S旨寡核苦酸處理之 A 5 4 9細胞中與對照組相比細胞凋亡之增加百分比。細胞凋 亡結果顯示,與對照組相比,CUR-可顯著增加A549細胞 中之細胞凋亡。表示為CUR-1174及CUR-1522之條形對應 15634 丨.doc -100- 201201819 於使用SEQ ID NO: 11及12處理之試樣。 圖5展示使用硫代磷酸酯寡核苷酸處理之細胞中細胞凋 亡之增加百分比。與對照組相比,CUR-1522可顯著增加 細胞中之細胞凋亡。表示為CUR-1519、CUR-1521、CUR-• 1522及 CUR-1505之條形對應於使用 SEQ ID NO: 4、10、11 . 及13處理之試樣。 圖6展示使用硫代磷酸酯寡核苷酸處理之細胞中細胞凋 亡之增加百分比。與對照組相比,CUR-1522可顯著增加 細胞中之細胞凋亡。表示為CUR-1519、CUR-1521、CUR-1522及CUR-1505之條形對應於使用SEQ ID NO: 4、10、11 及13處理之試樣。 序列表說明-SEQ ID ΝΟ:1 :智人類BCL2 11(細胞凋亡 促進劑)(BCL2L11),轉錄本變體9,mRNA(NCBI登錄號: NM_207002) ; SEQ ID NO: 2 :天然 BCL2L11 反義序列 (Hs.652337) ; SEQ ID NO: 3 :天然 BCL2L11 反義序列 (Hs.618461) ; SEQ ID NO: 4至13 :反義寡核苷酸。*表示 硫代磷酸酯鍵。 15634l.doc -101 201201819 序列表 <110>美商歐科可娜有限貴任公司 <120>以針對類BCL2 11(BCL2L11)之天然反義轉錄本之抑制作用治療BCL2L11相關疾病Cancer Res. 2004; 64:9105-9114 ° 32. Jansen B, Schlagbauer-Wadl H, Brown BD et al, Bcl-2 antisense therapy chemosensitizes human melanoma in SCID mice. Nat Med. 1998; 4: 232-234. 33. Klasa RJ, Gillum AM, Klem RE, Frankel SR. Oblimersen Bcl-2 antisense: facilitating apoptosis in anticancer treatment. Antisense Nucleic Acid Drug Dev. 2002; 12: 193-213. 34. Letai A. Pharmacological manipulation of Bcl-2 family members to control cell death. J Clin Invest. 2005; 115:2648- 2655 ° 35. Ashkenazi A. Directing cancer cells to self-destruct with pro-apoptotic receptor agonists. Nat Rev Drug Discov. 2008; 7:1001-1012 〇 [Simplified Schematic] Figure 1 is a graphical representation of the results of real-time PCR, shown in phosphorothioate oligos introduced using Lipofectamine 156341.doc • 99 · 201201819 2000 The fold change + standard deviation of BCL2L11 mRNA after treatment with HepG2 cells compared with the control group. Real-time PCR results showed that the BIM mRNA content in MCF-7 cells was significantly increased 48 h after treatment with two oligomers designed to be BIM antisense Hs.652337. The bars designated CUR-1521 and CUR-1522 correspond to the samples treated with SEQ ID NOS: 10 and 11, respectively. Figure 2 is a graphical representation of real-time PCR results showing fold change + standard deviation of BCL2L11 mRNA compared to control group after treatment of HepG2 cells with phosphorothioate oligonucleotides introduced using Lipofectamine 2000. Real-time PCR results showed a significant increase in BIM mRNA levels in HepG2 cells 48 h after treatment with an oligomer designed to BIM antisense Hs.652337. The bars denoted as CUR-1519, CUR-1520, CUR-1523, CUR-1525, CUR-1524, CUR-1526, CUR-1521 and CUR-1522 correspond to the tests treated with SEQ ID NOS: 4 to 13, respectively. kind. Figure 3 shows the fold change in BCL2L11 mRNA expression in primary keratinocytes treated with phosphorothioate oligonucleotides. CUR-1522 significantly upregulates BIM mRNA in keratinocyte LL. The bar indicated as CUR-1522 corresponds to the sample treated with SEQ ID NO: 11. Figure 4 is a graph showing the results of apoptosis assay showing the percentage increase in apoptosis compared to the control group in A 5 4 9 cells treated with thiolatate S, which was introduced using Lipofectamine 2000. The results of cell apoptosis showed that CUR- significantly increased apoptosis in A549 cells compared with the control group. The bars corresponding to CUR-1174 and CUR-1522 correspond to 15634 丨.doc -100- 201201819 samples treated with SEQ ID NOS: 11 and 12. Figure 5 shows the percentage increase in cell apoptosis in cells treated with phosphorothioate oligonucleotides. Compared with the control group, CUR-1522 significantly increased apoptosis in cells. The bars indicated as CUR-1519, CUR-1521, CUR-•1522 and CUR-1505 correspond to the samples treated with SEQ ID NOS: 4, 10, 11 and 13. Figure 6 shows the percentage increase in cell apoptosis in cells treated with phosphorothioate oligonucleotides. Compared with the control group, CUR-1522 significantly increased apoptosis in cells. The bars designated CUR-1519, CUR-1521, CUR-1522 and CUR-1505 correspond to the samples treated with SEQ ID NOS: 4, 10, 11 and 13. BRIEF DESCRIPTION OF THE SEQUENCE LISTING - SEQ ID ΝΟ:1: Homologous human BCL2 11 (apoptosis promoter) (BCL2L11), transcript variant 9, mRNA (NCBI accession number: NM_207002); SEQ ID NO: 2: native BCL2L11 antisense Sequence (Hs.652337); SEQ ID NO: 3: native BCL2L11 antisense sequence (Hs. 618461); SEQ ID NOs: 4 to 13: antisense oligonucleotide. * indicates a phosphorothioate bond. 15634l.doc -101 201201819 Sequence Listing <110> American Okokena Limited Company <120> Treatment of BCL2L11 Related Diseases by Inhibition of Natural Antisense Transcripts Against BCL2 11 (BCL2L11)

<130> BIW <140> 100117636 <141> 2011-05-19 <150> 61/346,252 <151> 2010-05-19 <160> 13 <170> Patentln version 3.5 <210> 1 <211> 722 <212> DNA <213>智人 <300> <308> NM_207002.2 <309> 2〇Tl-02-06 <313〉 (1)..(722) <400> 1 acttcgctcc gcgcagccgc ctggtctgca gtttgttgga gctctgcgtc cagcgccgct 60 gccgctgccg ccgccgccgc cgccgccgcc gccgccgccg ccgccgccac taccaccact 120 tgattcttgc agccaccctg cgaaccctgc cacactgcga tcgcatcatc gcggtattcg 180 gttcgctgcg ttcccgccgc caccgcctcg gcgccctttc ttggcccttg ttcccccaaa 240 tgtctgactc tgactctcgg actgagaaac gcaagaaaaa aagaccaaat ggcaaagcaa 300 ccttctgatg taagttctga gtgtgaccga gaaggtagac aattgcagcc tgcggagagg 360 cctccccagc tcagacctgg ggcccctacc tccctacaga cagagccaca agacaggagc 420 ccagcaccca tgagttgtga caaatcaaca caaaccccaa gtcctccttg ccaggccttc 480 aaccactatc tcagtgcaat ggtagtcatc ctagaggata taggtgatct ttcactgtgc 540 tttggattta tatttactgg cttagatttg tatggccacc accatagtca agatacagaa 600 caactcaacc acaaggattt ctcatgatac ctttttatag ccacagccac ctctctccct 660 cttccttgag cattttgtca tatggtcatt ggtgattaaa taaaatgtat tttaatatig 720 ac 722 <210〉 2 <211> 3026 <212> DNA <213>智人 <400> 2 ctagtcctgt tgaactcaga tgactgcagc cacaggagtg atcccagagt cttttgcact 60 gggaggagaa ggtggaacag gagacaccca cattctagtt ggtccctgct gtctccaaga 120 ggtggtgtac caggagtcct acagatgtga agctaggtta aaaccagttc tggggatgct 180 ttcaaatcaa agaggattta aaaatgtgac tcccagttgc atttccggag ccaagcagca 240 tcctggcttg ggggcctggt gtctaccaca cttctgcgca ttcttcctcc aagccacatc 300 tcctgagaat aaagcaagat gccattggca atgtctactc agaactactt gaatgactca 360 tcaatcaaca ggcttgaatg ctcttcttcc tctatgattc aacggtttga ttgactgaac 420 tgaaactaaa acccaaccct agtggtcatt ttagacttga gcagatacag tcagaatctc 480 156341-序列表.doc 201201819 aatcacatgt catcagcagg ccctccttgg cctccttatt gcagctgggc tcctgagcag ctctccctca ctcagggagg aaacgaacgg ctcctttcag tagggcagac gaaggctgct ggctgacgca actgctcctg tgtccacttc ccagcaaggg tgcaaaacag gatttgtgct tgtgctggtg aatctgggct tcacctagca aatcaggggg acaccaaaat gaaaacagcc ctagaggcat ggagaaagcc tcaggtgcac taa^gtgcca acagaaacga tgcatctcag agttgacagt catgactcaa ataggacgtg aaggcaacat gtgggtgaga gtagcagcta tgggtgtaaa tatgatcaaa latgggggag gtgtccagat ttcttggaca tggttacaat cagtatttat tttctctctt agtgaacgag tttttggttt ttcaatactg ctaattttac aggcaattca ctacgttccc tgggaggtgg agtggccttc ctccctgctg tgcgtgggtt acacagcctg cctcacttcc ctgtgggtcc ttcatcacct gcatgctcac atgattccat tatttgagct catggcagga aatagaacct gattcaacat tttgctaagt attattttca ccacactgaa tagggtcctt itttgatctg caacccacag ctgggctgtg gttctctcaa cacaggtaga ctgaaaagct tcctcctgca ttgatttctc agcatgggct gaccacatgt tcacaagtac ttgttctut ccatacgtcc caatgcaggc aggoaclggc agagcaggac agctgtgtcc aggagttcag ggaacaaaat aaggctactg taacttcagt caacttcaag gcacggtgta aaataaagta agagattatc agtcaaatag ccatttgcat taaaattctc cactttaaga agctgagatc tttgctttat tttttaaaaa gcaaaatgaa gtcagtttta atggagatat acaattgtta actgttgggt cattttgaaa ggctttcttc cttaaaatga gtctcagctg atagctactc actaatgctg ataattatct gaagcaaaat aaatacaaat gtctgggtta atgaagactg aaacaggata atgcctggac actaaatttt ccaagaacaa ggaacacaat tgttctctac atacccctgc aaaaatgctt aatggccagg acacaggaat cttgtgtact tagagacctt gttaggatgg agccccgggg gcaccaccac tggccttcga gccaaggtct cacagagagg gcagcaaggg ggagcagctc atcctcctcc ccagctaggg agacactagg acagcagtgg agtggagtcc gaaatctgcc atagaagccc cagcttacta tttgctcact gagcagcaag tcaacctcag tttctctgtg cctacagggg agtaacagct glicacacta aagggtgctt gtgaggatga tataagaatg aatatggacc tgctctgaca acactgaagt tccagacaaa agaataggca ttagttatct gatttgaag£ actgtggggg attggaattt taaaaataaa cctcaaccca actccttctc ttgtggggcc tcggttgaac aactgggcac ttgcactgcc ttctgaatat gtggatggat tttgcctgct ttggagaagc atatgaactc ctcagggcat ctagtgccct agagtgtgcc aaaggaacaa ggaggactac aaatgggtga【gcctggagc ttaacccacc tccatUggg atlcggagct ctggtttctg tgttcagcia gaatcttcga cagtcattta atgtctctct ttcttagttt tactcatttg ttgaatgggg attatattag ccttactttc cttgaaggtc ttaatgagaa tgaaatgaga taatttttaa gtatatatat gcatttctaa tttccatcag actggagcgt cggtataagt cctgggtgtt ctggaaagtt ttatttattt agaaacagtt taggctgatt gctatctccc tatgctaact ttttgttttt ttagtaaact tutattttg gaatactttc aaatttacag aaaagtttca aagataacaa gagttctcat ttgcccttca cccagtttcc ccataactat 156341-序列表.doc • 2 540 600 660 720 780 840 900 960 1020 1080 1140 1200 1260 1320 1380 1440 1500 1560 1620 1680 1740 1800 1860 1920 1980 2040 2100 2160 2220 2280 2340 2400 2460 2520 2580 2640 2700<130> BIW <140> 100117636 <141> 2011-05-19 <150> 61/346,252 <151> 2010-05-19 <160> 13 <170> Patentln version 3.5 <210&gt ; 1 <211> 722 <212> DNA <213> Homo sapiens <300><308> NM_207002.2 <309> 2〇Tl-02-06 <313> (1)..( 722) < 400 > 1 acttcgctcc gcgcagccgc ctggtctgca gtttgttgga gctctgcgtc cagcgccgct 60 gccgctgccg ccgccgccgc cgccgccgcc gccgccgccg ccgccgccac taccaccact 120 tgattcttgc agccaccctg cgaaccctgc cacactgcga tcgcatcatc gcggtattcg 180 gttcgctgcg ttcccgccgc caccgcctcg gcgccctttc ttggcccttg ttcccccaaa 240 tgtctgactc tgactctcgg actgagaaac gcaagaaaaa aagaccaaat ggcaaagcaa 300 ccttctgatg taagttctga gtgtgaccga gaaggtagac aattgcagcc tgcggagagg 360 cctccccagc Tcagacctgg ggcccctacc tccctacaga cagagccaca agacaggagc 420 ccagcaccca tgagttgtga caaatcaaca caaaccccaa gtcctccttg ccaggccttc 480 aaccactatc tcagtgcaat ggtagtcatc ctagaggata taggtgatct ttcactgtgc 540 tttggattta tatttactgg cttagatttg tatggccacc accatagtc a agatacagaa 600 caactcaacc acaaggattt ctcatgatac ctttttatag ccacagccac ctctctccct 660 cttccttgag cattttgtca tatggtcatt ggtgattaaa taaaatgtat tttaatatig 720 ac 722 < 210> 2 < 211 > 3026 < 212 > DNA < 213 > Homo sapiens < 400 > 2 ctagtcctgt tgaactcaga tgactgcagc cacaggagtg atcccagagt cttttgcact 60 gggaggagaa ggtggaacag gagacaccca cattctagtt ggtccctgct gtctccaaga 120 ggtggtgtac caggagtcct acagatgtga agctaggtta aaaccagttc tggggatgct 180 ttcaaatcaa agaggattta aaaatgtgac tcccagttgc atttccggag ccaagcagca 240 tcctggcttg ggggcctggt gtctaccaca cttctgcgca ttcttcctcc aagccacatc 300 tcctgagaat aaagcaagat gccattggca atgtctactc agaactactt gaatgactca 360 tcaatcaaca ggcttgaatg ctcttcttcc tctatgattc aacggtttga ttgactgaac 420 tgaaactaaa acccaaccct agtggtcatt ttagacttga gcagatacag tcagaatctc 480 156341-Sequence table.doc 201201819 aatcacatgt catcagcagg ccctccttgg cctccttatt gcagctgggc tcctgagcag ctctccctca ctcagggagg aaacgaacgg ctcctttcag tagggcagac gaaggctgct ggctgacgca actgctcctg tgtccacttc cca gcaaggg tgcaaaacag gatttgtgct tgtgctggtg aatctgggct tcacctagca aatcaggggg acaccaaaat gaaaacagcc ctagaggcat ggagaaagcc tcaggtgcac taa ^ gtgcca acagaaacga tgcatctcag agttgacagt catgactcaa ataggacgtg aaggcaacat gtgggtgaga gtagcagcta tgggtgtaaa tatgatcaaa latgggggag gtgtccagat ttcttggaca tggttacaat cagtatttat tttctctctt agtgaacgag tttttggttt ttcaatactg ctaattttac aggcaattca ctacgttccc tgggaggtgg agtggccttc ctccctgctg tgcgtgggtt acacagcctg cctcacttcc ctgtgggtcc ttcatcacct gcatgctcac atgattccat tatttgagct catggcagga aatagaacct gattcaacat tttgctaagt attattttca ccacactgaa tagggtcctt itttgatctg caacccacag ctgggctgtg gttctctcaa cacaggtaga ctgaaaagct tcctcctgca ttgatttctc agcatgggct gaccacatgt tcacaagtac ttgttctut ccatacgtcc caatgcaggc aggoaclggc agagcaggac agctgtgtcc aggagttcag ggaacaaaat aaggctactg taacttcagt caacttcaag gcacggtgta aaataaagta agagattatc agtcaaatag ccatttgcat taaaattctc cactttaaga agctgagatc tttgctttat tttttaaaaa gcaaaatgaa gtcagtttta atggagatat acaattgtta actgttgggt cattttgaaa ggc tttcttc cttaaaatga gtctcagctg atagctactc actaatgctg ataattatct gaagcaaaat aaatacaaat gtctgggtta atgaagactg aaacaggata atgcctggac actaaatttt ccaagaacaa ggaacacaat tgttctctac atacccctgc aaaaatgctt aatggccagg acacaggaat cttgtgtact tagagacctt gttaggatgg agccccgggg gcaccaccac tggccttcga gccaaggtct cacagagagg gcagcaaggg ggagcagctc atcctcctcc ccagctaggg agacactagg acagcagtgg agtggagtcc gaaatctgcc atagaagccc cagcttacta tttgctcact gagcagcaag tcaacctcag tttctctgtg cctacagggg agtaacagct glicacacta aagggtgctt gtgaggatga tataagaatg aatatggacc tgctctgaca acactgaagt tccagacaaa agaataggca ttagttatct gatttgaag £ actgtggggg attggaattt taaaaataaa cctcaaccca actccttctc ttgtggggcc tcggttgaac aactgggcac ttgcactgcc ttctgaatat gtggatggat tttgcctgct ttggagaagc atatgaactc ctcagggcat ctagtgccct agagtgtgcc aaaggaacaa ggaggactac aaatgggtga [gcctggagc ttaacccacc tccatUggg atlcggagct ctggtttctg tgttcagcia gaatcttcga cagtcattta atgtctctct ttcttagttt tactcatttg ttgaatgggg attatattag ccttactttc cttgaaggtc ttaatgagaa t gaaatgaga taatttttaa gtatatatat gcatttctaa tttccatcag actggagcgt cggtataagt cctgggtgtt ctggaaagtt ttatttattt agaaacagtt taggctgatt gctatctccc tatgctaact ttttgttttt ttagtaaact tutattttg gaatactttc aaatttacag aaaagtttca aagataacaa gagttctcat ttgcccttca cccagtttcc ccataactat 156341- Sequence Listing .doc • 2 540 600 660 720 780 840 900 960 1020 1080 1140 1200 1260 1320 1380 1440 1500 1560 1620 1680 1740 1800 1860 1920 1980 2040 2100 2160 2220 2280 2340 2400 2460 2520 2580 2640 2700

201201819 ggctcattgt aaaaactagg aaaccaatat taatgcatta ctaaiaacta tagactttat 2760 tcagatttta ccagtttttc tactcatgtt cttctgtccc aggattcaa丨 acatgatact 2820 gcattgtatt tagttaccat atctcctgag tctcttctgc tctgtgatgg cttcagtctt 2880 ttttcgtctt ccatgcatcg tcagttttaa tgggtactag gcaggtatta tggacaagct 2940 tggcaaatcc acagcccatg ggccacatga ggcccaggat aactttgaat gtggcccagt 3000 acaaattcat aaacttttta aaaaac 3026 <210> 3 <211> 1512 <212> <213>智人 <400> 3 gtcacatcat gacattctct ctccaaaacc cagttgttct ctgtgacgat gccataaagt 60 gacatctaat gactcaggtg tgtgtactgg gtggcagggg catgtcacac acaagcattc 120 tcaactgcag cctcagtctg ggaacgaggt ggtgcgaccc tcatttccga ggggcagctg 180 ctgttttagt tcccatctta tcattactgg aatttcaagt gtagtaccag aaaccaaatt 240 aaaattcaca ggaacgctgc actctgtact gttttcagat gttcasatat ctacaaacac 300 tcgagtagaa tcaagattag attttcaagt catcagcgtg aattaagctt tgaatcgata 360 ttcaactcag aactgagaga ggattttaca cacataatag aacatactta gccaaaaagt 420 gcacattctg tctggcactt gcgggaaaca gccaggcaca gccagggact gcaggggtgt 480 gaggagaaag aaggcctgtc cttcagacat tgcagggctg tctaccttta ctctccagag 540 agattctgct ttaaccacca aaagcaataa aggatcctgt aaagggccat ttctttgtfig 600 actctgaaac cagctttaaa ccaattccaa gagatactcc gaaaatgttt aggggagtca 660 ctgcctctgt ctgcaggtgg gctctctgaa gctgacattc atttagagaa agaaaaattc 720 caggatgttt attcaactct gtaagtctcc ttctttaaat atcttcagaa atatctttct 780 aaattcagag ttatccaaag cttacaagag gagggaagca acagaccagc ccccttatgt 840 ttccttataa aactcacctg ggtgatggag ctgtttctag tcccagttag ctataaggca 900 aaggagagca actgccatca gcgtttgcgg taaatgctat cagaatcatg tttgaaatcc 960 tcaactctga cggttctcag aaataaaata agcaagtaac caacaacaca cacacacacc 1020 tccctccagg tctatttctc acttgtatca ttttattttt tggcaatccc aatcaattcc 1080 gct£agccac tggatgaaaa caaaagctat gagaaatacg atgacagcat tagtactcaa 1140 agattcctca atctgtctcc ctggaacaca tttgtgtcaa aagcctgggc agtcacatga 1200 attcaagaca gtgcttcaaa aacagctgct aggataaaat actatcaata ataaagttta 1260 tgagatgagg ccagtgtttt catacttact ctttcaacgt gcactgccca ttgcctttat 1320 ggagccatgg tcaaaagaaa cagctttcat caatttccag cctgaccatt tggaaactgc 1380 cagtaaacca aggctgtgaa gttggacaga agtctggaaa ctagtgttca tgagattttt 1440 tccctcattc actattatct gtcccttata ataaaaatac aagtctaaag acattaaaaa 1500 aaaaaaaaaa aa 1512201201819 ggctcattgt aaaaactagg aaaccaatat taatgcatta ctaaiaacta tagactttat 2760 tcagatttta ccagtttttc tactcatgtt cttctgtccc aggattcaa Shu acatgatact 2820 gcattgtatt tagttaccat atctcctgag tctcttctgc tctgtgatgg cttcagtctt 2880 ttttcgtctt ccatgcatcg tcagttttaa tgggtactag gcaggtatta tggacaagct 2940 tggcaaatcc acagcccatg ggccacatga ggcccaggat aactttgaat gtggcccagt 3000 acaaattcat aaacttttta aaaaac 3026 < 210 > 3 < 211 > 1512 < 212 > < 213 > Homo sapiens < 400 > 3 gtcacatcat gacattctct ctccaaaacc cagttgttct ctgtgacgat gccataaagt 60 gacatctaat gactcaggtg tgtgtactgg gtggcagggg catgtcacac acaagcattc 120 tcaactgcag cctcagtctg ggaacgaggt ggtgcgaccc tcatttccga ggggcagctg 180 ctgttttagt tcccatctta tcattactgg aatttcaagt gtagtaccag aaaccaaatt 240 aaaattcaca ggaacgctgc actctgtact gttttcagat gttcasatat ctacaaacac 300 tcgagtagaa tcaagattag attttcaagt catcagcgtg aattaagctt tgaatcgata 360 ttcaactcag aactgagaga ggattttaca cacataatag aacatactta gccaaaaagt 420 gcacattctg tctggcactt gcgggaaaca g ccaggcaca gccagggact gcaggggtgt 480 gaggagaaag aaggcctgtc cttcagacat tgcagggctg tctaccttta aggggagtca ctctccagag 540 agattctgct ttaaccacca aaagcaataa aggatcctgt aaagggccat ttctttgtfig 600 actctgaaac cagctttaaa ccaattccaa gagatactcc gaaaatgttt 840 ttccttataa aactcacctg 660 ctgcctctgt ctgcaggtgg gctctctgaa gctgacattc atttagagaa agaaaaattc 720 caggatgttt attcaactct gtaagtctcc ttctttaaat atcttcagaa atatctttct 780 aaattcagag ttatccaaag cttacaagag gagggaagca acagaccagc ccccttatgt ggtgatggag ctgtttctag tcccagttag ctataaggca 900 aaggagagca actgccatca gcgtttgcgg taaatgctat cagaatcatg tttgaaatcc 960 tcaactctga cggttctcag aaataaaata agcaagtaac caacaacaca cacacacacc 1020 tccctccagg tctatttctc acttgtatca ttttattttt tggcaatccc aatcaattcc 1080 gct £ agccac tggatgaaaa caaaagctat gagaaatacg atgacagcat tagtactcaa 1140 agattcctca atctgtctcc ctggaacaca tttgtgtcaa aagcctgggc agtcacatga 1200 attcaagaca gtgcttcaaa aacagctgct aggataaaat actatcaata ataaagttta 1260 tgagatgagg ccagtgtttt catacttact Ctttcaacgt gca Ctgccca ttgcctttat 1320 ggagccatgg tcaaaagaaa cagctttcat caatttccag cctgaccatt tggaaactgc 1380 cagtaaacca aggctgtgaa gttggacaga agtctggaaa ctagtgttca tgagattttt 1440 tccctcattc actattatct gtcccttata ataaaaatac aagtctaaag acattaaaaa 1500 aaaaaaaaaa aa 1512

<210> 4 <211> 20 <212> DNA 15634卜序列表-doc 201201819 <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 4 gttccacctt ctcctcccag <210>. 5 <211> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 5 ctgctgtcct agtgtctccc <210> 6 <211> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 6 gtctgttgct tccctcctct <210> 7 <2Π> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸‘ <400> 7 ggagggaggt gtgtgtgtgt <210> 8 <211> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 8 ccttctttct cctcacaccc <210> 9 <211> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 9 gccacccagt acacacacct <210> 10 <211> 20 <212> DNA <213> <220> 人工序列 -4- 156341·序列表.doc 201201819 <223>反義寡核苷酸 <400> 10 gccattcgtt tcctccctga <210> 11 <211> 20 <212> DNA <213>人工序列 <220> <223>反義寡核苷酸 <400> 11 gctgctactc tcacccacat 156341-序列表.doc <210> 12 <211> 20 <212> DNA <213> 人工序列 <220> <223> 反義寡核苷酸 <400> 12 ccagtcaggg caacacagca <210> 13 <211> 21 <212> DNA <213> A工序列 <220> <223> 反義寡核苷酸 <400> 13 cctctccacg cgcagtacat t<210> 4 <211> 20 <212> DNA 15634 Sequence Listing-doc 201201819 <213> Artificial Sequence <220><223> Antisense Oligonucleotide <400> 4 gttccacctt ctcctcccag <;210>. 5 <211> 20 <212> DNA <213> Artificial sequence <220><223> Antisense oligonucleotide <400> 5 ctgctgtcct agtgtctccc <210> 6 <211> 20 <212> DNA <213> Artificial sequence <220><223> Antisense oligonucleotide <400> 6 gtctgttgct tccctcctct <210> 7 <2Π> 20 <212> DNA <;213> Artificial sequence <220><223> Antisense oligonucleotide ' <400> 7 ggagggaggt gtgtgtgtgt <210> 8 <211> 20 <212> DNA <213> Artificial sequence <220><223> Antisense Oligonucleotide <400> 8 ccttctttct cctcacaccc <210> 9 <211> 20 <212> DNA <213> Artificial Sequence <220><223> Oligonucleotide <400> 9 gccacccagt acacacacct <210> 10 <211& 20 <212> DNA <213><220> Artificial sequence-4-156341. Sequence listing.doc 201201819 <223>Antisense oligonucleotide <400> 10 gccattcgtt tcctccctga <210><211> 20 <212> DNA <213>Artificial sequence<220><223> Antisense oligonucleotide <400> 11 gctgctactc tcacccacat 156341 - Sequence Listing.doc <210> 12 < 211 > 20 <212> DNA <213> Artificial sequence <220><223> Antisense oligonucleotide <400> 12 ccagtcaggg caacacagca <210> 13 <211> 21 <212> DNA <213> A-process sequence <220><223> antisense oligonucleotide <400> 13 cctctccacg cgcagtacat t

Claims (1)

201201819 七、申請專利範圍: 1. 一種長度為5至30個核苷酸之反義募核苷酸的用途,其 用以製造用於調節生物系統中類BCL2 u (BCL2LU)聚 核苷酸之功能及/或表現的藥劑,其中該寡核苷酸與類 BCL2 11 (BCL2L11)聚核苷酸之天然反義轉錄本之反向 互補序列具有至少50%的序列一致性β 2. 如請求項1之用途,其中該天然反義轉錄本包含seq id NO: 2之核苷酸1至3026及5]^ ID N〇: 3之核苷酸工至 1512。 3. —種長度為5至30個核苷酸之反義寡核苷酸的用途,其 用以製造用於調節患者細胞或組織中類BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現的藥劑,其中該寡 核苷酸與該類BCL2 11 (BCL2L11)聚核苷酸之反義寡核 普酸具有至少50%的序列一致性。 4. 如請求項3之用途’其中該天然反義轉錄本包含SEq id NO: 2之核苷酸1至3〇26及8叫id NO: 3之核苷酸1至 1512 〇 5_ —種反義募核苷酸的用途,該反義寡核苷酸靶向類bcl2 11 (BCL2L11)聚核苷酸之天然反義寡核苷酸中之區域, 該反義寡核苷酸用以製造用於調節生物系統中類BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現的藥劑。 6. 如請求項5之用途,其中該類BCL2 11 (BCL2L11)之功能 及/或表現比對照組增強。 7. 如請求項5之用途,其中該反義募核苷酸靶向類BCL2 11 156341.doc 201201819 (BCL2L11)聚核苷酸之天然反義序列β 8·如請求項5之用途,其中該反義寡核苷酸靶向核酸序 列’該核酸序列包括類BCL2 11 (BCL2L11)聚核苦酸之 編碼及/或非編媽核酸序列。 9.如請求項5之用途,其中該反義寡核苷酸靶向類bcL2 11 (BCL2L11)聚核苷酸之重疊及/或非重疊序列。 10·如請求項5之用途,其中該反義寡核苷酸包括一或多個 選自以下之修飾:至少一個經修飾糖部分、至少一個經 修飾核苷間鍵聯、至少一個經修飾核苷酸、及其組合。 11 ·如請求項1〇之用途’其中該一或多個修飾包括至少一個 選自以下之經修飾糖部分:經2,_〇·甲氧基乙基修飾之糖 部分、經2'-曱氧基修飾之糖部分、經2ι_〇_烷基修飾之糖 部分、雙環糖部分、及其組合。 12. 如請求項1〇之用途’其卡該一或多個修飾包括至少一個 選自以下之經修飾核苷間鍵聯:硫代磷酸酯、2'-〇曱氧 基乙基(ΜΟΕ)、2' - It、膦酸烧基酯、二硫代構酸酯、硫 代鱗酸烷基酯、胺基磷酸酯、胺基曱酸酯、碳酸酯、填 酸二醋、胺基乙酸酯、叛曱基酯、及其組合。 13. 如请求項1 〇之用途,其中該一或多個修飾包括至少一個 選自以下之經修飾核苷酸:肽核酸(PNA)、鎖核酸 (LNA)、阿糖核酸(FANA)、其類似物、衍生物、及組 合。 14·如請求項1之用途,其中該寡核苷酸包括至少一個如SEQ ID NO: 4至13所示之寡核苷酸序列。 156341.doc 201201819 15. —種長度為5至30個核苷酸之短干擾rnA (siRNA)寡核芽 酸的用途,其用以製造用於調節哺乳動物細胞或組織令 類BCL2 11 (BCL2L11)基因之功能及/或表現的藥劑,其 中該siRNA寡核苷酸對類BCL2 11 (BCL2L11)聚核普酸之 反義聚核苷酸具有特異性,且其中該至少一種siRNA寡 核苷酸與該類BCL2 11 (BCL2L11)聚核苷酸中之反義及/ 或有義核酸分子中之至少約5個連續核酸之互補序列具 有至少50%的序列一致性。 16. 如請求項15之用途’其中該寡核苷酸與該類BCL2 ^ (BCL2L11)聚核苷酸之反義及/或有義核酸分子之互補序 列之至少約5個連續核酸之序列具有至少8〇%的序列一致 性。 Π. —種長度為約5至30個核苷酸之反義寡核苷酸之用途, 該反義寡核苷酸對類BCL2 11 (BCL2L11)聚核苦酸之有 義及/或天然反義股之非編碼及/或編碼序列具有特異 性,該反義寡核苷酸用以製造用於調節哺乳動物細胞或 組織中類BCL2 11 (BCL2L11)之功能及/或表現的藥劑, 其中該反義寡核苷酸與SEQIDN〇: 1至3中所示之至少一 個核酸序列具有至少5〇%的序列一致性。 1 8. —種包括至少一個修飾之經合成與修飾之寡核苷酸,其 中該至V、一個修娜選自:至少一個經修飾糖部分、至少 個、’ΐ修飾核苷酸間鍵聯、至少一個經修飾核苷酸、及 其組合;其中該寡核苷酸係在活體内或活體外與類BCL2 11 (BCL2L11)基因雜交且相對於正常對照組可以調節該 156341.doc 201201819 類BCL2 11 (BCL2L11)基因之功能及/或表現之反義化合 物’且其中該寡核苷酸與該類BCL2 11 (BCL2L11)聚核 苦酸之反義及/或有義核酸分子及其等位基因、同系物、 同功型 '變體、衍生物、突變體、片段、或組合之互補 序列之至少約5個連續核酸之序列具有至少5〇%的序列一 致性。 19 ·如請求項18之寡核苷酸,其中該募核苷酸之長度為5至 30個核苷酸,且與該BCL2L11基因之天然反義轉錄本内 5至30個連續核苷酸之反向互補序列具有至少5〇%的序列 一致性。 20. 如請求項19之寡核苷酸’其中該至少一個修飾包括選自 由以下組成之群之核苷酸間鍵聯:硫代磷酸酯、膦酸烷 基酯、二硫代磷酸酯、硫代膦酸烷基酯、胺基磷酸酯、 胺基曱酸醋、碳酸醋、踏酸三醋、胺基乙酸醋、叛甲基 醋、及其組合。 21. 如請求項19之寡核苷酸,其中該寡核苷酸包括至少一個 硫代磷酸酯核苷酸間鍵聯。 22. 如請求項19之寡核苷酸,其中該寡核苷酸包括硫代磷酸 西旨核苷酸間鍵聯之主鏈。. 23. 如請求項19之寡核苷酸,其中該寡核苷酸包括至少一個 經修飾核苷酸,該經修飾核苷酸選自:肽核酸、鎖核酸 (LNA)、其類似物、衍生物、及組合。 24. 如請求項19之寡核苷酸’其中該寡核苷酸包括複數個修 飾’其中該等修飾包括選自以下之經修飾核苷酸:硫代 156341.doc 201201819 構酸酯、膦酸烷基酯、二硫代磷酸酯、硫代膦酸烧基 酯、胺基磷酸酯、胺基曱酸酯、碳酸酯、磷酸三酯、胺 基乙酸酯、羧曱基酯、及其組合。 25.如請求項19之寡核苷酸,其中該寡核苷酸包括複數個修 飾’其中該等修飾包括選自以下之經修飾核苷酸:肽核 酸、鎖核酸(LNA)、其類似物、衍生物、及組合。 26·如請求項19之寡核苷酸,其中該寡核苷酸包括至少一個 選自以下之經修飾糖部分:經2,_〇_曱氧基乙基修飾之糖 部分、經2'-曱氧基修飾之糖部分、經2·_〇_烷基修飾之糖 部分、雙環糖部分、及其組合。 27. 如請求項19之募核苷酸,其中該寡核苷酸包括複數個修 飾,其中該等修飾包括選自以下之經修飾糠部分:經2,_ 〇-曱氧基乙基修飾之糖部分、經2,-曱氧基修飾之糖部 分、經2’-0-烷基修飾之糖部分、雙環糖部分、及其組 合.。 28. 如請求項19之寡核苷酸,其中該寡核苷酸之長度為至少 約5至30個核苷酸且與類BCL2 11 (BCL2L11)聚核苷酸之 反義及/或有義股雜交,其中該寡核苷酸與該類BCL2 11 (BCL2L11)聚核苷酸中之反義及/或有義編碼及/或非編碼 核酸序列中至少約5個連續核酸之互補序列具有至少約 6 0 %的序列 '—致性。 29. 如請求項19之寡核苷酸,其中該寡核苷酸與該類BCL2 11 (BCL2L11)聚核苷酸之反義及/或有義編碼及/或非編 碼核酸序列中至少約5個連續核酸之互補序列具有至少 156341.doc 201201819 約8 0 %的序列一致性。 30. 如請求項19之寡核苷酸,其中該寡核苷酸在活體内或活 體外與至少一種類BCL2 11 (BCL2L11)聚核苦酸雜交, 且相對於正常對照組,可以調節該類BCL2 η (BCL2L11)聚核苷酸之表現及/或功能。 31. 如請求項19之寡核苷酸,其中該寡核苷酸包括如SEQ m NO: 4至13所示之序列。 32. —種醫藥組合物,其包括一或多種如請求項18之對一或 多種類BCL2 11 (BCL2L11)聚核苷酸具有特異性之寡核 苷酸及醫藥上可接受之賦形劑。 33. 如請求項32之組合物’其中該等寡核苷酸與如SEq ID NO: 4至13所示之任一種核苷酸序列比對,具有至少約 4 0 %的序列一致性。 34. 如請求項32之組合物,其中該等寡核苷酸包括如SEq ID NO: 4至13所示之核苷酸序列。 35. 如請求項34之組合物’其中該等如SEq m NO: 4至13所 示之寡核苷酸包括一或多個修飾或取代。 36. 如請求項35之組合物,其中該一或多個修飾選自:硫代 磷酸酯、膦酸曱酯、肽核酸、鎖核酸(LNA)分子、及其 組合。 37. —種反義寡核苷酸之用途,其用以製造用於預防或治療 與至少一種類BCL2 11 (BCL2L11)聚核苷酸及/或其至少 一種編碼產物有關之疾病的藥劑,其中該反義寡核苷酸 與該至少一種類BCL2 11 (BCL2L11)聚核苷酸之天然反 I56341.doc 201201819 義序列、,ασ,並調節該至少一種類BCL2 11 (BCL2L11) 聚核苷酸的表現。 38·如請求項37>ώ、么 之用途’其中與該至少一種類BCL2 ! J (BCL2L11)聚核苦酸有關之疾病選自:與BeL2Ln之異 *力知及/或表現有關之疾病或病症、癌症、異常細胞调 亡增殖性疾病或病症、與粒線體細胞凋亡路徑有關之 疾病或病症、白血病、自體免疫性疾病或病症、與免疫 性受相有關之疾病或病症、感染、過度增殖性病症、生 殖組織之過度增殖(例如子宮癌、睾丸癌及卵巢癌、子宮 内膜異位症、及子宮頸之鱗狀、腺體上皮癌等)、神經學 疾病或病症、與發育中胚胎有關之發育病症、血液疾病 或病症、組織體内穩態受損、類風濕關節炎、敗血病、 視網膜神經節細胞死亡、肝病及腎病。 39. —種長度為5至30個核苷酸之募核苷酸之用途,其用以 製造用於誘導生物系統中之細胞凋亡之藥劑,其中該寡 核苷酸與該系統中BCL2L11聚核苷酸之天然反義轉錄本 之反向互補序列内的5至30個連續核苷酸至少5〇%一致。 40. 如請求項39之用途,其中該天然反義轉錄本具有託卩id NO: 2 或 3。 41 ‘如請求項3 9之用途,其中該生物系統係患者細胞或組 織。 42. —種長度為約5至30個核苷酸之寡核苷酸之用途,其用 以製造用於誘導生物系統中之細胞凋亡之藥劑,其中該 寡核苷酸可藉由靶向靶基因之天然反義轉錄本來上調該 156341.doc 201201819 基因,且其中該寡核苷酸與該經上調基因之天然反義轉 錄本之反向互補序列至少5〇%一致。 43 · 一種鑑別及選擇至少一種對BCL2L11基因之天然反義轉 錄本具有選擇性之寡核苷酸作為選定靶聚核苷酸供用於 體内技與之方法,該方法包括:鑑別至少一種包括與 該選定靶聚核苷酸之反義聚核苷酸至少部分互補之至少 5個連續核苷酸的寡核苷酸;在嚴格雜交條件下量測反 義寡核苷酸與該靶聚核苷酸或該選定靶聚核苷酸之反義 聚核苷酸之雜合體的熱熔點;及基於所獲得資訊選擇至 少一種寡核苷酸用於活體内投與。 44,一種在活體外調節生物系統中類bcl2 11 (BC:L2L11)聚 核苷酸之功能及/或表現之方法,其包括:使該系統與至 ’ 種長度為5至30個核苷酸之反義寡核苷酸接觸,其 中该至少一種寡核苷酸與類bcL2 11 (BCL2L11)聚核苷 酉文之天然反義轉錄本之反向互補序列具有至少50%的序 列一致性;由此調節該類BCL2 u (BCL2L11)聚核苷酸 之功能及/或表現》 45.如請求項44之在活體外調節生物系統中類bcL2 11 (BCL2L11)聚核苷酸之功能及/或表現的方法,其包括: 使該生物系統與至少一種長度為5至30個核苷酸之反義 寡核苷酸接觸,其中該至少一種寡核苷酸與包括天然反 義轉錄本SEQ ID NO: 2之核苷酸1至3026及SEQ ID NO: 3 之核苷酸1至1 5 12内之5至30個連續核苷酸之聚核苷酸之 反向互補序列具有至少50%的序列一致性;由此調節該 156341.doc 201201819 類BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現。 46. —種在活體外調節患者細胞或組織中類BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現之方法,其包括: 使該等細胞或組織與至少一種長度為5至30個核苷酸之 反義寡核苷酸接觸,其中該寡核苷酸與該類BCL2 11 (BCL2L11)聚核苷酸之反義募核苷酸具有至少50%的序 列一致性;由此在活體外調節患者細胞或組織中該類 BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現。 47. 如請求項46之調節患者細胞或組織中類BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現的方法,其包括: 使s亥生物糸統與至少一種長度為5至3 0個核苦酸之反義 寡核苷酸接觸,其中該至少一種寡核苷酸與包括天然反 義轉錄本SEQ ID NO: 2之核苷酸1至3026及SEQ ID NO: 3 之核普酸1至1512内之5至30個連續核苦酸之聚核苷酸之 反向互補序列具有至少50%的序列一致性;由此調節該 類BCL2 11 (BCL2L11)聚核苦酸之功能及/或表現。 48. —種在活體外調節生物系統中類bcL2 11 (BCL2L11)聚 核苷酸之功能及/或表現的方法’其包括:使該系統與至 少一種靶向該類BCL2 11 (BCL2L11)聚核苷酸之天然反 義寡核苷酸中區域之反義寡核苷酸接觸;由此調節該類 .BCL2 11 (BCL2L11)聚核苷酸之功能及/或表現。 49. 如請求項48之方法’其中該類BCL2 11 (BCL2L11)在活 體外之功能及/或表現比對照組增強。 50. 如請求項48之方法,其中該至少一種反義寡核苷酸靶向 156341.doc 201201819 類BCL2 11 (BCL2L11)聚核苷酸之天然反義序列。 51.如請求項48之方法,其中該至少一種反義寡核苷酸靶向 核酸序列,該核酸序列包括類BCL2 11 (Bcl2Ui)聚核 苷酸之編碼及/或非編碼核酸序列。 52.如請求項48之方法,其中該至少一種反義寡核苷酸靶向 類BCL2 Η (BCL2L11)聚核苦酸之重疊及/或非重疊序 列。 53.如請求項48之方法,其中該至少一種反義寡核苷酸包括 一或多個選自以下之修飾:至少一個經修飾糖部分、至 少一個經修飾核苷間鍵聯、至少一個經修飾核苷酸、及 其組合。 54. 如請求項53之方法,其中該一或多個修飾包括至少一個 選自以下之經修飾糖部分:經2,-〇-甲氧基乙基修飾之糖 部分、經2,-甲氧基修飾之糖部分、經2,·〇·烷基修飾之糖 部分、雙環糖部分、及其組合。 55. 如請求項53之方法,其中該一或多個修飾包括至少一個 選自以下之經修飾核苷間鍵聯:硫代磷酸酯、2,_〇曱氧 基乙基(ΜΟΕ)、2,·氟、膦酸烷基酯、二硫代磷酸酯、硫 代膦酸燒基酯、胺基麟酸酯、胺基甲酸酯、碳酸酯、破 酸三醋、胺基乙酸酯、羧曱基酯、及其組合。 56. 如請求項53之方法,其中該一或多個修飾包括至少一個 選自以下之經修飾核苷酸:肽核酸(ρΝΑ)、鎖核酸 (LNA)、阿糖核酸(FANA)、其類似物、衍生物、及組 合0 156341.doc 201201819 57. 如請求項44之方法,其中該至少一種募核苦酸包括至少 一個如SEQ ID NO: 4至13所示之寡核苷酸序列。 58. —種在活體外調節哺乳動物細胞或組織中類bcL2 ! j (BCL2L11)基因之功能及/或表現的方法,其包括:使該 等細胞或組織與至少一種長度為5至3〇個核苷酸之短干 擾RNA (siRNA)募核苷酸接觸,該至少一種siRNA募核 苷酸對類BCL2 11 (BCL2L11)聚核苷酸之反義聚核苷酸 具有特異性,其中該至少一種siRNA寡核苷酸與該類 BCL2 11 (BCL2L11)聚核苷酸之反義及/或有義核酸分子 中至少約5個連續核酸之互補序列具有至少5〇%的序列一 致性,及在活體外調節哺乳動物細胞或組織中之類BCL2 11 (BCL2L11)之功能及/或表現。 59. 如請求項58之方法’其中該募核苷酸與該類bcl2 11 (BCL2L11)聚核苷酸之反義及/或有義核酸分子之互補序 列中至少約5個連續核酸之序列具有至少8〇%的序列一致 性。 60. —種在活體外調節嗜乳動物細胞或組織中類bcl2 11 (BCL2L11)之功能及/或表現的方法,其包括:使該等細 胞或組織與至少一種長度為約5至30個核苷酸之反義寡 核普酸接觸’該反義寡核普酸對類BCL2 11 (BCL2L11) 聚核苷酸之有義及/或天然反義股之非編碼及/或編碼序 列具有特異性’其中該至少一種反義寡核苷酸與至少一 種如SEQ ID NO: 1至3所示之核酸序列具有至少5〇%的序 列一致性;及在活體外調節哺乳動物細胞或組織中該類 BCL2 11 (BCL2L11)之功能及/或表現。 156341.doc201201819 VII. Scope of Application: 1. The use of an antisense nucleotide of 5 to 30 nucleotides in length for the production of a BCL2 u (BCL2LU)-like polynucleotide in a biological system. Functional and/or performance agent, wherein the oligonucleotide has at least 50% sequence identity to a reverse complement of a natural antisense transcript of a BCL2 11 (BCL2L11)-like polynucleotide. Use of 1 wherein the natural antisense transcript comprises nucleotides 1 to 3026 of seq id NO: 2 and 5] ^ N N: 3 nucleotides to 1512. 3. Use of an antisense oligonucleotide of 5 to 30 nucleotides in length for the manufacture of a BCL2 11 (BCL2L11)-like polynucleotide for regulating a cell or tissue in a patient and/or An agent that exhibits at least 50% sequence identity to an antisense oligonucleotide of such a BCL2 11 (BCL2L11) polynucleotide. 4. The use of claim 3 wherein the natural antisense transcript comprises SEq id NO: 2 nucleotides 1 to 3 〇 26 and 8 is called id NO: 3 nucleotides 1 to 1512 〇 5 _ The use of a nucleotide that targets a region of a natural antisense oligonucleotide of a bcl2 11 (BCL2L11)-like polynucleotide, which is used for manufacturing An agent that modulates the function and/or expression of a BCL2 11 (BCL2L11)-like polynucleotide in a biological system. 6. The use of claim 5, wherein the function and/or performance of such BCL2 11 (BCL2L11) is enhanced compared to the control group. 7. The use of claim 5, wherein the antisense raised nucleotide targets the natural antisense sequence of the BCL2 11 156341.doc 201201819 (BCL2L11) polynucleotide, wherein the use of claim 5, wherein Antisense Oligonucleotide Targeting Nucleic Acid Sequences' The nucleic acid sequence includes a coding-like and/or non-coding nucleic acid sequence of BCL2 11 (BCL2L11) polynucleic acid. 9. The use of claim 5, wherein the antisense oligonucleotide targets an overlapping and/or non-overlapping sequence of a bclL2 11 (BCL2L11)-like polynucleotide. 10. The use of claim 5, wherein the antisense oligonucleotide comprises one or more modifications selected from the group consisting of at least one modified sugar moiety, at least one modified internucleoside linkage, at least one modified core Glycosylates, and combinations thereof. 11. The use of claim 1 wherein the one or more modifications comprise at least one modified sugar moiety selected from the group consisting of 2, 〇 methoxyethyl modified sugar moieties, 2'-曱An oxy-modified sugar moiety, a sugar moiety modified with 2ι_〇-alkyl, a bicyclic sugar moiety, and combinations thereof. 12. The use of claim 1 wherein the one or more modifications comprise at least one modified internucleoside linkage selected from the group consisting of phosphorothioate, 2'-methoxyethyl (ΜΟΕ) 2' - It, phosphonic acid ester, dithio acid ester, alkyl thiosulfate, amino phosphate, amino phthalate, carbonate, acid diacetate, amino acetic acid Esters, retinoyl esters, and combinations thereof. 13. The use of claim 1 , wherein the one or more modifications comprise at least one modified nucleotide selected from the group consisting of a peptide nucleic acid (PNA), a locked nucleic acid (LNA), an arabinic acid (FANA), Analogs, derivatives, and combinations. 14. The use of claim 1, wherein the oligonucleotide comprises at least one oligonucleotide sequence as set forth in SEQ ID NOs: 4 to 13. 156341.doc 201201819 15. Use of a short interfering rnA (siRNA) oligonucleate of 5 to 30 nucleotides for the production of a mammalian cell or tissue such as BCL2 11 (BCL2L11) An agent for the function and/or expression of a gene, wherein the siRNA oligonucleotide is specific for an antisense polynucleotide of BCL2 11 (BCL2L11) polynucleotide, and wherein the at least one siRNA oligonucleotide The complement of at least about 5 contiguous nucleic acids in an antisense and/or sense nucleic acid molecule of such a BCL2 11 (BCL2L11) polynucleotide has at least 50% sequence identity. 16. The use of claim 15 wherein the oligonucleotide has at least about 5 contiguous nucleic acid sequences of the antisense and/or complement of the sense nucleic acid molecule of the BCL2(BCL2L11) polynucleotide. At least 8% of sequence identity. Π. The use of an antisense oligonucleotide of about 5 to 30 nucleotides in length, which is positive and/or natural against the BCL2 11 (BCL2L11) polynucleic acid. The non-coding and/or coding sequence of the sense strand is specific for the manufacture of a medicament for modulating the function and/or expression of a BCL2 11 (BCL2L11)-like cell in a mammalian cell or tissue, wherein The antisense oligonucleotide has at least 5% sequence identity with at least one of the nucleic acid sequences set forth in SEQ ID N: 1 to 3. 1 8. An oligonucleotide comprising at least one modified synthesis and modification, wherein the V, a sina is selected from the group consisting of: at least one modified sugar moiety, at least one, 'ΐ modified internucleotide linkage At least one modified nucleotide, and combinations thereof; wherein the oligonucleotide is hybridized in vivo or in vitro to a BCL2 11 (BCL2L11)-like gene and can be adjusted relative to a normal control group. 156341.doc 201201819 Class BCL2 An antisense compound and/or a sense nucleic acid molecule thereof A sequence of at least about 5 contiguous nucleic acids of a homologue, isoform, variant, derivative, mutant, fragment, or combination of complements has at least 5% sequence identity. The oligonucleotide of claim 18, wherein the nucleotide is 5 to 30 nucleotides in length and 5 to 30 contiguous nucleotides in the natural antisense transcript of the BCL2L11 gene The reverse complement sequence has a sequence identity of at least 5%. 20. The oligonucleotide of claim 19, wherein the at least one modification comprises an internucleotide linkage selected from the group consisting of: phosphorothioate, alkyl phosphonate, dithiophosphate, sulfur An alkyl phosphonate, an amino phosphate, an amine phthalic acid vinegar, a carbonated vinegar, a triacetic acid vinegar, an aminoacetic acid vinegar, a methyl vinegar, and combinations thereof. 21. The oligonucleotide of claim 19, wherein the oligonucleotide comprises at least one phosphorothioate internucleotide linkage. 22. The oligonucleotide of claim 19, wherein the oligonucleotide comprises a backbone of an internucleotide linkage of phosphorothioate. 23. The oligonucleotide of claim 19, wherein the oligonucleotide comprises at least one modified nucleotide selected from the group consisting of: a peptide nucleic acid, a locked nucleic acid (LNA), an analog thereof, Derivatives, and combinations. 24. The oligonucleotide of claim 19, wherein the oligonucleotide comprises a plurality of modifications, wherein the modifications comprise a modified nucleotide selected from the group consisting of: thio 156341.doc 201201819 acid ester, phosphonic acid Alkyl esters, dithiophosphates, alkyl thiophosphonates, amino phosphates, amino phthalates, carbonates, phosphates, amino acetates, carboxylides, and combinations thereof . 25. The oligonucleotide of claim 19, wherein the oligonucleotide comprises a plurality of modifications wherein the modifications comprise modified nucleotides selected from the group consisting of peptide nucleic acids, locked nucleic acids (LNA), analogs thereof , derivatives, and combinations. The oligonucleotide of claim 19, wherein the oligonucleotide comprises at least one modified sugar moiety selected from the group consisting of a sugar moiety modified with 2,_〇-methoxyethyl, 2'- a methoxy group-modified sugar moiety, a 2·_〇-alkyl modified sugar moiety, a bicyclic sugar moiety, and combinations thereof. 27. The nucleotide of claim 19, wherein the oligonucleotide comprises a plurality of modifications, wherein the modifications comprise a modified oxime moiety selected from the group consisting of 2, _ 〇-methoxyethyl modified a sugar moiety, a 2,-decyloxy modified sugar moiety, a 2'-0-alkyl modified sugar moiety, a bicyclic sugar moiety, and combinations thereof. 28. The oligonucleotide of claim 19, wherein the oligonucleotide is at least about 5 to 30 nucleotides in length and is antisense and/or sensed with a BCL2 11 (BCL2L11)-like polynucleotide. Strand hybridization wherein the oligonucleotide has at least a complement to at least about 5 contiguous nucleic acids in an antisense and/or sense encoding and/or non-coding nucleic acid sequence of such a BCL2 11 (BCL2L11) polynucleotide. About 60% of the sequence '--. 29. The oligonucleotide of claim 19, wherein the oligonucleotide has at least about 5 of the antisense and/or sense encoding and/or non-coding nucleic acid sequences of the BCL2 11 (BCL2L11) polynucleotide. The complementary sequence of contiguous nucleic acids has a sequence identity of at least 156341.doc 201201819 of about 80%. 30. The oligonucleotide of claim 19, wherein the oligonucleotide hybridizes with at least one BCL2 11 (BCL2L11) polynucleic acid in vivo or in vitro, and the class can be adjusted relative to a normal control group. The performance and/or function of the BCL2 η (BCL2L11) polynucleotide. 31. The oligonucleotide of claim 19, wherein the oligonucleotide comprises the sequence set forth in SEQ m NO: 4 to 13. 32. A pharmaceutical composition comprising one or more oligonucleotides specific for one or more of the BCL2 11 (BCL2L11) polynucleotides of claim 18 and a pharmaceutically acceptable excipient. 33. The composition of claim 32, wherein the oligonucleotides are aligned with any one of the nucleotide sequences set forth as SEq ID NO: 4 to 13, having a sequence identity of at least about 40%. 34. The composition of claim 32, wherein the oligonucleotides comprise a nucleotide sequence as set forth in SEq ID NO: 4 to 13. 35. The composition of claim 34 wherein the oligonucleotides such as SEq m NO: 4 to 13 comprise one or more modifications or substitutions. 36. The composition of claim 35, wherein the one or more modifications are selected from the group consisting of: phosphorothioates, phosphonium phosphonates, peptide nucleic acids, locked nucleic acid (LNA) molecules, and combinations thereof. 37. Use of an antisense oligonucleotide for the manufacture of a medicament for preventing or treating a disease associated with at least one BCL2 11 (BCL2L11)-like polynucleotide and/or at least one of its encoded products, wherein The antisense oligonucleotide and the natural anti-I56341.doc 201201819 sequence of the at least one BCL2 11 (BCL2L11)-like polynucleotide, ασ, and modulate the at least one BCL2 11 (BCL2L11)-like polynucleotide which performed. 38. The use of claim 37, wherein the disease associated with the at least one BCL2! J (BCL2L11) polynucleic acid is selected from the group consisting of: a disease associated with BeL2Ln and/or a performance-related disease or A condition, cancer, abnormal cell apoptosis proliferative disease or condition, a disease or condition associated with a mitochondrial cell apoptosis pathway, leukemia, an autoimmune disease or condition, a disease or condition associated with an immune response, an infection Hyperproliferative disorders, hyperproliferation of reproductive tissues (eg uterine cancer, testicular and ovarian cancer, endometriosis, squamous cervix, glandular epithelial cancer, etc.), neurological diseases or conditions, and Developmental disorders related to developmental embryos, blood diseases or conditions, impaired tissue homeostasis, rheumatoid arthritis, septicemia, retinal ganglion cell death, liver disease, and kidney disease. 39. Use of a nucleotide of 5 to 30 nucleotides in length for the manufacture of an agent for inducing apoptosis in a biological system, wherein the oligonucleotide is polymerized with BCL2L11 in the system At least 5% of the 5 to 30 contiguous nucleotides within the reverse complement of the natural antisense transcript of the nucleotide are at least 5% identical. 40. The use of claim 39, wherein the natural antisense transcript has a 卩 id NO: 2 or 3. 41 ‘The use of claim 39, wherein the biological system is a patient cell or tissue. 42. Use of an oligonucleotide of about 5 to 30 nucleotides in length for the manufacture of an agent for inducing apoptosis in a biological system, wherein the oligonucleotide can be targeted by The natural antisense transcript of the target gene upregulates the 156341.doc 201201819 gene, and wherein the oligonucleotide is at least 5% identical to the reverse complement of the natural antisense transcript of the upregulated gene. 43. A method for identifying and selecting at least one oligonucleotide selective for a natural antisense transcript of a BCL2L11 gene as a selected target polynucleotide for use in an in vivo technique, the method comprising: identifying at least one An oligonucleotide of at least 5 contiguous nucleotides at least partially complementary to an antisense polynucleotide of the selected target polynucleotide; measuring the antisense oligonucleotide and the target polynucleoside under stringent hybridization conditions The thermal melting point of the acid or the hybrid of the antisense polynucleotide of the selected target polynucleotide; and selecting at least one oligonucleotide for in vivo administration based on the information obtained. 44. A method of modulating the function and/or expression of a bcl2 11 (BC:L2L11)-like polynucleotide in a biological system in vitro comprising: bringing the system to a length of 5 to 30 nucleotides The antisense oligonucleotide is contacted, wherein the at least one oligonucleotide has at least 50% sequence identity with the reverse complement of the natural antisense transcript of the bcL2 11 (BCL2L11) polynucleoside; This modulates the function and/or expression of such a BCL2 u (BCL2L11) polynucleotide. 45. The function and/or expression of a bcL2 11 (BCL2L11)-like polynucleotide in an in vitro regulatory biological system according to claim 44 A method comprising: contacting the biological system with at least one antisense oligonucleotide of 5 to 30 nucleotides in length, wherein the at least one oligonucleotide comprises a natural antisense transcript comprising the SEQ ID NO: The reverse complement of the nucleotides of nucleotides 1 to 3026 of 2 and 5 to 30 contiguous nucleotides of nucleotides 1 to 15 12 of SEQ ID NO: 3 has at least 50% sequence identity The function and/or performance of the 156341.doc 201201819 BCL2 11 (BCL2L11) polynucleotide is thereby regulated. 46. A method of modulating the function and/or expression of a BCL2 11 (BCL2L11)-like polynucleotide in a patient cell or tissue in vitro, comprising: Having the cells or tissues at least 5 to 30 in length An antisense oligonucleotide contact of a nucleotide, wherein the oligonucleotide has at least 50% sequence identity to an antisense oligonucleotide of the BCL2 11 (BCL2L11) polynucleotide; thereby in vivo The function and/or expression of such a BCL2 11 (BCL2L11) polynucleotide in a patient's cells or tissues is modulated externally. 47. The method of claim 46, wherein the function and/or performance of a BCL2 11 (BCL2L11)-like polynucleotide in a patient cell or tissue is modulated, comprising: causing the sigma with at least one length of 5 to 30 Contact with an antisense oligonucleotide of nucleotide acid, wherein the at least one oligonucleotide and the nucleotides comprising nucleotides 1 to 3026 and SEQ ID NO: 3 of the natural antisense transcript of SEQ ID NO: 2 The reverse complement of 5 to 30 consecutive nucleotides of nucleotides from 1 to 1512 has a sequence identity of at least 50%; thereby modulating the function of the BCL2 11 (BCL2L11) polynucleic acid and/or Or performance. 48. A method of modulating the function and/or expression of a bclL2 11 (BCL2L11)-like polynucleotide in a biological system in vitro comprising: targeting the system to at least one of the BCL2 11 (BCL2L11) polynuclear The antisense oligonucleotides of the region of the natural antisense oligonucleotide of the nucleoside are contacted; thereby modulating the function and/or performance of such a BCL2 11 (BCL2L11) polynucleotide. 49. The method of claim 48, wherein the function and/or performance of the BCL2 11 (BCL2L11) in vitro is enhanced over the control group. 50. The method of claim 48, wherein the at least one antisense oligonucleotide targets a natural antisense sequence of a 156341.doc 201201819 BCL2 11 (BCL2L11) polynucleotide. The method of claim 48, wherein the at least one antisense oligonucleotide targets a nucleic acid sequence comprising a BCL2 11 (Bcl2Ui)-like polynucleotide encoding and/or non-coding nucleic acid sequence. 52. The method of claim 48, wherein the at least one antisense oligonucleotide targets an overlapping and/or non-overlapping sequence of a BCL2(R)-like (BCL2L11) polynucleic acid. 53. The method of claim 48, wherein the at least one antisense oligonucleotide comprises one or more modifications selected from the group consisting of at least one modified sugar moiety, at least one modified internucleoside linkage, at least one Modified nucleotides, and combinations thereof. 54. The method of claim 53, wherein the one or more modifications comprise at least one modified sugar moiety selected from the group consisting of 2,-〇-methoxyethyl modified sugar moiety, 2,-methoxy a sugar moiety modified by a base, a sugar moiety modified with 2, 〇·alkyl, a bicyclic sugar moiety, and combinations thereof. 55. The method of claim 53, wherein the one or more modifications comprise at least one modified internucleoside linkage selected from the group consisting of: phosphorothioate, 2,-methoxyethyl (ΜΟΕ), 2 , fluorine, alkyl phosphonate, dithiophosphate, thiophosphonate, amino aryl ester, urethane, carbonate, acid-depleted triacetate, amino acetate, Carboxynonyl esters, and combinations thereof. 56. The method of claim 53, wherein the one or more modifications comprise at least one modified nucleotide selected from the group consisting of a peptide nucleic acid (ρΝΑ), a locked nucleic acid (LNA), an arabinic acid (FANA), and the like The method of claim 44, wherein the at least one nucleus acid comprises at least one oligonucleotide sequence as set forth in SEQ ID NOS: 4 to 13. 58. A method of modulating the function and/or expression of a bclL2! j (BCL2L11) gene in a mammalian cell or tissue in vitro, comprising: equating the cell or tissue with at least one of 5 to 3 lengths Nucleotide short interfering RNA (siRNA) nucleotide contacts, the at least one siRNA raised nucleotide specific for an antisense polynucleotide of a BCL2 11 (BCL2L11)-like polynucleotide, wherein the at least one The siRNA oligonucleotide has at least 5% sequence identity to the antisense of the BCL2 11 (BCL2L11) polynucleotide and/or the complement of at least about 5 contiguous nucleic acids in the sense nucleic acid molecule, and in vivo The function and/or expression of BCL2 11 (BCL2L11) in mammalian cells or tissues is regulated externally. 59. The method of claim 58, wherein the nucleotide and the sequence of at least about 5 contiguous nucleic acids of the antisense and/or complement of the sense nucleic acid molecule of the bcl2 11 (BCL2L11) polynucleotide have At least 8% of sequence identity. 60. A method of modulating the function and/or expression of a bcl2 11 (BCL2L11)-like cell in a mammalian cell or tissue in vitro comprising: bringing the cells or tissues to at least one of about 5 to 30 cores in length Antisense oligodeoxynucleotide contact with glucosinolates. The antisense oligonucleotide is specific for non-coding and/or coding sequences of sense-like and/or natural antisense strands of BCL2 11 (BCL2L11)-like polynucleotides. Wherein the at least one antisense oligonucleotide has at least 5% sequence identity with at least one of the nucleic acid sequences set forth in SEQ ID NOS: 1 to 3; and modulating the mammalian cell or tissue in vitro Function and/or performance of BCL2 11 (BCL2L11). 156341.doc
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