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A single phosphorous stereogenic center matters: Developing stereodefined PMO-gapmer antisense oligonucleotides for the treatment of tauopathies
Journal article   Open access   Peer reviewed

A single phosphorous stereogenic center matters: Developing stereodefined PMO-gapmer antisense oligonucleotides for the treatment of tauopathies

Suxiang Chen, Bal Hari Poudel and Rakesh Naduvile Veedu
Molecular therapy. Nucleic acids, Vol.36(2), 102519
2025
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CC BY V4.0 Open Access

Abstract

Antisense oligonucleotides (ASOs) have been utilized for developing RNA-targeting agents that act as an inhibitor of microtubule-associated protein tau (MAPT) for the treatment of tauopathies. Although several anti-tau ASO candidates have been reported that could reduce MAPT expression either through RNase H-mediated mRNA degradation or splice switching, novel designs of chemically modified ASOs are still needed to improve their activity and safety profile. Moreover, the development of a stereodefined anti-tau ASO is highly desirable due to differences in efficacy and toxicity between diastereomers. Kunihiko Kanatsu et al.1 identified two best-performing fully stereocontrolled phosphorodiamidate morpholino oligomer (PMO) gapmers (ASO-486-R5-S and ASO-486-R5-R) targeting MAPT mRNA after performing a screening of optimal ASO sequence and subsequent screening of optimal phosphorous stereochemistry (Figure 1). Surprisingly, a dramatic difference in safety profiles between stereoisomers (ASO-409-R3-S versus ASO-409-R3-R, and ASO-409-SSR2-S versus ASO-409-SSR2-R), which only differ in one single phosphorous stereochemistry, was also observed (Figure 1). Fundamentally, this work not only revolutionizes ASO design by adopting PMO as the chemistry of wing regions in a gapmer but also highlights the importance of stereopattern screening in identifying ASO leads since as few as one phosphorous stereogenic center (generating two possible stereoisomers) matters in determining in vivo toxicity.

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Collaboration types
Domestic collaboration
Citation topics
2 Chemistry
2.170 Nucleic Acids Chemistry
2.170.988 Oligonucleotide Modifications
Web Of Science research areas
Medicine, Research & Experimental
ESI research areas
Biology & Biochemistry
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