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Anti sense technology Anti sense technology was first effectively used in plants to alter the level of various degradative enzymes or plant pigments. • Example -Tomato. Anti sense was used to block the one that is involved in spoilage, thereby increasing the length of time a tomato could be sold. The technology was rapidly applied to mammalian cells in 1992 . Making a Protein—Transcription • First Step: Copying of genetic information from DNA to RNA called Transcription Why? DNA has the genetic code for the protein that needs to be made, but proteins are made by the ribosomes—ribosomes are outside the nucleus in the cytoplasm. DNA is too large to leave the nucleus (double stranded), but RNA can leave the nucleus (single stranded). • Part of DNA temporarily unzips and is used as a template to assemble complementary nucleotides into messenger RNA (mRNA). • mRNA then goes through the pores of the nucleus with the DNA code and attaches to the ribosome. Making a Protein—Translation • Second Step: Decoding of mRNA into a protein is called Translation. • Transfer RNA (tRNA) carries amino acids from the cytoplasm to the ribosome. These amino acids come from the food we eat. Proteins we eat are broken down into individual amino acids and then simply rearranged into new proteins according to the needs and directions of our DNA. •A series of three adjacent bases in an mRNA molecule codes for a specific amino acid—called a codon. •A triplet of nucleotides in tRNA that is complementary to the codon in mRNA—called an anticodon. •Each tRNA codes for a different amino acid. Amino acid Anticodon • mRNA carrying the DNA instructions and tRNA carrying amino acids meet in the ribosomes. • Amino acids are joined together to make a protein. Polypeptide = Protein BASIS FOR ANTISENSE TECHNOLOGY. DNA carries all the instruction for building the protein. DNA normally has two strand •Sense strand •Anti sense strand The sense strand carries nucleic acid bases in an order that specifies which amino acid should be assembled to produce the protein. The complementary strand or “antisense” strand is used as a template for assembling a complementary strand of messenger RNA (mRNA) in the process called transcription. The mRNA will have the same sequence as the sense strand of DNA but its made up to ribose sugar instead of deoxy ribose sugar in the nucleoside backbone. The mRNA in further processed in the nucleus by capping and splicing into the cytoplasm (spliced to remove non coding sequence and caping to protect from cellular environment with 5’ cap and poly a tail. In cytoplasm, the mRNA hooks up with ribosome’s where the protein protection can start. Every three nucleotide in the mRNA molecule codes for the specific amino acid and are appropriately called a codon. The codon pair with anticodon of tRNA that has attached to an amino acid. In this manner a polypeptide is formed. How Antisense Works? ¾Traditional drug therapies -designing compounds that block or inhibit disease-causing proteins, ¾Antisense therapies -preventing the production of disease-causing proteins. ¾Antisense drugs are based on ¾Small DNA-like or RNA-like constructs that bind to the protein-coding strand of genetic message (mRNA) ¾ Blocking the translation of the disease-causing protein. ¾ By binding to mRNA, antisense drugs prevent the genetic code from being read by the ribosome, which is responsible for translating and manufacturing proteins ¾ Additionally, the bound antisense/mRNA complex is enzymatically degraded so the protein cannot be synthesized. ¾ Natural DNA will be digested by enzymes and cause immune response ¾ Synthetic DNA cannot be recognized by enzymes, so they are stable and may not cause immune response ¾ So, synthetic DNA can selectively block gene expression Modification in the base, sugar and phosphate moieties as well as in the length of polymers - create molecules with enhanced or more selective affinity for specific sites on the RNA, to enhance nuclease stability, to improve cellular uptake and distribution and optimize distribution and clearance. Design of Antisense drug Satisfy many conditions •It must be administered in a manner that the antisense drug delivers it to the site of action in the body without the drug being degraded by the nucleases, which are common in human cells. •It must get into the cell of the target tissue and colocalize with its target RNA at a sufficient concentration for a bimolecular reaction to occur. •It must have structure that favours association with the target RNA and be designed to bind to the RNA region that is vulnerable to binding. Sense strand, non-coding strand DNA Antisense strand, coding strand, template for mRNA synthesis mRNA Sense sequence DNA drug Antisense sequence Why Can DNA Be Used as Drugs? Mono-genetic disorder ¾ Currently, a total of ~4,000 genetic disorders are known ¾ Some are single genetic disorder ¾ Changes (mutations) of the sequence of one gene (DNA) 9 Point mutation 9 Deletion 9 And more ¾ The mutated genes produce proteins that cannot function properly, diseases occur ¾ Examples: Sickle-cell anemia, Cystic fibrosis (1/3900, most common, difficult breathing, die in 20s-30s, no cure), Color blindness ¾ Mutations occur in many genes ¾ Do not have a clear cut of inheritance ¾ But do “run in families” ¾ The mutated genes produce proteins that cannot function properly, diseases occur ¾ Difficult (not impossible) to study and treat because direct cause is unknown ¾ Examples: Heart disease, hypertension, diabetes, obesity, cancers, low IQ ¾Antisense drugs are based on small DNA like or RNA like constructs that bind to the protein coding strand of genetic message (mRNA) blocking the translation of the disease causing protein. ¾The DNA drug binds to the mRNA (A-U, G-C)by Watson crick base paring in doing so, they induce a nuclease (RNase H) that cleaves the mRNA at the site of binding or can physically block translation or other steps in the mRNA processing and transport. ¾Because no disease-causing protein, disease is cured Technical advantages ¾Mature technology (20 years in development) ¾Drug discovery and research is faster andmore predictable ¾Compounds are potentially more selective,effective and less toxic ¾Broad disease application ¾Dosing advantages (route and frequency) “0”Generation “1st”Generation “2nd”Generation Phosphodiester(P=O) Phosphorothioate(P=S) 2’MOE (modifiedP=S) Characteristics: (1) Highly unstable to nucleases (2) Good affinity to target mRNA Characteristics: (1) Better stability to nucleases but still degrades (2) Decreased affinity to target mRNA Characteristics: (1) Best stability to nucleases (2) Increased affinity to target mRNA Result: (1) Rapidly degrades (2) Never advances to human trials Result: (1) Unknown tissue concentration (2) Unknown target regulation (3) Daily dosing Result: (1) Confirmed tissue concentration (2) Confirmed target regulation (3) Once a week dosing The first successful backbone chemistry modified the phosphodiester structure in the DNA backbone to a phosphorothioate structure. O O O Base O O P O O O O O O Base O O O Phosphodiester O O Base O CH2CH2 OCH3 P P O S S Base O O O Base O Phosphorothioate O 2'MOE Base O CH2CH2 OCH3 PHOSPHOROTHIOATE CLASS Phosphorothioate class of compounds are ¾ Negatively charged ¾Chiral at each phosphorothionate and ¾Much more resistant to nuclease digestion than the parent phosphodiester compound. ¾Compound length has been determined empirically. ¾Molecules must have at least 7 to 8 complementary bases and the compounds with 18 or 20 bases generally considered to be optimum. Disadvantages ¾ Plasma half lives only one hour, ¾ Low affinity for their target mRNA and ¾ Toxic side effects, especially the immune stimulation and clotting abnormalities. SECOND GENERATION DRUGS Second generation drugs are composed of both RNA like and DNA like nucleotides, while first generation drugs are entirely DNA like. With increased potency, second generation drugs are more active at lower doses Antisense drugs are being researched to treat cancers (including lung cancer, colorectal carcinoma, pancreatic carcinoma, malignant glioma and malignant melanoma), diabetes, Amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy and diseases such as asthma and arthritis with an inflammatory component Current Research Current Status of Antisense Drugs 2007 ¾Fomivirsen-First antisense drug marketed -21-mer phosphorothioate oligodeoxy nucleotide. Use: Cytomegalovirus (CMV) retinitis in patients with AIDS. The agents that are in clinical trials ¾ALICAFORSEN (ISIS 2302) ¾APRINOCARSEN (AFFINITAK) Aprinocarsen is a phosphorothionate antisense agent showed activity in phase I and II clinical trials against cell lung cancer when used in combination with Cisplatin. ¾OBLIMERSEN SODIUM (GENASENSE) It is investigated for use in the treatment of myeloma. ¾MIPOMERSEN Mipomersen is in phase III clinical trial for some type of high cholesterol.