Molecular Therapy - Nucleic Acids

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Molecular Therapy - Nucleic Acids Disposition and Pharmacology of a GalNAc3-conjugated ASO Targeting Human Lipoprotein (a) in Mice  Rosie Z Yu, Mark J Graham, Noah Post, Stan Riney, Thomas Zanardi, Shannon Hall, Jennifer Burkey, Colby S Shemesh, Thazha P Prakash, Punit P Seth, Eric E Swayze, Richard S Geary, Yanfeng Wang, Scott Henry  Molecular Therapy - Nucleic Acids  Volume 5, (January 2016) DOI: 10.1038/mtna.2016.26 Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 1 Chemical structure of ISIS 681257 and ISIS 494372. Note, ISIS 494372 is uncongugated ISIS 681257, i.e., contains the 20 nucleotides only without GalNAc3-THA. ISIS 494372 has uniform phosphorothioate linkages. Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 2 Comparison of dose–response curves of GalNAc-conjugated antisense oligonucleotides (ASO) (ISIS 681257) and uncongugated ASO (ISIS 494372) for liver Apo(a) mRNA (a) and plasma Apo(a) protein (b) (2 days after last treatment) following 6 weeks of subcutaneous administrations in human transgenic mice. Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 3 Concentration–time profiles of ISIS 681257 in plasma, liver, and kidneys following the last dose of multiple subcutaneous administrations of ISIS 681257 at 140 mg/kg for 4 weeks in mice. 0-24 hour profiles. Error bars represent standard deviation (N = 3 per time point). Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 4 Plasma concentration–time profiles of fully conjugated, partially conjugated (with 1, 2, or 3 sugar deletions), and unconjugated ISIS 681257 following repeated subcutaneous injections of 4 mg/kg (a) and 140 mg/kg (b) ISIS 681257 in mice. Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 5 Concentration–time profiles of fully conjugated, partially conjugated (with 1, 2, or 3 sugar deletions), and unconjugated ISIS 681257 in liver (a) and kidney (b) following multiple (day 28) subcutaneous injections of 4 mg/kg fully conjugated ISIS 681257 in mice. Error bars represent standard deviation (n = 3). Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions

Figure 6 Mean relative percent of unconjugated ISIS 681257 (full-length) and shortmer metabolites in liver and kidney cortex 48 hours following 4 weeks of treatment (day 30) of 140 mg/kg/week ISIS 681257 in mice. N = Unconjugated ISIS 681257. Error bars represent standard deviation (n = 9). Molecular Therapy - Nucleic Acids 2016 5, DOI: (10.1038/mtna.2016.26) Copyright © 2016 Official journal of the American Society of Gene & Cell Therapy Terms and Conditions