Tissue pharmacokinetics of antisense oligonucleotides
Erica Bäckström1, Alessandro Bonetti2, Per Johnsson2
1Drug Metabolism and Pharmacokinetics, Research and Early Development, Respiratory & Immunology (R&I), BioPharmaceuticals R&D, AstraZeneca, 431 83 Gothenburg, Sweden.
Molecular Therapy. Nucleic Acids
|February 29, 2024
Summary
Antisense oligonucleotides (ASOs) show rapid tissue distribution and slow elimination. This study quantifies ASO pharmacokinetics and RNA knockdown across tissues, routes, and chemistries, aiding drug discovery.
Area of Science:
- Pharmacology
- Drug Discovery
- Molecular Biology
Background:
- Antisense oligonucleotides (ASOs) are a promising therapeutic modality.
- Understanding tissue pharmacokinetics (PK) and RNA knockdown is crucial for ASO drug development.
- Current knowledge on how ASO chemistry, conjugation, and administration route impact tissue PK and efficacy is limited.
Purpose of the Study:
- To characterize the concentration-time profiles and RNA knockdown of a locked nucleic acid (LNA) gapmer ASO in mouse tissues after subcutaneous and intratracheal administration.
- To evaluate the impact of a liver-targeting galactosamine conjugate on ASO PK and knockdown.
- To compare the tissue PK of different ASO ribose chemistries (LNA, cEt, 2'-MOE) and investigate sequence-dependent PK variations.
Main Methods:
- Quantitative analysis of ASO concentrations in mouse liver, kidney, heart, and lung using LC-MS/MS.
- Measurement of target RNA knockdown via RT-qPCR.
- Administration of ASOs via subcutaneous and intratracheal routes.
- Evaluation of different ASO chemistries and a galactosamine conjugate.
Main Results:
- Tissue exposure and RNA knockdown varied significantly based on administration route and conjugation strategy.
- Tissue PK profiles were similar across LNA, cEt, and 2'-MOE chemistries.
- ASO half-life in mouse liver showed potential sequence dependency.
- Liver concentration increase was less than dose-proportional between 3-30 μmol/kg.
Conclusions:
- Administration route and conjugation critically influence ASO tissue distribution, exposure, and efficacy.
- Different ASO ribose chemistries exhibit comparable tissue PK profiles.
- These findings provide essential data for optimizing ASO design and interpreting in vivo studies, advancing ASO therapeutic development.
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