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Updated: Jun 29, 2026

Evaluation of Exon Inclusion Induced by Splice Switching Antisense Oligonucleotides in SMA Patient Fibroblasts
Published on: May 11, 2018
Synthesis and evaluation of antisense oligonucleotides prodrug with G-quadruplex assembly and lysosome escape
Zuyi Chen1, Zhe Zhang2, Shuangshuang Liu1
1State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and Toxicology, 27 Taiping Road, Beijing 100850, China; China Medical University, School of Pharmacy, Shenyang 110122, China.
Abstract:
The applications of antisense oligonucleotides (ASOs) in rare or common diseases treatment have garnered great attention in recent years. Nevertheless, challenges associated with stability and bioavailability still persist, hampering the efficiency of ASOs. This work presents an ASO prodrug with parallel G-quadruplex assembly and lysosome escape capabilities for oncotherapy. Our findings revealed that the end-assembled quadruplex structure effectively shielded the ASO from enzymatic degradation. Meanwhile, the conjugation of maleimide within the quadruplex enhanced cellular uptake, potentially offering an alternative cell entry mechanism that circumvents lysosome involvement. Notably, an optimized molecule, Mal2-G4-ASO, exhibited remarkable therapeutic effects both in vitro and in vivo. This work presents a promising avenue for enhancing the activity of nucleic acid drugs in oncotherapy and potentially other disease contexts.
Insights
Antisense oligonucleotides (ASOs) show promise for treating diseases, but stability and delivery issues remain. This study developed a G-quadruplex-ASO prodrug that enhances stability, cellular uptake, and therapeutic effects in cancer treatment.
Area of Science:
- Biochemistry
- Molecular Biology
- Drug Delivery
Background:
- Antisense oligonucleotides (ASOs) are potent therapeutic agents for various diseases.
- Challenges in ASO therapy include poor stability and bioavailability, limiting clinical efficacy.
- Existing delivery methods often struggle with cellular uptake and endosomal entrapment.
Purpose of the Study:
- To develop a novel antisense oligonucleotide (ASO) prodrug with enhanced stability and cellular delivery.
- To investigate the potential of G-quadruplex assembly and lysosome escape mechanisms for improved oncotherapy.
- To evaluate the therapeutic efficacy of the optimized G-quadruplex-ASO conjugate in preclinical cancer models.
Main Methods:
- Design and synthesis of a G-quadruplex-forming ASO prodrug conjugated with maleimide.
- Assessment of enzymatic degradation resistance and cellular uptake efficiency in vitro.
- Evaluation of therapeutic effects in vitro and in vivo using cancer models.
Main Results:
- The end-assembled G-quadruplex structure significantly protected the ASO from enzymatic degradation.
- Maleimide conjugation facilitated enhanced cellular uptake, potentially bypassing lysosomal pathways.
- The optimized Mal²-G4-ASO molecule demonstrated significant therapeutic efficacy in both in vitro and in vivo cancer models.
Conclusions:
- This G-quadruplex-ASO prodrug strategy offers a promising approach to overcome ASO stability and delivery challenges.
- The developed prodrug exhibits enhanced anticancer activity through improved cellular internalization and resistance to degradation.
- This work paves the way for advancing nucleic acid-based therapies in oncology and other disease areas.
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