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ASO synthesis

ASO, also known as antisense oligonucleotides, refers to short, artificially synthesized oligonucleotides, typically 15-25nt, that can complement the RNA/DNA regions of target genes, thereby preventing their transcription and translation. ASO directly targets specific RNA through the principle of base complementarity, affecting the expression of target proteins. In the field of small nucleic acid drugs, this characteristic can avoid the limitation of non drug targets faced by traditional small molecule drugs and antibody drugs. The mechanism of action of ASO can be mainly divided into two types: one is to directly participate in RNA degradation (see Figure a for the mechanism of action), and the other is to inhibit RNA expression through steric hindrance (see Figures b, c, d, e for the mechanism of action).

Mechanism of ASO action

ASO can use various chemical modifications to improve stability, avoid degradation by nucleases, reduce immunogenicity, etc., mainly including modifications to ribose, phosphate backbone, bases, and nucleic acid chain ends. At the same time, ASO can also use delivery carriers such as liposomes, GalNAc modifications, linked antibodies, linked peptides, copolymers, etc. The most approved nucleic acid drug currently is ASO, with 11 drugs approved for market. The approved ASO drugs are as follows:

Trade Name

Drug Name

Company

Target

Indication

Chemical

Modification

Delivery Vector

Time to 

Market

Vitravene

Fomivirsen

IONIS+Novartis

CMV UL123

Cytomegalovirus retinitis

Thio


1998(Delisted)

Kynamro

Mipomersen

IONIS+Sanofi

ApoB-100

Homozygous familial hypercholesterolemia

Thio/2'-MOE


2013 (Delisted)

Spipraza

Nusinersen

Biogen+ IONIS

SMN2 gene exon 7

Spinal muscular atrophy

Thio/2'-MOE


2016

Exondvys 51

Eteplirsen

SAREPTA

DMD gene exon 51

Duchenne muscular dystrophy

PMO


2016

Teqsedi

lnotersen

IONIS

TTR

Familial Amyloidotic Polyneuropathy

Thio/2'-MOE


2018

Wavlivra

Volanesorn

IONIS

ApoC3

Familial milk granule syndrome

Thio/2'-MOE


2019

Vvondvs 53

Golodirsen

SAREPTA

DMD gene exon 53

Duchenne muscular dystrophy

PMO


2019

Viltenso

Viltolarsen

Nippon Shinyaku

DMD gene exon 53

Duchenne muscular dystrophy

PMO


2020

Amonpdvs 45

Casimersen

SAREPTA

DMD gene exon 45

Duchenne muscular dystrophy

PMO


2021

Qalsody

Tofersen

IONIS

SOD1

Amyotrophic lateral sclerosis (ALS)

PMO


2023

Wainua

Eplontersen

AstraZeneca +IONIS

TTR

Transthyretin amyloid polyneuropathy

Thio/2'-MOE

GalNAc

2023


The common ASO modifications are as follows:


Biosyntech Biotechnology can provide various modified ASO products, with commonly used modification types as follows:

No.

Modification

1

Phosphorothioate(P=S)

2

Chemical modification(2'-OMe)

3

Chemical modification(2'-MOE)

4

Chemical modification(LNA)

5

Chemical modification(cEt)

6

Chemical modification(MsPA)


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