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The present invention relates to compositions and methods for treating neurodegeneration and neurodegenerative diseases associated with axonal degeneration. Neurodegeneration and neurodegenerative diseases associated with axonal degeneration are treated with therapies comprising SARM1 inhibitors such as SARM1 antisense oligonucleotides.
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims the benefit of U.S. Provisional Application No. 62/940,437, filed Nov. 26, 2019, which is herein incorporated by reference in its entirety.
SEQUENCE LISTING
The instant application contains a Sequence Listing, which has been submitted electronically in ASCII format and is hereby incorporated by reference in its entirety. The ASCII copy, created Nov. 23, 2020 is named 2012800-0042_SL.txt, and is 652,394 bytes in size.
BACKGROUND
Axonal degeneration is a hallmark of several neurological disorders including peripheral neuropathies, traumatic brain injury, and neurodegenerative diseases (Gerdts et al., Science, 2015, 348:453-457, hereby incorporated by reference in its entirety). Neurodegenerative diseases and injuries are devastating to both patients and caregivers. Costs associated with these diseases currently exceed several hundred billion dollars annually in the Unites States alone. Since the incidence of many of these diseases and disorders increases with age, their incidence is rapidly increasing as demographics change.
SUMMARY OF THE INVENTION
The present invention is based, at least in part, on the insight that, following axonal damage, Sterile Alpha and TIR motif-containing 1 (SARM1) serves as the central executioner in the axonal degeneration pathway. The present invention provides, among other things, the recognition that antisense oligonucleotides that inhibit SARM1 are particularly beneficial for preventing axonal degeneration.
In one aspect, the present disclosure provides antisense oligonucleotides comprising a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2412.
In some embodiments, an antisense oligonucleotide comprises one or more modifications. In some embodiments, one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
In another aspect, the present disclosure comprises pharmaceutical compositions comprising antisense oligonucleotides of the present disclosure. In some embodiments, a pharmaceutical composition comprises a pharmaceutically acceptable carrier.
In another aspect, the present disclosure comprises methods for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
In another aspect, the present disclosure comprises methods comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
In some embodiments, a target nucleic acid encoding SARM1 is a SARM1 mRNA.
In some embodiments, an antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2412.
In some embodiments, an antisense oligonucleotide comprises one or more modifications. In some embodiments, one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
In some embodiments, administering an antisense oligonucleotide decreases levels of SARM1 mRNA in the subject. In some embodiments, administering an antisense oligonucleotide decreases levels of SARM1 protein in the subject.
In some embodiments, a neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
In some embodiments, a neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS. In some embodiments, a chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder. In some embodiments, a chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies. In some embodiments, a systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa. In some embodiments, a pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes. In some embodiments, a metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
In some embodiments, a neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system. In some embodiments, an acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy. In some embodiments, a mechanical injury comprises a compression or entrapment injury or a pressure injury. In some embodiments, a compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone. In some embodiments, a pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure. In some embodiments, a chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin. In some embodiments, an epothilone is ixabepilone. In some embodiments, a taxane is paclitaxel or docetaxel. In some embodiments, a vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine. In some embodiments, a proteasome inhibitor is bortezomib. In some embodiments, a platinum-based drug is cisplatin, oxaliplatin, or carboplatin. In some embodiments, an auristatin is conjugated monomethyl auristatin E.
In some embodiments, a neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS. In some embodiments, a chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
In some embodiments, a chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder. In some embodiments, an optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide. In some embodiments, a traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE). In some embodiments, a metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
In some embodiments, a neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS. In some embodiments, an acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis. In some embodiments, an ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy. In some embodiments, a traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer. In some embodiments, a viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia). In some embodiments, a neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
In some embodiments, a subject is a human. In some embodiments, a subject is a patient with one or more risk factors for developing a condition involving axonal degeneration. In some embodiments, one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof. In some embodiments, one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof. In some embodiments, engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing. In some embodiments, one or more biomarkers of neurodegeneration comprise: concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; constitutive NAD+ levels in neurons and/or axons of the subject; constitutive cADPR levels in neurons and/or axons of the subject; levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
BRIEF DESCRIPTION OF THE DRAWING
The foregoing and other features and advantages of the present invention will be more fully understood from the following detailed description of illustrative embodiments taken in conjunction with the accompanying drawings. It should be understood that the present invention is not limited to the precise arrangements and instrumentalities of the embodiments shown in the drawings.
FIG. 1 shows a map of antisense oligonucleotides complementary to human SARM1 mRNA.
FIG. 2 shows a graph illustrating average fold-change in SARM1 gene expression in cells after transfection with SARM1 antisense oligonucleotides.
FIG. 3 shows a graph illustrating average fold-change in SARM1 gene expression in cells after transfection with SARM1 antisense oligonucleotides.
FIG. 4 shows a graph illustrating relative SARM1 mRNA expression in human induced pluripotent stem cells (IPSC)-derived motor neurons following transfection with antisense oligonucleotides targeting the SARM1 transcript.
FIG. 5 shows a graph illustrating relative SARM1 mRNA expression in human induced pluripotent stem cells (IPSC)-derived motor neurons following delivery by free uptake (i.e. in the absence of a lipid carrier) with antisense oligonucleotides targeting the SARM1 transcript.
FIG. 6 shows a graph illustrating relative SARM1 mRNA expression in human induced pluripotent stem cells (IPSC)-derived motor neurons 2 days and 6 days following delivery by free uptake (i.e. in the absence of a lipid carrier) with antisense oligonucleotides targeting the SARM1 transcript.
FIG. 7 shows a graph illustrating that SARM1 antisense oligonucleotides prevent axonal degeneration following axotomy in human iPSC-derived motor neurons treated using free uptake delivery.
DEFINITIONS
Binding: It will be understood that the term “binding”, as used herein, typically refers to an association (e.g., a non-covalent or covalent association) between or among two or more entities. “Direct” binding involves physical contact between entities or moieties; indirect binding involves physical interaction by way of physical contact with one or more intermediate entities. Binding between two or more entities can typically be assessed in any of a variety of contexts-including where interacting entities or moieties are studied in isolation or in the context of more complex systems (e.g., while covalently or otherwise associated with a carrier entity and/or in a biological system or cell).
Biological Sample: As used herein, the term “biological sample” typically refers to a sample obtained or derived from a biological source (e.g., a tissue or organism or cell culture) of interest, as described herein. In some embodiments, a source of interest comprises an organism, such as an animal or human. In some embodiments, a biological sample is or comprises biological tissue or fluid. In some embodiments, a biological sample may be or comprise bone marrow; blood; blood cells; ascites; tissue or fine needle biopsy samples; cell-containing body fluids; free floating nucleic acids; sputum; saliva; urine; cerebrospinal fluid, peritoneal fluid; pleural fluid; feces; lymph; gynecological fluids; skin swabs; vaginal swabs; oral swabs; nasal swabs; washings or lavages such as a ductal lavages or broncheoalveolar lavages; aspirates; scrapings; bone marrow specimens; tissue biopsy specimens; surgical specimens; other body fluids, secretions, and/or excretions; and/or cells therefrom, etc. In some embodiments, a biological sample is or comprises cells obtained from an individual. In some embodiments, obtained cells are or include cells from an individual from whom the sample is obtained. In some embodiments, a sample is a “primary sample” obtained directly from a source of interest by any appropriate means. For example, in some embodiments, a primary biological sample is obtained by methods selected from the group consisting of biopsy (e.g., fine needle aspiration or tissue biopsy), surgery, collection of body fluid (e.g., blood, lymph, feces etc.), etc. In some embodiments, as will be clear from context, the term “sample” refers to a preparation that is obtained by processing (e.g., by removing one or more components of and/or by adding one or more agents to) a primary sample. For example, filtering using a semi-permeable membrane. Such a “processed sample” may comprise, for example, nucleic acids or proteins extracted from a sample or obtained by subjecting a primary sample to techniques such as amplification or reverse transcription of mRNA, isolation and/or purification of certain components, etc.
Biomarker: The term “biomarker” is used herein to refer to a to an entity, event, or characteristic whose presence, level, degree, type, and/or form, correlates with a particular biological event or state of interest, so that it is considered to be a “marker” of that event or state. To give but a few examples, in some embodiments, a biomarker may be or comprise a marker for a particular disease state, or for likelihood that a particular disease, disorder or condition may develop, occur, or reoccur. In some embodiments, a biomarker may be or comprise a marker for a particular disease or therapeutic outcome, or likelihood thereof. Thus, in some embodiments, a biomarker is predictive, in some embodiments, a biomarker is prognostic, in some embodiments, a biomarker is diagnostic, of the relevant biological event or state of interest. A biomarker may be or comprise an entity of any chemical class, and may be or comprise a combination of entities. For example, in some embodiments, a biomarker may be or comprise a nucleic acid, a polypeptide, a lipid, a carbohydrate, a small molecule, an inorganic agent (e.g., a metal or ion), or a combination thereof. In some embodiments, a biomarker is a cell surface marker. In some embodiments, a biomarker is intracellular. In some embodiments, a biomarker is detected outside of cells (e.g., is secreted or is otherwise generated or present outside of cells, e.g., in a body fluid such as blood, urine, tears, saliva, cerebrospinal fluid, etc. In some embodiments, a biomarker may be or comprise a genetic or epigenetic signature. In some embodiments, a biomarker may be or comprise a gene expression signature.
In some embodiments, a biomarker may be or comprise a marker for neurodegeneration, or for likelihood that a neurodegenerative disease, disorder or condition may develop, occur, or reoccur. In some embodiments, a biomarker may be or comprise a marker of neurodegeneration a therapeutic outcome, or likelihood thereof. Thus, in some embodiments, a biomarker is predictive, in some embodiments, a biomarker is prognostic, and in some embodiments, a biomarker is diagnostic, of a neurodegenerative disease, disorder or condition. In some embodiments changes in biomarker levels can be detected via cerebral spinal fluid (CSF), plasma and/or serum. In some embodiments a biomarker can be a detectable signal produced by medical imaging techniques including, but not limited to, magnetic resonance imaging (MRI), positron emission-tomography (PET), and/or computed tomography (CT). In some embodiments, a biomarker can be a detectable change in electrophysiological properties.
In some embodiments, neurodegeneration may be assessed, for example, by detecting an increase and/or decrease in the concentration of neurofilament light chain protein (NF-L) and/or neurofilament heavy chain protein (NF-H) contained in bodily fluids from a subject including, but not limited to, cerebral spinal fluid, blood, serum and/or plasma. In some embodiments, the incidence and/or progression of neurodegeneration can be assessed via positron emission tomography (PET) with a synaptic vesicle glycoprotein 2a (SV2A) ligand. In some embodiments, a detectable change in constitutive NAD+ and/or cADPR levels in neurons can be used to assess neurodegeneration.
In some embodiments, a detectable change in one or more neurodegeneration associated proteins in a subject, relative to a healthy reference population can be used as a biomarker of neurodegeneration. Such proteins include, but are not limited to, albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, and/or total-tau. In some embodiments, an increase in cytokines and/or chemokines, including, but not limited to, Ccl2, Ccl7, Ccl12, Csf1, and/or Il6, can be used as a biomarker of neurodegeneration.
Carrier: As used herein, the term “carrier” refers to a diluent, adjuvant, excipient, or vehicle with which a composition is administered. In some exemplary embodiments, carriers can include sterile liquids, such as, for example, water and oils, including oils of petroleum, animal, vegetable or synthetic origin, such as, for example, peanut oil, soybean oil, mineral oil, sesame oil and the like. In some embodiments, carriers are or include one or more solid components.
Combination: The terms “combination therapy” or “in combination with”, as used herein, refer to those situations in which two or more different pharmaceutical agents for the treatment of disease are administered in overlapping regimens so that the subject is simultaneously exposed to at least two agents. In some embodiments, the different agents are administered simultaneously. In some embodiments, the administration of one agent overlaps the administration of at least one other agent. In some embodiments, the different agents are administered sequentially (e.g., all “doses” of a first regimen are administered prior to administration of any doses of a second regimen) such that the agents have simultaneous biologically activity within a subject. In some embodiments, “administration” of combination therapy may involve administration of one or more agent(s) or modality(ies) to a subject receiving the other agent(s) or modality(ies) in the combination. For clarity, combination therapy does not require that individual agents be administered together in a single composition (or even necessarily at the same time), although in some embodiments, two or more agents, or active moieties thereof, may be administered together in a combination composition, or even in a combination compound (e.g., as part of a single chemical complex or covalent entity).
Composition: Those skilled in the art will appreciate that the term “composition” may be used to refer to a discrete physical entity that comprises one or more specified components. In general, unless otherwise specified, a composition may be of any form—e.g., gas, gel, liquid, solid, etc.
Domain: The term “domain” as used herein refers to a section or portion of an entity. In some embodiments, a “domain” is associated with a particular structural and/or functional feature of the entity so that, when the domain is physically separated from the rest of its parent entity, it substantially or entirely retains the particular structural and/or functional feature. Alternatively or additionally, a domain may be or include a portion of an entity that, when separated from that (parent) entity and linked with a different (recipient) entity, substantially retains and/or imparts on the recipient entity one or more structural and/or functional features that characterized it in the parent entity. In some embodiments, a domain is a section or portion of a molecule (e.g., a small molecule, carbohydrate, lipid, nucleic acid, or polypeptide). In some embodiments, a domain is a section of a polypeptide; in some such embodiments, a domain is characterized by a particular structural element (e.g., a particular amino acid sequence or sequence motif, aa-helix character, ββ-sheet character, coiled-coil character, random coil character, etc.), and/or by a particular functional feature (e.g., binding activity, enzymatic activity, folding activity, signaling activity, etc.).
Dosage form or unit dosage form: Those skilled in the art will appreciate that the term “dosage form” may be used to refer to a physically discrete unit of an active agent (e.g., a therapeutic or diagnostic agent) for administration to a subject. Typically, each such unit contains a predetermined quantity of active agent. In some embodiments, such quantity is a unit dosage amount (or a whole fraction thereof) appropriate for administration in accordance with a dosing regimen that has been determined to correlate with a desired or beneficial outcome when administered to a relevant population (i.e., with a therapeutic dosing regimen). Those of ordinary skill in the art appreciate that the total amount of a therapeutic composition or agent administered to a particular subject is determined by one or more attending physicians and may involve administration of multiple dosage forms.
Dosing regimen or therapeutic regimen: Those skilled in the art will appreciate that the terms “dosing regimen” and “therapeutic regimen” may be used to refer to a set of unit doses (typically more than one) that are administered individually to a subject, typically separated by periods of time. In some embodiments, a given therapeutic agent has a recommended dosing regimen, which may involve one or more doses. In some embodiments, a dosing regimen comprises a plurality of doses each of which is separated in time from other doses. In some embodiments, individual doses are separated from one another by a time period of the same length; in some embodiments, a dosing regimen comprises a plurality of doses and at least two different time periods separating individual doses. In some embodiments, all doses within a dosing regimen are of the same unit dose amount. In some embodiments, different doses within a dosing regimen are of different amounts. In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second dose amount different from the first dose amount. In some embodiments, a dosing regimen comprises a first dose in a first dose amount, followed by one or more additional doses in a second dose amount same as the first dose amount. In some embodiments, a dosing regimen is correlated with a desired or beneficial outcome when administered across a relevant population (i.e., is a therapeutic dosing regimen).
Excipient: as used herein, refers to a non-therapeutic agent that may be included in a pharmaceutical composition, for example, to provide or contribute to a desired consistency or stabilizing effect. Suitable pharmaceutical excipients include, for example, starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like.
Inhibitory agent: As used herein, the term “inhibitory agent” refers to an entity, condition, or event whose presence, level, or degree correlates with decreased level or activity of a target. In some embodiments, an inhibitory agent may act directly (in which case it exerts its influence directly upon its target, for example, by binding to the target); in some embodiments, an inhibitory agent may act indirectly (in which case it exerts its influence by interacting with and/or otherwise altering a regulator of the target, so that level and/or activity of the target is reduced). In some embodiments, an inhibitory agent is one whose presence or level correlates with a target level or activity that is reduced relative to a particular reference level or activity (e.g., that observed under appropriate reference conditions, such as presence of a known inhibitory agent, or absence of the inhibitory agent in question, etc.).
Neurodegeneration: As used herein, the term “neurodegeneration” refers to a reduction in one or more features, structures, function, or characteristics of a neuron or neuronal tissue. In some embodiments, neurodegeneration is observed as a pathological reduction in an organism. Those skilled in the art will appreciate that neurodegeneration is associated with certain diseases, disorders and conditions, including those that affect humans. In some embodiments, neurodegeneration may be transient (e.g., as sometimes occurs in association with certain infections and/or chemical or mechanical disruptions); in some embodiments, neurodegeneration may be chronic and/or progressive (e.g., as is often associated with certain diseases, disorders or conditions such as, but not limited to, Parkinson's disease, amyotrophic lateral sclerosis, multiple sclerosis, Huntington disease, or Alzheimer's disease). In some embodiments, neurodegeneration may be assessed, for example, by detecting in a subject an increase in a biomarker associated with neurodegeneration. In some embodiments, neurodegeneration may be assessed, for example, by detecting in a subject a decrease in a biomarker associated with neurodegeneration. Alternatively or additionally, in some embodiments, neurodegeneration may be assessed by magnetic resonance imaging (MRI), biomarkers contained in cerebral spinal fluid, or other biomarkers observed in subjects. In some embodiments, neurodegeneration is defined as a score below 24 on the mini-mental state examination. In some embodiments, neurodegeneration refers to loss of synapses. In some embodiments, neurodegeneration refers to a reduction in neural tissue relating to a traumatic injury (e.g. exposure to an external force which disrupts the integrity of the neural tissue). In some embodiments, neurodegeneration refers to a reduction in peripheral neural tissue. In some embodiments, neurodegeneration refers to a reduction in central nervous tissue.
Nucleic acid: As used herein, in its broadest sense, refers to any compound and/or substance that is or can be incorporated into an oligonucleotide chain. In some embodiments, a nucleic acid is a compound and/or substance that is or can be incorporated into an oligonucleotide chain via a phosphodiester linkage. As will be clear from context, in some embodiments, “nucleic acid” refers to an individual nucleic acid residue (e.g., a nucleotide and/or nucleoside); in some embodiments, “nucleic acid” refers to an oligonucleotide chain comprising individual nucleic acid residues. In some embodiments, a “nucleic acid” is or comprises RNA; in some embodiments, a “nucleic acid” is or comprises DNA. In some embodiments, a nucleic acid is, comprises, or consists of one or more natural nucleic acid residues. In some embodiments, a nucleic acid is, comprises, or consists of one or more nucleic acid analogs. In some embodiments, a nucleic acid analog differs from a nucleic acid in that it does not utilize a phosphodiester backbone. For example, in some embodiments, a nucleic acid is, comprises, or consists of one or more “peptide nucleic acids”, which are known in the art and have peptide bonds instead of phosphodiester bonds in the backbone, and are considered within the scope of the present invention. Alternatively or additionally, in some embodiments, a nucleic acid has one or more phosphorothioate and/or 5′-N-phosphoramidite linkages rather than phosphodiester bonds. In some embodiments, a nucleic acid is, comprises, or consists of one or more natural nucleosides (e.g., adenosine, thymidine, guanosine, cytidine, uridine, deoxyadenosine, deoxythymidine, deoxy guanosine, and deoxycytidine). In some embodiments, a nucleic acid is, comprises, or consists of one or more nucleoside analogs (e.g., 2-aminoadenosine, 2-thiothymidine, inosine, pyrrolo-pyrimidine, 3-methyl adenosine, 5-methylcytidine, C-5 propynyl-cytidine, C-5 propynyl-uridine, 2-aminoadenosine, C5-bromouridine, C5-fluorouridine, C5-iodouridine, C5-propynyl-uridine, C5-propynyl-cytidine, C5-methylcytidine, 2-aminoadenosine, 7-deazaadenosine, 7-deazaguanosine, 8-oxoadenosine, 8-oxoguanosine, 0(6)-methylguanine, 2-thiocytidine, methylated bases, intercalated bases, and combinations thereof). In some embodiments, a nucleic acid comprises one or more modified sugars (e.g., 2′-fluororibose, ribose, 2′-deoxyribose, arabinose, and hexose) as compared with those in natural nucleic acids. In some embodiments, a nucleic acid has a nucleotide sequence that encodes a functional gene product such as an RNA or protein. In some embodiments, a nucleic acid includes one or more introns. In some embodiments, nucleic acids are prepared by one or more of isolation from a natural source, enzymatic synthesis by polymerization based on a complementary template (in vivo or in vitro), reproduction in a recombinant cell or system, and chemical synthesis. In some embodiments, a nucleic acid is at least 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190, 20, 225, 250, 275, 300, 325, 350, 375, 400, 425, 450, 475, 500, 600, 700, 800, 900, 1000, 1500, 2000, 2500, 3000, 3500, 4000, 4500, 5000 or more residues long. In some embodiments, a nucleic acid is partly or wholly single stranded; in some embodiments, a nucleic acid is partly or wholly double stranded. In some embodiments a nucleic acid has a nucleotide sequence comprising at least one element that encodes, or is the complement of a sequence that encodes, a polypeptide. In some embodiments, a nucleic acid has enzymatic activity. In some embodiments, a nucleic acid comprises a small interfering RNA (siRNA), a short hairpin RNA (shRNA), an antisense oligonucleotide, a microRNA, a gapmer, or an aptamer.
Oral: The phrases “oral administration” and “administered orally” as used herein have their art-understood meaning referring to administration by mouth of a compound or composition.
Parenteral: The phrases “parenteral administration” and “administered parenterally” as used herein have their art-understood meaning referring to modes of administration other than enteral and topical administration, usually by injection, and include, without limitation, intravenous, intramuscular, intra-arterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal, and intrasternal injection and infusion.
Patient: As used herein, the term “patient” refers to any organism to which a provided composition is or may be administered, e.g., for experimental, diagnostic, prophylactic, cosmetic, and/or therapeutic purposes. Typical patients include animals (e.g., mammals such as mice, rats, rabbits, non-human primates, and/or humans). In some embodiments, a patient is a human. In some embodiments, a patient is suffering from or susceptible to one or more disorders or conditions. In some embodiments, a patient displays one or more symptoms of a disorder or condition. In some embodiments, a patient has been diagnosed with one or more disorders or conditions. In some embodiments, the patient is receiving or has received certain therapy to diagnose and/or to treat a disease, disorder, or condition.
Pharmaceutical composition: As used herein, the term “pharmaceutical composition” refers to an active agent, formulated together with one or more pharmaceutically acceptable carriers. In some embodiments, the active agent is present in unit dose amount appropriate for administration in a therapeutic or dosing regimen that shows a statistically significant probability of achieving a predetermined therapeutic effect when administered to a relevant population. In some embodiments, pharmaceutical compositions may be specially formulated for administration in solid or liquid form, including those adapted for the following: oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, e.g., those targeted for buccal, sublingual, and systemic absorption, boluses, powders, granules, pastes for application to the tongue; parenteral administration, for example, by subcutaneous, intramuscular, intravenous or epidural injection as, for example, a sterile solution or suspension, or sustained-release formulation; topical application, for example, as a cream, ointment, or a controlled-release patch or spray applied to the skin, lungs, or oral cavity; intravaginally or intrarectally, for example, as a pessary, cream, or foam; sublingually; ocularly; transdermally; or nasally, pulmonary, and to other mucosal surfaces.
Pharmaceutically acceptable: As used herein, the phrase “pharmaceutically acceptable” refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
Pharmaceutically acceptable carrier: As used herein, the term “pharmaceutically acceptable carrier” means a pharmaceutically-acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, or solvent encapsulating material, involved in carrying or transporting the subject compound from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient. Some examples of materials which can serve as pharmaceutically-acceptable carriers include: sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents, such as magnesium hydroxide and aluminum hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; pH buffered solutions; polyesters, polycarbonates and/or polyanhydrides; and other non-toxic compatible substances employed in pharmaceutical formulations.
Pharmaceutically acceptable salt: The term “pharmaceutically acceptable salt”, as used herein, refers to salts of such compounds that are appropriate for use in pharmaceutical contexts, i.e., salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge, et al. describes pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 66:1-19 (1977). In some embodiments, pharmaceutically acceptable salts include, but are not limited to, nontoxic acid addition salts, which are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid or with organic acids such as acetic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion exchange. In some embodiments, pharmaceutically acceptable salts include, but are not limited to, adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate salts, and the like. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. In some embodiments, pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxylate, sulfate, phosphate, nitrate, alkyl having from 1 to 6 carbon atoms, sulfonate and aryl sulfonate.
Prevent or prevention: As used herein, the terms “prevent” or “prevention”, when used in connection with the occurrence of a disease, disorder, and/or condition, refer to reducing the risk of developing the disease, disorder and/or condition and/or to delaying onset of one or more characteristics or symptoms of the disease, disorder or condition. Prevention may be considered complete when onset of a disease, disorder or condition has been delayed for a predefined period of time.
Specific: The term “specific”, when used herein with reference to an agent having an activity, is understood by those skilled in the art to mean that the agent discriminates between potential target entities or states. For example, in some embodiments, an agent is said to bind “specifically” to its target if it binds preferentially with that target in the presence of one or more competing alternative targets. In many embodiments, specific interaction is dependent upon the presence of a particular structural feature of the target entity (e.g., an epitope, a cleft, a binding site). It is to be understood that specificity need not be absolute. In some embodiments, specificity may be evaluated relative to that of the binding agent for one or more other potential target entities (e.g., competitors). In some embodiments, specificity is evaluated relative to that of a reference specific binding agent. In some embodiments, specificity is evaluated relative to that of a reference non-specific binding agent. In some embodiments, the agent or entity does not detectably bind to the competing alternative target under conditions of binding to its target entity. In some embodiments, a binding agent binds with higher on-rate, lower off-rate, increased affinity, decreased dissociation, and/or increased stability to its target entity as compared with the competing alternative target(s).
Subject: As used herein, the term “subject” refers to an organism, typically a mammal (e.g., a human, in some embodiments including prenatal human forms). In some embodiments, a subject is suffering from a relevant disease, disorder or condition. In some embodiments, a subject is susceptible to a disease, disorder, or condition. In some embodiments, a subject displays one or more symptoms or characteristics of a disease, disorder or condition. In some embodiments, a subject does not display any symptom or characteristic of a disease, disorder, or condition. In some embodiments, a subject is someone with one or more features characteristic of susceptibility to or risk of a disease, disorder, or condition. In some embodiments, a subject is a patient. In some embodiments, a subject is an individual to whom diagnosis and/or therapy is and/or has been administered.
Therapeutic agent: As used herein, the phrase “therapeutic agent” in general refers to any agent that elicits a desired pharmacological effect when administered to an organism. In some embodiments, an agent is considered to be a therapeutic agent if it demonstrates a statistically significant effect across an appropriate population. In some embodiments, the appropriate population may be a population of model organisms. In some embodiments, an appropriate population may be defined by various criteria, such as a certain age group, gender, genetic background, preexisting clinical conditions, etc. In some embodiments, a therapeutic agent is a substance that can be used to alleviate, ameliorate, relieve, inhibit, prevent, delay onset of, reduce severity of, and/or reduce incidence of one or more symptoms or features of a disease, disorder, and/or condition. In some embodiments, a “therapeutic agent” is an agent that has been or is required to be approved by a government agency before it can be marketed for administration to humans. In some embodiments, a “therapeutic agent” is an agent for which a medical prescription is required for administration to humans.
Treat: As used herein, the terms “treat,” “treatment,” or “treating” refer to any method used to partially or completely alleviate, ameliorate, relieve, inhibit, prevent, delay onset of, reduce severity of, and/or reduce incidence of one or more symptoms or features of a disease, disorder, and/or condition. Treatment may be administered to a subject who does not exhibit signs of a disease, disorder, and/or condition. In some embodiments, treatment may be administered to a subject who exhibits only early signs of the disease, disorder, and/or condition, for example, for the purpose of decreasing the risk of developing pathology associated with the disease, disorder, and/or condition. In some embodiments, treatment may be administered to a subject to prevent the risk of developing pathology associated with or resulting from a medical procedure and/or treatment.
DETAILED DESCRIPTION
Axonal Degeneration and SARM1
The present invention may be used to treat a subject who is suffering from or susceptible to axonal degeneration. Axonal degeneration is a major pathological feature of neurological diseases such as, but not limited to, Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis, diabetic peripheral neuropathy, chemotherapy-induced peripheral neuropathy, inherited neuropathy, traumatic brain injury, and/or glaucoma. Damaged or unhealthy axons are eliminated via an intrinsic self-destruction program known as Wallerian degeneration, which is distinct from traditional cellular death pathways like apoptosis (Gerdts, J., et al., Neuron, 2016, 89, 449-460; Whitmore, A. et al., Cell Death Differ., 2003, 10, 260-261, each of which is hereby incorporated by reference in its entirety). During Wallerian degeneration, a nerve undergoes selective breakdown of the axon segment distal to an injury, whereas the proximal axon segment and cell body remain intact. Axonal degeneration following an injury is characterized by the sequential depletion of NMNAT2, NAD+ and ATP, followed by neurofilament proteolysis and axonal fragmentation occurring approximately 8 to 24 hours after the original injury (Gerdts, J., et al., Neuron, 2016, 89, 449-460, hereby incorporated by reference in its entirety).
It has recently been discovered that knocking-down or eliminating the expression of SARM1 leads to long-lasting protection of sensory neurons against injury-induced axonal degeneration (Gerdts et al., J. Neurosci, 2013, 33, 13569-13580, which is hereby incorporated by reference in its entirety). Following axonal damage, SARM1 serves as the central executioner in the axonal degeneration pathway. Activated SARM1 is a highly effective NADase that depletes local axonal NAD+ reserves within minutes to a few hours after activation, leading to a local bioenergetic crisis, followed by rapid axonal degeneration. Activation of SARM1 via axonal injury or forced dimerization of SARM1-TIR domains promotes rapid and catastrophic depletion of NAD+, followed soon after by axonal degeneration, which highlights the central role of NAD+ homeostasis in axonal integrity (Gerdts, J., et al., Science, 2015, 348, 453-457). SARM1 is required for this injury-induced NAD+ depletion both in vitro and in vivo and SARM1 activation triggers axon degeneration locally via NAD+ destruction (Gerdts et al., et al., Science, 2015, 348, 452-457; Sasaki et al., J. Biol. Chem. 2015, 290, 17228-17238, each of which is hereby incorporated by reference in its entirety).
The protein sequence of wild-type human SARM1 is as follows:
(SEQ ID NO: 1)
MVLTLLLSAYKLCRFFAMSGPRPGAERLAVPGPDGGGGTGPWWAAGGRGP
REVSPGAGTEVQDALERALPELQQALSALKQAGGARAVGAGLAEVFQLVE
EAWLLPAVGREVAQGLCDAIRLDGGLDLLLRLLQAPELETRVQAARLLEQ
ILVAENRDRVARIGLGVILNLAKEREPVELARSVAGILEHMFKHSEETCQ
RLVAAGGLDAVLYWCRRTDPALLRHCALALGNCALHGGQAVQRRMVEKRA
AEWLFPLAFSKEDELLRLHACLAVAVLATNKEVEREVERSGTLALVEPLV
ASLDPGRFARCLVDASDTSQGRGPDDLQRLVPLLDSNRLEAQCIGAFYLC
AEAAIKSLQGKTKVFSDIGAIQSLKRLVSYSTNGTKSALAKRALRLLGEE
VPRPILPSVPSWKEAEVQTWLQQIGFSKYCESFREQQVDGDLLLRLTEEE
LQTDLGMKSGITRKRFFRELTELKTFANYSTCDRSNLADWLGSLDPRFRQ
YTYGLVSCGLDRSLLHRVSEQQLLEDCGIHLGVHRARILTAAREMLHSPL
PCTGGKPSGDTPDVFISYRRNSGSQLASLLKVHLQLHGFSVFIDVEKLEA
GKFEDKLIQSVMGARNFVLVLSPGALDKCMQDHDCKDWVHKEIVTALSCG
KNIVPIIDGFEWPEPQVLPEDMQAVLTFNGIKWSHEYQEATIEKIIRFLQ
GRSSRDSSAGSDTSLEGAAPMGPT.
Genetic loss-of-function studies indicate that SARM1 serves as the central executioner of the axonal degeneration pathway following an injury. Genetic deletion or knockout of SARM1 allows for preservation of axons for 14 or more days after nerve transection (Osterloh, J. M., et al., Science, 2012, 337, 481-484; Gerdts, J., et al. J. Neurosci., 2013, 33, 13569-13580, each of which is hereby incorporated by reference in its entirety) and also improves functional outcomes in mice after traumatic brain injury (Henninger, N. et al., Brain, 139, 2016, 1094-1105, which is hereby incorporated by reference in its entirety). In addition to the direct role SARM1 plays in axonal injury, SARM1 is also required for the axonal degeneration observed in chemotherapy-induced peripheral neuropathy (CIPN). Loss of SARM1 prevents CIPN, inhibiting both the axonal degeneration and the heightened pain sensitivity that develops after chemotherapeutic vincristine treatment (Geisler et al, Brain, 2016, 139, 3092-3108, which is hereby incorporated by reference in its entirety).
SARM1 Antisense Oligonucleotides
In some embodiments, the present disclosure provides antisense oligonucleotides. In some embodiments, an antisense oligonucleotide is an RNase H-dependent oligonucleotide, wherein the antisense oligonucleotide induces the degradation of mRNA. In some embodiments, an antisense oligonucleotide is a steric-blocker oligonucleotide, wherein the antisense oligonucleotide physically prevents or inhibits the progression of splicing or translational machinery. Antisense oligonucleotides of the present disclosure are capable of hybridizing to a target nucleic acid, resulting in at least one antisense activity. In some embodiments, antisense activity comprises degradation of a target nucleic acid by RNase H. In some embodiments, antisense activity comprises an antisense oligonucleotide physically preventing or inhibiting the progression of splicing or translational machinery.
In some embodiments, antisense oligonucleotides specifically hybridize to one or more target nucleic acids. In some embodiments, a target nucleic acid comprises a full-length mRNA. In some embodiments, a target nucleic acid comprises a region of an mRNA. In some embodiments, antisense oligonucleotides of the present invention hybridize to the same target nucleic acid. In some embodiments, antisense oligonucleotides of the present invention hybridize to different target nucleic acids. In some embodiments, a specifically hybridizing antisense oligonucleotide has a nucleobase sequence comprising a region having sufficient complementarity to a target nucleic acid to allow hybridization and result in antisense activity and insufficient complementarity to any non-target so as to avoid non-specific hybridization to any non-target nucleic acid sequences under conditions in which specific hybridization is desired (e.g., under physiological conditions for in vivo or therapeutic uses, and under conditions in which assays are performed in the case of in vitro assays).
In some embodiments, the present disclosure provides antisense oligonucleotides that are fully complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is 99% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is 95% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is 90% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is 85% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is 80% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide is between 80% and 99% complementary to a target nucleic acid over the entire length of the antisense oligonucleotide. In some embodiments, an antisense oligonucleotide comprises a region that is fully complementary to a target nucleic acid and is at least 80% complementary to the target nucleic acid over the entire length of the oligonucleotide. In some embodiments, the region of full complementarity is from 6 to 14 nucleobases in length.
In some embodiments, an antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-26. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2081.
In some embodiments, an antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2412.
In some embodiments, an antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549. In some embodiments, an antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549. In some embodiments, an antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
In some embodiments, a target nucleic acid is an endogenous RNA molecule. In some embodiments, a target nucleic acid is an exogenous RNA molecule. In some embodiments, a target nucleic acid is a pre-mRNA. In some embodiments, a target nucleic acid is a mature mRNA. In some embodiments, a target nucleic acid is a SARM1 transcript.
In some embodiments, an antisense oligonucleotide of the present disclosure is complementary to a region of a SARM1 mRNA. In some embodiments, an antisense oligonucleotide is complementary to a region of a 5′ untranslated region (UTR) of a SARM1 mRNA. In some embodiments, an antisense oligonucleotide is complementary to a coding region of a SARM1 mRNA. In some embodiments, an antisense oligonucleotide is complementary to a region of a 3′ UTR of a SARM1 mRNA. In some embodiments, an antisense oligonucleotide of the present invention is complementary to a region of a SARM1 mRNA as illustrated in FIG. 1 and Table 1. Table 1 includes exemplary SARM1 antisense oligonucleotide sequences, region of complementarity in SAMR1 mRNA (5′ UTR, coding region (CDS), or 3′ UTR), oligonucleotide starting position (starting position from 5′ end of SARM1 mRNA) and code letter corresponding to antisense oligonucleotide in FIG. 1.
TABLE 1
Antisense oligonucleotide sequences,
region of complementarity and starting position
Antisense
SEQ
Oligonucleotide
Oligo
ID NO:
Sequence (5′-3′)
Region
Start
Code
3
GGCCTCCTCCACCAGTTGGA
CDS
626
B
4
GCAGGCTCTTGATGGCAGCC
CDS
1395
E
5
GCCATCCACCTGCTGCTCCC
CDS
1640
H
6
TCCCCACTGGGTTTGCCACC
CDS
1999
L
7
ACTTGCCTGCTTCCAGCTTC
CDS
2127
M
8
CTTGTCCAGTGCTCCAGGTG
CDS
2204
N
9
GCACAGCCTGCATGTCCTCA
CDS
2346
O
10
CCCAGGTTGTCTCAGCCCAG
3′UTR
2596
Q
11
TCCCTTCCCTCTCCAGATAC
3′UTR
2688
R
12
TGCAGAACCACCCCCACCCC
3′UTR
2814
S
13
GCCCAGGCCCTTGCTCAGAA
3′UTR
2932
T
14
GGCACTCATCCCTGGCTGGC
3′UTR
2958
U
15
CCCCATGCCCAGACCCAGGC
3′UTR
3231
W
16
GCCTCTTTCCACAGAGCTGC
3′UTR
3420
X
17
TCTCAGCCACCAGGATCTGC
CDS
786
D
18
GAGCTCCCTAAAGAACCTCT
CDS
1730
J
19
CCAGGTTGTCTCAGCCCAGG
3′UTR
2595
P
20
GGTGCAGCAGGGAGCGGTCC
CDS
1869
K
21
GCAGCGTCAGGACCATGGGC
5′UTR
336
A
22
ACCAGGCGTTTCAGGCTCTG
CDS
1453
F
23
CACCTCCTCGCCCAGCAGGC
CDS
1523
G
24
GTCTGGAGTTCCTCCTCCGT
CDS
1678
I
25
CCCTCGCCCTGGATGTGGCA
3′UTR
3124
V
26
GGCCTGCACACGCGTCTCCA
CDS
752
C
38
AGGTTGTCTCAGCCCAGGGA
3′UTR
2593
Y
39
CAGGTTGTCTCAGCCCAGGG
3′UTR
2594
Z
In some embodiments, an antisense oligonucleotide of the present disclosure comprises an oligonucleotide consisting of 8 to 30 linked nucleosides and having a nucleobase sequence comprising a complementary region comprising at least 8 contiguous nucleobases complementary to a target region of equal length of a SARM1 transcript.
In some embodiments, an antisense oligonucleotide comprises RNA. In some embodiments, an antisense oligonucleotide comprises DNA. In some embodiments, an antisense oligonucleotide comprises both RNA and DNA. In some embodiments, an antisense oligonucleotide is between 5 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 90 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 80 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 70 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 60 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 50 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 40 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 30 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 25 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 20 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 15 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 5 and 10 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 10 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 15 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 20 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 25 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 30 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 40 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 50 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 60 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 70 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is between 90 and 100 nucleotides in length. In some embodiments, an antisense oligonucleotide is 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides in length. In some embodiments, an antisense oligonucleotide is 20 nucleotides in length.
In some embodiments, an antisense oligonucleotide comprises one or more modifications. In some embodiments, one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof. In some embodiments, any antisense oligonucleotide described herein comprises internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. In some embodiments, an antisense oligonucleotide comprises SEQ ID NO: 2410. In some embodiments, an antisense oligonucleotide comprises SEQ ID NO: 2411. In some embodiments, an antisense oligonucleotide comprises SEQ ID NO: 2412.
Methods of Treating Neurodegeneration
Methods described herein include treating and/or preventing axonal degeneration in a subject. In some embodiments, methods described herein include administering to the subject an SARM1 antisense agent. In some embodiments, methods described herein include administering to the subject an SARM1 antisense agent. Methods described herein include administering to a subject at risk of developing a neurodegenerative disease or disorder an SARM1 antisense agent. In some embodiments, an SARM1 antisense agent is an SARM1 antisense oligonucleotide.
Diseases, Disorders, and Conditions
In some embodiments, the present disclosure provides methods for treating subjects suffering from one or more diseases, disorders, or conditions. In some embodiments, the one or more diseases, disorders, or conditions are mediated by SARM1.
In some embodiments, a neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
In some embodiments, a neurodegenerative disease or disorder comprises an acute disease or disorder of the PNS. In some embodiments, an acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy. In some embodiments, a mechanical injury comprises a compression or entrapment injury or a pressure injury. In some embodiments, a compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone. In some embodiments, a pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure. In some embodiments, a chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin. In some embodiments, an epothilone is ixabepilone. In some embodiments, a taxane is paclitaxel or docetaxel. In some embodiments, a vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine. In some embodiments, a proteasome inhibitor is bortezomib. In some embodiments, a platinum-based drug is cisplatin, oxaliplatin, or carboplatin. In some embodiments, an auristatin is conjugated monomethyl auristatin E.
In some embodiments, a neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS. In some embodiments, a chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
In some embodiments, a chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
In some embodiments, a systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
In some embodiments, a pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
In some embodiments, a metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
In some embodiments, a neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS. In some embodiments, an acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
In some embodiments, an ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
In some embodiments, a traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
In some embodiments, a viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
In some embodiments, a neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
In some embodiments, a chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
In some embodiments, a chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
In some embodiments, an optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
In some embodiments, a traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
In some embodiments, a metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
In some embodiments, a neurodegenerative disease or disorder comprises a disease associated with neurodegeneration. In some embodiments, a neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
In some embodiments, a subject is a human. In some embodiments, a subject is at risk of developing a condition characterized by axonal degeneration. In some embodiments, a subject is a patient with one or more risk factors for developing a condition involving axonal degeneration. In some embodiments, one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
In some embodiments, one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
In some embodiments, a subject has a condition characterized by axonal degeneration. In some embodiments, a subject has been diagnosed with a condition characterized by axonal degeneration.
In some embodiments, engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
In some embodiments, one or more biomarkers of neurodegeneration comprises: concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject; constitutive NAD+ levels in neurons and/or axons of the subject; constitutive cADPR levels in neurons and/or axons of the subject; levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
In some embodiments, a therapy provided herein is characterized such that, when administered to a population of subjects, the therapy reduces one or more symptoms or features of neurodegeneration. For example, in some embodiments, a relevant symptom or feature may be selected from the group consisting of extent, rate, and/or timing of neuronal disruption.
Subjects
In some embodiments, a composition as described herein is administered to subjects suffering from or susceptible to a disease, disorder or condition as described herein; in some embodiments, such a disease, disorder or condition is characterized by axonal degeneration, such as one of the conditions mentioned herein.
In some embodiments, a subject to whom a composition is administered as described herein exhibits one or more signs or symptoms associated with axonal degeneration; in some embodiments, the subject does not exhibit any signs or symptoms of neurodegeneration.
In some embodiments, provided methods comprise administering a composition to a patient in need thereof. In some such embodiments, the patient is at risk of developing a condition characterized by axonal degeneration. In some embodiments, the patient has a condition characterized by axonal degeneration. In some embodiments, the patient has been diagnosed with a condition characterized by axonal degeneration.
In some embodiments, provided methods comprise administering a composition as described herein to a patient population of in need thereof. In some embodiments, the population is drawn from individuals who engage in activities where the potential for traumatic neuronal injury is high. In some embodiments, the population is drawn from athletes who engage in contact sports or other high-risk activities.
In some embodiments, the subject is at risk of developing a condition characterized by axonal degeneration. In some embodiments, the subject is identified as being at risk of axonal degeneration, e.g., based on the subject's genotype, a diagnosis of a condition associated with axonal degeneration, and/or exposure to an agent and/or a condition that induces axonal degeneration.
In some embodiments, the patient is at risk of developing a neurodegenerative disorder. In some embodiments the patient is elderly. In some embodiments, the patient is known to have a genetic risk factor for neurodegeneration. In some embodiments, the patient has a family history of neurodegenerative disease. In some embodiments, the patient expresses one or more copies of a known genetic risk factor for neurodegeneration (Lill et al., Semin Neurol, 2011, 31:531-541, hereby incorporated by reference in its entirety). In some embodiments, the patient is drawn from a population with a high incidence of neurodegeneration. For example, in some embodiments, the patient has a hexanucleotide repeat expansion in chromosome 9 open reading frame 72. In some embodiments, the patient has one or more copies of the Apolipoprotein E 4 (ApoE4) allele.
In some embodiments, the patient has one or more copies of a disease-causing mutation in APP, PSEN1, or PSEN2. In some embodiments, the patient has one or more copies of a disease-associated polymorphism in or near the following genes: ABCA7, APOE, BIN1, CD2AP, CD33, CLU, CR1, MS4A4E, MS4A6A, and PICALM.
In some embodiments, the patient has one or more copies of a disease-causing mutation in EIF4G1, LRRK2, PARK2, PARK7, PINK1, SNCA, or VPS35. In some embodiments, the patient has one or more copies of a disease-associated polymorphism in or near the following genes: ACMSD/TMEM163, BST1, CCDC62/HIP1R, FAM47E/STBD1, GAK/DGKQ, GBA, GPNMB, QWA_8p22/FGF20, HLA-II, LRRK2, MAPT, MCCC1/LAMP3, PARK16, SETD1A/STX1B, SNCA, SREBF1/RAI1, STK29, and SYT11/RAB25.
In some embodiments, the patient has one or more copies of a disease-causing mutation in C9ORF72, CHMP2B, GRN, MAPT, or VCP. In some embodiments, the patient has one or more copies of a disease-associated polymorphism in or near the TMEM106B gene.
In some embodiments, the patient has one or more copies of a disease-causing mutation in ANG, ALS2, C9ORF72, FIG. 4, FUS, OPTN, SETX, SOD1, SPG11, TARDBP, UBQLN2, VAPB, or VCP. In some embodiments, the patient has one or more copies of a disease-associated polymorphism in or near the following genes: GWA_9p21.2, UNC13A and ATXN2.
In some embodiments, subjects to which a composition as described herein is administered may be or comprise subjects suffering from or susceptible to a neurodegenerative disease, disorder or condition. In some embodiments, a neurodegenerative disease, disorder or condition may be or comprise a traumatic neuronal injury. In some embodiments, a traumatic neuronal injury is blunt force trauma, a closed-head injury, an open head injury, exposure to a concussive and/or explosive force, a penetrating injury in to the brain cavity or innervated region of the body. In some embodiments, a traumatic neuronal injury is a force which causes the axons to deform, stretch, crush or sheer.
In some embodiments, the subject engages in an activity identified as a risk factor for neuronal degeneration, e.g., a subject that engages in contact sports or occupations with a high chance for traumatic neuronal injury.
For example, the subject may be a patient who is receiving, or is prescribed, a chemotherapy associated with peripheral neuropathy. Examples of chemotherapeutic agents include, but are not limited to, thalidomide, epothilones (e.g., ixabepilone), taxanes (e.g., paclitaxel and docetaxel), vinca alkaloids (e.g., vinblastine, vinorelbine, vincristine, and vindesine), proteasome inhibitors (e.g., bortezomib), auristatins (e.g., Auristatin E) and platinum-based drugs (e.g., cisplatin, oxaliplatin, and carboplatin).
In some embodiments, provided methods comprise administering a composition as described herein to a patient or patient population based on the presence or absence of one or more biomarkers. In some embodiments, provided methods further comprise monitoring the level of a biomarker in a patient or patient population and adjusting the dosing regimen accordingly.
Dosing
Those of skill in the art will appreciate that, in some embodiments, the exact amount of a particular SARM1 antisense agent included in and/or delivered by administration of a pharmaceutical composition or regimen as described herein may be selected by a medical practitioner and may be different for different subjects, for example, upon consideration of one or more of species, age, and general condition of the subject, and/or identity of the particular SARM1 antisense agent, its mode of administration, and the like. Alternatively, in some embodiments, the amount of an SARM1 antisense agent included in and/or delivered by administration of a pharmaceutical composition or regimen as described herein may be standardized across a relevant patient population (e.g., all patients, all patients of a particular age or stage of disease or expressing a particular biomarker, etc.).
A provided SARM1 antisense agent or composition of the present disclosure is preferably formulated in dosage unit form for ease of administration and uniformity of dosage. The expression “dosage unit form” as used herein refers to a physically discrete unit of agent appropriate for the patient to be treated. It will be understood, however, that the total daily usage of a provided SARM1 antisense agent or composition of the present disclosure will be decided by the attending physician within the scope of sound medical judgment. The specific effective dose level for any particular patient or organism will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the clinical condition of the individual patient; the cause of the disorder; the activity of the specific SARM1 antisense agent employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, delivery site of the agent, route of administration, and rate of degradation of the specific SARM1 antisense agent employed; the duration of the treatment; drugs used in combination or coincidental with the specific SARM1 antisense agent employed, and like factors well known in the medical arts. In some embodiments, the effective amount of the SARM1 antisense agent to be administered will be governed by such considerations, and is the minimum amount necessary to inhibit SARM1 activity, inflammatory activity, necroptosis or immune activity as required to prevent or treat the undesired disease or disorder, such as for example, neurodegeneration or traumatic neural injury.
In some embodiments, compositions of the present disclosure may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir. The term “parenteral” as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intradermal, intraocular, intravitreal, intralesional and intracranial injection or infusion techniques. Preferably, the compositions are administered via intrathecal, intraventricular, intracerebroventricular, intracisternal, intraparenchymal or intravitreal injection.
In some embodiments, pharmaceutically acceptable compositions of this disclosure may also be administered topically, especially when the target of treatment includes areas or organs readily accessible by topical application, including diseases of the eye, the skin, or the lower intestinal tract. Suitable topical formulations are readily prepared for each of these areas or organs.
The daily dose is, in certain embodiments, given as a single daily dose or in divided doses two to six times a day, or in sustained release form. This dosage regimen may be adjusted to provide the optimal therapeutic response. In some embodiments, compositions of the present disclosure can be delivered four times a week, three times a week, twice a week, once a week, every ten days, every two weeks, every three weeks, or more preferably every four weeks, once a month, every six weeks, every eight weeks, every other month, every three months, every four months, every six months, every eight months, every nine months or annually.
Compositions of the present disclosure may be administered in combination with other therapeutic agents. Those additional agents may be administered separately from a provided SARM1 antisense agent or composition thereof, as part of a multiple dosage regimen. Alternatively, those agents may be part of a single dosage form, mixed together with a provided SARM1 antisense agent in a single composition. If administered as part of a multiple dosage regime, the two active agents may be submitted simultaneously, sequentially or within a period of time from one another, normally within five hours from one another.
It should also be understood that a specific dosage and treatment regimen for any particular patient may depend upon a variety of factors, including the activity of the specific SARM1 antisense agent employed, the age, body weight, general health, sex, diet, time of administration, rate of excretion, drug combination, and the judgment of the treating physician and the severity of the particular disease being treated. In some embodiments, the amount of an SARM1 antisense agent of the present disclosure in the composition will also depend upon the particular SARM1 antisense agent in the composition.
In some embodiments, SARM1 antisense agents as described herein may be utilized in combination with one or more other therapies to treat a relevant disease, disorder, or condition. In some embodiments, dosing of an SARM1 antisense agent is altered when utilized in combination therapy as compared with when administered as monotherapy; alternatively or additionally, in some embodiments, a therapy that is administered in combination with an SARM1 antisense agent as described herein is administered according to a regimen or protocol that differs from its regimen or protocol when administered alone or in combination with one or more therapies other than an SARM1 antisense agent of the present disclosure. In some embodiments, compositions which comprise an additional therapeutic agent, that additional therapeutic agent and a provided SARM1 antisense agent may act synergistically. In some embodiments, one or both therapies utilized in a combination regimen are administered at a lower level or less frequently than when they are utilized individually as monotherapies.
In some embodiments, the present disclosure relates to a method of treating, preventing, and/or ameliorating a neurodegenerative disease, disorder or condition comprising i) providing a) a subject diagnosed with, at risk for, or exhibiting symptoms of, a neurodegenerative disease, disorder or condition and b) a combination comprising a SARM1 antisense oligonucleotide and a SARM1 inhibitor. In some embodiments, the present disclosure provides a combination therapy comprising a SARM1 antisense oligonucleotide and a SARM1 inhibitor; and ii) administering said combination to said subject under conditions such that said neurodegenerative disease, disorder or condition is reduced. In some embodiments, a SARM1 antisense oligonucleotide and a SARM1 inhibitor act synergistically in treating, preventing, and/or ameliorating a neurodegenerative disease, disorder or condition. In some embodiments, a SARM1 inhibitor is a small molecule.
In some embodiments, the present disclosure relates to a method of treating, preventing, and/or ameliorating a neurodegenerative disease, disorder or condition comprising i) providing a) a subject diagnosed with, at risk for, or exhibiting symptoms of, a neurodegenerative disease, disorder or condition and b) a combination comprising a SARM1 antisense oligonucleotide and NAD+ or a NAD+ precursor (e.g., NR, NRH, NA, NaR, NAM, NMN, NaMN, TRP, vitamin B3, or NAAD); and ii) administering said combination to said subject under conditions such that said neurodegenerative disease, disorder or condition is reduced. In some embodiments, the present disclosure provides a combination therapy comprising a SARM1 antisense oligonucleotide and NAD+ or a NAD+ precursor (e.g., NR, NRH, NA, NaR, NAM, NMN, NaMN, TRP, vitamin B3, or NAAD). In some embodiments, a SARM1 antisense oligonucleotide and NAD+ or a NAD+ precursor (e.g., NR, NRH, NA, NaR, NAM, NMN, NaMN, TRP, vitamin B3, or NAAD) act synergistically in treating, preventing, and/or ameliorating a neurodegenerative disease, disorder or condition.
In some embodiments, the present disclosure relates to a method of treating, preventing, and/or ameliorating a neurodegenerative disease, disorder or condition comprising i) providing a) a subject diagnosed with, at risk for, or exhibiting symptoms of, a neurodegenerative disease, disorder or condition and b) a combination comprising a SARM1 antisense oligonucleotide and any biologic agent known in the art (e.g., but not limited to, an antibody, aptamer, trophic factor, or antisense oligonucleotide against a target other than SARM1); and ii) administering said combination to said subject under conditions such that said neurodegenerative disease, disorder or condition is reduced.
In some embodiments, an SARM1 antisense agent and/or compositions comprising a SARM1 agent described herein are administered with a chemotherapeutic agent including, but not limited to, alkylating agents, anthracyclines, taxanes, epothilones, histone deacetylase inhibitors, topoisomerase inhibitors, kinase inhibitors, nucleotide analogs, peptide antibiotics, platinum-based agents, retinoids, vinca alkaloids and derivatives. In some embodiments, an SARM1 antisense agent and/or compositions described herein are administered in combination with PARP inhibitors.
Pharmaceutical Compositions
In some embodiments, the present invention provides pharmaceutical compositions comprising one or more antisense agents. In some embodiments, pharmaceutical compositions comprise a suitable pharmaceutically acceptable diluent or carrier. In some embodiments, pharmaceutical compositions comprise a sterile saline solution and one or more antisense agents. In some embodiments, pharmaceutical compositions consist of a sterile saline solution and one or more antisense agents. In some embodiments, a sterile saline is pharmaceutical grade saline. In some embodiments, pharmaceutical compositions comprise sterile water and one or more antisense agents. In some embodiments, pharmaceutical compositions consist of sterile water and one or more antisense agents. In some embodiments, a sterile saline is pharmaceutical grade water. In some embodiments, pharmaceutical compositions comprise phosphate-buffered saline (PBS) and one or more antisense agents. In some embodiments, pharmaceutical compositions consist of sterile phosphate-buffered saline (PBS) and one or more antisense agents. In some embodiments, a sterile saline is pharmaceutical grade PBS.
In some embodiments, antisense agents may be admixed with pharmaceutically acceptable active and/or inert substances for the preparation of pharmaceutical compositions or formulations. Compositions and methods for the formulation of pharmaceutical compositions depend on a number of criteria, including, but not limited to, route of administration, extent of disease, or dose to be administered.
Pharmaceutical compositions comprising antisense agents as disclosed herein encompass any pharmaceutically acceptable salts, esters, or salts of such esters. In some embodiments, pharmaceutical compositions comprising antisense agents comprise one or more oligonucleotides which, upon administration to an animal, including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to pharmaceutically acceptable salts of antisense agents, prodrugs, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents. Suitable pharmaceutically acceptable salts include, but are not limited to, sodium and potassium salts.
A prodrug can include the incorporation of additional nucleosides at one or both ends of an oligomeric compound which are cleaved by endogenous nucleases within the body, to form the active antisense oligomeric agent.
Lipid moieties have been used in nucleic acid therapies in a variety of methods. In certain such methods, a nucleic acid is introduced into preformed liposomes or lipoplexes made of mixtures of cationic lipids and neutral lipids. In some methods, DNA complexes with mono- or poly-cationic lipids are formed without the presence of a neutral lipid. In some embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to a particular cell or tissue. In some embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to CNS tissue. In some embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to PNS tissue.
In some embodiments, pharmaceutical compositions provided herein comprise one or more modified oligonucleotides and one or more excipients. In certain such embodiments, excipients are selected from water, salt solutions, alcohol, polyethylene glycols, gelatin, lactose, amylase, magnesium stearate, talc, silicic acid, viscous paraffin, hydroxymethylcellulose and polyvinylpyrrolidone.
In some embodiments, a pharmaceutical composition provided herein comprises a delivery system. Examples of delivery systems include, but are not limited to, liposomes and emulsions. Certain delivery systems are useful for preparing certain pharmaceutical compositions including those comprising hydrophobic compounds. In some embodiments, certain organic solvents such as dimethylsulfoxide are used.
In some embodiments, a pharmaceutical composition provided herein comprises one or more tissue-specific delivery molecules designed to deliver the one or more pharmaceutical agents of the present invention to specific tissues or cell types. For example, in some embodiments, pharmaceutical compositions include liposomes coated with a tissue-specific antibody.
In some embodiments, a pharmaceutical composition provided herein comprises a co-solvent system. Certain of such co-solvent systems comprise, for example, benzyl alcohol, a nonpolar surfactant, a water-miscible organic polymer, and an aqueous phase. In some embodiments, such co-solvent systems are used for hydrophobic compounds. A non-limiting example of such a co-solvent system is the VPD co-solvent system, which is a solution of absolute ethanol comprising 3% w/v benzyl alcohol, 8% w/v of the nonpolar surfactant Polysorbate 80™ and 65% w/v polyethylene glycol 300. The proportions of such co-solvent systems may be varied considerably without significantly altering their solubility and toxicity characteristics. Furthermore, the identity of co-solvent components may be varied: for example, other surfactants may be used instead of Polysorbate 80™; the fraction size of polyethylene glycol may be varied; other biocompatible polymers may replace polyethylene glycol, e.g., polyvinyl pyrrolidone; and other sugars or polysaccharides may substitute for dextrose.
In some embodiments, a pharmaceutical composition provided herein is prepared for oral administration. In some embodiments, pharmaceutical compositions are prepared for buccal administration. In some embodiments, a pharmaceutical composition is prepared for administration by injection (e.g., intravenous, subcutaneous, intramuscular, etc.). In certain of such embodiments, a pharmaceutical composition comprises a carrier and is formulated in aqueous solution, such as water or physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiological saline buffer. In some embodiments, other ingredients are included (e.g., ingredients that aid in solubility or serve as preservatives). In some embodiments, injectable suspensions are prepared using appropriate liquid carriers, suspending agents and the like. Certain pharmaceutical compositions for injection are presented in unit dosage form, e.g., in ampoules or in multi-dose containers. Certain pharmaceutical compositions for injection are suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and or dispersing agents. Certain solvents suitable for use in pharmaceutical compositions for injection include, but are not limited to, lipophilic solvents and fatty oils, such as sesame oil, synthetic fatty acid esters, such as ethyl oleate or triglycerides, and liposomes. Aqueous injection suspensions may contain substances that increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran. Optionally, such suspensions may also contain suitable stabilizers or agents that increase the solubility of the pharmaceutical agents to allow for the preparation of highly concentrated solutions. In some embodiments, a pharmaceutical composition is prepared for transmucosal administration. In certain of such embodiments penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art.
In some embodiments, a pharmaceutical composition provided herein comprises an oligonucleotide in a therapeutically effective amount. In some embodiments, the therapeutically effective amount is sufficient to prevent, alleviate or ameliorate symptoms of a disease or to prolong the survival of the subject being treated. Determination of a therapeutically effective amount is well within the capability of those skilled in the art.
In some embodiments, one or more modified oligonucleotides provided herein are formulated as a prodrug. In some embodiments, upon in vivo administration, a prodrug is chemically converted to a biologically, pharmaceutically or therapeutically more active form of an oligonucleotide. In some embodiments, prodrugs are useful because they are easier to administer than the corresponding active form. For example, in certain instances, a prodrug may be more bioavailable (e.g., through oral administration) than is the corresponding active form. In some instances, a prodrug may have improved solubility compared to the corresponding active form. In some embodiments, prodrugs are less water soluble than the corresponding active form. In some instances, such prodrugs possess superior transmittal across cell membranes, where water solubility is detrimental to mobility. In some embodiments, a prodrug is an ester. In certain such embodiments, the ester is metabolically hydrolyzed to carboxylic acid upon administration. In certain instances, the carboxylic acid containing compound is the corresponding active form. In certain embodiments, a prodrug comprises a short peptide (polyaminoacid) bound to an acid group. In certain of such embodiments, the peptide is cleaved upon administration to form the corresponding active form.
In some embodiments, the present invention provides compositions and methods for reducing the amount or activity of a target nucleic acid in a cell. In some embodiments, the cell is in an animal. In some embodiments, an animal is a mammal. In some embodiments, an animal is a rodent. In some embodiments, an animal is a primate. In some embodiments, an animal is a non-human primate. In some embodiments, an animal is a human.
In some embodiments, the present invention provides methods of administering a pharmaceutical composition comprising an oligomeric agent of the present invention to an animal. Suitable administration routes include, but are not limited to, oral, rectal, transmucosal, intestinal, enteral, topical, suppository, through inhalation, intrathecal, intracerebroventricular, intraperitoneal, intranasal, intraocular, intratumoral, intracisternal and parenteral (e.g., intravenous, intramuscular, intramedullary, and subcutaneous). In some embodiments, pharmaceutical intrathecals are administered to achieve local rather than systemic exposures. For example, pharmaceutical compositions may be injected directly in the area of desired effect (e.g., into the eyes, ears).
In some embodiments, a pharmaceutical composition is administered to an animal having at least one symptom associated with a neurodegenerative disease or disorder. In some embodiments, such administration results in amelioration of at least one symptom. In some embodiments, administration of a pharmaceutical composition to an animal results in a decrease of SARM1 mRNA in a cell of the animal. In some embodiments, such administration results in a decrease in SARM1 protein.
Exemplary Embodiments
1. An antisense oligonucleotide comprising a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
2. The antisense oligonucleotide of embodiment 1, comprising a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
3. The antisense oligonucleotide of embodiment 1 or embodiment 2, comprising a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
4. The antisense oligonucleotide of any one of embodiments 1-3, comprising a sequence selected from a group consisting of SEQ ID NO: 3-26.
5. An antisense oligonucleotide comprising a sequence selected from a group consisting of SEQ ID NO: 3-2081.
6. The antisense oligonucleotide of any one of embodiments 1-5, wherein the antisense oligonucleotide comprises one or more modifications.
7. The antisense oligonucleotide of embodiment 6, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
8. A pharmaceutical composition comprising an antisense oligonucleotide of any one of the previous embodiments.
9. The pharmaceutical composition of embodiment 8, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
10. A method for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
11. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
12. The method of embodiment 10 or embodiment 11, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
13. The method of any one of embodiments 10-12, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
14. The method of any one of embodiments 10-13, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
15. The method of any one of embodiments 10-14, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-26.
16. The method of any one of embodiments 10-15, wherein the antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-26.
17. The method of any one of embodiments 10-12, wherein the antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2081.
18. The method of any one of embodiments 10-17, wherein the antisense oligonucleotide comprises one or more modifications.
19. The method of embodiment 18, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
20. The method of any one of embodiments 10-19, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
21. The method of any one of embodiments 10-19, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
22. The method of any one of embodiments 11-21, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
23. The method of any of embodiments 11-21, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
24. The method of embodiment 23, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
25. The method of embodiment 23, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
26. The method of embodiment 24, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
27. The method of embodiment 24, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
28. The method of embodiment 24, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
29. The method of any one of embodiments 11-22, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
30. The method of embodiment 29, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
31. The method of embodiment 30, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
32. The method of embodiment 31, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
33. The method of embodiment 31, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
34. The method of embodiment 30, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
35. The method of embodiment 34, wherein the epothilone is ixabepilone.
36. The method of embodiment 34, wherein the taxane is paclitaxel or docetaxel.
37. The method of embodiment 34, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
38. The method of embodiment 34, wherein the proteasome inhibitor is bortezomib.
39. The method of embodiment 34, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
40. The method of embodiment 34, wherein the auristatin is conjugated monomethyl auristatin E.
41. The method of any one of embodiments 11-22, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
42. The method of embodiment 41, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
43. The method of embodiment 41, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
44. The method of embodiment 43, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
45. The method of embodiment 43, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
46. The method of embodiment 43, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
47. The method of any one of embodiments 11-22, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
48. The method of embodiment 47, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
49. The method of embodiment 48, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
50. The method of embodiment 48, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
51. The method of embodiment 48, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
52. The method of any one of embodiments 11-22, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
53. The method of any one of embodiments 10-52, wherein the subject is a human.
54. The method of any one of embodiments 10-53, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
55. The method of embodiments 54, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
56. The method of embodiment 55, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
57. The method of embodiment 55, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
58. The method of embodiment 55, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
59. An antisense oligonucleotide comprising a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
60. The antisense oligonucleotide of embodiment 59, comprising a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
61. The antisense oligonucleotide of embodiment 59 or embodiment 60, comprising a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
62. The antisense oligonucleotide of any one of embodiments 59-61, comprising a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
63. An antisense oligonucleotide comprising a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
64. The antisense oligonucleotide of embodiment 63, comprising a sequence having at least 85% identity to a sequence selected from a group consisting of 8, 9, 13, 22, 38, and 549.
65. The antisense oligonucleotide of embodiment 63 or embodiment 64, comprising a sequence having at least 90% identity to a sequence selected from a group consisting of 8, 9, 13, 22, 38, and 549.
66. The antisense oligonucleotide of any one of embodiments 63-65, comprising a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
67. An antisense oligonucleotide comprising a sequence selected from a group consisting of SEQ ID NO: 3-2412.
68. The antisense oligonucleotide of any one of embodiments 59-66, wherein the antisense oligonucleotide comprises one or more modifications.
69. The antisense oligonucleotide of embodiment 68, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
70. A pharmaceutical composition comprising an antisense oligonucleotide of any one of the previous embodiments.
71. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 59-70.
72. The pharmaceutical composition of embodiment 70 or 71, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
73. A method for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
74. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
75. The method of embodiment 73 or embodiment 74, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
76. The method of any one of embodiments 73-75, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
77. The method of any one of embodiments 73-76, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
78. The method of any one of embodiments 73-77, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
79. The method of any one of embodiments 73-78, wherein the antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-21, 23-26, 38 and 39.
80. The method of any one of embodiments 73-75, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
81. The method of any one of embodiments 73-75, and 80, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
82. The method of any one of embodiments 73-75, and 80-81, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
83. The method of any one of embodiments 73-75, and 80-82, wherein the antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 8, 9, 13, 22, 38, and 549.
84. The method of any one of embodiments 73-75, wherein the antisense oligonucleotide comprises a sequence selected from a group consisting of SEQ ID NO: 3-2412.
85. The method of any one of embodiments 73-84, wherein the antisense oligonucleotide comprises one or more modifications.
86. The method of embodiment 85, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
87. The method of any one of embodiments 73-86, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
88. The method of any one of embodiments 73-86, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
89. The method of any one of embodiments 74-88, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
90. The method of any of embodiments 74-88, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
91. The method of embodiment 90, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
92. The method of embodiment 90, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
93. The method of embodiment 91, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
94. The method of embodiment 91, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
95. The method of embodiment 91, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
96. The method of any one of embodiments 74-89, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
97. The method of embodiment 96, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
98. The method of embodiment 97, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
99. The method of embodiment 98, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
100. The method of embodiment 98, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
101. The method of embodiment 97, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
102. The method of embodiment 101, wherein the epothilone is ixabepilone.
103. The method of embodiment 101, wherein the taxane is paclitaxel or docetaxel.
104. The method of embodiment 101, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
105. The method of embodiment 101, wherein the proteasome inhibitor is bortezomib.
106. The method of embodiment 101, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
107. The method of embodiment 101, wherein the auristatin is conjugated monomethyl auristatin E.
108. The method of any one of embodiments 74-89, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
109. The method of embodiment 108, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
110. The method of embodiment 108, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
111. The method of embodiment 110, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
112. The method of embodiment 110, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
113. The method of embodiment 110, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
114. The method of any one of embodiments 74-89, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
115. The method of embodiment 114, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
116. The method of embodiment 115, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
117. The method of embodiment 115, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
118. The method of embodiment 115, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
119. The method of any one of embodiments 74-89, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
120. The method of any one of embodiments 73-119, wherein the subject is a human.
121. The method of any one of embodiments 73-120, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
122. The method of embodiment 121, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
123. The method of embodiment 122, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
124. The method of embodiment 122, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
125. The method of embodiment 122, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
126. An antisense oligonucleotide selected from Table 3, for use in the manufacture of a medicament.
127. An antisense oligonucleotide selected from Table 3, for use in treatment of a disease, disorder or injury.
128. The antisense oligonucleotide of embodiment 127, wherein the disease, disorder or injury comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies, other peripheral neuropathies, diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, polyarteritis nodosa, chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, diabetes, diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, a mitochondrial disorder, carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture, a dislocated bone, pressure involving superficial nerves, pressure from a tumor, increased intraocular pressure, injury from a chemical agent or chemotherapy, Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, spinal cord injury, an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, exposure to cyanide, a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury, chronic traumatic encephalopathy (CTE), diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, mitochondrial disorders, cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy, a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, damage from a force which causes axons to deform, stretch, crush or sheer, enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
129. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 8.
130. The antisense oligonucleotide of embodiment 129, comprising a sequence having at least 85% identity to SEQ ID NO: 8.
131. The antisense oligonucleotide of embodiment 129 or embodiment 130, comprising a sequence having at least 90% identity to SEQ ID NO: 8.
132. The antisense oligonucleotide of any one of embodiments 129-131, comprising SEQ ID NO: 8.
133. The antisense oligonucleotide of any one of embodiments 129-132, wherein the antisense oligonucleotide comprises one or more modifications.
134. The antisense oligonucleotide of embodiment 133, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
135. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 129-134.
136. The pharmaceutical composition of embodiment 135, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
137. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 9.
138. The antisense oligonucleotide of embodiment 137, comprising a sequence having at least 85% identity to SEQ ID NO: 9.
139. The antisense oligonucleotide of embodiment 137 or embodiment 138, comprising a sequence having at least 90% identity to SEQ ID NO: 9.
140. The antisense oligonucleotide of any one of embodiments 137-139, comprising SEQ ID NO: 9.
141. The antisense oligonucleotide of any one of embodiments 137-140, wherein the antisense oligonucleotide comprises one or more modifications.
142. The antisense oligonucleotide of embodiment 141, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
143. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 137-142.
144. The pharmaceutical composition of embodiment 143, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
145. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 13.
146. The antisense oligonucleotide of embodiment 145, comprising a sequence having at least 85% identity to SEQ ID NO: 13.
147. The antisense oligonucleotide of embodiment 145 or embodiment 146, comprising a sequence having at least 90% identity to SEQ ID NO: 13.
148. The antisense oligonucleotide of any one of embodiments 145-147, comprising SEQ ID NO: 13.
149. The antisense oligonucleotide of any one of embodiments 145-148, wherein the antisense oligonucleotide comprises one or more modifications.
150. The antisense oligonucleotide of embodiment 149, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
151. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 145-150.
152. The pharmaceutical composition of embodiment 151, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
153. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 22.
154. The antisense oligonucleotide of embodiment 153, comprising a sequence having at least 85% identity to SEQ ID NO: 22.
155. The antisense oligonucleotide of embodiment 153 or embodiment 154, comprising a sequence having at least 90% identity to SEQ ID NO: 22.
156. The antisense oligonucleotide of any one of embodiments 153-155, comprising SEQ ID NO: 22.
157. The antisense oligonucleotide of any one of embodiments 153-156, wherein the antisense oligonucleotide comprises one or more modifications.
158. The antisense oligonucleotide of embodiment 157, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
159. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 153-158.
160. The pharmaceutical composition of embodiment 159, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
161. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 38.
162. The antisense oligonucleotide of embodiment 161, comprising a sequence having at least 85% identity to SEQ ID NO: 38.
163. The antisense oligonucleotide of embodiment 161 or embodiment 162, comprising a sequence having at least 90% identity to SEQ ID NO: 38.
164. The antisense oligonucleotide of any one of embodiments 161-163, comprising SEQ ID NO: 38.
165. The antisense oligonucleotide of any one of embodiments 161-164, wherein the antisense oligonucleotide comprises one or more modifications.
166. The antisense oligonucleotide of embodiment 165, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
167. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 161-166.
168. The pharmaceutical composition of embodiment 167, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
169. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 549.
170. The antisense oligonucleotide of embodiment 169, comprising a sequence having at least 85% identity to SEQ ID NO: 549.
171. The antisense oligonucleotide of embodiment 169 or embodiment 170, comprising a sequence having at least 90% identity to SEQ ID NO: 549.
172. The antisense oligonucleotide of any one of embodiments 169-171, comprising SEQ ID NO: 549.
173. The antisense oligonucleotide of any one of embodiments 169-172, wherein the antisense oligonucleotide comprises one or more modifications.
174. The antisense oligonucleotide of embodiment 173, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
175. A pharmaceutical composition comprising an antisense oligonucleotide of any one of embodiments 169-174.
176. The pharmaceutical composition of embodiment 175, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
177. A method for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 8.
178. The method of embodiment 177, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 8.
179. The method of embodiment 177 or embodiment 178, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 8.
180. The method of any one of embodiments 177-179, wherein the antisense oligonucleotide comprises SEQ ID NO: 8.
181. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 8.
182. The method of embodiment 181, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 8.
183. The method of embodiment 181 or embodiment 182, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 8.
184. The method of any one of embodiments 181-183, wherein the antisense oligonucleotide comprises SEQ ID NO: 8.
185. The method of any one of embodiments 177-184, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
186. The method of any one of embodiments 177-185, wherein the antisense oligonucleotide comprises one or more modifications.
187. The method of embodiment 186, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
188. The method of any one of embodiments 177-187, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
189. The method of any one of embodiments 177-187, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
190. The method of any one of embodiments 181-189, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
191. The method of any of embodiments 181-189, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
192. The method of embodiment 191, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
193. The method of embodiment 191, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
194. The method of embodiment 192, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
195. The method of embodiment 192, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
196. The method of embodiment 192, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
197. The method of any one of embodiments 181-190, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
198. The method of embodiment 197, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
199. The method of embodiment 198, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
200. The method of embodiment 199, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
201. The method of embodiment 199, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
202. The method of embodiment 198, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
203. The method of embodiment 202, wherein the epothilone is ixabepilone.
204. The method of embodiment 202, wherein the taxane is paclitaxel or docetaxel.
205. The method of embodiment 202, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
206. The method of embodiment 202, wherein the proteasome inhibitor is bortezomib.
207. The method of embodiment 202, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
208. The method of embodiment 202, wherein the auristatin is conjugated monomethyl auristatin E.
209. The method of any one of embodiments 181-190, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
210. The method of embodiment 209, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
211. The method of embodiment 209, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
212. The method of embodiment 211, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
213. The method of embodiment 211, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
214. The method of embodiment 211, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
215. The method of any one of embodiments 181-190, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
216. The method of embodiment 215, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
217. The method of embodiment 216, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
218. The method of embodiment 216, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
219. The method of embodiment 216, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
220. The method of any one of embodiments 181-190, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
221. The method of any one of embodiments 177-220, wherein the subject is a human.
222. The method of any one of embodiments 177-221, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
223. The method of embodiments 222, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
224. The method of embodiment 223, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
225. The method of embodiment 223, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
226. The method of embodiment 223, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
227. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 9.
228. The method of embodiment 227, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 9.
229. The method of embodiment 227 or embodiment 228, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 9.
230. The method of any one of embodiments 227-229, wherein the antisense oligonucleotide comprises SEQ ID NO: 9.
231. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 9.
232. The method of embodiment 231, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 9.
233. The method of embodiment 231 or embodiment 232, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 9.
234. The method of any one of embodiments 231-233, wherein the antisense oligonucleotide comprises SEQ ID NO: 9.
235. The method of any one of embodiments 227-234, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
236. The method of any one of embodiments 227-235, wherein the antisense oligonucleotide comprises one or more modifications.
237. The method of embodiment 236, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
238. The method of any one of embodiments 227-237, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
239. The method of any one of embodiments 227-237, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
240. The method of any one of embodiments 231-239, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
241. The method of any of embodiments 231-239, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
242. The method of embodiment 241, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
243. The method of embodiment 241, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
244. The method of embodiment 242, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
245. The method of embodiment 242, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
246. The method of embodiment 242, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
247. The method of any one of embodiments 231-240, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
248. The method of embodiment 247, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
249. The method of embodiment 248, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
250. The method of embodiment 249, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
251. The method of embodiment 249, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
252. The method of embodiment 248, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
253. The method of embodiment 252, wherein the epothilone is ixabepilone.
254. The method of embodiment 252, wherein the taxane is paclitaxel or docetaxel.
255. The method of embodiment 252, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
256. The method of embodiment 252, wherein the proteasome inhibitor is bortezomib.
257. The method of embodiment 252, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
258. The method of embodiment 252, wherein the auristatin is conjugated monomethyl auristatin E.
259. The method of any one of embodiments 231-240, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
260. The method of embodiment 259, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
261. The method of embodiment 259, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
262. The method of embodiment 261, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
263. The method of embodiment 261, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
264. The method of embodiment 261, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
265. The method of any one of embodiments 231-240, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
266. The method of embodiment 215, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
267. The method of embodiment 266, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
268. The method of embodiment 266, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
269. The method of embodiment 266, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
270. The method of any one of embodiments 231-240, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
271. The method of any one of embodiments 227-270, wherein the subject is a human.
272. The method of any one of embodiments 227-271, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
273. The method of embodiments 272, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
274. The method of embodiment 273, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a
275. The method of embodiment 273, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
276. The method of embodiment 273, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
277. A method for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 13.
278. The method of embodiment 277, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 13.
279. The method of embodiment 277 or embodiment 278, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 13.
280. The method of any one of embodiments 277-279, wherein the antisense oligonucleotide comprises SEQ ID NO: 13.
281. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 13.
282. The method of embodiment 281, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 13.
283. The method of embodiment 281 or embodiment 282, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 13.
284. The method of any one of embodiments 281-283, wherein the antisense oligonucleotide comprises SEQ ID NO: 13.
285. The method of any one of embodiments 277-284, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
286. The method of any one of embodiments 277-285, wherein the antisense oligonucleotide comprises one or more modifications.
287. The method of embodiment 286, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
288. The method of any one of embodiments 277-287, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
289. The method of any one of embodiments 277-287, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
290. The method of any one of embodiments 281-289, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
291. The method of any of embodiments 281-289, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
292. The method of embodiment 291, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
293. The method of embodiment 291, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
294. The method of embodiment 292, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
295. The method of embodiment 292, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
296. The method of embodiment 292, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
297. The method of any one of embodiments 281-290, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
298. The method of embodiment 297, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
299. The method of embodiment 298, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
300. The method of embodiment 298, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
301. The method of embodiment 298, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
302. The method of embodiment 298, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
303. The method of embodiment 302, wherein the epothilone is ixabepilone.
304. The method of embodiment 302, wherein the taxane is paclitaxel or docetaxel.
305. The method of embodiment 302, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
306. The method of embodiment 302, wherein the proteasome inhibitor is bortezomib.
307. The method of embodiment 302, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
308. The method of embodiment 302, wherein the auristatin is conjugated monomethyl auristatin E.
309. The method of any one of embodiments 281-290, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
310. The method of embodiment 309, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
311. The method of embodiment 309, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
312. The method of embodiment 311, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
313. The method of embodiment 311, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
314. The method of embodiment 311, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
315. The method of any one of embodiments 281-290, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
316. The method of embodiment 315, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
317. The method of embodiment 316, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
318. The method of embodiment 316, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
319. The method of embodiment 316, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
320. The method of any one of embodiments 281-290, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
321. The method of any one of embodiments 277-320, wherein the subject is a human.
322. The method of any one of embodiments 277-321, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
323. The method of embodiments 322, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
324. The method of embodiment 323, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
325. The method of embodiment 323, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
326. The method of embodiment 323, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
327. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 22.
328. The method of embodiment 327, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 22.
329. The method of embodiment 327 or embodiment 328, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 22.
330. The method of any one of embodiments 327-329, wherein the antisense oligonucleotide comprises SEQ ID NO: 22.
331. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 22.
332. The method of embodiment 331, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 22.
333. The method of embodiment 331 or embodiment 332, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 22.
334. The method of any one of embodiments 331-333, wherein the antisense oligonucleotide comprises SEQ ID NO: 22.
335. The method of any one of embodiments 327-334, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
336. The method of any one of embodiments 327-335, wherein the antisense oligonucleotide comprises one or more modifications.
337. The method of embodiment 336, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
338. The method of any one of embodiments 327-337, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
339. The method of any one of embodiments 327-337, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
340. The method of any one of embodiments 331-339, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
341. The method of any of embodiments 331-339, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
342. The method of embodiment 341, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
343. The method of embodiment 341, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
344. The method of embodiment 342, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
345. The method of embodiment 342, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
346. The method of embodiment 342, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
347. The method of any one of embodiments 331-340, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
348. The method of embodiment 347, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
349. The method of embodiment 348, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
350. The method of embodiment 348, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
351. The method of embodiment 348, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
352. The method of embodiment 348, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
353. The method of embodiment 352, wherein the epothilone is ixabepilone.
354. The method of embodiment 352, wherein the taxane is paclitaxel or docetaxel.
355. The method of embodiment 352, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
356. The method of embodiment 352, wherein the proteasome inhibitor is bortezomib.
357. The method of embodiment 352, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
358. The method of embodiment 352, wherein the auristatin is conjugated monomethyl auristatin E.
359. The method of any one of embodiments 331-340, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
360. The method of embodiment 359, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
361. The method of embodiment 359, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
362. The method of embodiment 361, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
363. The method of embodiment 361, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
364. The method of embodiment 361, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
365. The method of any one of embodiments 331-340, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
366. The method of embodiment 365, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
367. The method of embodiment 366, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
368. The method of embodiment 366, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
369. The method of embodiment 366, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
370. The method of any one of embodiments 331-340, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
371. The method of any one of embodiments 327-370, wherein the subject is a human.
372. The method of any one of embodiments 327-371, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
373. The method of embodiments 372, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
374. The method of embodiment 373, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
375. The method of embodiment 373, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
376. The method of embodiment 373, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
377. A method for treating and/or preventing axonal degeneration in a subject, comprising: administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 38.
378. The method of embodiment 377, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 38.
379. The method of embodiment 377 or embodiment 378, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 38.
380. The method of any one of embodiments 377-379, wherein the antisense oligonucleotide comprises SEQ ID NO: 38.
381. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 38.
382. The method of embodiment 381, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 38.
383. The method of embodiment 381 or embodiment 382, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 38.
384. The method of any one of embodiments 381-383, wherein the antisense oligonucleotide comprises SEQ ID NO: 38.
385. The method of any one of embodiments 377-384, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
386. The method of any one of embodiments 377-385, wherein the antisense oligonucleotide comprises one or more modifications.
387. The method of embodiment 386, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
388. The method of any one of embodiments 377-387, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
389. The method of any one of embodiments 377-387, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
390. The method of any one of embodiments 381-389, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
391. The method of any of embodiments 381-389, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
392. The method of embodiment 391, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
393. The method of embodiment 391, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
394. The method of embodiment 392, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
395. The method of embodiment 392, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
396. The method of embodiment 392, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
397. The method of any one of embodiments 381-390, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
398. The method of embodiment 397, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
399. The method of embodiment 398, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
400. The method of embodiment 398, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
401. The method of embodiment 398, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
402. The method of embodiment 398, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
403. The method of embodiment 402, wherein the epothilone is ixabepilone.
404. The method of embodiment 402, wherein the taxane is paclitaxel or docetaxel.
405. The method of embodiment 402, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
406. The method of embodiment 402, wherein the proteasome inhibitor is bortezomib.
407. The method of embodiment 402, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
408. The method of embodiment 402, wherein the auristatin is conjugated monomethyl auristatin E.
409. The method of any one of embodiments 381-390, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
410. The method of embodiment 409, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
411. The method of embodiment 409, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
412. The method of embodiment 411, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
413. The method of embodiment 411, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
414. The method of embodiment 411, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
415. The method of any one of embodiments 381-390, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
416. The method of embodiment 415, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
417. The method of embodiment 416, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
418. The method of embodiment 416, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
419. The method of embodiment 416, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
420. The method of any one of embodiments 381-390, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
421. The method of any one of embodiments 377-420, wherein the subject is a human.
422. The method of any one of embodiments 377-421, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
423. The method of embodiments 422, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
424. The method of embodiment 423, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
425. The method of embodiment 423, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
426. The method of embodiment 423, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
427. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1), wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 549.
428. The method of embodiment 427, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 549.
429. The method of embodiment 427 or embodiment 428, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 549.
430. The method of any one of embodiments 427-429, wherein the antisense oligonucleotide comprises SEQ ID NO: 549.
431. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity SEQ ID NO: 549.
432. The method of embodiment 431, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 549.
433. The method of embodiment 431 or embodiment 432, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 549.
434. The method of any one of embodiments 431-433, wherein the antisense oligonucleotide comprises SEQ ID NO: 549.
435. The method of any one of embodiments 427-434, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
436. The method of any one of embodiments 427-425, wherein the antisense oligonucleotide comprises one or more modifications.
437. The method of embodiment 436, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
438. The method of any one of embodiments 427-437, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
439. The method of any one of embodiments 427-437, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
440. The method of any one of embodiments 431-439, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
441. The method of any of embodiments 431-439, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
442. The method of embodiment 441, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
443. The method of embodiment 441, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
444. The method of embodiment 442, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
445. The method of embodiment 442, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
446. The method of embodiment 442, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
447. The method of any one of embodiments 431-440, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
448. The method of embodiment 447, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
449. The method of embodiment 448, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
450. The method of embodiment 448, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
451. The method of embodiment 448, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
452. The method of embodiment 448, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
453. The method of embodiment 452, wherein the epothilone is ixabepilone.
454. The method of embodiment 452, wherein the taxane is paclitaxel or docetaxel.
455. The method of embodiment 452, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
456. The method of embodiment 452, wherein the proteasome inhibitor is bortezomib.
457. The method of embodiment 452, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
458. The method of embodiment 452, wherein the auristatin is conjugated monomethyl auristatin E.
459. The method of any one of embodiments 431-440, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
460. The method of embodiment 459, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
461. The method of embodiment 459, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
462. The method of embodiment 461, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
463. The method of embodiment 461, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
464. The method of embodiment 461, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
465. The method of any one of embodiments 431-440, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
466. The method of embodiment 465, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
467. The method of embodiment 465, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
468. The method of embodiment 465, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
469. The method of embodiment 465, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
470. The method of any one of embodiments 431-440, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
471. The method of any one of embodiments 427-470, wherein the subject is a human.
472. The method of any one of embodiments 427-471, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
473. The method of embodiments 472, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
474. The method of embodiment 473, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
475. The method of embodiment 473, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
476. The method of embodiment 473, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
477. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 2410.
478. The antisense oligonucleotide of embodiment 477, comprising a sequence having at least 85% identity to SEQ ID NO: 2410.
479. The antisense oligonucleotide of embodiment 477 or embodiment 478, comprising a sequence having at least 90% identity to SEQ ID NO: 2410.
480. The antisense oligonucleotide of any one of embodiments 477-479, comprising SEQ ID NO: 2410.
481. The antisense oligonucleotide of any one of embodiments 477-480, wherein the antisense oligonucleotide comprises one or more modifications.
482. The antisense oligonucleotide of embodiment 481, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
483. A pharmaceutical composition comprising an antisense oligonucleotide of any one embodiments 477-482.
484. The pharmaceutical composition of embodiment 483, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
485. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
486. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
487. The method of embodiment 485 or embodiment 486, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
488. The method of any one of embodiments 485-487, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to SEQ ID NO: 2410.
489. The method of any one of embodiments 485-488, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 2410.
490. The method of any one of embodiments 485-489, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 2410.
491. The method of any one of embodiments 485-490, wherein the antisense oligonucleotide comprises SEQ ID NO: 2410.
492. The method of any one of embodiments 485-491, wherein the antisense oligonucleotide comprises one or more modifications.
493. The method of embodiment 492, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
494. The method of any one of embodiments 485-493, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
495. The method of any one of embodiments 485-493, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
496. The method of any one of embodiments 486-495, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
497. The method of any of embodiments 486-495, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
498. The method of embodiment 497, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
499. The method of embodiment 497, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
500. The method of embodiment 498, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
501. The method of embodiment 498, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
502. The method of embodiment 498, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
503. The method of any one of embodiments 486-496, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
504. The method of embodiment 503, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
505. The method of embodiment 504, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
506. The method of embodiment 505, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
507. The method of embodiment 505, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
508. The method of embodiment 504, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
509. The method of embodiment 508, wherein the epothilone is ixabepilone.
510. The method of embodiment 508, wherein the taxane is paclitaxel or docetaxel.
511. The method of embodiment 508, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
512. The method of embodiment 508, wherein the proteasome inhibitor is bortezomib.
513. The method of embodiment 508, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
514. The method of embodiment 508, wherein the auristatin is conjugated monomethyl auristatin E.
515. The method of any one of embodiments 486-496, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
516. The method of embodiment 515, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
517. The method of embodiment 515, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
518. The method of embodiment 517, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
519. The method of embodiment 517, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
520. The method of embodiment 517, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
521. The method of any one of embodiments 486-496, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
522. The method of embodiment 521, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
523. The method of embodiment 522, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
524. The method of embodiment 522, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
525. The method of embodiment 522, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
526. The method of any one of embodiments 486-496, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
527. The method of any one of embodiments 485-526, wherein the subject is a human.
528. The method of any one of embodiments 485-527, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
529. The method of embodiments 528, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
530. The method of embodiment 529, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
531. The method of embodiment 529, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
532. The method of embodiment 529, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
533. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 2411.
534. The antisense oligonucleotide of embodiment 533, comprising a sequence having at least 85% identity to SEQ ID NO: 2411.
535. The antisense oligonucleotide of embodiment 533 or embodiment 534, comprising a sequence having at least 90% identity to SEQ ID NO: 2411.
536. The antisense oligonucleotide of any one of embodiments 533-535, comprising SEQ ID NO: 2411.
537. The antisense oligonucleotide of any one of embodiments 533-536, wherein the antisense oligonucleotide comprises one or more modifications.
538. The antisense oligonucleotide of embodiment 537, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
539. A pharmaceutical composition comprising an antisense oligonucleotide of any one embodiments 533-538.
540. The pharmaceutical composition of embodiment 539, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
541. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
542. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
543. The method of embodiment 541 or embodiment 542, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
544. The method of any one of embodiments 541-543, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to SEQ ID NO: 2411.
545. The method of any one of embodiments 541-544, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 2411.
546. The method of any one of embodiments 541-545, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 2411.
547. The method of any one of embodiments 541-546, wherein the antisense oligonucleotide comprises SEQ ID NO: 2411.
548. The method of any one of embodiments 541-547, wherein the antisense oligonucleotide comprises one or more modifications.
549. The method of embodiment 548, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
550. The method of any one of embodiments 541-549, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
551. The method of any one of embodiments 541-549, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
552. The method of any one of embodiments 542-551, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
553. The method of any of embodiments 542-551, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
554. The method of embodiment 553, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
555. The method of embodiment 553, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
556. The method of embodiment 554, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
557. The method of embodiment 554, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
558. The method of embodiment 554, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
559. The method of any one of embodiments 542-552, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
560. The method of embodiment 559, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
561. The method of embodiment 560, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
562. The method of embodiment 561, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
563. The method of embodiment 561, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
564. The method of embodiment 560, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
565. The method of embodiment 564, wherein the epothilone is ixabepilone.
566. The method of embodiment 564, wherein the taxane is paclitaxel or docetaxel.
567. The method of embodiment 564, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
568. The method of embodiment 564, wherein the proteasome inhibitor is bortezomib.
569. The method of embodiment 564, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
570. The method of embodiment 564, wherein the auristatin is conjugated monomethyl auristatin E.
571. The method of any one of embodiments 542-552, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
572. The method of embodiment 571, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
573. The method of embodiment 571, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
574. The method of embodiment 573, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
575. The method of embodiment 573, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
576. The method of embodiment 573, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
577. The method of any one of embodiments 542-552, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
578. The method of embodiment 577, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
579. The method of embodiment 578, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
580. The method of embodiment 578, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
581. The method of embodiment 578, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
581. The method of any one of embodiments 542-552, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
582. The method of any one of embodiments 541-581, wherein the subject is a human.
583. The method of any one of embodiments 541-582, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
584. The method of embodiments 583, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
585. The method of embodiment 584, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
586. The method of embodiment 584, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
587. The method of embodiment 584, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
588. An antisense oligonucleotide comprising a sequence having at least 80% identity to SEQ ID NO: 2412.
589. The antisense oligonucleotide of embodiment 588, comprising a sequence having at least 85% identity to SEQ ID NO: 2412.
590. The antisense oligonucleotide of embodiment 588 or embodiment 589, comprising a sequence having at least 90% identity to SEQ ID NO: 2412.
591. The antisense oligonucleotide of any one of embodiments 588-590, comprising SEQ ID NO: 2412.
592. The antisense oligonucleotide of any one of embodiments 588-591, wherein the antisense oligonucleotide comprises one or more modifications.
593. The antisense oligonucleotide of embodiment 592, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
594. A pharmaceutical composition comprising an antisense oligonucleotide of any one embodiments 588-593.
595. The pharmaceutical composition of embodiment 594, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier.
596. A method for treating and/or preventing axonal degeneration in a subject, comprising:
administering to the subject an antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
597. A method comprising administering to a subject at risk of developing a neurodegenerative disease or disorder an antisense oligonucleotide that is complementary to a target region of a nucleic acid encoding SARM1.
598. The method of embodiment 596 or embodiment 597, wherein the target nucleic acid encoding SARM1 is a SARM1 mRNA.
599. The method of any one of embodiments 596-598, wherein the antisense oligonucleotide comprises a sequence having at least 80% identity to SEQ ID NO: 2412.
600. The method of any one of embodiments 596-599, wherein the antisense oligonucleotide comprises a sequence having at least 85% identity to SEQ ID NO: 2412.
601. The method of any one of embodiments 596-600, wherein the antisense oligonucleotide comprises a sequence having at least 90% identity to SEQ ID NO: 2412.
602. The method of any one of embodiments 596-601, wherein the antisense oligonucleotide comprises SEQ ID NO: 2412.
603. The method of any one of embodiments 596-602, wherein the antisense oligonucleotide comprises one or more modifications.
604. The method of embodiment 603, wherein the one or more modifications comprise methylphosphonothioate internucleotide linkages, phosphorothioate internucleotide linkages, methylphosphonate internucleotide linkages, phosphoramidate internucleotide linkages, a 3′ end cap, a 3′ hair-pin loop structure, or a combination thereof.
605. The method of any one of embodiments 596-604, wherein administering the antisense oligonucleotide decreases levels of SARM1 mRNA in the subject.
606. The method of any one of embodiments 596-604, wherein administering the antisense oligonucleotide decreases levels of SARM1 protein in the subject.
607. The method of any one of embodiments 597-606, wherein the neurodegenerative disease or disorder comprises an acute or chronic disease or disorder of the peripheral nervous system (PNS), an acute or chronic disease or disorder of the central nervous system (CNS), or a disease associated with neurodegeneration.
608. The method of any of embodiments 597-606, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the PNS.
609. The method of embodiment 608, wherein the chronic disease or disorder of the PNS comprises a systemic disorder, a pain disorder, or a metabolic disease or disorder.
610. The method of embodiment 608, wherein the chronic disease or disorder of the PNS comprises inherited neuropathies, Charcot-Marie-Tooth disease, hereditary sensory and autonomic neuropathy (HSAN), chronic inflammatory demyelinating polyneuropathy (CIDP), idiopathic neuropathies or other peripheral neuropathies.
611. The method of embodiment 609, wherein the systemic disorder comprises diabetes, uremia, AIDS, leprosy, a nutritional deficiency, atherosclerosis, an enteric neuropathy, an axonopathy, Guillain-Barre syndrome, severe acute motor axonal neuropathy (AMAN), systemic lupus erythematosus, scleroderma, sarcoidosis, rheumatoid arthritis, or polyarteritis nodosa.
612. The method of embodiment 609, wherein the pain disorder comprises chronic pain, fibromyalgia, spinal pain, carpal tunnel syndrome, pain from cancer, arthritis, sciatica, headaches, pain from surgery, muscle spasms, back pain, visceral pain, pain from injury, dental pain, neurogenic pain, neuropathic pain, nerve inflammation, nerve damage, shingles, herniated disc, torn ligament, or diabetes.
613. The method of embodiment 609, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), disorders of lipid/glycolipid metabolism, a nutritional deficiency, a vitamin deficiency, or a mitochondrial disorder.
614. The method of any one of embodiments 597-607, the neurodegenerative disease or disorder comprises an acute disease or disorder of the peripheral nervous system.
615. The method of embodiment 614, wherein the acute disease or disorder of the PNS is the result of a mechanical injury, thermal injury, or injury from a chemical agent or chemotherapy.
616. The method of embodiment 615, wherein the mechanical injury comprises a compression or entrapment injury or a pressure injury.
617. The method of embodiment 616, wherein the compression or entrapment injury comprises carpal tunnel syndrome, direct trauma, a penetrating injury, a contusion, a fracture or a dislocated bone.
618. The method of embodiment 616, wherein the pressure injury comprises pressure involving superficial nerves, pressure from a tumor or increased intraocular pressure.
619. The method of embodiment 615, wherein the chemical agent or chemotherapy comprises a cytotoxic anticancer agent, thalidomide, an epothilone, a taxane, a vinca alkaloid, a proteasome inhibitor, a platinum-based drug or an auristatin.
620. The method of embodiment 619, wherein the epothilone is ixabepilone.
621. The method of embodiment 619, wherein the taxane is paclitaxel or docetaxel.
622. The method of embodiment 619, wherein the vinca alkaloid is vinblastine, vinorelbine, vincristine, or vindesine.
623. The method of embodiment 619, wherein the proteasome inhibitor is bortezomib.
624. The method of embodiment 619, wherein the platinum-based drug is cisplatin, oxaliplatin, or carboplatin.
625. The method of embodiment 619, wherein the auristatin is conjugated monomethyl auristatin E.
626. The method of any one of embodiments 597-607, wherein the neurodegenerative disease or disorder comprises a chronic disease or disorder of the CNS.
627. The method of embodiment 626, wherein the chronic disease or disorder of the CNS comprises Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease), multiple sclerosis (MS), Huntington's disease (HD), senile dementia, Pick's disease, Gaucher's disease, Hurler syndrome, progressive multifocal leukoencephalopathy, Alexander's disease, congenital hypomyelination, encephalomyelitis, acute disseminated encephalomyelitis, central pontine myelolysis, osmotic hyponatremia, Tay-Sachs disease, motor neuron disease, ataxia, spinal muscular atrophy (SMA), Niemann-Pick disease, acute hemorrhagic leukoencephalitis, trigeminal neuralgia, Bell's palsy, cerebral ischemia, multiple system atrophy, Pelizaeus Merzbacher disease, periventricular leukomalacia, a hereditary ataxia, noise-induced hearing loss, congenital hearing loss, age-related hearing loss, Creutzfeldt-Jakob disease, transmissible spongiform encephalopathy, Lewy Body Dementia, frontotemporal dementia, amyloidosis, diabetic neuropathy, globoid cell leukodystrophy (Krabbe's disease), Bassen-Kornzweig syndrome, transverse myelitis, motor neuron disease, a spinocerebellar ataxia, pre-eclampsia, hereditary spastic paraplegias, spastic paraparesis, familial spastic paraplegia, French settlement disease, Strumpell-Lorrain disease, non-alcoholic steatohepatitis (NASH), adrenomyeloneuropathy, progressive supra nuclear palsy (PSP), Friedrich's ataxia, or spinal cord injury.
628. The method of embodiment 626, wherein the chronic disease or disorder of the CNS comprises an optic nerve disorder, a traumatic CNS injury, or a metabolic disease or disorder.
629. The method of embodiment 628, wherein the optic nerve disorder comprises an acute optic neuropathy (AON), a genetic or idiopathic retinal condition, Leber congenital amaurosis (LCA), Leber hereditary optic neuropathy (LHON), primary open-angle glaucoma (POAG), acute angle-closure glaucoma (AACG), autosomal dominant optic atrophy, retinal ganglion degeneration, retinitis pigmentosa, an outer retinal neuropathy, optic nerve neuritis, optic nerve degeneration associated with multiple sclerosis, Kjer's optic neuropathy, an ischemic optic neuropathy, a deficiency in vitamin B12, a deficiency in folic acid (vitamin B9), isolated vitamin E deficiency syndrome, non-arteritic anterior ischemic optic neuropathy, exposure to ethambutol, or exposure to cyanide.
630. The method of embodiment 628, wherein the traumatic CNS injury comprises a traumatic brain injury (TBI), a spinal cord injury, traumatic axonal injury or chronic traumatic encephalopathy (CTE).
631. The method of embodiment 628, wherein the metabolic disease or disorder comprises diabetes mellitus, hypoglycemia, Bassen-Kornzweig syndrome, uremia, hypothyroidism, hepatic failure, polycythemia, amyloidosis, acromegaly, porphyria, disorders of lipid/glycolipid metabolism, nutritional/vitamin deficiencies, and mitochondrial disorders.
632. The method of any one of embodiments 597-607, wherein the neurodegenerative disease or disorder comprises an acute disease or disorder of the CNS.
633. The method of embodiment 632, wherein the acute disease or disorder of the CNS comprises an ischemia, a traumatic CNS injury, injury from a chemical agent, thermal injury, or viral encephalitis.
634. The method of embodiment 633, wherein the ischemia comprises cerebral ischemia, hypoxic demyelination, ischemic demyelination, ischemic optic neuropathy, or non-arteritic anterior ischemic optic neuropathy.
635. The method of embodiment 633, wherein the traumatic CNS injury comprises a spinal cord injury, a TBI, a mechanical injury to the head and/or spine, a traumatic injury to the head and/or spine, blunt force trauma, closed head injury, open head injury, exposure to a concussive and/or explosive force, a penetrating injury to the CNS, increased intraocular pressure, or damage from a force which causes axons to deform, stretch, crush or sheer.
636. The method of embodiment 633, wherein the viral encephalitis comprises enterovirus encephalitis, arbovirus encephalitis, herpes simplex virus (HSV) encephalitis, West Nile virus encephalitis, La Crosse encephalitis, Bunyavirus encephalitis, pediatric viral encephalitis, or HIV encephalopathy (HIV-associated dementia).
637. The method of any one of embodiments 597-6070, wherein the neurodegenerative disease or disorder results from blood clotting issues, inflammation, obesity, aging, stress, cancer, or diabetes.
638. The method of any one of embodiments 596-637, wherein the subject is a human.
639. The method of any one of embodiments 596-638, wherein the subject is a patient with one or more risk factors for developing a condition involving axonal degeneration.
640. The method of embodiments 639, wherein the one or more risk factors for developing a condition involving axonal degeneration comprise age, one or more genetic risk factors for neurodegeneration, family history, engaging in one or more high-risk activities, one or more biomarkers of neurodegeneration, or a combination thereof.
641. The method of embodiment 640, wherein the one or more genetic risk factors for neurodegeneration comprise one or more copies of a known genetic risk factor, a hexanucleotide repeat expansion in chromosome 9 open reading frame 72, one or more copies of the ApoE4 allele, or a combination thereof.
642. The method of embodiment 640, wherein engaging in one or more high-risk activities comprises participating in an activity comprising American football, basketball, boxing, diving, field hockey, football, ice hockey, lacrosse, martial arts, rodeo, rugby, ski jumping, water polo, wrestling, baseball, cycling, cheerleading, fencing, track and field, gymnastics, handball, horseback riding, skating, skiing, skateboarding, softball, squash, ultimate Frisbee, volleyball, or windsurfing.
643. The method of embodiment 640, wherein the one or more biomarkers of neurodegeneration comprises:
concentration of neurofilament light chain protein (NF-L) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of neurofilament heavy chain protein (NF-H) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of Ubiquitin C-terminal Hydrolase L1 (UCH-L1) in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
concentration of alpha-synuclein in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, and a plasma sample from the subject;
constitutive NAD+ levels in neurons and/or axons of the subject;
constitutive cADPR levels in neurons and/or axons of the subject;
levels of albumin, amyloid-β (Aβ)38, Aβ40, Aβ42, glial fibrillary acid protein (GFAP), heart-type fatty acid binding protein (hFABP), monocyte chemoattractin protein (MCP)-1, neurogranin, neuron specific enolayse (NSE), soluble amyloid precursor protein (sAPP)α, sAPPβ, soluble triggering receptor expressed on myeloid cells (sTREM) 2, phospho-tau, or total-tau in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject; and
levels of C—C Motif Chemokine Ligand (CCL)2, CCL7, CCL12, colony stimulating factor (CSF)1, or Interleukin (IL)6 in one or more of: a cerebrospinal fluid (CSF) sample, a blood sample, a plasma sample, skin biopsy sample, a nerve biopsy sample, and a brain biopsy sample from the subject.
644. The antisense oligonucleotide, pharmaceutical composition, or method of any one of embodiments 1-643, wherein the antisense oligonucleotide is complementary to a target region of a nucleic acid encoding Sterile Alpha and TIR motif-containing 1 (SARM1).
645. The antisense oligonucleotide, pharmaceutical composition, or method of any one of embodiments 1-644, wherein the antisense oligonucleotide comprises internucleotide linkages of the pattern RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond.
EXAMPLES
The present teachings, including descriptions provided in the Examples, are not intended to limit the scope of any claim. Unless specifically presented in the past tense, inclusion in the Examples is not intended to imply that the experiments were actually performed. The following non-limiting examples are provided to further illustrate the present teachings. Those of skill in the art, in light of the present disclosure, will appreciate that many changes can be made in the specific embodiments that are disclosed and still obtain a like or similar result without departing from the spirit and scope of the present teachings.
Example 1: Antisense Modulation of SARM1 Transcript in Human Neuroblastoma Cell Line
This Example illustrates an in vitro assay used to characterize oligonucleotides. Antisense oligonucleotides complementary to different regions the SARM1 transcript were synthesized and tested for their ability to inhibit the SARM1 transcript in vitro in a human neuroblastoma cell line.
Human Neuroblastoma Cell Line
The human neuroblastoma cell line SH-SY5Y (ATCC-CRL-2266) was cultured in DMEM medium (Sigma-Aldrich) supplemented with 10% fetal bovine serum (Gibco) and 1 mM penicillin-streptomycin (Sigma). Cultures were plated at a density of 100,000 cells/well in a 24-well tissue culture plate coated with poly-D-Lysine (0.1 mg/ml; Sigma) and laminin (3 mg/mL; Invitrogen). Cells were allowed to adhere to the plates in a humidified tissue culture incubator (5% CO2). Cells were transfected at 70% confluence with an antisense oligonucleotide comprising sequences selected from SEQ ID NO: 3-26 at a final concentration of 10-500 nM using Lipofectamine RNAiMAX diluted in Opti-MEM (ThermoFisher). The antisense oligonucleotides contained non-complementary 5-mer sequences 5′ and 3′ of nucleotide sequences selected from SEQ ID NO: 3-26 and internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. SARM1 siRNA (20 nM, Dharmacon) was used a positive control. All conditions were run in triplicate. Transfected cells were incubated for 24 to 72 hours and then harvested for RNA analysis. SARM1 transcript levels were evaluated using quantitative PCR carried out using TaqMan Real-Time PCR system (Thermo Fisher). SARM1 RNA levels were normalized to GAPDH (deltaCt) and plate-matched control transfected samples (delta-delta Ct), generating fold-change over control quantitation (2-(delta-deltaCt).
Results
The average fold-change over the control transfected cells is plotted in FIG. 2 and a summary over the overall percent knockdown of SARM1 transcript is listed in Table 2.
TABLE 2
Percent knockdown of SARM1 transcript
Average Percent
SEQ ID NO:
Knockdown
3
31
4
46
5
0
6
0
7
16
8
12
9
23
10
34
11
26
12
11
13
40
14
50
15
27
16
60
17
53
18
59
19
69
20
43
21
35
22
31
23
8
24
24
25
34
26
35
Specifically, SEQ ID NO:5 targeted the 5′UTR region, SEQ ID NOs: 4, 17, 18, 20 and 26 targeted the coding region and SEQ ID NOs: 13, 14, 16 and 19 targeted the 3′UTR. Surprisingly, some antisense oligonucleotide (ASO) sequences targeting different regions of the SARM1 transcript produced a robust knockdown of SARM1 expression compared to control, while other ASO sequences had little or no effect. Together, these results confirm that measurable knockdown of the SARM1 transcript can be produced by antisense targeting particular regions of the SARM1 mRNA sequence.
Example 2: Antisense Modulation of SARM1 Transcript in Human Neuroblastoma Cell Line
This Example illustrates an in vitro assay used to characterize oligonucleotides. Antisense oligonucleotides complementary to different regions the SARM1 transcript were synthesized and tested for their ability to inhibit the SARM1 transcript in vitro in a human neuroblastoma cell line.
Human Neuroblastoma Cell Line
The human neuroblastoma cell line SH-SY5Y (ATCC-CRL-2266) was cultured in DMEM medium (Sigma-Aldrich) supplemented with 10% fetal bovine serum (Gibco) and 1 mM penicillin-streptomycin (Sigma). Cultures were plated at a density of 100,000 cells/well in a 24-well tissue culture plate coated with poly-D-Lysine (0.1 mg/ml; Sigma) and laminin (3 mg/ml; Invitrogen). Cells were allowed to adhere to the plates in a humidified tissue culture incubator (5% CO2). Cells were transfected at 70% confluence with an antisense oligonucleotide selected from SEQ ID NO: 3-26 at a final concentration of 10-500 nM using Lipofectamine RNAiMAX diluted in Opti-MEM (ThermoFisher). The antisense oligonucleotides contained internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. SARM1 siRNA (20 nM, Dharmacon) was used a positive control. All conditions were run in triplicate. Transfected cells were incubated for 24 to 72 hours and then harvested for RNA analysis. SARM1 transcript levels were evaluated using quantitative PCR carried out using TaqMan Real-Time PCR system (Thermo Fisher). SARM1 RNA levels were normalized to GAPDH (deltaCt) and plate-matched control transfected samples (delta-delta Ct), generating fold-change over control quantitation (2-(delta-deltaCt).
Results
The average fold-change over the control transfected cells is plotted in FIG. 3. Specifically, SEQ ID NO:5 targeted the 5′UTR region, SEQ ID NOs: 4, 17, 18, 20 and 26 targeted the coding region and SEQ ID NOs: 13, 14, 16 and 19 targeted the 3′UTR. Surprisingly, some antisense oligonucleotide (ASO) sequences targeting different regions of the SARM1 transcript produced a robust knockdown of SARM1 expression compared to control, while other ASO sequences had little or no effect. Together, these results confirm that measurable knockdown of the SARM1 transcript can be produced by antisense targeting particular regions of the SARM1 mRNA sequence.
Example 3: Antisense Modulation of SARM1 Transcript in Human Motor Neurons
This Example illustrates robust concentration-dependent knockdown of SARM1 gene expression levels in vitro in human induced pluripotent stem cells (IPSC)-derived motor neurons following transfection with antisense oligonucleotides targeting the SARM1 transcript.
Human iPSC-derived motor neurons (Cellular Dynamics-R1049) were cultured and maintained according to the manufacturer's instructions for 14 days using iCell Complete Maintenance Medium plus DAPT (Cellular Dynamics). Motor neuron dispersed cultures were created by seeding 80,000 cells/well in a 24-well tissue culture plate coated with poly-D-Lysine (0.1 mg/ml; Sigma) and laminin (3 mg/ml; Invitrogen). Cells were transfected with 0.1, 0.3, 1, 3 or 10 nM of antisense oligonucleotides comprising SEQ ID NO: 9, 13, 22 or 38 using Lipofectamine RNAiMAX diluted in Opti-MEM (ThermoFisher). The antisense oligonucleotides contained internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. After 24 hours, a three-quarter medium change was performed to wash and remove the transfection solutions. At 48 hours, the cells were harvested and lysed for TaqMan RT-PCR analysis of SARM1 gene expression levels and normalized to Glyceraldehyde-3-Phosphate Dehydrogenase (GAPDH) gene expression levels. Results are shown in FIG. 4 and data (n=3) are expressed as mean±SEM and normalized to control-treated cells. FIG. 4 illustrates that for all four antisense oligonucleotides, as concentration increased, SARM1 expression in IPSC-derived motor neurons decreased.
Example 4: Antisense Modulation of SARM1 Transcript in Human Motor Neurons after Free Uptake Delivery
This Example illustrates robust concentration-dependent knockdown of SARM1 gene expression levels in vitro in human induced pluripotent stem cells (IPSC)-derived motor neurons following delivery by free uptake (i.e. in the absence of a lipid carrier) with antisense oligonucleotides targeting the SARM1 transcript.
Human iPSC-derived motor neurons (Cellular Dynamics-R1049) were cultured and maintained according to the manufacturer's instructions for 14 days using iCell Complete Maintenance Medium plus DAPT (Cellular Dynamics). Motor neuron cultures were created by seeding 10,000 cells/well in a 96-well tissue culture plate coated with poly-D-Lysine (0.1 mg/ml; Sigma) and laminin (3 mg/ml; Invitrogen). Cells were allowed to adhere to the plates in a humidified tissue culture incubator (5% CO2) and then tissue culture wells were filled with 1 ml of cell culture media. Antisense oligonucleotides comprising SEQ ID NO: 9, 13 or 38 were diluted in Opti-MEM (ThermoFisher) at a concentration range of 1.25 to 10 UM and added to the cell culture media. The antisense oligonucleotides contained internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, RO is an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. After 9 days, cells were harvested and lysed for TaqMan RT-PCR analysis of SARM1 gene expression levels and normalized to Glyceraldehyde-3-Phosphate Dehydrogenase (GAPDH) gene expression levels. Results are shown in FIG. 5 and data (n=2) are expressed as mean±SEM and normalized to control-treated cells. FIG. 5 illustrates that for all three antisense oligonucleotides, as concentration increased, SARM1 expression in IPSC-derived motor neurons decreased.
Example 5: Time-Dependent Antisense Modulation of SARM1 Transcript in Human Motor Neurons After Free Uptake Delivery
This Example illustrates time-dependent knockdown of SARM1 gene expression levels in vitro in human induced pluripotent stem cells (IPSC)-derived motor neurons following free uptake (no lipid carrier) delivery with antisense oligonucleotides targeting the SARM1 transcript.
Human iPSC-derived motor neurons (Cellular Dynamics-R1049) were cultured and maintained according to the manufacturer's instructions for 14 days using iCell Complete Maintenance Medium plus DAPT (Cellular Dynamics). Motor neuron cultures were created by seeding 80,000 cells/well as a spot in the center of each well of a 24-well tissue culture plate coated with poly-D-Lysine (0.1 mg/ml; Sigma) and laminin (3 mg/ml; Invitrogen). Cells were allowed to adhere to the plates in a humidified tissue culture incubator (5% CO2) and then tissue culture wells were filled with 1 ml of cell culture media. Antisense oligonucleotides comprising SEQ ID NO: 8, 9, 13, 22 or 38 were diluted in Opti-MEM (ThermoFisher) to a concentration of 10 UM and added to the cell culture media for free uptake delivery. The antisense oligonucleotides contained internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, Rois an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. After 2- or 6-days, cells were harvested and lysed for TaqMan RT-PCR analysis of SARM1 gene expression levels and normalized to Glyceraldehyde-3-Phosphate Dehydrogenase (GAPDH) gene expression levels. Results are shown in FIG. 6 and data (n=3) expressed as mean±SEM and normalized to control-treated cells. FIG. 6 illustrates that for motor neurons treated with any of the five antisense oligonucleotides, SARM1 expression decreased at both time-points relative to the untreated control.
Example 6: SARM1 Antisense Prevents Axonal Degeneration Following Axotomy in Human iPSC-Derived Motor Neurons
This Example illustrates that treatment with SARM1 antisense oligonucleotides prevented axonal degeneration following axotomy. Specifically, an in vitro axon degeneration assay was used to test the efficacy of oligonucleotides complementary to different regions the SARM1 transcript to prevent axonal degeneration in a human induced pluripotent stem cell (iPSC)-derived motor neuron drop culture.
Human Motor Neuron Drop Culture
Human iPSC-derived motor neurons (Cellular Dynamics-R1049) were cultured and maintained according to the manufacturer's instructions for 14 days using iCell Complete Maintenance Medium plus DAPT (Cellular Dynamics). Motor neuron drop cultures were created by seeding 10,000 cells/well as a spot in the center of each well of a 24-well tissue culture plate coated with poly-D-Lysine (0.1 mg/mL; Sigma) and laminin (3 mg/mL; Invitrogen). Cells were allowed to adhere to the plates in a humidified tissue culture incubator (5% CO2) and then tissue culture wells were filled with 1 ml of cell culture media. Antisense oligonucleotides comprising SEQ ID NO: 9, 22, 38 or 39 were diluted in Opti-MEM (ThermoFisher) to a 5 μM concentration and added to the cell culture media for free uptake delivery. The antisense oligonucleotides contained internucleotide linkages of the following pattern (5′ to 3′): RSRORSRORSDSDSDSDSDSDSDSDSDSDSRORSRORS, wherein RS is an RNA (2′-MOE) phosphorothioate bond, Rois an RNA (2′-MOE) phosphodiester bond and DS is a DNA phosophorothioate bond. 10 days post-transfection, the axonal degeneration assay was performed.
Axon Degeneration Assay
Axonal degeneration was stimulated by manual axonal transection using a scalpel blade. After 16 hours, motor neuron cultures were fixed in 1% PFA plus sucrose and kept in the refrigerator prior to imaging. Cells were immuno-stained for beta-3 Tubulin (Clone TuJ1, R&D systems), images of motor neuron axons and cell bodies were collected using the 20× water immersion lens of a Phenix automated confocal microscope (PerkinElmer) and quantitation of axons was performed using in-house developed scripts (Acapella, PerkinElmer). The degeneration index reflects the integrity of the axon such that a higher value indicates a greater level of axonal fragmentation and a lower value indicates a lower level of axonal fragmentation. As shown in FIG. 7, ASOs that knock-down SARM1 expression reduced axonal degeneration in this assay. The data in FIG. 7 is expressed as mean±SEM (n=3-4). The dashed line labeled ‘Cut’ denotes mean level of degeneration observed in control-cut axons and dashed line labeled ‘Non-Cut’ denotes mean level of degeneration observed in intact control axons.
EXEMPLARY SEQUENCES
Wild-Type Human SARM1 Protein Sequence
MVLTLLLSAYKLCRFFAMSGPRPGAERLAVPGPDGGGGTGPWWAAGGRGPREVSPGAGTEVQDALERALPELQQAL
SALKQAGGARAVGAGLAEVFQLVEEAWLLPAVGREVAQGLCDAIRLDGGLDLLLRLLQAPELETRVQAARLLEQILVAE
NRDRVARIGLGVILNLAKEREPVELARSVAGILEHMFKHSEETCQRLVAAGGLDAVLYWCRRTDPALLRHCALALGNCA
LHGGQAVQRRMVEKRAAEWLFPLAFSKEDELLRLHACLAVAVLATNKEVEREVERSGTLALVEPLVASLDPGRFARCLV
DASDTSQGRGPDDLQRLVPLLDSNRLEAQCIGAFYLCAEAAIKSLOGKTKVFSDIGAIQSLKRLVSYSTNGTKSALAKRAL
RLLGEEVPRPILPSVPSWKEAEVQTWLQQIGFSKYCESFREQQVDGDLLLRLTEEELQTDLGMKSGITRKRFFRELTELKT
FANYSTCDRSNLADWLGSLDPRFRQYTYGLVSCGLDRSLLHRVSEQQLLEDCGIHLGVHRARILTAAREMLHSPLPCTG
GKPSGDTPDVFISYRRNSGSQLASLLKVHLQLHGFSVFIDVEKLEAGKFEDKLIQSVMGARNFVLVLSPGALDKCMQDH
DCKDWVHKEIVTALSCGKNIVPIIDGFEWPEPQVLPEDMQAVLTFNGIKWSHEYQEATIEKIIRFLOGRSSRDSSAGSDT
SLEGAAPMGPT (SEQ ID NO: 1).
Wild-type human SARM1 cDNA sequence (corresponding to mRNA sequence) (NCBI
Accession Number: NM_15077.4) The target sequences of exemplary ASOs are denoted
in bold capital letters and in the case where the sequences overlap it is denoted
by underline. In the one instance where there is an overlap in ASO targeting, the
sequence is denoted in both bold and underlined capital letters.
1
atctcccagctcagccgagcccgtgcccaggccacgctttgttccagccgccgcctcctc
61
taccctacggcgtccggagccatccctcgcctgctcgctctctcctttcgcccactccct
121
gcatctgggcctgcatcacctttgccaaccgctcccccgatcctgccgacactcctcccc
181
caaacttctgaccggcacccttgcctggtacccttctctccattcctccccctccatctt
241
ctttccccgacccctctcgggtccctcttttcccaaaacccgggtctctccgcgtggccc
301
cgcctccaggccggggatgtcccccgcggccccgcGCCCATGGTCCTGACGCTGCttctc
361
tccgcctacaagctgtgtcgcttcttcgccatgtcgggcccacggccgggcgccgagcgg
421
ctggcggtgcctgggccagatgggggcggtggcacgggcccatggtgggctgcgggtggc
481
cgcgggccccgcgaagtgtcgccgggggcaggcaccgaggtgcaggacgccctggagcgc
541
gcgctgccggagctgcagcaggccttgtccgcgctgaagcaggcgggcggcgcgcgggcc
601
gtgggcgccggcctggccgaggtctTCCAACTGGTGGAGGAGGCCtggctgctgccggcc
661
gtgggccgcgaggtagcccagggtctgtgcgacgccatccgcctcgatggcggcctcgac
721
ctgctgttgcggctgctgcaggcgccggagtTGGAGACGCGTGTGCAGGCCgcgcgcctg
781
ctggaGCAGATCCTGGTGGCTGAGAaccgagaccgcgtggcgcgcattgggctgggcgtg
841
atcctgaacctggcgaaggaacgcgaacccgtagagctggcgcggagcgtggcaggcatc
901
ttggagcacatgttcaagcattcggaggagacatgccagaggctggtggcggccggcggc
961
ctggacgcggtgctgtattggtgccgccgcacggaccccgcgctgctgcgccactgcgcg
1021
ctggcgctgggcaactgcgcgctgcacgggggccaggcggtgcagcgacgcatggtagag
1081
aagcgcgcagccgagtggctcttcccgctcgccttctccaaggaggacgagctgcttcgg
1141
ctgcacgcctgcctcgcagtagcggtgttggcgactaacaaggaggtggagcgcgaggtg
1201
gagcgctcgggcacgctggcgctcgtggagccgcttgtggcctcgctggaccctggccgc
1261
ttcgcccgctgtctggtggacgccagcgacacaagccagggccgcgggcccgacgacctg
1321
cagcgcctcgtgccgttgctcgactctaaccgcttggaggcgcagtgcatcggggctttc
1381
tacctctgcgccgaGGCTGCCATCAAGAGCCTGCaaggcaagaccaaggtgttcagcgac
1441
atcggcgccatcCAGAGCCTGAAACGCCTGGTttcctactctaccaatggcactaagtcg
1501
gcgctggccaagcgcgcgctgcGCCTGCTGGGCGAGGAGGTGccacggcccatcctgccc
1561
tccgtgcccagctggaaggaggccgaggttcagacgtggctgcagcagatcggtttctcc
1621
aagtactgcgagagcttccGGGAGCAGCAGGTGGATGGCgacctgcttctgcggctcACG
1681
GAGGAGGAACTCCAGACcgacctgggcatgaaatcgggcatcacccgcaAGAGGTTCTTT
1741
AGGGAGCTCacggagctcaagaccttcgccaactattctacgtgcgaccgcagcaacctg
1801
gcggactggctgggcagcctggacccgcgcttccgccagtacacctacggcctggtcagc
1861
tgcggcctGGACCGCTCCCTGCTGCACCgcgtgtctgagcagcagctgctggaagactgc
1921
ggcatccacctgggcgtgcaccgcgcccgcatcctcacggcggccagagaaatgctacac
1981
tccccgctgccctgtactGGTGGCAAACCCAGTGGGGAcactccagatgtcttcatcagc
2041
taccgccggaactcaggttcccagctggccagtctcctgaaggtgcacctgcagctgcat
2101
ggcttcagtgtcttcattgatgtggaGAAGCTGGAAGCAGGCAAGTtcgaggacaaactc
2161
atccagagtgtcatgggtgcccgcaactttgtgttggtgctatCACCTGGAGCACTGGAC
2221
AAGtgcatgcaagaccatgactgcaaggattgggtgcataaggagattgtgactgcttta
2281
agctgcggcaagaacattgtgcccatcattgatggcttcgagtggcctgagccccaggtc
2341
ctgccTGAGGACATGCAGGCTGTGCttactttcaacggtatcaagtggtcccacgaatac
2401
caggaggccaccattgagaagatcatccgcttcctgcagggccgctcctcccgggactca
2461
tctgcaggctctgacaccagtttggagggtgctgcacccatgggtccaacctaaccagtc
2521
cccagttccccagccctgctgtgacttccatttccatcgtcctttctgaaggaacagctc
2581
ctgaaaccagtcTCCCTGGGCTGAGACAACCTGGGctcttcttaggaaatggctctccct
2641
ccccctgtcccccaccctcatggcccacctccaacccactttcctcaGTATCTGGAGAGG
2701
GAAGGGAagtcaggcttgggcacgggaggttagaactcccccaggccctgccattgggtt
2761
gtctgtctccgtcatggggagggtccctgctcagttctggagacactggagttGGGGTGG
2821
GGGTGGTTCTGCAttcccttctcctgctgatagcagtcagcttgaggaggatgacggaag
2881
gcagcctcagacaggaattaaggcaatgcccaggcgggcctgggcactgtaTTCTGAGCA
2941
AGGGCCTGGGCccaggaGCCAGCCAGGGATGAGTGCCatcatggctctccactcagactg
3001
tgcctggcccctgcacttacaacttcctgccgctctgtggccttgccctgtaatcactca
3061
gtgcccttagctagcctgactaagtcccagatcccctacagcttccttcggtgtggtatc
3121
tttTGCCACATCCAGGGCGAGGGttgaggcaaaccagccctccctctgacttccttgtca
3181
ctgcagccagctttgctgcacttgctggtgcacaggagcctcctgtttggGCCTGGGTCT
3241
GGGCATGGGGaggccgtgcctcaaagcccaccctaccccatgccttggtgctgtgcctca
3301
ggctccttcctggtctggcccagctggcttccccagcccctcagccatccagggctaccc
3361
actgcttactcagggaccaggcagcccccatggcagtaaaagcagcctagacagaacctG
3421
CAGCTCTGTGGAAAGAGgcaaagtcctgaaaaggcaaagggttgtcacttagggcagctt
3481
ctccaactttaacatgcatccaagtcacctgggaatgttgttaaaatcaggagatctggg
3541
gtggggcctaggactctgcatttcttacagattcccaggtgagctgatgctggtggttaa
3601
gggtagcaaatctctaaagcacgaagccctcacaaatctttgccatttcccaaacactcc
3661
gctccatggtctccagtcatcagagcaactctacctggtattatcatccccattttacag
3721
ataatgacactgaggctcagaaaggttgaggataagcccactttcctgtcattagtggca
3781
gccccagatccagacctaggcctcctggcacccagtccactggcagtggaattgctttcc
3841
tgagaatcattctgaggctgggctattgcttctcccttgcttcaaagaatctagcagcgg
3901
gggataggattttgcaacaaaaagctgacccagaggccatacagagcaggaatatcccat
3961
tgccccctcctccactgggttcagagggtaagaaagcaccctccaataaacccaggctcc
4021
aggccgtgggggctgctgaaggctctttccccgcaagggccaggtgttgacaccttaaag
4081
ctggctgcgcccccagccccactcttggctgtgctggccaggtgactcctagttcttggc
4141
cacatcatcagaaagtcaaaggtctcactccaggtttggggctccttccttccactcccc
4201
tccctgccagagtctgtcttggccagtgccagcctcgatgctttggttttgaccccacct
4261
gatcctcctttcctcatgcagcacaagtgctcaccggggccagagccagggcatggatat
4321
gacaagcagggcagcctggacactgccctcacaggacagcgccaataacaatacagtgtc
4381
tgagtatctccaggggatgatttctggctctttgtctccaatcagtcccactccctcctg
4441
aggtccccaagggcagtattcagagaggtttcctgcgttttatttctatttggtataccc
4501
tccactgttgtccactgccctgtgtggccttctggttgacctctgcccgatcttctgtct
4561
ctctgagggaatcagagtccagcatccagccccagctggaacagctgaagtcacaagcct
4621
cctctaagccaaggccagtgtgttcagaggtgactgccacccatactaggacaaacacag
4681
ctcagatcaccaggtcaagcacctaggcctggcttctcctgagacagaggactcagaagt
4741
ggcctttcctccaaagcctgctcagacacaggtctgtagggccagggtgttctgcttggc
4801
tgggctgcagctgctacccctcggttggggctgagtcagccagatcctccccctacttct
4861
ccccaagggccaagaactgctcagggacattaaaggtcaaaagtccagccacactcattc
4921
atcctttccccaggcccatgaagagaggcatctcattgtagaatgtatgaggaagtggga
4981
agtatctcagagaatcagctaagtttcctaacttgtccatccaaatgtgatcaccacgat
5041
tcaacaatttggggcattgctgatctagccgttcctagtggggcttgctcaaggttgcac
5101
agcgagtcagtagaagccctggctggccccacttggtaccaatccaccaggcagctcagg
5161
gctcctgcccagcccagcagcttctgttgtctaacgtatggcaggcagactgggagcagg
5221
aaaacagagggccccaaagcccaaggcaccagaaggtttgtttcagtttgctgaagctga
5281
tttgtaatgattggcactcttcagccaggggagtgggtaggccatagccaaggatcgatt
5341
ccccaaccacagcaaaggcaacactcttcctccagagatcaccaagcccctcttacctcc
5401
ctccctccttcccaaggctggcactaaccaggtaccacattcattgttaaggaatggctg
5461
atgactgctacacgtgttgggaacctggttggggctgtgcagtttgggctggaaggagag
5521
atgccagccctcgtgctgcctctggtccctgaagtgtcacctctctcaggacctctcctc
5581
tggcctgtggggttataagtgatggatagcagaaagggagaactgactcctgtcccaaat
5641
agctcctctgccacctgtcctgcagtgggcctgtgtgggttatgattctagatcctagac
5701
agaggctgggtcagctgtggatggggtggtgccttggtctctcttgactacctcgtccaa
5761
agagagcactgcccttagacaagagttgcttgtcctgctgtgggctgggcttccagctgc
5821
agacctccagttgcttggtgttcactttgctcctcttgccctctgtcttctggtccaggc
5881
agatcaggggctctggggaaactgctggaactcgaggtgaggatcagccttttccagcat
5941
cctgtgagagaccagagagagagtttggatttcatgtggggaaccctcaaggcctgtctg
6001
gagaagtgacacaggatttactggggtgggctggtccaggtagctctcctgaacctcctc
6061
cttccccaagctgagaagctgagagctggaggacaatatccagggacatggctctggaaa
6121
ataacttttttttttttaagagacagggtcttgctctgttgtccaggctggagggcagtg
6181
acataatcatagctcactgtacccttgaactcctgggctcaagtgatcctcctgcctcag
6241
cctccttagtagctgggactaccagtgcataccaccatgcctgggtgattttttaaattt
6301
tttatacagacaaggtcttgctatgttgcccaggctgatcttgaattcccgggctcaagt
6361
ggtcctcctgcctcagcctcccacaggatcgggattacaggcaagagcctccacgcccgg
6421
ccatgaaatataattcttaatatcatacaggaaaaagtcagcgggtcaagctagcctgtg
6481
gcccagccacaactagctgacaaagcttcctggccttccctttaacacagttctgctgcc
6541
atagttccatctataaaatgggaatggagggaaataggggaactgggagagagaacacag
6601
ccttgccaagcagcaatgttagcctgatccttcctccacctagctcgccatctcgccctt
6661
ggaaaatggctcctggaggattaggcagccatctgcaaggagaggggcaacctgggacaa
6721
gacacccagagggtaaggattccaggaatgaagctgccatttctggttgggaggagaaga
6781
ggaaacttttaagagaaagggctccattatgagcatgggttcagggccctgcattaccca
6841
atcagaacagccgggatgagcaggaggccagctcccaggaggaaggggaaccccttcata
6901
aagttcagagtggctgggtagagtgagttgaagatgccggaggccgtcagcatggccagg
6961
ctattcacacaggccacagcagaaaagagagcacctgtgaagaaataaataccatactct
7021
ggagtccgaaagggccatattccaactctggcaccaccacctcacagctgtgtgaccggg
7081
agtagtcacttaacctatgtctccccttcctcaccagtaaatcctgctacatcatgtact
7141
gtgacaaggattcagtaaggtcatatgtggacagtagctggcacagaggggctactaaac
7201
aaatggctgctattaaatccacattaaaagtacatgtgatctgacagaacccagcacata
7261
aaagaaaaaaaaagtacatgtgatattgtctgatgaaagcttgatggaaatggctttttt
7321
ctggtttatcctctttggaatcatctcctgtttgggattaactgctggtctgatcagttc
7381
caatattcatagcggtgtcaccactgaatagcttcttatcctttgggttcctgttcctcc
7441
ttctgctaaataaggataatacctatttcctagattgtgagcaacattaagttcacatgg
7501
aaatcacccatcactgggcctggtcccctggaagtagctagttagtaagggctgttcttt
7561
tctcctgtttctcttgacatctctgggcacagagaaagtgctgggaaaaaaagtttaggt
7621
gaatgaatgaagacacatggattctggggacaccagaacccacagtgggctctgtatggc
7681
accagagtctctgtcatcatcagatcctcattccaggacagatggaaaaagatgaatgtt
7741
tccagactggggcataaagacccagaggctggagaagctgttctttatagatataccagg
7801
agaacccacagtttacaaaatgtgcaacaacccaacagaagttgagattaaattctgtca
7861
catctagaggggtctgtgatgtcatcaaaagcaaaccacccacatcacagatgaagaaac
7921
aggcctgtggcagggctcggactaaaacccagatcctgagaccagctgcttttaaacaca
4981
gacgtaggtttgcatcctagctccaccatttactgagtaaccttgggtgagccaatgtaa
8041
ccccctgggtctctgtttctttatctgtcaactgtggaaaatgaaacccatgtcacaagg
8101
ttgttcacttctgggcttgtacacgctgaccccagagaaacagggaactctggcatcacc
8161
acacccatcttacagacggaaaagctgaggtctgcagagagtaaatcctctgctctggtt
8221
atctagaaagaacataattgtgctctgctgactgcaaatcccaactctgcggtttgaaaa
8281
tccaaggtggcatgatcctctgcccattgtgggcaatttcacagaaatgtgtttgttttg
8341
gccacttacttctccagggtgagaggggggaaggcaagctgttcccccagccatggctgc
8401
ccatcagcccgtttcgggcagcactggacatgaggaaccagacacaggtgggttctgaca
8461
ctcaccctgctctgtctctctcaccagcttggagagtttagcccggatgacaggtgtgat
8521
gactaatgacaggaaaagcaacccatatcctgtggagaaacaaacactcatcaggaaaat
8581
ggggctggggagaggggcgtccaagggaaaggcagcagagctcctatccataccccacgt
8641
ggggcttaggttagacccaggaagaacttccttgatggtgagggtgggaagacagtagtc
8701
aaggaggaatggagactgcccttgtctgggcttggccacctgctagctctcatgaatgaa
8761
tgctaattcccattgattgctttcttgtctgaacctcttgtggtcacagcaggcatcacc
8821
cacccacttggcacttagtagggatatggcagggcacagaaaacaagcatgggctttgga
8881
gtcagccctgagttcaaaacctgatgccattacatattatctgtgtggcctggggtactt
8941
accctctctgatcctgactccctgtatgaggaagataataaggccttcatcacaggatgg
9001
ttctgaggcataggaggctgaataatggtgcccaatggcatcagattcatagccctggaa
9061
cctgtaaatactaccttatttggaaaatgagtctatgcaggtgtgcagttaagcctcctg
9121
agagagcagagttatcctggattaggttgggccctaaatgccgtcacacatatctttata
9181
agaggaaagcagacggagatttggcaccgacagaattgagaaggcacaaagaggaggaga
9241
gtcaatgtgagcacagaggcagagactggtgatggccgccccaagccaaggaatgccagc
9301
agccccagaagctggaagaaatgagaaacacgttctctcctggaggcttgcaagggagca
9361
ctgcctgctgactgcttccattcagcccggtggtactgactttggacttctggcctccag
9421
aactgtgagagaatatgtttctgttgtgttaagcccccaagtttgtggtatgtcattaca
9481
gcaatctcagggaaccaatacatgaggtaaaaaggtaacatctatgaagagcatggcata
9541
gggacacagcaaatgggagttccttttccctttgcattcagttacttacaggcttcctgt
9601
tttcttcataaccatttctctccctgtgcgactgctgactcctcagcaaaactgcaaact
9661
cctacaggacagtggatcctccaaagaaggtatacgatgaggcatccagggaccctagca
9721
gtgtcaggcccctcaaatcccactctgttgagacctccccccgacccagagcaatgacag
9781
catctttatcatctctgcatcccccagggccatcagcaggagggaaaggttcccttctgc
9841
ttaattgtcagacaagcagttgagttaagaaatctgtgattattgtattgttgactatac
9901
acagcacattttagggctctatcaaaataaatctgtccctttaaaaaaagttaactaaag
9961
ccgggcacggtggctcatgcctgtaatcccaacactttgggaggctgaggcaggcggatc
10021
cttgagctcaggagttagagacctggactgggcaaaatggtgaggaccccatctctataa
10081
aaaatacaaaaattagcaaggtgtggtaatgtgcaccagtggtcccagctactagagagg
10141
ccaaggtgggaggatcatctgggcccgggggatgaggctgcagtgagccatgatcgtgcc
10201
actgcactctagcctgggtaacaaagcgagaccctgtctctaaatacatcaatcaaataa
10261
aaattttaaaaagttaa (SEQ ID NO: 2)
Table 3-SARM1 antisense oligonucleotide sequences
Antisense Oligonucleotide Sequence
SEQ ID NO:
GGCCTCCTCCACCAGTTGGA
3
GCAGGCTCTTGATGGCAGCC
4
GCCATCCACCTGCTGCTCCC
5
TCCCCACTGGGTTTGCCACC
6
ACTTGCCTGCTTCCAGCTTC
7
CTTGTCCAGTGCTCCAGGTG
8
GCACAGCCTGCATGTCCTCA
9
CCCAGGTTGTCTCAGCCCAG
10
TCCCTTCCCTCTCCAGATAC
11
TGCAGAACCACCCCCACCCC
12
GCCCAGGCCCTTGCTCAGAA
13
GGCACTCATCCCTGGCTGGC
14
CCCCATGCCCAGACCCAGGC
15
GCCTCTTTCCACAGAGCTGC
16
TCTCAGCCACCAGGATCTGC
17
GAGCTCCCTAAAGAACCTCT
18
CCAGGTTGTCTCAGCCCAGG
19
GGTGCAGCAGGGAGCGGTCC
20
GCAGCGTCAGGACCATGGGC
21
ACCAGGCGTTTCAGGCTCTG
22
CACCTCCTCGCCCAGCAGGC
23
GTCTGGAGTTCCTCCTCCGT
24
CCCTCGCCCTGGATGTGGCA
25
GGCCTGCACACGCGTCTCCA
26
ACTTGTCCAGTGCTCCAGGT
27
AGCACAGCCTGCATGTCCTC
28
GCCCAGGTTGTCTCAGCCCA
29
GCACTCATCCCTGGCTGGCT
30
ATGCCCAGACCCAGGCCCAA
31
AGGCTCTTGATGGCAGCCTC
32
TTCTCAGCCACCAGGATCTG
33
GGTTCTCAGCCACCAGGATC
34
GTGAGCTCCCTAAAGAACCT
35
TTGTCCAGTGCTCCAGGTGA
36
GGTTGTCTCAGCCCAGGGAG
37
AGGTTGTCTCAGCCCAGGGA
38
CAGGTTGTCTCAGCCCAGGG
39
CACTCATCCCTGGCTGGCTC
40
TGGCACTCATCCCTGGCTGG
41
AGCTCCCTAAAGAACCTCTT
42
CTCCCTAAAGAACCTCTTGC
43
GCTCCCTAAAGAACCTCTTG
44
TGAGCTCCCTAAAGAACCTC
45
GTGCAGCAGGGAGCGGTCCA
46
CCAGGCGTTTCAGGCTCTGG
47
CAGGCGTTTCAGGCTCTGGA
48
CGGTTCTCAGCCACCAGGAT
49
AGGCGTTTCAGGCTCTGGAT
50
AACCAGGCGTTTCAGGCTCT
51
CCATCCACCTGCTGCTCCCG
52
TGGCACCTCCTCGCCCAGCA
53
GGTCGCCATCCACCTGCTGC
54
GTCGCCATCCACCTGCTGCT
55
CGCCATCCACCTGCTGCTCC
56
ATCCACCTGCTGCTCCCGGA
57
TCGCCATCCACCTGCTGCTC
58
CATCCACCTGCTGCTCCCGG
59
GTGGCACCTCCTCGCCCAGC
60
GGTCGGTCTGGAGTTCCTCC
61
GTCGGTCTGGAGTTCCTCCT
62
ACCCTCGCCCTGGATGTGGC
63
GAGTTCCTCCTCCGTGAGCC
64
GGTCTGGAGTTCCTCCTCCG
65
CGGTCTGGAGTTCCTCCTCC
66
GGAGTTCCTCCTCCGTGAGC
67
TGCAGCAGGGAGCGGTCCAG
68
AGCAGCGTCAGGACCATGGG
69
GAACCTCTTGCGGGTGATGC
70
AAACCAGGCGTTTCAGGCTC
71
GAAACCAGGCGTTTCAGGCT
72
AGAACCTCTTGCGGGTGATG
73
AAGAACCTCTTGCGGGTGAT
74
CCCTAAAGAACCTCTTGCGG
75
TCCCTAAAGAACCTCTTGCG
76
CCTAAAGAACCTCTTGCGGG
77
CTAAAGAACCTCTTGCGGGT
78
TAAAGAACCTCTTGCGGGTG
79
GCCCACGGCCGGCAGCAGCC
80
GCGGTGCAGCAGGGAGCGGT
81
CCACGGCCGGCAGCAGCCAG
82
CACGGCCGGCAGCAGCCAGG
83
CGGTGCAGCAGGGAGCGGTC
84
CACGCGGTGCAGCAGGGAGC
85
AGCGTCAGGACCATGGGCGC
86
GACACGCGGTGCAGCAGGGA
87
GCCCCGATGCACTGCGCCTC
88
CCCCGATGCACTGCGCCTCC
89
GCCCGTGCCACCGCCCCCAT
90
TTCCTCCTCCGTGAGCCGCA
91
TCCTCCTCCGTGAGCCGCAG
92
AGCCCCGATGCACTGCGCCT
93
CCTCCTCCGTGAGCCGCAGA
94
CCCACGGCCGGCAGCAGCCA
95
ACGGCCGGCAGCAGCCAGGC
96
CAGCGTCAGGACCATGGGCG
97
ACACGCGGTGCAGCAGGGAG
98
TAGGTGTACTGGCGGAAGCG
99
GGGTCCAGGCTGCCCAGCCA
100
GTCCAGGCTGCCCAGCCAGT
101
GGTCCAGGCTGCCCAGCCAG
102
GTCCAGGCTGCCCTGCTTGT
103
TCCAGGCTGCCCTGCTTGTC
104
CCATGGGTGCAGCACCCTCC
105
GGTCTTGCCTTGCAGGCTCT
106
CCTGTCTGAGGCTGCCTTCC
107
AGGCCTCCTCCACCAGTTGG
108
ACTGAGCAGGGACCCTCCCC
109
CCCCACTGGGTTTGCCACCA
110
CAGCCTGCATGTCCTCAGGC
111
TCCTGTCTGAGGCTGCCTTC
112
TGGTCTTGCCTTGCAGGCTC
113
GTCTTGCCTTGCAGGCTCTT
114
CAGGCTGCCCTGCTTGTCAT
115
GGGTACCAGGCAAGGGTGCC
116
GCATGTCCTCAGGCAGGACC
117
CAGGAGGCTCCTGTGCACCA
118
GCACAGACCCTGGGCTACCT
119
ACAGGAGGCTCCTGTGCACC
120
TTCCTGTCTGAGGCTGCCTT
121
TTGGTCTTGCCTTGCAGGCT
122
CTTGGTCTTGCCTTGCAGGC
123
AGGAGGCTCCTGTGCACCAG
124
GCACTTGTCCAGTGCTCCAG
125
GCTCCTGTGCACCAGCAAGT
126
CCCACTGGGTTTGCCACCAG
127
GAGGTGGGCCATGAGGGTGG
128
GGAGGTGGGCCATGAGGGTG
129
TGGAGGTGGGCCATGAGGGT
130
CCACTGGGTTTGCCACCAGT
131
TGCACTTGTCCAGTGCTCCA
132
CCTTGGTCTTGCCTTGCAGG
133
GATGGCACTCATCCCTGGCT
134
GCCCAGACCCAGGCCCAAAC
135
CAGGCTCTTGATGGCAGCCT
136
GGCTCCTGTGCACCAGCAAG
137
AGGCTCCTGTGCACCAGCAA
138
ACAGCCTGCATGTCCTCAGG
139
TGCCCAGACCCAGGCCCAAA
140
GCATGCACTTGTCCAGTGCT
141
CATGTCCTCAGGCAGGACCT
142
ATGCACTTGTCCAGTGCTCC
143
CCCAGGCCCTTGCTCAGAAT
144
GGCCAGACCAGGAAGGAGCC
145
CACAGACCCTGGGCTACCTC
146
CTGGTGTCAGAGCCTGCAGA
147
AGGGTACCAGGCAAGGGTGC
148
GGCCCAAACAGGAGGCTCCT
149
AGAGCCTGCAGATGAGTCCC
150
ATGGCACTCATCCCTGGCTG
151
TCTTGCCTTGCAGGCTCTTG
152
AACTGAGCAGGGACCCTCCC
153
CCTTGCAGGCTCTTGATGGC
154
GCCTTGCAGGCTCTTGATGG
155
TCCTGTGCACCAGCAAGTGC
156
TGCAGGCTCTTGATGGCAGC
157
GCCATGATGGCACTCATCCC
158
GCCAGACCAGGAAGGAGCCT
159
CTTGCCTTGCAGGCTCTTGA
160
GTGCACCAGCAAGTGCAGCA
161
TCCACAGAGCTGCAGGTTCT
162
ACTGGTGTCAGAGCCTGCAG
163
TGATGGCACTCATCCCTGGC
164
CACAGCCTGCATGTCCTCAG
165
GGGCCAGACCAGGAAGGAGC
166
TGCATGTCCTCAGGCAGGAC
167
CCTGTGCACCAGCAAGTGCA
168
GCCTGGGTTTATTGGAGGGT
169
CCTCTTTCCACAGAGCTGCA
170
GGGTGCAGCACCCTCCAAAC
171
GGTTTGCCACCAGTACAGGG
172
GGGTTTGCCACCAGTACAGG
173
GCCAGCACAGCCAAGAGTGG
174
GGCCAGCACAGCCAAGAGTG
175
TGGCCAGCACAGCCAAGAGT
176
AGGCCCAAACAGGAGGCTCC
177
GAACTTGCCTGCTTCCAGCT
178
GGGCACCCATGACACTCTGG
179
AAGCACAGCCTGCATGTCCT
180
GCAGCACCCTCCAAACTGGT
181
GGTGCAGCACCCTCCAAACT
182
CCCTCTGAACCCAGTGGAGG
183
TGTGCACCAGCAAGTGCAGC
184
CTTTCCACAGAGCTGCAGGT
185
GGTGTCAGAGCCTGCAGATG
186
TGGTGTCAGAGCCTGCAGAT
187
CCAGGCCCAAACAGGAGGCT
188
AGTGTAGCATTTCTCTGGCC
189
ACAGAGCTGCAGGTTCTGTC
190
CATGCACTTGTCCAGTGCTC
191
TTCCACAGAGCTGCAGGTTC
192
GAACTGAGCAGGGACCCTCC
193
CTGGGTTTGCCACCAGTACA
194
CACTGGGTTTGCCACCAGTA
195
GTGCAGCAAAGCTGGCTGCA
196
AACTTGCCTGCTTCCAGCTT
197
TTGCCTTGCAGGCTCTTGAT
198
GCACCCTCCAAACTGGTGTC
199
CCACAGAGCTGCAGGTTCTG
200
GCCTGAGGCACAGCACCAAG
201
GCCCAAACAGGAGGCTCCTG
202
CAGAGCCTGCAGATGAGTCC
203
CCATGATGGCACTCATCCCT
204
CTCCTGTGCACCAGCAAGTG
205
GAAGAGCCCAGGTTGTCTCA
206
CTTGCAGGCTCTTGATGGCA
207
GGCACCCATGACACTCTGGA
208
GTCAGAGCCTGCAGATGAGT
209
TCAGGACTTTGCCTCTTTCC
210
ACAGACTCTGGCAGGGAGGG
211
ACTGGGTTTGCCACCAGTAC
212
GGAAGTCACAGCAGGGCTGG
213
TGCCTTGCAGGCTCTTGATG
214
CCAGCACAGCCAAGAGTGGG
215
GGACTTTGCCTCTTTCCACA
216
GCTGCTTTTACTGCCATGGG
217
AGTGCAGCAAAGCTGGCTGC
218
GTGTCAGAGCCTGCAGATGA
219
CAGGACTTTGCCTCTTTCCA
220
GGCACAGCACCAAGGCATGG
221
GGGAATGCAGAACCACCCCC
222
CCAGGCCCTTGCTCAGAATA
223
CTGAGGCACAGCACCAAGGC
224
AACAGGAGGCTCCTGTGCAC
225
AGAAGAGCCCAGGTTGTCTC
226
TTTCCACAGAGCTGCAGGTT
227
TGCCTTTTCAGGACTTTGCC
228
AGCCATGATGGCACTCATCC
229
TCTTTCCACAGAGCTGCAGG
230
AGCACCCTCCAAACTGGTGT
231
AAGAGCCCAGGTTGTCTCAG
232
CAGGCCCAAACAGGAGGCTC
233
CCTCCACCAGTTGGAAGACC
234
ACCCAGGCCCAAACAGGAGG
235
CCTCTGAACCCAGTGGAGGA
236
AGGACTTTGCCTCTTTCCAC
237
TCCCTCTCCAGATACTGAGG
238
TGGGTTTGCCACCAGTACAG
239
CAGAATACAGTGCCCAGGCC
240
TAAGCACAGCCTGCATGTCC
241
CCTGAGGCACAGCACCAAGG
242
CCTTTTCAGGACTTTGCCTC
243
AGCCTGGGTTTATTGGAGGG
244
CTGTGCACCAGCAAGTGCAG
245
GAGGCACAGCACCAAGGCAT
246
CCAGACCCAGGCCCAAACAG
247
GGCCAAGACAGACTCTGGCA
248
GTGCAGCACCCTCCAAACTG
249
CCCTCTCCAGATACTGAGGA
250
GCCTGGGCATTGCCTTAATT
251
TGAGGCACAGCACCAAGGCA
252
CTCTTTCCACAGAGCTGCAG
253
GTAAGCACAGCCTGCATGTC
254
CTCCTTATGCACCCAATCCT
255
AATGCAGAACCACCCCCACC
256
GCCCAGCCTCAGAATGATTC
257
TTGCAGGCTCTTGATGGCAG
258
GCCCCAAACCTGGAGTGAGA
259
GAGTGGAAGGAAGGAGCCCC
260
GAGTGTAGCATTTCTCTGGC
261
TCAGAGCCTGCAGATGAGTC
262
TCTCCTTATGCACCCAATCC
263
GGAATGCAGAACCACCCCCA
264
AGTGGAAGGAAGGAGCCCCA
265
CCCAATCCTTGCAGTCATGG
266
ATGATGGCACTCATCCCTGG
267
TGCAGCACCCTCCAAACTGG
268
GACCCAGGCCCAAACAGGAG
269
AGACCCAGGCCCAAACAGGA
270
GTCTCCAGAACTGAGCAGGG
271
TGGTTAGGTTGGACCCATGG
272
GAAGGGTACCAGGCAAGGGT
273
CAGACCCAGGCCCAAACAGG
274
GCACCCATGACACTCTGGAT
275
ACTTTGCCTCTTTCCACAGA
276
GACTTTGCCTCTTTCCACAG
277
AGCCCCAAACCTGGAGTGAG
278
CACCCAATCCTTGCAGTCAT
279
CTCCACCAGTTGGAAGACCT
280
CACCCTCCAAACTGGTGTCA
281
AGAACTGAGCAGGGACCCTC
282
TGGCCAAGACAGACTCTGGC
283
GGAGTGGAAGGAAGGAGCCC
284
CTGAACCCAGTGGAGGAGGG
285
CCCTCCAAACTGGTGTCAGA
286
AGGCACAGCACCAAGGCATG
287
CTTTGCCTCTTTCCACAGAG
288
GCCCTTGCTCAGAATACAGT
289
CTGGTTAGGTTGGACCCATG
290
TGGAAGTCACAGCAGGGCTG
291
AGCCCAGCCTCAGAATGATT
292
AGTAAGCACAGCCTGCATGT
293
TCCACCAGTTGGAAGACCTC
294
TCCTCCACCAGTTGGAAGAC
295
CAGCACCCTCCAAACTGGTG
296
TGGCAAAGGTGATGCAGGCC
297
GTGCCATTGGTAGAGTAGGA
298
TCCTTATGCACCCAATCCTT
299
GAGCCATGATGGCACTCATC
300
CAGAACTGAGCAGGGACCCT
301
GGAAGGAGCCCCAAACCTGG
302
GTGATTACAGGGCAAGGCCA
303
TCAGAATACAGTGCCCAGGC
304
GGCATTGCCTTAATTCCTGT
305
TGCACCAGCAAGTGCAGCAA
306
TTCCCTCTCCAGATACTGAG
307
TTCAGGACTTTGCCTCTTTC
308
GCAAGTGCAGCAAAGCTGGC
309
TCCAGAACTGAGCAGGGACC
310
CATGATGGCACTCATCCCTG
311
ACCCTCCAAACTGGTGTCAG
312
CCAAACTGGTGTCAGAGCCT
313
AGGGAATGCAGAACCACCCC
314
GGCCCTTGCTCAGAATACAG
315
AGGCCCTTGCTCAGAATACA
316
CAGGCCCTTGCTCAGAATAC
317
AAACAGGAGGCTCCTGTGCA
318
GGAGTGTAGCATTTCTCTGG
319
GGGAGTGTAGCATTTCTCTG
320
GAATGCAGAACCACCCCCAC
321
TGTCAGAGCCTGCAGATGAG
322
TCTGAACCCAGTGGAGGAGG
323
AGACAGACTCTGGCAGGGAG
324
GCCAAGACAGACTCTGGCAG
325
GCTCAGAATACAGTGCCCAG
326
GGGAGTGGAAGGAAGGAGCC
327
TAGCCCAGCCTCAGAATGAT
328
ATAGCCCAGCCTCAGAATGA
329
TCCAAACTGGTGTCAGAGCC
330
ACCCAATCCTTGCAGTCATG
331
CCCAGCCTCAGAATGATTCT
332
CCTTAATTCCTGTCTGAGGC
333
GCCTTAATTCCTGTCTGAGG
334
AGTGATTACAGGGCAAGGCC
335
CCTGGGCATTGCCTTAATTC
336
TTGCCTTTTCAGGACTTTGC
337
CTTATGCACCCAATCCTTGC
338
AGTGCCATTGGTAGAGTAGG
339
CCAAACAGGAGGCTCCTGTG
340
AAACTGGTGTCAGAGCCTGC
341
TCTCCAGAACTGAGCAGGGA
342
AGACAACCCAATGGCAGGGC
343
GAAGGAGCCCCAAACCTGGA
344
GTGGAAGGAAGGAGCCCCAA
345
GCATTGCCTTAATTCCTGTC
346
CTCTGAACCCAGTGGAGGAG
347
AGAGCCATGATGGCACTCAT
348
GATTACAGGGCAAGGCCACA
349
GCACTGAGTGATTACAGGGC
350
CCTTATGCACCCAATCCTTG
351
TTTCAGGACTTTGCCTCTTT
352
CTTAGTGCCATTGGTAGAGT
353
AAGAAGAGCCCAGGTTGTCT
354
TTATGCACCCAATCCTTGCA
355
CTGGCCAAGACAGACTCTGG
356
TTGCTCAGAATACAGTGCCC
357
TATGCACCCAATCCTTGCAG
358
TGTCTCCAGAACTGAGCAGG
359
CCAGCAAGTGCAGCAAAGCT
360
CTCCAGAACTGAGCAGGGAC
361
AAGGAGCCCCAAACCTGGAG
362
AGGAAGGAGCCCCAAACCTG
363
ACAATCTCCTTATGCACCCA
364
CACAATCTCCTTATGCACCC
365
AGAAGGGTACCAGGCAAGGG
366
CCAAGACAGACTCTGGCAGG
367
CTCAGAATACAGTGCCCAGG
368
ATCTCCTTATGCACCCAATC
369
GCACCAGCAAGTGCAGCAAA
370
CTCCAAACTGGTGTCAGAGC
371
CAAGTGCAGCAAAGCTGGCT
372
AAGGAAGTCAGAGGGAGGGC
373
CTTAATTCCTGTCTGAGGCT
374
TGATTACAGGGCAAGGCCAC
375
GCTTTAGAGATTTGCTACCC
376
CCAGCTTCTCCACATCAATG
377
CCAGCCTCAGAATGATTCTC
378
CCTCCAAACTGGTGTCAGAG
379
GGCACTGAGTGATTACAGGG
380
GGGCACTGAGTGATTACAGG
381
TTGGCAAAGGTGATGCAGGC
382
AAGACAGACTCTGGCAGGGA
383
ACCAGCAAGTGCAGCAAAGC
384
GCCCTGGATGTGGCAAAAGA
385
GAGTGATTACAGGGCAAGGC
386
GACTTAGTGCCATTGGTAGA
387
CAAGACAGACTCTGGCAGGG
388
ACCCATGACACTCTGGATGA
389
GAGAAGGGTACCAGGCAAGG
390
CACCCATGACACTCTGGATG
391
CATTGCCTTAATTCCTGTCT
392
CTTGCTCAGAATACAGTGCC
393
CCTTGCTCAGAATACAGTGC
394
CCCATGACACTCTGGATGAG
395
ACTGGCCAAGACAGACTCTG
396
AAGTGCAGCAAAGCTGGCTG
397
CAGACAACCCAATGGCAGGG
398
AAGGAAGGAGCCCCAAACCT
399
GCCTCAGAATGATTCTCAGG
400
CCCTTGCTCAGAATACAGTG
401
CAAACTGGTGTCAGAGCCTG
402
GTTGGCAAAGGTGATGCAGG
403
GGTTGGCAAAGGTGATGCAG
404
TAAGAAGAGCCCAGGTTGTC
405
TCACAATCTCCTTATGCACC
406
CCTCTCCAGATACTGAGGAA
407
AGCAAGTGCAGCAAAGCTGG
408
TTAGTGCCATTGGTAGAGTA
409
ACTTAGTGCCATTGGTAGAG
410
TAGTGCCATTGGTAGAGTAG
411
GAAGGAAGGAGCCCCAAACC
412
GGTAGAGTAGGAAACCAGGC
413
CACTGAGTGATTACAGGGCA
414
GAGAGAAGGGTACCAGGCAA
415
CAATCTCCTTATGCACCCAA
416
GCTGTTCCTTCAGAAAGGAC
417
GTCACAATCTCCTTATGCAC
418
TTTGCCTTTTCAGGACTTTG
419
ACACTCTGGATGAGTTTGTC
420
AGCTGTTCCTTCAGAAAGGA
421
CTTTAGAGATTTGCTACCCT
422
CAGCTTCTCCACATCAATGA
423
GACACTCTGGATGAGTTTGT
424
AAGTAAGCACAGCCTGCATG
425
CAGCCTCAGAATGATTCTCA
426
GGAAGGAAGGAGCCCCAAAC
427
AGGGCACTGAGTGATTACAG
428
TGCCATTGGTAGAGTAGGAA
429
CAAGGAAGTCAGAGGGAGGG
430
AGAGAAGGGTACCAGGCAAG
431
ACAGACAACCCAATGGCAGG
432
AAGGGAATGCAGAACCACCC
433
AATCTCCTTATGCACCCAAT
434
GCAGGAAGTTGTAAGTGCAG
435
AGGAAGTTGTAAGTGCAGGG
436
AGCCTCAGAATGATTCTCAG
437
TTTAGAGATTTGCTACCCTT
438
TGCTTTAGAGATTTGCTACC
439
GAGACAGACAACCCAATGGC
440
GACAGACAACCCAATGGCAG
441
AGACAGACAACCCAATGGCA
442
AAAGTAAGCACAGCCTGCAT
443
CATGACACTCTGGATGAGTT
444
TGAGTGATTACAGGGCAAGG
445
GCCATTGGTAGAGTAGGAAA
446
CAGGAAGTTGTAAGTGCAGG
447
ACTGAGTGATTACAGGGCAA
448
GGTAGCTGATGAAGACATCT
449
GAAGGGAATGCAGAACCACC
450
GCTTCTCCACATCAATGAAG
451
AGCTTCTCCACATCAATGAA
452
ATGACACTCTGGATGAGTTT
453
TGACACTCTGGATGAGTTTG
454
TGGTAGAGTAGGAAACCAGG
455
TTTTGGGAAAAGAGGGACCC
456
GTTTTGGGAAAAGAGGGACC
457
CTCTCCAGATACTGAGGAAA
458
CTCCAGATACTGAGGAAAGT
459
GCTTAAAGCAGTCACAATCT
460
GTAGCTGATGAAGACATCTG
461
GGTTTTGGGAAAAGAGGGAC
462
TTGAAAGTAAGCACAGCCTG
463
CCAGATACTGAGGAAAGTGG
464
TTGGTAGAGTAGGAAACCAG
465
CCTGGATGTGGCAAAAGATA
466
GGATGTGGCAAAAGATACCA
467
TAGCTGATGAAGACATCTGG
468
ATTGGTAGAGTAGGAAACCA
469
CATTGGTAGAGTAGGAAACC
470
CCATTGGTAGAGTAGGAAAC
471
TCTCCACATCAATGAAGACA
472
TCTCCAGATACTGAGGAAAG
473
AGCTTAAAGCAGTCACAATC
474
CAGCTTAAAGCAGTCACAAT
475
TCCAGATACTGAGGAAAGTG
476
CAGATACTGAGGAAAGTGGG
477
TGGATGTGGCAAAAGATACC
478
TCCACATCAATGAAGACACT
479
CTCCACATCAATGAAGACAC
480
TTCTCCACATCAATGAAGAC
481
TGTGGCAAAAGATACCACAC
482
GATGTGGCAAAAGATACCAC
483
ATGTGGCAAAAGATACCACA
484
TCTTTGAAGCAAGGGAGAAG
485
CCACATCAATGAAGACACTG
486
CACATCAATGAAGACACTGA
487
ACATCAATGAAGACACTGAA
488
AGCCATCAATGATGGGCACA
489
GATGGGCACAATGTTCTTGC
490
GCCATCAATGATGGGCACAA
491
ATGATGGGCACAATGTTCTT
492
TGATGGGCACAATGTTCTTG
493
CCATCAATGATGGGCACAAT
494
AATGATGGGCACAATGTTCT
495
CAATGATGGGCACAATGTTC
496
TCAATGATGGGCACAATGTT
497
ATCAATGATGGGCACAATGT
498
CATCAATGATGGGCACAATG
499
ATGGGCACAATGTTCTTGCC
500
CTCAATGGTGGCCTCCTGGT
501
ATGGTGGCCTCCTGGTATTC
502
TCAATGGTGGCCTCCTGGTA
503
CACCTTCAGGAGACTGGCCA
504
TGCACCTTCAGGAGACTGGC
505
GTGCACCTTCAGGAGACTGG
506
GAAGCCATCAATGATGGGCA
507
ACATCTGGAGTGTCCCCACT
508
CCTTGCAGTCATGGTCTTGC
509
GACATCTGGAGTGTCCCCAC
510
CATCTGGAGTGTCCCCACTG
511
AGACATCTGGAGTGTCCCCA
512
GCAGTCATGGTCTTGCATGC
513
TCCTTGCAGTCATGGTCTTG
514
AAGACATCTGGAGTGTCCCC
515
GCTGAACACCTTGGTCTTGC
516
CTGAACACCTTGGTCTTGCC
517
ATGATCTTCTCAATGGTGGC
518
GATGATCTTCTCAATGGTGG
519
GGATGATCTTCTCAATGGTG
520
GCAGCTTAAAGCAGTCACAA
521
TCTGGAGTGTCCCCACTGGG
522
ATCTGGAGTGTCCCCACTGG
523
CAATGGTGGCCTCCTGGTAT
524
AATGGTGGCCTCCTGGTATT
525
CTGATGAAGACATCTGGAGT
526
ATCCTTGCAGTCATGGTCTT
527
GAACACCTTGGTCTTGCCTT
528
TGAACACCTTGGTCTTGCCT
529
AATCCTTGCAGTCATGGTCT
530
AACACCTTGGTCTTGCCTTG
531
GAAGACATCTGGAGTGTCCC
532
TCAGACACTGTATTGTTATT
533
CAGACACTGTATTGTTATTG
534
GACACTGAAGCCATGCAGCT
535
ACACTGAAGCCATGCAGCTG
536
AGACACTGAAGCCATGCAGC
537
CTCTGGATGAGTTTGTCCTC
538
CTGGAGTGTCCCCACTGGGT
539
GGAGTGTCCCCACTGGGTTT
540
TGGAGTGTCCCCACTGGGTT
541
GAGTGTCCCCACTGGGTTTG
542
CACCTTGGTCTTGCCTTGCA
543
ACACCTTGGTCTTGCCTTGC
544
TTGACTTTCTGATGATGTGG
545
ACTCTGGATGAGTTTGTCCT
546
CACTCTGGATGAGTTTGTCC
547
GCAGGTTCTGTCTAGGCTGC
548
GCTGCAGGTTCTGTCTAGGC
549
CAGGTTCTGTCTAGGCTGCT
550
CTGCAGGTTCTGTCTAGGCT
551
TGCAGGTTCTGTCTAGGCTG
552
AACCCAATGGCAGGGCCTGG
553
CAACCCAATGGCAGGGCCTG
554
GTGTCTCCAGAACTGAGCAG
555
GGGCTGCCTGGTCCCTGAGT
556
GGCTGCCTGGTCCCTGAGTA
557
GCCTGACTTCCCTTCCCTCT
558
GTCCTGTGAGGGCAGTGTCC
559
ACTCATCCCTGGCTGGCTCC
560
GTGAGGGCAGTGTCCAGGCT
561
GTGGGTAGCCCTGGATGGCT
562
GTATGGCCTCTGGGTCAGCT
563
AGTGGGTTGGAGGTGGGCCA
564
GTGGGTTGGAGGTGGGCCAT
565
TGTGAGGGCAGTGTCCAGGC
566
GGGTAGCCCTGGATGGCTGA
567
CCCCAACTCCAGTGTCTCCA
568
GTTGTCTCAGCCCAGGGAGA
569
CTGTCCTGTGAGGGCAGTGT
570
CCCAGATGCAGGGAGTGGGC
571
TGTCCTGTGAGGGCAGTGTC
572
CCTGTGAGGGCAGTGTCCAG
573
ATGGCCTCTGGGTCAGCTTT
574
GCTGCCTGGTCCCTGAGTAA
575
TGCAGGCCCAGATGCAGGGA
576
GGGTTGGAGGTGGGCCATGA
577
GGCTGCCCTGCTTGTCATAT
578
TGGGTAGCCCTGGATGGCTG
579
CTGTGAGGGCAGTGTCCAGG
580
AAGCCTGACTTCCCTTCCCT
581
GGTGATGCAGGCCCAGATGC
582
TATGGCCTCTGGGTCAGCTT
583
TGTCCAGTGCTCCAGGTGAT
584
GCTGCCCTGCTTGTCATATC
585
AAGTGGGTTGGAGGTGGGCC
586
GTAGCCCTGGATGGCTGAGG
587
ATGCAGGCCCAGATGCAGGG
588
GTCCAGTGCTCCAGGTGATA
589
CAAGCCTGACTTCCCTTCCC
590
CCAAGCCTGACTTCCCTTCC
591
TGCCTGGTCCCTGAGTAAGC
592
GCCTGGAGCCTGGGTTTATT
593
AGGCCCAGATGCAGGGAGTG
594
GTGCTCCAGGTGATAGCACC
595
TGGGTTGGAGGTGGGCCATG
596
GGTTCTGTCTAGGCTGCTTT
597
AGGTTCTGTCTAGGCTGCTT
598
CTGCCCTGCTTGTCATATCC
599
AAGCAGTGGGTAGCCCTGGA
600
GTGATGCAGGCCCAGATGCA
601
TTGTCTCAGCCCAGGGAGAC
602
CCCAACTCCAGTGTCTCCAG
603
GTTGGAGGTGGGCCATGAGG
604
GGTTGGAGGTGGGCCATGAG
605
CAGAGCTGCAGGTTCTGTCT
606
GATGCAGGCCCAGATGCAGG
607
GCTTGTCATATCCATGCCCT
608
GCCCTGCTTGTCATATCCAT
609
GGCTGGCACTGGCCAAGACA
610
TGCCCTGCTTGTCATATCCA
611
AGCTGCAGGTTCTGTCTAGG
612
TTGGAGGTGGGCCATGAGGG
613
AGAATACAGTGCCCAGGCCC
614
AGGCTGGCACTGGCCAAGAC
615
GTTTCAGGAGCTGTTCCTTC
616
CTGCCTGGTCCCTGAGTAAG
617
TGCTCCAGGTGATAGCACCA
618
CCCTTTGCCTTTTCAGGACT
619
GCAGCCAGCTTTAAGGTGTC
620
GGCAAAGGTGATGCAGGCCC
621
GTTCTGTCTAGGCTGCTTTT
622
GAGCTGCAGGTTCTGTCTAG
623
AGAGCTGCAGGTTCTGTCTA
624
GTCAGGCTAGCTAAGGGCAC
625
CCAACTCCAGTGTCTCCAGA
626
AGGTGATGCAGGCCCAGATG
627
TGCTTGTCATATCCATGCCC
628
AGTCAGGCTAGCTAAGGGCA
629
GCTGGCACTGGCCAAGACAG
630
AGTGCTCCAGGTGATAGCAC
631
TCAGGAGCTGTTCCTTCAGA
632
TCTAGGCTGCTTTTACTGCC
633
TGATGCAGGCCCAGATGCAG
634
ACAACCCAATGGCAGGGCCT
635
ACCCTTTGCCTTTTCAGGAC
636
ACCCTCTGAACCCAGTGGAG
637
GCAAAGGTGATGCAGGCCCA
638
GACTGGTTAGGTTGGACCCA
639
GTCTAGGCTGCTTTTACTGC
640
ACAGTCTGAGTGGAGAGCCA
641
CACAGTCTGAGTGGAGAGCC
642
GACAACCCAATGGCAGGGCC
643
AGGAAGTCAGAGGGAGGGCT
644
TCAGGCTAGCTAAGGGCACT
645
CCTGGAGCCTGGGTTTATTG
646
TCTTACCCTCTGAACCCAGT
647
GCACTTGTGCTGCATGAGGA
648
GGGTTTATTGGAGGGTGCTT
649
TTCAGGAGCTGTTCCTTCAG
650
TACCCTCTGAACCCAGTGGA
651
GGAGAGCCATGATGGCACTC
652
CTGCTTGTCATATCCATGCC
653
CCTGCTTGTCATATCCATGC
654
CAGTCTGAGTGGAGAGCCAT
655
ATCTGGGACTTAGTCAGGCT
656
TAGTCAGGCTAGCTAAGGGC
657
GTGGAGAGCCATGATGGCAC
658
GTCTGAGTGGAGAGCCATGA
659
GAGTGGAGAGCCATGATGGC
660
TGGGTTTATTGGAGGGTGCT
661
CTGGGTTTATTGGAGGGTGC
662
GTGAGCACTTGTGCTGCATG
663
AAGGTGATGCAGGCCCAGAT
664
GCTAGCTAAGGGCACTGAGT
665
GGCACAGTCTGAGTGGAGAG
666
AGGCACAGTCTGAGTGGAGA
667
AGTGGAGAGCCATGATGGCA
668
CCCTGCTTGTCATATCCATG
669
CTGGAGCCTGGGTTTATTGG
670
GGCACTGGCCAAGACAGACT
671
CAGGCACAGTCTGAGTGGAG
672
TTACCCTCTGAACCCAGTGG
673
AGCACTTGTGCTGCATGAGG
674
GATCTGGGACTTAGTCAGGC
675
GAGCCTGGGTTTATTGGAGG
676
GGAGCCTGGGTTTATTGGAG
677
CAGCCAGCTTTAAGGTGTCA
678
CCTGGGTTTATTGGAGGGTG
679
ATGGAAGTCACAGCAGGGCT
680
CTCCAGTGTCTCCAGAACTG
681
GGCTAGCTAAGGGCACTGAG
682
AGGCTAGCTAAGGGCACTGA
683
GGAGAGAAGGGTACCAGGCA
684
TGGAGCCTGGGTTTATTGGA
685
GAGAGCCATGATGGCACTCA
686
CTTACCCTCTGAACCCAGTG
687
GCAAAGCTGGCTGCAGTGAC
688
CAGGCTAGCTAAGGGCACTG
689
AGTCTGAGTGGAGAGCCATG
690
CTGGCACTGGCCAAGACAGA
691
CTGTCTAGGCTGCTTTTACT
692
TGGAGAGCCATGATGGCACT
693
AGCAAAGCTGGCTGCAGTGA
694
GCACTGGCCAAGACAGACTC
695
AACCCTTTGCCTTTTCAGGA
696
CAGCAAAGCTGGCTGCAGTG
697
CAACCCTTTGCCTTTTCAGG
698
TCTGTCTAGGCTGCTTTTAC
699
GAGCACTTGTGCTGCATGAG
700
GGGCAATGGGATATTCCTGC
701
GGTTTATTGGAGGGTGCTTT
702
TTCTGTCTAGGCTGCTTTTA
703
TGAGCACTTGTGCTGCATGA
704
GTGACAACCCTTTGCCTTTT
705
TTCTTACCCTCTGAACCCAG
706
TGGAGAGAAGGGTACCAGGC
707
AGTGTCTCCAGAACTGAGCA
708
CAGTGTCTCCAGAACTGAGC
709
AAAGGTGATGCAGGCCCAGA
710
TGGCACTGGCCAAGACAGAC
711
GGCAATGGGATATTCCTGCT
712
CAAAGGTGATGCAGGCCCAG
713
GACAACCCTTTGCCTTTTCA
714
GTTGCAAAATCCTATCCCCC
715
CAGGAGCTGTTCCTTCAGAA
716
TCCTAAGAAGAGCCCAGGTT
717
TTCCTAAGAAGAGCCCAGGT
718
CCAGTGTCTCCAGAACTGAG
719
CCCAAACCTGGAGTGAGACC
720
GTTTATTGGAGGGTGCTTTC
721
CCTGGAGTGAGACCTTTGAC
722
GAGGGAGAGCCATTTCCTAA
723
TCTGAGTGGAGAGCCATGAT
724
GCAATGGGATATTCCTGCTC
725
TGTCTAGGCTGCTTTTACTG
726
ACAACCCTTTGCCTTTTCAG
727
GACTTTCTGATGATGTGGCC
728
CACTGGCCAAGACAGACTCT
729
TGACAACCCTTTGCCTTTTC
730
CAACTCCAGTGTCTCCAGAA
731
GCCAGCTTTAAGGTGTCAAC
732
CAAAGCTGGCTGCAGTGACA
733
AGCCAGCTTTAAGGTGTCAA
734
GCCATTTCCTAAGAAGAGCC
735
CCTAAGAAGAGCCCAGGTTG
736
TTATTGGAGGGTGCTTTCTT
737
TGAGTGGAGAGCCATGATGG
738
CCAAACCTGGAGTGAGACCT
739
CCATTTCCTAAGAAGAGCCC
740
CTGGAGTGAGACCTTTGACT
741
GCTGCAGTGACAAGGAAGTC
742
AAGCTGGCTGCAGTGACAAG
743
CTGAGTGGAGAGCCATGATG
744
TTTCCTAAGAAGAGCCCAGG
745
GGCAAAGATTTGTGAGGGCT
746
CACTTGTGCTGCATGAGGAA
747
CCTGGAGATACTCAGACACT
748
TGTTGCAAAATCCTATCCCC
749
TGGAGTGAGACCTTTGACTT
750
AGTGAGACCTTTGACTTTCT
751
AACCTGGAGTGAGACCTTTG
752
GCTGCATGAGGAAAGGAGGA
753
GTGAGACCTTTGACTTTCTG
754
CATTTCCTAAGAAGAGCCCA
755
AAAGCTGGCTGCAGTGACAA
756
TGACTTTCTGATGATGTGGC
757
AGCCATTTCCTAAGAAGAGC
758
CAAACCTGGAGTGAGACCTT
759
TGGCAAAGATTTGTGAGGGC
760
TGTGCTGCATGAGGAAAGGA
761
ATTTCCTAAGAAGAGCCCAG
762
CTGCAGTGACAAGGAAGTCA
763
GCAAAGATTTGTGAGGGCTT
764
GCAGTGACAAGGAAGTCAGA
765
GTGCTTTAGAGATTTGCTAC
766
AAACCTGGAGTGAGACCTTT
767
GGAATGGAGAGAAGGGTACC
768
TGAGACCTTTGACTTTCTGA
769
TGGAGATACTCAGACACTGT
770
TTGTGCTGCATGAGGAAAGG
771
TTGTTGCAAAATCCTATCCC
772
ACTTGTGCTGCATGAGGAAA
773
GGAGATACTCAGACACTGTA
774
GGAGACAGACAACCCAATGG
775
CTGCTAGATTCTTTGAAGCA
776
CTTGTGCTGCATGAGGAAAG
777
TGAGGAAAGGAGGATCAGGT
778
TGCAGTGACAAGGAAGTCAG
779
GTGGCAAAAGATACCACACC
780
GCATGAGGAAAGGAGGATCA
781
GAGCCATTTCCTAAGAAGAG
782
AGAGCCATTTCCTAAGAAGA
783
GGAGAAGGGAATGCAGAACC
784
TCTCAGGAAAGCAATTCCAC
785
CAAAGATTTGTGAGGGCTTC
786
CTGCATGAGGAAAGGAGGAT
787
AATGGAGAGAAGGGTACCAG
788
AAATGGAAGTCACAGCAGGG
789
GATACTGAGGAAAGTGGGTT
790
TGCATGAGGAAAGGAGGATC
791
AGATACTGAGGAAAGTGGGT
792
GAGATACTCAGACACTGTAT
793
ATGGCAAAGATTTGTGAGGG
794
ATTCTCAGGAAAGCAATTCC
795
AGGAATGGAGAGAAGGGTAC
796
GATTCTTTGAAGCAAGGGAG
797
AGATTCTTTGAAGCAAGGGA
798
GAAATGGAAGTCACAGCAGG
799
GGAAATGGAAGTCACAGCAG
800
TTTGTTGCAAAATCCTATCC
801
ATGAGGAAAGGAGGATCAGG
802
TGGAAATGGAAGTCACAGCA
803
AGATACTCAGACACTGTATT
804
GCTAGATTCTTTGAAGCAAG
805
TGCTAGATTCTTTGAAGCAA
806
AGGAGAAGGGAATGCAGAAC
807
ATGGAAATGGAAGTCACAGC
808
CATGAGGAAAGGAGGATCAG
809
TAGATTCTTTGAAGCAAGGG
810
TTCTTTGAAGCAAGGGAGAA
811
GATTCTCAGGAAAGCAATTC
812
CTAGATTCTTTGAAGCAAGG
813
GAATGATTCTCAGGAAAGCA
814
TTTTGTTGCAAAATCCTATC
815
TGATTCTCAGGAAAGCAATT
816
AGAATGATTCTCAGGAAAGC
817
ATGATTCTCAGGAAAGCAAT
818
AATGGCAAAGATTTGTGAGG
819
GATGGAAATGGAAGTCACAG
820
AATGATTCTCAGGAAAGCAA
821
AAATGGCAAAGATTTGTGAG
822
CTCAAGCTGACTGCTATCAG
823
TCCTCAAGCTGACTGCTATC
824
CCTCAAGCTGACTGCTATCA
825
AGACACTGTATTGTTATTGG
826
ATGGGATATTCCTGCTCTGT
827
GATAGCACCAACACAAAGTT
828
GCCCCCATCTGGCCCAGGCA
829
AAGAGCCTTCAGCAGCCCCC
830
GCTGTCCTGTGAGGGCAGTG
831
AGTGGGTAGCCCTGGATGGC
832
TGTATGGCCTCTGGGTCAGC
833
GCCTGGTCCCTGAGTAAGCA
834
TGTCTCAGCCCAGGGAGACT
835
GGAGGGTGCTTTCTTACCCT
836
AGGGTGCTTTCTTACCCTCT
837
GGGTGCTTTCTTACCCTCTG
838
GAGGGTGCTTTCTTACCCTC
839
CCTCTGGGTCAGCTTTTTGT
840
AGTAAGCAGTGGGTAGCCCT
841
GGTTTCAGGAGCTGTTCCTT
842
GTAAGCAGTGGGTAGCCCTG
843
GAGTAAGCAGTGGGTAGCCC
844
GGTGCTTTCTTACCCTCTGA
845
TCCCTGAGTAAGCAGTGGGT
846
GTCCCTGAGTAAGCAGTGGG
847
GGTCCCTGAGTAAGCAGTGG
848
GGGACTTAGTCAGGCTAGCT
849
TAAGCAGTGGGTAGCCCTGG
850
GGTGAGCACTTGTGCTGCAT
851
CCTGGTCCCTGAGTAAGCAG
852
CTGGTCCCTGAGTAAGCAGT
853
GGGACTGGTTAGGTTGGACC
854
GGAGGGAGAGCCATTTCCTA
855
CCCTGAGTAAGCAGTGGGTA
856
TGGGACTTAGTCAGGCTAGC
857
GCTCCAGGTGATAGCACCAA
858
GGAAAGAGCCTTCAGCAGCC
859
TGGTCCCTGAGTAAGCAGTG
860
TGAGTAAGCAGTGGGTAGCC
861
TCTGGGACTTAGTCAGGCTA
862
GGACTTAGTCAGGCTAGCTA
863
GGGAAAGAGCCTTCAGCAGC
864
GTGCTTTCTTACCCTCTGAA
865
CTGGGACTTAGTCAGGCTAG
866
CTGAGTAAGCAGTGGGTAGC
867
AGTGACAACCCTTTGCCTTT
868
CCTGAGTAAGCAGTGGGTAG
869
AGAACTAGGAGTCACCTGGC
870
CTCCAGGTGATAGCACCAAC
871
ACTTTCTGATGATGTGGCCA
872
TCCAGGTGATAGCACCAACA
873
TTAGTCAGGCTAGCTAAGGG
874
ATTGGAGGGTGCTTTCTTAC
875
GTGGCCAAGAACTAGGAGTC
876
TGCTTTCTTACCCTCTGAAC
877
AAGTGACAACCCTTTGCCTT
878
CTTAGTCAGGCTAGCTAAGG
879
TATTGGAGGGTGCTTTCTTA
880
TAAGTGACAACCCTTTGCCT
881
CAATGGGATATTCCTGCTCT
882
GACTTAGTCAGGCTAGCTAA
883
TGTGGCCAAGAACTAGGAGT
884
GCTGCTAGATTCTTTGAAGC
885
CTTTCTGATGATGTGGCCAA
886
CCAGCTTTAAGGTGTCAACA
887
ACTTAGTCAGGCTAGCTAAG
888
AATGGGATATTCCTGCTCTG
889
TTCTGATGATGTGGCCAAGA
890
AGCTTTAAGGTGTCAACACC
891
GTGCTGCATGAGGAAAGGAG
892
GATGTGGCCAAGAACTAGGA
893
TTTCTGATGATGTGGCCAAG
894
GAGACCTTTGACTTTCTGAT
895
GACCTTTGACTTTCTGATGA
896
ATGTGGCCAAGAACTAGGAG
897
GACACTGTATTGTTATTGGC
898
AGACCTTTGACTTTCTGATG
899
CAGCTTTAAGGTGTCAACAC
900
ACCTTTGACTTTCTGATGAT
901
TAGCACCAACACAAAGTTGC
902
GGTGATAGCACCAACACAAA
903
TGATAGCACCAACACAAAGT
904
GTGATAGCACCAACACAAAG
905
CTTTTTGTTGCAAAATCCTA
906
ATAGCACCAACACAAAGTTG
907
TCAAGCTGACTGCTATCAGC
908
TCCATGCCCTGGCTCTGGCC
909
CTCAGCCCAGGGAGACTGGT
910
GTCTCAGCCCAGGGAGACTG
911
GGTGTCAACACCTGGCCCTT
912
TCAGCCCAGGGAGACTGGTT
913
TCTCAGCCCAGGGAGACTGG
914
TGTCATATCCATGCCCTGGC
915
CAGCCCAGGGAGACTGGTTT
916
TCCTCCTCAAGCTGACTGCT
917
AAAGAGCCTTCAGCAGCCCC
918
CTGGTTTCAGGAGCTGTTCC
919
AAGTCAGAGGGAGGGCTGGT
920
GAAAGAGCCTTCAGCAGCCC
921
CCTCCTCAAGCTGACTGCTA
922
CTGGGTCAGCTTTTTGTTGC
923
TTGTCATATCCATGCCCTGG
924
TCTGGGTCAGCTTTTTGTTG
925
GCCCTAAGTGACAACCCTTT
926
TGGGATATTCCTGCTCTGTA
927
CTCCTCAAGCTGACTGCTAT
928
GCCAAGAACTAGGAGTCACC
929
CTAAGTGACAACCCTTTGCC
930
CCTAAGTGACAACCCTTTGC
931
GCTTTAAGGTGTCAACACCT
932
GGCCAAGAACTAGGAGTCAC
933
CCCTAAGTGACAACCCTTTG
934
TGGCCAAGAACTAGGAGTCA
935
CCAAGAACTAGGAGTCACCT
936
GCAGGAGAAGGGAATGCAGA
937
AAGAACTAGGAGTCACCTGG
938
TTTAAGGTGTCAACACCTGG
939
TGATGTGGCCAAGAACTAGG
940
TCTGATGATGTGGCCAAGAA
941
CTTTAAGGTGTCAACACCTG
942
GCTTTTTGTTGCAAAATCCT
943
TGATGATGTGGCCAAGAACT
944
CTGATGATGTGGCCAAGAAC
945
CAAGAACTAGGAGTCACCTG
946
GATGATGTGGCCAAGAACTA
947
ATGATGTGGCCAAGAACTAG
948
TTAATGTCCCTGAGCAGTTC
949
CCAGAAGGCCACACAGGGCA
950
TCCTTCCAGCCCAAACTGCA
951
TAATGTCCCTGAGCAGTTCT
952
TAGAGGAGGCTTGTGACTTC
953
TTTAATGTCCCTGAGCAGTT
954
TTAGAGGAGGCTTGTGACTT
955
GTCCCAGGTTGCCCCTCTCC
956
CCTCCTGGGAGCTGGCCTCC
957
CTGCTCCCAGTCTGCCTGCC
958
GTCTTGTCCCAGGTTGCCCC
959
TGTCCCAGGTTGCCCCTCTC
960
GCTCCCAGTCTGCCTGCCAT
961
TGCTCCCAGTCTGCCTGCCA
962
GGTTCCCCTTCCTCCTGGGA
963
CTCCTGGGAGCTGGCCTCCT
964
TCCTCCTGGGAGCTGGCCTC
965
CTGGGCTGGGCAGGAGCCCT
966
GGAGCCCTGAGCTGCCTGGT
967
CCCTCTGGGTGTCTTGTCCC
968
TTCCTGCTCCCAGTCTGCCT
969
TTGTCCCAGGTTGCCCCTCT
970
CTTGTCCCAGGTTGCCCCTC
971
TCTTGTCCCAGGTTGCCCCT
972
GCTGGGCAGGAGCCCTGAGC
973
AGCAGTTTCCCCAGAGCCCC
974
GCCCTCTGTTTTCCTGCTCC
975
GGGCCCTCTGTTTTCCTGCT
976
TTCCTCCTGGGAGCTGGCCT
977
GGTTGCCCCTCTCCTTGCAG
978
AGGTTGCCCCTCTCCTTGCA
979
CAGGTTGCCCCTCTCCTTGC
980
GGCTGGGCCACAGGCTAGCT
981
CTGTGGGTTCTGGTGTCCCC
982
GGCCCTCTGTTTTCCTGCTC
983
TGGGCTGGGCAGGAGCCCTG
984
TTTCCTGCTCCCAGTCTGCC
985
CTGGACCAGCCCACCCCAGT
986
CCCAGAGCCCCTGATCTGCC
987
CCCCAGAGCCCCTGATCTGC
988
CCTGGACCAGCCCACCCCAG
989
CCAGGTTGCCCCTCTCCTTG
990
GCCCCTGATCTGCCTGGACC
991
GTGTCTTGTCCCAGGTTGCC
992
GTTGCCCCTCTCCTTGCAGA
993
TGTCTTGTCCCAGGTTGCCC
994
GCAGCTGGAAGCCCAGCCCA
995
ATCCATGCCCTGGCTCTGGC
996
CCTCTGGGTGTCTTGTCCCA
997
GCCCAGCCCACAGCAGGACA
998
GGCCTTGAGGGTTCCCCACA
999
CCAGCAGTTTCCCCAGAGCC
1000
GAGCCCTGAGCTGCCTGGTG
1001
GTGTTCTCTCTCCCAGTTCC
1002
CCCTGAGCAGTTCTTGGCCC
1003
ACCCTCTGGGTGTCTTGTCC
1004
TACCTGGACCAGCCCACCCC
1005
GGTGTCTTGTCCCAGGTTGC
1006
AGTTTCCCCAGAGCCCCTGA
1007
GGCACCACCCCATCCACAGC
1008
AGCCCAGCCCACAGCAGGAC
1009
TCCTCCAGCTCTCAGCTTCT
1010
AGGAGCCCTGAGCTGCCTGG
1011
GCCTCTCTTCATGGGCCTGG
1012
TGGCTGGGCCACAGGCTAGC
1013
CTGGGTGTCTTGTCCCAGGT
1014
GTTTCCCCAGAGCCCCTGAT
1015
AGGCTGTGTTCTCTCTCCCA
1016
ACCTTCTGGTGCCTTGGGCT
1017
GCTACCTGGACCAGCCCACC
1018
TGCAGCTGGAAGCCCAGCCC
1019
TTCCCCAGAGCCCCTGATCT
1020
GCTATGGCCTACCCACTCCC
1021
AGCCCACTGTGGGTTCTGGT
1022
CCTTCTGGTGCCTTGGGCTT
1023
GCCTCTGGGTCTTTATGCCC
1024
CTCTCTCCCAGTTCCCCTAT
1025
CTCCCAGTCTGCCTGCCATA
1026
TGGACCAGCCCACCCCAGTA
1027
ATGGCCTACCCACTCCCCTG
1028
CCCTGGCCCTACAGACCTGT
1029
TCCCCAGAGCCCCTGATCTG
1030
GCCCACTGTGGGTTCTGGTG
1031
GAGCCCCTGATCTGCCTGGA
1032
CTACCTGGACCAGCCCACCC
1033
GCTAGTTGTGGCTGGGCCAC
1034
ACTGTGGGTTCTGGTGTCCC
1035
CAGCCCCAACCAGGTTCCCA
1036
TCCAGCAGTTTCCCCAGAGC
1037
CCTGAGCAGTTCTTGGCCCT
1038
GGCTATGGCCTACCCACTCC
1039
TATGGCCTACCCACTCCCCT
1040
CTATGGCCTACCCACTCCCC
1041
TCCACAGCTGACCCAGCCTC
1042
GTCCCTGAGCAGTTCTTGGC
1043
AGCTAGTTGTGGCTGGGCCA
1044
CAGCTAGTTGTGGCTGGGCC
1045
TCCCTGAGCAGTTCTTGGCC
1046
CCTCTGGGTCTTTATGCCCC
1047
CAGGAGCCCTGAGCTGCCTG
1048
TTTTCCTGCTCCCAGTCTGC
1049
ACAGCCCCAACCAGGTTCCC
1050
GAGGGCTGGCATCTCTCCTT
1051
CCCTGAGCTGCCTGGTGGAT
1052
CTGCAGCTGGAAGCCCAGCC
1053
GGGTGTCTTGTCCCAGGTTG
1054
TGGGTGTCTTGTCCCAGGTT
1055
AGCCCCTGATCTGCCTGGAC
1056
CCCCATCCACAGCTGACCCA
1057
GGGTCTTTATGCCCCAGTCT
1058
TTTCCCCAGAGCCCCTGATC
1059
GCCAGGCCTAGGTGCTTGAC
1060
CCCACTGTGGGTTCTGGTGT
1061
TCCCAGTCTGCCTGCCATAC
1062
CCCCTGATCTGCCTGGACCA
1063
TCTGGGTGTCTTGTCCCAGG
1064
TCCTGCTCTGTATGGCCTCT
1065
GCCTTGAGGGTTCCCCACAT
1066
GTCAGTTCTCCCTTTCTGCT
1067
GGGCTGGTTTGCCTCAACCC
1068
AGAGCCCCTGATCTGCCTGG
1069
GAGTTCCAGCAGTTTCCCCA
1070
GGTCTGCAGCTGGAAGCCCA
1071
TCTCTCCCAGTTCCCCTATT
1072
AGCCAGGCCTAGGTGCTTGA
1073
GTACCTGGTTAGTGCCAGCC
1074
AGGCCCACTGCAGGACAGGT
1075
GACAGGCCTTGAGGGTTCCC
1076
GATCTGGCTGACTCAGCCCC
1077
GGTTAGTGCCAGCCTTGGGA
1078
GCCTAGGTGCTTGACCTGGT
1079
GTTTTCCTGCTCCCAGTCTG
1080
TGTTTTCCTGCTCCCAGTCT
1081
CTGTTTTCCTGCTCCCAGTC
1082
TCTGTTTTCCTGCTCCCAGT
1083
AGCAGTTCTTGGCCCTTGGG
1084
CACCCTGGCCCTACAGACCT
1085
ACCCACACAGGCCCACTGCA
1086
GAGCTACCTGGACCAGCCCA
1087
ATTGTCCTCCAGCTCTCAGC
1088
GGCCCTACAGACCTGTGTCT
1089
GCCACAGGCTAGCTTGACCC
1090
GGCTGGTTTGCCTCAACCCT
1091
CTCTGGGTGTCTTGTCCCAG
1092
ACAGCTTCTCCAGCCTCTGG
1093
TCCAGAGCCATGTCCCTGGA
1094
ATGCCTCTCTTCATGGGCCT
1095
TCCTTGGCTATGGCCTACCC
1096
GGCCCACTGCAGGACAGGTG
1097
CCAGGCCTAGGTGCTTGACC
1098
CTGGTGCCTTGGGCTTTGGG
1099
ACCTGGTTAGTGCCAGCCTT
1100
TGCCTCTCTTCATGGGCCTG
1101
AAGCTGCTGGGCTGGGCAGG
1102
GCCACTTCTGAGTCCTCTGT
1103
GGACCAGCCCACCCCAGTAA
1104
GCTCTCTTTTCTGCTGTGGC
1105
TCCCCTGGCTGAAGAGTGCC
1106
AGTTGTGGCTGGGCCACAGG
1107
TCCTCTTCTCCTCCCAACCA
1108
AAGCCCAGCCCACAGCAGGA
1109
GAAGCCCAGCCCACAGCAGG
1110
TGCCCCTCTCCTTGCAGATG
1111
AGTTCCAGCAGTTTCCCCAG
1112
GCACAGCCCCAACCAGGTTC
1113
GACCCAGCCTCTGTCTAGGA
1114
GGTACCTGGTTAGTGCCAGC
1115
GGATCTGGCTGACTCAGCCC
1116
CTCCAGCCTCTGGGTCTTTA
1117
GGCCTTGGCTTAGAGGAGGC
1118
AGCTACCTGGACCAGCCCAC
1119
AGAGCTACCTGGACCAGCCC
1120
TCAGCTAGTTGTGGCTGGGC
1121
GGGTTCTGGTGTCCCCAGAA
1122
GGCCTAGGTGCTTGACCTGG
1123
CCCAGCCTCTGTCTAGGATC
1124
CCTTGGCTATGGCCTACCCA
1125
GCTGGTTTGCCTCAACCCTC
1126
CTGCACAGCCCCAACCAGGT
1127
GGCCACAGGCTAGCTTGACC
1128
CTGCAGCCCAGCCAAGCAGA
1129
CAGGCCAGAGGAGAGGTCCT
1130
TTCCTGCTCTGTATGGCCTC
1131
AGGCACCACCCCATCCACAG
1132
TCTGGTGCCTTGGGCTTTGG
1133
CCCCTGGCTGAAGAGTGCCA
1134
ACCCTGGCCCTACAGACCTG
1135
CCACACAGGCCCACTGCAGG
1136
CTTCTGGTGCCTTGGGCTTT
1137
TACCTGGTTAGTGCCAGCCT
1138
CAGAGCCCACTGTGGGTTCT
1139
GAGCAGTTCTTGGCCCTTGG
1140
AGTCAGTTCTCCCTTTCTGC
1141
CACTGTGGGTTCTGGTGTCC
1142
CTGGGTCTTTATGCCCCAGT
1143
GGCCAGAGGAGAGGTCCTGA
1144
TCTCTTTTCTGCTGTGGCCT
1145
CTCTCTTTTCTGCTGTGGCC
1146
AGCCTCTGGGTCTTTATGCC
1147
TGTGTTCTCTCTCCCAGTTC
1148
GGCCACTTCTGAGTCCTCTG
1149
GTCATATCCATGCCCTGGCT
1150
GTTTCCTCTTCTCCTCCCAA
1151
CACAGCCCCAACCAGGTTCC
1152
GGTGCTCTCTTTTCTGCTGT
1153
TGGTTAGTGCCAGCCTTGGG
1154
GCCTAATCCTCCAGGAGCCA
1155
TCCCAGCACTTTCTCTGTGC
1156
CTCTGGGTCTTTATGCCCCA
1157
ACCAAGGCACCACCCCATCC
1158
TGGGTCTTTATGCCCCAGTC
1159
CCTGCTCTGTATGGCCTCTG
1160
TATCCATGCCCTGGCTCTGG
1161
GGAGTCAGTTCTCCCTTTCT
1162
TACCCTCTGGGTGTCTTGTC
1163
GTATGGGTGGCAGTCACCTC
1164
GAAGCTGCTGGGCTGGGCAG
1165
AGAAGCTGCTGGGCTGGGCA
1166
GTTCTCCCTTTCTGCTATCC
1167
AAGGCTGTGTTCTCTCTCCC
1168
GTCCCTGGATATTGTCCTCC
1169
GCCCCAACCAGGTTCCCAAC
1170
GTCAGCTAGTTGTGGCTGGG
1171
TCTTTTCTGCTGTGGCCTGT
1172
GTCTCAGGAGAAGCCAGGCC
1173
GAGCTGCCTGGTGGATTGGT
1174
ACCCCACAGGCCAGAGGAGA
1175
TGCTCTGTATGGCCTCTGGG
1176
GTCACTTCTCCAGACAGGCC
1177
CCTCTTCTCCTCCCAACCAG
1178
GTCCTAGTATGGGTGGCAGT
1179
CAGGCCTAGGTGCTTGACCT
1180
CCAGAGCCATGTCCCTGGAT
1181
CTGAGCAGTTCTTGGCCCTT
1182
CCTGGCCCTACAGACCTGTG
1183
GGCTGCCTAATCCTCCAGGA
1184
AGCCCCAACCAGGTTCCCAA
1185
CTCCCCTGGCTGAAGAGTGC
1186
ACCCAGCCTCTGTCTAGGAT
1187
GGGCCACAGGCTAGCTTGAC
1188
GTGTTGCCTTTGCTGTGGTT
1189
GAAGCCAGGCCTAGGTGCTT
1190
CTGGCCCTACAGACCTGTGT
1191
CTAGTTGTGGCTGGGCCACA
1192
CCCCACAGGCCAGAGGAGAG
1193
CAGGCCCACTGCAGGACAGG
1194
GTGGTACCTGGTTAGTGCCA
1195
AGAAGCCAGGCCTAGGTGCT
1196
GCCAGCCTTGGGAAGGAGGG
1197
AAGTTTCCTCTTCTCCTCCC
1198
TGACCCAGCCTCTGTCTAGG
1199
GTCTTTATGCCCCAGTCTGG
1200
GGTCTTTATGCCCCAGTCTG
1201
TGGCCCTACAGACCTGTGTC
1202
GGGCAGTGCTCTCTTTGGAC
1203
GGTGCCATACAGAGCCCACT
1204
TCCAGACAGGCCTTGAGGGT
1205
AACCTTCTGGTGCCTTGGGC
1206
CCTGAGCTGCCTGGTGGATT
1207
AGGCCAGAGGAGAGGTCCTG
1208
TGGCTATGGCCTACCCACTC
1209
TCTGGTGCCATACAGAGCCC
1210
TGCACAGCCCCAACCAGGTT
1211
TCTGGCTGACTCAGCCCCAA
1212
TCACTCTACCCAGCCACTCT
1213
ACAGGCCAGAGGAGAGGTCC
1214
CTGCTCTGTATGGCCTCTGG
1215
CCAGCCTCTGTCTAGGATCT
1216
GGACCTCAGGAGGGAGTGGG
1217
AGAGCCCACTGTGGGTTCTG
1218
AGGGCAGTGCTCTCTTTGGA
1219
TGCCTAATCCTCCAGGAGCC
1220
ACAGAGCCCACTGTGGGTTC
1221
AGGGCTGGTTTGCCTCAACC
1222
CCACTGCAGGACAGGTGGCA
1223
GAGAAGCCAGGCCTAGGTGC
1224
TACCCACTCCCCTGGCTGAA
1225
TTTTCCAGAGCCATGTCCCT
1226
TTCCAGCAGTTTCCCCAGAG
1227
TCCAGCCTCTGGGTCTTTAT
1228
GACAGGAGTCAGTTCTCCCT
1229
TGGGCCACAGGCTAGCTTGA
1230
ATGGGTGGCAGTCACCTCTG
1231
CATATCCATGCCCTGGCTCT
1232
GGAGGGCTGGTTTGCCTCAA
1233
GCCCTACAGACCTGTGTCTG
1234
GTTGCCTTTGCTGTGGTTGG
1235
ATTCCTGCTCTGTATGGCCT
1236
CCCACAGGCCAGAGGAGAGG
1237
AGACAGGCCTTGAGGGTTCC
1238
CTGGTGCCATACAGAGCCCA
1239
GGGCAGAGGATCATGCCACC
1240
TCTGGGTCTTTATGCCCCAG
1241
TTACCCTCTGGGTGTCTTGT
1242
GTCTAAGGGCAGTGCTCTCT
1243
TCATATCCATGCCCTGGCTC
1244
AGGCCTAGGTGCTTGACCTG
1245
AGTATGGGTGGCAGTCACCT
1246
TCTGAGTCCTCTGTCTCAGG
1247
AGACCTGTGTCTGAGCAGGC
1248
CCTCAGGAGGGAGTGGGACT
1249
TATGGGTGGCAGTCACCTCT
1250
GCAGTCATCAGCCATTCCTT
1251
CACAGGCCCACTGCAGGACA
1252
AGCAGTCATCAGCCATTCCT
1253
AACCCACACAGGCCCACTGC
1254
CTCTTTTCTGCTGTGGCCTG
1255
GCAGAACACCCTGGCCCTAC
1256
AGGAGTCAGTTCTCCCTTTC
1257
TCACTTCTCCAGACAGGCCT
1258
CTTCAGGGACCAGAGGCAGC
1259
TTCTGGTGCCTTGGGCTTTG
1260
GGTTCTGGTGTCCCCAGAAT
1261
TGTGGTACCTGGTTAGTGCC
1262
GACCAAGGCACCACCCCATC
1263
TGGCTGCCTAATCCTCCAGG
1264
TCTGGTGTCCCCAGAATCCA
1265
TGTCAACACCTGGCCCTTGC
1266
GCTGCCTGGTGGATTGGTAC
1267
GAGACCAAGGCACCACCCCA
1268
CAGGTGCTCTCTTTTCTGCT
1269
CTGGCTGACTCAGCCCCAAC
1270
GCAAGGCTGTGTTCTCTCTC
1271
AAGCCAGGCCTAGGTGCTTG
1272
ACTGCACAGCCCCAACCAGG
1273
CCAGACAGGCCTTGAGGGTT
1274
AGCAGAACACCCTGGCCCTA
1275
TTGGCTATGGCCTACCCACT
1276
CTTGGCTATGGCCTACCCAC
1277
GGCAGAGGATCATGCCACCT
1278
ATCCTTGGCTATGGCCTACC
1279
GCCAGAGGAGAGGTCCTGAG
1280
TGTCCCTGAGCAGTTCTTGG
1281
TAGTTGTGGCTGGGCCACAG
1282
TCCTAGTATGGGTGGCAGTC
1283
ACACAGGCCCACTGCAGGAC
1284
AGCTGCCTGGTGGATTGGTA
1285
CTCCAGACAGGCCTTGAGGG
1286
CTTTTCTGCTGTGGCCTGTG
1287
GGGTGGCAGTCACCTCTGAA
1288
TTGCCTTTGCTGTGGTTGGG
1289
ACAGGAGTCAGTTCTCCCTT
1290
GACCTCAGGAGGGAGTGGGA
1291
CCTTGAGGGTTCCCCACATG
1292
GGCCAGGAAGCTTTGTCAGC
1293
GCCTGTGTGAATAGCCTGGC
1294
GCTGGACTCTGATTCCCTCA
1295
GTGCTGGGTTCTGTCAGATC
1296
TCAGTTCTCCCTTTCTGCTA
1297
CAGCCTCTGGGTCTTTATGC
1298
CTCTTCTCCTCCCAACCAGA
1299
AGGATCTGGCTGACTCAGCC
1300
AGGAGAAGCCAGGCCTAGGT
1301
GTGCCAGCCTTGGGAAGGAG
1302
AGTGCCAGCCTTGGGAAGGA
1303
ACAGGCCCACTGCAGGACAG
1304
CTCTGGTGCCATACAGAGCC
1305
TCAGGGACCAGAGGCAGCAC
1306
CAGGAGTCAGTTCTCCCTTT
1307
TCCCTGGATATTGTCCTCCA
1308
ACTCTACCCAGCCACTCTGA
1309
TGAGCAGTTCTTGGCCCTTG
1310
TTCTGGTGTCCCCAGAATCC
1311
GGGCTGGATGCTGGACTCTG
1312
GCAACTGGAGGTCTGCAGCT
1313
CTGCCTAATCCTCCAGGAGC
1314
GCTGCCTAATCCTCCAGGAG
1315
CTGCCTGGTGGATTGGTACC
1316
TTTCCTCTTCTCCTCCCAAC
1317
TTCAGGGACCAGAGGCAGCA
1318
TCTTTATGCCCCAGTCTGGA
1319
CACTCTACCCAGCCACTCTG
1320
GTTCTGGTGTCCCCAGAATC
1321
GTGTCAACACCTGGCCCTTG
1322
TGGTGCCATACAGAGCCCAC
1323
CAAGGCTGTGTTCTCTCTCC
1324
GTGTCTGAGCAGGCTTTGGA
1325
CCTAGTATGGGTGGCAGTCA
1326
GGCTAGATCAGCAATGCCCC
1327
CACTCCCCTGGCTGAAGAGT
1328
GGAGAAGCCAGGCCTAGGTG
1329
CCTAGGTGCTTGACCTGGTG
1330
GCCAGGAAGCTTTGTCAGCT
1331
GTGCTCTCTTTTCTGCTGTG
1332
CCTGATCTGCCTGGACCAGA
1333
ACTGTGGGTTCTCCTGGTAT
1334
CTCCTTCCAGCCCAAACTGC
1335
CCCCAACCAGGTTCCCAACA
1336
CCTGTGTGAATAGCCTGGCC
1337
ACCTCAGGAGGGAGTGGGAC
1338
GAGTCAGTTCTCCCTTTCTG
1339
AGACCAAGGCACCACCCCAT
1340
TCTCCAGACAGGCCTTGAGG
1341
ATTTTCCAGAGCCATGTCCC
1342
CCAGCCTCTGGGTCTTTATG
1343
CACTTCTCCAGACAGGCCTT
1344
GTCTGAGCAGGCTTTGGAGG
1345
CCAGCCCAAACTGCACAGCC
1346
GTGGCCTGTGTGAATAGCCT
1347
GGTCTCTCACAGGATGCTGG
1348
TGTCAGCTAGTTGTGGCTGG
1349
TGCCAGCCTTGGGAAGGAGG
1350
GGTGCTTGACCTGGTGATCT
1351
CCTGGTGATCTGAGCTGTGT
1352
TGGCAAGGCTGTGTTCTCTC
1353
AGGTGCTCTCTTTTCTGCTG
1354
GACCAGCCCACCCCAGTAAA
1355
GAGGGCTGGTTTGCCTCAAC
1356
GTGTAGCAGTCATCAGCCAT
1357
GCCATACAGAGCCCACTGTG
1358
TGCCATACAGAGCCCACTGT
1359
GTGCCATACAGAGCCCACTG
1360
GGAATCCTTACCCTCTGGGT
1361
GATGGCTGCCTAATCCTCCA
1362
TACAGAGCCCACTGTGGGTT
1363
ACAGGTGCTCTCTTTTCTGC
1364
TTTCCCAGCACTTTCTCTGT
1365
CCAGCCTTGGGAAGGAGGGA
1366
GTTAGTGCCAGCCTTGGGAA
1367
CACAGGCCAGAGGAGAGGTC
1368
CTGGTGTCCCCAGAATCCAT
1369
GGAGGCTTGTGACTTCAGCT
1370
GGCTTGGTGATCTCTGGAGG
1371
GGGCTTGGTGATCTCTGGAG
1372
CAGCCCACCCCAGTAAATCC
1373
CCAGCCCACCCCAGTAAATC
1374
TGCTGGACTCTGATTCCCTC
1375
CCTGTGTCACTTCTCCAGAC
1376
ATCCTCCAGGAGCCATTTTC
1377
AAGCAGAACACCCTGGCCCT
1378
AACCCCACAGGCCAGAGGAG
1379
TGGTACCTGGTTAGTGCCAG
1380
TATTGTCCTCCAGCTCTCAG
1381
ATACAGAGCCCACTGTGGGT
1382
AACAGCTTCTCCAGCCTCTG
1383
TGCAGGACAGGTGGCAGAGG
1384
TGCTCTCTTTTCTGCTGTGG
1385
TGTCTAAGGGCAGTGCTCTC
1386
AAGGCCACTTCTGAGTCCTC
1387
TGAGCTGCCTGGTGGATTGG
1388
GGCTGGATGCTGGACTCTGA
1389
GGAGAGGTCCTGAGAGAGGT
1390
CTGGTCTCTCACAGGATGCT
1391
GCCAAGCAGAACACCCTGGC
1392
GATATTGTCCTCCAGCTCTC
1393
TATTCCTGCTCTGTATGGCC
1394
TGTCCCTGGATATTGTCCTC
1395
CTCAGGAGAAGCCAGGCCTA
1396
CCTAATCCTCCAGGAGCCAT
1397
ACCAGAAGGCCACACAGGGC
1398
CAGACAGGCCTTGAGGGTTC
1399
GGCCTGTGTGAATAGCCTGG
1400
GCAGATGGCTGCCTAATCCT
1401
AATCCTTACCCTCTGGGTGT
1402
ACTCCCCTGGCTGAAGAGTG
1403
TTGTCCTAGTATGGGTGGCA
1404
ACTGGCCTTGGCTTAGAGGA
1405
TGTCTCAGGAGAAGCCAGGC
1406
GGTTCAGGAGAGCTACCTGG
1407
TGCTTGGCAAGGCTGTGTTC
1408
ATATTGTCCTCCAGCTCTCA
1409
TGTCCTAGTATGGGTGGCAG
1410
GGGAGGATCTGGCTGACTCA
1411
AGATGGCTGCCTAATCCTCC
1412
CAGTTCTCCCTTTCTGCTAT
1413
GGCTTGTGACTTCAGCTGTT
1414
TCTGGTCTCTCACAGGATGC
1415
TGTCACTTCTCCAGACAGGC
1416
GCTAGATCAGCAATGCCCCA
1417
CTGTGGGTTCTCCTGGTATA
1418
TAGTATGGGTGGCAGTCACC
1419
GGTGGCAGTCACCTCTGAAC
1420
TGTTGCCTTTGCTGTGGTTG
1421
GCAGAGGATCATGCCACCTT
1422
GGAGGTTCAGGAGAGCTACC
1423
AGGCTTGTGACTTCAGCTGT
1424
TAGTGCCAGCCTTGGGAAGG
1425
GATTGGGTAATGCAGGGCCC
1426
CACTGGCCTTGGCTTAGAGG
1427
CCCTACAGACCTGTGTCTGA
1428
AGCAACTGGAGGTCTGCAGC
1429
GATCCTTGGCTATGGCCTAC
1430
TAGCAGTCATCAGCCATTCC
1431
CAGAGCCATGTCCCTGGATA
1432
ATGGCTGCCTAATCCTCCAG
1433
TGTGCTGGGTTCTGTCAGAT
1434
ATGTGCTGGGTTCTGTCAGA
1435
CTGGCCTTGGCTTAGAGGAG
1436
TGTGTCTGAGCAGGCTTTGG
1437
GTGAATAGCCTGGCCATGCT
1438
ACTTCTCCAGACAGGCCTTG
1439
CTTGAGGGTTCCCCACATGA
1440
ATCCTCCTCAAGCTGACTGC
1441
CAAGCAGAACACCCTGGCCC
1442
CCAAGCAGAACACCCTGGCC
1443
ACCAGCCCACCCCAGTAAAT
1444
AGAAGGCCACACAGGGCAGT
1445
GTCTCTCACAGGATGCTGGA
1446
TAACCCCACAGGCCAGAGGA
1447
GTAGCAGTCATCAGCCATTC
1448
GAGAGACCAAGGCACCACCC
1449
GACCTGGTGATCTGAGCTGT
1450
CAGGAGAAGCCAGGCCTAGG
1451
TTGGCAAGGCTGTGTTCTCT
1452
ATCTGAGCTGTGTTTGTCCT
1453
GAGGATCTGGCTGACTCAGC
1454
CACTTCAGGGACCAGAGGCA
1455
GTGTCCCCAGAATCCATGTG
1456
TCTAAGGGCAGTGCTCTCTT
1457
ATGGCAGCTTCATTCCTGGA
1458
CTTTCTCTGTGCCCAGAGAT
1459
GGGAGACTGGTTTCAGGAGC
1460
TTTGTCCTAGTATGGGTGGC
1461
TGCTGGGTTCTGTCAGATCA
1462
CCCTTTCTGCTATCCATCAC
1463
GCTTGGTGATCTCTGGAGGA
1464
TCAGGAGAGCTACCTGGACC
1465
CTGCTGTGGCCTGTGTGAAT
1466
TCACAGGTGCTCTCTTTTCT
1467
CAGACCTGTGTCTGAGCAGG
1468
TCCAGCCCAAACTGCACAGC
1469
GAGGTTCAGGAGAGCTACCT
1470
AGGTGCTTGACCTGGTGATC
1471
CCATACAGAGCCCACTGTGG
1472
GTGTTTGTCCTAGTATGGGT
1473
AAGGGCAGTGCTCTCTTTGG
1474
CATTGCTGCTTGGCAAGGCT
1475
TTTGTCAGCTAGTTGTGGCT
1476
CTTTGTCAGCTAGTTGTGGC
1477
GCTTTGTCAGCTAGTTGTGG
1478
GCCTCTGTCTAGGATCTAGA
1479
TGGATATTGTCCTCCAGCTC
1480
CCCTGGCTGAAGAGTGCCAA
1481
TGGGCAGAGGATCATGCCAC
1482
GTGTCACTTCTCCAGACAGG
1483
TCAACTCACTCTACCCAGCC
1484
AGGAGCCATTTTCCAAGGGC
1485
GCTTGTGACTTCAGCTGTTC
1486
TTGTCTAAGGGCAGTGCTCT
1487
CTTGTCTAAGGGCAGTGCTC
1488
TCTTGTCTAAGGGCAGTGCT
1489
CTCTTGTCTAAGGGCAGTGC
1490
CTAGGTGCTTGACCTGGTGA
1491
TGAGCTGTGTTTGTCCTAGT
1492
ATGCTGGACTCTGATTCCCT
1493
AGGAGGCTTGTGACTTCAGC
1494
GGCTTAGAGGAGGCTTGTGA
1495
ACACTTCAGGGACCAGAGGC
1496
TGTGGCCTGTGTGAATAGCC
1497
TCTGAGCAGGCTTTGGAGGA
1498
TTCTCCAGACAGGCCTTGAG
1499
CAGCCTCTGTCTAGGATCTA
1500
GCCCACAATGGGCAGAGGAT
1501
GTTCAGGAGAGCTACCTGGA
1502
GAGCCATGTCCCTGGATATT
1503
GATCTGAGCTGTGTTTGTCC
1504
CCAGCCAAGCAGAACACCCT
1505
CAGGAGAGCTACCTGGACCA
1506
CTGTGTGAATAGCCTGGCCA
1507
GGATTTGCAGTCAGCAGAGC
1508
CACACTGGCCTTGGCTTAGA
1509
GTTGGGATTTGCAGTCAGCA
1510
AGAGCCATGTCCCTGGATAT
1511
AACTGTGGGTTCTCCTGGTA
1512
TGCCCACAATGGGCAGAGGA
1513
ACTCTGGTGCCATACAGAGC
1514
GCTGACTGCTATCAGCAGGA
1515
CTCAGGAGGGAGTGGGACTG
1516
GTGTGGCTGGACTTTTGACC
1517
TCAGGAGAAGCCAGGCCTAG
1518
ACTTCAGGGACCAGAGGCAG
1519
TTGTCAGCTAGTTGTGGCTG
1520
CCCCAGAATCCATGTGTCTT
1521
CCCAACCAGGTTCCCAACAC
1522
TGGGTCAGCTTTTTGTTGCA
1523
ATGTCCCTGGATATTGTCCT
1524
ATGTGGTACCTGGTTAGTGC
1525
GTGGCAGTCACCTCTGAACA
1526
GAGCTGTGTTTGTCCTAGTA
1527
TCTTTTTCCATCTGTCCTGG
1528
TCATCCTCCTCAAGCTGACT
1529
GTTTGTCCTAGTATGGGTGG
1530
ACTGGTTTCAGGAGCTGTTC
1531
GATGCTGGACTCTGATTCCC
1532
CTTGTGACTTCAGCTGTTCC
1533
CATACAGAGCCCACTGTGGG
1534
GAATCCTTACCCTCTGGGTG
1535
CTTCTGTTGGGTTGTTGCAC
1536
ACTTCTGTTGGGTTGTTGCA
1537
CTAGTATGGGTGGCAGTCAC
1538
GGTGGAGGAAGGATCAGGCT
1539
TGCAGATGGCTGCCTAATCC
1540
CCCAAACTGCACAGCCCCAA
1541
TGTCTGAGCAGGCTTTGGAG
1542
GTGCTTGACCTGGTGATCTG
1543
TGGTCTCTCACAGGATGCTG
1544
GAGGATCATGCCACCTTGGA
1545
CTAAGGGCAGTGCTCTCTTT
1546
TCAGGAGGGAGTGGGACTGA
1547
ACACACTGGCCTTGGCTTAG
1548
ACCTGGTGATCTGAGCTGTG
1549
AGGAGAGCTACCTGGACCAG
1550
AGCCTCTGTCTAGGATCTAG
1551
TCATCCCCTGGAGATACTCA
1552
ACACTGGCCTTGGCTTAGAG
1553
TTGGCTTAGAGGAGGCTTGT
1554
CTGTGTCACTTCTCCAGACA
1555
GAATAGCCTGGCCATGCTGA
1556
CTGGACTCTGATTCCCTCAG
1557
ACATTGCTGCTTGGCAAGGC
1558
GGGTTCTCCTGGTATATCTA
1559
TTGCCCACAATGGGCAGAGG
1560
GGCTAACATTGCTGCTTGGC
1561
TGTGAATAGCCTGGCCATGC
1562
GAGGCTTGTGACTTCAGCTG
1563
GTGGCTGGACTTTTGACCTT
1564
TTAGTGCCAGCCTTGGGAAG
1565
AACTGCACAGCCCCAACCAG
1566
GAGGTCCTGAGAGAGGTGAC
1567
AGGTTCAGGAGAGCTACCTG
1568
TCTTCTCCTCCCAACCAGAA
1569
GCTGGATGCTGGACTCTGAT
1570
GGAGGATCTGGCTGACTCAG
1571
GGACTCTGATTCCCTCAGAG
1572
TGTAGCAGTCATCAGCCATT
1573
GCCCACAGCAGGACAAGCAA
1574
TTTGCAGTCAGCAGAGCACA
1575
GAGATACTTCCCACTTCCTC
1576
GACAGAGACTCTGGTGCCAT
1577
CAGATGGCTGCCTAATCCTC
1578
AGCTGACTGCTATCAGCAGG
1579
ACTTCCCACTTCCTCATACA
1580
TGGCCTGTGTGAATAGCCTG
1581
CTTTATGCCCCAGTCTGGAA
1582
CAGTCATCAGCCATTCCTTA
1583
AGGTCCTGAGAGAGGTGACA
1584
TGACAGAGACTCTGGTGCCA
1585
CATAACCCACACAGGCCCAC
1586
TGGAATCCTTACCCTCTGGG
1587
AGATACTTCCCACTTCCTCA
1588
AAAGTTTCCTCTTCTCCTCC
1589
TTGTGACTTCAGCTGTTCCA
1590
CTGGTGATCTGAGCTGTGTT
1591
TCCCCTGGAGATACTCAGAC
1592
GGCAGAGGAGCTATTTGGGA
1593
AGAGGTCCTGAGAGAGGTGA
1594
GAGAGGTCCTGAGAGAGGTG
1595
CCCCAGTAAATCCTGTGTCA
1596
CACAGGTGCTCTCTTTTCTG
1597
TGGCTTAGAGGAGGCTTGTG
1598
GAACACACTGGCCTTGGCTT
1599
TTCTGTTGGGTTGTTGCACA
1600
TGGACTCTGATTCCCTCAGA
1601
GGATGCTGGACTCTGATTCC
1602
GATTTGCAGTCAGCAGAGCA
1603
CTGTGGCCTGTGTGAATAGC
1604
ACAGACCTGTGTCTGAGCAG
1605
AATAGCCTGGCCATGCTGAC
1606
GATACTTCCCACTTCCTCAT
1607
CTAATCCTCCAGGAGCCATT
1608
CTACAGACCTGTGTCTGAGC
1609
GAGGAGGTTCAGGAGAGCTA
1610
TTGGGACAGGAGTCAGTTCT
1611
CATCTTTTTCCATCTGTCCT
1612
GGGCAGTGGACAACAGTGGA
1613
AGGAGAGGTCCTGAGAGAGG
1614
AGAGGATCATGCCACCTTGG
1615
TTTATGTGCTGGGTTCTGTC
1616
GGCAGTCACCTCTGAACACA
1617
CCAGGAGCCATTTTCCAAGG
1618
CCCACTTCCTCATACATTCT
1619
CTTCCCACTTCCTCATACAT
1620
AAACCTTCTGGTGCCTTGGG
1621
CCCCTGGAGATACTCAGACA
1622
TAGGTGCTTGACCTGGTGAT
1623
GCCCCAGTCTGGAAACATTC
1624
AGCTGTGTTTGTCCTAGTAT
1625
CCATGCTCATAATGGAGCCC
1626
CCCATGCTCATAATGGAGCC
1627
TCTGTTGGGTTGTTGCACAT
1628
TATTTTCCAGAGCCATGTCC
1629
AAACTGTGGGTTCTCCTGGT
1630
GTGTGAATAGCCTGGCCATG
1631
TGTGTGAATAGCCTGGCCAT
1632
GGATCATGCCACCTTGGATT
1633
ACCCCAGTAAATCCTGTGTC
1634
TGAACACACTGGCCTTGGCT
1635
ATCCCCTGGAGATACTCAGA
1636
ATCATCCCCTGGAGATACTC
1637
GCTTAGAGGAGGCTTGTGAC
1638
TGCTGTGGCCTGTGTGAATA
1639
CACCTCTGAACACACTGGCC
1640
CTGGGTTCTGTCAGATCACA
1641
AGGATCATGCCACCTTGGAT
1642
GGGTTCCCCACATGAAATCC
1643
AAGAGTGTTGCCTTTGCTGT
1644
TCTGTCTCAGGAGAAGCCAG
1645
AGCCAAGCAGAACACCCTGG
1646
CATCCTCCTCAAGCTGACTG
1647
CATCCCCTGGAGATACTCAG
1648
TCCCACTTCCTCATACATTC
1649
GTGGCAGAGGAGCTATTTGG
1650
CCAAGCAACTGGAGGTCTGC
1651
CCCAGAATCCATGTGTCTTC
1652
AGCTTTGTCAGCTAGTTGTG
1653
GCTCATAATGGAGCCCTTTC
1654
CCACACAGGGCAGTGGACAA
1655
CCTACAGACCTGTGTCTGAG
1656
AATCCTCCAGGAGCCATTTT
1657
ATTCCTGGAATCCTTACCCT
1658
GCTGTGTTTGTCCTAGTATG
1659
TTGACCTGGTGATCTGAGCT
1660
CTTGACCTGGTGATCTGAGC
1661
GCTTGACCTGGTGATCTGAG
1662
GTGATCTGAGCTGTGTTTGT
1663
TGAATAGCCTGGCCATGCTG
1664
ACTTATAACCCCACAGGCCA
1665
CACTTATAACCCCACAGGCC
1666
CTTGGCTTAGAGGAGGCTTG
1667
AGAGAGACCAAGGCACCACC
1668
ATATTCCTGCTCTGTATGGC
1669
CACCCCAGTAAATCCTGTGT
1670
ATTTGCAGTCAGCAGAGCAC
1671
GGAAGGCCAGGAAGCTTTGT
1672
AGCTTCATTCCTGGAATCCT
1673
GCTAACATTGCTGCTTGGCA
1674
CAGGAGGGAGTGGGACTGAT
1675
AAAGGCCACTTCTGAGTCCT
1676
CCCACAATGGGCAGAGGATC
1677
AGGAGGTTCAGGAGAGCTAC
1678
ATGACAGAGACTCTGGTGCC
1679
TACAGACCTGTGTCTGAGCA
1680
GCAGGCTTTGGAGGAAAGGC
1681
GTGACACTTCAGGGACCAGA
1682
GGGATATTCCTGCTCTGTAT
1683
GGGTCAGCTTTTTGTTGCAA
1684
TGATTGGGTAATGCAGGGCC
1685
CTTATAACCCCACAGGCCAG
1686
AGGGAAGGCCAGGAAGCTTT
1687
TGTGTCACTTCTCCAGACAG
1688
TGCTTGACCTGGTGATCTGA
1689
TCTTTTATGTGCTGGGTTCT
1690
GTGTCTTCATTCATTCACCT
1691
TCCAGGAGCCATTTTCCAAG
1692
GGCTTTGGAGGAAAGGCCAC
1693
GCAGAGGTCAACCAGAAGGC
1694
TGACCTGGTGATCTGAGCTG
1695
AGGGCAGTGGACAACAGTGG
1696
TTCAGGAGAGCTACCTGGAC
1697
CAGGAGCCATTTTCCAAGGG
1698
TGAGATACTTCCCACTTCCT
1699
CTGAGATACTTCCCACTTCC
1700
GGTCAACCAGAAGGCCACAC
1701
GAGTGTGGCTGGACTTTTGA
1702
TGGCAGAGGAGCTATTTGGG
1703
TACTTCCCACTTCCTCATAC
1704
AGAGCCAGAAATCATCCCCT
1705
TAAGGGCAGTGCTCTCTTTG
1706
TTCAACTCACTCTACCCAGC
1707
GAGGTCAACCAGAAGGCCAC
1708
GAGGAGGCTTGTGACTTCAG
1709
AGAGGAGGCTTGTGACTTCA
1710
GACCTTTAATGTCCCTGAGC
1711
TCTGCCTGGACCAGAAGACA
1712
GAAAGGCCACTTCTGAGTCC
1713
AGGCTTTGGAGGAAAGGCCA
1714
CAGGCTTTGGAGGAAAGGCC
1715
GGGAAGGCCAGGAAGCTTTG
1716
AATGGCAGCTTCATTCCTGG
1717
TGGCAGTCACCTCTGAACAC
1718
GGTGATCTGAGCTGTGTTTG
1719
TGGTGATCTGAGCTGTGTTT
1720
GAGGAGAGGTCCTGAGAGAG
1721
TTGAGGGTTCCCCACATGAA
1722
GACTCTGGTGCCATACAGAG
1723
AGACTCTGGTGCCATACAGA
1724
GAGACTCTGGTGCCATACAG
1725
AGAGACTCTGGTGCCATACA
1726
CAGAGACTCTGGTGCCATAC
1727
ACAGAGACTCTGGTGCCATA
1728
TTCCAGCCCAAACTGCACAG
1729
CAGAGGATCATGCCACCTTG
1730
TTATAACCCCACAGGCCAGA
1731
TAATCCTCCAGGAGCCATTT
1732
AGGTCAACCAGAAGGCCACA
1733
CCTGGCTGAAGAGTGCCAAT
1734
CTGTTGGGTTGTTGCACATT
1735
ACCTTTAATGTCCCTGAGCA
1736
GGAGGAAGAGTGTTGCCTTT
1737
AGGAGGGAGTGGGACTGATT
1738
CTGATCTGCCTGGACCAGAA
1739
TTGGGATTTGCAGTCAGCAG
1740
AAACTGCACAGCCCCAACCA
1741
CAAACTGCACAGCCCCAACC
1742
GAGCCAGAAATCATCCCCTG
1743
AACACACTGGCCTTGGCTTA
1744
GCTATTTGGGACAGGAGTCA
1745
AGAGGTCAACCAGAAGGCCA
1746
CAGAGGTCAACCAGAAGGCC
1747
TTCCCACTTCCTCATACATT
1748
GGTTCCCCACATGAAATCCA
1749
AAACTCTCTCTCTGGTCTCT
1750
GAAGGCCAGGAAGCTTTGTC
1751
TGTTTGTCCTAGTATGGGTG
1752
TGTGTTTGTCCTAGTATGGG
1753
TCTCTGAGATACTTCCCACT
1754
CAGCCAAGCAGAACACCCTG
1755
GGTTCTGTCAGATCACATGT
1756
ATTGCCCACAATGGGCAGAG
1757
TTTGGGACAGGAGTCAGTTC
1758
TGCCCCAGTCTGGAAACATT
1759
GCAGAGGAGCTATTTGGGAC
1760
GATCTGCCTGGACCAGAAGA
1761
CCTTTAATGTCCCTGAGCAG
1762
ATACTTCCCACTTCCTCATA
1763
CATGCTCATAATGGAGCCCT
1764
ACAGGGCAGTGGACAACAGT
1765
AAGGCCAGGAAGCTTTGTCA
1766
AGTGGACAACAGTGGAGGGT
1767
GTGCCCAGAGATGTCAAGAG
1768
GGGAGTGGGACTGATTGGAG
1769
AGGGAGTGGGACTGATTGGA
1770
GAGGGAGTGGGACTGATTGG
1771
GGAGGGAGTGGGACTGATTG
1772
AGGGAGACTGGTTTCAGGAG
1773
AGTGTGGCTGGACTTTTGAC
1774
TGGAGGAAGAGTGTTGCCTT
1775
ACTCTTGTCTAAGGGCAGTG
1776
AATGGGCAGAGGATCATGCC
1777
GCAGTCACCTCTGAACACAC
1778
GGTTCTCCTGGTATATCTAT
1779
GCAGTCAGCAGAGCACAATT
1780
GAGAGGTGACACTTCAGGGA
1781
CATGCCACCTTGGATTTTCA
1782
GTGGAGGAAGGATCAGGCTA
1783
GCTAGGTGGAGGAAGGATCA
1784
ACAACAGAAGCTGCTGGGCT
1785
CTGAGCAGGCTTTGGAGGAA
1786
TCCTCCCAACCAGAAATGGC
1787
TGCTCATAATGGAGCCCTTT
1788
CCATCTGTCCTGGAATGAGG
1789
CTTTAATGTCCCTGAGCAGT
1790
GCTATCAGCAGGAGAAGGGA
1791
TGGCTGGACTTTTGACCTTT
1792
TCTTCAACTCACTCTACCCA
1793
TCTCTGAATACTGCCCTTGG
1794
GCAACTCTTGTCTAAGGGCA
1795
ATCCAAACTCTCTCTCTGGT
1796
TGTGCCCAGAGATGTCAAGA
1797
TCACCTCTGAACACACTGGC
1798
AGCCATTTCCATCAAGCTTT
1799
GCAGTGGACAACAGTGGAGG
1800
GGCAGTGGACAACAGTGGAG
1801
CTCAACTTCTGTTGGGTTGT
1802
GATCATGCCACCTTGGATTT
1803
CTGTGTTTGTCCTAGTATGG
1804
GAGTTGGGATTTGCAGTCAG
1805
AGAGTTGGGATTTGCAGTCA
1806
TCTGATTCCCTCAGAGAGAC
1807
GGGTTCTGTCAGATCACATG
1808
TGGGTTCTGTCAGATCACAT
1809
GGAAAGGCCACTTCTGAGTC
1810
ATCTGCCTGGACCAGAAGAC
1811
TGATCTGAGCTGTGTTTGTC
1812
CTGACTGCTATCAGCAGGAG
1813
CAAACTCTCTCTCTGGTCTC
1814
CCTCCCAACCAGAAATGGCA
1815
CAGGGCAGTGGACAACAGTG
1816
AGCTATTTGGGACAGGAGTC
1817
TCACTTATAACCCCACAGGC
1818
ATGCTCATAATGGAGCCCTT
1819
CTGATTGGGTAATGCAGGGC
1820
TATGCCCCAGTCTGGAAACA
1821
AACTTCTGTTGGGTTGTTGC
1822
TGCAGTCAGCAGAGCACAAT
1823
GTTGGGTTGTTGCACATTTT
1824
GGCAGAGGTCAACCAGAAGG
1825
GGGCAGAGGTCAACCAGAAG
1826
GGCTGGACTTTTGACCTTTA
1827
CCCAGTAAATCCTGTGTCAC
1828
TGAGTGTGGCTGGACTTTTG
1829
AGACAGAGGGCAAGAGGAGC
1830
CTTAGAGGAGGCTTGTGACT
1831
TTCTTTTATGTGCTGGGTTC
1832
GTCATCAGCCATTCCTTAAC
1833
CACCAAGCAACTGGAGGTCT
1834
GAGCTATTTGGGACAGGAGT
1835
GTGGACAACAGTGGAGGGTA
1836
CATAATGGAGCCCTTTCTCT
1837
CTCATAATGGAGCCCTTTCT
1838
GACAACAGAAGCTGCTGGGC
1839
CCCACAGCAGGACAAGCAAC
1840
CTGATTCCCTCAGAGAGACA
1841
CTTTCTGCTATCCATCACTT
1842
CAACAGAAGCTGCTGGGCTG
1843
AAGCTTTGTCAGCTAGTTGT
1844
CAAGCAACTGGAGGTCTGCA
1845
TCAGGCTAACATTGCTGCTT
1846
AACCTCTCTGAATACTGCCC
1847
CCAGAATCCATGTGTCTTCA
1848
GATTCCCTCAGAGAGACAGA
1849
AGTCATCAGCCATTCCTTAA
1850
ACCCATGCTCATAATGGAGC
1851
CCCTGGAGATACTCAGACAC
1852
AGCTAGGTGGAGGAAGGATC
1853
TTCCATCTGTCCTGGAATGA
1854
TGGGTTGTTGCACATTTTGT
1855
TGTTGGGTTGTTGCACATTT
1856
TGATCTGCCTGGACCAGAAG
1857
TGACTGCTATCAGCAGGAGA
1858
CCACAATGGGCAGAGGATCA
1859
TCATAATGGAGCCCTTTCTC
1860
CTAGATCAGCAATGCCCCAA
1861
CCCAACCAGAAATGGCAGCT
1862
GGAGTGGGACTGATTGGAGA
1863
TCCATCTGTCCTGGAATGAG
1864
AGAGAGGTGACACTTCAGGG
1865
AGCAACTCTTGTCTAAGGGC
1866
AGGCTAACATTGCTGCTTGG
1867
TGTGTCTTCATTCATTCACC
1868
GTCACCTCTGAACACACTGG
1869
TTCTCTGAGATACTTCCCAC
1870
ATCATGCCACCTTGGATTTT
1871
CTGGATGCTGGACTCTGATT
1872
GAGCTAGGTGGAGGAAGGAT
1873
TCATTCCTGGAATCCTTACC
1874
TTATGCCCCAGTCTGGAAAC
1875
ATCAGGCTAACATTGCTGCT
1876
GTAAACTGTGGGTTCTCCTG
1877
TGTAAACTGTGGGTTCTCCT
1878
ATTTGGGACAGGAGTCAGTT
1879
GGAGCTATTTGGGACAGGAG
1880
AGGAGCTATTTGGGACAGGA
1881
GAGGAGCTATTTGGGACAGG
1882
ATCTTCAACTCACTCTACCC
1883
AAGGGAAGGCCAGGAAGCTT
1884
CTATGGCAGCAGAACTGTGT
1885
GGCATCTTCAACTCACTCTA
1886
CTTCAACTCACTCTACCCAG
1887
CAAGCTGACTGCTATCAGCA
1888
CTGGCTGAAGAGTGCCAATC
1889
AGGGTTCCCCACATGAAATC
1890
ACACAGGGCAGTGGACAACA
1891
CACACAGGGCAGTGGACAAC
1892
TTTATGCCCCAGTCTGGAAA
1893
TCCCAACCAGAAATGGCAGC
1894
ATAATGGAGCCCTTTCTCTT
1895
TTATTTTCCAGAGCCATGTC
1896
GGGTTGTTGCACATTTTGTA
1897
TTTTCCATCTGTCCTGGAAT
1898
GGATATTCCTGCTCTGTATG
1899
TGCTATCAGCAGGAGAAGGG
1900
GAGGGTTCCCCACATGAAAT
1901
AGGAAAGGCCACTTCTGAGT
1902
GGCTGTTCTGATTGGGTAAT
1903
TGGATGCTGGACTCTGATTC
1904
GATTCTCTGAGATACTTCCC
1905
TGAGGGTTCCCCACATGAAA
1906
CTGTCCTGGAATGAGGATCT
1907
TGCCCAGAGATGTCAAGAGA
1908
CACAGGGCAGTGGACAACAG
1909
ATTCTCTGAGATACTTCCCA
1910
GAATGTGGTACCTGGTTAGT
1911
AATCATCCCCTGGAGATACT
1912
GATCAGGCTAACATTGCTGC
1913
ACCAAGCAACTGGAGGTCTG
1914
AATTGCCCACAATGGGCAGA
1915
CAGTGGACAACAGTGGAGGG
1916
TAAACTGTGGGTTCTCCTGG
1917
ATGAGATGCCTCTCTTCATG
1918
TCAACTTCTGTTGGGTTGTT
1919
TTTCCATCTGTCCTGGAATG
1920
ATCTCAACTTCTGTTGGGTT
1921
ACACCAAGCAACTGGAGGTC
1922
TAATGGAGCCCTTTCTCTTA
1923
TCTCAACTTCTGTTGGGTTG
1924
GGCTGAAGAGTGCCAATCAT
1925
GCTGACTTTTTCCTGTATGA
1926
GCTGGAAAAGGCTGATCCTC
1927
TTGGAGGAAAGGCCACTTCT
1928
TCCATCACTTATAACCCCAC
1929
TCTGTCCTGGAATGAGGATC
1930
AACTCTTGTCTAAGGGCAGT
1931
GAATGAGTGTGGCTGGACTT
1932
GAGGAAGAGTGTTGCCTTTG
1933
ATCCATGTGTCTTCATTCAT
1934
CAGTCACCTCTGAACACACT
1935
CCACTTCCTCATACATTCTA
1936
CTGCTATCAGCAGGAGAAGG
1937
GATCTCTGGAGGAAGAGTGT
1938
GTGATCTCTGGAGGAAGAGT
1939
TATTTGGGACAGGAGTCAGT
1940
GTCCTGGAATGAGGATCTGA
1941
CCAGTAAATCCTGTGTCACT
1942
GCAGGACAAGCAACTCTTGT
1943
AAGCTGACTGCTATCAGCAG
1944
TGATTCCCTCAGAGAGACAG
1945
CCATCACTTATAACCCCACA
1946
CAATGGGCAGAGGATCATGC
1947
CATCTGTCCTGGAATGAGGA
1948
GAGAGAGGTGACACTTCAGG
1949
CTTGGTGATCTCTGGAGGAA
1950
CAGGCTAACATTGCTGCTTG
1951
GAAATGGCAGCTTCATTCCT
1952
TGGAGGAAAGGCCACTTCTG
1953
GGAAAAGGCTGATCCTCACC
1954
AGCAGGCTTTGGAGGAAAGG
1955
TGAATGAGTGTGGCTGGACT
1956
TCATCAGCCATTCCTTAACA
1957
ATCCATCACTTATAACCCCA
1958
AAAGAACAGCTTCTCCAGCC
1959
CAGAGGAGCTATTTGGGACA
1960
CCTCTGTCTAGGATCTAGAA
1961
CAATGAGATGCCTCTCTTCA
1962
GAAGCTTTGTCAGCTAGTTG
1963
GGTGATCTCTGGAGGAAGAG
1964
TTGTAAACTGTGGGTTCTCC
1965
AAGAGCCAGAAATCATCCCC
1966
TGTCTTCATTCATTCACCTA
1967
ATGGCAGCAGAACTGTGTTA
1968
TATGGCAGCAGAACTGTGTT
1969
AAAAGGCTGATCCTCACCTC
1970
GTTCTGTCAGATCACATGTA
1971
AATGAGTGTGGCTGGACTTT
1972
AGGATCAGGCTAACATTGCT
1973
TCTGATTGGGTAATGCAGGG
1974
CAGAAATCATCCCCTGGAGA
1975
GACTGCTATCAGCAGGAGAA
1976
GAGTGGGACTGATTGGAGAC
1977
GAAAAGGCTGATCCTCACCT
1978
CTTCATTCCTGGAATCCTTA
1979
ACAGAGGGCAAGAGGAGCAA
1980
CTTTGGAGGAAAGGCCACTT
1981
TCAAGAGAGACCAAGGCACC
1982
TGGTGATCTCTGGAGGAAGA
1983
TTGACCTTTAATGTCCCTGA
1984
GTGTTAAAGGGAAGGCCAGG
1985
ATCTCTGGAGGAAGAGTGTT
1986
ATGCCACCTTGGATTTTCAA
1987
TTTCTGCTATCCATCACTTA
1988
AGTGGGACTGATTGGAGACA
1989
AATGTGGTACCTGGTTAGTG
1990
TCCATCAAGCTTTCATCAGA
1991
TGACCTTTAATGTCCCTGAG
1992
GTTCTCCTGGTATATCTATA
1993
GAGGTAGTCAAGAGAGACCA
1994
ACAATGAGATGCCTCTCTTC
1995
CTCCCAACCAGAAATGGCAG
1996
GCATCTTCAACTCACTCTAC
1997
CTGAGAGAGGTGACACTTCA
1998
CAAGAGAGACCAAGGCACCA
1999
GGATCAGGCTAACATTGCTG
2000
AGTCACCTCTGAACACACTG
2001
ATGGAGCCCTTTCTCTTAAA
2002
AATGGAGCCCTTTCTCTTAA
2003
TGCTGGAAAAGGCTGATCCT
2004
CAACTTCTGTTGGGTTGTTG
2005
TTTGGAGGAAAGGCCACTTC
2006
ATCTGTCCTGGAATGAGGAT
2007
TTCTGCTATCCATCACTTAT
2008
GGTCAGCTTTTTGTTGCAAA
2009
AGAGGAGCTATTTGGGACAG
2010
GCCCAGAGATGTCAAGAGAA
2011
TTTTGACCTTTAATGTCCCT
2012
CTTTTGACCTTTAATGTCCC
2013
TGTCCTGGAATGAGGATCTG
2014
GTCAAGAGAGACCAAGGCAC
2015
TCAGCAGGAGAAGGGAATGC
2016
GCAATGCCCCAAATTGTTGA
2017
GTTCCCCACATGAAATCCAA
2018
GAGCAGGCTTTGGAGGAAAG
2019
CATCTTCAACTCACTCTACC
2020
TGGACAACAGTGGAGGGTAT
2021
AAATGGCAGCTTCATTCCTG
2022
GAGGGCAAGAGGAGCAAAGT
2023
CAGCAGGACAAGCAACTCTT
2024
TTGGGTTGTTGCACATTTTG
2025
ACTATGGCAGCAGAACTGTG
2026
AATGAGATGCCTCTCTTCAT
2027
GAAATTGCCCACAATGGGCA
2028
AAGAGAGACCAAGGCACCAC
2029
CAGCAGGAGAAGGGAATGCA
2030
CCAACCAGAAATGGCAGCTT
2031
TCTGTCAGATCACATGTACT
2032
TTTGACCTTTAATGTCCCTG
2033
CAACTCTTGTCTAAGGGCAG
2034
GATCAGCAATGCCCCAAATT
2035
CTGTGTTAAAGGGAAGGCCA
2036
CCTGAACCCATGCTCATAAT
2037
TTTCCATCAAGCTTTCATCA
2038
GCTGAAGAGTGCCAATCATT
2039
GGGCAAGAGGAGCAAAGTGA
2040
CCATCAAGCTTTCATCAGAC
2041
TATCCATCACTTATAACCCC
2042
AGATCAGCAATGCCCCAAAT
2043
AGGACAAGCAACTCTTGTCT
2044
GAATCCATGTGTCTTCATTC
2045
TTCCATCAAGCTTTCATCAG
2046
ATCACTTATAACCCCACAGG
2047
GATGGAACTATGGCAGCAGA
2048
GGACAACAGTGGAGGGTATA
2049
CTGTTCTGATTGGGTAATGC
2050
GCTGTTCTGATTGGGTAATG
2051
CCCAGTCTGGAAACATTCAT
2052
AATCCATGTGTCTTCATTCA
2053
ATTCCCTCAGAGAGACAGAA
2054
AGACAACAGAAGCTGCTGGG
2055
TTCATTCCTGGAATCCTTAC
2056
AATCTCAACTTCTGTTGGGT
2057
ATGAATGAGTGTGGCTGGAC
2058
GCCACCTTGGATTTTCAAAC
2059
CACAATGGGCAGAGGATCAT
2060
CAGAATCCATGTGTCTTCAT
2061
CCCTCAGAGAGACAGAAGAT
2062
GCTGATTCTCTGAGATACTT
2063
GAGCCCTTTCTCTTAAAAGT
2064
AGCAATGCCCCAAATTGTTG
2065
CTAACATTGCTGCTTGGCAA
2066
GGAGGAAGGATCAGGCTAAC
2067
ACTGTGTTAAAGGGAAGGCC
2068
GTTCTGATTGGGTAATGCAG
2069
CAGTCAGCAGAGCACAATTA
2070
AGCTGATTCTCTGAGATACT
2071
CTGGAAAAGGCTGATCCTCA
2072
TGTTAAAGGGAAGGCCAGGA
2073
AAATTGCCCACAATGGGCAG
2074
GAAATCATCCCCTGGAGATA
2075
CAGGACAAGCAACTCTTGTC
2076
AGCAGGAGAAGGGAATGCAG
2077
GGACAAGCAACTCTTGTCTA
2078
CTTAGCTGATTCTCTGAGAT
2079
GTCTTCATTCATTCACCTAA
2080
TGTTCTGATTGGGTAATGCA
2081
GGAACTATGGCAGCAGAACT
2082
TGAATGTGGTACCTGGTTAG
2083
TTTCTGTGAAATTGCCCACA
2084
TGAAATTGCCCACAATGGGC
2085
GAATCATAACCCACACAGGC
2086
AGCAGGACAAGCAACTCTTG
2087
GCTGGACTTTTGACCTTTAA
2088
TGCCACCTTGGATTTTCAAA
2089
TGAGAGAGGTGACACTTCAG
2090
GGAGCCCTTTCTCTTAAAAG
2091
AGGGCAAGAGGAGCAAAGTG
2092
CTGTCAGATCACATGTACTT
2093
TTCTGATTGGGTAATGCAGG
2094
ATGAATGTGGTACCTGGTTA
2095
AACACCAAGCAACTGGAGGT
2096
ACTTCCTCATACATTCTACA
2097
CACTTCCTCATACATTCTAC
2098
ATGCTGGAAAAGGCTGATCC
2099
AGATGGAACTATGGCAGCAG
2100
TGGAGGAAGGATCAGGCTAA
2101
TCCTGGAATGAGGATCTGAT
2102
AAACAAACCTTCTGGTGCCT
2103
ATTTCCATCAAGCTTTCATC
2104
AGTAAATCCTGTGTCACTTC
2105
AATCCAAACTCTCTCTCTGG
2106
GCCCTTTCTCTTAAAAGTTT
2107
AGAATCCATGTGTCTTCATT
2108
CATCACTTATAACCCCACAG
2109
TGGAGCCCTTTCTCTTAAAA
2110
GTGGGACTGATTGGAGACAA
2111
TGATTCTCTGAGATACTTCC
2112
TGATCTCTGGAGGAAGAGTG
2113
GCTATCCATCACTTATAACC
2114
CATTTCTGTGAAATTGCCCA
2115
AAATCATCCCCTGGAGATAC
2116
CAGTAAATCCTGTGTCACTT
2117
AGCCCTTTCTCTTAAAAGTT
2118
CAGAGGGCAAGAGGAGCAAA
2119
TGTGTTAAAGGGAAGGCCAG
2120
GAACCCATGCTCATAATGGA
2121
TTCTGTCAGATCACATGTAC
2122
TAGTCAAGAGAGACCAAGGC
2123
ACAATGGGCAGAGGATCATG
2124
ACAGGATGCTGGAAAAGGCT
2125
CTATCCATCACTTATAACCC
2126
AACTATGGCAGCAGAACTGT
2127
GAAACAAACCTTCTGGTGCC
2128
CATCAGCCATTCCTTAACAA
2129
GTGAAATTGCCCACAATGGG
2130
AGTCAGCAGAGCACAATTAT
2131
GAGGAAGGATCAGGCTAACA
2132
TAGATGGAACTATGGCAGCA
2133
CAACCAGAAATGGCAGCTTC
2134
ATTTCTGTGAAATTGCCCAC
2135
CTGACTTTTTCCTGTATGAT
2136
GGTTGTTGCACATTTTGTAA
2137
AAACCTCTCTGAATACTGCC
2138
GACAACAGTGGAGGGTATAC
2139
TCAGCAGAGCACAATTATGT
2140
GTCAGCAGAGCACAATTATG
2141
TTTGTAAACTGTGGGTTCTC
2142
CTATCAGCAGGAGAAGGGAA
2143
GTCAGATCACATGTACTTTT
2144
CACAGGATGCTGGAAAAGGC
2145
CCAGTCTGGAAACATTCATC
2146
CTCTGTCTAGGATCTAGAAT
2147
GTGAACACCAAGCAACTGGA
2148
ACTTTTGACCTTTAATGTCC
2149
AACCCATGCTCATAATGGAG
2150
GTAGTCAAGAGAGACCAAGG
2151
GGTAGTCAAGAGAGACCAAG
2152
AGGTAGTCAAGAGAGACCAA
2153
GAACACCAAGCAACTGGAGG
2154
CCTCAGAGAGACAGAAGATC
2155
TGGAACTATGGCAGCAGAAC
2156
TGAACCCATGCTCATAATGG
2157
AAGGATCAGGCTAACATTGC
2158
GCAGGAAACCTCTCTGAATA
2159
ATCAGCCATTCCTTAACAAT
2160
GATGATGACAGAGACTCTGG
2161
GGAAGGATCAGGCTAACATT
2162
TCAGCCATTCCTTAACAATG
2163
ATGCCCCAAATTGTTGAATC
2164
TCTGTCTAGGATCTAGAATC
2165
CAGCCATTCCTTAACAATGA
2166
TTCTGTGAAATTGCCCACAA
2167
ATTCTACAATGAGATGCCTC
2168
ATAGATGGAACTATGGCAGC
2169
AGGAAGGATCAGGCTAACAT
2170
GAGGAGCAAAGTGAACACCA
2171
AAGCAACTCTTGTCTAAGGG
2172
TAGCTGATTCTCTGAGATAC
2173
CTGTCTAGGATCTAGAATCA
2174
TTTTGTAAACTGTGGGTTCT
2175
CATTCTACAATGAGATGCCT
2176
CTGATTCTCTGAGATACTTC
2177
GGAAACTTAGCTGATTCTCT
2178
ATGGAACTATGGCAGCAGAA
2179
CCCCACATGAAATCCAAACT
2180
GAACTATGGCAGCAGAACTG
2181
CTGAACCCATGCTCATAATG
2182
TCTGTGAAATTGCCCACAAT
2183
TTAGCTGATTCTCTGAGATA
2184
GATGCTGGAAAAGGCTGATC
2185
AGTGAACACCAAGCAACTGG
2186
ATCAGCAGGAGAAGGGAATG
2187
AACTTAGCTGATTCTCTGAG
2188
TCCCCACATGAAATCCAAAC
2189
GCCACTCTGAACTTTATGAA
2190
GGACTTTTGACCTTTAATGT
2191
AAAGAGCCAGAAATCATCCC
2192
CCTTTCTCTTAAAAGTTTCC
2193
CCCTTTCTCTTAAAAGTTTC
2194
TTCCCCACATGAAATCCAAA
2195
TAATCTCAACTTCTGTTGGG
2196
ATTGGAGACAAAGAGCCAGA
2197
TATCAGCAGGAGAAGGGAAT
2198
GTCAGCTTTTTGTTGCAAAA
2199
ACAATGAATGTGGTACCTGG
2200
AGAGGAGCAAAGTGAACACC
2201
TCACATTTGGATGGACAAGT
2202
TGATCACATTTGGATGGACA
2203
GGATCTGATGATGACAGAGA
2204
GAGGATCTGATGATGACAGA
2205
CAGTCTGGAAACATTCATCT
2206
GGATCTAGAATCATAACCCA
2207
GAAATCCAAACTCTCTCTCT
2208
GAAACCTCTCTGAATACTGC
2209
CTGAAGAGTGCCAATCATTA
2210
CAAGCAACTCTTGTCTAAGG
2211
AAAAGCCATTTCCATCAAGC
2212
GACTTTTTCCTGTATGATAT
2213
TTCTCCTGGTATATCTATAA
2214
AGCTTTTTGTTGCAAAATCC
2215
GAAGAGTGCCAATCATTACA
2216
TGACTTTTTCCTGTATGATA
2217
GCTTTCATCAGACAATATCA
2218
ACATTCTACAATGAGATGCC
2219
TTTGGATGGACAAGTTAGGA
2220
TTCTCTTAAAAGTTTCCTCT
2221
GAGCAAAGTGAACACCAAGC
2222
AGCAAAGTGAACACCAAGCA
2223
CAATGCCCCAAATTGTTGAA
2224
TGGAGAAGTAAGTGGCCAAA
2225
ATTACAAATCAGCTTCAGCA
2226
CATTACAAATCAGCTTCAGC
2227
GTCTGGAAACATTCATCTTT
2228
GACTTTTGACCTTTAATGTC
2229
AGGAAACTTAGCTGATTCTC
2230
ACATTTTGTAAACTGTGGGT
2231
CACATTTGGATGGACAAGTT
2232
ATTTTGTAAACTGTGGGTTC
2233
AGGATCTAGAATCATAACCC
2234
CCCAGAGATGTCAAGAGAAA
2235
AGGATCTGATGATGACAGAG
2236
CATTTTGTAAACTGTGGGTT
2237
GCACATTTTGTAAACTGTGG
2238
GACAAGCAACTCTTGTCTAA
2239
ACTTTTTCCTGTATGATATT
2240
GCCAATCATTACAAATCAGC
2241
GAAGGATCAGGCTAACATTG
2242
TGAGGATCTGATGATGACAG
2243
TGATGATGACAGAGACTCTG
2244
AGGAAACCTCTCTGAATACT
2245
TTCCTCATACATTCTACAAT
2246
AGCTTTCATCAGACAATATC
2247
ATGAGGATCTGATGATGACA
2248
TGAAGAGTGCCAATCATTAC
2249
CTTTCTCTTAAAAGTTTCCT
2250
GGAAACCTCTCTGAATACTG
2251
TCTTCATTCATTCACCTAAA
2252
AAACTTAGCTGATTCTCTGA
2253
GAAACTTAGCTGATTCTCTG
2254
GATCACATTTGGATGGACAA
2255
AATGCCCCAAATTGTTGAAT
2256
ATTTGGATGGACAAGTTAGG
2257
TCCTCATACATTCTACAATG
2258
AGCCATTCCTTAACAATGAA
2259
CCTCATACATTCTACAATGA
2260
AACTGTGTTAAAGGGAAGGC
2261
GATCTAGAATCATAACCCAC
2262
AGGAGCAAAGTGAACACCAA
2263
GATCTGATGATGACAGAGAC
2264
GCCATTCCTTAACAATGAAT
2265
CAAAGAGCCAGAAATCATCC
2266
CAGGAAACCTCTCTGAATAC
2267
TTAATCTCAACTTCTGTTGG
2268
TTTCTCTTAAAAGTTTCCTC
2269
ACAAGCAACTCTTGTCTAAG
2270
ATAAAGAACAGCTTCTCCAG
2271
GGGAAAGGATGAATGAGTGT
2272
CTATAAAGAACAGCTTCTCC
2273
ACTGAAACAAACCTTCTGGT
2274
CTTTTTCCTGTATGATATTA
2275
CTTCATTCATTCACCTAAAC
2276
GGAGAAGTAAGTGGCCAAAA
2277
GTTGTTGCACATTTTGTAAA
2278
GTGCCAATCATTACAAATCA
2279
GCAAAGTGAACACCAAGCAA
2280
CACATTTTGTAAACTGTGGG
2281
ACTGATTGGAGACAAAGAGC
2282
TGGACTTTTGACCTTTAATG
2283
TCTCCTGGTATATCTATAAA
2284
TTACAAATCAGCTTCAGCAA
2285
GTTAGGAAACTTAGCTGATT
2286
ACATTTGGATGGACAAGTTA
2287
TTGGATGGACAAGTTAGGAA
2288
TAGGAAACTTAGCTGATTCT
2289
CAGCTTTTTGTTGCAAAATC
2290
TCAGCTTTTTGTTGCAAAAT
2291
AGTTAGGAAACTTAGCTGAT
2292
CCACATGAAATCCAAACTCT
2293
CTGAAACAAACCTTCTGGTG
2294
TATAAAGAACAGCTTCTCCA
2295
TCCTTAACAATGAATGTGGT
2296
CATTTGGATGGACAAGTTAG
2297
GAGATGATTCCAAAGAGGAT
2298
CCAATCATTACAAATCAGCT
2299
TTATAGATGGAACTATGGCA
2300
TTGCACATTTTGTAAACTGT
2301
GTTGCACATTTTGTAAACTG
2302
TGTTGCACATTTTGTAAACT
2303
AGAGTGCCAATCATTACAAA
2304
AAGAGTGCCAATCATTACAA
2305
AAGTGAACACCAAGCAACTG
2306
CAAGCTTTCATCAGACAATA
2307
TCATTACAAATCAGCTTCAG
2308
TATAGATGGAACTATGGCAG
2309
GAGTGCCAATCATTACAAAT
2310
AGTGCCAATCATTACAAATC
2311
CATCAGACAATATCACATGT
2312
ATCATTACAAATCAGCTTCA
2313
TGCACATTTTGTAAACTGTG
2314
ACATGTACTTTTAATGTGGA
2315
CACATGTACTTTTAATGTGG
2316
GAATGAGGATCTGATGATGA
2317
CTTTCATCAGACAATATCAC
2318
AACAATGAATGTGGTACCTG
2319
ACAAGTTAGGAAACTTAGCT
2320
CCAGAGATGTCAAGAGAAAC
2321
TTTATAGATGGAACTATGGC
2322
CAGACAATATCACATGTACT
2323
ATTTAATCTCAACTTCTGTT
2324
TTTAATCTCAACTTCTGTTG
2325
GGATGGACAAGTTAGGAAAC
2326
GAGAAGTAAGTGGCCAAAAC
2327
TTAGGAAACTTAGCTGATTC
2328
AGAAGTAAGTGGCCAAAACA
2329
TCCTGGTATATCTATAAAGA
2330
GAACTGTGTTAAAGGGAAGG
2331
TCCAAAGAGGATAAACCAGA
2332
TTTCATCAGACAATATCACA
2333
TAACAATGAATGTGGTACCT
2334
CAAGAGGAGCAAAGTGAACA
2335
AATGAGGATCTGATGATGAC
2336
TACATTCTACAATGAGATGC
2337
AAGCTTTCATCAGACAATAT
2338
AAGTTAGGAAACTTAGCTGA
2339
CAAGTTAGGAAACTTAGCTG
2340
CCTTAACAATGAATGTGGTA
2341
GACAAGTTAGGAAACTTAGC
2342
TGGATGGACAAGTTAGGAAA
2343
GGAAAGGATGAATGAGTGTG
2344
TTCATCAGACAATATCACAT
2345
AGATGATTCCAAAGAGGATA
2346
TTGTTGCACATTTTGTAAAC
2347
TCTATAAAGAACAGCTTCTC
2348
TCAGACAATATCACATGTAC
2349
ATCACATGTACTTTTAATGT
2350
AAAGTGAACACCAAGCAACT
2351
ACAAAGAGCCAGAAATCATC
2352
TGCCAATCATTACAAATCAG
2353
TCATCAGACAATATCACATG
2354
TAGGATCTAGAATCATAACC
2355
AAGAGGAGCAAAGTGAACAC
2356
TTCCAAAGAGGATAAACCAG
2357
ATCAGACAATATCACATGTA
2358
CTCATACATTCTACAATGAG
2359
TTCCTTAACAATGAATGTGG
2360
ATGTCAAGAGAAACAGGAGA
2361
GATGTCAAGAGAAACAGGAG
2362
AGATGTCAAGAGAAACAGGA
2363
GAGATGTCAAGAGAAACAGG
2364
ATTCCAAAGAGGATAAACCA
2365
GATTCCAAAGAGGATAAACC
2366
CAAAGTGAACACCAAGCAAC
2367
CCATTCCTTAACAATGAATG
2368
ATGGACAAGTTAGGAAACTT
2369
TTAACAATGAATGTGGTACC
2370
TCATACATTCTACAATGAGA
2371
ATCTATAAAGAACAGCTTCT
2372
GAAGTAAGTGGCCAAAACAA
2373
GCCAAAACAAACACATTTCT
2374
GGACAAGTTAGGAAACTTAG
2375
TGGACAAGTTAGGAAACTTA
2376
AATTTAATCTCAACTTCTGT
2377
CATTCCTTAACAATGAATGT
2378
GATCACATGTACTTTTAATG
2379
CAATCATTACAAATCAGCTT
2380
CAGAGATGTCAAGAGAAACA
2381
AATCATTACAAATCAGCTTC
2382
GATGATTCCAAAGAGGATAA
2383
CCAAAGAGGATAAACCAGAA
2384
CTAGGATCTAGAATCATAAC
2385
CATACATTCTACAATGAGAT
2386
CCTGGTATATCTATAAAGAA
2387
AGAGATGTCAAGAGAAACAG
2388
ATTCCTTAACAATGAATGTG
2389
TTTTATAGATGGAACTATGG
2390
TCCTGTATGATATTAAGAAT
2391
CTTAACAATGAATGTGGTAC
2392
TCAGCAAACTGAAACAAACC
2393
AGCAAACTGAAACAAACCTT
2394
TATCTATAAAGAACAGCTTC
2395
ATACATTCTACAATGAGATG
2396
AAGTAAGTGGCCAAAACAAA
2397
CATTTTATAGATGGAACTAT
2398
CAAACACATTTCTGTGAAAT
2399
GTATATCTATAAAGAACAGC
2400
CTTCAGCAAACTGAAACAAA
2401
ATTTTATAGATGGAACTATG
2402
TATATCTATAAAGAACAGCT
2403
CTGGTATATCTATAAAGAAC
2404
GGTATATCTATAAAGAACAG
2405
TGGTATATCTATAAAGAACA
2406
TTCAGCAAACTGAAACAAAC
2407
CTGTATGATATTAAGAATTA
2408
GATATTAAGAATTATATTTC
2409
GCACAGCCTGCATGTCCTCA
2410
GCCCAGGCCCTTGCTCAGAA
2411
AGGTTGTCTCAGCCCAGGGA
2412
EQUIVALENTS
It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims.
Although the sequence listing accompanying this filing identifies each sequence as either “RNA” or “DNA” as required, in reality, those sequences may be modified with any combination of chemical modifications. One of skill in the art will readily appreciate that such designation as “RNA” or “DNA” to describe modified oligonucleotides is, in certain instances, arbitrary. For example, an oligonucleotide comprising a nucleoside comprising a 2′-OH sugar moiety and a thymine base could be described as a DNA having a modified sugar (2′-OH for the natural 2′-H of DNA) or as an RNA having a modified base (thymine (methylated uracil) for natural uracil of RNA).
Accordingly, nucleic acid sequences provided herein, including, but not limited to those in the sequence listing, are intended to encompass nucleic acids containing any combination of natural or modified RNA and/or DNA, including, but not limited to, such nucleic acids having modified nucleobases. By way of further example and without limitation, an oligomeric compound having the nucleobase sequence “ATCGATCG” encompasses any oligomeric compounds having such nucleobase sequence, whether modified or unmodified, including, but not limited to, such compounds comprising RNA bases, such as those having sequence “AUCGAUCG” and those having some DNA bases and some RNA bases such as “AUCGATCG” and oligomeric compounds having other modified or naturally occurring bases, such as “ATmeCGAUCG,” wherein meC indicates a cytosine base comprising a methyl group at the 5-position.Source: ipg260407.zip (2026-04-07)