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An
important area of Isis' basic research is to understand the molecular
mechanisms of antisense. There are at least 12 known antisense mechanisms
that can be exploited once an antisense drug binds to its target RNA.
Isis has created proprietary chemical modifications to trigger many
of these mechanisms for drug discovery. As its understanding of
these mechanisms further improves, the Company expects to develop
antisense drugs with enhanced performance and for broader therapeutic
applications.
An
antisense mechanism is defined as the process in which an antisense
drug works after it binds (hybridizes) to a target RNA to form a duplex. The
formation of this duplex, or two-stranded molecule, prevents the
RNA from functioning normally and from producing a protein product.
Progress
in Isis' mechanism of action research program is illustrated by
the Company's accomplishments in understanding RNase H. The majority
of late-stage antisense drugs in development bind to their target
RNA and activate a cellular enzyme called RNase H. This enzyme destroys
the target RNA, inhibiting production of a specific protein. Isis
has cloned and characterized human RNase H and has effectively used
that information to design its proprietary second-generation drugs.
The Company expects to further improve its drugs, using its insights
into the RNase H mechanism.
In
addition to its RNase H expertise, Isis has made advancements in
understanding and exploiting other antisense mechanisms.
RNA
Interference (dsRNase, siRNA and RNAi)
Antisense
drugs can be designed to bind to their target RNAs and recruit a
different class of enzymes, called double-stranded RNases (dsRNase)
that cleave the target RNA. There are many dsRNases in the cell,
making this a potentially attractive mechanism. Isis' research led
to one of the first scientific publications and key issued patents
that address this mechanism. siRNAi and RNAi, for example, are dsRNase
mechanisms that have received much attention in the drug discovery
community. Isis is making significant advances in understanding
this mechanism through funding from partners including Lilly. Isis also has a
strategic collaboration with a leader in RNAi therapeutics, Alnylam
Pharmaceuticals, Inc. This alliance will utilize each company's
intellectual property and expertise to expedite the development
and commercialization of RNAi therapeutics.
Alternative Splicing
DNA is composed of chains of nucleotides (abbreviated as A, C,
T and G) that encode for proteins, as well as regions that are
unnecessary for making proteins. Both the coding and non-coding
regions are copied from DNA to RNA. The non-coding regions, called
introns, must be deleted from the RNA strand. The process that
removes these regions and reforms the finished RNA is called splicing.
Alternative splicing has been shown
to result in many diseases and accounts for most of the diversity
in proteins. Alternative splicing is largely responsible for
the functional complexity of the approximately 30,000-40,000
genes in the human genome; 40-60 percent of human genes have
alternative splice forms.
Isis has pioneered the design of
antisense drugs that can selectively direct alternative splicing
to make one protein versus another. Today, Isis continues its
drug discovery and development partnerships with Ercole Biotech,
a company focused specifically on this mechanism. In the future,
many diseases may be amenable to this approach.
The Role of Micro RNA
Researchers recently have discovered
new families of natural antisense molecules made inside the cell
called micro-RNAs; it is estimated there are hundreds of micro-RNA molecules in humans. These molecules appear to serve
as master regulatory molecules for many biological processes. Isis
scientists have been able to use micro-RNA in two ways. The first
involves turning off, or inhibiting, genes in order to stop the
production of a protein; an equivalent process to traditional antisense.
The second involves turning on, or up regulating, genes so that
specific proteins are made.
Isis has an internal research program to discover and identify the
function of micro-RNAs, and design and optimize antisense inhibitors
and small molecule modulators of therapeutically attractive micro-RNA
targets, including discovering new micro-RNA drugs and antisense
drugs to treat hepatitis C virus, cancer and metabolic disorders.
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