Anti-miRNA Oligonucleotides
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Anti-miRNA oligonucleotides (also known as AMOs) have many uses in cellular mechanics. These synthetically designed molecules are used to neutralize microRNA (
miRNA Micro ribonucleic acid (microRNA, miRNA, μRNA) are small, single-stranded, non-coding RNA molecules containing 21–23 nucleotides. Found in plants, animals, and even some viruses, miRNAs are involved in RNA silencing and post-transcri ...
) function in cells for desired responses. miRNA are complementary sequences (≈22 bp) to mRNA that are involved in the cleavage of RNA or the suppression of the
translation Translation is the communication of the semantics, meaning of a #Source and target languages, source-language text by means of an Dynamic and formal equivalence, equivalent #Source and target languages, target-language text. The English la ...
. By controlling the miRNA that regulate mRNAs in cells, AMOs can be used as further regulation as well as for therapeutic treatment for certain cellular disorders. This regulation can occur through a steric blocking mechanism as well as
hybridization Hybridization (or hybridisation) may refer to: *Hybridization (biology), the process of combining different varieties of organisms to create a hybrid *Orbital hybridization, in chemistry, the mixing of atomic orbitals into new hybrid orbitals *Nu ...
to miRNA. These interactions, within the body between miRNA and AMOs, can be for therapeutics in disorders in which over/under expression occurs or aberrations in miRNA lead to coding issues. Some of the miRNA linked disorders that are encountered in the humans include cancers, muscular diseases, autoimmune disorders, and viruses. In order to determine the functionality of certain AMOs, the AMO/miRNA binding expression (transcript concentration) must be measured against the expressions of the isolated miRNA. The direct detection of differing levels of genetic expression allow the relationship between AMOs and miRNAs to be shown. This can be detected through
luciferase Luciferase is a generic term for the class of oxidative enzymes that produce bioluminescence, and is usually distinguished from a photoprotein. The name was first used by Raphaël Dubois who invented the words ''luciferin'' and ''luciferase'' ...
activity (
bioluminescence Bioluminescence is the emission of light during a chemiluminescence reaction by living organisms. Bioluminescence occurs in multifarious organisms ranging from marine vertebrates and invertebrates, as well as in some Fungus, fungi, microorgani ...
in response to targeted enzymatic activity). Understanding the miRNA sequences involved in these diseases can allow us to use anti miRNA Oligonucleotides to disrupt pathways that lead to the under/over expression of proteins of cells that can cause symptoms for these diseases.


Synthesis

During anti-miRNA oligonucleotide design, necessary modifications to optimize binding affinity, improve nuclease resistance, and ''
in vivo Studies that are ''in vivo'' (Latin for "within the living"; often not italicized in English) are those in which the effects of various biological entities are tested on whole, living organisms or cells, usually animals, including humans, an ...
'' delivery must be considered. There have been several generations of designs with attempts to develop AMOs with high binding affinity as well as high specificity. The first generation utilized 2’-O-Methyl RNA nucleotides with phosphorothioate internucleotide linkages positioned at both ends to prevent exonuclease attack. A recent study discovered a compound, N,N-diethyl-4-(4-nitronaphthalen-1-ylazo)-phenylamine (ZEN), that improved binding affinity and blocked exonuclease degradation. This method was combined with the first generation design to create a new generation ZEN-AMO with an improved effectiveness. Various components of AMOs can be manipulated to affect the binding affinity and potency of the AMO. The 2’-sugar of the AMOs can be modified to be substituted with fluorine and various methyl groups, almost all with an increase in binding affinity. However, some of these modified 2’-sugar AMOs led to negative effects on cell growth. Modifying the 5'-3'
phosphodiester backbone Deoxyribonucleic acid (; DNA) is a polymer composed of two polynucleotide chains that coil around each other to form a double helix. The polymer carries genetic instructions for the development, functioning, growth and reproduction of all ...
linkage to a phosphorothiorate (P-S) backbone linkage was also shown to have an effect on target affinity. Using the P-S mutation was shown to decrease the Tm of the oligonucleotide, which leads to a lower target affinity. A final requirement for AMOs is mismatch specificity and length restrictions. Due to miRNAs in the same families sharing “seed” (shared) sequences and differ by only a couple of additional
nucleotide Nucleotides are Organic compound, organic molecules composed of a nitrogenous base, a pentose sugar and a phosphate. They serve as monomeric units of the nucleic acid polymers – deoxyribonucleic acid (DNA) and ribonucleic acid (RNA), both o ...
s; one AMO can potentially target multiple miRNA sequences. However, studies have suggested that this is difficult due to the loss of activity with single nucleotide mismatches. Greater than three mismatches demonstrates complete loss of activity. Changes in the length of AMOs were tolerated far better, with changes of one nucleotide and two nucleotides resulting in little loss of activity and three or more in total loss of activity. Truncating a single nucleotide from the 3’ end resulted in a slight improvement of AMO activity.


Delivery and Detection

Delivery of AMOs requires ''in vitro''
transfection Transfection is the process of deliberately introducing naked or purified nucleic acids into eukaryotic cells. It may also refer to other methods and cell types, although other terms are often preferred: " transformation" is typically used to des ...
into target cells. Presently there are difficulties with conventional methods of transfection that result in low delivery efficiency. In order to increase the effectiveness of AMO delivery, a 2011 paper proposed using functionalized gold nanoparticles. The gold nanoparticles increase delivery efficiency by conjugating with a cargo DNA that anneals to the AMO using complementarity. The cargo DNA is attached to the surface of the nanoparticle. Because many variations of DNA and RNA are unstable in ''in vivo'' conditions, carriers, such as nanoparticles, are necessary to protect from degeneration by nucleases. These nanoparticles are useful in order to facilitate uptake into the cell, and transfer the genetic information to the nucleus. Another in vivo method for delivery supported by results in mice is the injection of AMOs intravenously. Tail vein injection of AMOs in the mice were shown to be effective. In order for this system to be useful, the AMOs were conjugated with
cholesterol Cholesterol is the principal sterol of all higher animals, distributed in body Tissue (biology), tissues, especially the brain and spinal cord, and in Animal fat, animal fats and oils. Cholesterol is biosynthesis, biosynthesized by all anima ...
for increased uptake into the cell through the membrane and were chemically modified by 2′-OMe phosphoramidites to prevent degradation of the AMOs. To detect the presence and functionality of AMOs, researchers can observe the relative activity of the target enzyme or protein of the miRNA. This method was used in a study of single AMOs targeting multiple miRNAs, where relative luciferase activity in HEK293 cells was monitored. To determine relative Luciferase activity levels, a control with no miRNA present was included. The presence of functional AMOs with the inhibiting miRNA would result in an increase in Luciferase activity due to the inactivation of the miRNA suppressing the enzyme's activity.


Disorders/Therapeutics

Many human disorders have been found to have some alterations in expression or aberrations involving miRNA. It has been found that miRNA have been involved in many key regulation pathways that are suspected to be related to cancer, viral genes, and metabolic pathways, as well as muscular disorders (specifically cardiovascularly related). By targeting cells affected with improper miRNA expression, the normal balance of the expression can be restored by using AMOs. By minimizing overexpression and increasing underexpression with AMOs, some of these genetic disorders can be potentially bypassed or at least have their symptoms minimized. This is done by hybridization of the AMOs to miRNA sequences that are involved in the expression of specific genes. The issue is finding a way for the AMOs to successfully perform their function in concentrations that are sufficient for success, while at the same time being low enough to avoid toxicity of the vector and AMOs themselves.


Cancer

All
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
s are mutations in the genomes that cause abnormal cell growth. Determining factors that contribute to or regulate this excessive growth can potentially lead to preventative, therapeutic treatments of cancer. For example, chronic lymphocytic
leukemia Leukemia ( also spelled leukaemia; pronounced ) is a group of blood cancers that usually begin in the bone marrow and produce high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or '' ...
s illustrates a region of miRNAs (mir-15 and mir-16) are missing from the genome in the expression of this cancer. While in other cancers, such as
Burkitt's lymphoma Burkitt's lymphoma is a cancer of the lymphatic system, particularly B lymphocytes found in the germinal center. It is named after Denis Parsons Burkitt, the Irish surgeon who first described the disease in 1958 while working in equatorial Africa ...
, expression of miRNA sequences are amplified. This leads to the suggestion that many miRNA have regulatory sequences involved in cancer. If those were to be better regulated, potentially through AMOs, perhaps the onset and progression of cancer could be regulated. Following a study of 540 tumor samples of various cancer types, it was discovered that 15 miRNAs were upregulated and 12 were downregulated. From the study, it was concluded that these miRNA sequences had an effect on cell growth and apoptosis in the cell. AMOs play into the equation as this regulatory factor for the miRNAs involved in cancer. If bound to a single affected miRNA site, the effect appears to be minimal. However, by creating sequences of anti-miRNA Oligonucleotides to bind to all of these implicit miRNAs, there was increased cell death within the cancer cells. One study involving antagomirs, a different variation of anti-miRNA oligonucleotides, focused on reducing induced tumors in mice. After 2 weeks of treatment, tumor growth was inhibited and regression was shown in 30% of cases. This illustrates that AMOs can be used to successfully inhibit cancers through miRNAs. This inhibition is caused by a direct silencing interaction of the miRNAs that in turn bind on the mRNA sequences that create proteins in cancer cells, as well as increased control of cellular processes of cancer.


Muscular Development

In the development of tissues in embryos, miRNA can have a role in the upregulation or downregulation of specific muscular development. miRNA-1 plays a role in muscle differentiation between cardiac and skeletal muscle precursor cells. In development, if levels of precursor cells are not properly regulated, it can result in muscular
hypoplasia Hypoplasia (; adjective form ''hypoplastic'') is underdevelopment or incomplete development of a tissue or organ.myogenin Myogenin, is a transcriptional activator encoded by the ''MYOG'' gene. Myogenin is a muscle-specific basic-helix-loop-helix (bHLH) transcription factor involved in the coordination of skeletal muscle development or myogenesis and repair. Myogeni ...
(the transcription factor involved in
myogenesis Myogenesis is the formation of skeletal muscle, skeletal muscular tissue, particularly during embryonic development. Skeletal muscle#Skeletal muscle cells, Muscle fibers generally form through the fusion of precursor cell, precursor myoblasts in ...
). By then measuring the changes in myogenin compared to standard, non-inhibited myogenesis, a miRNA's function can be determined as either upregulating or downregulating the synthesis of myogenin. By further understanding how certain miRNA sequences control the development of muscle, AMOs can be utilized to promote normal production levels of myogenin in organisms that have been detected to contain genetic errors involving myogenesis. AMOs can also be used to prevent apoptosis, or organ hypoplasia, of the heart in the presence of high concentrations of hydrogen peroxide. Hydrogen peroxide can induce apoptosis through
oxidative stress Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage. Disturbances in the normal ...
. This is because oxidative stress caused by induces increased activity of miRNA-1. This increased miRNA-1 activity represses the activity of
Bcl-2 Bcl-2, encoded in humans by the ''BCL2'' gene, is the founding member of the Bcl-2 family of regulator proteins. BCL2 blocks programmed cell death (apoptosis) while other BCL2 family members can either inhibit or induce it. It was the first a ...
, inducing apoptosis. However, by creating and introducing an AMO for miRNA-1 in an environment of oxidative stress, the response to is reduced, creating a resistance to oxidative stress in the heart. Because of this, the amount of hydrogen peroxide-induced apoptosis of cardiomyocytes is reduced in heart disease. Due to the reduction of cardiomyocyte death in conditions of oxidative stress by the anti-miRNA-1 Oligonucleotide, miRNA regulation can allow us to more deeply understand the development of the heart, as well as the survival of heart muscle in low oxygen conditions.


Autoimmune Response and Disorders

Autoimmune disorders An autoimmune disease is a condition that results from an anomalous response of the adaptive immune system, wherein it mistakenly targets and attacks healthy, functioning parts of the body as if they were foreign organisms. It is estimated tha ...
are when the body has an immune response to itself, causing an inflammatory reaction to occur within the body. Because autoimmune disorders involve abnormalities in the
immune system The immune system is a network of biological systems that protects an organism from diseases. It detects and responds to a wide variety of pathogens, from viruses to bacteria, as well as Tumor immunology, cancer cells, Parasitic worm, parasitic ...
cells (i.e., B-cells, T-cells). It can be inferred that miRNA are strongly expressed in regions of the body that have to do with the maturation of these T and B lymphocytes, such as in the spleen and lymph nodes. Abnormalities in the miRNA or the function of the miRNA in the post-transcriptional process can result in an increased sensitivity of the lymphocytes. Due to increased sensitivity, these lymphocytes can now target
antigen In immunology, an antigen (Ag) is a molecule, moiety, foreign particulate matter, or an allergen, such as pollen, that can bind to a specific antibody or T-cell receptor. The presence of antigens in the body may trigger an immune response. ...
s that it could not previously bind, which can allow for these lymphocytes to attack itself, if these antigens happen to naturally occur in cells in the body. One instance of this is
Rheumatoid Arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
, in which the body breaks down its own joints. The breakdown is caused by the overexpression of specific miRNA clusters. These clusters causes an increase in synovial fibroblasts. Due to this increased fibroblast amount, certain proteases' concentrations are increased which cause the breakdown of cartilage in joints. By targeting the miRNA clusters responsible for expression of the disease, inflammation caused by this disorder can be reduced when AMOs are added to afflicted areas.
Systemic lupus erythematosus Lupus, formally called systemic lupus erythematosus (SLE), is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts of the body. Symptoms vary among people and may be mild to severe. Common ...
causes long term organ damage to the body. It propagates due to environmental and genetic factors. By targeting microRNA (miR-184, miR-196a, miR-198, and miR-21) that are down-regulated in SLE with AMOs in the affected organs, the normal expression of these genes can be restored.


Viral Studies

It is believed that cellular miRNAs inhibit viral gene expression. In a study of
HIV-1 The subtypes of HIV include two main subtypes, known as HIV type 1 (HIV-1) and HIV type 2 (HIV-2). These subtypes have distinct genetic differences and are associated with different epidemiological patterns and clinical characteristics. HIV-1 e ...
, anti-miRNA inhibitors were used to deactivate two miRNAs that inhibit viral gene expression, has-miR-29a and 29b. It was shown that viral gene expression increased after the introduction of anti-miRNAs targeting has-miR-29a and 29b. This demonstrated miRNA inhibitors were able to directly target and reverse the inhibitory effect of has-miR-29a and 29b in the HIV-1 virus. By creating an AMO, certain genomic sequences of HIV were able to be studied more in depth. A further understanding of the way the genome of certain viruses work can allow scientists to create preventative measures against these viruses. The mechanism for anti-miRNA regulation in the case of the Epstein-Barr virus (EBV) differs slightly than other viral cases such as HIV-1. EBV is a herpesvirus related to various cancers that has the ability to express miRNAs, unlike many other viruses that affect humans. Unlike other studies that utilize anti-miRNAs as a knockdown tool to demonstrate the effects of miRNAs, researchers of EBV used them to inhibit the miRNAs produced by the virus. MiR-BART5, a miRNA of EBV, regulates the protein: p53 Up-regulated Modulator of Apoptosis (PUMA). When the viral mir-BART5 was depleted using its anti-miRNA, anti-miR-BART5, cell apoptosis was triggered and resulted in disease control, killing the cells that are identified as infected. Another peculiar case of host-viral interaction mediated by a microRNA occurs with the hepatitis C virus (HCV). HCV, which causes acute infection of the liver, often going undetected and progressing to chronic, uses the human miRNA miR-122 to recruit Argonaute2 proteins to the uncapped 5' end of its RNA genome, thereby masking it from the cellular antiviral response and stabilizing it. This interaction has led to the development of AMOs that target miR-122 in an effort to clear the virus from the hepatic cells. The most advanced of these compounds is
miravirsen Miravirsen (INN; codenamed SPC3649) is an experimental drug for the treatment of hepatitis C, being developed by Santaris Pharma. As of 2017 it was in Phase II clinical trials. Miravirsen had been given by subcutaneous injection in early clinic ...
, a
locked nucleic acid A locked nucleic acid (LNA), also known as bridged nucleic acid (BNA), and often referred to as inaccessible RNA, is a modified RNA nucleotide in which the ribose moiety is modified with an extra bridge connecting the 2' oxygen and 4' carbon. The ...
-DNA mixmer, currently undergoing clinical trials. An interesting aspect of miravirsen is its reported ability to inhibit not just the mature miR-122, but to also invade the stem-loop structures in the microRNA precursor molecules, disrupting the biogenesis of miR-122 in biochemical assays and cell culture.


References

{{Reflist Nucleic acids