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. 2022 Oct 9;12(16):7132–7157. doi: 10.7150/thno.77830

Table 1.

Hybridization dependent off-target effects of antisense oligonucleotides

mRNA target Off-target genes/effects Comments: Cell culture/animal model/phase of clinical study Nucleic acid modifications Intracellular or tumor delivery/concentration Assessment method Ref.
Human
apolipoprotein C3 (ApoC3)
Genes associated with hepatotoxicity as well as 17 genes involved in the clathrin-mediated endocytosis. mice LNA-DNA
gapmer
25 mg/kg
(5.7µM)
Microarray 41
BACH1 mRNA and protein knockdown of off-targets with a wide range of mismatch (MM) and gap patterns. A549 and NHBE cells LNAa-PSb ASOc
gapmerd
unassisted or Lipofectamine 2000, Up to 50 µM qPCR, branched DNA assay, immunoblotting 42
F7, F11 and SOD1 hepatotoxicity mediated by silencing of many unintended transcripts through RNase H1 cleavage. mice
LNA-PS ASO gapmers, cEt-PS ASO gapmers Subcutaneous injection qPCR, microarray analysis, western blot 43
Nr3c, Acsl1, ApoB, Hprt1, and human Kif11 hepatotoxicity not linked with on-target activity of ASO agents, but with the RNase H1 cleavage activity. mice LNA-PS ASO gapmers Subcutaneous injection qPCR, microarray analysis, western blot 44
ApoB, Pcsk9 Significant and specific reduction of many transcripts with one- or two mismatches or bulges by RNase H1 mediated cleavage activity. mice LNA-PS ASO gapmers Intravenous injection qPCR, microarray analysis 45
Xbra, Xbra3 Splicing defects in dtymk and abi1 genes contained ≥8 base pairs complementarity to PMO. Xenopus tropicalis PMOe qPCR 20
Myd88 Hepatotoxic ASO-LNA demonstrated downregulation of 293 off-target genes and upregulation of 60 off-target genes and concentration dependent elevation of caspase activity in 3T3 cell line, induction of caspase activity in A549, HeLa, HepG2 cells. 3T3, A549, HeLa, HepG2 cells LNA Lipofectamine 2000, 3-100 nM Caspase 3/7 activity measurements, qPCR, microarray analysis 47

aLNA - locked nucleic acid modification;

bPS - phosphorothioate modification;

cASO - antisense oligonucleotide;

dgapmer - ASO consisting of internal DNA gap flanked with LNA modified nucleotides;

ePMO - phosphorodiamidate morpholino modified ASO.