Methods for modulating kallikrein (KLKB1) expression
Disclosed herein are methods for decreasing kallikrein and treating or preventing thromboembolic conditions in an individual in need thereof. Examples of disease conditions that can be ameliorated with the administration of antisense compounds targeted to kallikrein include thrombosis, embolism, and thromboembolism, such as, deep vein thrombosis, pulmonary embolism, myocardial infarction, and stroke. Methods for inhibiting kallikrein can also be used as a prophylactic treatment to prevent individuals at risk for thrombosis and embolism.
1. A method comprising,
administering to an animal having a thromboembolic condition or at risk for developing a thromboembolic condition a therapeutically effective amount of a compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides, wherein the modified oligonucleotide has a nucleobase sequence that is at least 90% complementary to a KLKB1 nucleic acid.
2. The method of claim 1 , wherein the KLKB1 nucleic acid is any of SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, SEQ ID NO: 6, SEQ ID NO: 7, SEQ ID NO: 8, SEQ ID NO: 9, or SEQ ID NO: 10.
3. The method of claim 1 , wherein the animal is a human.
4. The method of claim 1 , wherein the administering inhibits thrombus and clot formation.
5. The method claim 1 , wherein the administering of prolongs aPTT.
6. The method of claim 1 , wherein the administering does not prolong PT.
7. The method of claim 1 , wherein the administering prolongs aPTT and does not prolong PT.
8. The method of claim 1 , wherein the administering decreases Platelet Factor 4 (PF-4).
9. The method of claim 1 , wherein the administering increases time for thrombus formation.
10. The method of claim 1 , wherein the administering reduces platelet aggregation.
11. The method of claim 1 , wherein the administering reduces fibrin formation.
12. The method of claim 1 , wherein the administering does not increase bleeding in the at risk animal as compared to an animal not administered with a modified oligonucleotide.
13. The method of claim 1 , wherein the thromboembolic condition is any of the group consisting of thrombosis, embolism, thromboembolism, deep vein thrombosis, pulmonary embolism, myocardial infarction, stroke, or a combination thereof.
14. The method of claim 1 , comprising co-administering any of the group selected from warfarin, apixaban, LOVENOX, aspirin, clopidogrel, dipyridamole, heparin, lepirudin, ticlopidine, rivaroxaban, anti-platelet therapy, or a combination thereof.
15. The method of claim 1 , comprising concomitantly administering any of the group selected from warfarin, apixaban, LOVENOX, aspirin, clopidogrel, dipyridamole, heparin, lepirudin, ticlopidine, rivaroxaban, anti-platelet therapy, or a combination thereof.
16. The method of claim 1 , wherein the compound is a single-stranded oligonucleotide.
17. The method of claim 1 , wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
18. The method of claim 17 , wherein the modified internucleoside linkage is a phosphorothioate internucleoside linkage.
19. The method of claim 1 , wherein the modified oligonucleotide comprises at least one modified sugar.
20. The method of claim 19 , wherein the modified sugar is a bicyclic sugar.
21. The method of claim 20 , wherein the bicyclic sugar comprises a 4′-CH(CH 3 )—O-2′ bridge, a 4′-(CH 2 )—O-2′ bridge, or a 4′-(CH 2 ) 2 —O-2′ bridge.
22. The method of claim 19 , wherein the modified sugar comprises a 2′-O-methoxyethyl group.
23. The method of any of claims 1 , wherein at least one nucleoside comprises a modified nucleobase.
24. The method of claim 23 , wherein the modified nucleobase is a 5-methylcytosine.
25. The method of claim 1 , wherein the modified oligonucleotide is a gapmer.
26. The method of claim 1 , wherein the oligonucleotide comprises:
a gap segment consisting of linked deoxy nucleosides;
a 5′ wing segment consisting of linked nucleosides;
a 3′ wing segment consisting of linked nucleosides;
wherein the gap segment is positioned between the 5′ wing segment and the 3′ wing segment and wherein each nucleoside of each wing segment comprises a modified sugar.
27. The method of claim 26 , wherein the oligonucleotide comprises:
a gap segment consisting of ten linked deoxynucleosides;
a 5′ wing segment consisting of five linked nucleosides;
a 3′ wing segment consisting of five linked nucleosides;
wherein the gap segment is positioned immediately adjacent to and between the 5′ wing segment and the 3′ wing segment, wherein each nucleoside of each wing segment comprises a 2′-O-methoxyethyl sugar, wherein each cytosine in the oligonucleotide is a 5-methylcytosine, and wherein each internucleoside linkage of the oligonucleotide is a phosphorothioate linkage.
28. The method of claim 27 , wherein the oligonucleotide consists of 20 linked nucleosides.
29. The method of claim 1 , wherein the compound comprises a conjugate.
30. The method of claim 1 , wherein the modified oligonucleotide has a nucleobase sequence that is 100% complementary to a human KLKB1 nucleic acid.