Being non-natural analogs of nucleic acids, OPS are substantially more stable towards
hydrolysis by
nucleases, the class of
enzymes that destroy nucleic acids by breaking the bridging P-O bond of the phosphodiester moiety. This property determines the use of OPS as antisense oligonucleotides in
in vitro and
in vivo applications where the extensive exposure to nucleases is inevitable. Similarly, to improve the stability of
siRNA, at least one phosphorothioate linkage is often introduced at the 3'-terminus of both
sense and antisense strands. In chirally pure OPS, all-Sp diastereomers are more stable to enzymatic degradation than their all-Rp analogs. However, the preparation of chirally pure OPS remains a synthetic challenge. In laboratory practice, mixtures of diastereomers of OPS are commonly used.
Antisense pharmaceuticals In the United States, the
Food and Drug Administration (FDA) has approved the phosphorothioate antisense oligonucleotides
fomivirsen (Vitravene) and
mipomersen (Kynamro) for human therapeutic use in
antisense therapy. To prevent degradation of the therapeutic oliogoneucleotides, chemical modification is usually required. The most common chemical modification on the oligonucleotides is adding a
phosphorothioate linkage to the backbones. However, the phosphrothioate modification can be proinflammatory. Adverse effects including fever, chills or nausea have been observed after local injection of phosphrothioate modified oligonucleotides.
Gapmers often utilize nucleotides modified with phosphorothioate (PS) groups.
Miravirsen is an antisense phosphorothioate oligonucleotides that is additionally a
locked nucleic acid gapmer. Other antisense oligonucleotides using phosphorothioates include
afovirsen,
aganirsen,
alicaforsen,
bepirovirsen,
custirsen,
drisapersen,
eplontersen,
evazarsen,
gataparsen,
inotersen,
IONIS-GCCRRx,
nusinersen,
oblimersen,
olezarsen,
pelacarsen,
sefaxersen,
tofersen, and
volanesorsen. First-generation
anti-miRNA oligonucleotides utilized 2’-O-Methyl RNA nucleotides with phosphorothioate internucleotide linkages positioned at both ends to prevent
exonuclease attack. This 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.
Other pharmaceuticals In 2017, a two-dose HBV vaccine for adults, the
hepatitis B vaccine Heplisav-B gained U.S.
Food and Drug Administration (FDA) approval. It uses recombinant HB surface antigen, similar to previous vaccines, but includes a novel CpG 1018 adjuvant, a 22-mer phosphorothioate-linked oligodeoxynucleotide. It was non-inferior concerning immunogenicity. Phosphorothioate groups are also used in synthetic
CpG oligodeoxynucleotides.
Laboratory applications Other applications include
phosphorothioate-based ligase-independent cloning,
sequence saturation mutagenesis,
no-SCAR genome editing,
nucleotide analog interference mapping, and
incremental truncation for the creation of hybrid enzymes, and
antibody-oligonucleotide conjugates. == Synthesis ==