BACKGROUND OF THE INVENTION One of the principal mechanisms by which cellular regulation is effected is through the transduction of extracellular signals into intracellular signals that in turn modulate biochemical pathways. Examples of such extracellular signaling molecules include growth factors, cytokines, and chemokines. The cell surface receptors of these molecules and their associated signal transduction pathways are therefore one of the principal means by which cellular behavior is regulated. Because cellular phenotypes are largely influenced by the activity of these pathways, it is currently believed that a number of disease states and/or disorders are a result of either aberrant activation or functional mutations in the molecular components of signal transduction pathways.

For example, the polypeptide cytokine tumor necrosis factor (TNF) is normally produced during infection, injury, or invasion where it serves as a pivotal mediator of the inflammatory response. In recent years, a number of in vivo animal and human studies have demonstrated that overexpression TNF by the host in response to disease and infection is itself responsible for the pathological consequences associated with the underlying disease. For example, septic shock as a result of massive bacterial infection has been attributed to infection-induced expression of TNF. Thus, systemic exposure to TNF at levels comparable to those following massive bacterial infection has been shown to result in a spectrum of

symptoms (shock, tissue injury, capillary leakage, hypoxia, pulmonary edema, multiple organ failure, and high mortality rate) that is virtually indistinguishable from septic shock syndrome. Tracey, 1994, Ann. Rev. Med. 45,491-503. Further evidence has been provided in animal models of septic shock, in which it has been demonstrated that systemic exposure to anti-TNF neutralizing antibodies block bacterial-induced sepsis. Tracey, 1994, Ann. Rev. Med. 45,491-503. In addition to these acute effects, chronic exposure to low-dose TNF, results in a syndrome of cachexia marked by anorexia, weight loss, dehydration, and depletion of whole-body protein and lipid. Chronic production of TNF has been implicated in a number of diseases including AIDS and cancer. Tracey, 1994, Ann. Rev. Med. 45,491-503. To date, two distinct TNF cells surface receptors, known as TNFR1 and TNFR2, have been described. Molecular analysis of TNFR1 and TNFR2 have shown that the two receptors share little homology in their intracellular domains and appear to activate distinct intracellular pathways. Tracey, 1994, Ann. Rev. Med. 45,491- 503.

Recent studies with transgenic TNFR1 knockout mice have demonstrated that signalling through TNFR1 plays an important role in the clearing of low-level bacterial infection as well as TNF-induced septic shock following high-level bacterial infection. Lotz, 1996, J. Leukoc. Biol., 60, 1-7. These findings indicate that compositions of matter which can inhibit signalling through the TNFR1 receptor may serve as useful targets for inhibition of TNF induced toxicities such as septic shock.

Antisense oligonucleotide inhibition of TNFR1 has proven to be a useful tool in understanding the role of TNFR1 stimulation in cytokine induction and cell proliferation.

Ojwang et. al. have disclosed partial phosphothioate antisense oligodeoxynucleotides contaning C-5 propynyl or hexynyl derivatives of 2'-deoxyuridine which caused attenuation of

TNFR1 mRNA and protein and inhibited TNF-alpha induced expression of IL-6 in MRC-5 cells. Ojwang, 1997, Biochemistry, 36, 6033-6045. These oligonucleotides were targeted to the poly (A) signal site of TNFR1 mRNA. A uniform phosphorothioate oligonucleotide targeted to the translation initiation codon of TNFR1 was found to have no effect.

There remains a long-felt need for improved compositions and methods for inhibiting TNFR1 gene expression.

SUMMARY OF THE INVENTION The present invention is directed to antisense compounds, particularly oligonucleotides, which are targeted to a nucleic acid encoding TNFR1, and which modulate the expression of TNFR1. Pharmaceutical and other compositions comprising the antisense compounds of the invention are also provided. Further provided are methods of modulating the expression of TNFR1 in cells or tissues comprising contacting said cells or tissues with one or more of the antisense compounds or compositions of the invention. Further provided are methods of treating an animal, particularly a human, suspected of having or being prone to a disease or condition associated with expression of TNFR1 by administering a therapeutically or prophylactically effective amount of one or more of the antisense compounds or compositions of the invention.

DETAILED DESCRIPTION OF THE INVENTION The present invention employs oligomeric antisense compounds, particularly oligonucleotides, for use in modulating the function of nucleic acid molecules encoding TNFR1, ultimately modulating the amount of TNFR1 produced.

This is accomplished by providing antisense compounds which specifically hybridize with one or more nucleic acids encoding TNFR1. As used herein, the terms"target nucleic acid"and "nucleic acid encoding TNFR1"encompass DNA encoding TNFR1, RNA (including pre-mRNA and mRNA) transcribed from such DNA, and also cDNA derived from such RNA. The specific

hybridization of an oligomeric compound with its target nucleic acid interferes with the normal function of the nucleic acid. This modulation of function of a target nucleic acid by compounds which specifically hybridize to it is generally referred to as"antisense."The functions of DNA to be interfered with include replication and transcription. The functions of RNA to be interfered with include all vital functions such as, for example, translocation of the RNA to the site of protein translation, translation of protein from the RNA, splicing of the RNA to yield one or more mRNA species, and catalytic activity which may be engaged in or facilitated by the RNA. The overall effect of such interference with target nucleic acid function is modulation of the expression of TNFR1. In the context of the present invention,"modulation"means'either an increase (stimulation) or a decrease (inhibition) in the expression of a gene. In the context of the present invention, inhibition is the preferred form of modulation of gene expression and mRNA is a preferred target.

It is preferred to target specific nucleic acids for antisense."Targeting"an antisense compound to a particular nucleic acid, in the context of this invention, is a multistep process. The process usually begins with the identification of a nucleic acid sequence whose function is to be modulated.

This may be, for example, a cellular gene (or mRNA transcribed from the gene) whose expression is associated with a particular disorder or disease state, or a nucleic acid molecule from an infectious agent. In the present invention, the target is a nucleic acid molecule encoding TNFR1. The targeting process also includes determination of a site or sites within this gene for the antisense interaction to occur such that the desired effect, e. g., detection or modulation of expression of the protein, will result. Within the context of the present invention, a preferred intragenic site is the region encompassing the translation initiation or termination

codon of the open reading frame (ORF) of the gene. Since, as is known in the art, the translation initiation codon is typically 5'-AUG (in transcribed mRNA molecules; 5'-ATG in the corresponding DNA molecule), the translation initiation codon is also referred to as the"AUG codon,"the"start codon"or the"AUG start codon."A minority of genes have a translation initiation codon having the RNA sequence 5'-GUG, 5'-UUG or 5'-CUG, and 5'-AUA, 5'-ACG and 5'-CUG have been shown to function in vivo. Thus, the terms"translation initiation codon"and"start codon"can encompass many codon sequences, even though the initiator amino acid in each instance is typically methionine (in eukaryotes) or formylmethionine (prokaryotes). It is also known in the art that eukaryotic and prokaryotic genes may have two or more alternative start codons, any one of which may be preferentially utilized for translation initiation in a particular cell type or tissue, or under a particular set of conditions. In the context of the invention,"start codon"and"translation initiation codon"refer to the codon or codons that are used in vivo to initiate translation of an mRNA molecule transcribed from a gene encoding TNFR1, regardless of the sequence (s) of such codons.

It is also known in the art that a translation termination codon (or"stop codon") of a gene may have one of three sequences, i. e., 5'-UAA, 5'-UAG and 5'-UGA (the corresponding DNA sequences are 5'-TAA, 5'-TAG and 5'-TGA, respectively). The terms"start codon region"and "translation initiation codon region"refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either direction (i. e., 5'or 3') from a translation initiation codon. Similarly, the terms "stop codon region"and"translation termination codon region" refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either

irection (i. e., 5'or 3') from a translation termination codon.

The open reading frame (ORF) or"coding region,"which is known in the art to refer to the region between the translation initiation codon and the translation termination codon, is also a region which may be targeted effectively.

Other target regions include the 5'untranslated region (5'UTR), known in the art to refer to the portion of an mRNA in the 5'direction from the translation initiation codon, and thus including nucleotides between the 5'cap site and the translation initiation codon of an mRNA or corresponding nucleotides on the gene) and the 3'untranslated region (3'UTR), known in the art to refer to the portion of an mRNA in the 3'direction from the translation termination codon, and thus including nucleotides between the translation termination codon and 3'end of an mRNA or corresponding nucleotides on the gene). The 5'cap of an mRNA comprises an N7-methylated guanosine residue joined to the 5'-most residue of the mRNA via a 5'-5'triphosphate linkage. The 5'cap region of an mRNA is considered to include the 5'cap structure itself as well as the first 50 nucleotides adjacent to the cap. The 5'cap region may also be a preferred target region.

Although some eukaryotic mRNA transcripts are directly translated, many contain one or more regions, known as "introns,"which are excised from a transcript before it is translated. The remaining (and therefore translated) regions are known as"exons"and are spliced together to form a continuous mRNA sequence. mRNA splice sites, i. e., intron-exon junctions, may also be preferred target regions, and are particularly useful in situations where aberrant splicing is implicated in disease, or where an overproduction of a particular mRNA splice product is implicated in disease.

Aberrant fusion junctions due to rearrangements or deletions are also preferred targets. It has also been found that

introns can also be effective, and therefore preferred, target regions for antisense compounds targeted, for example, to DNA or pre-mRNA.

Once one or more target sites have been identified, oligonucleotides are chosen which are sufficiently complementary to the target, i. e., hybridize sufficiently well and with sufficient specificity, to give the desired effect.

In the context of this invention,"hybridization"means hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleoside or nucleotide bases. For example, adenine and thymine are complementary nucleobases which pair through the formation of hydrogen bonds."Complementary,"as used herein, refers to the capacity for precise pairing between two nucleotides. For example, if a nucleotide at a certain position of an oligonucleotide is capable of hydrogen bonding with a nucleotide at the same position of a DNA or RNA molecule, then the oligonucleotide and the DNA or RNA are considered to be complementary to each other at that position.

The oligonucleotide and the DNA or RNA are complementary to each other when a sufficient number of corresponding positions in each molecule are occupied by nucleotides which can hydrogen bond with each other. Thus,"specifically hybridizable"and"complementary"are terms which are used to indicate a sufficient degree of complementarity or precise pairing such that stable and specific binding occurs between the oligonucleotide and the DNA or RNA target. It is understood in the art that the sequence of an antisense compound need not be 100% complementary to that of its target nucleic acid to be specifically hybridizable. An antisense compound is specifically hybridizable when binding of the compound to the target DNA or RNA molecule interferes with the normal function of the target DNA or RNA to cause a loss of utility, and there is a sufficient degree of complementarity to avoid non-specific binding of the antisense compound to

non-target sequences under conditions in which specific binding is desired, i. e., under physiological conditions in the case of in vivo assays or therapeutic treatment, or in the case of in vitro assays, under conditions in which the assays are performed.

Antisense compounds are commonly used as research reagents and diagnostics. For example, antisense oligonucleotides, which are able to inhibit gene expression with exquisite specificity, are often used by those of ordinary skill to elucidate the function of particular genes.

Antisense compounds are also used, for example, to distinguish between functions of various members of a biological pathway.

Antisense modulation has, therefore, been harnessed for research use.

The specificity and sensitivity of antisense is also harnessed by those of skill in the art for therapeutic uses.

Antisense oligonucleotides have been employed as therapeutic moieties in the treatment of disease states in animals and man. Antisense oligonucleotides have been safely and effectively administered to humans and numerous clinical trials are presently underway. It is thus established that oligonucleotides can be useful therapeutic modalities that can be configured to be useful in treatment regimes for treatment of cells, tissues and animals, especially humans.

In the context of this invention, the term"oligonucleotide" refers to an oligomer or polymer of ribonucleic acid (RNA) or deoxyribonucleic acid (DNA) or mimetics thereof. This term includes oligonucleotides composed of naturally-occurring nucleobases, sugars and covalent internucleoside (backbone) linkages as well as oligonucleotides having non-naturally- occurring portions which function similarly. Such modified or substituted oligonucleotides are often preferred over native forms because of desirable properties such as, for example, enhanced cellular uptake, enhanced affinity for

ucleic acid target and increased stability in the presence of nucleases.

While antisense oligonucleotides are a preferred form of antisense compound, the present invention comprehends other oligomeric antisense compounds, including but not limited to oligonucleotide mimetics such as are described below. The antisense compounds in accordance with this invention preferably comprise from about 8 to about 30 nucleobases.

Particularly preferred are antisense oligonucleotides comprising from about 8 to about 30 nucleobases (i. e. from about 8 to about 30 linked nucleosides). As is known in the art, a nucleoside is a base-sugar combination. The base portion of the nucleoside is normally a heterocyclic base.

The two most common classes of such heterocyclic bases are the purines and, the pyrimidines. Nucleotides are nucleosides that further include a phosphate group covalently linked to the sugar portion of the nucleoside. For those nucleosides that include a pentofuranosyl sugar, the phosphate group can be linked to either the 2', 3'or 5'hydroxyl moiety of the sugar. In forming oligonucleotides, the phosphate groups covalently link adjacent nucleosides to one another to form a linear polymeric compound. In turn the respective ends of this linear polymeric structure can be further joined to form a circular structure, however, open linear structures are generally preferred. Within the oligonucleotide structure, the phosphate groups are commonly referred to as forming the internucleoside backbone of the oligonucleotide. The normal linkage or backbone of RNA and DNA is a 3'to 5' phosphodiester linkage.

Specific examples of preferred antisense compounds useful in this invention include oligonucleotides containing modified backbones or non-natural internucleoside linkages.

As defined in this specification, oligonucleotides having modified backbones include those that retain a phosphorus atom in the backbone and those that do not have a phosphorus atom

in the backbone. For the purposes of this specification, and as sometimes referenced in the art, modified oligonucleotides that do not have a phosphorus atom in their internucleoside backbone can also be considered to be oligonucleosides.

Preferred modified oligonucleotide backbones include, for example, phosphorothioates, chiral phosphorothioates, phosphorodithioates, phosphotriesters, aminoalkylphosphotri- esters, methyl and other alkyl phosphonates including 3'- alkylene phosphonates and chiral phosphonates, phosphinates, phosphoramidates including 3'-amino phosphoramidate and aminoalkylphosphoramidates, thionophosphoramidates, thiono- alkylphosphonates, thionoalklyphosphotriesters, and borano- phosphates having normal 3'-5'linkages, 2'-5'linked analogs of these, and those having inverted polarity wherein the adjacent pairs of nucleoside units are linked 3'-5'to 5'-3' or 2'-5'to 5'-2'. Various salts, mixed salts and free acid forms are also included.

Representative United States patents that teach the preparation of the above phosphorus-containing linkages include, but are not limited to, U. S. Patents: 3,687,808; 4,469,863; 4,476,301; 5,023,243; 5,177,196; 5,188,897; 5,264,423; 5,276,019; 5,278,302; 5,286,717; 5,321,131; 5,399,676; 5,405,939; 5,453,496; 5,455,233; 5,466,677; 5,476,925; 5,519,126; 5,536,821; 5,541,306; 5,550,111; 5,563,253; 5,571,799; 5,587,361; 5,625,050; and 5,697,248, certain of which are commonly owned with this application, and each of which is herein incorporated by reference.

Preferred modified oligonucleotide backbones that do not include a phosphorus atom therein have backbones that are formed by short chain alkyl or cycloalkyl internucleoside linkages, mixed heteroatom and alkyl or cycloalkyl internucleoside linkages, or one or more short chain heteroatomic or heterocyclic internucleoside linkages. These include those having morpholino linkages (formed in part from the sugar portion of a nucleoside); siloxane backbones;

sulfide, sulfoxide and sulfone backbones; formacetyl and thioformacetyl backbones; methylene formacetyl and thioformacetyl backbones; alkene containing backbones; sulfamate backbones; methyleneimino and methylenehydrazino backbones; sulfonate and sulfonamide backbones; amide backbones; and others having mixed N, 0, S and CH2 component parts.

Representative United States patents that teach the preparation of the above oligonucleosides include, but are not limited to, U. S. Patents: 5,034,506; 5,166,315; 5,185,444; 5,214,134; 5,216,141; 5,235,033; 5,264,562; 5,264,564; 5,405,938; 5,434,257; 5,466,677; 5,470,967; 5,489,677; 5,541,307; 5,561,225; 5,596,086; 5,602,240; 5,610,289; 5,602,240; 5,608,046; 5,610,289; 5,618,704; 5,623,070; 5,663,312; 5,633,360; 5,677,437; and 5,677,439, certain of which are commonly owned with this application, and each of which is herein incorporated by reference.

In other preferred oligonucleotide mimetics, both the sugar and the internucleoside linkage, i. e., the backbone, of the nucleotide units are replaced with novel groups. The base units are maintained for hybridization with an appropriate nucleic acid target compound. One such oligomeric compound, an oligonucleotide mimetic that has been shown to have excellent hybridization properties, is referred to as a peptide nucleic acid (PNA). In PNA compounds, the sugar- backbone of an oligonucleotide is replaced with an amide containing backbone, in particular an aminoethylglycine backbone. The nucleobases are retained and are bound directly or indirectly to aza nitrogen atoms of the amide portion of the backbone. Representative United States patents that teach the preparation of PNA compounds include, but are not limited to, U. S. Patents: 5,539,082; 5,714,331; and 5,719,262, each of which is herein incorporated by reference. Further teaching of PNA compounds can be found in Nielsen et al., Science, 1991,254,1497-1500.

Most preferred embodiments of the invention are oligonucleotides with phosphorothioate backbones and oligonucleosides with heteroatom backbones, and in particular -CH2-NH-O-CH2-,-CH2-N (CH3)-O-CH2- [known as a methylene (methylimino) or MMI backbone],-CH2-O-N (CH3)-CH2-,-CH2-N (CH3)- N (CH3)-CH2-and-O-N (CH3)-CH2-CH2- [wherein the native phosphodiester backbone is represented as-O-P-O-CH2-] of the above referenced U. S. patent 5,489,677, and the amide backbones of the above referenced U. S. Patent 5,602,240. Also preferred are oligonucleotides having morpholino backbone structures of the above-referenced U. S. Patent 5,034,506.

Modified oligonucleotides may also contain one or more substituted sugar moieties. Preferred oligonucleotides comprise one of the following at the 2'position : OH; F; O-, S-, or N-alkyl, O-, S-, or N-alkenyl, 0, S-or N-alkynyl, or 0-alkyl-0-alkyl, wherein the alkyl, alkenyl and alkynyl may be substituted or unsubstituted Ci to Clo alkyl or C 2to C 1 alkenyl and alkynyl. Particularly preferred are 0 [(CH2)nO]mCH3, O (CH2) nOCH3, O (CH2) nNH2/O (CH2) nCH3, O (CH2) nONH2, and O (CH2) nON [(CH2)nCH3)]2, where n and m are from 1 to about 10.

Other preferred oligonucleotides comprise one of the following at the 2'position : Cl to Cl0 lower alkyl, substituted lower alkyl, alkaryl, aralkyl, 0-alkaryl or 0-aralkyl, SH, SCH3, OCN, Cl, Br, CN, CF3, OCF3, SOCH3, SO2CH3, ONO2, NO2, N3, NH 2 heterocycloalkyl, heterocycloalkaryl, aminoalkylamino, poly- alkylamino, substituted silyl, an RNA cleaving group, a reporter group, an intercalator, a group for improving the pharmacokinetic properties of an oligonucleotide, or a group for improving the pharmacodynamic properties of an oligonucleotide, and other substituents having similar properties. A preferred modification includes 2'- methoxyethoxy (2'-0-CH2CH20CH3, also known as 21-0- (2- methoxyethyl) or 2'-MOE) (Martin et al., Helv. Chim. Acta, 1995,78,486-504) i. e., an alkoxyalkoxy group. A further preferred modification includes 2'-dimethylaminooxyethoxy,

i. e., a O (CH2) 20N (CH3) 2 group, also known as 2'-DMAOE, as described in United States patent application Serial Number 09/016,520, filed on January 30,1998, which is commonly owned with the instant application and the contents of which are herein incorporated by reference.

Other preferred modifications include 2'-methoxy (2'-O- CH3), 2'-aminopropoxy (2'-OCH2CH2CH2NH2) and 2'-fluor (2'-F).

Similar modifications may also be made at other positions on the oligonucleotide, particularly the 3'position of the sugar on the 3'terminal nucleotide or in 2'-5'linked oligonucleotides and the 5'position of 5'terminal nucleotide. Oligonucleotides may also have sugar mimetics such as cyclobutyl moieties in place of the pentofuranosyl sugar. Representative United States patents that teach the preparation of such modified sugars structures include, but are not limited to, U. S. Patents: 4,981,957; 5,118,800; 5,319,080; 5,359,044; 5,393,878; 5,446,137; 5,466,786; 5,514,785; 5,519,134; 5,567,811; 5,576,427; 5,591,722; 5,597,909; 5,610,300; 5,627,0531 5,639,873; 5,646,265; 5,658,873; 5,670,633; and 5,700,920, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference, and U. S. Patent 5,859,221, which is commonly owned with the instant application and is also herein incorporated by reference.

Oligonucleotides may also include nucleobase (often referred to in the art simply as"base") modifications or substitutions. As used herein,"unmodified"or"natural" nucleobases include the purine bases adenine (A) and guanine (G), and the pyrimidine bases thymine (T), cytosine (C) and uracil (U). Modified nucleobases include other synthetic and natural nucleobases such as 5-methylcytosine (5-me-C), 5- hydroxymethyl cytosine, xanthine, hypoxanthine, 2- aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine,

5-halouracil and cytosine, 5-propynyl uracil and cytosine, 6- azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4- thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and other 5- substituted uracils and cytosines, 7-methylguanine and 7- methyladenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine and 3-deazaguanine and 3-deazaadenine.

Further nucleobases include those disclosed in U. S. Patent 3,687,808, those disclosed in The Concise Encyclopedia Of Polymer Science And Engineering, pages 858-859, Kroschwitz, J. I., ed. John Wiley & Sons, 1990, those disclosed by Englisch et al., Angewandte Chemie, International Edition, 1991,30, 613, and those disclosed by Sanghvi, Y. S., Chapter 15, Antisense Research and Applications, pages 289-302, Crooke, S. T. and Lebleu, B., ed., CRC Press, 1993. Certain of these nucleobases are particularly useful for increasing the binding affinity of the oligomeric compounds of the invention. These include 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and 0-6 substituted purines, including 2-aminopropyl- adenine, 5-propynyluracil and 5-propynylcytosine. 5- methylcytosine substitutions have been shown to increase nucleic acid duplex stability by 0.6-1.2°C (Sanghvi, Y. S., Crooke, S. T. and Lebleu, B., eds., Antisense Research and Applications, CRC Press, Boca Raton, 1993, pp. 276-278) and are presently preferred base substitutions, even more particularly when combined with 2'-0-methoxyethyl sugar modifications.

Representative United States patents that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include, but are not limited to, the above noted U. S. Patent 3,687,808, as well as U. S. Patents: 4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066; 5,432,272; 5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711; 5,552,540; 5,587,469; 5,594,121,

5,596,091; 5,614,617; and 5,681,941, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference, and U. S. Patent 5,750,692, which is commonly owned with the instant application and also herein incorporated by reference.

Another modification of the oligonucleotides of the invention involves chemically linking to the oligonucleotide one or more moieties or conjugates which enhance the activity, cellular distribution or cellular uptake of the oligonucleotide. Such moieties include but are not limited to lipid moieties such as a cholesterol moiety (Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989,86,6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Let., 1994,4, 1053-1060), a thioether, e. g., hexyl-S-tritylthiol (Manoharan et al., Ann. N. Y. Acad. Sci., 1992,660,306-309; Manoharan et al., Bioorg. Med. Chem. Let., 1993,3,2765-2770), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20,533-538), an aliphatic chain, e. g., dodecandiol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991,10,1111- 1118; Kabanov et al., FEBS Lett., 1990,259,327-330; Svinarchuk et al., Biochimie, 1993, 75,49-54), a phospholipid, e. g., di-hexadecyl-rac-glycerol or triethyl- ammonium 1, 2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995,36,3651-3654; Shea et al., Nucl. Acids Res., 1990,18,3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995,14,969-973), or adamantan acetic acid (Manoharan et al., Tetrahedron Lett., 1995,36, 3651-3654), a palmityl moiety (Mishra et al., Biochim.

Biophys. Acta, 1995,1264,229-237), or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J.

Pharmacol. Exp. Ther., 1996,277,923-937.

Representative United States patents that teach the preparation of such oligonucleotide conjugates include, but

are not limited to, U. S. Patents: 4,828,979; 4,948,882; 5,218,105; 5,525,465; 5,541,313; 5,545,730; 5,552,538; 5,578,717,5,580,731; 5,580,731; 5,591,584; 5,109,124; 5,118,802; 5,138,045; 5,414,077; 5,486,603; 5,512,439; 5,578,718; 5,608,046; 4,587,044; 4,605,735; 4,667,025; 4,762,779; 4,789,737; 4,824,941; 4,835,263; 4,876,335; 4,904,582; 4,958,013; 5,082,830; 5,112,963; 5,214,136; 5,082,830; 5,112,963; 5,214,136; 5,245,022; 5,254,469; 5,258,506; 5,262,536; 5,272,250; 5,292,873; 5,317,098; 5,371,241,5,391,723; 5,416,203,5,451,463; 5,510,475; 5,512,667; 5,514,785; 5,565,552; 5,567,810; 5,574,142; 5,585,481; 5,587,371; 5,595,726; 5,597,696; 5,599,923; 5,599,928 and 5,688,941, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference.

It is not necessary for all positions in a given compound to be uniformly modified, and in fact more than one of the aforementioned modifications may be incorporated in a single compound or even at a single nucleoside within an oligonucleotide. The present invention also includes antisense compounds which are chimeric compounds."Chimeric" antisense compounds or"chimeras,"in the context of this invention, are antisense compounds, particularly oligonucleotides, which contain two or more chemically distinct regions, each made up of at least one monomer unit, i. e., a nucleotide in the case of an oligonucleotide compound.

These oligonucleotides typically contain at least one region wherein the oligonucleotide is modified so as to confer upon the oligonucleotide increased resistance to nuclease degradation, increased cellular uptake, and/or increased binding affinity for the target nucleic acid. An additional region of the oligonucleotide may serve as a substrate for enzymes capable of cleaving RNA: DNA or RNA: RNA hybrids. By way of example, RNase H is a cellular endonuclease which cleaves the RNA strand of an RNA: DNA duplex. Activation of

RNase H, therefore, results in cleavage of the RNA target, thereby greatly enhancing the efficiency of oligonucleotide inhibition of gene expression. Consequently, comparable results can often be obtained with shorter oligonucleotides when chimeric oligonucleotides are used, compared to phosphorothioate deoxyoligonucleotides hybridizing to the same target region. Cleavage of the RNA target can be routinely detected by gel electrophoresis and, if necessary, associated nucleic acid hybridization techniques known in the art.

Chimeric antisense compounds of the invention may be formed as composite structures of two or more oligonucleotides, modified oligonucleotides, oligonucleosides and/or oligonucleotide mimetics as described above. Such compounds have also been referred to in the art as hybrids or gapmers. Representative United States patents that teach the preparation of such hybrid structures include, but are not limited to, U. S. Patents: 5,013,830; 5,149,797; 5,220,007; 5,256,775; 5,366,878; 5,403,711; 5,491,133; 5,565,350; 5,623,065; 5,652,355; 5,652,356; and 5,700,922, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference, and U. S.

Patent 5,955,589 which is commonly owned with the instant application and also herein incorporated by reference.

The antisense compounds used in accordance with this invention may be conveniently and routinely made through the well-known technique of solid phase synthesis. Equipment for such synthesis is sold by several vendors including, for example, Applied Biosystems (Foster City, CA). Any other means for such synthesis known in the art may additionally or alternatively be employed. It is well known to use similar techniques to prepare oligonucleotides such as the phosphorothioates and alkylated derivatives.

The antisense compounds of the invention are synthesized in vitro and do not include antisense compositions of

iological origin, or genetic vector constructs designed to direct the in vivo synthesis of antisense molecules.

The compounds of the invention may also be admixed, encapsulated, conjugated or otherwise associated with other molecules, molecule structures or mixtures of compounds, as for example, liposomes, receptor targeted molecules, oral, rectal, topical or other formulations, for assisting in uptake, distribution and/or absorption. Representative United States patents that teach the preparation of such uptake, distribution and/or absorption assisting formulations include, but are not limited to, U. S. Patents: 5,108,921; 5,354,844; 5,416,016; 5,459,127; 5,521,291; 5,543,158; 5,547,932; 5,583,020; 5,591,721; 4,426,330; 4,534,899; 5,013,556; 5,108,921; 5,213,804; 5,227,170; 5,264,221; 5,356,633; 5,395,619; 5,416,016; 5,417,978; 5,462,854; 5,469,854; 5,512,295; 5,527,528; 5,534,259; 5,543,152; 5,556,948; 5,580,575; and 5,595,756, each of which is herein incorporated by reference.

The antisense compounds of the invention encompass any pharmaceutically acceptable salts, esters, or salts of such esters, or any other compound which, upon administration to an animal including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to prodrugs and pharmaceutically acceptable salts of the compounds of the invention, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents.

The term"prodrug"indicates a therapeutic agent that is prepared in an inactive form that is converted to an active form (i. e., drug) within the body or cells thereof by the action of endogenous enzymes or other chemicals and/or conditions. In particular, prodrug versions of the oligonucleotides of the invention are prepared as SATE [(S-acetyl-2-thioethyl) phosphate] derivatives according to

the methods disclosed in WO 93/24510 to Gosselin et al., published December 9,1993 or in WO 94/26764 to Imbach et al.

The term"pharmaceutically acceptable salts"refers to physiologically and pharmaceutically acceptable salts of the compounds of the invention: i. e., salts that retain the desired biological activity of the parent compound and do not impart undesired toxicological effects thereto.

Pharmaceutically acceptable base addition salts are formed with metals or amines, such as alkali and alkaline earth metals or organic amines. Examples of metals used as cations are sodium, potassium, magnesium, calcium, and the like. Examples of suitable amines are N, N'-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, dicyclohexylamine, ethylenediamine, N-methylglucamine, and procaine (see, for example, Berge et al.,"Pharmaceutical Salts,"J. of Pharma Sci., 1977,66,1- 19). The base addition salts of said acidic compounds are prepared by contacting the free acid form with a sufficient amount of the desired base to produce the salt in the conventional manner. The free acid form may be regenerated by contacting the salt form with an acid and isolating the free acid in the conventional manner. The free acid forms differ from their respective salt forms somewhat in certain physical properties such as solubility in polar solvents, but otherwise the salts are equivalent to their respective free acid for purposes of the present invention. As used herein, a"pharmaceutical addition salt"includes a pharmaceutically acceptable salt of an acid form of one of the components of the compositions of the invention. These include organic or inorganic acid salts of the amines. Preferred acid salts are the hydrochlorides, acetates, salicylates, nitrates and phosphates. Other suitable pharmaceutically acceptable salts are well known to those skilled in the art and include basic salts of a variety of inorganic and organic acids, such as, for example, with inorganic acids, such as for example

hydrochloric acid, hydrobromic acid, sulfuric acid or phosphoric acid; with organic carboxylic, sulfonic, sulfo or phospho acids or N-substituted sulfamic acids, for example acetic acid, propionic acid, glycolic acid, succinic acid, maleic acid, hydroxymaleic acid, methylmaleic acid, fumaric acid, malic acid, tartaric acid, lactic acid, oxalic acid, gluconic acid, glucaric acid, glucuronic acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, salicylic acid, 4-aminosalicylic acid, 2-phenoxybenzoic acid, 2-acetoxybenzoic acid, embonic acid, nicotinic acid or isonicotinic acid; and with amino acids, such as the 20 alpha-amino acids involved in the synthesis of proteins in nature, for example glutamic acid or aspartic acid, and also with phenylacetic acid, methanesulfonic acid, ethanesulfonic acid, 2-hydroxyethanesulfonic acid, ethane-1, 2-disulfonic acid, benzenesulfonic acid, 4-methylbenzenesulfonic acid, naphthalene-2-sulfonic acid, naphthalene-1, 5-disulfonic acid, 2-or 3-phosphoglycerate, glucose-6-phosphate, N-cyclohexylsulfamic acid (with the formation of cyclamates), or with other acid organic compounds, such as ascorbic acid.

Pharmaceutically acceptable salts of compounds may also be prepared with a pharmaceutically acceptable cation. Suitable pharmaceutically acceptable cations are well known to those skilled in the art and include alkaline, alkaline earth, ammonium and quaternary ammonium cations. Carbonates or hydrogen carbonates are also possible.

For oligonucleotides, preferred examples of pharmaceutically acceptable salts include but are not limited to (a) salts formed with cations such as sodium, potassium, ammonium, magnesium, calcium, polyamines such as spermine and spermidine, etc.; (b) acid addition salts formed with inorganic acids, for example hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; (c) salts formed with organic acids such as, for example, acetic acid, oxalic acid, tartaric acid, succinic

acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, naphthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, naphthalenedisulfonic acid, polygalacturonic acid, and the like; and (d) salts formed from elemental anions such as chlorine, bromine, and iodine. The antisense compounds of the present invention can be utilized for diagnostics, therapeutics, prophylaxis and as research reagents and kits. For therapeutics, an animal, preferably a human, suspected of having a disease or disorder which can be treated by modulating the expression of TNFR1 is treated by administering antisense compounds in accordance with this invention. The compounds of the invention can be utilized in pharmaceutical compositions by adding an effective amount of an antisense compound to a suitable pharmaceutically acceptable diluent or carrier. Use of the antisense compounds and methods of the invention may also be useful prophylactically, e. g., to prevent or delay infection, inflammation or tumor formation, for example.

The antisense compounds of the invention are useful for research and diagnostics, because these compounds hybridize to nucleic acids encoding TNFR1, enabling sandwich and other assays to easily be constructed to exploit this fact.

Hybridization of the antisense oligonucleotides of the invention with a nucleic acid encoding TNFR1 can be detected by means known in the art. Such means may include conjugation of an enzyme to the oligonucleotide, radiolabelling of the oligonucleotide or any other suitable detection means. Kits using such detection means for detecting the level of TNFR1 in a sample may also be prepared.

The present invention also includes pharmaceutical compositions and formulations which include the antisense compounds of the invention. The pharmaceutical compositions of the present invention may be administered in a number of

ways depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration may be topical (including ophthalmic and to mucous membranes including vaginal and rectal delivery), pulmonary, e. g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal, intranasal, epidermal and transdermal), oral or parenteral. Parenteral administration includes intravenous, intraarterial, subcutaneous, intraperitoneal or intramuscular injection or infusion; or intracranial, e. g., intrathecal or intraventricular, administration. Oligonucleotides with at least one 2'-O- methoxyethyl modification are believed to be particularly useful for oral administration.

Pharmaceutical compositions and formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable. Coated condoms, gloves and the like may also be useful.

Compositions and formulations for oral administration include powders or granules, suspensions or solutions in water or non-aqueous media, capsules, sachets or tablets.

Thickeners, flavoring agents, diluents, emulsifiers, dispersing aids or binders may be desirable.

Compositions and formulations for parenteral, intrathecal or intraventricular administration may include sterile aqueous solutions which may also contain buffers, diluents and other suitable additives such as, but not limited to, penetration enhancers, carrier compounds and other pharmaceutically acceptable carriers or excipients.

Pharmaceutical compositions and/or formulations comprising the oligonucleotides of the present invention may also include penetration enhancers in order to enhance the alimentary delivery of the oligonucleotides. Penetration

enhancers may be classified as belonging to one of five broad categories, i. e., fatty acids, bile salts, chelating agents, surfactants and non-surfactants (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991,8,91-192; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990,7,1-33). One or more penetration enhancers from one or more of these broad categories may be included.

Penetration enhancers are described in pending United States patent application 08/886,829, filed on July 1,1997, and U. S. Patent 6,083,923 both of which are commonly owned with the instant application and both of which are herein incorporated by reference.

Various fatty acids and their derivatives which act as penetration enhancers include, for example, oleic acid, lauric acid, capric acid, myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, recinleate, monoolein (a. k. a. 1-monooleoyl-rac-glycerol), dilaurin, caprylic acid, arichidonic acid, glyceryl <BR> <BR> <BR> <BR> 1-monocaprate, 1-dodecylazacycloheptan-2-one, acylcarnitines, acylcholines, mono-and di-glycerides and physiologically acceptable salts thereof (i. e., oleate, laurate, caprate, myristate, palmitate, stearate, linoleate, etc.) (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, 8: 2,91-192; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990,7: 1,1-33; El-Hariri et al., J. Pharm.

Pharmacol., 1992,44,651-654). Examples of some presently preferred fatty acids are sodium caprate and sodium laurate, used singly or in combination at concentrations of 0.5 to 5%.

Preferred penetration enhancers are disclosed in pending United States patent application 08/886,829, filed on July 1, 1997, which is commonly owned with the instant application and which is herein incorporated by reference.

The physiological roles of bile include the facilitation of dispersion and absorption of lipids and fat-soluble vitamins (Brunton, Chapter 38 In: Goodman & Gilman's The

Pharmacological Basis of Therapeutics, 9th Ed., Hardman et al., eds., McGraw-Hill, New York, NY, 1996, pages 934-935).

Various natural bile salts, and their synthetic derivatives, act as penetration enhancers. Thus, the term"bile salt" includes any of the naturally occurring components of bile as well as any of their synthetic derivatives. Preferred bile salts are described in pending United States patent application 08/886,829, filed on July 1, 1997, which is commonly owned with the instant application and which is herein incorporated by reference. A presently preferred bile salt is chenodeoxycholic acid (CDCA) (Sigma Chemical Company, St. Louis, MO), generally used at concentrations of 0.5 to 2%.

Complex formulations comprising one or more penetration enhancers may be used. For example, bile salts may be used in combination with fatty acides to make complex formulations.

Preferred combinations include CDCA combined with sodium caprate or sodium laurate (generally 0.5 to 5%).

Chelating agents include, but are not limited to, disodium ethylenediaminetetraacetate (EDTA), citric acid, salicylates (e. g., sodium salicylate, 5-methoxysalicylate and homovanilate), N-acyl derivatives of collagen, laureth-9 and N-amino acyl derivatives of beta-diketones (enamines) (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems., 1991,8: 2,92-192; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990,7: 1,1-33; Buur et al., J. Control Rel., 1990,14,43-51). Chelating agents have the added advantage of also serving as DNase inhibitors.

Surfactants include, for example, sodium lauryl sulfate, polyoxyethylene-9-lauryl ether and polyoxyethylene-20-cetyl ether (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991,8: 2,92-191); and perfluorochemical emulsions, such as FC-43 (Takahashi et al., J. Pharm.

Phamacol., 1988,40,252-257).

Non-surfactants include, for example, unsaturated cyclic ureas, 1-alkyl-and 1-alkenylazacyclo-alkanone derivatives

(Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991,8: 2,92-191); and non-steroidal anti- inflammatory agents such as diclofenac sodium, indomethacin and phenylbutazone (Yamashita et al., J. Pharm. Pharmacol., 1987,39,621-626).

As used herein,"carrier compound"refers to a nucleic acid, or analog thereof, which is inert (i. e., does not possess biological activity per se) but is recognized as a nucleic acid by in vivo processes that reduce the bioavailability of a nucleic acid having biological activity by, for example, degrading the biologically active nucleic acid or promoting its removal from circulation. The coadministration of a nucleic acid and a carrier compound, typically with an excess of the latter substance, can result in a substantial reduction of the amount of nucleic acid recovered in the liver, kidney or other extracirculatory reservoirs, presumably due to competition between the carrier compound and the nucleic acid for a common receptor. For example, the recovery of a partially phosphorothioated oligonucleotide in hepatic tissue is reduced when it is coadministered with polyinosinic acid, dextran sulfate, polycytidic acid or 4-acetamido-4'-isothiocyano-stilbene- 2,2'-disulfonic acid (Miyao et al., Antisense Res. Dev., 1995, 5,115-121; Takakura et al., Antisense & Nucl. Acid Drug Dev., 1996,6,177-183).

In contrast to a carrier compound, a"pharmaceutically acceptable carrier" (excipient) is a pharmaceutically acceptable solvent, suspending agent or any other pharmacologically inert vehicle for delivering one or more nucleic acids to an animal. The pharmaceutically acceptable carrier may be liquid or solid and is selected with the planned manner of administration in mind so as to provide for the desired bulk, consistency, etc., when combined with a nucleic acid and the other components of a given pharmaceutical composition. Typical pharmaceutically

acceptable carriers include, but are not limited to, binding agents (e. g., pregelatinized maize starch, polyvinyl- pyrrolidone or hydroxypropyl methylcellulose, etc.); fillers (e. g., lactose and other sugars, microcrystalline cellulose, pectin, gelatin, calcium sulfate, ethyl cellulose, polyacrylates or calcium hydrogen phosphate, etc.); lubricants (e. g., magnesium stearate, talc, silica, colloidal silicon dioxide, stearic acid, metallic stearates, hydrogenated vegetable oils, corn starch, polyethylene glycols, sodium benzoate, sodium acetate, etc.); disintegrates (e. g., starch, sodium starch glycolate, etc.); or wetting agents (e. g., sodium lauryl sulphate, etc.). Sustained release oral delivery systems and/or enteric coatings for orally administered dosage forms are described in U. S. Patents: 4,704,295; 4,556,552; 4,309,406; and 4,309,404.

The compositions of the present invention may additionally contain other adjunct components conventionally found in pharmaceutical compositions, at their art-established usage levels. Thus, for example, the compositions may contain additional compatible pharmaceutically-active materials such as, e. g., antipruritics, astringents, local anesthetics or anti-inflammatory agents, or may contain additional materials useful in physically formulating various dosage forms of the composition of present invention, such as dyes, flavoring agents, preservatives, antioxidants, opacifiers, thickening agents and stabilizers. However, such materials, when added, should not unduly interfere with the biological activities of the components of the compositions of the invention.

Regardless of the method by which the antisense compounds of the invention are introduced into a patient, colloidal dispersion systems may be used as delivery vehicles to enhance the in vivo stability of the compounds and/or to target the compounds to a particular organ, tissue or cell type. Colloidal dispersion systems include, but are not limited to, macromolecule complexes, nanocapsules,

microspheres, beads and lipid-based systems including oil-in- water emulsions, micelles, mixed micelles, liposomes and lipid: oligonucleotide complexes of uncharacterized structure.

A preferred colloidal dispersion system is a plurality of liposomes. Liposomes are microscopic spheres having an aqueous core surrounded by one or more outer layer (s) made up of lipids arranged in a bilayer configuration (see, generally, Chonn et al., Current Op. Biotech., 1995,6,698-708).

Liposome preparation is described in U. S. Patent 6, 083,923, which is commonly owned with the instant application and which is herein incorporated by reference.

Certain embodiments of the invention provide for liposomes and other compositions containing (a) one or more antisense compounds and (b) one or more other chemotherapeutic agents which function by a non-antisense mechanism. Examples of such chemotherapeutic agents include, but are not limited to, anticancer drugs such as daunorubicin, dactinomycin, doxorubicin, bleomycin, mitomycin, nitrogen mustard, chlorambucil, melphalan, cyclophosphamide, 6-mercaptopurine, 6-thioguanine, cytarabine (CA), 5-fluorouracil (5-FU), floxuridine (5-FUdR), methotrexate (MTX), colchicine, vincristine, vinblastine, etoposide, teniposide, cisplatin and diethylstilbestrol (DES). See, generally, The Merck Manual of Diagnosis and Therapy, 15th Ed., Berkow et al., eds., 1987, Rahway, N. J., pages 1206-1228). Antiinflammatory drugs, including but not limited to nonsteroidal anti-inflammatory drugs and corticosteroids, and antiviral drugs, including but not limited to ribivirin, vidarabine, acyclovir and ganciclovir, may also be combined in compositions of the invention. See, generally, The Merck Manual of Diagnosis and Therapy, 15th Ed., Berkow et al., eds., 1987, Rahway, N. J., pages 2499-2506 and 46-49, respectively). Other non-antisense chemotherapeutic agents are also within the scope of this invention. Two or more combined compounds may be used together or sequentially.

In another related embodiment, compositions of the invention may contain one or more antisense compounds, particularly oligonucleotides, targeted to a first nucleic acid and one or more additional antisense compounds targeted to a second nucleic acid target. Examples of antisense oligonucleotides include, but are not limited to, those directed to the following targets as disclosed in the indicated U. S. Patents, or pending U. S. applications, which are commonly owned with the instant application and are hereby incorporated by reference, or the indicated published PCT applications: raf (WO 96/39415, WO 95/32987 and U. S. Patent 5,563,255, issued October 8,1996, and 5,656,612, issued August 12,1997), the pl20 nucleolar antigen (WO 93/17125 and U. S. Patent No. 5,656,743, issued August 12,1997), protein kinase C (WO 95/02069, WO 95/03833 and WO 93/19203), multidrug resistance-associated protein (WO 95/10938 and U. S. Patent 5,510,239, issued March 23,1996), subunits of transcription factor AP-1 (pending application U. S. Serial No. 08/837,201, filed April 14,1997), Jun kinases (pending application U. S.

Serial No. 08/910,629, filed August 13,1997), MDR-1 (multidrug resistance glycoprotein; pending application U. S.

Serial No. 08/731,199, filed September 30,1997), HIV (U. S.

Patents 5,166,195, issued November 24,1992 and 5,591,600, issued January 7,1997), herpesvirus (U. S. Patent 5,248,670, issued September 28,1993 and U. S. Patent 5,514,577, issued May 7,1996), cytomegalovirus (U. S. Patents 5,442,049, issued August 15,1995 and 5,591,720, issued January 7,1997), papillomavirus (U. S. Patent 5,457,189, issued October 10, 1995), intercellular adhesion molecule-1 (ICAM-1) (U. S. Patent 5,514,788, issued May 7,1996), 5-lipoxygenase (U. S. Patent 5,530,114, issued June 25,1996) and influenzavirus (U. S.

Patent 5,580,767, issued December 3,1996). Two or more combined compounds may be used together or sequentially.

The formulation of therapeutic compositions and their subsequent administration is believed to be within the skill

of those in the art. Dosing is dependent on severity and responsiveness of the disease state to be treated, with the course of treatment lasting from several days to several months, or until a cure is effected or a diminution of the disease state is achieved. Optimal dosing schedules can be calculated from measurements of drug accumulation in the body of the patient. Persons of ordinary skill can easily determine optimum dosages, dosing methodologies and repetition rates. Optimum dosages may vary depending on the relative potency of individual oligonucleotides, and can generally be estimated based on EC50s found to be effective in in vitro and in vivo animal models. In general, dosage is from 0.01 Ag to 100 g per kg of body weight, and may be given once or more daily, weekly, monthly or yearly, or even once every 2 to 20 years. Persons of ordinary skill in the art can easily estimate repetition rates for dosing based on measured residence times and concentrations of the drug in bodily fluids or tissues. Following successful treatment, it may be desirable to have the patient undergo maintenance therapy to prevent the recurrence of the disease state, wherein the oligonucleotide is administered in maintenance doses, ranging from 0.01 Ag to 100 g per kg of body weight, once or more daily, to once every 20 years.

While the present invention has been described with specificity in accordance with certain of its preferred embodiments, the following examples serve only to illustrate the invention and are not intended to limit the same.

EXAMPLES Example 1 Nucleoside Phosphoramidites for Oligonucleotide Synthesis Deoxy and 2'-alkoxy amidites 2'-Deoxy and 2'-methoxy beta-cyanoethyldiisopropyl phosphoramidites were purchased from commercial sources (e. g.

Chemgenes, Needham MA or Glen Research, Inc. Sterling VA).

Other 2'-0-alkoxy substituted nucleoside amidites are prepared

as described in U. S. Patent 5, 506, 351, herein incorporated by reference. For oligonucleotides synthesized using 2'-alkoxy amidites, the standard cycle for unmodified oligonucleotides was utilized, except the wait step after pulse delivery of tetrazol and base was increased to 360 seconds.

Oligonucleotides containing 5-methyl-2'-deoxycytidine (5-Me-C) nucleotides were synthesized according to published methods [Sanghvi, et. al., Nucleic Acids Research, 1993,21, 3197-3203] using commercially available phosphoramidites (Glen Research, Sterling VA or ChemGenes, Needham MA).

2'-Fluoro amidites 2'-Fluorodeoxyadenosine amidites 2'-fluor oligonucleotides were synthesized as described previously [Kawasaki, et. al., J. Med. Chem., 1993,36,831- 841] and U. S. Patent 5,670,633, herein incorporated by reference. Briefly, the protected nucleoside N6-benzoyl-2'- deoxy-2'-fluoroadenosine was synthesized utilizing commercially available 9-beta-D-arabinofuranosyladenine as starting material and by modifying literature procedures whereby the 2'-alpha-fluoro atom is introduced by a SN2- displacement of a 2'-beta-trityl group. Thus N6-benzoyl-9- beta-D-arabinofuranosyladenine was selectively protected in moderate yield as the 3', 5'-ditetrahydropyranyl (THP) intermediate. Deprotection of the THP and N6-benzoyl groups was accomplished using standard methodologies and standard methods were used to obtain the 5'-dimethoxytrityl- (DMT) and 5'-DMT-3'-phosphoramidite intermediates.

2'-Fluorodeoxyguanosine The synthesis of 2'-deoxy-2'-fluoroguanosine was accomplished using tetraisopropyldisiloxanyl (TPDS) protected 9-beta-D-arabinofuranosylguanine as starting material, and conversion to the intermediate diisobutyryl- arabinofuranosylguanosine. Deprotection of the TPDS group was followed by protection of the hydroxyl group with THP to give diisobutyryl di-THP protected arabinofuranosylguanine.

Selective O-deacylation and triflation was followed by treatment of the crude product with fluoride, then deprotection of the THP groups. Standard methodologies were used to obtain the 5'-DMT-and 5'-DMT-3'-phosphoramidites.

2'-Fluorouridine Synthesis of 2'-deoxy-2'-fluorouridine was accomplished by the modification of a literature procedure in which 2,2'- anhydro-1-beta-D-arabinofuranosyluracil was treated with 70% hydrogen fluoride-pyridine. Standard procedures were used to obtain the 5'-DMT and 5'-DMT-3'phosphoramidites.

2'-Fluorodeoxycytidine 2'-deoxy-2'-fluorocytidine was synthesized via amination of 2'-deoxy-2'-fluorouridine, followed by selective protection to give N4-benzoyl-2'-deoxy-2'-fluorocytidine. Standard procedures were used to obtain the 5'-DMT and 5'-DMT- 3'phosphoramidites.

2'-O-(2-Methoxyethyl) modified amidites 2'-0-Methoxyethyl-substituted nucleoside amidites are prepared as follows, or alternatively, as per the methods of Martin, P., Helvetica Chimica Acta, 1995,78,486-504.

2,2'-Anhydrofl- (beta-D-arabinofuranosyl)-5- methyluridine] 5-Methyluridine (ribosylthymine, commercially available through Yamasa, Choshi, Japan) (72.0 g, 0.279 M), diphenyl- carbonate (90.0 g, 0.420 M) and sodium bicarbonate (2.0 g, 0.024 M) were added to DMF (300 mL). The mixture was heated to reflux, with stirring, allowing the evolved carbon dioxide gas to be released in a controlled manner. After 1 hour, the slightly darkened solution was concentrated under reduced pressure. The resulting syrup was poured into diethylether (2.5 L), with stirring. The product formed a gum. The ether was decanted and the residue was dissolved in a minimum amount of methanol (ca. 400 mL). The solution was poured into fresh ether (2.5 L) to yield a stiff gum. The ether was decanted and the gum was dried in a vacuum oven (60°C at 1 mm Hg for 24

h) to give a solid that was crushed to a light tan powder (57 g, 85% crude yield). The NMR spectrum was consistent with the structure, contaminated with phenol as its sodium salt (ca.

5%). The material was used as is for further reactions (or it can be purified further by column chromatography using a gradient of methanol in ethyl acetate (10-25%) to give a white solid, mp 222-4°C).

2'-O-Methoxyethyl-5-methyluridine 2,2'-Anhydro-5-methyluridine (195 g, 0.81 M), tris (2- methoxyethyl) borate (231 g, 0.98 M) and 2-methoxyethanol (1.2 L) were added to a 2 L stainless steel pressure vessel and placed in a pre-heated oil bath at 160°C. After heating for 48 hours at 155-160°C, the vessel was opened and the solution evaporated to dryness and triturated with MeOH (200 mL). The residue was suspended in hot acetone (1 L). The insoluble salts were filtered, washed with acetone (150 mL) and the filtrate evaporated. The residue (280 g) was dissolved in CH3CN (600 mL) and evaporated. A silica gel column (3 kg) was packed in CH2Cl2/acetone/MeOH (20: 5: 3) containing 0.5% Et3NH.

The residue was dissolved in CH2C12 (250 mL) and adsorbed onto silica (150 g) prior to loading onto the column. The product was eluted with the packing solvent to give 160 g (63%) of product. Additional material was obtained by reworking impure fractions.

2'-O-Methoxyethyl-5'-0-dimethoxytrityl-5-methyluridine 2'-O-Methoxyethyl-5-methyluridine (160 g, 0.506 M) was co-evaporated with pyridine (250 mL) and the dried residue dissolved in pyridine (1.3 L). A first aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the mixture stirred at room temperature for one hour. A second aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the reaction stirred for an additional one hour.

Methanol (170 mL) was then added to stop the reaction. HPLC showed the presence of approximately 70% product. The solvent was evaporated and triturated with CH3CN (200 mL). The

residue was dissolved in CHC13 (1.5 L) and extracted with 2x500 mL of saturated NaHCO3 and 2x500 mL of saturated NaCl.

The organic phase was dried over Na2SO4, filtered and evaporated. 275 g of residue was obtained. The residue was purified on a 3.5 kg silica gel column, packed and eluted with EtOAc/Hexane/Acetone (5: 5: 1) containing 0.5% Et3NH. The pure fractions were evaporated to give 164 g of product.

Approximately 20 g additional was obtained from the impure fractions to give a total yield of 183 g (57%).

3'-O-Acetyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5- methyluridine 2'-0-Methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine (106 g, 0.167 M), DMF/pyridine (750 mL of a 3: 1 mixture prepared from 562 mL of DMF and 188 mL of pyridine) and acetic anhydride (24.38 mL, 0.258 M) were combined and stirred at room temperature for 24 hours. The reaction was monitored by tlc by first quenching the tlc sample with the addition of MeOH. Upon completion of the reaction, as judged by tlc, MeOH (50 mL) was added and the mixture evaporated at 35°C. The residue was dissolved in CHC13 (800 mL) and extracted with 2x200 mL of saturated sodium bicarbonate and 2x200 mL of saturated NaCl. The water layers were back extracted with 200 mL of CHC13. The combined organics were dried with sodium sulfate and evaporated to give 122 g of residue (approx. 90% product). The residue was purified on a 3.5 kg silica gel column and eluted using EtOAc/Hexane (4: 1). Pure product fractions were evaporated to yield 96 g (84%). An additional 1.5 g was recovered from later fractions.

3'-O-Acetyl-2'-O-methoxyethyl-5'-0-dimethoxytrityl-5- methyl-4-triazoleuridine A first solution was prepared by dissolving 3'-0-acetyl- 2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-methyluridine (96 g, 0.144 M) in CH3CN (700 mL) and set aside. Triethylamine (189 mL, 1.44 M) was added to a solution of triazole (90 g, 1.3 M) in CH3CN (1 L), cooled to-5°C and stirred for 0.5 hours using

an overhead stirrer. POC13 was added dropwise, over a 30 minute period, to the stirred solution maintained at 0-10°C, and the resulting mixture stirred for an additional 2 hours.

The first solution was added dropwise, over a 45 minute period, to the later solution. The resulting reaction mixture was stored overnight in a cold room. Salts were filtered from the reaction mixture and the solution was evaporated. The residue was dissolved in EtOAc (1 L) and the insoluble solids were removed by filtration. The filtrate was washed with 1x300 mL of NaHCO3 and 2x300 mL of saturated NaCl, dried over sodium sulfate and evaporated. The residue was triturated with EtOAc to give the title compound.

2'-O-Methoxyethyl-5'-0-dimethoxytrityl-5-methylcytidine A solution of 3'-O-acetyl-2'-0-methoxyethyl-5'-O- dimethoxytrityl-5-methyl-4-triazoleuridine (103 g, 0.141 M) in dioxane (500 mL) and NH40H (30 mL) was stirred at room temperature for 2 hours. The dioxane solution was evaporated and the residue azeotroped with MeOH (2x200 mL). The residue was dissolved in MeOH (300 mL) and transferred to a 2 liter stainless steel pressure vessel. MeOH (400 mL) saturated with NH3 gas was added and the vessel heated to 100°C for 2 hours (tlc showed complete conversion). The vessel contents were evaporated to dryness and the residue was dissolved in EtOAc (500 mL) and washed once with saturated NaCl (200 mL). The organics were dried over sodium sulfate and the solvent was evaporated to give 85 g (95%) of the title compound.

N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5- methylcytidine 2'-O-Methoxyethyl-5'-0-dimethoxytrityl-5-methylcytidine (85 g, 0.134 M) was dissolved in DMF (800 mL) and benzoic anhydride (37.2 g, 0.165 M) was added with stirring. After stirring for 3 hours, tlc showed the reaction to be approximately 95% complete. The solvent was evaporated and the residue azeotroped with MeOH (200 mL). The residue was dissolved in CHC13 (700 mL) and extracted with saturated NaHCO3

(2x300 mL) and saturated NaCl (2x300 mL), dried over MgSO4 and evaporated to give a residue (96 g). The residue was chromatographed on a 1.5 kg silica column using EtOAc/Hexane (1: 1) containing 0.5% Et3NH as the eluting solvent. The pure product fractions were evaporated to give 90 g (90%) of the title compound. <BR> <BR> <BR> <P> N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5-<BR&g t; <BR> <BR> <BR> <BR> methylcytidine-3'-amidite<BR> <BR> <BR> <BR> N4-Benzoyl-2'-O-methoxyethyl-5'-O-dimethoxytrityl-5- methylcytidine (74 g, 0.10 M) was dissolved in CH2Cl2 (1 L).

Tetrazole diisopropylamine (7.1 g) and 2-cyanoethoxy-tetra- (isopropyl) phosphite (40.5 mL, 0.123 M) were added with stirring, under a nitrogen atmosphere. The resulting mixture was stirred for 20 hours at room temperature (tlc showed the reaction to be 95 complete). The reaction mixture was extracted with saturated NaHCO3 (1x300 mL) and saturated MaC1 (3x300 mL). The aqueous washes were back-extracted with CH2C12 (300 mL), and the extracts were combined, dried over MgS04 and concentrated. The residue obtained was chromatographed on a 1.5 kg silica column using EtOAc\Hexane (3: 1) as the eluting solvent. The pure fractions were combined to give 90.6 g (87%) of the title compound.

2'-(Aminooxyethyl) nucleoside amidites and 2'- (dimethylamino- oxyethyl) nucleoside amidites Aminooxyethyl and dimethylaminooxyethyl amidites are prepared as per the methods of U. S. Patent applications serial numbers 10/037,143, filed February 14,1998, and 09/016,520, filed January 30,1998, each of which is commonly owned with the instant application and is herein incorporated by reference.

Example 2 Oligonucleotide synthesis Unsubstituted and substituted phosphodiester (P=O) oligonucleotides are synthesized on an automated DNA

synthesizer (Applied Biosystems model 380B) using standard phosphoramidite chemistry with oxidation by iodine.

Phosphorothioates (P=S) are synthesized as for the phosphodiester oligonucleotides except the standard oxidation bottle was replaced by 0.2 M solution of 3H-1, 2-benzodithiole- 3-one 1,1-dioxide in acetonitrile for the stepwise thiation of the phosphite linkages. The thiation wait step was increased to 68 sec and was followed by the capping step.

After cleavage from the CPG column and deblocking in concentrated ammonium hydroxide at 55°C (18 hr), the oligonucleotides were purified by precipitating twice with 2.5 volumes of ethanol from a 0.5 M NaCl solution. Phosphinate oligonucleotides are prepared as described in U. S. Patent 5,508,270, herein incorporated by reference.

Alkyl phosphonate oligonucleotides are prepared as described in U. S. Patent 4,469,863, herein incorporated by reference.

3'-Deoxy-3'-methylene phosphonate oligonucleotides are prepared as described in U. S. Patents 5,610,289 or 5,625,050, herein incorporated by reference.

Phosphoramidite oligonucleotides are prepared as described in U. S. Patent, 5,256,775 or U. S. Patent 5,366,878, herein incorporated by reference.

Alkylphosphonothioate oligonucleotides are prepared as described in published PCT applications PCT/US94/00902 and PCT/US93/06976 (published as WO 94/17093 and WO 94/02499, respectively), herein incorporated by reference.

3'-Deoxy-3'-amino phosphoramidate oligonucleotides are prepared as described in U. S. Patent 5,476,925, herein incorporated by reference.

Phosphotriester oligonucleotides are prepared as described in U. S. Patent 5,023,243, herein incorporated by reference.

Borano phosphate oligonucleotides are prepared as described in U. S. Patents 5,130,302 and 5, 177,198, both herein incorporated by reference.

Example 3 Oligonucleoside Synthesis Methylenemethylimino linked oligonucleosides, also identified as MMI linked oligonucleosides, methylenedimethyl- hydrazo linked oligonucleosides, also identified as MDH linked oligonucleosides, and methylenecarbonylamino linked oligonucleosides, also identified as amide-3 linked oligonucleosides, and methyleneaminocarbonyl linked oligo- nucleosides, also identified as amide-4 linked oligonucleo- sides, as well as mixed backbone compounds having, for instance, alternating MMI and P=O or P=S linkages are prepared as described in U. S. Patents 5,378,825,5,386,023,5,489,677, 5,602,240 and 5,610,289, all of which are herein incorporated by reference.

Formacetal and thioformacetal linked oligonucleosides are prepared as described in U. S. Patents 5,264,562 and 5,264,564, herein incorporated by reference.

Ethylene oxide linked oligonucleosides are prepared as described in U. S. Patent 5,223,618, herein incorporated by reference.

Example 4 PNA Synthesis Peptide nucleic acids (PNAs) are prepared in accordance with any of the various procedures referred to in Peptide Nucleic Acids (PNA) : Synthesis, Properties and Potential Applications, Bioorganic & Medicinal Chemistry, 1996,4,5-23.

They may also be prepared in accordance with U. S. Patents 5,539,082,5,700,922, and 5,719,262, herein incorporated by reference.

Example 5 Synthesis of Chimeric Oligonucleotides Chimeric oligonucleotides, oligonucleosides or mixed oligonucleotides/oligonucleosides of the invention can be of several different types. These include a first type wherein the"gap"segment of linked nucleosides is positioned between 5'and 3'"wing"segments of linked nucleosides and a second "open end"type wherein the"gap"segment is located at either the 3'or the 5'terminus of the oligomeric compound.

Oligonucleotides of the first type are also known in the art as"gapmers"or gapped oligonucleotides. Oligonucleotides of the second type are also known in the art as"hemimers"or "wingmers." [2'-O-Me]--[2'-deoxy]--[2'-O-Me] Chimeric Phosphorothioate Oligonucleotides Chimeric oligonucleotides having 2'-0-alkyl phosphorothioate and 2'-deoxy phosphorothioate oligonucleotide segments are synthesized using an Applied Biosystems automated DNA synthesizer Model 380B, as above. Oligonucleotides are synthesized using the automated synthesizer and 2'-deoxy-5'- dimethoxytrityl-3'-O-phosphoramidite for the DNA portion and 5'-dimethoxytrityl-2'-O-methyl-3'-O-phosphoramidite for 5'and 3'wings. The standard synthesis cycle is modified by increasing the wait step after the delivery of tetrazole and base to 600 s repeated four times for RNA and twice for 2'-O- methyl. The fully protected oligonucleotide is cleaved from the support and the phosphate group is deprotected in 3: 1 Ammonia/Ethanol at room temperature overnight then lyophilized to dryness. Treatment in methanol ammonia for 24 hrs at room temperature is then done to deprotect all bases and sample was again lyophilized to dryness. The pellet is resuspended in 1M TBAF in THF for 24 hrs at room temperature to deprotect the 2'positions. The reaction is then quenched with 1M TEAA and the sample is then reduced to 1/2 volume by rotovac before being desalted on a G25 size exclusion column.

The oligo recovered is then analyzed spectrophotometrically for yield and for purity by capillary electrophoresis and by mass spectrometer.

[2'-O- (2-Methoxyethyl)]-- [2'-deoxy]-- [2'-O- (Methoxyethyl)] Chimeric Phosphorothioate Oligonucleotides [2'-0- (2-methoxyethyl)]-- [2'-deoxy]-- [-2'-0- (methoxy- ethyl)] chimeric phosphorothioate oligonucleotides were prepared as per the procedure above for the 2'-0-methyl chimeric oligonucleotide, with the substitution of 2'-O- (methoxyethyl) amidites for the 2'-0-methyl amidites.

[2'-0- (2-Methoxyethyl) Phosphodiester]-- [2'-deoxy Phosphorothioate]-- [2'-O- (2-Methoxyethyl) Phosphodiester] Chimeric Oligonucleotides [2'-0-(2-methoxyethyl phosphodiester]--[2'-deoxy phos- phorothioate]--[2'-O-(methoxyethyl) phosphodiester] chimeric oligonucleotides are prepared as per the above procedure for the 2'-0-methyl chimeric oligonucleotide with the substitution of 2'-O- (methoxyethyl) amidites for the 2'-O-methyl amidites, oxidization with iodine to generate the phosphodiester internucleotide linkages within the wing portions of the chimeric structures and sulfurization utilizing 3, H-1,2 benzodithiole-3-one 1,1 dioxide (Beaucage Reagent) to generate the phosphorothioate internucleotide linkages for the center gap.

Other chimeric oligonucleotides, chimeric oligonucleo- sides and mixed chimeric oligonucleotides/oligonucleosides are synthesized according to U. S. Patent 5,623,065, herein incorporated by reference.

Example 6 Oligonucleotide Isolation After cleavage from the controlled pore glass column (Applied Biosystems) and deblocking in concentrated ammonium hydroxide at 55°C for 18 hours, the oligonucleotides or oligonucleosides are purified by precipitation twice out of 0.5 M NaCl with 2.5

volumes ethanol. Synthesized oligonucleotides were analyzed by polyacrylamide gel electrophoresis on denaturing gels and judged to be at least 85% full length material. The relative amounts of phosphorothioate and phosphodiester linkages obtained in synthesis were periodically checked by 31p nuclear magnetic resonance spectroscopy, and for some studies oligonucleotides were purified by HPLC, as described by Chiang et al., J. Biol. Chem. 1991,266,18162-18171. Results obtained with HPLC-purified material were similar to those obtained with non-HPLC purified material.

Example 7 Oligonucleotide Synthesis-96 Well Plate Format Oligonucleotides were synthesized via solid phase P (III) phosphoramidite chemistry on an automated synthesizer capable of assembling 96 sequences simultaneously in a standard 96 well format. Phosphodiester internucleotide linkages were afforded by oxidation with aqueous iodine. Phosphorothioate internucleotide linkages were generated by sulfurization utilizing 3, H-1,2 benzodithiole-3-one 1, 1 dioxide (Beaucage Reagent) in anhydrous acetonitrile. Standard base-protected beta-cyanoethyldiisopropyl phosphoramidites were purchased from commercial vendors (e. g. PE-Applied Biosystems, Foster City, CA, or Pharmacia, Piscataway, NJ). Non-standard nucleosides are synthesized as per known literature or patented methods. They are utilized as base protected beta- cyanoethyldiisopropyl phosphoramidites.

Oligonucleotides were cleaved from support and deprotected with concentrated NH40H at elevated temperature (55-60°C) for 12-16 hours and the released product then dried in vacuo. The dried product was then re-suspended in sterile water to afford a master plate from which all analytical and test plate samples are then diluted utilizing robotic pipettors.

Example 8 Oligonucleotide Analysis-96 Well Plate Format The concentration of oligonucleotide in each well was assessed by dilution of samples and W absorption spectroscopy. The full-length integrity of the individual products was evaluated by capillary electrophoresis (CE) in either the 96 well format (Beckman P/ACE MDQ) or, for individually prepared samples, on a commercial CE apparatus (e. g., Beckman P/ACETM 5000, ABI 270). Base and backbone composition was confirmed by mass analysis of the compounds utilizing Electrospray-Mass Spectroscopy. All assay test plates were diluted from the master plate using single and multi-channel robotic pipettors. Plates were judged to be acceptable if at least 85% of the compounds on the plate were at least 85% full length.

Example 9 Cell culture and oligonucleotide treatment The effect of antisense compounds on target nucleic acid expression can be tested in any of a variety of cell types provided that the target nucleic acid is present at measurable levels. This can be routinely determined using, for example, PCR or Northern blot analysis. The following four cell types are provided for illustrative purposes, but other cell types can be routinely used.

T-24 cells: The transitional cell bladder carcinoma cell line T-24 was obtained from the American Type Culture Collection (ATCC) (Manassas, VA). T-24 cells were routinely cultured in complete McCoy's 5A basal media (Gibco/Life Technologies, Gaithersburg, MD) supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, MD), penicillin 100 units per mL, and streptomycin 100 micrograms per mL (Gibco/Life Technologies, Gaithersburg, MD). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence. Cells were seeded into 96-well plates

(Falcon-Primaria #3872) at a density of 7000 cells/well for use in RT-PCR analysis.

For Northern blotting or other analysis, cells may be seeded onto 100 mm or other standard tissue culture plates and treated similarly, using appropriate volumes of medium and oligonucleotide.

A549 cells: The human lung carcinoma cell line A549 was obtained from the American Type Culture Collection (ATCC) (Manassas, VA). A549 cells were routinely cultured in DMEM basal media (Gibco/Life Technologies, Gaithersburg, MD) supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, MD), penicillin 100 units per mL, and streptomycin 100 micrograms per mL (Gibco/Life Technologies, Gaithersburg, MD).

Cells were routinely passaged by trysinization and dilution when they reached 90% confluence.

NHDF cells: Human neonatal dermal fibroblast (NHDF) were obtained from the Clonetics Corporation (Walkersville MD). NHDFs were routinely maintained in Fibroblast Growth Medium (Clonetics Corporation, Walkersville MD) supplemented as recommended by the supplier. Cells were maintained for up to 10 passages as recommended by the supplier.

HEK cells: Human embryonic keratinocytes (HEK) were obtained from the Clonetics Corporation (Walkersville MD). HEKs were routinely maintained in Keratinocyte Growth Medium (Clonetics Corporation, Walkersville MD) formulated as recommended by the supplier. Cell were routinely maintained for up to 10 passages as recommended by the supplier. b. END cells: The mouse brain endothelial cell line b. END was obtained from Dr. Werner Risau at the Max Plank Instititute (Bad Nauheim, Germany). b. END cells were routinely cultured in DMEM, high glucose (Gibco/Life Technologies, Gaithersburg, MD)

supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, MD). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence. Cells were seeded into 96-well plates (Falcon- Primaria #3872) at a density of 3000 cells/well for use in RT- PCR analysis.

For Northern blotting or other analyses, cells may be seeded onto 100 mm or other standard tissue culture plates and treated similarly, using appropriate volumes of medium and oligonucleotide.

Treatment with antisense compounds: When cells reached 80% confluency, they were treated with oligonucleotide. For cells grown in 96-well plates, wells were washed once with 200 AL OPTI-MEM-1 reduced-serum medium (Gibco BRL) and then treated with 130 AL of OPTI-MEMTM-1 containing 3.75 Ag/mL LIPOFECTINTM (Gibco BRL) and the desired oligonucleotide at a final concentration of 150 nM. After 4 hours of treatment, the medium was replaced with fresh medium.

Cells were harvested 16 hours after oligonucleotide treatment.

Example 10 Antisense inhibition of TNFR1 expression-phosphorothioate oligodeoxynucleotides In accordance with the present invention, a series of oligonucleotides were designed to target different regions of the human TNFR1 RNA, using published sequences (GenBank accession number X55313, incorporated herein as SEQ ID NO: 1).

The oligonucleotides are shown in Table 1. Target sites are indicated by nucleotide numbers, as given in the sequence source reference (Genbank accession no. X55313), to which the oligonucleotide binds. All compounds in Table 1 are oligodeoxynucleotides with phosphorothioate backbones (internucleoside linkages) throughout. The compounds were analyzed for effect on TNFR1 mRNA levels by quantitative real- time PCR as described in subsequent examples. Data are averages from three experiments.

Table 1 Inhibition of TNFR1 mRNA levels by phosphorothioate oligodeoxynucleotides

ISIS# REGION TARGET SEQUENCE % SEQ ID SITE Inhibition NO. 18875 5'UTR 37 TTCTCTGGACTGAGGCTC l9 8 18876 5' UTR 68 TCCCCTCCTCTCTGCTTT 5 9 18877 5'UTR 109 AGACTCGGGCATAGAGAT 10 18878 5'UTR 114 GGTTGAGACTCGGGCATA 40 11 18879 5'UTR 118 TGAGGGTTGAGACTCGGG 2 12 18880 5'UTR 123 ACAGTTGAGGGTTGAGAC 30 13 18881 5'UTR 127 GGTGACAGTTGAGGGTTG 8 14 18882 5'UTR 196 GCAGTGTGGCAGCGGCAG 53 15 18883 5' UTR 199 AGGGCAGTGTGGCAGCGG 53 16 18884 5'UTR 202 CTCAGGGCAGTGTGGCAG 61 17 18885 5'UTR 207 TTGGGCTCAGGGCAGTGT 0 18 18886 5' UTR 210 CATTTGGGCTCAGGGCAG 9 19 18887 Coding 262 GTCAGGCACGGTGGAGAG 0 20 18888 Coding 266 GCAGGTCAGGCACGGTGG 16 21 18889 Coding 272 GCAGCAGCAGGTCAGGCA 37 22 18890 Coding 276 AGCGGCAGCAGCAGGTCA 0 23 18891 Coding 280 CACCAGCGGCAGCAGCAG 21 24 18892 Coding 286 CAGGAGCACCAGCGGCAG 46 25 18893 Coding 306 TATATTCCCACCAACAGC 25 26 18894 Coding 356 TCTTCTCCCTGTCCCCTA 13 27 18895 Coding 403 ATTATTTTGAGGGTGGAT 0 28 18896 Coding 435 GTTCCTTTGTGGCACTTG 12 29 18897 Coding 440 AGTAGGTTCCTTTGTGGC 46 30 18898 Coding 460 GCCTGGACAGTCATTGTA 31 18899 Coding 480 CAGTCCGTATCCTGCCCC 26 32 18900 Coding 500 AGCCGCTCTCACACTCCC 36 33 18901 Coding 516 TCTGAAGCGGTGAAGGAG 34 18902 Coding 521 GGTTTTCTGAAGCGGTGA 17 35 18903 Coding 525 AGGTGGTTTTCTGAAGCG 0 36 18904 Coding 530 GTCTGAGGTGGTTTTCTG 34 37 18905 Coding 537 AGGCAGTGTCTGAGGTGG 38 18906 Coding 542 AGCTGAGGCAGTGTCTGA 27 39 18907 Coding 565 CATTTCCTTTCGGCATTT 13 40 18908 Coding 569 GACCCATTTCCTTTCGGC 26 41 18909 Coding 574 CACCTGACCCATTTCCTT 46 42 18910 Coding 635 GGTACTGGTTCTTCCTGC 14 43 18911 Coding 654 TTTTCACTCCAATAATGC 44 18912 Coding 693 CCATTGAGGCAGAGGCTG 48 45

18913 Coding 699 ACGGTCCCATTGAGGCAG 34 46 18914 Coding 732 ACGGTGTTCTGTTTCTCC 7 47 18915 Coding 786 CTACAGGAGACACACTCG 28 48 18916 Coding 796 CTTACAGTTACTACAGGA 21 49 18917 Coding 802 GCTTTTCTTACAGTTACT 10 50 18918 Coding 80 7 TCCAGGCTTTTCTTACAG 51 18919 Coding 84 5 TAACATTCTCAATCTGGG 52 18920 Coding 873 ACTGTGGTGCCTGAGTCC 31 53 18921 Coding 906 CAAAGACCAAAGAAAATG 29 54 18922 Coding 911 AAAGGCAAAGACCAAAGA 31 55 18923 Coding 921 AGGAGGGATAAAAGGCAA 22 56 18924 Coding 929 CAATGAAGAGGAGGGATA 21 57 18925 Coding 935 TTAAACCAATGAAGAGGA 28 58 18926 Coding 952 CCGTTGGTAGCGATACAT 30 59 18927 Coding 992 TCGATTTCCCACAAACAA 1 60 18928 Coding 1033 CTTAGTAGTAGTTCCTTC 15 61 18929 Coding 1075 GAAGCCTGGAGTGGGACT 48 62 18930 Coding 1098 GGACTGAAGCCCAGGGTG 12 63 18931 Coding 1113 GTGGAACTGGGCACGGGA 4 64 18932 Coding 1118 TGAAGGTGGAACTGGGCA 27 65 18933 Coding 1127 AGCTGGAGGTGAAGGTGG 0 66 18934 Coding 1162 CGCAAAGTTGGGACAGTC 30 67 18935 Coding 1184 GTGCCACCTCTCTGCGGG 0 68 18936 Coding 1269 CTGTCCTCCCACTTCTGA 16 69 18937 Coding 1290 AGGCTCTGTGGCTTGTGG 47 70 18938 Coding 1389 TCGTGGTCGCTCAGCCCT 28 71 18939 Coding 1465 CCGCCTCCAGGTCGCCAG 0 72 18940 Coding 1537 GCAGCCCAGCAGGTCCAT 32 73 18941 Coding 1545 TCCTCCAGGCAGCCCAGC 41 74 18942 Coding 1604 ATCTGAGAAGACTGGGCG 0 75 18943 Coding 1707 GCTCCTGCTTGCCCCTGC 43 76 18944 Coding 1732 GTTAGCACCAAGTAGGCG 11 77 18945 Coding 1842 CGCAAACCACCCACTCAG 51 78 18946 Coding 1847 ATCCTCGCAAACCACCCA 29 79 18947 Coding 1859 ATAGCGTCCCTCATCCTC 34 80 18948 Coding 1925 CTCAGGGACGAACCAGGG 3 81 18949 Coding 1930 AAAGGCTCAGGGACGAAC 42 82 18950 Coding 1979 ACAAAACAAAACAAAACA 27 83 18951 Coding 2016 GCCAAGTTTCTATTAGTG 10 84 18952 Coding 2033 GCAGAGGGCACAGGAGTG 24 85 18953 Coding 2039 GTCCAGGCAGAGGGCACA 21 86 18954 Coding 2043 GCTTGTCCAGGCAGAGGG 18 87 Coding 2071 TGCCTTAGGACAGTTCAG 20 88 18956 Coding 2085 TCCGTGCTCGCCCCTGCC 19 89

18957 Coding 2089 TTGTTCCGTGCTCGCCCC 41 90 18958 Coding 2097 AGGCCCCATTGTTCCGTG 0 91 As shown in Table 1, SEQ ID NOs 11,15,16,17,22,25, 30,33,42,45,62,70,74,76,78,82 and 90 demonstrated at least 35% inhibition of TNFR1 expression in this assay and are therefore preferred.

Example 11 Analysis of oligonucleotide inhibition of TNFR1 expression Antisense modulation of TNFR1 expression can be assayed in a variety of ways known in the art. For example, TNFR1 mRNA levels can be quantitated by, e. g., Northern blot analysis, competitive polymerase chain reaction (PCR), or real-time PCR (RT-PCR). Real-time quantitative PCR is presently preferred.

RNA analysis can be performed on total cellular RNA or poly (A) + mRNA. Methods of RNA isolation are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp. 4.1.1-4.2.9 and 4.5.1-4.5.3, John Wiley & Sons, Inc., 1993. Northern blot analysis is routine in the art and is taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp. 4.2.1- 4.2.9, John Wiley & Sons, Inc., 1996. Real-time quantitative (PCR) can be conveniently accomplished using the commercially available ABI PRISM 7700 Sequence Detection System, available from PE-Applied Biosystems, Foster City, CA and used according to manufacturer's instructions. Other methods of PCR are also known in the art.

TNFR1 protein levels can be quantitated in a variety of ways well known in the art, such as immunoprecipitation, Western blot analysis (immunoblotting), ELISA or fluorescence- activated cell sorting (FACS). Antibodies directed to TNFR1 can be identified and obtained from a variety of sources, such as the MSRS catalog of antibodies (Aerie Corporation, Birmingham, MI), or can be prepared via conventional antibody generation methods. Methods for preparation of polyclonal

antisera are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 11.12.1- 11.12.9, John Wiley & Sons, Inc., 1997. Preparation of monoclonal antibodies is taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp.

11.4.1-11.11.5, John Wiley & Sons, Inc., 1997.

Immunoprecipitation methods are standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 10.16.1- 10.16.11, John Wiley & Sons, Inc., 1998. Western blot (immunoblot) analysis is standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 10.8.1-10.8.21, John Wiley & Sons, Inc., 1997. Enzyme-linked immunosorbent assays (ELISA) are standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 11.2.1-11.2.22, John Wiley & Sons, Inc., 1991.

Example 12 Poly (A) + mRNA isolation Poly (A) + mRNA was isolated according to Miura et al., Clin. Chem., 1996,42,1758-1764. Other methods for poly (A) + mRNA isolation are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp.

4.5.1-4.5.3, John Wiley & Sons, Inc., 1993. Briefly, for cells grown on 96-well plates, growth medium was removed from the cells and each well was washed with 200 AL cold PBS. 60 AL lysis buffer (10 mM Tris-HCl, pH 7.6,1 mM EDTA, 0.5 M NaCl, 0.5% NP-40,20 mM vanadyl-ribonucleoside complex) was added to each well, the plate was gently agitated and then incubated at room temperature for five minutes. 55 AL of lysate was transferred to Oligo d (T) coated 96-well plates (AGCT Inc., Irvine CA). Plates were incubated for 60 minutes at room temperature, washed 3 times with 200 AL of wash buffer (10 mM Tris-HCl pH 7.6,1 mM EDTA, 0.3 M NaCl). After the final wash,

the plate was blotted on paper towels to remove excess wash buffer and then air-dried for 5 minutes. 60 AL of elution buffer (5 mM Tris-HC1 pH 7.6), preheated to 70°C was added to each well, the plate was incubated on a 90° hot plate for 5 minutes, and the eluate was then transferred to a fresh 96- well plate.

Cells grown on 100 mm or other standard plates may be treated similarly, using appropriate volumes of all solutions.

Example 13 Total RNA Isolation Total mRNA was isolated using an RNEASY 96 kit and buffers purchased from Qiagen Inc. (Valencia CA) following the manufacturer's recommended procedures. Briefly, for cells grown on 96-well plates, growth medium was removed from the cells and each well was washed with 200 AL cold PBS. 100 AL Buffer RLT was added to each well and the plate vigorously agitated for 20 seconds. 100 AL of 70% ethanol was then added to each well and the contents mixed by pippeting three times up and down. The samples were then transferred to the RNEASY 96-well plate attached to a QIAVAC manifold fitted with a waste collection tray and attached to a vacuum source. Vacuum was applied for 15 seconds. 1 mL of Buffer RW1 was added to each well of the RNEASY 96plate and the vacuum again applied for 15 seconds. 1 mL of Buffer RPE was then added to each well of the RNEASY 96 plate and the vacuum applied for a period of 15 seconds. The Buffer RPE wash was then repeated and the vacuum was applied for an additional 10 minutes. The plate was then removed from the QIAVAC""manifold and blotted dry on paper towels. The plate was then re-attached to the QIAVAC manifold fitted with a collection tube rack containing 1.2 mL collection tubes. RNA was then eluted by pipetting 60 AL water into each well, incubating 1 minute, and then applying the vacuum for 30 seconds. The elution step was repeated with an additional 60 AL water.

Example 14 Real-time Quantitative PCR Analysis of TNFR1 mRNA Levels Quantitation of TNFR1 mRNA levels was determined by real- time quantitative PCR using the ABI PRISM 7700 Sequence Detection System (PE-Applied Biosystems, Foster City, CA) according to manufacturer's instructions. This is a closed- tube, non-gel-based, fluorescence detection system which allows high-throughput quantitation of polymerase chain reaction (PCR) products in real-time. As opposed to standard PCR, in which amplification products are quantitated after the PCR is completed, products in real-time quantitative PCR are quantitated as they accumulate. This is accomplished by including in the PCR reaction an oligonucleotide probe that anneals specifically between the forward and reverse PCR primers, and contains two fluorescent dyes. A reporter dye (e. g., JOE or FAM, PE-Applied Biosystems, Foster City, CA) is attached to the 5'end of the probe and a quencher dye (e. g., TAMRA, PE-Applied Biosystems, Foster City, CA) is attached to the 3'end of the probe. When the probe and dyes are intact, reporter dye emission is quenched by the proximity of the 3' quencher dye. During amplification, annealing of the probe to the target sequence creates a substrate that can be cleaved by the 5'-exonuclease activity of Taq polymerase. During the extension phase of the PCR amplification cycle, cleavage of the probe by Taq polymerase releases the reporter dye from the remainder of the probe (and hence from the quencher moiety) and a sequence-specific fluorescent signal is generated. With each cycle, additional reporter dye molecules are cleaved from their respective probes, and the fluorescence intensity is monitored at regular (six-second) intervals by laser optics built into the ABI PRISMM 7700 Sequence Detection System. In each assay, a series of parallel reactions containing serial dilutions of mRNA from untreated control samples generates a standard curve that is used to quantitate the percent

inhibition after antisense oligonucleotide treatment of test samples.

PCR reagents were obtained from PE-Applied Biosystems, Foster City, CA. RT-PCR reactions were carried out by adding 25 AL PCR cocktail (lx TAQMANTM buffer A, 5.5 mM MgCl2, 300 AM each of dATP, dCTP and dGTP, 600 AM of dUTP, 100 nM each of forward primer, reverse primer, and probe, 20 Units RNAse inhibitor, 1.25 Units AMPLITAQ GOLD, and 12.5 Units MuLV reverse transcriptase) to 96 well plates containing 25 UL poly (A) mRNA solution. The RT reaction was carried out by incubation for 30 minutes at 48°C. following a 10 minute incubation at 95°C to activate the AMPLITAQ GOLD'", 40 cycles of a two-step PCR protocol were carried out: 95°C for 15 seconds (denaturation) followed by 60°C for 1.5 minutes (annealing/extension).

For TNFR1 the PCR primers were: forward primer: GCTTCAGAAAACCACCTCAGACA (SEQ ID No. 2) reverse primer: CCGGTCCACTGTGCAAGAA (SEQ ID No. 3) and the PCR probe was: FAM-TCAGCTGCTCCAAATGCCGAAAGG-TAMRA (SEQ ID No. 4) where FAM (PE-Applied Biosystems, Foster City, CA) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, CA) is the quencher dye.

For GAPDH the PCR primers were: forward primer: GAAGGTGAAGGTCGGAGTC (SEQ ID No. 5) reverse primer: GAAGATGGTGATGGGATTTC (SEQ ID No. 6) and the PCR probe was: 5'JOE-CAAGCTTCCCGTTCTCAGCC-TAMRA 3' (SEQ ID No.

7) where JOE (PE-Applied Biosystems, Foster City, CA) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, CA) is the quencher dye.

Example 15 Northern blot analysis of TNFR1 mRNA levels Eighteen hours after antisense treatment, cell monolayers were washed twice with cold PBS and lysed in 1 mL RNAZOL'" (TEL-TEST"B"Inc., Friendswood, TX). Total RNA was prepared following manufacturer's recommended protocols. Twenty

micrograms of total RNA was fractionated by electrophoresis through 1.2% agarose gels containing 1.1% formaldehyde using a MOPS buffer system (AMRESCO, Inc. Solon, OH). RNA was transferred from the gel to HYBOND-N+ nylon membranes (Amersham Pharmacia Biotech, Piscataway, NJ) by overnight capillary transfer using a Northern/Southern Transfer buffer system (TEL-TEST"B"Inc., Friendswood, TX). RNA transfer was confirmed by UV visualization. Membranes were fixed by W cross-linking using a STRATALINKER UV Crosslinker 2400 (Stratagene, Inc, La Jolla, CA).

Membranes were probed using QUICKHYB hybridization solution (Stratagene, La Jolla, CA) using manufacturer's recommendations for stringent conditions with a TNFR1 specific probe prepared by PCR using the forward primer GCTTCAGAAAACCACCTCAGACA (SEQ ID No. 2) and the reverse primer CCGGTCCACTGTGCAAGAA (SEQ ID No. 3). To normalize for variations in loading and transfer efficiency membranes were stripped and probed for glyceraldehyde-3-phosphate dehydrogenase (G3PDH) RNA (Clontech, Palo Alto, CA).

Hybridized membranes were visualized and quantitated using a PHOSPHORIMAGER and IMkGEQUANT Software V3.3 (Molecular Dynamics, Sunnyvale, CA). Data was normalized to G3PDH levels in untreated controls.

Example 16 Western blot analysis of TNFR1 protein levels Western blot analysis (immunoblot analysis) is carried out using standard methods. Cells are harvested 16-20 hr after oligonucleotide treatment, washed once with PBS, suspended in Laemmli buffer (100ß1/well), boiled for 5 minutes and loaded on a 16% SDS-PAGE gel. Gels are run for 1.5 hours at 150 V, and transferred to membrane for western blotting.

Appropriate primary antibody directed to TNFR1 is used, with a radiolabelled or fluorescently labeled secondary antibody directed against the primary antibody species. Bands are

visualized using a PHOSPHORIMAGERTM (Molecular Dynamics, Sunnyvale CA).

Example 17: Antisense inhibition of TNFR1 expression-phosphorothioate 2'- MOE gapmer oligonucleotides In accordance with the present invention, a second series of oligonucleotides targeted to human TNFR1 were synthesized.

The oligonucleotide sequences are shown in Table 2. Target sites are indicated by nucleotide numbers, as given in the sequence source reference (Genbank accession no. X55313), to which the oligonucleotide binds.

All compounds in Table 2 are chimeric oligonucleotides ("gapmers") 18 nucleotides in length, composed of a central "gap"region consisting of ten 2'-deoxynucleotides, which is flanked on both sides (5'and 3'directions) by four- nucleotide"wings."The wings are composed of 2'-methoxyethyl (2'-MOE) nucleotides. The internucleoside (backbone) linkages are phosphorothioate (P=S) throughout the oligonucleotide.

Cytidin residues in the 2'-MOE wings are 5-methylcytidines.

Data were obtained by real-time quantitative PCR as described in previous examples and are averaged from three experiments.

Table 2 Inhibition of TNFR1 mRNA levels by chimeric phosphorothioate oligonucleotides having 2'-MOE wings and a deoxy gap ISIS# REGION TARGET SEQUENCE % SEQ ID SITE Inhibition NO. 194635'UTR 37 TTCTCTGGACTGAGGCTC 72 8 194645'UTR 68 TCCCCTCCTCTCTGCTTT 194655'UTR 109 AGACTCGGGCATAGAGAT 18 10 194665'UTR 114 GGTTGAGACTCGGGCATA 95 11 194675'UTR 118 TGAGGGTTGAGACTCGGG 28 12 1946851 UTR 123 ACAGTTGAGGGTTGAGAC 66 13 194695'UTR 127 GGTGACAGTTGAGGGTTG 42 14 194705'UTR 196 GCAGTGTGGCAGCGGCAG 78 15 194715'UTR 199 AGGGCAGTGTGGCAGCGG 76 16

19472 5'UTR 2G2 CTCAGGGCAGTGTGGCAG 90 17 19473 5'UTR 207 TTGGGCTCAGGGCAGTGT 48 18 19474 5'UTR 210 CATTTGGGCTCAGGGCAG 70 19 19475 Coding 262 GTCAGGCACGGTGGAGAG 66 20 19476 Coding 266 GCAGGTCAGGCACGGTGG 91 21 19477 Coding 272 GCAGCAGCAGGTCAGGCA 85 22 19478 Coding 276 AGCGGCAGCAGCAGGTCA 93 23 19479 Coding 280 CACCAGCGGCAGCAGCAG 65 24 19480 Coding 286 CAGGAGCACCAGCGGCAG 60 25 19481 Coding 306 TATATTCCCACCAACAGC 58 26 19482 Coding 356 TCTTCTCCCTGTCCCCTA 42 27 19483 Coding 403 ATTATTTTGAGGGTGGAT 75 28 19484 Coding 435 GTTCCTTTGTGGCACTTG 88 29 19485 Coding 440 AGTAGGTTCCTTTGTGGC 78 30 19486 Coding 460 GCCTGGACAGTCATTGTA 80 31 19487 Coding 480 CAGTCCGTATCCTGCCCC 66 32 19488 Coding 500 AGCCGCTCTCACACTCCC 86 33 19489 Coding 516 TCTGAAGCGGTGAAGGAG 52 34 19490 Coding 521 GGTTTTCTGAAGCGGTGA 92 35 19491 Coding 525 AGGTGGTTTTCTGAAGCG 82 36 19492 Coding 530 GTCTGAGGTGGTTTTCTG 91 37 19493 Coding 537 AGGCAGTGTCTGAGGTGG 96 38 19494 Coding 542 AGCTGAGGCAGTGTCTGA 79 39 19495 Coding 565 CATTTCCTTTCGGCATTT 41 40 19496 Coding 569 GACCCATTTCCTTTCGGC 93 41 19497 Coding 574 CACCTGACCCATTTCCTT 63 42 19498 Coding 635 GGTACTGGTTCTTCCTGC 79 43 19499 Coding 654 TTTTCACTCCAATAATGC 44 19500 Coding 693 CCATTGAGGCAGAGGCTG 0 45 19501 Coding 699 ACGGTCCCATTGAGGCAG 81 46 19502 Coding 732 ACGGTGTTCTGTTTCTCC 77 47 19503 Coding 786 CTACAGGAGACACACTCG 81 48 19504 Coding 796 CTTACAGTTACTACAGGA 61 49 19505 Coding 802 GCTTTTCTTACAGTTACT 93 50 19506 Coding 807 TCCAGGCTTTTCTTACAG 71 51 19507 Coding 845 TAACATTCTCAATCTGGG 0 52 19508 Coding 873 ACTGTGGTGCCTGAGTCC 74 53 19509 Coding 906 CAAAGACCAAAGAAAATG 29 54 19510 Coding 911 AAAGGCAAAGACCAAAGA 45 55 19511 Coding 921 AGGAGGGATAAAAGGCAA 67 56 19512 Coding 929 CAATGAAGAGGAGGGATA 55 57 19513 Coding 935 TTAAACCAATGAAGAGGA 25 58 19514 Coding 952 CCGTTGGTAGCGATACAT 93 59 19515 Coding 992 TCGATTTCCCACAAACAA 16 60

19516 Coding 1033 CTTAGTAGTAGTTCCTTC 70 61 19517 Coding 1075 GAAGCCTGGAGTGGGACT 0 62 19518 Coding 1098 GGACTGAAGCCAGGGTG 31 63 19519 Coding 1113 GTGGAACTGGGCACGGGA 41 64 19520 Coding 1118 TGAAGGTGGAACTGGGCA 51 65 19521 Coding 1127 AGCTGGAGGTGAAGGTGG 59 66 19522 Coding 1162 CGCAAAGTTGGGACAGTC 80 67 19523 Coding 1184 GTGCCACCTCTCTGCGGG 40 68 19524 Coding 1269 CTGTCCTCCCACTTCTGA 67 69 19525 Coding 1290 AGGCTCTGTGGCTTGTGG 79 70 19526 Coding 1389 TCGTGGTCGCTCAGCCCT 75 71 19527 Coding 1465 CCGCCTCCAGGTCGCCAG 57 72 19528 Coding 1537 GCAGCCCAGCAGGTCCAT 68 73 19529 Coding 1545 TCCTCCAGGCAGCCCAGC 80 74 19530 Coding 1604 ATCTGAGAAGACTGGGCG 19 75 19531 Coding 1707 GCTCCTGCTTGCCCCTGC 89 76 19532 Coding 1732 GTTAGCACCAAGTAGGCG 80 77 19533 Coding 1842 CGCAAACCACCCACTCAG 79 78 19534 Coding 1847 ATCCTCGCAAACCACCCA 42 79 19535 Coding 1859 ATAGCGTCCCTCATCCTC 52 80 19536 Coding 1925 CTCAGGGACGAACCAGGG 92 81 19537 Coding 1930 AAAGGCTCAGGGACGAAC 41 82 19538 Coding 1979 ACAAAACAAAACAAAACA 0 83 19539 Coding 2016 GCCAAGTTTCTATTAGTG 87 84 19540 Coding 2033 GCAGAGGGCACAGGAGTG 59 85 19541 Coding 2039 GTCCAGGCAGAGGGCACA 72 86 19542 Coding 2043 GCTTGTCCAGGCAGAGGG 58 87 19543 Coding 2071 TGCCTTAGGACAGTTCAG 69 88 19544 Coding 2085 TCCGTGCTCGCCCCTGCC 62 89 19545 Coding 2089 TTGTTCCGTGCTCGCCCC 57 90 19546 Coding 2097 AGGCCCCATTGTTCCGTG 79 91 As shown in Table 2, SEQ ID NOs 11,15,16,17,21,22, 23,28,29,30,31,33,35,36,37,38,39,41,43,46,47, 48,50,59,67,70,71,74,76,77,78,81,84 and 91 demonstrated at least 75% inhibition of TNFR1 expression in this experiment and are therefore preferred.

Example 18: Antisense inhibition of TNFR1 expression-phosphorothioate 2'- MOE gapmer oligonucleotides In accordance with the present invention, a third series of oligonucleotides were designed to target different regions of the human TNFR1, using published sequences (GenBank accession number X55313, incorporated herein as SEQ ID NO: 1, GenBank accession number AA460610, incorporated herein as SEQ ID NO: 92, and GenBank accession number F13533, incorporated herein as SEQ ID NO: 93). The oligonucleotides are shown in Table 3."Target site"indicates the first (5'-most) nucleotide number on the particular target sequence to which the oligonucleotide binds. All compounds in Table 3 are chimeric oligonucleotides ("gapmers") 18 nucleotides in length, composed of a central"gap"region consisting of ten 2'-deoxynucleotides, which is flanked on both sides (5'and 3'directions) by four-nucleotide"wings". The wings are composed of 2'-methoxyethyl (2'-MOE) nucleotides. The internucleoside (backbone) linkages are phosphorothioate (P=S) throughout the oligonucleotide. All cytidine residues are 5- methylcytidines. The compounds were analyzed for their effect on human TNFR1 mRNA levels by quantitative real-time PCR as described in other examples herein. Data are averages from two experiments. If present,"N. D." indicates"no data".

Table 3 Inhibition of TNFR1 mRNA levels by chimeric phosphorothioate oligonucleotides having 2'-MOE wings and a deoxy gap ISIS REGION TARGET TARGET SEQUENCE % SEQ 26089 5'UTR 1 111 TGAGACTCGGGCATAGAG 39 94 26091 5'UTR 1 116 AGGGTTGAGACTCGGGCA 43 95 26092 5'UTR 1 119 TTGAGGGTTGAGACTCGG 59 96 26093 5'UTR 1 121 AGTTGAGGGTTGAGACTC 11 97 26094 5'UTR 1 125 TGACAGTTGAGGGTTGAG 42 98 26096 5'UTR 1 194 AGTGTGGCAGCGGCAGTG 35 99 26099 5'UTR 1 201 TCAGGGCAGTGTGGCAGC 45 100

26100 5'UTR 1 203 GCTCAGGGCAGTGTGGCA 48 101 26101 5'UTR 1 205 GGGCTCAGGGCAGTGTGG 39 102 26103 5'UTR 1 209 ATTTGGGCTCAGGGCAGT 41 103 26104 5'UTR 1 211 CCATTTGGGCTCAGGGCA 48 104 26124 Coding 1 653 TTTCACTCCAATAATGCC 1 105 26125 Coding 1 655 GTTTTCACTCCAATAATG 7 106 26126 Coding 1 657 AGGTTTTCACTCCAATAA 9 107 26127 Coding 1 659 AAAGGTTTTCACTCCAAT 32 108 26128 Coding 1 671 TGAAGCACTGGAAAAGGT 28 109 26129 Coding 1 673 ATTGAAGCACTGGAAAAG 20 110 26133 Coding 1 727 GTTCTGTTTCTCCTGGCA 63 111 26134 Coding 1 729 GTGTTCTGTTTCTCCTGG 52 112 26135 Coding 1 731 CGGTGTTCTGTTTCTCCT 70 113 26136 Coding 1 775 ACACTCGTTTTCTCTTAG 20 114 26137 Coding 1 779 AGACACACTCGTTTTCTC 28 115 26138 Coding 1 781 GGAGACACACTCGTTTTC 5 116 26139 Coding 1 803 GGCTTTTCTTACAGTTAC 57 117 26140 Coding 1 805 CAGGCTTTTCTTACAGTT 44 118 26141 Coding 1 846 TTAACATTCTCAATCTGG 11 119 26142 Coding 1 899 CAAAGAAAATGACCAGGG 0 120 26143 Coding 1 903 AGACCAAAGAAAATGACC 0 121 26144 Coding-1 905 AAAGACCAAAGAAAATGA 0 122 26145 Coding 1 909 AGGCAAAGACCAAAGAAA 15 123 26147 Coding 1 915 GATAAAAGGCAAAGACCA 17 124 26148 Coding 1 917 GGGATAAAAGGCAAAGAC 18 125 26149 Coding 1 919 GAGGGATAAAAGGCAAAG 11 126 26150 Coding 1 923 AGAGGAGGGATAAAAGGC 35 127 26151 Coding 1 925 GAAGAGGAGGGATAAAAG 0 128 26152 Coding 1 927 ATGAAGAGGAGGGATAAA 0 129 26153 Coding 1 931 ACCAATGAAGAGGAGGGA 21 130 26154 Coding 1 933 AAACCAATGAAGAGGAGG 32 131 26156 Coding 1 950 GTTGGTAGCGATACATTA 58 132 26157 Coding 1 952 CCGTTGGTAGCGATACAT 73 133 26158 Coding 1 954 CACCGTTGGTAGCGATAC 40 134 26159 Coding 1 982 ACAAACAATGGAGTAGAG 2 135 26160 Coding 1 990 GATTTCCCACAAACAATG 34 136 26161 Coding 1 992 TCGATTTCCCACAAACAA 13 137 26113 Coding 1 1222 GGCTGTCGCAAGGATGGG 27 138 26115 Coding 1 1270 GCTGTCCTCCCACTTCTG 19 139 26116 Coding 1 1272 GCGCTGTCCTCCCACTTC 44 140 26117 Coding 1 1287 CTCTGTGGCTTGTGGGCG 17 141 26118 Coding 1 1289 GGCTCTGTGGCTTGTGGG 25 142 26119 Coding 1 1291 TAGGCTCTGTGGCTTGTG 34 143 26120 Coding 1 1293 TCTAGGCTCTGTGGCTTG 37 144 26105 Coding 92 226 TGAAGGACGGTGGAGAGG 2 145 26106 Coding 92 228 GGTGAAGGACGGTGGAGA 0 146 26107 Coding 92 230 GAGGTGAAGGACGGTGGA 1 147 26108 Coding 92 231 GGAGGTGAAGGACGGTGG 0 148 26109 Coding 92 233 CTGGAGGTGAAGGACGGT 15 149 26110 Coding 92 235 AGCTGGAGGTGAAGGACG 1 150 26111 Coding 92 275 GGAGCCGCAAAGTTGGTA 11 151 26112 Coding 92 276 GGGAGCCGCAAAGTTGGT 3 152 26114 Coding 92 332 GAGGCTGTCGCAAGGATG 14 153 26121 Coding 92 495 CTTGGTCGCTCAGCCCTA 26 154 26122 Coding 92 497 CTCTTGGTCGCTCAGCCC 0 155 26123 Coding 92 500 GATCTCTTGGTCGCTCAG 13 156 26130 Coding 93 43 GTCCCATTGAGCAGAGGC 18 157 26131 Coding 93 45 CGGTCCCATTGAGCAGAG 32 158 26132 Coding 93 49 TGCACGGTCCCATTGAGC 34 159

As shown in Table 3, SEQ ID NOs 94,95,96,98,99,100, 101,102,103,104,108,111,112,113,117,118,127,131, 132,133,134,136,140,143,144,158 and 159 demonstrated at least 30% inhibition of TNFR1 expression in this experiment and are therefore preferred.

Example 19 Real-time Quantitative PCR Analysis of mouse TNFR1 mRNA Levels Quantitation of mouse TNFR1 mRNA levels was determined by real-time quantitative PCR using the ABI PRISMTM 7700 Sequence Detection System (PE-Applied Biosystems, Foster City, CA) according to manufacturer's instructions. This is a closed-tube, non-gel-based, fluorescence detection system which allows high-throughput quantitation of polymerase chain reaction (PCR) products in real-time. As opposed to standard PCR, in which amplification products are quantitated after the PCR is completed, products in real-time quantitative PCR are quantitated as they accumulate. This is accomplished by including in the PCR reaction an oligonucleotide probe that anneals specifically between the forward and reverse PCR primers, and contains two fluorescent dyes. A reporter dye (e. g., JOE or FAM, PE-Applied Biosystems, Foster City, CA) is attached to the 5'end of the probe and a quencher dye (e. g., TAMRA, PE-Applied Biosystems, Foster City, CA) is attached to the 3'end of the probe. When the probe and dyes are intact, reporter dye emission is quenched by the proximity of the 3' quencher dye. During amplification, annealing of the probe to the target sequence creates a substrate that can be cleaved by the 5'-exonuclease activity of Taq polymerase. During the extension phase of the PCR amplification cycle, cleavage of the probe by Taq polymerase releases the reporter dye from the remainder of the probe (and hence from the quencher moiety)

and a sequence-specific fluorescent signal is generated. With each cycle, additional reporter dye molecules are cleaved from their respective probes, and the fluorescence intensity is monitored at regular (six-second) intervals by laser optics built into the ABI PRISM 7700 Sequence Detection System. In each assay, a series of parallel reactions containing serial dilutions of mRNA from untreated control samples generates a standard curve that is used to quantitate the percent inhibition after antisense oligonucleotide treatment of test samples.

PCR reagents were obtained from PE-Applied Biosystems, Foster City, CA. RT-PCR reactions were carried out by adding 25 AL PCR cocktail (lx TAQMANTM buffer A, 5.5 mM MgCl2, 300 hum each of dATP, dCTP and dGTP, 600 AM of dUTP, 100 nM each of forward primer, reverse primer, and probe, 20 Units RNAse inhibitor, 1.25 Units AMPLITAQ GOLD, and 12.5 Units MuLV reverse transcriptase) to 96 well plates containing 25 yL poly (A) mRNA solution. The RT reaction was carried out by incubation for 30 minutes at 48°C. following a 10 minute incubation at 95°C to activate the AMPLITAQ GOLD, 40 cycles of a two-step PCR protocol were carried out: 95°C for 15 seconds (denaturation) followed by 60°C for 1. 5 minutes (annealing/extension).

Probes and primers to mouse TNFR1 were designed to hybridize to a mouse TNFR1 sequence, using published sequence information (GenBank accession number X57796, incorporated herein as SEQ ID NO : 160). For mouse TNFR1 the PCR primers were: forward primer: AAGTATGTCCATTCTAAGAACAATTCCA (SEQ ID NO: 161) reverse primer: CTCGGACAGTCACTCACCAAGTAG (SEQ ID NO : 162) and the PCR probe was: FAM-TGCTGCACCAAGTGCCACAAAGGA-TAMRA (SEQ ID NO: 163) where FAM (PE-Applied Biosystems, Foster City, CA) is the fluorescent reporter dye) and TAMRA (PE- Applied Biosystems, Foster City, CA) is the quencher dye. For mouse GAPDH the PCR primers were:

forward primer: GGCAAATTCAACGGCACAGT (SEQ ID NO: 164) reverse primer: GGGTCTCGCTCCTGGAAGCT (SEQ ID NO: 165) and the PCR probe was: 5'JOE-AAGGCCGAGAATGGGAAGCTTGTCATC-TAMRA 3' (SEQ ID NO : 166) where JOE (PE-Applied Biosystems, Foster City, CA) is the fluorescent reporter dye) and TAMRA (PE- Applied Biosystems, Foster City, CA) is the quencher dye.

Example 20 Northern blot analysis of mouse TNFR1 mRNA levels Eighteen hours after antisense treatment, cell monolayers were washed twice with cold PBS and lysed in 1 mL RNAZOLTM (TEL-TEST"B"Inc., Friendswood, TX). Total RNA was prepared following manufacturer's recommended protocols. Twenty micrograms of total RNA was fractionated by electrophoresis through 1.2% agarose gels containing 1.1% formaldehyde using a MOPS buffer system (AMRESCO, Inc. Solon, OH). RNA was transferred from the gel to HYBONDlM-N+ nylon membranes (Amersham Pharmacia Biotech, Piscataway, NJ) by overnight capillary transfer using a Northern/Southern Transfer buffer system (TEL-TEST"B"Inc., Friendswood, TX). RNA transfer was confirmed by W visualization. Membranes were fixed by W cross-linking using a STRATALINKERT UV Crosslinker 2400 (Stratagene, Inc, La Jolla, CA).

Membranes were probed using QUICKHYB'hybridization solution (Stratagene, La Jolla, CA) using manufacturer's recommendations for stringent conditions with a mouse TNFR1 specific probe prepared by PCR using the forward primer: AAGTATGTCCATTCTAAGAACAATTCCA (SEQ ID NO: 161) reverse primer: CTCGGACAGTCACTCACCAAGTAG (SEQ ID NO: 162).

To normalize for variations in loading and transfer efficiency membranes were stripped and probed for glyceraldehyde-3- phosphate dehydrogenase (G3PDH) RNA (Clontech, Palo Alto, CA).

Hybridized membranes were visualized and quantitated using a PHOSPHORIMAGERw and IMAGEQUANTw Software V3.3 (Molecular Dynamics, Sunnyvale, CA). Data was normalized to G3PDH levels in untreated controls.

Example 21 Antisense inhibition of mouse TNFR1 expression- phosphorothioate 2'-MOE gapmer oligonucleotides In accordance with the present invention, a series of oligonucleotides were designed to target different regions of the mouse TNFR1, using published sequences (GenBank accession number X57796, incorporated herein as SEQ ID NO : 160). The oligonucleotides are shown in Table 4."Target site" indicates the first (5'-most) nucleotide number on the particular target sequence to which the oligonucleotide binds.

All compounds in Table 4 are chimeric oligonucleotides ("gapmers") 20 nucleotides in length, composed of a central "gap"region consisting of ten 2'-deoxynucleotides, which is flanked on both sides (5'and 3'directions) by five- nucleotide"wings". The wings are composed of 2'-methoxyethyl (2'-MOE) nucleotides. The internucleoside (backbone) linkages are phosphorothioate (P=S) throughout the oligonucleotide.

All cytidine residues are 5-methylcytidines. The compounds were analyzed for their effect on mouse TNFR1 mRNA levels by quantitative real-time PCR as described in other examples herein. Data are averages from two experiments. If present, "N. D." indicates"no data".

Table 4 Inhibition of mouse TNFR1 mRNA levels by chimeric phosphorothioate oligonucleotides having 2'-MOE wings and a deoxy gap ISIS REGION TARGET SEQUENCE % SEQ 10840 5'UTR 1 AGAAGGTAGGAGCGGAATTC 9 167 10840 5'UTR 40 GTTCGGAAAACTCGGAGAAA 52 168 10840 5'UTR 54 GATCATGAGCCAGAGTTCGG 38 169 10840 5'UTR 62 GTAGGCCCGATCATGAGCCA 57 170 10840 5'UTR 69 GCACCCAGTAGGCCCGATCA 61 171 10840 5'UTR 89 GTACAGTCCTCCAGGACCTC 27 172 10841 5'UTR 110 CAGAGGCAGATAGAGATCAG 52 173 10841 5'UTR 129 AGTTCGAGAAGCTGAAAGTC 51 174 I0841 5'UTR I49 CGATGGCAGCCTGGGCCTCG 56 175

10841 5'UTR 169 ATCGGACCAGGTGGCCCGGG 40 176 10841 5'UTR 189 CTCGTGAATGAAGTAAGATG 68 177 10841 5'UTR 208 AGGGCAGCAATTGACAACGC 60 178 10841 5'UTR 258 CCCATGTCCGGCCGGCAGTG 50 179 10841 Coding 295 CACCAGTGACAGCAGCAGGC 72 180 10841 Coding 314 CCATCAGCAGAGCCAGGAGC 63 181 10841 Coding-333 ACCCCTGATGGATGTATCCC 64 182 10842 Coding 353 GAGAAGGGACTAGTCCAGTG 46 183 10842 Coding 373 CCTCTTCTCCCGGTCACCAA 74 184 10842 Coding 410 TAGAATGGACATACTTTCCT 67 185 10842 Coding 430 GCAGCAGATGGAATTGTTCT 79 186 10842 Coding 458 CCAAGTAGGTTCCTTTGTGG 44 187 10842 Coding 487 ATCCCGCCCTGGGCTCGGAC 63 188 10842 Coding 515 TGCCCTTTTCACACTCCCTG 86 189 10842 Coding 543 CTGAGGTAATTCTGGGAAGC 64 190 10842 Coding 571 CCGACATGTCTTGCAACTGA 45 191 10842 Coding 600 GGAGAGATCTCCACCTGGGA 62 192 10843 Coding 628 ACACACCGTGTCCTTGTCAG 65 193 10843 Coding 655 GCGTTGGAACTGGTTCTCCT 51 194 10843 Coding 683 CGCACTGGAAGTGTGTCTCA 62 195 10843 Codinq 744 GTGTTCTGAGTCTCCTTACA 74 196 10843 Coding 772 AAAGAACCCTGCATGGCAGT 59 197 10843 Coding 800 TGCAAGGGACGCACTCACTT 64 198 10843 Coding 844 AGGTAGGCACAACTTCATAC 68 199 10843 Coding 889 CGCAGTACCTGAGTCCTGGG 53 200 10843 Coding 933 GATAGAAGGCAAAGACCTAG 59 201 10843 Coding 960 CGGCACATTAAACTGATGAA 64 202 10844 Coding 1005 TCCCTACAAATGATGGAGTA 41 203 10844 Codinq 1032 GCCTTCTCCTCTTTGACAGG 62 204 10844 Coding 1170 TTACTAGGACCGAAGATGGG 23 205 10844 Coding 1199 CCTCACTGACAGGTGGCATG 50 206 10844 Coding 1227 AGAGGGTCAGCTCCCTGGGT 47 207 10844 Coding 1254 GGCACGGAGCAGAGTGATTC 57 208 10844 Coding 1296 GGGTGGGCGGAGTCTTCCCA 43 209 10844 Coding 1320 AGGTCTGCATTGTCAGGACG 20 210 10844 Coding 1344 TCCACCACAGCATACAGAAT 67 211 10844 Coding 1367 TCCAGCGCGCTGGAGGCACG 21 212 10845 Coding 1391 GCCCCATGAAACGCATGAAC 73 213 10845 Coding 1414 CCTCTCGATCTCGTGCTCGC 85 214 10845 Coding 1436 AGCGCCCGTTCTGCATCTCC 58 215 10845 Coding 1460 TGCTGTACTGAGCCTCGCGC 25 216 10845 Coding 1484 TGCGGCGCCGCCAGGCTTCC 48 217 10845 Coding 1503 GTGTCCTCGTGGCGCGGCGT 58 218 10845 Codinq 1524 ACGAGGCCCACTACTTCCAG 37 219 10845 Coding 1546 AGCCAGGTTCATCTTGGAAA 48 220 10845 Coding-1567 GAGGATATTCTCCAGGCACC 59 221 10845 Coding 1589 GGGCGGGATTTCTCAGAGCC 74 222 10846 Codinq 1629 TGGGTGTGGCTTTATCGCGG 26 223 10846 3'UTR 1651 CAAGTCCCTCTTCCTAAGGT 65 224 10846 31 UTR 1672 AGCAGAATGGTCCTTGAAGT 52 225 10846 3'UTR 1694 ACCCACAGGGAGTAGGGCAT 57 226 10846 3'UTR 1713 AGACCTTTGCCCACTTTTCA 73 227 10846 3'UTR 1733 AGCTCGAGCCTTCCCCTTAG 37 228 10846 3'UTR 1752 CACCAAGGAAGTGGCTACCA 67 229 10846 3'UTR 1770 TGTACACCAAGTTGGTAGCA 43 230

10846 3'UTR 1790 TCGGCGGCTGAGAAAAGCTA 51 231 10846 3'UTR 1809 TGGCTGGCTCAGGCAGTCCT 70 232 10847 3'UTR 1830 CATCTCCCTGCCACTCACAA 68 233 10847 3'UTR 1849 TGGCCAGGAGCTGATGGTAC 46 234 10847 3'UTR 1870 CCTGTCTTTGGCACCCTCAG 53 235 10847 3'UTR 1891 ATTGTGCCTTTCCTCTACAA 68 236 10847 3'UTR 1912 TCCCAAGTGGGCACCAGATA 76 237 10847 3'UTR 1933 GCTTGGCTTGGGCCCTGTGC 65 238 10847 3'UTR 1953 CACTGAGGAGGCCCTGAGAA 41 239 10847 3'UTR 1988 GATTGCTTATCAAAAGTGAA 43 240 10847 3'UTR 2008 TGTGATATAATTGATACAAA 20 241 10847 3'UTR 2027 TACACAGTTCATCCATTAGT 77 242 10848 3'UTR 2047 TTCTATGCTTGTCCTTACCT 79 243 10848 3'UTR 2067 TCCAGCTGGAGACCCCGCCT 58 244 10848 3'UTR 2087 TATTTACAAGAGTCGAGGGC 26 245 10848 3'UTR 2102 TTTAGACGTTTAGTGTATTT 63 246 As shown in Table 4, SEQ ID NOs 168,170,171,173,174, 175,176,177,178,179,180,181,182,183,184,185,186, 187,188,189,190,191,192,193,194,195,196,197,198, 199,200,201,202,203,204,206,207,208,209,211,212, 213,214,215,217,218,220,221,222,224,225,226,227, 229,230,231,232,233,234,235,236,237,238,239,240, 242,243,244 and 246 demonstrated at least 40% inhibition of mouse TNFR1 expression in this experiment and are therefore preferred.

Example 22 Effect of TNFR1 Antisense Oligonucleotides in an Endotoxin and D (+)-Galactosamine-induced Murine Model of Fulminant Hepatitis and Liver injury The lipopolysaccharide/D-galactosamine or LPS/GalN model is a well known experimental model of toxin-induced hepatitis.

Injection of the endotoxin, lipopolysaccharide (LPS), induces septic shock death in the mouse, though with LPS alone, the mouse liver does not sustain major damage. Injection of D- Galactosamine (GalN), while metabolized in liver causing depletion of UTP, is not lethal to mice. It does, however, sensitize animals to TNF-a or LPS-induced endotoxic shock by over 1,000 fold. In the presence of GalN, LPS induces apoptotic cell death in liver, thymus, spleen, lymph nodes and the kidney and results in fulminant death in animals. The

liver injury is known to be transferable via the serum, suggesting a mechanism of action under TNF-a control. Further support for this mechanism is provided by the finding that TNFR1 knockout mice are resistant to LPS/GalN-induced liver injury and death.

Eight-week-old female Balb/c mice were used to assess the activity of TNFR1 antisense oligonucleotides in the endotoxin and D (+)-Galactosamine-induced murine model of fulminant hepatitis and liver injury. Mice were intraperitoneally pretreated with 24mg/kg of ISIS 108426 (SEQ ID NO. 189) four times a day for 2 days. Control mice were injected with saline. One day after the last dose of oligonucleotide, mice were injected intraperitoneally with 5ng LPS (DIFCO laboratories) and 20mg D-Galactosamine (Sigma) per animal in saline. At time intervals of 5.5,7.5,9.5,21.5,30,45 and 53 hours after the final dose, animals were monitored for survival rates. Results are shown in Table 5.

TABLE 5 Protective Effects of TNFR1 Antisense Chimeric (deoxy gapped) Phosphorothioate Oligonucleotides in Endotoxin and D (+)-Galactosamine-induced Murine Model of Hepatitis and Liver Injury Isis # SEO % Survival 5.5 7.5 9.5 21.5 30 45 53 Saline--100 100 20 20 10 10 10 108426 189 100 100 100 100 100 100 100 The data show that antisense inhibitors of TNFR1 can protect against death in this model of toxin-induced hepatitis. While not wishing to be bound by theory, this is believed to indicate that the biological consequences of TNF activation can be blocked through antisense mediated target reduction of TNFR1 in mouse.

The level of TNFR1 RNA was also measured at intervals of 0,2,4,6, and 9 hours after the last endotoxin challenge.

Mice were sacrificed and the livers were removed from the animals and analyzed for TNFR1 mRNA expression. RNA was extracted using the RNEASYTM kit (Qiagen, Santa Clarita, CA) and quantitated by ribonuclease protection assay. Ribonuclease protection experiments were conducted using RIBOQUANT kits and the mAPO-2 Custom Probe Set set according to the manufacturer's instructions (Pharmingen, San Diego, CA). mRNA levels were quantitated using a PhosphorImager (Molecular Dynamics, Sunnyvale, CA). Target levels of TNFR1 were reduced by 86% in animals treated with ISIS 108426 compared to control saline treated mice.