Characterization of 2’-O-methyl oligonucleotides that potently inhibit cGAS and TLR9 DNA sensing

R Valentin, C Wong¹, AS Alharbi¹, KA Lennox², MA Behlke², MP Gantier¹, ³

1. Centre for Innate Immunity and Infectious Diseases, Hudson Institute of Medical Research, Clayton, Australia

2. Integrated DNA Technologies Inc, Coralville, United States

3. Department of Molecular and Translational Science, Monash University, Clayton, Australia

Abstract Content: Oligonucleotide-based therapeutics have the capacity to engage with nucleic acid immune sensors to activate or block their response, but a detailed understanding of these immunomodulatory effects is currently lacking. We recently showed that 2’-O-methyl (2’OMe) antisense oligonucleotides (ASOs) exhibited sequence-dependent inhibition of sensing by the RNA sensor Toll-Like Receptor (TLR) 7. Here we discovered that 2’OMe ASOs can also display sequence-dependent inhibitory effects on two major sensors of DNA, namely cyclic GMP-AMP synthase (cGAS) and TLR9. Through a screen of 80 2’OMe ASOs and sequence mutants, we characterized key features regulating cGAS and TLR9 inhibition, and identified a highly potent cGAS inhibitor. This novel cGAS inhibiting oligonucleotide limited the basal interferon gene signature seen in primary macrophages from TREX1-mutant mice, and also decreased senescence of primary human cells. Together with our previous studies, our work reveals a complex pattern of immunomodulation where 95% of the 2’OMe ASOs tested inhibited at least one of TLR7, TLR9 or cGAS by ≥30%, which may confound interpretation of their in vivo functions. Our studies constitute the broadest analysis of the immunomodulatory effect of 2’OMe ASOs on nucleic acid sensing to date and will support refinement of their therapeutic development. In addition, our works establish proof of principle that oligonucleotides inhibiting cGAS, with strong therapeutic potential in select interferonopathies, can be rationally designed.