Antisense oligodeoxynucleotides (ODNS) can be used to specifically inh
ibit hepatitis C viral gene expression. Due to its high degree of cons
ervation and its important function as internal ribosomal entry site,
the 5'-non-coding region of the hepatitis C virus has been the most ef
fective target to inhibit translation so far. Inhibition of luciferase
reporter gene expression of up to 96 +/- 2% has been achieved. Modifi
cations of ODNs like phosphorothioate, methylphosphonate or benzylphos
phonate modification of terminal or intramolecular internucleotide pho
sphates lead to altered lipophilicity and binding stability to its RNA
target and resistance against serum nucleases, The mode of action of
ODNs is mainly dependent on an efficient induction of RNase II activit
y. The uptake of ODNs occurs via receptor-mediated or absorptive and f
luid-phase endocytosis. After release from the endosomes, ODNs may exe
rt their effects by interaction with cytosolic or nuclear structures.
Side effects can occur when this interaction affects intra- or extrace
llular targets essential for biological cell function. If these proble
ms can be solved, antisense technology has the potential for future th
erapy of human disease.