Russian Chemical Reviews 71 (1) 71 ± 83 (2002)
# 2002 Russian Academy of Sciences and Turpion Ltd
Peptide nucleic acids: structure, properties, applications, strategies
III. Applications of peptide nucleic acids
IV. Basic principles of chemical synthesis of peptide nucleic acids
V. Factors determining the efficiency of condensation in the synthesis of peptide nucleic acids
VI. The main strategies of peptide nucleic acid synthesis
VII. Some regularities of condensation reactions in the synthesis of peptide nucleic acids
Abstract. The information on the structure and properties of
peptide nucleic acids (PNA) is generalised. The use of PNA
oligomers in biomolecular studies and biotechnology is exempli-
fied. The published data on the most important methods for the
chemical synthesis of PNA oligomers with the main emphasis on
the efficiency of condensation reactions are considered. The
methods for PNA synthesis are systematised; their advantages
and disadvantages are discussed. Some recommendations for
optimisation of the condensation procedure and synthesis of
PNA are presented. The bibliography includes 153 references.
Peptide nucleic acids (PNA, 1) represent analogues of nucleic
acids (NA, 2),1±4 but, in contrast to the latter, contain neither
carbohydrate nor phosphate residues and have uncharged pseu-
dopeptide backbones.1,5± 8 The monomeric unit of classical PNA
comprises N-(2-aminoethyl)glycine and a heterocyclic base
(purine or pyrimidine) bound through an acetyl linker. The
monomers are linked by amide bonds. The geometry of the achiral
backbone and its relative flexibility 3,9 confer on PNA an ability to
mimic, with striking exactness, the spatial structure of carbohy-
From the chemical standpoint, PNA represent a hybrid of an
oligonucleotide wherefrom the nucleases have been adopted and a
peptides, although neither the term `acid' nor `peptide' are
peptide, the structure of which gave birth to the structural
applicable to PNA, for in contrast to nucleic acids PNA are not
principle of the PNA backbone. Thus, PNA possess properties
polymeric acids and in contrast to peptides they do not contain
of both these classes of compounds.8,10 This structural-and-func-
amino acids. Nevertheless, the abbreviation `PNA' has now come
tional duality of PNA determines their unique property.4 Indeed,
into general use, although it would be more correct to refer to
these molecules combine uniquely the strict recognising ability
these compounds as polyamide analogues of oligonucleotides.10
inherent in NA with the flexibility and stability of proteins.
It should be noted that the term `peptide nucleic acids' is used
to point to the structural similarity of these compounds to NA and
to reflect the similarity of the PNA oligomeric backbone to that of
Complementary PNA molecules form specific antiparallel
PNA ± PNA duplexes having helical structures 4,11 similar to
those of DNA and RNA duplexes but, which is even more
S I Antsypovitch Department of Chemistry, M V Lomonosov Moscow
important, they form highly stable specific (antiparallel and
State University, Leninskie Gory, 119992 Moscow, Russian Federation.
parallel) duplexes with complementary DNA and RNA sequen-
Fax (7-095) 939 31 81. Tel. (7-095) 939 31 48.
ces 1,5±7,9,12±14 containing Watson ± Crick base pairs.2,15,16 In all
cases, antiparallel PNA ± DNA duplexes are more stable than the
parallel ones, viz., their melting temperatures differ by *1 8C for
each base pair.2 The circular dichroism spectra of PNA ± DNA
Uspekhi Khimii 71 (1) 81 ± 96 (2002); translated by R L Birnova
and DNA ± DNA duplexes are similar,2,17 which points to the
formation of right-hand helices during the formation of
PNA ± DNA duplexes despite the fact that base pairs in
strand of PNA, while the second step includes rapid separation of
PNA ± DNA and DNA ± DNA duplexes have slightly different
geometries.17 NMR and X-ray crystallography studies of
Peptide nucleic acids manifest high chemical and biological
PNA ± PNA and PNA ± DNA complexes revealed that
stabilities.25,46 They are highly resistant against cell nucleases,
PNA ± PNA duplexes possess broad, deep major grooves and
proteases and peptidases.25,27,47 PNA oligomers undergo very
narrow, shallow minor grooves; noteworthy, one complete turn of
slow enzymatic hydrolysis in both cell extracts and in vivo.25,46
a helix in PNA ± PNA duplexes corresponds to 18 base pairs,
PNA molecules are distinguished by generally low toxicity and are
whereas that in PNA ± DNA duplexes, to 13 base pairs.17±20
not prone to non-specific binding to cellular proteins. Being
PNA ± PNA, PNA ± DNA and PNA ± RNA duplexes are
immobilised on solid supports, PNA molecules preserve their
considerably more stable than DNA ± DNA, DNA ± RNA and
RNA ± RNA duplexes of the same compositions.1,2,11 ±17,21±23
It is known that modifications of NA backbones by replacing
Even four-membered PNA sequences produce highly stable
phosphodiester or carbohydrate units by non-charged or cationic
duplexes with complementary DNAs.17 In contrast to NA ± NA
structures may confer useful properties on NA, e.g., enhanced
duplexes, the stabilities of PNA ± NA duplexes are little dependent
resistance against nucleases and effective penetration through cell
on the solution ionic strength.2,24± 27 PNA ± DNA duplexes are
membranes and more specific and stronger binding to comple-
formed faster than the corresponding DNA ± DNA duplexes,14,22
mentary target NA.48 Attempts are being made to improve the
but high specificity of hybridisation is preserved.28
PNA structure in order to increase the ability of PNA for
The stabilities of PNA ± DNA duplexes can be predicted based
nonspecific binding to NA and their transport across cellular
on a model which takes into account the interactions between only
membranes.2,3,8 ±10,36 Thus the addition of certain peptides,49±53
the nearest adjacent bases;17,29,30 however, this model describes
e.g., the 16-membered peptide `transportan',50,51 to PNA
adequately the stabilities of short duplexes comprising no more
increases considerably the rate of intracellular transport of
PNA.9,23,49± 53 a-Helical PNA (aPNA) have been obtained in
The most essential property of PNA is their unique sensitivity
which the role of the backbones is played by a-helical peptide
to mismatches in the structure of NA targets.7 The difference in
structures.54±56 Such PNA analogues form highly specific stable
melting temperatures of a perfect PNA ± DNA complex and a
Watson ± Crick duplexes with complementary NA 54,55 and man-
duplex containing one mismatch amounts to 20 8C and even
ifest very high biological stabilities.56 PNA analogues with chiral
backbones with positively and negatively charged groups,
Peptide nucleic acids form PNA ± (DNA)2 triplexes with
PNA ± DNA chimeras, etc., have been synthesised.36
double-stranded DNA.31±34 These triplexes are less stable than
Comparative studies of structurally different PNA analogues
the classical (DNA)3 triplexes.34 On the other hand, PNA forms
have shown that classical PNA with N-(2-aminoethyl)glycine
stable (PNA)2 ± DNA and (PNA)2 ± RNA triplexes with single-
backbones first synthesised by Peter E Nielsen ten years ago 1
stranded DNA and RNA targets, respectively.5,12,14,16,33,35±39
manifest optimum NA-binding properties.4 Therefore, the main
Such triplexes are often formed in the interaction of PNA with
attention in this review will be given to methods of synthesis of
double-stranded NA.37,40±44 In the latter case, the formation of
classical PNA molecules based on N-(2-aminoethyl)glycine resi-
triplexes leads to the displacement of one of the DNA strands
resulting in complete separation or P-loop formation 38 with
subsequent incorporation of PNA chains.5,33,37,40 ±44 PNA form
III. Applications of peptide nucleic acids
Watson ± Crick pairs with DNA. The attachment of the second
PNA chain is accompanied by the formation of Hoogsteen
By virtue of their unique properties,13,37 PNA have found wide
pairs.35,39 It was found that Watson ± Crick chains of PNA are
use in molecular-biological, biochemical, genetic engineering and
antiparallel to DNA chains, while Hoogsteen strands are parallel
clinical investigations.2,3,14,26,27,36,57 ±65 They represent attrac-
tive candidates for new-generation genetic therapeutic drugs
It is noteworthy that Hoogsteen strands stabilise Watson ±
which interfere selectively with gene expression.9,14,26,36,57,62±71
Crick PNA ± DNA duplexes which are formed first; the latter can
The use of PNA oligomers in antisense 9,26,27,36,57,67,69,72± 74 and
antigen 27,36,57,67,68,72,75,76 biotechnologies is of considerable
Homopyrimidine PNA molecules and PNA enriched with
pyrimidine residues are especially prone to triplex forma-
Antisense PNA selectively inhibit the expression of brain
tion.9,35±39 The respective triplexes are extremely stable, e.g.,
proteins.47 The design of anticancer and antiviral drugs based on
ten-membered (PNA)2 ± DNA triplexes have the melting temper-
PNA seems to be a very promising approach.26,57,65 Some PNA
atures of *70 8C.9,39 The ability of cytosine-containing PNA to
derivatives manifest antibacterial 36 and antisense activities 9,47
form triplexes is pH-dependent, since cytosine can form Hoogs-
towards eukaryotic cells and animal organisms.9,47
teen pairs with guanine residues only in the protonated state.9 No
There is evidence that PNA interfere with all the key stages of
triplexes with the composition (PNA)3 have been found.45
gene expression.9,46,57,77 Used in nanomolar concentrations,
Recently, a new type of PNA-containing triplexes has been
PNA cause a practically complete specific arrest of transcription
discovered.37 Both PNA chains in the (PNA)2 ± DNA triplex
of DNA templates.46,78 The usefulness of PNA oligomers in gene-
formed upon binding of the PNA oligomer 5H-T4G2(TG)2-3H to
oriented technologies has been demonstrated with a PNA-
the oligonucleotide 5H-A4C2(AC)2-3H are in the antiparallel orien-
dependent arrest of transcription elongation of RNA polymerase
as an example.27,46,67,68,72 By virtue of their ability to induce
The binding potential of PNA with respect to NA is far from
effective blocking of transcription, PNA oligomers represent
being exhausted. Studies of NA-binding properties of PNA aimed
potential inhibitors of cell growth, which makes them a useful
at the synthesis of novel PNA possessing improved structures and
tool in the design of antitumour drugs.78
able to enhance the specific binding of PNA to complementary
PNA duplexes and especially triplexes with mRNAs, e.g.,
PNA ± RNA and (PNA)2 ± RNA, effectively inhibit the trans-
The melting of short-chain (PNA)2 ± DNA triplexes is a non-
lation of mRNA.67,73,74 Their potent antisense effects in vitro
equilibrium process, viz., the melting temperature depends on
are due to high specificities and stabilities of triplex
both the concentrations of components and heating velocity.38
(PNA)2 ± RNA.38 The arrest of translation elongation of mRNA
Thus, the stabilities of (PNA)2 ± DNA complexes were found to be
occurs even upon addition of six-membered complementary
kinetic.38 The dissociation of such triplexes occurs in two steps,
viz., the first (limiting) step includes separation of the Hoogsteen
The antisense efficiencies of duplex-forming PNA are lower
than those of triplex-forming ones; in this case, no less than 20-
Peptide nucleic acids: structure, properties, applications, strategies and practice of chemical synthesis
membered PNA are required for the inhibition of translation
elongation of mRNA (however, the translation initiation can be
arrested due to formation of even short-chain PNA ± RNA
duplexes).73,74 Nevertheless, RNA molecules in hybrid
PNA ± RNA duplexes are not cleaved by RNase H.67,73,79±81
The antisense effect of duplex-forming PNA is largely due to steric
hindrances upon formation of stable PNA ± RNA complexes 9
which hinder the translation of mRNA. PNA-induced degrada-
tion of mRNA, which is unrelated to the effect of RNase H,
Duplex-forming PNA can inhibit translation in vitro, being
synthesis of PNA are available; the most efficient of them have
specifically directed against the binding sites of ribosomes,
become especially popular in the past decade.14,94±97
whereas triplex-forming PNA are more specific against polypur-
First of all, a solid-phase methodology is applied for the
ine sites located `below' the translation initiation point.9
synthesis of PNA. The synthesis of oligomeric molecules on the
Peptide nucleic acids are used for mapping of RNA molecules
surface of polymeric supports was first developed by Merrifield
in molecular biological studies, particularly for detection of RNA
for the synthesis of peptides and proteins in 1962. The strikingly
domains responsible for binding to other RNAs and peptides.80
simple idea to immobilise growing oligomeric chains on solid
Their applications open up new possibilities for elaboration of
supports has brought biooligomer synthesis to a qualitatively new
novel approaches to the study of RNA ± RNA and RNA ± protein
level. At present, the principle proposed by Merrifield 98 is widely
interactions and such processes involving non-translatable RNA
used in the synthesis of peptides and proteins as well as of DNA
molecules as splicing. There is evidence that PNA molecules
and RNA fragments (oligonucleotides). In the overwhelming
behave as effective `traps' for some DNA-binding proteins.81
majority of cases, PNA oligomers are also synthesised on solid
PNA ± DNA chimeras are convenient primers for DNA polymer-
polymeric supports. In this review, the main emphasis will be laid
ases.82 In recent years, PNA have extensively been used as
on the problems related to the efficiency of solid-phase synthesis
biomolecular tools for the studies of various intracellular proc-
Although PNA oligomers can be synthesised by classical
The use of PNA in the design of efficient procedures for the
methods commonly employed in peptide synthesis,14 specially
detection of hybridisation, which are extremely sensitive to mis-
designed condensation procedures should be preferred, taking
matches in NA targets, is a promising approach.28,83 Fluores-
into account peculiarities of chemical structures of PNA mono-
cently labelled PNA are used as diagnostic probes for detecting
mers. In fact, of the different methods for the activation of
specific NA sequences and for the study of penetration of PNA
carboxy groups based on the use of activated esters, symmetrical
oligomers through cellular membranes and their intracellular
anhydrides, acid halides and in situ activating reagents, the in situ
distribution.84±87 The use of PNA in combination with ion-
activation has become the most promising approach, which is
exchange HPLC (the detection limit is 150 pmol),88 MALDI
TOF mass spectrometry,89 capillary electrophoresis 90 and other
This method envisages the use of reagents based on uronium
advanced analytical techniques 88 allows reliable identification of
and phosphonium salts which effect fast (within several seconds)
specific genetic sequences in various test samples.
activation of carboxy groups of PNA monomers. Owing to high
The use of PNA in the design of electrochemical biosen-
activation rates, mixing of PNA monomers with an activating
sors 28,91±93 opens up new possibilities for fast screening of
reagent can be performed directly in a column with a polymeric
primary NA structures and helps overcome many problems of
support to which the growing oligomeric chain is attached (it is this
modern biotechnology.2 ±4,8,10,61 These compounds can be used
procedure that represents in situ activation) or immediately before
as an outstanding basis for the construction of new generations of
the addition of the monomer to the reaction column. This makes it
highly efficient diagnostic tools, e.g., biochips.83
possible to conduct PNA synthesis in an automated regime.
In this context, the development and optimisation of versatile
The solid-phase procedure for PNA synthesis involving in situ
techniques for the synthesis of PNA oligomers are becoming
activation will be considered below; its advantages have been
currently central tasks. The condensation of PNA monomers
corroborated by chemical practice. The data on the efficiencies of
and oligomers with formation of amide bonds induced by various
other activation techniques can also be useful and proper consid-
activating reagents is the key step in PNA synthesis. The combi-
nation of protective groups, deprotection and capping conditions
as well as post-synthetic work-up of synthetic PNA oligomers
strongly depend on the condensation method used.
condensation in the synthesis of peptide nucleic
IV. Basic principles of chemical synthesis of
The yields of condensation products in the synthesis of PNA using
The chemical synthesis of PNA molecules consists essentially in
the in situ activation procedures depend critically on a number of
the oligomerisation of the monomers 3 ± 6 comprising N-(2-
factors. The most essential of them are as follows:
aminoethyl)glycine backbones and acetic acid residues (acetyl
Ð the nature and concentration of the activating reagent;
linkers), each containing one of four nucleobases as a substitu-
Ð the nature and concentration of the PNA monomer;
ent.14 At present, a broad range of methods for the chemical
Ð the nature of a nucleobase component of the PNA mono-
mer and the nature of the nucleobase incorporated into the PNA
Ð the nature and the concentration of a base (as a rule,
Ð the presence or absence of catalysts, e.g., 1-hydroxybenzo-
Ð the experimental procedure (e.g., preactivation of the PNA
monomer or mixing of the PNA monomer with the condensation
Ð condensation conditions (reaction time and temperature);
conditions for PNA synthesis are compatible with those of peptide
Ð other conditions (e.g., the quality of reagents, dryness of
and oligonucleotide syntheses.104, 115 This opens up new oppor-
solvents, inertness of the reaction atmosphere, etc.).
tunities for the synthesis of hybrid PNA ± DNA and PNA ± pep-
It should be noted that information concerning the depend-
ence of the yields of the condensation products on the nature of
In addition to Boc and Fmoc protection, it was proposed to
the heterocyclic bases of PNA monomers is practically absent.
use MMT groups for protection of 5H-terminal primary amino
This problem demands special investigation. The majority of
groups.96,107±112, 116 Although the MMT group, like the Boc
literature sources cite average yields of PNA condensation prod-
group, is acid-labile, this can be cleaved under considerably milder
ucts calculated per coupling cycle of a hypothetical monomeric
conditions than the Boc groups (the MMT groups are split off by
fragment (irrespective of the nature of the monomer) or the total
treatment with 3% trichloroacetic acid).107 In the MMT strategy,
the amino groups of heterocyclic bases of the PNA monomers are
It seems reasonable to consider all the factors mentioned
usually protected by acyl groups (e.g., acetyl, isobutyryl, anisoyl,
above. Hence, it is expedient to discuss in detail the main aspects
benzoyl, tert-butylbenzoyl) (MMT/acyl version of the MMT
related to the efficiencies of PNA condensations inherent in
strategy).96,107, 110, 116 The reaction conditions are mild, which
makes it possible to perform automated synthesis of PNA
oligomers using the oligonucleotide synthesisers, while their
VI. The main strategies of peptide nucleic acid
compatibility with oligonucleotide synthesis protocols allows
one to obtain PNA ± DNA chimeras.107± 109
The efficient condensation requires that the 5H-terminal amino
Usually, PNA synthesis utilises conventional solid-phase peptide
groups were not protonated, since in the form of cations they do
synthesis protocols.14 Three synthetic strategies are currently
not manifest nucleophilic properties. However, under basic con-
especially popular which produce PNA in high yields and purity.
ditions where the amino group is not protonated and hence is
These strategies differ in the nature of protective groups blocking
active, the undesirable transfer of the N-terminal acetyl group
5H-terminal primary aliphatic amino groups in PNA monomers.
with the attached heterocyclic base to 5H-terminal primary ali-
tert-Butoxycarbonyl (tBoc or Boc), 9-fluorenylmethoxycarbonyl
phatic amino group may take place.94,97,115, 117
(Fmoc) and 4-methoxyphenyldiphenylmethyl (monomethoxytri-
tyl, MMT) groups are generally used as protective groups, and
Boc,12,94,99,100 Fmoc,77,97,101±106 and MMT strategies 96,107±112
of PNA synthesis are distinguished, correspondingly.
PNA Ð C-terminal fragment of the PNA oligomer.
The chemical nature of these groups and the differences in the
This reaction can also occur under neutral conditions 94
conditions for their removal determine the choice of optimum
resulting in the break of growing PNA chains and accumulation
condensation reagents and condensation conditions for each
of short-chain oligomers. This affords a mixture of products and
particular strategy, although the main principles of PNA synthesis
the isolation of target PNA presents a serious problem.
The formation of isomeric structures can be avoided provided
The Boc strategy 12,94,99,100 was the first to be used for the
the condensation is very fast. In this case, side products cannot be
PNA synthesis. In this case, exocyclic amino groups of hetero-
formed, since the N-acyl transfer is a rather slow proc-
cyclic bases are usually protected by the benzyloxycarbonyl (Z,
ess.94,97,100, 117 In the presence of reagents based on uronium and
Cbz) group (the Boc/Z version),94 and O-benzyl groups are
phosphonium salts, the condensation occurs so fast that even
sometimes used as additional protective groups for guanine.113
in situ activation of carboxy groups of PNA monomers is possible.
The Boc/acyl version of the Boc strategy, where exocyclic amino
Splitting of the N-terminal monomeric unit 12 under the action
groups of nucleobases are protected by acyl groups, has also been
of piperidine used for removal of Fmoc groups is yet another side
described.95 One of the well-known disadvantages of the Boc
strategy is the necessity to use strong acids for the removal of Boc
groups (trifluoroacetic acid) and the cleavage of PNA oligomers
from the polymeric supports (hydrofluoric acid, trifluoro-
methanesulfonic acid, etc.). Such drastic conditions limit the
range of PNA synthesised according to the Boc protocol.
A search for milder conditions has led to the development of
the Fmoc strategy of PNA synthesis.14,77,96,97,101± 106,114 Here,
the Fmoc groups are removed by mild treatment with piperi-
dine.14 The benzyloxycarbonyl (Z),97 benzhydryloxycarbonyl
(Bhoc) 106 or MMT groups 12,96,114 are used to protect amino
groups of nucleobases. The advantage of a Fmoc/acyl version of
this strategy 77,102±105 is the possibility of selective removal of the
Fmoc groups without affecting the acyl protective groups of the
heterocyclic bases.102, 103 The use of this strategy ensures higher
yields of PNA in comparison with the Fmoc/Z strategy, while the
Peptide nucleic acids: structure, properties, applications, strategies and practice of chemical synthesis
It should be stressed that the problem of side reactions and the
This was one of the first examples of the implementation of the
efficiency of PNA synthesis on the whole depend critically on the
Fmoc protocol to the synthesis of PNA. In this case, the use of the
combination of protective groups used. Indeed, the Boc and Fmoc
activated esters strategy ensured high efficiency of condensation.
strategies differ essentially in the conditions of deprotection of
The yields of condensation products in the synthesis of PNA
5H-amino groups of the last added monomer. As mentioned above,
oligomers with the chain lengths of up to 20 residues varied from
the removal of Boc groups requires rather drastic acidic treatment,
95% to 99%.97 The average yields in the synthesis of PNA
which leads to the protonation of 5H-amino groups. Therefore, this
containing all the four types of nucleobases were 97% over each
group should be neutralised before the addition of the next
step, which corresponds to the 70% yield of target oligomers.
monomeric fragment, which is not required in the case of the
With allowance for subsequent isolation, the yield of PNA
On the other hand, the removal of Boc groups is always
It is of note that the choice of strategies for the synthesis of
quantitative and rather fast, whereas splitting of Fmoc groups by
PNA is often determined by the necessity to obtain high yields of
basic treatment proceeds slowly and not always completely,118,119
condensation products at low expenditures of expensive PNA
which negatively affects the efficiency of condensation.
monomers where the use of manyfold (fourfold and higher)
Aggregation of growing oligomeric chains is an additional
monomer excess is undesirable. A combined use of the Fmoc
obstacle to efficient condensation. Interchain aggregation makes
protocol and PFP activation allows the use of as little as a twofold
the deprotected terminal amino group only partly accessible for
excess of PNA in a single condensation.97 The use of threefold (or
subsequent condensation, which decreases the efficiency of the
greater) excesses of PNA monomers did not result in further
process on the whole.120, 121 It should be noted that aggregation is
increase in the yields of condensation products. The dimethyl
only possible in the case of the non-protonated amino
sulfoxide (DMSO) ± N-methyl-2-pyrrolidinone (MP) mixture
group.120,121 Apparently, repulsion of positively charged amino
(1 : 4) appeared to be the solvent system of choice.97 Apparently,
groups prevents the aggregation of oligomers. Thus, the inter-
this system favours rapid access of the reagents to the growing
chain aggregation never takes place in acidic media and terminal
PNA oligomers.128 However, for other activation procedures,
amino groups are more accessible to condensation. However, the
other solvent systems were more efficient.
amino group cannot efficiently react with the activated monomer,
The use of the activated esters approach to PNA synthesis
since its nucleophilicity is suppressed.
sometimes gives reasonable results;12 however, in the majority of
Deprotonation of terminal amino groups of PNA with simul-
cases, higher (94% ± 99%) yields of condensation products were
taneous condensation (neutralisation in situ) is the most elegant
obtained using the in situ activating reagents.1,5 In principle, the
approach to solving this problem. This methodology was first
PNA synthesis can successfully be performed using the so-called
employed for peptide synthesis in 1987.122 The use of neutralisa-
carbodiimide activation involving, e.g., dicyclohexylcarbodiimide
tion in situ in the synthesis of peptides using Boc and Fmoc
(DCC) or N,N H-diisopropylcarbodiimide,12 which sometimes
protocols results in a significant increase in the condensation
affords high (up to 98% ± 99%) yields of condensation prod-
rate.123± 125 This effect was especially spectacular in the synthesis
ucts.6,7 Low rates of PNA condensation is the main disadvantage
of `problematic' sequences which are especially prone to undergo
interchain aggregation. Their syntheses by conventional methods
Carbodiimide activation by DCC made it possible to obtain
involving preliminary neutralisation of terminal amino groups
addition products of thymidine and cytidine PNA monomers in
quantitative yields. Purine monomers are only partly incorpo-
At present, neutralisation in situ has become very popular for
rated into PNA oligomers; repeated condensation does not result
the synthesis of PNA along with conventional methods where
in quantitative yields of the addition products.
deprotonation of 5H-amino groups of PNA oligomers precedes
The use of N,N H-diisopropylcarbodiimide as the activating
condensation. In some cases, the use of neutralisation in situ helps
reagent has made it possible to obtain nearly quantitative yields
solve the problem of side reactions of PNA isomerisation and
even for purine monomers.99 However, this required the use of a
increases the yields of condensation products.
fourfold excess of the monomers and the activating reagent, and
the condensation lasted no less than 60 min.99 In addition, the
VII. Some regularities of condensation reactions in introduction of the adenine and the guanine monomers into PNA
oligomers required two and three condensation cycles, respec-
A detailed knowledge of condensation reactions associated with
The carbodiimide activation is a convenient procedure for
PNA synthesis and a search for efficient procedures for its
obtaining PNA adducts with other molecules. Thus the synthesis
optimisation demand that the data available should be interpreted
of hybrid PNA peptides containing biotin residues, which confer
with due regard to the nature of reagents used for the activation of
on PNA the ability to penetrate cell membranes efficiently, has
PNA monomers. The methods for the synthesis of PNA ± DNA
been described.129 The peptide fragment of the chimeric molecule
chimeras are described separately, since in this case condensation
was prepared using a standard peptide synthesis protocol,130 while
the synthesis of the PNA fragment was carried out manually,
using the Boc strategy based on the methods described in the
1. Activated esters and carbodiimide activation
classical work by Nielsen.94 The activation with DCC was
For the first time, the method of activated esters has been
performed in the presence of 1-hydroxybenzotriazole, using a
successfully employed for the synthesis of thymidine PNA oligo-
fivefold excess of a PNA monomer. The condensation was
mers.1,5 The synthesis of thymidine PNA using Boc-protected
performed at an elevated (37 8C) temperature to increase the
pentafluorophenyl (PFP) ester of a thymidine PNA monomer as a
monomer was carried out in 1992.5 When the monomer concen-
In other examples of the synthesis of hybrid PNA ± peptide
tration was 0.1 mol litre71, the yield of the condensation product
molecules,49 the Boc protocol was combined with carbodiimide
was > 99%. However, an attempt to apply this method to the
activation.94,129 Such an approach to the preparation of chimeras
synthesis of cytidine PNA oligomers was without success: the yield
is justified, since it ensures complete compatibility of syntheses of
of the target product did not exceed 50% under identical con-
both the peptide and PNA fragments of the hybrid molecules 49
and overall yields of target products of no less than 50%.49
There are some examples of successful applications of the
A combined use of carbodiimide activation with the Boc/acyl
method of activated esters for the synthesis of heterogeneous
protocol common in peptide synthesis,130 allows one to obtain
PNA. Thus the synthesis of PNA oligomers from Fmoc/Z-
both classical PNA molecules with N-(2-aminoethyl)glycine back-
protected monomers by ester activation has been described.97
bones and molecules with non-canonical backbones containing
optically active monomeric fragments where the glycine residues
heterocyclic bases. The use of the carbodiimide activation proce-
are substituted by other amino acids, e.g., lysine, serine, isoleucine
dure for the synthesis of such oligomers is usually less efficient.94
and glutamic acid.131 Incorporation of D-lysine-based monomers
Studies of the effects of various factors, such as the nature of
into PNA oligomers increases the stabilities of PNA ± DNA and
activating reagents, solvents, monomer concentrations, the nature
PNA ± RNA duplexes. With other amino acids, the stabilities of
of the organic base (tertiary amine), catalysts, etc., on the
these types of duplexes are usually low.131
efficiency of condensation in the in situ activation revealed that
In some cases, such as in the synthesis of PNA ± peptide
all of them are important for the optimisation of condensation
chimeras and thymidine PNA oligomers, the activated esters and
carbodiimide methodologies are employed. Sometimes, the yields
Comparison of the efficiency of condensations under the
of condensation products prepared by the activated esters (PFP)
action of some uronium activating reagents, viz., the most popular
method even exceed those obtained by in situ activation.97
reagents HBTU and TBTU and the relatively new reagents
Nonetheless, it is generally acknowledged 12 that PNA syn-
HATU and O-(1,2-dihydro-2-oxo-1-pyridyl)-N,N,N H,N H-bis-
thesis based on the use of in situ activation reagents, viz., uronium
and phosphonium salts, is the most reliable approach, since it
revealed that the condensation was efficient in all the cases under
ensures higher yields of the condensation products. This approach
study, but the yields of addition products were the highest with
has considerably been developed in the recent years and it is this
procedure that offers the broadest opportunities for the synthesis
It should be noted that these results are valid exclusively for a
DMF ± pyridine solvent system and for the concentrations of the
PNA monomer and the base [diethyl(cyclohexyl)amine, DECHA]
2. In situ activation by reagents based on uronium and
of 0.05 and 0.1 mol litre71, respectively. Under these conditions,
the average yields of the condensation products were
The most popular activating reagents for PNA synthesis are
92.2% ± 97.1% irrespective of the nature of PNA monomers.
O-(benzotriazol-1-yl)-1,1,3,3-tetramethyluronium
However, conditions can be selected where other activating
phosphate (HBTU), O-(7-azabenzotriazol-1-yl)-1,1,3,3-tetra-
reagents will be more efficient than HBTU, e.g., in other solvent
methyluronium hexafluorophosphate (HATU), (benzotriazol-1-
systems or in the presence of other bases. This suggests that
condensation conditions are to be chosen for each activating
O-(benzotriazol-1-yl)-1,1,3,3-tetramethyluronium
tetrafluoroborate (TBTU), O-[(ethoxycarbonyl)cyanomethyl-
Comparison of the efficiencies of HBTU and PyBOP has
demonstrated the former to be superior under identical condi-
(TOTU) and (benzotriazol-1-yloxy)-tris(dimethylamino)phos-
tions. The overall yields of PNA oligomers using HBTU and
phonium hexafluorophosphate (BOP), although other reagents
PyBOP activation were 61% and 40%, respectively, which corre-
sponds to average yields of 97.1% and 94.7% in each step.94,100 It
is of note that this comparative study was carried out under
An important role in efficient condensation is played by the
solvent system used. Thus in a DMF ± pyridine mixture, the
overall yield of the condensation product was 61%, whereas
those in DMF or DMF ± DMSO were 55% and 22%, respec-
tively.94 However, it was not indicated which monomers deter-
mined the lowest yields of PNA. Noteworthy, virtually none of the
works cited in this review provide these data.
Studies of the dependence of the yield of a PNA oligomer on
the nature of an organic base (tertiary amine) have shown that
4-dimethylaminopyridine (DMAP), DECHA, (dicyclohexyl)me-
thylamine and (dicyclohexyl) ethylamine were as efficient as
(diisopropyl)ethylamine (DIPEA) which is widely used in peptide
The nature of the tertiary amine only slightly affected the
yields of the condensation product (93.7% ± 95.3%). The con-
densation in the presence of DIPEA in the DMF ± pyridine system
is not optimum, since this amine reacts with the monomers to give
insoluble salts. Better conditions for this reaction can be found.
The condensation in the presence of DIPEA is efficient in
Studies of relationships between the yields of condensation
products and concentrations of PNA monomers revealed that
acceptable yields can be obtained when the monomers are used at
concentrations no less than 0.1 mol litre71. At lower concentra-
Since condensation strongly depends on the strategy used for
tions (0.05 mol litre71), the condensation proceeds as a rule too
PNA synthesis, in the first place, on the combination of protective
slowly resulting in the accumulation of side products from
groups, it seems expedient to classify the data on the in situ
activation into three groups corresponding to Boc, Fmoc and
Addition of catalytic amounts of DMAP and 1-hydr-
oxybenzotriazole to the reaction mixture may have a negative
effect on the efficiency of condensation, although it is known that
their addition sometimes favours the formation of amide bonds.94
The Boc/Z-modification of the Boc strategy is a classical approach
The loading { of the polymeric support should not exceed
to PNA synthesis. The dependence of the condensation efficiency
0.1 ± 0.2 mol-equiv. g71, which is essential for the maximum yield
of the Boc/Z strategy on different factors has been studied in
sufficiently great detail.94 This strategy makes it possible to obtain
{ Here, loading is expressed as the number of functional groups per unit
high yields of PNA containing > 15 units with all the four types of
Peptide nucleic acids: structure, properties, applications, strategies and practice of chemical synthesis
of the PNA oligomer. With a higher degree of loading, the
previously developed procedures,94,131,132 the Boc strategy is
efficiency of PNA synthesis is lower.94,100
combined with HBTU activation in the presence of DECHA.
The use of the Boc/Z strategy ensures high (99.4%) yields of
This approach affords high yields of condensation products, but
target products with in situ activation (HATU) in the presence of
requires the use of a fourfold excess of PNA monomers.79
DIPEA.95 In this case, the reaction mixture must contain a large
The Boc strategy is also used in the synthesis of PNA
(e.g., sevenfold) excess of the PNA monomer with respect to
oligomers containing modified units.131, 133±135 Thus PNA mole-
loading of the polymeric carrier.95 The amount of the activating
cules may incorporate units containing anthraquinone and acri-
reagent is usually reduced by 10%, while the tertiary amine is
dine residues.133 Such oligomers are used to study the melting
taken in a twofold excess with respect to the PNA monomer.88
behaviour of hairpin-shaped PNA of high-molecular-mass
Acceptable yields are obtained with a fourfold excess of the
PNA ± PNA duplexes by fluorescence quenching (the so-called
PNA monomer and by activation with HATU (the amount of
`molecular beacon' method). High yields of condensation prod-
HATU is 0.9 mol-equiv. with respect to a monomer) in the
ucts are obtained. Its repeated condensation is used for the
presence of DIPEA and lutidine.47 The use of a fivefold excess of
attachment of a modified PNA monomer followed by a non-
PNA monomers and a tenfold excess of DIPEA makes it possible
to increase the overall yields of PNA oligomers to 92%.17
The Boc/Z method combined with HBTU activation 94,134
Very often, the yields can be increased upon preactivation of
allows synthesis of PNA molecules with fluorescent labels at their
PNA monomers. To this end, the PNA monomer is mixed and
N-termini.134 Such PNA derivatives can be used for detecting
incubated with the activating reagent for several seconds before
specific NA sequences. The fluorescence of the label may increase
being loaded onto the column.95,96,109,110, 113,115, 116 Strictly
more than 50-fold upon hybridisation of PNA with the comple-
speaking, here we do not deal with the in situ activation, however,
mentary NA target in comparison with that of the free PNA.134
the term `in situ activation' is conventionally related to the nature
The classical Boc/Z strategy is also used for the synthesis of
of the activating reagent rather than to the order of mixing of the
PNA chimeras containing clusters of modified fragments, e.g.,
reagents. It is of note that the methodology of preactivation does
those with positively charged, chiral backbones built up of
not imply the isolation of activated monomers. Usually, the
D-lysine residues.135 The presence of such fragments in PNA
amount of the activating reagent is 5% ± 10% smaller than that
confers useful properties on the latter.131, 135 In contrast with
ordinary PNA, chimeric PNA form exclusively antiparallel
Preactivation of PNA monomers by incubating them with the
duplexes with DNA; their stability depends critically on the
activating reagent for 2 min and condensation in an MP ± pyr-
presence of mismatches. Even one mismatch decreases sharply
idine mixture make it possible to obtain PNA oligomers in overall
the stability of hybrid duplexes. If a mismatch is located in the
yields of 90%. Depending on the length and composition of
middle of clusters containing three modified residues, ten-mem-
sequences, the yields of PNA vary from 68% to 90%.88
bered PNA ± DNA duplexes are unstable even at 15 8C
In a search for the most rational technique for PNA synthesis,
(DTm = 28 8C). Such PNA can serve as the basis for the develop-
an investigator has to select between a rapid and cheap synthesis
ment of genetic diagnostic tools, particularly, for the detection of
with the use of a small excess of PNA monomers and low (but
acceptable) yields and lengthy syntheses with large expenditures of
Synthesis of these PNA derivatives by the Boc strategy
expensive monomers and activating reagents, but giving nearly
combined with HBTU activation in the presence of
DECHA,131, 136 affords chiral oligomers in overall yields of
Attempts to specify the conditions for effective synthesis of
80% ± 90%,135 and optical purity of no less than 90%.
PNA have been undertaken time and again.95 Primary attention in
In the majority of cases, the Boc protocol includes the use of
the optimisation of PNA synthesis is usually given to such factors
standard polymeric supports containing (4-methylbenzhydryl)-
as the low cost and ease of synthesis of PNA monomers, nearly
quantitative yields of condensation products, the simplicity and
efficiency of the procedure for isolation of PNA oligomers from
the reaction mixture after completion of the synthesis and the
possibility to obtain chimeric DNA ± PNA duplexes and ligand-
Such a choice of optimisation parameters seems to be justified,
however, other factors, such as reaction rate and economy, are no
less important. Thus the rate of condensation should be high
enough to minimise side reactions. The synthetic strategy should
first of all be efficient and allow for economic expenditure of
PNA oligomers are cleaved from the solid phase by treatment
expensive PNA monomers and activating reagents. The latter
factor is of crucial importance in large-scale syntheses of PNA.
The Boc strategy allows the use of various activating reagents
While comparing the Boc/Z and the Boc/acyl strategies of
including BOP.137 The use of BOP and DIPEA as a base affords
PNA synthesis, preference is given to the latter, since it is thought
high yields of condensation products in various solvent systems,
to be more promising. Although the average yields of oligomers
e.g., DMF ± CH2Cl2 and DMF ± DMSO. In this case, the use of a
calculated per one condensation cycle are high in both cases, viz.,
twofold excess of PNA monomers is sufficient, but each conden-
no less than 98% (Boc/acyl) and about 99% (Boc/Z), the yields of
sation reaction should be repeated in order to provide more
PNA oligomers in the case of the Boc/acyl synthetic strategy and
conventional isolation procedure do not exceed 65% (relative
PNA can also be synthesised using the Boc/Z strategy com-
to the support loading), and are as low as 20% according to the
bined with the in situ activation with TBTU in DMF ± pyridine 113
Boc/Z protocol.95 In addition, the Boc/acyl strategy allows one to
as described in the classical work of Nielsen.94 However, it is more
synthesise PNA ± DNA chimeras and to prepare addition prod-
expedient to carry out the condensation in DMF in the presence of
ucts of acid-labile ligands to PNA, which is inattainable in the case
a twofold excess of DECHA as a base with respect to the
monomer. This is associated with the good solubility of PNA
The synthesis of thymidine PNA oligomers makes use exclu-
monomer salts formed in DMF.113 The use of a threefold excess of
sively of Boc-protection of 5 H-terminal amino groups, since the
PNA monomers is optimum. This approach allows one to use
thymidine PNA monomer does not require protection of the
2-amino-6-benzyloxypurine with the non-protected amino group
heterocyclic base.77,79 Such oligomers are conveniently synthes-
as a guanine precursor.113 The side reaction (capping) of the
ised by manual techniques.79 In this case, by analogy with
oligomeric chain can be avoided if the amount of TBTU is 10%
less than that of the PNA monomer 113 or if the PNA monomer is
It is generally recognised that the Fmoc strategy of PNA syn-
Capping of oligomeric chains occurs both in PNA and peptide
thesis14,77,96,100±106, 114 requires milder conditions than the Boc
synthesis 123 provided the free activating reagent is present in the
strategy.12 In particular, no treatment of PNA oligomers with
reaction mixture. This is possible owing to the fact that the
strong acids before and after synthesis is necessary. This allows the
terminal amino group of the peptide following deprotection reacts
use of other protective groups for exocyclic amino groups of
with both the activated amino acid derivative and the activating
heterocyclic bases of the PNA monomers. Correspondingly, the
reagent.123 Thus in the presence of an excess of HBTU, the
Fmoc strategy affords higher degrees of purity of reaction
tetramethylguanidine derivative was formed, which did not
mixtures and higher overall yields of PNA oligomers. The Fmoc/
undergo subsequent elongation of the peptide chain.138 This side
acyl strategy of PNA synthesis is especially promising,77,104, 105
reaction can be avoided if the amount of the activating reagent is
since it can also be used for the synthesis of PNA ± DNA and
smaller (by 5% ± 20%) with respect to the monomer.113
With TBTU as the activating reagent, another side reaction,
Various versions of the Fmoc strategy are currently known.
viz., the N-acyl transfer, can take place.94,113, 123 To avoid this,
Thus Bhoc protection of heterocyclic bases of the PNA monomers
neutralisation in situ is used.123 In this case, condensation is
and HATU activation allows automated synthesis on oligonu-
carried out in the presence of a base without preliminary neutral-
cleotide synthesisers.106 The use of a DIPEA ± lutidine mixture
isation of the 5 H-terminal primary amino group of the oligomer.113
seems to be more effective than the use of only one base, since it
The efficiency of condensation is monitored by HPLC analysis of
affords higher yields of the condensation products.106
aliquots obtained by appropriate treatment of a small portion of a
DMF is a suitable solvent for the Fmoc condensation, and
polymeric carrier (3 ± 5 mg) following attachment of the next
HATU is one of the most potent activating reagents.141 However,
in this case, too, the synthesis of individual PNA oligomers may
In the synthesis of thymidine PNA oligomers based on the use
face problems related to non-efficient condensation.141 Thus the
of the Boc strategy and TBTU activation, a decrease in the yields
synthesis of PNA oligomers with sequences containing several
of condensation products is observed sometimes after addition of
identical consecutive heterocyclic bases (not necessarily purines)
the first 3 ± 4 monomeric fragments.113 This leads to the accumu-
yields short-chain products. This problem can partly be overcome
lation of short chains, whereas the overall yield of PNA does not
through the use of repeated condensations.141
exceed 30% (in the case of a 10-membered oligomer). The same
Two condensation cycles are carried out in the following cases:
problem sometimes arises with HATU activation, presumably,
in the synthesis of sequences containing four or more identical
due to aggregation of growing thymidine PNA oligomers. This
consecutive residues after attachment of two or three identical
can partly be overcome through the attachment of lysine residues
PNA monomers to the oligomer, in the synthesis of PNA
at the C-ends of PNA chains, which prevents the interchain
oligomers containing purine clusters and in the synthesis of
aggregation of the oligomers formed.
18-membered and more extended PNA oligomers independent
It is noteworthy that the synthesis of heterogeneous PNA
of the composition of the sequence after the attachment of the
oligomers containing monomeric fragments of all the four types is
not accompanied by significant reduction of product yields in the
The yields of PNA obtained using the Fmoc strategy and
PNA synthesis.113 In this case, the yield over each condensation
HATU activation vary from 26% to 38%.141 In some cases, the
step reaches 97%, which corresponds to 66% overall yield of the
overall yields of PNA oligomers do not depend on the sequence
lengths but are determined by the efficiency of the attachment of
Similar problems, viz., aggregation of PNA chains, may arise
the first PNA monomer to the polymeric support, since the yield
during the removal of protective Z groups after completion of
of the first condensation product can be lower than the yields of
PNA synthesis resulting in a significant decrease in the yields of
the products obtained in subsequent condensations.141
PNA.11,113 A crucial role in this process belongs to complemen-
In the majority of cases, reversed phase HPLC is used for the
tary interchain and intramolecular coupling of PNA oligomers.
analysis of reaction mixtures and isolation of target products
Even four-membered PNA ± PNA duplexes significantly hinder
under conditions for the separation of peptides rather than
post-synthetic work-up of PNA oligomers.113 Therefore, oligo-
oligonucleotides.141 The condensation efficiency of the Fmoc
meric PNA sequences should be analysed for the possibility of
strategy can also be estimated spectrophotometrically by measur-
intramolecular hairpin and intermolecular cluster formation prior
ing UV absorption of a product formed upon removal of Fmoc
to the synthesis. It was found that the overall yields of PNA can be
groups by piperidine in the range of 256 ± 301 nm. This method is
increased to 75% and even more through incorporation of a lysine
especially convenient for stepwise monitoring of PNA oligomer-
residue into PNA heterooligomer, since the charged e-amino
group of lysine partly prevents the aggregation of PNA chains.
Thus, the Fmoc strategy can be used for the synthesis of PNA
These data suggest that the efficiency of synthesis of PNA
oligomers unattainable by other methods. This procedure allows
oligomers strongly depends on the properties of PNA sequences to
modifications to the synthetic protocol aimed at increasing the
be prepared irrespective of the synthetic procedure used.139 Theo-
yields of condensation products in separate synthetic cycles.141
retically, PNA may contain any combination of monomers, while
The low efficiency of the condensation encountered in the
the synthesis of certain sequences in quantitative yields faces
Fmoc strategy of PNA synthesis seems to have the same reasons
difficulties. Thus the attachment of a purine monomer to an
and solutions as those in peptide synthesis.142 It is known that
oligomeric PNA sequence containing a 5 H-terminal purine base is
many problems of automated solid-phase peptide synthesis are
problematic. Therefore, if PNA containing purine clusters are to be
related to the nature of the sequence to be synthesised.142 Low
synthesised, the synthetic protocol should include repeated con-
condensation yields are due to the formation of bulky spatial
densations.139 The lowest yields were obtained in the synthesis of
peptide structures, which may interfere with the formation of
PNA oligomers containing several consecutive guanine residues.
In conclusion, it may be said that the Boc strategy can be
Those peptide chain fragments which are susceptible to
implemented in both manual and automated variants.139
interchain aggregation, can also decrease the accessibility of the
Although the former seems to be rather efficient and inexpen-
amino group and thus prevent further elongation of the chain.120
sive,140 automated synthesis using peptide and oligonucleotide
Spatial hindrances appear in the course of PNA synthesis
synthesisers holds especially great promise.141 The reason is that
which decelerate the removal of protective Fmoc groups from the
the manual synthesis of PNA is not only lengthy and laborious,
5 H-termini of PNA oligomers and decrease the efficiency of
but also needs large-scale synthesis (not less than 5 mmol) in order
to obtain acceptable yields of condensation products.
Peptide nucleic acids: structure, properties, applications, strategies and practice of chemical synthesis
The synthesis of purine-rich PNA presents a special problem.
monomeric unit to a polymeric support have also been
If a PNA sequence contains more than two consecutive purine
residues, the efficient attachment of the next purine monomer
The best conditions for the PNA synthesis by the Fmoc/acyl
requires a longer reaction time and repetition of the condensation
strategy include the use of a twofold monomer excess
procedure three or four times. The attachment of the guanine
(0.125 mol litre71), preactivation with HATU (0.8 mol-equiv.),
monomer to the 5 H-terminal guanine unit proceeds at a very slow
DIPEA and lutidine (1 ± 2 min), condensation (20 min) and
repetition of the condensation procedure in each (with the
Aggregation of PNA chains is the main reason for low
exception of the first) reaction cycle. This provides an overall
condensation efficiency inherent in both Fmoc and Boc strategies.
yield of heterogeneous PNA of 43% (for 16-membered oligom-
The synthesis of partly or fully self-complementary sequences may
ers), which corresponds to the average yield of the condensation
produce problems relevant to intrachain association of PNA
product of 95% (in this case, the attachment of the first mono-
oligomers. In addition, the solid-phase synthesis conditions
meric fragment occurs with high yield). The main disadvantage of
favour intermolecular aggregation of growing oligomers. Thus
this method is the necessity to repeat the condensation procedure
purine-rich PNA and thymidine PNA oligomers (both four-
in each cycle.115 The expedience of this approach is doubtful
membered and more extended ones) are prone to aggregation.
despite its obvious advantages, viz., good reproducibility of
The condensation efficiency strongly depends on such factors
as the loading of the polymeric support and the composition of the
solvents. Thus, low densities of oligomers `growing' on solid
supports favour solution of the problem of intermolecular aggre-
This strategy of PNA synthesis is rather promis-
gation of PNA chains, whereas certain solvents prevent inter- and
ing 38,96,107± 112,116, 144,145 particularly its MMT/acyl ver-
intramolecular aggregation of PNA molecules (e.g., the formation
sion,96,107, 110,116 which is fully compatible with oligonucleotide
of hairpin structures) and ensure effective diffusion of reagents to
synthesis protocols. It allows the use of automatic DNA synthes-
the N-termini of the growing PNA chains.
isers without modification of their design or software, which is
Studies aimed at optimisation of conditions for PNA synthesis
especially convenient for conducting the syntheses of PNA ± DNA
are currently under way, since no ideal method for PNA synthesis
has been developed so far. The Fmoc/acyl strategy of PNA
The MMT strategy allows the use of a broad range of
synthesis seems to be the most advanced one, since it permits one
activating reagents,38,112, 144,145 including mesitylenesulfonyloxy-
to obtain oligomers of virtually any composition in high
benzotriazole (TMSOBt) 112 and 3,4,6-triisopropylbenzenesulfo-
nyloxybenzotriazole (TPSOBt).144 The latter gives higher yields of
Thus the synthesis of thymidine PNA oligomers by the Fmoc/
the condensation products (the average yield in one cycle reaches
acyl method combined with HATU activation requires only small
96%) than the commercially available activating reagent
(twofold) excess of the monomer 115 and a 20% deficiency of the
PyBOP.112, 144 Depending on the nature of the PNA monomer
activating reagent. It is more expedient to use MP as a solvent and
and the 5 H-terminal oligomeric fragment, the yield in each
the DIPEA ± lutidine mixture as a base. Preactivation of PNA
condensation step varies from 91% to 99%.144
monomers for 2 min is yet beneficial. The yield of the condensa-
The efficiency of condensation carried out by the MMT
tion product in each step is 85% ± 90%, the condensation time is
strategy can be estimated spectrophotometrically by measuring
30 min and the overall yields of the 7-membered oligomer is no
UV absorption spectra of the MMT+ cation formed upon
less than 50%.115 The efficiency of the reaction is most conven-
removal of the protective MMT group from the 5 H-terminal
iently monitored spectrophotometrically.
amino group of a PNA oligomer. The MMT strategy combined
Attempts have been made to optimise condensation condi-
with TPSOBt activation is compatible with oligonucleotide syn-
tions in solution using mixtures of PNA monomers and amino
thesisers.112 This approach was first used in the synthesis of PNA
acid esters as model systems.115 Direct application of the data
molecules containing uracil residues.112 The `manual' variant of
obtained in these model systems to solid-phase PNA synthesis is
the MMT strategy is also effective, e.g., in the synthesis of
questionable, since the optimum conditions for the synthesis in
solution and on polymeric supports may differ in principle. This
The use of PyBOP as an activating reagent allows one to reach
circumstance should be taken into consideration when selecting
95% ± 99% yields in each step of the monomeric fragment
model systems. On the other hand, these studies sometimes give
coupling.96 However, in this case, the use of concentrated
(0.3 M) solutions of PNA monomers and PyBOP is necessary. It
The yields of condensation products in the reaction of PNA
is more expedient to use N-ethylmorpholine as a base and to
monomers with L-phenylalanine tert-butyl ester were not lower
than 95% irrespective of the nature of the activating reagent
The MMT strategy is used for the synthesis of phosphonate
(HATU or HBTU in the presence of 1-hydroxybenzotriazole), of
analogues of PNA (pPNA).110, 116,146, 147 The presence of nega-
the tertiary amine (N-methylmorpholine, lutidine or the
tively charged groups in the pPNA backbone makes PNA
DIPEA ± lutidine mixture) and of the solvent (DMF or MP).
analogues readily soluble in aqueous solutions in comparison
The nature of the base and the activating reagent did not influence
with classical PNA oligomers. These molecules bind specifically to
the efficiency of the reaction. The best result was obtained in the
complementary fragments in DNA and RNA, although the
case of HATU activation in the presence of lutidine in DMF.115
melting temperatures of pPNA ± NA complexes are somewhat
As mentioned above, the overall yields of PNA oligomers may
lower than those of the corresponding PNA ± NA complexes.
depend on the efficiency of attachment of the first monomer to the
A combination of the MMT/acyl protocol with triisopropyl-
polymeric support. Thus the yield of the attachment product of
benzenesulfonylnitrotriazole activation is efficient in the synthesis
the first cytosine monomer to the polymeric support (Tentagel) in
of pPNA.110, 116,146, 147 The condensation in the presence of
the synthesis of heterogeneous PNA by the Fmoc/acyl strategy
N-methylimidazole as a nucleophilic catalyst permits one to
combined with conventional HBTU activation in the presence of
obtain the average yields of 95% in the condensation step with
1-hydroxybenzotriazole and lutidine did not exceed 50%,115
a reaction time of 10 min.110, 116 However, the quantitative over-
whereas those obtained in subsequent condensation steps were
all yields of condensation products are not achieved, although the
no less than 80%. The efficiency of attachment of the first PNA
use of dilute solutions of PNA monomers (0.05 M) and the
monomer can be increased to 80% and even higher using repeated
activating reagent (0.06 M) together with preactivation (mixing
condensation. In this case, the time for each condensation can be
of the PNA monomer with the activating reagent and N-methyl-
reduced.115 Low yields of the attachment products of the first
imidazole), makes this procedure attractive.110, 116
3. Some peculiarities of the synthesis of PNA ± DNA
The synthesis of PNA fragments of such chimeric oligomers
usually employs the MMT/acyl strategy. In this case, the con-
The interest in PNA ± DNA chimeras has arisen in the past
ditions of PNA synthesis are compatible with those of oligonu-
decade, which gave a strong impetus to the development of
cleotide synthesis;36,149 PNA fragments can be synthesised by
methods for their synthesis.77,109, 111,144, 148± 150 The use of
manual techniques. The condensation is performed in the
classical PNA in biochemical studies is limited due to their poor
DMF ± pyridine mixture with 2-[2-oxo-1(2H)-pyridyl]-1,1,3,3-
solubilities in aqueous solutions, proneness to self-aggrega-
bis(pentamethylene)uronium tetrafluoroborate (TOPPipU) as
tion 4,12,34 and low penetrability through cell mem-
the activating reagent and DECHA as the base.153 Under these
branes.4,9,84,151 The latter is the main obstacle for the use of
conditions, the condensation of thymidine and cytidine PNA
canonical PNA oligomers as antisense agents in vivo.9
monomers proceeds smoothly, purine monomers are attached
Chimeric PNA ± DNA molecules are devoid of most of these
inefficiently to the growing PNA chain.149 If HATU is used as the
drawbacks. They possess all the advantages of PNA together with
activating reagent, DIPEA as the base and acetonitrile as the
valuable properties inherent in NA. Indeed, the PNA ± DNA
solvent in the presence of a fivefold excess of PNA monomers
chimeras synthesised so far combine high biological stabilities,
(necessary to attain high yields of condensation products), the
high affinities and selectivities of binding to NA targets typical of
reaction time is no less than 15 min.34 This method was used for
PNA with perfect solubilities and the ability to activate hydrolysis
the synthesis of chimeric molecules containing 5-bromouracil and
of RNA targets by RNAse H, which are characteristic of
5-methylcytosine residues.34 The incorporation of 5-methylcyto-
DNA.9,34 Chimeric PNA ± NA molecules have various
sine residues into the PNA chains of chimeric molecules increases
applications, viz., they are promising therapeutic (including
the stabilities of their duplexes and triplexes with complementary
antisense) drugs 9 and can be used as a basis for highly effective
The modified thymidine PNA monomer based on N-(2-
probes.77,96,107±109, 144, 148,149 Synthesis of hybrid PNA ± NA
hydroxyethyl)glycine 34,107, 148 is often used as a linker between
molecules manifests specific features, which necessitates a consid-
DNA and PNA fragments of chimeric molecules of the
5 H-DNA ± PNA-3 H type; the latter can be synthesised using both
The correct choice of linkers between PNA and DNA frag-
Boc 148 and MMT strategies.34,107 If the Boc/Z strategy is used,
ments of the chimeric molecules is one of the most important
the PNA synthesis is carried out on a solid phase; the linkers are
problems. Depending on whether the 5 H-terminal fragment of the
attached under the same conditions.148 Subsequent synthesis of
hybrid molecule belongs to PNA or DNA, the linker used is
DNA fragments of hybrid molecules should also be performed on
represented either by modified nucleosides (e.g., 5 H-amino-2 H,5 H-
the solid phase. It is inadmissible to perform the synthesis of DNA
dideoxynucleosides 77,149) or modified PNA monomers [e.g.,
fragments in solution, since the solubility of PNA oligomers
N-(2-hydroxyethyl)glycine derivatives].148
devoid of protective groups in organic solvents is insufficient to
provide efficient condensation with phosphoroamidite derivatives
The solid-phase MMT method is more suitable for the syn-
thesis of the 3 H-PNA fragments; after completion of PNA syn-
thesis, solid-phase synthesis of the DNA fragment is continued
without detachment of the oligomer from the support. This
prevents the use of PNA monomers the heterocyclic bases of
Syntheses of both types of PNA ± DNA hybrids, viz.,
which are protected by acid-labile groups, since the DNA frag-
5 H-PNA ± DNA-3 H and 5 H-DNA ± PNA-3 H, have been described.
ments will not withstand acid treatment used to remove protective
Owing to the charged backbones of their DNA fragments,
groups. This synthetic procedure is inapplicable to chimeric
PNA ± DNA chimeras are perfectly soluble in aqueous solutions,
molecules containing PNA monomers of all the four types, but
which makes possible their isolation and analysis by standard
can be used for the synthesis of hybrid molecules with the
methods, such as polyacrylamide gel electrophoresis and ion-
pyrimidine monomers constituting the PNA fragments.148
The MMT/acyl modification of this method is devoid of these
In the case of 5 H-terminal PNA fragments, PNA and DNA
disadvantages and allows the synthesis of PNA ± DNA hybrids
fragments are linked by the amide bond and 5 H-amino-2 H,5 H-
containing all the four types of nucleobases in both DNA and
dideoxynucleosides are used as linkers.77 Such hybrid molecules
are synthesised by various methods. Thus 5 H-PNA ± DNA-3 H
The MMT/acyl strategy allows the application of the fully
hybrids are prepared according to Boc/Z protocols commonly
automated protocol on oligonucleotide synthesisers. The DNA
used in the synthesis of PNA-peptide conjugates.152 However, the
fragments of hybrid molecules are usually synthesised according
use of this technique for the synthesis of PNA ± DNA chimeras
to a conventional phosphoroamidite protocol, which makes use of
containing purine nucleotide residues may result in acid-catalysed
commercial 2 H-deoxynucleoside phosphoroamidites.108 This
apurinisation of the DNA fragment during deprotection of
method of synthesis of PNA ± DNA chimeras has practically no
heterocyclic bases of PNA.77 Therefore, this approach is used
exclusively for the synthesis of PNA ± DNA hybrids the DNA
The synthesis of PNA fragments of 5 H-PNA ± DNA-3 H
fragments of which contain more stable pyrimidine nucleotides,
oligomers may involve HBTU activation in the presence of
whereas 5 H-PNA ± DNA-3 H chimeras are more efficiently synthes-
DIPEA in DMF ± acetonitrile.150 Solutions of PNA monomers
and activating reagents should be used at concentrations of no less
If hybrid molecules contain 5 H-terminal DNA fragments, the
than 0.1 M (preferably, 0.2 M); preactivation is also desirable. A
PNA and DNA parts can be linked by phosphoramide bonds
commercially available aminohexanol phosphoroamidite deriva-
without any linkers. In this case, the synthesis of PNA fragments is
tive can be used as a linker between the PNA and DNA fragments;
carried out using the Fmoc/acyl protocol. With the thymidine
this is attached to the 5 H-end of a DNA fragment by a standard
monomer, Boc-protection of the 5 H-terminal amino group is
oligonucleotide synthesis protocol. Then the synthesis of a 5 H-ter-
possible. The activation is performed with HATU in the presence
minal PNA fragment of a chimeric molecule is followed.150
of DIPEA and DMAP; the condensation is carried out in DMF.
The MMT/acyl strategy is used in the synthesis of chimeric
In this case, the use of acid-labile groups for protection of
molecules with the composition 5 H-PNA ± DNA ± PNA-3 H.109 In
heterocyclic bases of PNA monomers is inadmissible because of
this case, both PNA fragments are synthesised in an automated
easy acid hydrolysis of phosphoramide bonds.77
regime using HBTU activation in the presence of DIPEA in
DMF ± acetonitrile mixture; this may require an eightfold excess
Peptide nucleic acids: structure, properties, applications, strategies and practice of chemical synthesis
of the reagents with respect to the carrier loading. Preactivation of
15. SC Brown, SA Thompson, J M Veal, D G Davis Science 265 777
PNA monomers makes it possible to increase the condensation
efficiency and the average yields in the attachment of monomeric
16. M Eriksson, P E Nielsen Q. Rev. Biophys. 29 369 (1996)
17. N Sugimoto, N Satoh, K Yasuda, S-I Nakano Biochemistry 40 8444
Obviously, the problem of efficiency of each individual
approach to the synthesis of PNA molecules has no unambiguous
18. M Leijon, A Graslund, P E Nielsen, O Buchardt, B Norden,
solution. The choice of the most adequate strategy for the PNA
SM Kristensen, M Eriksson Biochemistry 33 9820 (1994)
synthesis depends on the goal and facilities as well as on the
19. M Eriksson, P E Nielsen Nat. Struct. Biol. 3 410 (1996)
number of PNA oligomers to be synthesised, the scale of synthesis,
20. R Rasmussen, J SKastrup, J N Nielsen, J M Nielsen, P E Nielsen
composition and purity of PNA oligomers.
21. C Meier, J Engels Angew. Chem., Int. Ed. Engl. 31 1008 (1992)
22. D J Rose J. Anal. Chem. 65 3545 (1993)
23. W M Pardridge, R J Boado, Y-SKang Proc. Natl. Acad. Sci. USA
The design of the most efficient method for the synthesis of PNA
24. J C Norton, M A Piatyszek, W E Wright, J W Shay, D R Corey
oligomers requires that a rational compromise between the
efficiency and economy of the synthetic process be found.
25. V V Demidov, V N Potaman, M D Frank-Kamenetskii,
On the one hand, one has to reach the maximum yields of
M Egholm, O Buchardt, SH Sonnichsen, P E Nielsen Biochem.
condensation products and the choice of synthetic strategy must
take into account both the nature of the activating reagent and
26. L Good, P E Nielsen Antisense Nucl. Acids Drug Devel. 7 431 (1997)
other factors discussed in this review.
27. P E Nielsen, M Egholm, R H Berg, O Buchardt Anti-Cancer Drug
On the other hand, the synthesis of PNA should be rational.
This implies that the synthetic procedure should not only be
28. J Wang, E Palecek, P E Nielsen, G Rivas, X Cai, H Shiraishi,
efficient, but also fast and as cheap as possible. Examples of both
N Dontha, D Luo, P A M Farias J. Am. Chem. Soc. 118 7667 (1996)
the approaches to PNA synthesis have been presented in this
29. T J Griffin, L M Smith Anal. Biochem. 260 56 (1998)
30. U Giesen, W Kleider, C Berding, A Geiger, H Orum, P E Nielsen
In low-budget laboratories, where the primary goal is eco-
nomic PNA synthesis, it is the `slow' synthesis that is most
31. D Y Cherny, B P Belotserkovskii, M D Frank-Kamenetskii,
M Egholm, O Buchardt, R H Berg, P E Nielsen Proc. Natl. Acad.
commonly used. Although this procedure is rather laborious, it
gives excellent yields in the condensation step.
32. P E Nielsen, M Egholm, O Buchardt J. Mol. Recognit. 7 165 (1994)
`Fast' processes are utilised in the majority of large biotechno-
33. P E Nielsen Methods Enzymol. 340 329 (2001)
logical companies which manufacture PNA oligomers for com-
34. E Ferrer, A Shevchenko, R Eritja Bioorg. Med. Chem. 8 291 (2000)
mercial purposes. Here, large excesses of PNA monomers and the
35. L Betts, J A Josey, J M Veal, SR Jordan Science 270 1838 (1995)
most potent activating reagents are employed in order to ensure
36. R Gambari Curr. Pharm. Des. 7 1839 (2001)
high yields of the condensation products. However, quantitative
37. P E Nielsen, M Egholm Bioorg. Med. Chem. 9 2429 (2001)
yields cannot be attained due to a reduction of the condensation
38. Yu N Kosaganov, D A Stetsenko, E N Lubyako, N P Kvitko,
time; therefore, pure PNA oligomers can be obtained by virtue of
39. M Egholm, L Christensen, K Dueholm, O Buchardt, J Coull,
The most rational synthetic strategies combine the best
P E Nielsen Nucl. Acids Res. 23 217 (1995)
features of both approaches, viz., the `fast' and the `slow' syntheses
40. V V Demidov, M V Yavnolovich, B P Belotserkovskii,
M D Frank-Kamenetskii, P E Nielsen Proc. Natl. Acad. Sci. USA 92
This work has been written within the framework of the State
Programme for Support of Leading Scientific Schools of the
41. P Wittung, P E Nielsen, B Norden J. Am. Chem. Soc. 118 7049
Russian Federation (Grant No. 00-15-97944).
42. V V Demidov, M V Yavolovich, M D Frank-Kamenetskii
44. H Kuhn, V V Demidov, P E Nielsen, M D Frank-Kamenetskii
1. P E Nielsen, M Egholm, R H Berg, O Buchardt Science 254 1497
45. M C Griffith, L SRisen, M J Greig, E A Lesnik, K G Sprankle,
2. M Egholm, O Buchardt, L Christensen, C Behrens, SM Freier,
R H Griffey, J SKiely, SM Freier J. Am. Chem. Soc. 117 831 (1995)
D A Driver, R H Berg, SK Kim, B Norden, P E Nielsen Nature
46. SE Hamilton, M Iyer, J C Norton, D R Corey Bioorg. Med. Chem.
3. B Hyrup, M Egholm, P E Nielsen, P Wittung, B Norden,
47. B M Tyler-McMahon, J A Stewart, J Jackson, M D Bitner,
O Buchardt J. Am. Chem. Soc. 116 7964 (1994)
A Fauq, D J McCormick, E Richelson Biochem. Pharmacol. 62 929
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48. J Micklefield Curr. Med. Chem. 8 1157 (2001)
49. T Koch, M Naesby, P Wittung, M Jùrgensen, C Larsson,
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O Buchardt, C J Stanley, B Norden, P E Nielsen, H érum
7. M Egholm, C Behrens, L Christensen, R H Berg, P E Nielsen,
50. C G Simmons, A E Pitts, L D Mayfield, J W Shay, D R Corey
O Buchardt J. Chem. Soc., Chem. Commun. 800 (1993)
8. P E Nielsen, G Haaima Chem. Soc. Rev. 26 73 (1997)
51. M Pooga, U Sommets, M Hallbrink, A Valkna, K Saar, K Rezaei,
9. H J Larsen, T Bentin, P E Nielsen Biochim. Biophys. Acta 1489 159
U Kahl, J-X Hao, Z Wiesenfeld-Hallin, T Hokfelt, T Bartfai,
10. K L Dueholm, P E Nielsen New J. Chem., 21 19 (1997)
52. G Aldrian-Herrada, M G Desarmenien, H Orcel, L Boissin-Agasse,
11. P Wittung, P E Nielsen, O Buchardt, M Egholm Nature (London)
J Mery, J Brigidou, A Rabie Nucl. Acids Res. 26 4910 (1998)
53. SBasu, E Wickstrom Bioconj. Chem. 8 481 (1997)
12. E Uhlmann, A Peyman, G Breipohl, D W Will Angew. Chem., Int.
54. P Garner, SDey, Y Huang, X Zhang Org. Lett. 1 403 (1999)
55. P Garner, SDey, Y Huang J. Am. Chem. Soc. 122 2405 (2000)
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56. P Garner, B Sherry, S Moilanen, Y Huang Bioorg. Med. Chem. Lett.
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(Eds P E Nielsen, M Egholm) (Wymondham: Horizon Scientific
96. D W Will, G Breipohl, D Langner, J Knolle, E Uhlmann
58. P E Nielsen Antiviral News 1 37 (1993)
97. SA Thomson, J A Josey, R Cadilla, M D Gaul, C F Hassman,
59. P E Nielsen, H Orum, in Molecular Biology: Current Innovations and
M J Luzzio, A J Pipe, K L Reed, D J Ricca, R W Wiethe,
Future Trends (Eds A M Griffin, H G Griffin) (Wymondham:
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99. K L Dueholm, M Egholm, C Behrens, L Christensen,
Perspectives in Solid Phase Synthesis. Peptides, Proteins and Nucleic
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Acids. Biological and Biomedical Applications (Ed. R Epton)
(Birmingham: Mayflower Worldwide, 1994) p. 145
100. L Christensen, R Fitzpatrick, B Gildea, B Warren, J Coull, in
61. P E Nielsen, in Perspectives in Drug Discovery and Design Vol. 4
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Proteins and Nucleic Acids. Biological and Biomedical Applications
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101. L A Carpino Acc. Chem. Res. 20 401 (1987)
64. P E Nielsen Pharmacol. Toxicol. 86 3 (2000)
102. P Kocienski Protecting Groups (Stuttgart: Georg Thieme, 1994)
65. H Knudsen, P E Nielsen Anti-Cancer Drugs 8 113 (1997)
103. E Sonveaux, in Protocols for Oligonucleotides Conjugates, Methods
66. P E Nielsen, M Egholm, R H Berg, O Buchardt, in Antisense
in Molecular Biology Vol. 26 (Ed. SAgrawal) (Totowa: Humana
Research and Applications (Eds SCrook, B Lebleu) (Boca Raton,
104. Z Timar, L Kovacs, G Kovacs, Z Schmel J. Chem. Soc., Perkin.
67. J C Hanvey, N J Peffer, J E Bisi, SA Thomson, R Cadilla,
J A Josey, D J Ricca, C F Hassman, M A Bonham, K G Au,
105. M Kuwahara, M Arimitsu, M Sisido J. Am. Chem. Soc. 121 256
SG Karter, D A Bruckenstein, A L Boyd, SA Noble, L E Babiss
106. R Casale, I SJensen, M Egholm, in Peptide Nucleic Acids: Proto-
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69. M A Bonham, SBrown, A L Boyd, P H Brown, D A Bruckenstein,
Chemistry (Eds P E Nielsen, M Egholm) (Wymondham: Horizon
J C Hanvey, SA Thomson, A Pipe, C F Hassman, J E Bisi,
B C Froehler, M D Matteucci, R W Wagner, SA Noble,
107. G Breipohl, D W Will, A Peyman, E Uhlmann Tetrahedron 53
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70. P E Nielsen Annu. Rev. Biophys. Biomol. Struct. 24 167 (1995)
108. E Uhlmann, D W Will, G Breipohl, D Langner, A Ryte Angew.
71. A De Mesmaeker, K-M Altman, A Waldner, SWendeborn Curr.
109. A C van der Laan, R Brill, R G Kuimelis, E Kuyl-Yeheskiely,
72. H J Larsen, P E Nielsen Nucl. Acids Res. 24 458 (1996)
J H van Boom, A Andrus, R Vinayak Tetrahedron Lett. 38 2249
73. H Knudsen, P E Nielsen Nucl. Acids Res. 24 494 (1996)
74. C Gambacorti-Passerini, L Mologni, C Bertazolli, E Marchesi,
110. V A Efimov, M V Choob, A A Buryakova, O G Chakhmakhcheva
F Grignani, P E Nielsen Blood 88 1411 (1996)
75. T A Vickers, M C Griffith, K Ramasamy, L M Risen, SM Freier
111. A C van der Laan, N J Meeuwenoord, E Kuyl-Yeheskiely,
R SOosting, R Brands, J H van Boom Recl. Trav. Chim. Pays-Bas
76. B P Casey, P M Glazer Prog. Nucl. Acid Res. 67 163 (2001)
77. F Bergmann, W Bannwarth, STam Tetrahedron Lett. 36 6823 (1995)
112. D A Stetsenko, S V Veselovskaya, E N Lubyako, V K Potapov,
78. P E Nielsen Curr. Opin. Biotechnol. 10 71 (1999)
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79. G Dieci, R Corradini, SSforza, R Marchelli, SOttonello J. Biol.
113. G Aldrian-Herrada, A Rabie, R Winersteiger, J Brugidou J. Pept.
80. A Beletskii, Y-K Hong, J Pehrson, M Egholm, W M Strauss Proc.
114. G Breipohl, J Knolle, D Langner, G Omalley, E Uhlmann Bioorg.
81. C Mischiati, M Borgatti, N Bianchi, C Rutigliano, M Tomassetti,
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116. V A Efimov, M V Choob, A A Buryakova, A L Kalinkina,
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87. O Seitz, F Bergmann, D Heindl Angew. Chem., Int. Ed. Engl. 38
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90. C Carlsson, M Jonsson, B Norden, M T Dulay, R N Zare,
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J Noolandi, P E Nielsen, L C Tsui, J Zielenski Nature (London)
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B Castro, SMuller, in Peptides 1990, Proceedings of the 21st Euro-
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Neurol Med Chir (Tokyo) 50, 622¿626, 2010Intravenous Methylprednisolone Reduces the Risk ofPropofol-Induced Adverse Effects During Wada TestingNobuhiro MIKUNI, Youhei YOKOYAMA, Atsuhito MATSUMOTO,Takayuki KIKUCHI, Shigeki YAMADA, Nobuo HASHIMOTO*,Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto;*National Cerebral and Cardiovascular Center, Suita, OsakaThe adv
SUBSTANCE ABUSE DEFINITIONS Acid (LSD) LSD , also called "acid," is sold in the street in tablets, capsules, or even liquid form. It is clear and odorless, and is usually taken by mouth. Often LSD is added to pieces of absorbent paper divided into small decorated squares, each containing one dose. LSD is a hallucinogen and a very powerful mood- altering chemical. Addiction i