OLIGOMERS WHICH INHIBIT EXPRESSION OF COLLAGEN GENES

Abstract: Oligomers which inhibit expression of a collagen gene are described. It is believed that each oligomer, when introduced into a cell, forms a transcription-inhibiting complex composed of the oligomer and the collagen-gene promoter region. The oligomer, preferably a phosphorothioate deoxyoligonucleotide or a ribonucleotide, preferably binds in the antiparallel orientation to the polypurine strand of a polypurine-polypyrimidine region of the promoter region of a mammalian alpha 1(I) collagen gene.

Description: OLIGOMERS WHICH INHIBIT EXPRESSION OF COLLAGEN GENES Related Application This is a continuation-in-part application of Serial No. 09/130,888, filed August 7, 1998, which is a continuation-in-part of application Serial No. 08/802,547, filed February 18, 1997, which is a continuation-in-part of application Serial No. 08/712,357, filed September 11, 1996, which is a continuation-in-part of application Serial No. 08/528,836, filed September 15, 1995. Field of the Invention The present invention is broadly concerned with oligomers capable of inhibiting expression of collagen genes, and corresponding methods. More particularly, the invention pertains to transcription-inhibiting complexes, each composed of an oligomer bound to a polypurine-polypyrimidine region of a collagen- gene promoter region. Sequence Listing A printed Sequence Listing accompanies this application. Background of the Invention Collagen is a family of fibrous proteins present in all multicellular organisms. It is the major fibrous element of skin, bone, tendon, cartilage, blood vessels, and teeth, and is present in nearly all organs. Collagen is composed of a triple-helix formed from three polypeptide chains. These triple helices are wrapped around each other to form a super helix. In several types of collagen, including Type I collagen, these super helixes form fibrils. In the case of Type I collagen, the polypeptide triple helix is composed of two αl polypeptide chains and one α2 polypeptide chain. In response to tissue injury or invasion, a healing response is invoked that ultimately leads to an accumulation of fibrillar type I collagen. This is true for many systemic organs and the heart. Such a healing response, when unabated and invoked in the absence of injury, leads to a progressive interstitial fibrosis that proves pathologic. Parenchymal cell function is compromised by a disproportionate concentration of type I collagen, a characteristic feature of interstitial fibrosis in different organs (1-9). Various stages of organ dysfunction are marked by the activation and repression of type I collagen genes, thereby allowing for the design of specific agents to promote the necessary or adaptive phenotype or to repress the onset of pathologic interstitial fibrosis. A wide array of hormones, cytokines, and growth factors have been implicated in the mediation of fibrous tissue formation (10-20). Many of these factors mediate their action through transcriptional mechanisms. Therefore, the study of transcriptional regulatory elements within the ccl(I) and α2(I) collagen gene promoters and their transacting protein factors is of major interest. Effector cells which bring about fibrosis include interstitial fibroblasts and phenotypically transformed fibroblast-like cells termed myofibroblasts (21). Several cz ' s-acting elements in the αl(I) and α2(I) collagen genes located on both sides of the transcription start site as well as their transacting factors have been identified (for reviews, see 22-24). Very little is known about the factor(s) binding to the -200 to -140 region of the αl(I) collagen promoter. These sequences are highly conserved among mammals (25), and correspond to the DNase I hypersensitive regions around the transcriptional start site. It is generally believed that DNase I hypersensitivity represents nucleosome-free regions which can interact with various regulatory proteins (26). Cw-acting elements in the -190 to -170, and -160 to - 133 regions of the mouse αl(I) promoter and trα/w-acting factors binding to these elements in NIH-3T3 fibroblast nuclear extracts have been studied in some detail (27). Competition experiments in EMSA's provided evidence that a single factor binds to both of these elements. Furthermore, in transient transfection experiments, while a three-bp substitution mutation in the more distal element (from -194 to -168) had little effect on the promoter activity, a three-bp mutation in the more proximal element (from -160 to -133) resulted in a four-fold increase in reporter gene expression, indicating that this factor negatively regulates transcription (designated IF-1 in 26). In contrast, Brenner et al. (28) have shown that deletion of both regions of the mouse αl(I) promoter resulted in decreased promoter activity implying positive activation of transcription. Oligomers (i.e., oligonucleotides and oligonucleotide analogs such as protein nucleic acid) are reagents for inhibition of gene expression because of their high-affinity binding to specific nucleotide sequences. The best known strategy for oligomer reagents involves antisense oligonucleotides which bind mRNA to inhibit its processing or translation. For example, Laptev et al. (44) showed that the expression of the human αl(I) collagen gene is effectively inhibited by antisense oligonucleotides targeted at specific regions of the a 1 (I) mRNA. Additionally, gene promoters can serve as targets for a novel, antisense strategy, namely the triplex strategy (for reviews, see 40 and 45). This strategy employs single-stranded oligomers that bind to the major groove of a polypurine-polypyrimidine region of a double- stranded DNA to form a triple helix in a sequence-specific manner. These oligomers - are called triplex-forming oligonucleotides (TFO's) or TFO analogs. In a polypurine- polypyrimidine region, a purine-rich DNA single strand is hydrogen bonded by Watson-Crick base-pairing to a pyrimidine-rich DNA single strand; the polypurine- polypyrimidine region is not necessarily a homopurine-homopyrimidine region in that the purine-rich DNA single strand may contain at least one pyrimidine residue and the pyrimidine-rich DNA single strand may contain at least one purine residue. These triplexes have been shown to inhibit sequence-specific DNA-binding proteins thereby affecting the transcriptional activity of various promoters in both in vitro and in vivo experiments (29-32). However, the use of oligomers to inhibit transcription of a collagen gene is unknown in the prior art. Summary of the Invention The present invention provides a novel therapy for pathological fibrosis associated with medical conditions including but not limited to myocardial fibrosis in hypertensive heart diseases, atherosclerosis, restenosis, liver cirrhosis, lung fibrosis, and skin fibrosis found in scleroderma, in hypertrophic scars, and in skin following burn injury. In this therapy, expression of collagen genes is inhibited. A sequence- specific oligomer is introduced into a cell resulting in the production of a transcription-inhibiting complex composed of the oligomer bound to the promoter region of the collagen gene. These oligomers include but are not limited to phosp- hodiester, phosphorothioate, methylphosphonate, and methylphosphonothioate oligonucleotides, and oligonucleotide analogs such as protein nucleic acid. Oligomers can be formulated into pharmaceutically acceptable preparations including but not limited to injectable preparations, sprays, ointments, creams, gels, tablets, and perfusions. In preferred embodiments, the oligomer is a phosphorothioate oligodeoxynucleotide having a length of at least 5 nucleotides, preferably from about 5 to 50 nucleotides. This oligonucleotide preferably binds in the antiparallel orientation to the polypurine strand of a polypurine-polypyrimidine region of the promoter region of a mammalian αl(I) collagen gene. An especially preferred oligonucleotide (SEQ ID No: 13) is an anti-sense 30-mer oligonucleotide capable of bonding with the double-stranded promoter region of the human αl(l) collagen gene (SEQ ID No: 14) to form a triple complex. Brief Description of the Drawings FIG. 1 is a diagram showing the sequences of the -230 to -120 portion of the rat l(I) collagen promoter and some of the oligonucleotides used in this study. Restriction enzyme recognition sites are marked. The asterisk indicates the site of radiolabeling in DNase I footprinting experiments. The double-stranded oligonucleotides in boxes were used in electrophoretic mobility shift assays (EMSA's). The underlined sequences marked a through f correspond to the protected areas seen in DNase I footprinting studies. Arrowheads indicate sites of substitution mutations used in the study by Karsenty & de Crombrugghe (27). Single-stranded oligonucleotides Oligo Col TFO (SEQ ID No: 5), Oligo Col TFOa (SEQ ID No: 6), Oligo Control (SEQ ID No: 7), and double-stranded Oligo C-1 (SEQ ID No: 1) were used in triple- helix experiments; FIG. 2 shows an autoradiogram of a gel illustrating the DNase I footprint of a segment of the rat 1 (I) collagen promoter. The Bglll-Haelll restriction fragment of SEQ ID No: 4 (-225 to -123) of plasmid pCol 952/1000 labeled at the 3' end of the noncoding strand was incubated without or with nuclear extracts of rat cardiac fibroblasts (RCF) and HeLa cells, and was treated with DNase I for 30 sec (lane 1) or 1 min (lane 2) in the absence of nuclear extracts; lanes 3-4 each contain 30 μg of RCF nuclear extracts, and DNase I digestion was for 1 or 2 min, respectively; lanes 5-6 each contain 30 μg of HeLa nuclear extracts, and DNase I digestion was for 1 or 2 min, respectively. Different areas of protection are marked by brackets. Numbers on the right correspond to base pairs upstream of the start of transcription; FIG. 3 shows an autoradiogram of a gel illustrating binding of RCF nuclear factors to Oligo C-1 (SEQ ID No: 1) and Oligo C-2 (SEQ ID No: 2) regions of the rat αl(I) collagen promoter. DNA binding was analyzed by EMSA. Labeled double-stranded Oligo C-1 (SEQ ID No: 1) (lanes 1-7) and Oligo C-2 (SEQ ID No: 2) (lanes 8-14) were incubated with nuclear extracts of RCF (except for lanes 1 and 8 where BSA was used) and fractionated on a 6% polyacrylamide gel. Competition experiments were performed with increased amounts of unlabeled Oligo C-1 (SEQ ID No: 1) (lanes 3, 4, 12, and 13), Oligo C-2 (SEQ ID No: 2) (lanes 5, 6, 10, and 11), and Oligo C-3 (SEQ ID No: 3) (lanes 7 and 14). Arrows indicate the slow-migrating protein-DNA complexes; FIG. 4. shows an autoradiogram of a gel illustrating the results of a gel mobility shift analysis of oligonucleotide-directed triplex formation on the αl(I) collagen promoter target. Double-stranded target oligonucleotide Oligo C-1 (SEQ ID No: 1) was end-labeled and incubated alone (lanes 1 and 6) or with an excess of unlabeled single-stranded Oligo Col TFO (SEQ ID No: 5) (lanes 2-5), and Oligo Control (SEQ ID No: 7) (lanes 7-10). The concentration of the oligonucleotide added to approximately 1 nM target DNA is indicated above each lane. D = duplex DNA; T = triplex DNA; FIG. 5 shows an autoradiogram of a gel illustrating the results of an electrophoretic mobility shift analysis of the effect of triplex-forming oligonucleotide Oligo Col TFO (SEQ ID No: 5) on the binding of protein factor(s) present in RCF nuclear extracts to the target region of the l(I) collagen promoter. Radiolabeled double-stranded target Oligo C-1 (SEQ ID No: 1) (2.5 nM) (lanes 3-12) was preincubated with increasing concentrations of single-stranded Oligo Col TFO (SEQ ID No: 5) (lanes 5-8), and Oligo Control (SEQ ID No: 7) (lanes 9-12). Samples were then incubated with RCF nuclear extracts (lanes 4-12), and electrophoresed in a polyacrylamide gel. Radiolabeled single-stranded Oligo Col TFO (SEQ ID No: 5) was also incubated with RCF nuclear extracts to exclude binding of protein factors to single-stranded DNA (lane 2). Protein-DNA complexes are indicated by arrows; FIG. 6(a-c) show autoradiograms of gels illustrating the results of an in vitro run-off transcription assay; this assay shows the effect of promoter-targeted triplex-forming Oligo Col TFO (SEQ ID No: 5) on the transcriptional activity of the l(I) collagen promoter. The -1000 to +100 sequence (lanes 1-6) and the -150 to +100 sequence (lanes 7-10) of the l(I) collagen gene, and the -600 to +300 fragment of the CMV IE gene (lanes 11-16) were used as templates in in vitro transcription assays. Oligonucleotides at the indicated concentrations were incubated with these templates in separate reactions, followed by HeLa nuclear extract-initiated transcription. Radiolabeled transcription products of expected sizes (100 and 300 nucleotides, respectively) are shown; FIG. 7(a-b) show an autoradiogram of a chromatograph (a) and a histogram (b) which illustrate inhibition of 1(1) collagen promoter-directed transcription by Oligo Col TFO (SEQ ID No: 5) in adult rat cardiac fibroblasts. a) pColCAT220 (lanes 1-4) or pColCAT140 (lanes 5-8) reporter constructs were transfected into RCF cells. Two h later cells were re-transfected with Oligo Col TFO (SEQ ID No: 5) or Oligo Control (SEQ ID No: 7) as indicated. Cell lysates were assayed for chloramphenicol acetyl transferase (CAT) activity 24 h later. These data are representative of three independent experiments. Cpm/μg represents the acetylated counts/μg protein. The percentage acetylation was calculated as (radioactivity in the acetylated areas)/(total extracted from thin layer plates) l00. b) Histogram showing the results of transient transfection. After adjusting for β- galactosidase activity to normalize transfection efficiency, the CAT assay counts from treated plates were divided by full activity counts to generate % activity; FIG. 8 is a diagram showing some of the oligonucleotides used in this study. Single-stranded oligonucleotides Oligo Col TFO (SEQ ID No: 5), Oligo Col TFOa (SEQ ID No: 6), Oligo Col 147 P (SEQ ID No: 8), Oligo 170 APS (SEQ ID No: 9), Oligo 164 AP (SEQ ID No: 10), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12) were used in experiments to determine if each was capable of forming a triplex with double-stranded Oligo C-1 (SEQ ID No: 1); FIG. 9 shows an autoradiogram of a gel illustrating the results of a gel mobility shift analysis of oligonucleotide-directed triplex formation on the αl(I) collagen promoter target. Double-stranded target oligonucleotide Oligo C-1 (SEQ ID No: 1) was end-labeled and incubated with an excess of unlabeled single-stranded Oligo Control (SEQ ID No: 7) (lanes labeled "NS" for nonspecific oligonucleotide), Oligo Col TFOa (SEQ ID No: 6), or Oligo 164 AP (SEQ ID No: 10). The concentration of Oligo Col TFOa (SEQ ID No: 6) or Oligo 164 AP (SEQ ID No: 10) added to approximately 1-2 nM target DNA is indicated below each lane. D = duplex DNA; T = triplex DNA; FIG. 10 shows an autoradiogram of a gel illustrating the results of a gel mobility shift analysis of oligonucleotide-directed triplex formation on the l(I) collagen promoter target. Double-stranded target oligonucleotide Oligo C-1 (SEQ ID No: 1) was end-labeled and incubated with an excess of unlabeled single-stranded Oligo Control (SEQ ID No: 7) (lanes labeled "NS" for nonspecific oligonucleotide), Oligo 147 P (SEQ ID No: 8), or Oligo 164 AP (SEQ ID No: 10). The concentration of Oligo 147 P (SEQ ID No: 8) or Oligo 164 AP (SEQ ID No: 10) added to approximately 1 -2 nM target DNA is indicated below each lane. D = duplex DNA; T = triplex DNA; FIG. 1 1 shows an autoradiogram of a gel illustrating the results of a gel mobility shift analysis of oligonucleotide-directed triplex foπnation on the αl(I) collagen promoter target. Double-stranded target oligonucleotide Oligo C-1 (SEQ ID No: 1) was end-labeled and incubated with an excess of unlabeled single-stranded Oligo Control (SEQ ID No: 7), Oligo 158 APS (SEQ ID No: 12), Oligo 164 APS (SEQ ID No: 11), or Oligo 170 APS (SEQ ID No: 9). The concentration of Oligo 158 APS (SEQ ID No: 12), Oligo 164 APS (SEQ ID No: 11), or Oligo 170 APS (SEQ ID No: 9) added to approximately 1-2 nM target DNA is indicated below each lane. D = duplex DNA; T = triplex DNA; FIG. 12 is a diagram showing the double-stranded sequence of the -165 to -136 portion of the human αl(a) collagen gene promoter region (SEQ ID No: 13); FIG. 13 is a diagram of an anti-parallel oligonucleotide sequence (SEQ ID No: 14) which binds and forms a TFO with the Fig. 12 sequence; FIG. 14 is an autoradiogram of a gel illustrating the results of a gel mobility shift analysis of oligonucleotide-directed triplex formation on human αl(a) collagen promoter target, where a double-stranded target oligonucleotide (SEQ ID No: 13) was end-labeled and incubated alone (lane 0) and with increasing concentrations of a triplex-forming oligonucleotide (SEQ ID No: 14) to demonstrate triplex formation serving to inhibit expression of the human αl(a) collagen gene; FIG. 15. Sequence of the rat l(I) procollagen Cl region. The sequence of the antiparallel (AP) ODNs and ORNs as well as the parallel (P) and nonspecific (NS) ORNs are shown below; FIG. 16. Triplex formation with antiparallel ORN. Electrophoretic mobility shift assays showing triplex formation of ORN and ODN TFOs with Cl duplex DNA. Duplex DNA concentrations used in each reaction were 2 nM and TFO concentrations are shown above the corresponding lane. All reactions were run and carried out in a TFO binding buffer as described in Materials and Methods. (A) Effect of increasing concentrations of C 1 21 -mer antiparallel ORN TFO, (B) corresponding Cl 18-mer antiparallel DNA TFO, and Cl RNA TFO in parallel orientation © T, triplex; D, duplex; FIG. 17. Effect of physiological concentrations of 1 and 5 mM MgCl 2 on increasing concentrations of Cl 21 -mer antiparallel RNA with Cl duplex DNA. Duplex DNA concentrations used in each reaction were 2 nM and TFO concentrations are shown above the corresponding lane. All reactions were carried out in a physiological buffer containing 20 nM Tris-HCl pH 7.5, 140 mM K + , 1 mM spermidine, and 1 mM Mg 2+ , T, triplex; D, duplex; FIG. 18. In vitro transcription assays showing the inhibitory effect of both ORN and ODN antiparallel TFOs on the expression of a rat l(I) procollagen template. ORN and ODN TFO concentrations used are shown above the corresponding lane. Lane 1, 300nt RNA Marker, CMV, cytomegalovirus control template; NS, non-specific RNA oligonucleotide. All reactions were carried out as described in Materials and Methods; FIG. 19 shows a histological section demonstrating the fibrosis of the peritoneum in a rat in the absence of treatment with the oligonucleotides of the invention; and FIG. 20 shows a histological section of the peritoneum after treatment with the oligonucleotides of the invention. Detailed Description of the Invention Transformation of a host cell with recombinant DNA may be carried out by conventional techniques as are well known to those skilled in the art. When the host is a eukaryote, such methods of transfection of triplex forming oligomers as calcium phosphate co-precipitates, conventional mechanical procedures such as microinjection, electroporation, insertion of a plasmid encased in liposomes, or virus vectors may be used. Eukaryotic cells can also be cotransformed with triplex forming oligomer sequences of the invention, and a second foreign polynucleotide encoding a selectable phenotype, such as the herpes simplex thymidine kinase gene. Another method is to use a eukaryotic viral vector, such as simian virus 40 (SV40) or bovine papilloma virus, to transiently infect or transform eukaryotic cells. (See for example, Eukaryotic Viral Vectors, Cold Spring Harbor Laboratory, Gluzman ed., 1982). The present invention also provides gene therapy for the treatment of pathological fibrosis mediated disorders. Such therapy could achieve its therapeutic effect by introduction of the triplex forming oligomers or triplex forming sequence into cells having the pathological fibrosis. Delivery of triplex forming oligomers can be achieved using a recombinant expression vector such as a chimeric virus or a colloidal dispersion system. Especially useful for therapeutic delivery of triplex forming oligomers is the use of targeted liposomes. Various viral vectors which can be utilized for gene therapy as taught herein include adenovirus, herpes virus, vaccinia, or, preferably, an RNA virus such as a retrovirus. Preferably, the retro viral vector is a derivative of a murine or avian retrovirus. Examples of retro viral vectors in which a single foreign gene can be inserted include, but are not limited to: Moloney murine leukemia virus (MoMuLV), Harvey murine sarcoma virus (HaMuSV), murine mammary tumor virus (MuMTV), and Rous Sarcoma Virus (RSV). A number of additional retroviral vectors can incorporate multiple genes. All of these vectors can transfer or incorporate a gene for a selectable marker so that transduced cells can be identified and generated. By inserting a procollagen triplex forming oligomer sequence of interest into the viral vector, along with another gene which encodes the ligand for a receptor on a specific target cell, for example, the vector is now target specific. Retroviral vectors can be made target specific by attaching, for example, a sugar, a glycolipid, or a protein. Preferred targeting is accomplished by using an antibody to target the retroviral vector. Those of skill in the art will know of, or can readily ascertained without undue experimentation, specific polynucleotide sequences which can be inserted into the retroviral genome or attached to a viral envelope to allow target specific delivery of the retroviral vector containing the triplex forming oligomer. Since recombinant retroviruses are defective, they require assistance in order to produce infectious vector particles. This assistance can be provided, for example, by using helper cell lines that contain plasmids encoding all of the structural genes of the retrovirus under the control of regulatory sequences within the LTR. These plasmids are missing a nucleotide sequence which enables the packaging mechanism to recognize an RNA transcript for encapsulation. Helper cell lines which have deletions of the packaging signal include, but are not limited to ψ2, PA317 and PA12, for example. These cell lines produce empty virions, since no genome is packaged. If a retroviral vector is introduced into such cells in which the packaging signal is intact, but the structural genes are replaced by other genes of interest, the vector can be packaged and vector virion produced. Alternatively, NIH 3T3 or other tissue culture cells can be directly transfected with plasmids encoding the retroviral structural genes gag, pol and env, by conventional calcium phosphate transfection. These cells are then transfected with the vector plasmid containing the genes of interest. The resulting cells release the retroviral vector into the culture medium. Another targeted delivery system for triplex forming oligomers is a colloidal dispersion system. Colloidal dispersion systems include macromolecule complexes, nanocapsules, microspheres, beads, and lipid-based systems including oil-in-water emulsions, micelles, mixed micelles, and liposomes. A preferred colloidal system of this invention is a liposome. Liposomes are artificial membrane vesicles which are useful as delivery vehicles in vitro and in vivo. It has been shown that large unilamellar vesicles (LUV), which range in size from 0.2-4.0 μm can encapsulate a substantial percentage of an aqueous buffer containing large macromolecules. RNA, DNA and intact virions can be encapsulated within the aqueous interior and be delivered to cells in a biologically active form (Fraley, et al, Trends Biochem. Sci., 6:77, 19111). In addition to mammalian cells, liposomes have been used for delivery of polynucleotides in plant, yeast and bacterial cells, in order for a liposome to be an efficient gene transfer vehicle, the following characteristics should be present: (1) encapsulation of the genes of interest at high efficiency while not compromising their biological activity; (2) preferential and substantial binding to a target cell in comparison to non-target cells; (3) delivery of the aqueous contents of the vesicle to the target cell cytoplasm at high efficiency; and (4) accurate and effective expression of genetic information (Manning, et al, Biotechniques, 6:682, 1988). The composition of the liposome is usually a combination of phospholipids, particularly high-phase-transition-temperature phospholipids, usually in combination with steroids, especially cholesterol. Other phospholipids or other lipids may also be used. The physical characteristics of liposomes depend on pH, ionic strength, and the presence of divalent cations. Examples of lipids useful in liposome production include phosphatidyl compounds, such as phosphatidyiglycerol, phosphatidylcholine, phosphatidylserine, phosphatidylethanolamine, sphingolipids, cerebrosides, and gangliosides. Particularly useful are diacylphosphatidylglycerols, where the lipid moiety contains from 14-18 carbon atoms, particularly from 16-18 carbon atoms, and is saturated. Illustrative phospholipids include egg phosphatidylcholine, dipalmitoylphosphatidylcholine and distearoylphosphatidylcholine. The targeting of liposomes can be classified based on anatomical and mechanistic factors. Anatomical classification is based on the level of selectivity, for example, organ-specific, cell-specific, and organelle-specific. Mechanistic targeting can be distinguished based upon whether it is passive or active. Passive targeting utilizes the natural tendency of liposomes to distribute to cells of the reticulo-endothelial system (RES) in organs which contain sinusoidal capillaries. Active targeting, on the other hand, involves alteration of the liposome by coupling the liposome to a specific ligand such as a monoclonal antibody, sugar, glycolipid, or protein, or by changing the composition or size of the liposome in order to achieve targeting to organs and cell types other than the naturally occurring sites of localization. The surface of the targeted delivery system may be modified in a variety of ways. In the case of a liposomal targeted delivery system, lipid groups can be incorporated into the lipid bilayer of the liposome in order to maintain the targeting ligand in stable association with the liposomal bilayer. Various linking groups can be used for joining the lipid chains to the targeting ligand. Another delivery system for the triplex forming oligomers of the invention at particular sites in a subject, for instance at a joint site, includes the use of gene- activated matrices. In this system the triplex forming oligomer is coated on a biocompatible matrix, sponge or scaffold and implanted at the tissue site wherein cells proliferate and grow on the scaffold, taking up the oligomers (see for example U.S. Patent No. 5,763,416, which is incorporated herein by reference). In yet another delivery system, the triplex forming oligomers of the invention may be microinjected into cells. The triplex forming oligomers may be prepared in an appropriate buffer and the naked oligonucleotide, either alone or contained in an appropriate vector, microinjected, for example, into a stem cell of a tissue to be treated. The following examples describe preferred techniques for the synthesis of the therapeutic oligomers of the invention, and use thereof in the inhibition of collagen-gene expression; it is to be understood, however, that these examples are provided by way of illustration only, and nothing therein should be taken as a limitation upon the overall scope of the invention. Example 1 Oligonucleotide Synthesis and Preparation Table 1 describes the oligonucleotides used in this study Phosphodiester oligonucleotides used were synthesized on an Applied Biosystems 381 A DNA synthesizer at the DNA Core Laboratory of the University of Missouri-Columbia. Phosphorothioate oligonucleotides used were synthesized using a 392 DNA synthesizer (Applied Biosystems, Foster City, CA). Phosphodiester and phosphorothioate oligonucleotides were gel purified on a 6% polyacrylamide gel, electroeluted, and precipitated with ethanol. Double-stranded oligonucleotides were prepared by mixing equal amounts of complementary single strands in the presence of 0.25 M NaCI. The mixture was heated to 80°C for 5 min, incubated at 55°C for 30 min, and then at 42°C for 30 min. Alternatively, double-stranded oligonucleotides were prepared by mixing equal amounts of complementary single strands, heating the mixture at 80 °C for 5 minutes in 0.25 M NaCI, followed by slow cooling to room temperature. The resulting double-stranded oligonucleotides were gel purified on a 6% or 10% polyacrylamide gel, eluted, and concentrated by ethanol precipitation. Example 2 Cloning of the Rat αl(I) Promoter Segment A 1.1 -kb fragment of the rat 1 (I) collagen promoter was isolated by the PCR technique. Based on published sequence data, (33) specific 20- to 30-mer oligonucleotides were synthesized corresponding to -1000 and +100 regions of the l(I) collagen gene. Rat genomic DNA was used as template. The PCR product was cloned into the Hindi site of pGEM 3Z vector (Promega, Madison, WI) and was used for further subcloning (pCol 1.1). The accuracy of the clone was determined by restriction enzyme analysis and by DNA sequencing, which was done by the dideoxy method (34). A 900-bp fragment of the cytomegalovirus immediate early gene (CMV IE, -600 to +300) was isolated and subcloned from pCMV-NEO (Dr. M. Linial, Fred Hutchinson Cancer Rsch. Ct, Seattle, WA) and subcloned into the pGEM 3Z vector. Example 3 Plasmid Constructions Plasmid pColCAT220 was constructed as follows: pCol 952/1000 was digested with^b l and BgR , which release a 338-bp fragment of the rat l(I) gene (- 225 to +113). This fragment was cloned into the Xbal-BamHl site of the pCAT Basic vector (Promega, Madison, WI). To construct plasmid pColl40 the pColCAT220 plasmid was digested with Earl, the ends of the fragments were filled-in and were digested with Xbal. The resulting 249-bp fragment (-136 to +113) was isolated and inserted into the Xbal-Hincϊl site of pGEM 4Z vector (Promega, Madison, WI). Plasmid pColCATHO was constructed by isolating the Xbal-Hindlll fragment of plasmid pColl40 which contains the -136 to +113 sequence of rat αl(I) gene, and cloning into the Xbal-Hindll site of pCAT Basic vector. Plasmid DNA for transfection was prepared by the alkaline lysis method followed by CsCl-ethidium bromide gradient centrifugation. Example 4 Gel Mobility Shift Analysis of Triple-Helix Formation Target oligonucleotide Oligo C-1 (SEQ ID No: 1) was end-labeled with [α 32 P] ATP using T 4 polynucleotide kinase, and was purified through a Sephadex G25 or G50 column. Approximately 5,000 to 10,000 cpm (0.6 ng) was incubated with increasing concentrations of Oligo Col TFO (SEQ ID No: 5) (final concentrations from 0 to = 250 μM), Oligo Col TFOa (SEQ ID No: 6) (final concentrations from 0 to ~ 25 μM), Oligo Control (SEQ ID No: 7) (final concentrations from 0 to * 250 μM), Oligo 147 P (SEQ ID No: 8) (final concentrations from 0 to « 6 μM), Oligo 170 APS (SEQ ID No: 9) (final concentrations from 0 to « 0.25 μM), Oligo 164 AP (SEQ ID No: 10) (final concentrations from 0 to « 4 μM), Oligo 164 APS (SEQ ID No: 11) (final concentrations from 0 to = 0.25 μM), and Oligo 158 APS (SEQ ID No: 12) (final concentrations from 0 to ~ 0.25 μM) in a binding buffer (TFO binding buffer) consisting of 20 mM Tris-HCl (pH 7.4), 20 mM MgCl 2 , 2.5 mM spermidine, 10% sucrose, 0.25 mg/ml bovine serum albumin, and incubated at 22°C for 60 min. Samples were electrophoresed through 8% polyacrylamide, 0.25% bisacrylamide gels or 10%) polyacrylamide, 0.32% bisacrylamide gels buffered with 89 mM Tris, 89 mM boric acid (pH 7.5), and 20 mM MgCl 2 for 4.5 to 7 h at 10 V/cm at 6°C. Gels were then dried and autoradiographed. Example 5 Nuclear Extract Preparation Adult rat cardiac fibroblasts (RCF) were grown in Dulbecco's modified Eagle's medium supplemented with 10% fetal calf serum, penicillin, streptomycin and incubated in 8% CO 2 atmosphere at 37°C. Cells were grown to subconfluency, and the medium was changed the night before preparation. Nuclear proteins were extracted using a variation of the method of Dignam et al. (35). All steps were carried out at 4°C. Cells were washed twice with cold PBS, harvested by scraping and pelleted (1250 x g, 10 min). They were washed with 10 volumes of PBS and centrifuged as described above. Cells were next suspended in 10 packed volumes of Nonidet P-40 lysis buffer [0.6% Nonidet P-40, 0.15 M NaCI, 10 mM Tris-HCl (pH 7.9), 1 mM EDTA] and incubated for 5 min. The nuclei were pelleted (1250 x g, 10 min), washed with 5 volumes of lysis buffer and again centrifuged. Nuclear proteins were extracted from pelleted nuclei in an equal volume of cold extraction buffer [50 mM HEPES (pH 7.9), 0.5 mM EDTA, 0.75 mM MgCl 2 , 500 mM KC1, 1 mM dithiothreitol, 0.1 mM phenylmethylsulphonyl fluoride, 2 μg/ml leupeptine, and 12.5% (v/v) glycerol]. The suspension was dounced with 8 strokes of Kontes glass homogenizer (B type pestle). The resulting solution was stirred gently with a magnetic stirring bar for 30 min and centrifuged for 45 min at 26000 x g. The supernatant was dialyzed against 50 volumes of storage buffer [20 mM HEPES (pH 7.9), 100 mM KC1, 0.2 mM EDTA, 0.5 mM phenylmethylsulphonyl fluoride, 20% glycerol]. The dialysate was centrifuged at 26000 x g for 45 min and the supernatant containing the extract was aliquoted and stored in liquid nitrogen. Protein concentration was determined by the method of Bradford (36) using Bio-Rad reagent (Bio-Rad, Hercules, CA), as described by the supplier. HeLa nuclear extracts were prepared by the original Dignam method (35). Example 6 DNase I Footprinting DNA binding reactions were performed in a final volume of 25 μl. A 100- bp fragment of the rat l(I) collagen gene (-225 to -123) with Bglll and Hαelll ends isolated from pCol 952/1000 (BgRl-Haelll restriction fragment of SEQ ID No: 4) was labeled with (α- 32 P)ATP at the Bglll site using the Klenow fragment of E. coli DNA polymerase I. Thirty frnol were incubated in a mixture containing 25 mM Tris-ΗCl (pΗ 7.5), 0.05 mM EDTA, 50 mM KC1, 1 mM dithio-threitol, 5% glycerol, and 2 μg of poly(dLdC). Six μl of nuclear extract (30 μg protein) or buffer were added and the binding reaction was allowed to proceed on ice for 30 min. Ten μg/ml DNase I stock was freshly diluted in 60 mM MgCl 2 and 10 mM CaCl 2 . Five μl (2.5 ng DNase I) were added to the binding reaction and incubated for 30 sec, 1 min, and 2 min for various samples at room temperature. The reaction was stopped with 50 μl of stop mix containing 200 mM NaCI, 20 mM EDTA, 1% sodium dodecyl sulfate, and 250 μg/ml yeast RNA, extracted once with phenol, once with phenol/chloroform (1 :1), and ethanol precipitated. The precipitates were collected by centrifugation, dried, and resuspended in 70% formamide buffer. The samples were then heat-denatured and loaded on a 8%> acrylamide, 7 M urea gel. Radioactive oligonucleotides were used as size markers. Gels were dried and autoradiographed at -70°C with an intensifying screen. Example 7 Electrophoretic Mobility Shift Assays a) Two μl of RCF nuclear extracts (~ 10 μg of protein) were incubated with approximately 20,000 cpm (10 frnol) of end-labeled oligonucleotides in a final volume of 10 μl on ice for 25 min. All binding reactions contained 25 mM Tris-HCl (pH 7.5), 0.05 mM EDTA, 50 mM KC1, 1 mM dithiothreitol, 5% glycerol, and 2 μg of poly(d dC). Following electrophoresis in a 6% polyacrylamide gel (acrylamide/bis at 40:1) in Tris-Glycine-EDTA buffer [37 mM Tris-HCl (pH 8.0), 50 mM glycine, 2 mM EDTA] at 10 V/cm for 2 hr, gels were dried and autoradiographed at -70°C. b) EMS A was slightly modified for TFO competition experiments. Ten fmol of end- labeled oligonucleotides (final preincubation concentration 2.5 nM) were incubated with increasing concentrations of Oligo Col TFO (SEQ ID No: 5) and Oligo Control (SEQ ID No: 7) (0 to 25 μM) in 4 μl TFO binding buffer as described above. After 1 h of preincubation at 22°C, 10 μg of RCF nuclear extract were added in a volume of 8 μl containing 25 mM Tris-acetate (pH 6.8), 0.5 mM EDTA, 10 mM MgCl 2 , 50 mM KC1, 0.5 mM dithiothreitol, 10% glycerol, and 2 μg of poly(d dC) resulting in a final volume of 12 μl. Binding reaction was allowed to proceed for 25 min on ice and the reaction mixture was then loaded on the same gel as described above. Example 8 In vitro Transcription Assay Twenty ng (30 fmol) of the 1.1 -kb collagen fragment, 5 ng (30 frnol) of the 250-bp fragment, isolated from pCol 952/1000 and pColl40, respectively (final preincubation concentration 7.5 nM) and approximately the same concentration of 0.9-kb CMV IE fragment were preincubated in separate reactions with increasing concentrations of Oligo Col TFO (SEQ ID No: 5) (final concentrations from 0 to 250 μM) and Oligo Col TFOa (SEQ ID No: 6) (final concentrations from 0 to 25 μM, and 4 μl of TFO binding buffer. After 1 h preincubation at 22°C, templates were incubated with 11 μl of HeLa nuclear extracts (=80 μg protein) in a 25 μl reaction mixture containing 10 mM HEPES (pH 7.9), 50 mM KC1, 3 mM MgCl 2 , 0.2 mM EDTA, 0.25 mM dithiothreitol, 10% glycerol, 0.4 mM ATP, 0.4 mM CTP, 0.4 mM UTP, and 16μM cold GTP with 130 nM of (α 32 P)GTP for 1 hour at 30°C. The reaction was stopped by adding 175 μl of stop mix [0.3 M Tris-HCl (pH 7.4), 0.3 M Na-acetate, 0.5% sodium dodecyl sulfate, 2 mM EDTA, 3 μg/ml tRNA], extracted once with phenol, once with phenol/chloroform (1 :1), ethanol precipitated, dried, and resuspended in 20 μl of 50% formamide loading dye. The samples were heat- denatured and loaded on a 6% acrylamide, 7 M urea gel, ran at 20 V/cm for 2 hr. Gels were directly autoradiographed at -70°C. Example 9 Transient Transfection Experiments Rat cardiac fibroblasts were maintained in Dulbecco's modified Eagle's medium supplemented with 10% fetal calf serum. The cells were incubated in 8% atmosphere, and plated approximately 24 h before transfection at a density of 0.5x10 6 cells in 10-cm diameter plastic dishes. Transfection was performed by the lipofect- amine method (GIBCO BRL, Grand Island, NY) according to manufacturer's recommendation. Four μg of ColCAT plasmids and 2 μg of PSV2Gal plasmid (Promega, Madison, WI) were preincubated with 20 μl Lipofectine in 300 μl serum free DMEM at room temperature for 30 min. Cells were washed two times with prewarmed DMEM. Then, the preincubated mixture was diluted in DMEM to a final volume of 3 ml and added to plates. Cells were incubated for 2 h at 37°C. Oligonucleotides were preincubated with lipofectamine under the same conditions as the plasmid DNA's, except that the final dilution to 3 ml was done in DMEM supplemented with 3% fetal calf serum. Cells were washed twice, and were incubated in the oligonucleotide containing mixture for 4 h at 37°C following which the medium was changed to DMEM containing 10% fetal calf serum. Cells were harvested by scraping 24 h after start of transfection in 1 ml solution of 40 mM Tris-HCl (pH 7.5), 1 mM EDTA, 150 mM NaCI. Cells were centrifuged for 1 min in microfuge, and resuspended in 60 μl 0.25 M Tris-HCl (pH 7.5). Cell extracts were made by three cycles of freezing and thawing in dry ice/ethanol and 37°C water bath for 5 min each. Supernatant was removed and protein concentration was measured by the Bradford method (42). Example 10 Assay of Chloramphenicol Acetyl transferase (CAT) and β-galactosidase Activity CAT activity was measured according to Gorman et al. (37). Samples were heated for 10 min at 68°C prior to assay of CAT activity. Radiolabeled chloramphenicol (0.1 μCi of D-threo-[dichloroacetyl-l- 14 C]chloramphenicol) and 20 μl of 4 mM acetyl coenzyme A were added to samples containing 10 μg of protein and 50 μl of 1 M Tris-HCl (pH 7.8) in a final volume of 100 μl. The samples were incubated for 1.5 h at 37°C, which was within the linear range for these reactions. After ethyl acetate extraction, the chloramphenicol and the acetylated products were separated by thin layer chromatography for 1.5 h in a 95:5 ratio of chloroform to methanol. The thin layer plates were exposed to x-ray film for autoradiography. Acetylated and non-acetylated radioactive areas were removed from the plates and placed into scintillation counting fluid. The radioactivity was quantified by a Beckman scintillation counter. Transfection efficiency was determined by co- transfection with pSV2Gal plasmid (Promega, Madison, WI) and β-galactosidase activity was measured as described (38). Briefly, cell extracts containing 5 μg of protein were incubated in 80 mM sodium phosphate buffer (pH 7.4), 102 mM 2- mercaptoethanol, 9 mM MgCl 2 , and 8 mM CPRG at 37°C for 2 h. The optical density was measured at 570 nm. RESULTS The -220 to -120 Segment of the l(I) Collagen Promoter Contains Multiple Binding Sites for Factors Present in RCF Nuclear Extracts In order to identify specific binding proteins in rat cardiac fibroblasts, nuclear extracts were prepared from cultured adult rat cardiac fibroblasts and DNase I footprint analysis was carried out as described using a 5g/II-HαeIII restriction fragment of SEQ ID No: 4 of the c (I) collagen promoter (-225 to -123), labeled at the -223 position on the noncoding strand (Fig.l, asterisk). Five areas of protection designated a through/are seen (Fig. 2, lanes 3-4). The corresponding nucleotide sequences are underlined in Fig. 1. The protected areas a and b are part of the 35-bp long polypyrimidine region, areas d, e, and/correspond to the purine-rich sequence distal to the polypyrimidine region, and the protected area c is an interconnecting sequence between the two. Examination of the sequences protected by nuclear factors revealed that among the different areas, the complementary sequence to AAAGGG of area/can be found in areas b and a; furthermore the complementary sequence to GGAGG of area e is present in area a. These results indicate that multiple binding sites are present within the -200 to -120 region of the l(I) collagen promoter that form complexes with protein factor(s) present in the RCF as well as HeLa cell nuclear extracts. It is important to note that many of these binding sequences, especially binding site a, b, and c, are highly conserved among species (25) indicating the functional importance of these elements in the regulation of collagen gene expression. The Polypyrimidine and Purine-rich Elements Bind More than One Factor In order to better characterize the protein-DNA interactions within these footprinted segments of the l(I) promoter, double-stranded oligonucleotides corresponding to the -170 to -141 polypyrimidine sequence (designated Oligo C-1 and SEQ ID No: 1), and to the -197 to -173 purine-rich sequence (designated Oligo C-2 and SEQ ID No: 2) were synthesized and used in electrophoretic mobility shift assays. A farther upstream sequence (designated Oligo C-3 and SEQ ID No: 3) was also used as a control in competition experiments. The location and the sequences of these oligonucleotides are shown in Fig. 1. In earlier work by Karsenty & de Crombrugghe (27), oligonucleotide sequences contained within the mouse α 1 (I) collagen promoter corresponding to Oligo C-1 (SEQ ID No: 1) and Oligo C-2 (SEQ ID No: 2) were used in electrophoretic mobility shift assays, and were found to bind the same factor present in NIH-3T3 cell nuclear extracts. Transient transfection experiments using substitution mutations of the nucleotides labeled with vertical arrows in Fig. 1 indicated that this factor acted as a transcriptional inhibitor. It is of note that while the sequence of Oligo C-1 (SEQ ID No: 1) is identical in rat and mouse, the purine-rich Oligo C-2 (SEQ ID No: 2) shows only about 80% homology between these two species. The results of the EMSA's in this study are shown in Fig. 3. Oligonucleotides C-1 (SEQ ID No: 1) and C-2 (SEQ ID No: 2) were end-labeled and incubated with RCF nuclear extracts as described. Using Oligo C-1 (SEQ ID No: 1) as a probe, two distinct slow-migrating bands, indicating the formation of DNA-protein complexes, are seen (Fig. 3, lane 2, see arrows on left). The incubation of Oligo C-2 (SEQ ID No: 2) probe with nuclear extract resulted in three slow-migrating complexes (Fig. 3, lane 9, arrows on right). Competition experiments showing inhibition of complex formation by the use of 10- and 100-fold molar excess of unlabeled C-1 (SEQ ID No: 1) and C-2 (SEQ ID No: 2) oligonucleotides with their respective probes demonstrate the specificity of these complexes (Fig. 3, lanes 3-4, and 10-11). This is further supported by the fact that the Oligo C-3 (SEQ ID No: 3) was unable to inhibit the formation of any of these complexes (Fig. 3, lanes 7 and 14). Looking at the mobility and the pattern of the complexes, it is interesting to note that the sharper top bands in lanes 2 and 9 migrate at the same position, while the mobility of the more diffuse lower bands is different. Furthermore, the pattern of competition indicates that the affinity of protein-DNA binding may be different within the various complexes, as evidenced by complete inhibition of the top complexes at ten times lower molar excess of the respective competitors than is seen with the lower complexes. Substantial homology exists in the sequences of the different binding sites as discussed above. The experiments of Karsenty & de Crombrugghe (27) suggested the presence of a single negative regulatory factor in NIH-3T3 cell nuclear extracts that bind to both oligonucleotides of the mouse promoter corresponding to Oligo C-1 (SEQ ID No: 1) and C-2 (SEQ ID No: 2). Therefore, cross-competition experiments were performed using unlabeled Oligo C-1 (SEQ ID No: 1) to compete with the binding of labeled Oligo C-2 (SEQ ID No: 2) and vice versa (Fig. 3, lanes 5-6, and 12-13). The results show that Oligo C-1 (SEQ ID No: 1) was able to completely compete with the binding of all three complexes to Oligo C-2 (SEQ ID No: 2) probe (Fig. 3, lanes 12-13) indicating that Oligo C-1 (SEQ ID No: 1) contains all the elements required for binding of nuclear factors to Oligo C-2 (SEQ ID No: 2). Once again, a differential competition pattern among the three complexes can be seen [the middle complex is competed at lower molar excess of Oligo C-1 (SEQ ID No: 1) than the top and lower ones]. By contrast, when unlabeled Oligo C-2 (SEQ ID No: 2) was used to compete with the binding of nuclear factors to Oligo C-1 (SEQ ID No: 1) probe, complete competition was not seen (Fig. 3, lanes 5-6). Only the slower mobility higher complex was competed, and the lower complex showed no inhibition. In fact, it would appear that in the presence of unlabeled Oligo C-2 (SEQ ID No: 2), the binding of Oligo C-1 (SEQ ID No: 1) to nuclear factor(s) becomes more compact and slightly shifted. The results suggest that Oligo C-2 (SEQ ID No: 2) does not contain all elements necessary for the formation of complexes like Oligo C-1 (SEQ ID No: 1). It is also possible that Oligos C-1 (SEQ ID No: 1) and C-2 (SEQ ID No: 2) may contain some closely related elements that have different binding affinities to the same protein factor. To consider different alternatives, further studies will be required using substitution mutations in the various binding elements and the purification and cloning of factors involved in the formation of complexes with these elements. Oligonucleotides Col TFO (SEQ ID No: 5), Col TFOa (SEQ ID No: 6), 147 P (SEQ ID No: 8), 170 APS (SEQ ID No: 9), 164 AP (SEQ ID No: 10), 164 APS (SEQ ID No: 11), and 158 APS (SEQ ID No: 12) Form Triple-Helix Structure with Oligo C-1 (SEQ ID No: 1) The 35-bp long polypyrimidine sequence from -172 to -138 represents a unique structure in the promotor of the rat l(I) collagen gene. Such long stretches of all C's and T's do occur in other genes, but only rarely. It was hypothesized that a single-stranded oligonucleotide with a complementary sequence would be able to form a triple-helix DNA structure with the polypyrimidine portion of the collagen promoter as target sequence. In order to demonstrate the formation of triple-helix on target sequence, gel mobility shift assays (39) were performed. The detection of triplex structure in this electrophoresis system is based on the observation that the triple-helix migrates slower as compared to double-stranded oligonucleotide in acrylamide gel due to the reduction of DNA charge that is likely to accompany triplex formation (31). Initial testing of triple-helix formation was performed with the use of single-stranded oligonucleotides with identical sequence to the polypurine strand of Oligo C-1 (SEQ ID No: 1). The sequence and orientation of these oligonucleotides, designated Oligo Col TFO (SEQ ID No: 5) and Oligo Col TFOa (SEQ ID No: 6) are shown in Fig. 1. Radiolabeled double-stranded DNA target (Oligo C-1 ; SEQ ID No: 1) was incubated with increasing amounts of specific Oligo Col TFO (SEQ ID No: 5), Oligo Col TFOa (SEQ ID No: 6), and Oligo Control (SEQ ID No: 7). The results of the gel mobility shift analysis using Oligo Col TFO (SEQ ID No: 5) and Oligo Control (SEQ ID No: 7) are shown in Fig. 4; Oligo Col TFOa (SEQ ID No: 6) at one- tenth the concentration of Oligo Col TFO (SEQ ID No: 5) gave identical results. The addition of increasing concentrations of Oligo Col TFO (SEQ ID No: 5) relative to target results in a gradual shift from duplex (D) to a distinct higher- migrating band (T), indicating the formation of triple-helix. This concentration- dependent shift reaches 50% at approximately 1 μM. This corresponds to a 1000-fold molar excess of oligonucleotide to duplex, yielding an approximate dissociation constant K d of 10 "6 M, based on the equation D/T=K d xl/[Pur], where [Pur] is the final concentration of purine oligonucleotide (31). By contrast Oligo Control (SEQ ID No: 7) failed to form triple-helix as evidenced by the absence of retarded band even at higher concentrations (Fig. 4, lanes 6-10). In summary, the gel mobility shift analysis showed that the single-stranded Oligo Col TFO (SEQ ID No: 5) forms triplex with target Oligo C-1 (SEQ ID No: 1) in a sequence-specific manner within the expected K d range for triple-helix structures. In order to pinpoint the regions within Oligo Col TFO (SEQ ID No: 5) and Oligo Col TFOa (SEQ ID No: 6) which are responsible for the triplex formation demonstrated above, five overlapping 18-mer oligonucleotides [Oligo 147 P (SEQ ID No: 8), Oligo 170 APS (SEQ ID No: 9), Oligo 164 AP (SEQ ID No: 10), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12)] were tested for their ability to form triplexes with Oligo C-1 (SEQ ID No: 1). These five oligonucleotides are described in Table 1, and their sequences and orientations are shown in Fig. 8. Radiolabeled Oligo C-1 (SEQ ID No: 1) was incubated with increasing amounts of each of these five oligonucleotides. The results of this gel mobility shift analysis are shown in Figs. 9-11. The addition of increasing concentrations of each of Oligo 147 P (SEQ ID No: 8), Oligo 170 APS (SEQ ID No: 9), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12) relative to target again results in a gradual shift from duplex (D) to a distinct higher-migrating band (T), indicating the formation of triple- helix (Figs. 9-11). As expected, Oligo 147 P (SEQ ID No: 8), the parallel oligonucleotide relative to the purine strand of Oligo C-1 (SEQ ID No: 1), formed a triplex only at high concentrations (K d > 10 μM) (Fig. 10). In contrast, Oligo 164 AP (SEQ ID No: 10), the antiparallel oligonucleotide relative to the purine strand of Oligo C-1 (SEQ ID No: 1), formed a triplex at extremely low concentrations (more than 30% and 50% of the duplex was converted to triplex at 0.06 μM and 0.1 μM, respectively) (Fig. 10). The results illustrated in Figs. 9-11 demonstrate that the antiparallel 18- mer oligonucleotides [Oligo 170 APS (SEQ ID No: 9), Oligo 164 AP (SEQ ID No: 10), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12)] form triplexes at a K d similar to or identical to the K d at which the 30-mer Oligo Col TFOa (SEQ ID No: 6) forms a triplex, and that the effective association constant is at least 100 times lower for antiparallel TFO's relative to parallel TFO's. Furthermore, the results illustrated in Figs. 10 and 11 demonstrate that Oligo 164 APS (SEQ ID No: 11), a phosphorothioate oligonucleotide, forms a stable triplex at approximately the same concentrations at which Oligo 164 AP (SEQ ID No: 10), a phosphodiester oligonucleotide, forms a stable triplex. Moreover, of the three phosphorothioate oligonucleotides tested, Oligo 158 APS (SEQ ID No: 12) forms a triplex at a concentration lower than the concentration at which Oligo 164 APS (SEQ ID No: 11) forms a triplex, while Oligo 170 APS (SEQ ID No: 9) forms a triplex at a concentration slightly higher than the concentration at which Oligo 164 APS (SEQ ID No: 11) forms a triplex (Fig. 11). Thus, the target sequence -114 to -164 (Fig. 1) in the C-1 region is able to form a triplex most efficiently. Oligonucleotide Col TFO (SEQ ID No: 5) Inhibits the DNA-Protein Interaction Between Oligo C-1 (SEQ ID No: 1) and Protein Factors Present in RCF Nuclear Extracts There is a growing body of evidence that specific triple-helix forming oligonucleotides can effectively inhibit the binding of trans-acting factors to their exacting element in a variety of gene promoters both in vitro and in vivo. In order to evaluate the effect of Oligo Col TFO (SEQ ID No: 5) on the binding of nuclear factors contained in RCF nuclear extracts to Oligo C-1 (SEQ ID No: 1), electrophoretic mobility shift assays were performed as described. The conditions were slightly altered to optimize both Oligo Col TFO (SEQ ID No: 5) and protein binding. Fig. 5 shows the results of competition experiments using specific Oligo Col TFO (SEQ ID No: 5) and control oligonucleotide (Oligo Control; SEQ ID No: 7) as competitors for the RCF nuclear protein binding to target oligonucleotide. Increasing amounts of Oligo Col TFO (SEQ ID No: 5) completely eliminated the formation of protein DNA complexes (Fig. 5, lanes 4-8), whereas the control oligonucleotides had no effect on the binding of these factors (Fig. 5, lanes 9-12). To exclude the possibility of protein factors binding to single-stranded oligonucleotide, Oligo Col TFO (SEQ ID No: 5) was end-labeled and incubated with RCF nuclear extract at the highest concentration used in competition experiments. The results (Fig. 5, lane 2) clearly show that inhibition of protein binding in the target region is not due to the ability of Oligo Col TFO (SEQ ID No: 5) to form complexes with the same protein factors. It is interesting to note that specific Oligo Col TFO (SEQ ID No: 5) was able to significantly compete at thirty times less molar excess than that required in titration experiments. Moreover, the two complexes seen in Fig. 5, lane 4 are differentially competed by the specific Oligo Col TFO (SEQ ID No: 5). For instance, approximately hundred times more molar excess of Oligo Col TFO (SEQ ID No: 5) is required to achieve the same level of competition of the upper complex than the lower one. This, once again, supports the notion that factors forming complexes within the target region (Oligo C-1; SEQ ID No: 1) have different binding affinities to their cognate sequences. Effect of Triplex Formation on 1 (I) Collagen Transcription The effect of triplex formation and inhibition of protein-factor binding to template on in vitro transcription of α 1(1) collagen gene was studied using a HeLa nuclear extract transcription system. The 1.1 -kb fragment of the rat l(I) collagen gene used as template DNA contains 1000-bp of the promoter and 100-bp 3' to the transcription start site. Promoter-dependent run-off transcription generates a 100-nucleotide native o (I) collagen transcript (Fig. 6, lane 1). Incubation of the collagen template with increasing amounts of triplex-forming Oligo Col TFO (SEQ ID No: 5) resulted in a concentration-dependent inhibition of transcription (Fig. 6, lanes 2-5), whereas the non-triplex-forming Oligo Control (SEQ ID No: 7) had no effect even at the highest concentration used (Fig. 6, lane 6). Also, αl(I) collagen transcription in the presence of Oligo Col TFO (SEQ ID No: 5) does not appear to give rise to increased amounts of RNA transcripts of smaller sizes, suggesting that inhibition of transcription occurs at the level of initiation rather than elongation. To determine the specificity of Oligo Col TFO (SEQ ID No: 5) inhibition of collagen gene transcription, template DNA containing the -136 to +113 sequence, which is downstream from the Oligo Col TFO (SEQ ID No: 5) target site, was used in in vitro transcription under the same conditions. This deleted promoter is sufficient to drive the production of a primary transcript of the same size (approximately 100 nucleotides) (Fig. 6, lane 7). Preincubation of this template with Oligo Col TFO (SEQ ID No: 5) in the same concentration increments resulted in no significant change in the amount of transcript produced (Fig. 6, lanes 8-10). These results suggest that the presence of the polypyrimidine target sequence is required for Oligo Col TFO (SEQ ID No: 5) to inhibit promoter activity. The effect of oligonucleotides on the transcription process as well as RNA stability was assessed by using the cytomegalovirus immediate early gene as template. Run-off transcription from the CMV IE promoter generates a 300- nucleotide RNA transcript (Fig. 6, lane 11). As shown in lanes 12-16, at the same concentrations which inhibit collagen transcription, Oligo Col TFO (SEQ ID No: 5) has no effect on transcription from the CMV IE promoter under the same assay conditions. The above results, taken together, strongly suggest that inhibition of 1 (I) collagen transcription by Oligo Col TFO (SEQ ID No: 5) is due to promoter-targeted triple-helix formation. Oligo Col TFOa (SEQ ID No: 6) at one-tenth the concentration of Oligo Col TFO (SEQ ID No: 5) gave identical results in the in vitro transcription experiments. Inhibition of 1 (I) Promoter Activity by Oligo Col TFO (SEQ ID No: 5) in Cultured RCF The effect of Oligo Col TFO (SEQ ID No: 5) on the transcriptional activity of the rat αl(I) collagen promoter in cultured cells was investigated. Adult rat cardiac fibroblasts were transiently transfected in separate plates with plasmid pColCAT220, which contains the -225 to +113 sequence of the rat αl (I) gene, and plasmid pColCAT140, in which the TFO target sequence for binding of Oligo Col TFO (SEQ ID No: 5) was deleted. The results indicate that the wild-type and mutant promoters direct expression of the CAT gene. However the expression of pColCAT140 is about 40%-50% of the activity of pColCAT220, suggesting that the - 225 to -136 polypurine-polypyrimidine sequence of the l(I) promoter represents an overall positive regulatory element, confirming the findings of Brenner et al. (28). To demonstrate the effect of oligonucleotides on the expression of these plasmids, cells were allowed to recover from the first transfection, then were re-transfected with oligonucleotides complexed with lipofectamine. As shown in Fig. 7, a dose-dependent inhibition of the CAT activity was observed with Oligo Col TFO (SEQ ID No: 5) on the pColCAT220 construct (Fig. 7, lanes 2-3) whereas the same doses of the Oligo Col TFO (SEQ ID No: 5) have no effect on the deletion mutant pColCAT140 (Fig. 7, lanes 6-7). These results suggest that an intact target sequence is required for Oligo Col TFO (SEQ ID No: 5) to exert its inhibitory effect on the expression of the reporter gene. The specificity of this inhibition is further supported by the fact that Oligo Control (SEQ ID No: 7) had no effect on the expression of either of these plasmids (Fig. 7, lanes 4 and 8). These results on cultured cells parallel the results of the in vitro transcription assays and demonstrate that the interaction of Oligo Col TFO (SEQ ID No: 5) with its target sequence leads to inhibition of transcriptional activity of the rat αl(I) promoter. DISCUSSION Two previous studies on the regulatory elements of the αl(I) collagen gene have shed considerable light on the cw-acting elements, trans-acting factors and their functional properties in both in vitro and in vivo experiments. Data from Karsenty & de Crombrugghe (27) have shown two distinct binding sites (from -190 to -170, and from -160 to -133) within the mouse c l(I) collagen promoter. Competition experiments coupled with substitution mutation analyses indicated that the same factor contained in NIH- 3T3 nuclear extracts bound to both of these sites. DNA transfection experiments using 3-bp substitution mutants in these polypyrimidine and purine-rich sites suggested that this factor acted as a transcriptional inhibitor (designated IF1) (27). However, in the studies of Brenner et al, when corresponding sequences were independently deleted, it was found that deletion of the proximal sequence resulted in a 50% reduction of reporter gene activity whereas deletion of the distal element had no significant effect (28). Data provided in the present application confirm the results of Brenner et al. and indicate the presence of multiple binding sites within the sequence -190 to -130. EMSA's identified two distinct complexes bound to Oligo C-1 (SEQ ID No: 1) and three slow-migrating bands when Oligo C-2 (SEQ ID No: 2) was used as probe. These multiple bands could be produced by the interaction of different size proteins with or by the formation of homo or heterodimers. The possible presence of multiple factors and binding elements within these two regions may offer an alternative solution to the seemingly conflicting data shown in the two studies cited, regarding the opposite functional activity of these promoter elements. Karsenty and de Crombrugghe (27) introduced substitution mutations into both proximal and distal elements, while leaving other potentially positive binding elements intact. On the other hand, Brenner et al. (28) used deletion mutations of longer segments of the promoter thereby eliminating the binding of both negative and putative positive trans-acting factors. The discrepancy between these studies may be due to the differences in the promoter sequences. For instance, while the proximal polypyrimidine sequence is identical between rat and mouse αl(I) collagen promoter, the distal polypurine sequence shows only 80% homology. The advantages of the triplex approach to gene-expression inhibition include fewer and less degenerative targets, thus offering the potential for low-dose long-acting therapeutics. The major limitation of the application of oligomer-directed triplex formation to naturally occurring sequences is the requirement for predominantly polypurine-polypyrimidine regions. The long polypyrimidine sequence of the αl(I) collagen promoter represents a unique structure which provides an attractive target for the design of sequence-specific DNA binding agents, which may influence transcription of this biologically important gene. Although most studies have employed pyrimidine-rich TFO's, in the present study a 30-mer polypurine oligonucleotide corresponding to the noncoding strand of the promoter between -170 and -140 was chosen because of its binding stability at physiological pH. It has been suggested that triplex formation is based on the assembly of G-GC, T-AT, and A- AT triplets (39;41 ;46). The orientation of the purine type TFO's in the major groove of the double helical DNA has initially been a matter of controversy. In the first description of triplex formation in the promoter of the human c-myc gene, it was implied that the TFO was bound parallel to the purine strand (31). Later evidence suggested that the TFO in that study could potentially bind either parallel or antiparallel and make similar base contacts with the duplex (42). This is because the c-myc target is pseudopalindromic. One TFO used in the present experiments was in the parallel orientation (Oligo Col TFO; SEQ ID No. 5) and another was in the antiparallel orientation (Oligo Col TFOa; SEQ ID No. 6) with the purine strand. Since both of these TFO's have pseudopalindromic sequences, their binding orientation is likely to be antiparallel. This may explain why slightly higher K d values were observed in gel mobility shift assays using Oligo Col TFO (SEQ ID No: 5). The repression of the in vitro transcription of the collagen promoter by Oligo Col TFO (SEQ ID No: 5) was complete even at lower concentration than was predicted by titration experiments using Oligo Col TFO (SEQ ID No: 5). This difference could be the result of stabilization of the template and the triplex by components of the nuclear extract (e. g., proteins, polyamines). However, the present invention is not limited to any specific manner of binding of an oligomer to a double-stranded DNA. To evaluate the effect of triple-helix formation on the transcriptional activity of the αl(I) promoter, an in vitro transcription system using HeLa nuclear extracts was employed. HeLa extracts were used instead of extracts from rat cardiac fibroblasts because the latter could not sustain transcription due to an apparent RNase activity unable to be avoided even with the use of RNase inhibitors or different ways of preparing nuclear extracts. The usefulness of the HeLa system in the study of collagen gene expression is supported by the work of Furth et al. (43) who showed that type I collagen mRNAs are accurately initiated by HeLa cell RNA polymerase II. In HeLa cell nuclei, significant amount of collagen mRNA is synthesized. However, steady-state levels of mRNA are not detected, suggesting post-transcriptional regulation of collagen synthesis in HeLa cells. Furthermore, in the study of Brenner et al. (28), DNase I footprints of the more proximal promoter from -103 to -82 showed the same pattern of protection for both HeLa and NIH-3T3 nuclear extracts. DNase I footprinting assays on the promoter fragment from -220 to -120 using HeLa nuclear extract were used. Fig. 2 shows that the protection pattern of HeLa (lanes 5-6) and RCF (lanes 3-4) nuclear extracts is identical, lending further support to the usefulness of the HeLa transcription system. The results of the transient transfection experiments using Oligo Col TFO (SEQ ID No: 5) parallel the findings of the in vitro transcription assays. The mechanism by which Oligo Col TFO (SEQ ID No: 5)-directed and Oligo Col TFOa (SEQ ID No: 6)-directed triple-helix formation inhibits the transcriptional activity of 1(1) collagen promoter is not entirely clear from the data presented here. One likely possibility is the concentration-dependent interference of Oligo Col TFO (SEQ ID No: 5) with the formation of complexes between cz ' s-acting elements within the target region and their cognate trans-acting factor(s). The ability of triplex- forming oligonucleotides to compete with site-specific DNA-binding proteins for binding to target sites, as the mechanism accounting for transcriptional repression, has been demonstrated in a number of in vitro and in vivo experiments. The close correlation observed in the present study between the ability of Oligo Col TFO (SEQ ID No: 5) to inhibit protein-DNA interaction (Fig. 5) and to repress promoter activity (Figs. 6 and 7) would support, but not conclusively prove, this mechanism. However, considering that the polypyrimidine target site for Oligo Col TFO (SEQ ID No: 5) has previously been shown to contain elements for binding of a negative trans-acting factor (IF- 1 ) (27), one would expect that inhibition of this factor to bind to its cis- element would result in transcriptional activation. To reconcile these seemingly contradictory findings, the presence of factor(s) with potential positive regulatory activity, and an overall positive transcriptional net effect within this target region could once again be considered. The DNase I footprinting and EMSA data presented here support this notion as does the previously cited result of Brenner et al. (28); additionally, the transient transfection experiment presented here, showing a 50% reduction of promoter activity upon complete deletion of sequences corresponding to the Oligo Col TFO (SEQ ID No: 5) target site, confirms this result of Brenner et al. (28). An alternative explanation for the inhibitory effect of Oligo Col TFO (SEQ ID No: 5) on αl(I) collagen promoter activity could be adopted from the studies by Maher et al. (45) which showed that site-specific DNA triple helices can repress transcription even when the complexes do not overlap transcription-factor binding sites. Their results suggested other possible repression mechanisms including effects on DNA flexibility, recruitment of inhibitory factors or alteration of chromatin structure. The results of in vitro transcription assays presented here, showing complete elimination of promoter activity, as opposed to only partial inhibition that would be expected if protein factor-binding inhibition was primarily operational, support these latter mechanisms. The identification and characterization of genes which play important roles in cellular processes leading to interstitial fibrosis have provided excellent targets for transcriptional modulation. Because of the ability of TFO's to selectively inhibit transcription of their target genes in intact cells (29;30;32), these oligomers appear to have considerable potential as therapeutic agents. The unique polypyrimidine of the l(I) collagen promoter was identified as a suitable target for either of two single-stranded polypurine oligonucleotides to form a triple-helix structure that could effectively inhibit transcription in vitro; one of these TFO's, Oligo Col TFO (SEQ ID No: 5), also effectively inhibited transcription in cultured cells. Furthermore, Oligo Col TFOa (SEQ ID No: 6), which is in the antiparallel orientation with the purine strand of the promoter, is ten times more effective in forming a triple- helix structure and in inhibiting in vitro transcription than Oligo Col TFO, which is in the parallel orientation with the purine strand of the promoter. Additionally, five overlapping 18-mer oligonucleotides [Oligo 147 P (SEQ ID No: 8), Oligo 170 APS (SEQ ID No: 9), Oligo 164 AP (SEQ ID No: 10), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12)] having sequences found within Oligo Col TFO (SEQ ID No: 5) and Oligo Col TFOa (SEQ ID No: 6) also were able to form triplexes with the C-1 region of the αl(I) collagen-gene promoter. Furthermore, those 18-mer oligonucleotides in the antiparallel orientation relative to the purine strand of the C-1 region [Oligo 170 APS (SEQ ID No: 9), Oligo 164 AP (SEQ ID No: 10), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No: 12)] formed triplexes as readily as did the 30-mer antiparallel Oligo Col TFOa (SEQ ID No: 6). Moreover, the 18-mer phosphorothioate antiparallel oligonucleotides [Oligo 170 APS (SEQ ID No: 9), Oligo 164 APS (SEQ ID No: 11), and Oligo 158 APS (SEQ ID No : 12)] formed triplexes as readily as the phosphodiester antiparallel oligonucleotides [Oligo Col TFOa (SEQ ID No: 6) and Oligo 164 AP (SEQ ID No: 10)]. Thus, small (i.e., 18-mer), phosphorothioate oligonucleotides are effective in forming triplexes with the C-1 region oligonucleotides. Phosphorothioate oligonucleotides are more resistant to degradation by nucleases than phosphodiester oligonucleotides, and therefore should be more effective for in vivo application. Also, the small size of the 18-mer TFO's makes them a more affordable therapy relative to the 30-mer TFO's. Example 11 The double-stranded human collagen genomic DNA promoter sequence from the -165 to -136 portion of the human αl(l) collagen promoter (SEQ ID NO: 13) as well as an anti-parallel human collagen promoter TFO (SEQ ID NO: 14) were prepared as set forth in the preceding examples and were tested for triple-helix formation using the gel mobility shift technique described in Example 4. In particular, the double-stranded human l(l) promoter oligonucleotide was end-labeled with [ 32 P] ATP using T 4 polynucleotide kinase, and was purified through a Sephadex G25 or G50 column. Approximately 5,000 to 10,000 cpm (0.6 ng) was incubated without the TFO (SEQ ID NO: 14) as a control, and with increasing concentrations of the latter ranging from 8 to 8,000 nM in the TFO binding buffer of Example 4. The samples were electrophoresed through 8% polyacrylamide, 0.25% bis-acrylamide gel or 10% polyacrylamide, 0.32% bisacrylamide gel buffered with 89 mM Tris, 89 mM boric acid (pH 7.5) and 20 mM MgCl 2 for 4.5 to 7 h at 10 V/cm at 6°C. The gels were then dried and then autoradio-graphed. The result of this series of tests is set forth in Fig. 14. As shown therein, increasing concentrations of the TFO (SEQ ID NO: 14) generates a gradual shift from the duplex oligonucleotide shown in the control lane to the higher migrating bands, demonstrating the formation of collagen gene expression- inhibiting triple-helix composites. Example 12 Inhibition of Transcription Using RNA Oligonucleotide This example describes formation of a triplex structure by an antiparallel RNA oligonucleotide corresponding to the 21 bp polypurine-pyrimidine stretch from - 141 to -162 of the rat αl(I) procollagen promoter with a Kd of 0.1-0.2μM. The formation of triplexes by the triplex forming oligoribonucleotide (ORN) was also observed under physiological conditions. In vitro transcription run-off experiments showed that triplex formation results in inhibited transcription from the rat 1 (I) procollagen gene. These results demonstrate a novel approach for down-regulation of procollagen gene transcription in vivo. A. MATERIALS AND METHODS Oligonucleotide synthesis and purification. All oligoribonucleotides (ORNs) were synthesized by Oligos Etc. Inc. (Wilsonville, Or). Double-stranded oligodeoxynucleotides (ODNs) were prepared by mixing equal amounts of complementary single strands in 0.25 M NaCI, heating to 80°C, and subsequently cooling to room temperature. Annealed double-stranded oligonucleotides were gel- purified on a 6% polyacrylamide gel, eluted, and concentrated by ethanol precipitation. Electrophoretic mobility shift assays for triple helix formation. Double- stranded ODNs were end labeled with [γ- 32 P]ATP using T4 polynucleotide kinase and purified through a Sephadex G-50 column. Approximately 10,000 c.p.m. (=2.0 nM) were incubated with increasing concentrations of TFO and a control ORN in a binding buffer consisting of 20 mM Tris-HCl, pH 7.4, 20 mM MgC12, 2.5 mM spermidine, 10%o sucrose, 0.25 mg/ml bovine serum albumin, and incubated at 37 °C for 60 min. The samples were analyzed on a 10% polyacrylamide-0.32% bisacrylamide gel in a buffer containing 89 mM Tris, 89 mM boric acid, pH 7.5, and 20 mM MgC12 for 5 h at 10 V/cm2 at 6°C. Gels were dried and autoradiographed at — 70°C. Kd values were determined by calculating the concentration of TFO at which 50%) of target duplex was converted to the triplex form (48). In vitro transcription assays. Rat αl(I) procollagen triplexes were formed by mixing 2.5 μl TFO binding buffer [20 mM Tris-HCl (pH 7.4), 20 mM MgC12, 2.5 mM spermidine, 10% sucrose, and 0.25mg/ml bovine serum albumin] with approximately 100 ng of a 0.7 kb collagen template (330 bp of the promoter followed by 360 bp downstream sequence) or CMV control template with increasing concentrations of antiparallel ORN or ODN TFO and a nonspecific RSV ψ RNA 20- mer control ORN added to make a final concentration of 50 ng/μl. After addition of 10 units of RNase Inhibitor (Boehringer), the resulting 10 μl reaction was incubated at 37 °C for 1 h. Templates were then combined with 8 μl nuclear extract buffer [20 mM HEPES (pH 7.6), 50 mM KC1, 5 mM MgC12, 0.2 mM EDTA, 20% glycerol, and 1 mM each of DTT, PMSF, and sodium bisulphite] followed by addition of 0.4 mM each of ATP, CTP, UTP, and 10 μM cold GTP plus 20 μCi [α- 32 P]GTP. Four μl HeLa nuclear extract (41 μg of protein) was added and the 25 μl reactions were incubated for 1 h at 30°C. The reaction was stopped by adding 175 μl of stop mix [0.3M Tris- HCl (pH 7.4), 0.3M sodium acetate, 0.5% sodium dodecyl sulfate, 2 mM EDTA, 6 μg/ml Yeast tRNA]. Samples were extracted once with water saturated phenol, once with phenol/chloroform (1 :1), then ethanol-precipitated, dried, and RNA resuspended in 20 μl 50% formamide loading dye. After heat-denaturation, samples were loaded on a 6% acrylamide, 7M urea gel, and run at 20 V/cm for 3 h. Gels were directly autoradiographed at — 70°C. B. RESULTS AND DISCUSSION The polypurine-pyrimidine sequence from — 141 to — 170 (Cl) is a unique structure that is highly conserved in mammalian l(I) procollagen promoters. Electrophoretic mobility shift assays using 21 nt ORNs (Fig. 15) were performed to demonstrate the triplex formation. The results shown indicate that this antiparallel RNA TFO was able to form a stable triplex with a Kd of 0.1-0.2 μM (Fig. 16A), whereas an identical DNA TFO was able to form the same signature with a KD of 0.08 - 0.1 μM (Fig. 16b). In contrast, a parallel ORN (sequence shown in Fig. 15) showed only minimal binding even at 20 μM (Fig. 16c). Previous reports had indicated that normal physiologic conditions are unfavorable for purine motif triplex formation (50). In particular, the high potassium concentration (140 mM) was shown to readily promote aggregation of guanine-rich oligonucleotides into guanine quartets. In addition, triplex formation requires relatively high concentrations (5-20 mM) of multivalent cations such as magnesium for stabilization (39). The results shown in Fig. 17 indicate binding in the presence of 140 mM KC1, 1 -5 mM MgCl 2 , and 1 mM spermidine, with a Kd of about 0.3 μM. The effect of RNA triplex formation on expression of the rat l(I) collagen gene was also studied. In vitro transcription results clearly showed that triplex formation with a DNA TFO to the Cl promoter region resulted in a concentration- dependent inhibition of transcription, which was further supported by subsequent in vivo data. Here, a 0.7 kb αl(I) collagen fragment ( — 330 to +360) was used as a template and run-off transcription generated a 360 nt transcript. Incubation of the collagen template with increasing amounts of the previously used polypurine antiparallel ORN or ODN TFO resulted in transcriptional inhibition of the αl(I) collagen gene (Fig.18); whereas no inhibition was seen with a 20-mer nonspecific RSV ψ RNA oligonucleotide (NS), or TFO in parallel orientation (not shown). The same antiparallel ORN did not affect transcription from a heterologous CMV promoter. These results strongly indicate that the inhibition of transcription is mainly due to the sequence specific triplex binding of the ORN to the Cl promoter region. However, it should be pointed out that although these results are highly reproducible, the Kd for inhibition of transcription varied, probably due to ribonuclease degradation. Even with the addition of RNase inhibitors during triplex formation, the inhibitory effects of the RNA TFO varied to some extent between experiments; and higher concentrations of TFO even abolished transcriptional inhibition (not shown), which may be due to aggregation of ORNs. The RNA TFO data described here, and in vivo results with a comparable DNA TFO, suggest the feasibility of utilizing RNA transcripts in the application of novel therapeutic strategies to down-regulate l(I) collagen expression in vivo. It is likely that a retrovirally integrated TFO sequence could be expressed in the nucleus by endogenous RNA polymerases, placing the RNA TFO transcript within proximal vicinity of the target cell chromatin, thereby allowing it to mediate its inhibitory triplex binding effects. Furthermore, it may be that if the TFO sequence were coded into the retroviral vector as an intronic sequence flanked by splice donor, acceptor, and branch sequences, the endogenous splicing machinery of the cell could then be taken advantage of to generate the antiparallel RNA TFO as the overhanging tail of a spliced intron lariat structure, which should then be free to bind to the chromosomal αl(I) collagen gene. Alternatively, taking advantage of catalytic RNAs might offer an additional therapeutic approach to intranuclear RNA TFO production in that an crt(I) collagen binding ribozyme could be coded into a retroviral vector which would cleave the l(I) mRNA product while still in the nucleus. These types of strategies offer a superior approach to conventional antisense strategies which rely heavily on efficient delivery of oligonucleotides into the target cell, their stability within the cell, and specific affinity to the target mRNA message once within the cytosol or nucleus (51-53). In contrast, triplex DNA strategies have the benefit of acting at the gene level within the chromatin itself, but still retain the problem of effective delivery and stability within a target cell (39, 46). The use of an ORN TFO delivered retrovirally offers high infectivitv and integration rates (54), allowing the TFO to be produced endogenously and in immediate vicinity to the collagen chromatin within the nucleus. Potential nuclear degradation of the RNA transcript in the nucleus would remain a challenge, but the RNA:DNA:DNA hybrid may be more stable in vivo than conventional DNA triplexes (55), thereby strengthening the overall lifetime of the message and its ability to bind and inhibit gene expression. The results obtained here suggest that it would be possible to design effective, non-toxic delivery systems that offer therapeutic alternatives to control fibrosis-related disorders. Example 13 Inhibition of Peritoneal Fibrosis To study the effects of the oligonucleotides of the invention on peritoneal fibrosis tow rat models of peritoneal fibrosis were used (Wieczorowska-Tobis et al., Peritoneal Dialysis International, vol. 16(2), 1996; Wieczorowska et al., Advances in Peritoneal Dialysis, vol. 11, 1995). First, peritoneal dialysis in rats with the standard dialysis solution for four weeks results I mild peritoneal fibrosis even in the absence of peritonitis (Wieczorowska-Tobias et al., 1996). Second, also in rats, by inducing bacterial peritonitis (E. Coli or Staphylococcus Aureus) during peritoneal dialysis (Wieczorwska et al., 1995; Suzuki et al., Advances in Peritoneal Dialysis, Vol 11 , 1995). Using these models the rats were divided into the following groups: Group 1 : control intact animals Group 2: Control animals with a catheter but no dialyzed Group 3 : Rats dialyzed with the standard Dianeal solution Group 4: Rats dialyzed with dialysis solution containing 150 μg/ml of 18-nucleotide long phosphorothiate modified DNA, as a control group. Group 5: Rats dialyzed with dialysis solution containing 150 μg/ml of a 158 nucleotide long phosphorothioate modified DNA (SEQ ID NO: 12). Group 6: Rats dialyzed with dialysis solution containing 150 μg/ml of a 164 nucleotide long phosphorothioate modified DNA (SEQ ID NO: 11 ). Group 7: Rats with peritonitis (induced with E. Coli) dialyzed with standard solution, as a control group. Group 8: Rats with peritonitis (induced with E.Coli) dialyzed with dialysis solution containing 150 μg/ml of an 18 nucleotide long phosphorothioate modified DNA. Group 9: Rats with peritonitis (induced with E. Coli) dialyzed with dialysis solution containing 150 μg/ml of 158-nucleotide long phosphorothioate modified DNA (SEQ ID NO: 12). Group 10: Rats with peritonitis (induced with E. Coli) dialyzed with dialysis solution containing 150 μg/ml of a 164 nucleotide long phosphorothioate modified DNA (SEQ ID NO: 11). Catheters were inserted into the rats in the groups identified above. Dialysis exchanges were performed twice a day. A sterile syringe filled with 30 ml of dialysis solution was attached to the catheter via a sterile fill needle and the solution gently injected into the peritoneal cavity. Peritonitis was induced in Groups 7, 8, 9, and 10 a week after catheter insertion and dialysis. One week a part two inoculates containing 20, 000 CFU/ml of E. 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Claims: Claims: 1. An oligomer capable of inhibiting expression of a collagen gene. 2. The oligomer of claim 1, said oligomer being capable of impeding pathological fibrosis. 3. The oligomer of claim 2, said fibrosis being associated with medical conditions selected from the group consisting of myocardial fibrosis in hypertensive heart diseases, atherosclerosis, restenosis, liver cirrhosis, lung fibrosis, peritoneal fibrosis, and skin fibrosis found in scleroderma, in hypertrophic scars, and in skin following burn injury. 4. The oligomer of claim 1, said oligomer being selected from the group consisting of oligonucleotides and oligonucleotide analogs. 5. The oligomer of claim 4, said analog being protein nucleic acid. 6. The oligomer of claim 4, said oligomer being an oligonucleotide. 7. The oligonucleotide of claim 6, said gene being a mammalian gene. 8. The oligonucleotide of claim 6, said gene being a type I collagen gene. 9. The oligonucleotide of claim 8, said gene being an l(I) collagen gene. 10. The oligonucleotide of claim 6, said oligonucleotide being DNA. 11. The oligonucleotide of claim 6, said oligonucleotide being RNA. 12. The oligonucleotide of claim 6, said oligonucleotide being selected from the group consisting of phosphodiester, phosphorothioate, methylphosphonate, and methylphosphonothioate oligonucleotides. 13. The oligonucleotide of claim 1 , said oligonucleotide being a phosphodiester oligonucleotide. 14. The oligonucleotide of claim 6, said oligonucleotide being at least about 5 nucleotides in length. 15. The oligonucleotide of claim 14, said length being from about 5 to 50 nucleotides. 16. The oligonucleotide of claim 6, said oligonucleotide being capable of binding to the promoter region of said gene. 17. The oligonucleotide of claim 16, said oligonucleotide being capable of binding to a polypurine-polypyrimidine region of said promoter region. 18. The oligonucleotide of claim 17, said polypurine-polypyrimidine region having at least part of the sequence of SEQ ID No: 1. 19. The oligonucleotide of claim 18, said oligonucleotide comprising a sequence selected from the group consisting of SEQ ID Nos: 5, 6, 8, 9, 11, 12, and 14. 20. The oligonucleotide of claim 17, said oligonucleotide being capable of binding to the polypurine strand of said polypurine-polypyrimidine region. 21. The oligonucleotide of claim 20, said oligonucleotide being capable of binding to the polypurine strand of said polypurine-polypyrimidine region. 22. The oligonucleotide of claim 20, said oligonucleotide being capable of binding to said polypurine strand in an antiparallel orientation. 23. A complex comprising an oligomer bound to a collagen gene. 24. The complex of claim 23, said oligomer being selected from the group consisting of oligonucleotides and oligonucleotide analogs. 25. The complex of claim 24, said analog being protein nucleic acid. 26. The complex of claim 24, said oligomer being an oligonucleotide. 27. The complex of claim 23, said gene being a mammalian gene. 28. The complex of claim 23, said gene being a type I collagen gene. 29. The complex of claim 28, said gene being an 1(1) collagen gene. 30. The complex of claim 26, said oligonucleotide being DNA. 31. The complex of claim 26, said oligonucleotide being RNA. 32. The complex of claim 26, said oligonucleotide being selected from the group consisting of phosphodiester, phosphorothioate, methylphosphonate, and methylphosphonothioate oligonucleotides. 33. The complex of claim 32, said oligonucleotide being a phosphodiester oligonucleotide. 34. The complex of claim 26, said oligonucleotide being at least about 5 nucleotides in length. 35. The complex of claim 34, said length being from about 5 to 50 nucleotides. 36. The complex of claim 26, said oligonucleotide being capable of binding to the promoter region of said gene. 37. The complex of claim 36, said oligonucleotide being capable of binding to a polypurine-polypyrimidine region of said promoter region. 38. The complex of claim 37, said polypurine-polypyrimidine region having at least part of the sequence of SEQ ID No: 1. 39. The complex of claim 38, said oligonucleotide comprising a sequence selected from the group consisting of SEQ ID Nos: 5, 6, 8, 9, 11, 12, and 14. 40. The complex of claim 37, said oligonucleotide being capable of binding to the polypurine strand of said polypurine-polypyrimidine region. 41. The complex of claim 40, said oligonucleotide being capable of binding to said polypurine strand in a parallel orientation. 42. The complex of claim 40, said oligonucleotide being capable of binding to said polypurine strand in an antiparallel orientation. 43. A method of inhibiting expression of a collagen gene comprising the steps of: inserting an oligomer into a cell; and causing an intracellular reaction which inhibits said gene expression. 44. The method of claim 43, said oligomer being dispersed in a pharmaceutically acceptable carrier. 45. The method of claim 44, said carrier being selected from the group consisting of injectable preparations, sprays, ointments, creams, gels, tablets, and perfusions. 46. The method of claim 43 , said oligomer being selected from the group consisting of oligonucleotides and oligonucleotide analogs. 47. The method of claim 46, said analog being protein nucleic acid. 48. The method of claim 46, said oligomer being an oligonucleotide. 49. The method of claim 48, said gene being a mammalian gene. 50. The method of claim 48, said gene being a type I collagen gene. 51. The method of claim 50, said gene being an α 1 (I) collagen gene. 52. The method of claim 50, said oligonucleotide being DNA. 53. The method of claim 50, said oligonucleotide being RNA. 54. The method of claim 48, said oligonucleotide being selected from the group consisting of phosphodiester, phosphorothioate, methylphosphonate, and methylphosphonothioate oligonucleotides. 55. The method of claim 54, said oligonucleotide being a phosphodiester oligonucleotide. 56. The method of claim 48, said oligonucleotide being at least about 5 nucleotides in length. 57. The method of claim 56, said length being from about 5 to 50 nucleotides. 58. The method of claim 48, said oligonucleotide capable of binding to the promoter region of said gene. 59. The method of claim 58, said oligonucleotide capable of binding to a polypurine-polypyrimidine region of said promoter region. 60. The method of claim 59, said polypurine-polypyrimidine region having at least part of the sequence of SEQ ID No: 1. 61. The method of claim 60, said oligonucleotide comprising a sequence selected from the group consisting of SEQ ID Nos: 5, 6, 8, 9, 11, 12, and 14. 62. The method of claim 59, said oligonucleotide capable of binding to the polypurine strand of said polypurine-polypyrimidine region. 63. The method of claim 62, said oligonucleotide capable of binding to said polypurine strand in a parallel orientation. 64. The method of claim 62, said oligonucleotide capable of binding to said polypurine strand in an antiparallel orientation. 65. The oligonucleotide of SEQ ID No: 14. 66. An oligonucleotide having from about 5-50 nucleotides and being capable of bonding with a double-stranded promoter region of a human collagen gene to form a triple-helix complex. 67. A vector containing the oligomer of claim 1. 68. The vector of claim 67 wherein the vector is a plasmid. 69. The vector of claim 67 wherein the vector is a viral vector. 70. The vector of claim 69 wherein the viral vector is a lentivirus vector. 71. The vector of claim 70 wherein the lentivirus vector is a retrovirus.

Inventors: GUNTAKA RAMAREDDY V, KANDALA JAGANNADHACHARI, KOVACS ATTILLA, WEBER KARL T, GUNTAKA, RAMAREDDY, V., KANDALA, JAGANNADHACHARI, KOVACS, ATTILLA, WEBER, KARL, T.
Applicants: GUNTAKA RAMAREDDY V, KANDALA JAGANNADHACHARI, KOVACS ATTILLA, WEBER KARL T, GUNTAKA, RAMAREDDY, V., KANDALA, JAGANNADHACHARI, KOVACS, ATTILLA, WEBER, KARL, T.
Application year: 1999
Main classification: C12Q1
IPC codes: A61K38, C07H21, C12N15, C12Q1