The applications of synthetic nucleotides vary widely and include disease diagnosis, treatment, or precision medicine. 
# Antiviral or Antiretroviral agents: several nucleotide derivatives have been used in the treatment against infection with Hepatitis and HIV. Examples of direct nucleoside analog reverse-transcriptase inhibitors (NRTIs) include Tenofovir disoproxil, Tenofovir alafenamide, and Sofosbuvir. On the other hand, agents such as Mericitabine, Lamivudine, Entecavir and Telbivudine must first undergo metabolization via phosphorylation to become activated. 
# Antisense oligonucleotides (ASO): synthetic oligonucleotides have been used in the treatment of rare heritable diseases since they can bind specific RNA transcripts and ultimately modulate protein expression. Spinal muscular atrophy, amyotrophic lateral sclerosis, homozygous familial hypercholesterolemia, and primary hyperoxaluria type 1 are all amenable to ASO-based therapy. The application of oligonucleotides is a new frontier in precision medicine and management of conditions which are untreatable.
# Synthetic guide RNA (gRNA): synthetic nucleotides can be used to design gRNA which are essential for the proper function of gene-editing technologies such as CRISPR-Cas9.