Overview

overview

32%

of global deaths are caused by

cardiovascular disease¹

Cardiovascular disease (CVD) is one of the leading causes of death worldwide.¹ One of the top risk factors for developing CVD is high cholesterol.²

146M

people took statins in 2018, the most popular cholesterol medication³

Many effective therapeutics have been developed to lower cholesterol such as statins and ezetemibe. Despite the popularity of these drugs, CVD remains prevalent in our society. Why?

32%

of global deaths are caused by cardiovascular disease

146M

people took statins in 2018, the most popular cholesterol medication

These treatments are typically given only after a patient already has CVD or is at high risk of developing it.⁴
Administering them before the advent of high cholesterol would likely be beneficial, but young, healthy people are unlikely to take a pill that is not only costly and full of side effects, but also hasn’t been prescribed by a doctor.

Healthy people don't want to take medication.

However, probiotics could provide a middle ground.

Project Description

Probiotics are introduced to the body on a daily basis, often without us realizing. Probiotics as such are much more available and taking them do not have the same ramifications and side effects as taking a “hard drug” such as a statin.

Especially the way we designed it.

CoBiota is a probiotic that lowers cholesterol by converting cholesterol to coprostanol in the gut. While gut sterol absorption is usually indiscriminate, coprostanol is unique in that it does not follow this convention, and is not absorbed.⁵

Effectively, any converted cholesterol gets excreted out of the body.

To accomplish this, we have integrated a 3-part metabolic pathway into our bacterial chassis that will express enzymes that together perform the conversion.

A probiotic not designed to colonize.

Conventional probiotics attempt to colonize the gut, boasting high CFU counts in an attempt to allow them to make a consistent change to any individual’s microbiome.⁶

However, just like a fingerprint, each individual’s microbiome is different, and whether a probiotic successfully colonizes is completely dependent on the microbiome composition.⁷ With microbiomes changing constantly, this goal proves even harder to satisfy.

With this in mind, there is no way of knowing with certainty whether a conventional probiotic would have a significant effect on an individual, if any at all.

With the power of genetic engineering, we are able to create a probiotic that doesn’t rely on having to colonize the gut to be effective. This is because our goal is not to interact with the gut itself but rather with the components within (i.e., bile, excess cholesterol, etc.) We house the enzymatic pathway to convert cholesterol to coprostanol inside a chassis that ensures ideal conditions for activity.

Engineered with purpose.

Designed for everyone.

References

  1. World Health Organization. CardioVascular Diseases. (2021) https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  2. Blais, J. E., Wei, Y., Yap, K. K. W. et al. Trends in lipid-modifying agent use in 83 countries. Atherosclerosis, 328, 44–51. (2021) https://doi.org/10.1016/j.atherosclerosis.2021.05.016
  3. Liu, C., Yan, W. Shi, J. et al. Biological Actions, Implications, and Causations of Statins Therapy in COVID-19. Frontiers Nutrition (2022)
  4. Brugts, J. J., Yetgin, T., Hoeks, S. E., et al. (2009). The benefits of statins in people without established cardiovascular disease but with cardiovascular risk factors: meta-analysis of randomised controlled trials. BMJ, 338(jun30 1), b2376–b2376. https://doi.org/10.1136/bmj.b2376
  5. Kriaa, A., Bourgin, M., Mkaouar, H. et al. (2019) Microbial Reduction of Cholesterol to Coprostanol: An Old Concept and New Insights. Catalysts. https://doi.org/10.3390/catal9020167
  6. Kechagia, M., Basoulis, D., Konstantopoulou, S. et al. (2013) Health benefits of probiotics: a review. ISRN nutrition, 481651. https://doi.org/10.5402/2013/481651
  7. Wilmanski, T., Diener, C., Rappaport, N. et al. (2021) Gut microbiome pattern reflects healthy ageing and predicts survival in humans. Nat Metab 3, 274–286 . https://doi.org/10.1038/s42255-021-00348-0

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