Harshi Peiris, Ph.D. Profile picture
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May 19, 12 tweets

🚨 BREAKING Scientists just gave 15 people a single IV drip.
No daily pills.
No monthly injections.
One time.
Done.

Their "bad" cholesterol dropped 50%.
Triglycerides dropped 55%.

And it may be PERMANENT.

This is CRISPR β€” and it just changed cardiology forever. 🧡

The drug is called CTX310.
It's made by CRISPR Therapeutics.

Here's how it works in plain English:
Your liver makes a protein called ANGPTL3.
That protein BLOCKS your body from clearing cholesterol.

CTX310 turns that gene OFF.
Permanently.

Like flipping a switch β€” and never having to flip it again. πŸ”¬

Here's the wild part.

Some people are BORN with a broken ANGPTL3 gene.
What happens to them?
βœ… Lifelong low cholesterol
βœ… Lifelong low triglycerides
βœ… Dramatically lower heart disease risk
❌ No harmful side effects

Scientists thought: what if we could give EVERYONE that mutation?

That's exactly what CTX310 does. 🧬

The clinical trial results were published in the New England Journal of Medicine.
15 patients.
All had cholesterol disorders that DIDN'T respond to standard drugs.
After ONE infusion:
πŸ“‰ LDL cholesterol: DOWN 49% (max -87%)
πŸ“‰ Triglycerides: DOWN 55% (max -84%)
πŸ“‰ ANGPTL3 protein: DOWN 73% (max -89%)

Effects kicked in within 2 WEEKS.
Still holding at 60 days follow-up.

How does CRISPR even get INTO your liver cells?

The secret: Lipid Nanoparticles (LNPs).

Tiny fat bubbles β€” the same tech used in mRNA COVID vaccines.

They carry the CRISPR editing tools directly to liver cells.

Once inside:
β€’ Cas9 enzyme cuts the ANGPTL3 gene
β€’ The cell tries to repair the cut
β€’ The repair breaks the gene β€” permanently

One infusion.
Done.
The liver keeps the edit for life.

Let me put this in perspective.
Current cholesterol treatments:
πŸ’Š Statins β†’ Take EVERY DAY
πŸ’‰ PCSK9 injections β†’ Every 2–4 WEEKS
πŸ’‰ Inclisiran β†’ Twice a YEAR
CTX310: πŸ’‰ Once.

Possibly FOREVER.
And it's the ONLY treatment that simultaneously drops both LDL AND triglycerides in one shot.

Nothing else does that.

Now β€” let's talk about safety. Because this matters.

The honest picture:

βœ… No treatment-related serious adverse events
βœ… No dangerous liver enzyme spikes
βœ… No dose-limiting toxicities

⚠️ 3 patients had minor infusion reactions (nausea, back pain) β€” resolved quickly
⚠️ 1 patient had a brief liver enzyme bump β€” back to normal in 14 days

2 serious events occurred β€” but BOTH were ruled unrelated to CTX310. Early data. Promising. But more study is needed.

Here's what nobody is talking about enough.
The FDA requires 15 YEARS of safety follow-up for all CRISPR gene therapies.

Why?
Because editing DNA is irreversible.
If something goes wrong β€” you can't un-edit a gene.

We don't know:
❓ Will the effect last 10, 20, 30 years?
❓ Could there be off-target DNA edits?
❓ Long-term cancer risk?

This is why Phase 2 & 3 trials matter enormously.

Who is this designed for right now?
The Phase 1 trial enrolled:
πŸ”΄ Homozygous Familial Hypercholesterolemia β€” inherited extreme high LDL
πŸ”΄ Severe Hypertriglyceridemia β€” dangerously high triglycerides
πŸ”΄ Mixed Dyslipidemia β€” both LDL AND triglycerides elevated
πŸ”΄ All had FAILED standard treatments

40+ million Americans have elevated LDL, high triglycerides, or both.

If this scales β€” the potential is enormous.

So what happens next?
πŸ“ Phase 1b trials:
NOW ENROLLING β†’ Focused on severe hypertriglyceridemia + mixed dyslipidemia
β†’ Larger groups, longer follow-up πŸ“

Phase 2 trials: Expected ~late 2026 πŸ“

Hard outcomes trials (heart attacks? strokes? mortality?) β€” Years away. T

his isn't a treatment you can get yet. But the door just opened in a way it never has before.

Watch ClinicalTrials.gov for updates. πŸ‘‡

Step back and think about what this really means.

CRISPR was supposed to be for rare diseases.
Sickle cell.
Muscular dystrophy.
One in a million.

Now it's targeting the #1 killer of humans on earth … Heart disease.

If CTX310 works in large trials β€” we're not talking about treating millions.

We're talking about potentially PREVENTING heart disease with a single infusion.

The science fiction future just got a lot closer.

If you found this thread valuable:
♻️ Retweet the first tweet β€” someone you know needs to see this
❀️ Follow for more medical breakthroughs explained simply
πŸ”– Bookmark this thread β€” this story is just getting started

⚠️ IMPORTANT: CTX310 is NOT available yet.
It's investigational.
Talk to a cardiologist about YOUR cholesterol options TODAY.

Screenshots to the actual peer-reviewed trial and all sources in this thread. πŸ”¬πŸ§¬

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