CEO @scribetx | at the interface of molecular and genetic engineering | designing CRISPR to be safe enough for all

๐—ง๐—ผ๐—ฑ๐—ฎ๐˜†, ๐—ฆ๐—ฐ๐—ฟ๐—ถ๐—ฏ๐—ฒ ๐—ง๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐—ฒ๐˜‚๐˜๐—ถ๐—ฐ๐˜€ ๐—ผ๐—ณ๐—ณ๐—ถ๐—ฐ๐—ถ๐—ฎ๐—น๐—น๐˜† ๐—ฏ๐—ฒ๐—ฐ๐—ฎ๐—บ๐—ฒ ๐—ฎ ๐—ฐ๐—น๐—ถ๐—ป๐—ถ๐—ฐ๐—ฎ๐—น-๐˜€๐˜๐—ฎ๐—ด๐—ฒ ๐—ฏ๐—ถ๐—ผ๐˜๐—ฒ๐—ฐ๐—ต๐—ป๐—ผ๐—น๐—ผ๐—ด๐˜† ๐—ฐ๐—ผ๐—บ๐—ฝ๐—ฎ๐—ป๐˜† ๐˜„๐—ถ๐˜๐—ต ๐˜๐—ต๐—ฒ ๐—ฎ๐—ฑ๐˜ƒ๐—ฎ๐—ป๐—ฐ๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—ฆ๐—ง๐—ซ-๐Ÿญ๐Ÿญ๐Ÿฑ๐Ÿฌ, a novel ๐˜ช๐˜ฏ ๐˜ท๐˜ช๐˜ท๐˜ฐ epigenetic CRISPR therapy designed to deliver ultra-durable lowering of โ€œbad cholesterol,โ€ from a single dose, all without permanently altering the genome. This program is built on years of intentional and iterative engineering focused on improving the safety, specificity, potency, and durability of CRISPR medicines. ๐—•๐˜‚๐˜ ๐˜„๐—ต๐—ฎ๐˜ ๐—ฒ๐˜…๐—ฐ๐—ถ๐˜๐—ฒ๐˜€ ๐—บ๐—ฒ ๐—บ๐—ผ๐˜€๐˜ ๐—ถ๐˜€ ๐˜„๐—ต๐—ฎ๐˜ ๐˜๐—ต๐—ถ๐˜€ ๐—ฐ๐—ผ๐˜‚๐—น๐—ฑ ๐—บ๐—ฒ๐—ฎ๐—ป ๐—ณ๐—ผ๐—ฟ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜๐˜€ ๐—น๐—ถ๐—ธ๐—ฒ ๐—บ๐˜†๐˜€๐—ฒ๐—น๐—ณ. As someone at high risk of ASCVD, like roughly one-third of adults in the U.S., Iโ€™ve spent a lot of time thinking about the burden patients carry. For a chronic disease like ASCVD, prevention is far from easy. Success depends on maintaining near-perfect adherence to pills or injections for decades. In the real world, thatโ€™s incredibly difficult and simply not practical for most people. The fact that ASCVD remains the leading cause of death globally, despite plenty of therapeutic choices, makes that painfully clear. ๐—ง๐—ต๐—ฒ ๐—ณ๐˜‚๐˜๐˜‚๐—ฟ๐—ฒ ๐—ผ๐—ณ ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ถ๐—ป๐—ฒ ๐˜€๐—ต๐—ผ๐˜‚๐—น๐—ฑ ๐—ฎ๐˜€๐—ฝ๐—ถ๐—ฟ๐—ฒ ๐˜๐—ผ ๐—บ๐—ผ๐—ฟ๐—ฒ ๐˜๐—ต๐—ฎ๐—ป ๐—ฐ๐—ต๐—ฎ๐—ถ๐—ป๐—ถ๐—ป๐—ด ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜๐˜€ ๐˜๐—ผ ๐—น๐—ถ๐—ณ๐—ฒ๐—น๐—ผ๐—ป๐—ด ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€. The vision behind STX-1150 is to provide year to decades of LDL-C lowering from a simple intervention, helping free patients from the constant burden of chronic treatment while more effectively reducing the risk of the worldโ€™s leading cause of death. The future is about empowering patients to take greater control of our own health destiny and preventing disease rather than waiting to treat it after catastrophe occurs. ๐—œ ๐—ฏ๐—ฒ๐—น๐—ถ๐—ฒ๐˜ƒ๐—ฒ ๐—ฎ ๐—ป๐—ฒ๐˜„ ๐—ฒ๐—ฟ๐—ฎ ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐—ฒ๐˜‚๐˜๐—ถ๐—ฐ๐˜€ ๐—ถ๐˜€ ๐—ผ๐—ป ๐˜๐—ต๐—ฒ ๐—ต๐—ผ๐—ฟ๐—ถ๐˜‡๐—ผ๐—ป, ๐—ผ๐—ป๐—ฒ ๐˜„๐—ต๐—ฒ๐—ฟ๐—ฒ ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ถ๐—ป๐—ฒ ๐—ฐ๐—ฎ๐—ป ๐—ฑ๐˜‚๐—ฟ๐—ฎ๐—ฏ๐—น๐˜† ๐—ฟ๐—ฒ๐˜€๐—ต๐—ฎ๐—ฝ๐—ฒ ๐—น๐—ผ๐—ป๐—ด-๐˜๐—ฒ๐—ฟ๐—บ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ฎ๐—ป๐—ฑ ๐—ฎ๐—น๐—น๐—ผ๐˜„ ๐˜‚๐˜€ ๐—ฎ๐—น๐—น ๐˜๐—ผ ๐—น๐—ถ๐˜ƒ๐—ฒ ๐—น๐—ผ๐—ป๐—ด๐—ฒ๐—ฟ, ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต๐—ถ๐—ฒ๐—ฟ ๐—น๐—ถ๐˜ƒ๐—ฒ๐˜€ ๐˜„๐—ถ๐˜๐—ต ๐—ด๐—ฟ๐—ฒ๐—ฎ๐˜๐—ฒ๐—ฟ ๐—ณ๐—ฟ๐—ฒ๐—ฒ๐—ฑ๐—ผ๐—บ. Extremely proud of the entire Scribe team for advancing this vision. Excited for what comes next.
Announcing our first clinical trial. Scribe has secured regulatory clearance from Australiaโ€™s @TGAgovau to initiate a first-in-human clinical study of STX-1150 for the treatment of hypercholesterolemia, a major driver of atherosclerotic cardiovascular disease (ASCVD). Details๐Ÿงต
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Benjamin L. Oakes retweeted
Welcome to lesson #3 of ๐—ฆ๐—ฐ๐—ฟ๐—ถ๐—ฏ๐—ฒ ๐—ฆ๐˜†๐—น๐—น๐—ฎ๐—ฏ๐˜‚๐˜€, our educational series exploring how genetic medicine can tackle some of healthโ€™s most critical challenges. We previously covered the potential of genetic medicine to restore and improve everyone's health. In this post, weโ€™ll go back in time to understand where CRISPR โ€“ one of the most powerful technologies for genetic medicine โ€“ came from and how itโ€™s being used to develop breakthrough therapies today. Have a question or a topic we should cover in a future post? Drop it in the comments. ๐Ÿ“– ๐—›๐—ผ๐˜„ ๐—–๐—ฅ๐—œ๐—ฆ๐—ฃ๐—ฅ ๐˜„๐—ฎ๐˜€ ๐—ฑ๐—ถ๐˜€๐—ฐ๐—ผ๐˜ƒ๐—ฒ๐—ฟ๐—ฒ๐—ฑ Decades before CRISPR was harnessed into a gene editing technology, scientists understood that DNA holds the natural blueprint for disease prevention. The problem was turning that knowledge into safe, reliable treatments. They lacked a tool precise enough to make efficient, accurate edits to the human genome. The discovery of CRISPR closed that gap, and it all started with bacteria. For the full post, head over to our Substack where we cover: โ€ข The origin of CRISPR as a natural defense for bacteria to fend off viruses โ€ข How Jennifer Doudna (one of Scribeโ€™s co-founders) and Emmanuelle Charpentier showed that CRISPR could be engineered and reprogrammed to target any piece of DNA, not just viral DNA โ€ข How CRISPR is being used today to improve human health across the globe ๐Ÿ”— scribetx.substack.com/p/scriโ€ฆ โœ๏ธ Image credit: IGI Glossary Icon Collection by Christine Liu of Two Photon Art for the Innovative Genomics Institute
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Benjamin L. Oakes retweeted
Hear directly from our CEO @BenjaminLOakes about Scribeโ€™s lead asset STX-1150, a clinical-stage epigenetic silencing therapy purpose-built to repress PCSK9, lower LDL cholesterol, and offer durable cardiovascular risk reduction to patients in need. More on our cardiometabolic pipeline, engineering approach compared to first-generation CRISPR technologies, and more in his conversation with @bradloncar. Full video is up on @BiotechTV: biotechtv.com/post/scribe-thโ€ฆ
๐‡๐‚๐– ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ”: @scribetx which represents the next generation of CRISPR, had its IPO in July - the first clinical program targets PCSK9. With Co-Founder & CEO @BenjaminLOakes. $SCTX Full video: biotechtv.com/post/scribe-thโ€ฆ
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Thanks to @bradloncar and @BiotechTV for the opportunity to discuss our approach and pipeline!
๐‡๐‚๐– ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ”: @scribetx which represents the next generation of CRISPR, had its IPO in July - the first clinical program targets PCSK9. With Co-Founder & CEO @BenjaminLOakes. $SCTX Full video: biotechtv.com/post/scribe-thโ€ฆ
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Benjamin L. Oakes retweeted
๐‡๐‚๐– ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ”: @scribetx which represents the next generation of CRISPR, had its IPO in July - the first clinical program targets PCSK9. With Co-Founder & CEO @BenjaminLOakes. $SCTX Full video: biotechtv.com/post/scribe-thโ€ฆ
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Benjamin L. Oakes retweeted
๐Ÿ‘‰ Atherosclerosis is complex. Its root cause is not. โ†’ Inflammation modifies the response. โ†’ Hypertension accelerates the damage. โ†’ Diabetes amplifies the risk. โ†’ Smoking fuels the process. ๐Ÿ‘†But without apoB-containing lipoproteins entering and being retained in the arterial wall, there is no atherosclerotic plaque. ๐Ÿ‘‰LDL is not just another risk factor. It is the main causal driver of atherosclerosis. No cholesterol deposition. No plaque. @society_eas
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Could not agree more!
๐Ÿ‘‰ Atherosclerosis is complex. Its root cause is not. โ†’ Inflammation modifies the response. โ†’ Hypertension accelerates the damage. โ†’ Diabetes amplifies the risk. โ†’ Smoking fuels the process. ๐Ÿ‘†But without apoB-containing lipoproteins entering and being retained in the arterial wall, there is no atherosclerotic plaque. ๐Ÿ‘‰LDL is not just another risk factor. It is the main causal driver of atherosclerosis. No cholesterol deposition. No plaque. @society_eas
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Benjamin L. Oakes retweeted
๐Ÿงฌ๐Ÿ” We built two-factor authentication into gene silencing. Read about it in our new blog and paper โ€“ links in the comments. We call this approach ๐—ฆ๐—ฒ๐—พ๐˜‚๐—ฒ๐—ป๐˜๐—ถ๐—ฎ๐—น ๐—ฃ๐—ฟ๐—ผ๐—ผ๐—ณ๐—ฟ๐—ฒ๐—ฎ๐—ฑ๐—ถ๐—ป๐—ด. Itโ€™s engineered into ELXR, the epigenetic silencing technology built on our CRISPR-CasX platform. The results? ๐—จ๐—น๐˜๐—ฟ๐—ฎ-๐—น๐—ผ๐—ป๐—ด ๐—ด๐—ฒ๐—ป๐—ฒ ๐˜€๐—ถ๐—น๐—ฒ๐—ป๐—ฐ๐—ถ๐—ป๐—ด ๐˜„๐—ถ๐˜๐—ต๐—ผ๐˜‚๐˜ ๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐˜† ๐——๐—ก๐—”. โ†’ More than 10-fold greater specificity โ†’ More than 4-fold greater silencing activity across every target tested โ†’ No toxicity in stress tests, rescuing growth defects observed with Cas9-based silencers โ†’ Mechanism mirrors the cellโ€™s natural regulation Learn more about this work led by Emeric J Charles, Christie C Sze, @BenjaminLOakes, Sarah Denny, @jdf_ev, and team below.
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Benjamin L. Oakes retweeted
This week, donโ€™t miss these upcoming talks by our co-founders: 1๏ธโƒฃ Fireside chat with CEO @BenjaminLOakes at the @HCWCO 28th Annual Global Investment Conference. This will take place Tuesday, September 15 at 2:30 p.m. ET in New York. #HCWConference 2๏ธโƒฃ Panel discussion where VP of External Innovation @BStaahl will discuss โ€œAdvances in Gene Editingโ€ at the Cell & Gene Therapy Symposium. The session begins Thursday, September 17 at 11:00 a.m. PT in La Jolla and is hosted by the @CALifeSciences, @CIRMnews, and Gene Therapy Initiative at @UCSanDiego.
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Benjamin L. Oakes retweeted
๐—ง๐—ต๐—ฒ ๐—™๐˜‚๐˜๐˜‚๐—ฟ๐—ถ๐˜€๐˜: ๐—ง๐—ฒ๐—ฐ๐—ต๐—ป๐—ผ๐—น๐—ผ๐—ด๐—ถ๐—ฒ๐˜€ ๐—ง๐—ต๐—ฎ๐˜ ๐—–๐—ผ๐˜‚๐—น๐—ฑ ๐—ฅ๐—ฒ๐—ฑ๐—ฒ๐—ณ๐—ถ๐—ป๐—ฒ ๐—›๐˜‚๐—บ๐—ฎ๐—ป๐—ถ๐˜๐˜† โ€” ๐—ผ๐—ฟ ๐—ก๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—™๐˜‚๐—น๐—น๐˜† ๐——๐—ฒ๐—น๐—ถ๐˜ƒ๐—ฒ๐—ฟ ๐˜๐˜ถ๐˜ด๐˜ช๐˜ฐ๐˜ฏ, ๐˜ข๐˜ฅ๐˜ท๐˜ข๐˜ฏ๐˜ค๐˜ฆ๐˜ฅ ๐˜ฏ๐˜ถ๐˜ค๐˜ญ๐˜ฆ๐˜ข๐˜ณ, ๐˜ˆ๐˜, ๐˜ฒ๐˜ถ๐˜ข๐˜ฏ๐˜ต๐˜ถ๐˜ฎ ๐˜ต๐˜ฆ๐˜ค๐˜ฉ๐˜ฏ๐˜ฐ๐˜ญ๐˜ฐ๐˜จ๐˜ช๐˜ฆ๐˜ด, ๐˜ฃ๐˜ช๐˜ฐ๐˜ฎ๐˜ฆ๐˜ฅ๐˜ช๐˜ค๐˜ช๐˜ฏ๐˜ฆ, ๐˜ข๐˜ฏ๐˜ฅ ๐˜จ๐˜ฆ๐˜ฏ๐˜ฆ๐˜ต๐˜ช๐˜ค ๐˜ฆ๐˜ฏ๐˜จ๐˜ช๐˜ฏ๐˜ฆ๐˜ฆ๐˜ณ๐˜ช๐˜ฏ๐˜จ Next week, our co-founder and CEO @BenjaminLOakes will discuss todayโ€™s most ambitious and promising technologies โ€“ including gene editing and silencing โ€“ at #IPAVision 2026, the Institute for Portfolio Alternativesโ€™ premier event. Panel details below. ๐Ÿ“… Wednesday, September 16, 2026 ๐Ÿ•— 5:15-6:05 p.m. ET ๐Ÿ“ Atlanta
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Benjamin L. Oakes retweeted
This morning at the @WellsFargo Healthcare Conference, our co-founder and CEO @BenjaminLOakes will participate in a fireside chat. More information below ๐Ÿ‘‡ ๐Ÿ“… Wednesday, September 9, 2026 ๐Ÿ•— 8:00 a.m. ET ๐Ÿ“ Boston
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Benjamin L. Oakes retweeted
Epigenetic silencing made the @nytimes today. The real-world example for how it could improve heart health: Scribeโ€™s single shot designed to reduce LDL cholesterol. Hereโ€™s how it works. While gene editing rewrites the DNA you were born with, our silencing approach changes how a gene behaves and leaves the code intact. Instead of a daily statin, a single dose of our epigenetic silencing therapy STX-1150 represses the PCSK9 gene in the liver that destroys the receptors your body uses to clear LDL-C, keeping the levels of this โ€˜badโ€™ cholesterol lowered for years and drastically lowering the risk of heart disease. STX-1150 is in clinical trials now. For more details, read the Times story and check out our website in the links below.
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Benjamin L. Oakes retweeted
Welcome back to ๐—ฆ๐—ฐ๐—ฟ๐—ถ๐—ฏ๐—ฒ ๐—ฆ๐˜†๐—น๐—น๐—ฎ๐—ฏ๐˜‚๐˜€, where we explore how genetic medicine can tackle some of the most critical challenges in human health. Last time, we defined genetic medicine and discussed how it differs from traditional forms of treatment. In this lesson, weโ€™ll dive into the many ways that this technology can be harnessed to improve health worldwide. ๐Ÿ“– ๐—›๐—ผ๐˜„ ๐—š๐—ฒ๐—ป๐—ฒ๐˜๐—ถ๐—ฐ ๐— ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ถ๐—ป๐—ฒ ๐—–๐—ฎ๐—ป ๐—ฅ๐—ฒ๐˜€๐˜๐—ผ๐—ฟ๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐—œ๐—บ๐—ฝ๐—ฟ๐—ผ๐˜ƒ๐—ฒ ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ณ๐—ผ๐—ฟ ๐—˜๐˜ƒ๐—ฒ๐—ฟ๐˜†๐—ผ๐—ป๐—ฒ The goal of genetic medicine is to directly remedy the underlying biology of harmful disease to restore, improve, and extend healthy quality of life. Instead of managing symptoms and requiring daily medication like traditional drugs may, genetic medicine can prevent and even potentially cure disease before it strikes. The Human Genome Project, launched in 1990, laid the foundation of genetic medicine and gave us a roadmap to understand how our DNA can drive or prevent disease. In fact, some people are born with natural, lifelong protection from specific diseases written into their DNA. That's nature's blueprint, which genetic medicine aims to read and deliver to everyone. For the full post, head over to our Substack where we cover: โ€ข Why genetic medicine has so far been largely limited to rare, terminal diseases โ€ข An introduction to Victoria Gray, the first patient to be treated with CRISPR genetic medicine for sickle cell disease โ€ข Ongoing advances in CRISPR technology to support treatments for a much wider range of people and that are not only effective enough but also safe enough to address common diseases โ€ข Genetic medicine targeting the worldโ€™s leading cause of death: heart disease โ€ข Examples of genetic switches that can raise or lower cardiovascular risk ๐Ÿ”— scribetx.substack.com/p/scriโ€ฆ ๐—จ๐—ฝ ๐—ป๐—ฒ๐˜…๐˜: ๐—” ๐—ฑ๐—ฒ๐—ฒ๐—ฝ๐—ฒ๐—ฟ ๐—ฑ๐—ถ๐˜ƒ๐—ฒ ๐—ถ๐—ป๐˜๐—ผ ๐—–๐—ฅ๐—œ๐—ฆ๐—ฃ๐—ฅ-๐—ฏ๐—ฎ๐˜€๐—ฒ๐—ฑ ๐—ด๐—ฒ๐—ป๐—ฒ๐˜๐—ถ๐—ฐ ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ถ๐—ป๐—ฒ๐˜€ In our next few posts, weโ€™ll explore: ๐Ÿงฌ How CRISPR technology works ๐Ÿง‘โ€๐Ÿ”ฌ CRISPRโ€™s surprising origin story! ๐Ÿ› ๏ธ Engineering CRISPR into different medicines and tools Let us know what other questions youโ€™d like us to cover.
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Benjamin L. Oakes retweeted
Today we reported our second quarter 2026 financial results and recent corporate highlights including: โ†’ Initiation of a first-in-human Phase 1 clinical trial for our in vivo epigenetic silencing therapy STX-1150 โ†’ @CIRMnews awards of more than $25M to advance our gene editing programs STX-1200 for Lp(a) lowering and STX-1400 for triglyceride lowering toward clinical entry โ†’ The latest manuscript on ELXR, our highly engineered epigenetic silencing technology โ†’ The completion of our IPO and funding into the first half of 2029 โ€œThe second quarter and the weeks immediately following represented a transformational period for Scribe,โ€ said @BenjaminLOakes, Ph.D., co-founder and Chief Executive Officer of Scribe Therapeutics. โ€œWe advanced our lead silencing asset STX-1150 into the clinic, secured significant grant support from CIRM to develop our next two cardiometabolic assets, and successfully completed our initial public offering. These achievements position us to execute across a broadly differentiated portfolio of CRISPR genetic medicines designed to address the three major lipid drivers of atherosclerotic cardiovascular disease: LDL-C, Lp(a), and triglycerides.โ€ Learn more in our press release: globenewswire.com/news-releaโ€ฆ
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Benjamin L. Oakes retweeted
Weโ€™re holding Office Hours this week with Scribe co-founders, David Savage, @UCBerkeley professor, and @BenjaminLOakes! With Dr. Savageโ€™s latest new research out investigating the precision of base editing, they sat down for a Q&A to break down the surprising findings and what they mean for building safer genetic medicines. They cover how this work reveals: 1๏ธโƒฃ Base editors carry a different set of off-target risks. Where do those off-target effects occur, and how do they differ from what you'd see with a genome editor? 2๏ธโƒฃ Whatโ€™s surprising about the actual specificity and safety of base editors 3๏ธโƒฃ Implications for research on genetic medicine approaches and the use of base editors and deaminase-based technologies in the clinic And more! Read the full interview here on Substack: scribetx.substack.com/p/q-anโ€ฆ New to our blog? Subscribe to stay updated on our educational content, scientific publications, and wider progress engineering purpose-built genetic medicines.
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Benjamin L. Oakes retweeted
This fall, our management team will be participating in the following upcoming investor conferences. More details below and in our press release: globenewswire.com/news-releaโ€ฆ ๐Ÿ“ฃ Wells Fargo Healthcare Conference @BenjaminLOakes, Ph.D., Co-founder and CEO, will participate in a fireside chat on Sept. 9, 2026 at 8:00 AM ET in Boston. ๐Ÿ“ฃ H.C. Wainwright 28th Annual Global Investment Conference Benjamin Oakes, Ph.D., Co-founder and CEO, will present on Sept. 15, 2026 in New York. ๐Ÿ“ฃ Cell & Gene Meeting on the Mesa David Parrot, M.B.A., CFO, will deliver an Innovation Spotlight presentation on Oct. 5, 2026 at 5:15 PM MT in Phoenix. @WellsFargo @HCWCO @alliancerm #CGMesa26
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๐——๐—ผ๐—ฒ๐˜€ ๐—บ๐—ฎ๐—ธ๐—ถ๐—ป๐—ด ๐—ฎ ๐—–๐—ฅ๐—œ๐—ฆ๐—ฃ๐—ฅ ๐—ฏ๐—ฎ๐˜€๐—ฒ ๐—ฒ๐—ฑ๐—ถ๐˜๐—ผ๐—ฟ ๐—บ๐—ผ๐—ฟ๐—ฒ ๐—ฎ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ฎ๐—น๐˜€๐—ผ ๐—ฟ๐—ฒ๐—พ๐˜‚๐—ถ๐—ฟ๐—ฒ ๐—ถ๐˜ ๐˜๐—ผ ๐—ฏ๐—ฒ ๐—น๐—ฒ๐˜€๐˜€ ๐˜€๐—ฎ๐—ณ๐—ฒ? Last week, we launched โ€œ๐—ข๐—ณ๐—ณ๐—ถ๐—ฐ๐—ฒ ๐—›๐—ผ๐˜‚๐—ฟ๐˜€,โ€ ๐—ฎ ๐—ป๐—ฒ๐˜„ ๐—ค&๐—” ๐˜€๐—ฒ๐—ฟ๐—ถ๐—ฒ๐˜€ where we sit down with scientific leaders to dig into their latest findings. In the first installment, I spoke with Scribe co-founder David Savage about a new study from his lab, co-led by Maria Lukarska and Luke Oltrogge, examining this question and outlining the activity <> specificity spectrum adenine base editors. In short, the deaminase component of a base editor can and does act independently of the CRISPR component. When it does, it behaves less like a targeted editor and more like an untargeted mutagen.ย  Now, this is not entirely new, and many observations of CRISPR-independent DNA and RNA editing, as well as Cas-dependent off-targets and bystander effects have been simmering beneath the surface across previous reports for years.ย  What makes this newest work so compelling is its breadth. ๐—•๐˜† ๐—พ๐˜‚๐—ฎ๐—ป๐˜๐—ถ๐˜๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ๐—น๐˜† ๐—ฒ๐˜ƒ๐—ฎ๐—น๐˜‚๐—ฎ๐˜๐—ถ๐—ป๐—ด ๐—ผ๐˜ƒ๐—ฒ๐—ฟ ๐˜๐—ฒ๐—ป ๐˜๐—ต๐—ผ๐˜‚๐˜€๐—ฎ๐—ป๐—ฑ ๐—”๐—•๐—˜ ๐˜ƒ๐—ฎ๐—ฟ๐—ถ๐—ฎ๐—ป๐˜๐˜€ ๐—ฎ๐—ฐ๐—ฟ๐—ผ๐˜€๐˜€ ๐—ฎ๐—น๐—น ๐˜๐—ต๐—ฒ๐˜€๐—ฒ ๐—ผ๐—ณ๐—ณ-๐˜๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜ ๐—ฎ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ถ๐˜๐—ถ๐—ฒ๐˜€, ๐˜๐—ต๐—ฒ ๐—ฎ๐˜‚๐˜๐—ต๐—ผ๐—ฟ๐˜€ ๐˜๐˜‚๐—ฟ๐—ป ๐˜€๐—ฐ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐—ฒ๐—ฑ ๐˜„๐—ฎ๐—ฟ๐—ป๐—ถ๐—ป๐—ด ๐˜€๐—ถ๐—ด๐—ป๐˜€ ๐—ถ๐—ป๐˜๐—ผ ๐—ฎ ๐—ฑ๐—ฒ๐˜๐—ฎ๐—ถ๐—น๐—ฒ๐—ฑ ๐—บ๐—ฎ๐—ฝ ๐—ฐ๐—ผ๐—น๐—น๐—ฎ๐—ฝ๐˜€๐—ถ๐—ป๐—ด ๐—ถ๐—ป๐˜๐—ฟ๐—ถ๐—ป๐˜€๐—ถ๐—ฐ ๐—ฑ๐—ฒ๐—ฎ๐—บ๐—ถ๐—ป๐—ฎ๐˜€๐—ฒ ๐—ฎ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ถ๐˜๐˜† ๐—ฎ๐—ป๐—ฑ ๐—ผ๐—ณ๐—ณ-๐˜๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜ ๐—ฒ๐—ณ๐—ณ๐—ฒ๐—ฐ๐˜๐˜€ ๐—ผ๐—ป๐˜๐—ผ ๐—ฎ ๐˜€๐—ถ๐—ป๐—ด๐—น๐—ฒ ๐—ฝ๐—ฟ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ฎ๐˜…๐—ถ๐˜€. This is all despite the specificity the CRISPR molecule was assumed to bring. As Dr. Savage lays out, the counterintuitive clinical takeaway is that, unlike with normal allosteric proofreading CRISPR systems, ๐˜„๐—ถ๐˜๐—ต ๐—ฏ๐—ฎ๐˜€๐—ฒ ๐—ฒ๐—ฑ๐—ถ๐˜๐—ผ๐—ฟ๐˜€ ๐˜„๐—ฒ ๐˜€๐—ต๐—ผ๐˜‚๐—น๐—ฑ ๐—ฎ๐—ถ๐—บ ๐˜๐—ผ ๐˜‚๐˜€๐—ฒ ๐˜๐—ต๐—ฒ ๐—บ๐—ผ๐—น๐—ฒ๐—ฐ๐˜‚๐—น๐—ฒ๐˜€ ๐˜„๐—ถ๐˜๐—ต ๐˜๐—ต๐—ฒ ๐—น๐—ผ๐˜„๐—ฒ๐˜€๐˜ ๐—ฝ๐—ผ๐˜€๐˜€๐—ถ๐—ฏ๐—น๐—ฒ ๐—ฎ๐—ฐ๐˜๐—ถ๐˜ƒ๐—ถ๐˜๐˜†, while also working hard to minimize both the dose and exposure time.ย  โ€œ๐™๐™๐™š ๐™™๐™ค๐™จ๐™š ๐™ข๐™–๐™ ๐™š๐™จ ๐™ฉ๐™๐™š ๐™ฅ๐™ค๐™ž๐™จ๐™ค๐™ฃ.โ€ ๐—ฅ๐—ฒ๐—ฎ๐—ฑ ๐˜๐—ต๐—ฒ ๐—ณ๐˜‚๐—น๐—น ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐˜ƒ๐—ถ๐—ฒ๐˜„ below on Scribe Therapeuticsโ€™๐˜€ ๐—ฆ๐˜‚๐—ฏ
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Benjamin L. Oakes retweeted
โ˜๏ธIf we continue to consider LDLc levels of 100โ€“120 mg/dL โ€œacceptable,โ€ we should not be surprised to find atherosclerosis already present in young adults ๐Ÿ‘‰LDLc levels above approximately 40โ€“50 mg/dL are supraphysiological. Lifelong exposure to higher LDLc levels drives atherosclerosis, which eventually translates into clinical ASCVD events ๐Ÿ‘‰And yet, ASCVD remains the #1 cause of death worldwide
โ˜๏ธAtherosclerosis starts earlier than we think ๐Ÿ‘‰New data from the REACT study, published in NEJM, provide a striking picture of silent atherosclerosis across adult life: 1๏ธโƒฃ 16,808 adults, aged 18โ€“70 years, without known ASCVD. 2๏ธโƒฃ Multimodal imaging included 3D carotid and femoral ultrasound plus coronary CT angiography. 3๏ธโƒฃ Silent atherosclerosis was present in 57.1% of participants. 4๏ธโƒฃ Even at 18โ€“29 years, plaque was already present in 8.7% of men and 6.7% of women. 5๏ธโƒฃ By age 30โ€“39, prevalence reached 34.6% in men and 21.3% in women. 6๏ธโƒฃAtherosclerosis appeared 5โ€“10 years earlier in men, while women showed a later but steeper rise in midlife. 7๏ธโƒฃ In younger adults, disease was usually peripheral and single-territory, especially carotid; with age, plaque burden increased exponentially and disease became increasingly multiterritorial. 8๏ธโƒฃ โ˜๏ธImportantly, CAC = 0 did not exclude coronary plaque: among 30โ€“39-year-olds with coronary atherosclerosis, ~42% of men and ~48% of women had zero coronary calcium 9๏ธโƒฃ SCORE2 showed major discordance with actual disease burden: high SCORE2 had only 1.9% sensitivity for silent atherosclerosis. โ˜๏ธKey message: low short-term cardiovascular risk does not mean absence of atherosclerosis. ๐Ÿ‘‰Risk scores estimate events. Imaging detects disease. REACT reminds us that prevention should begin long before cardiovascular risk becomes โ€œhigh.โ€ ๐Ÿ”— nejm.org/doi/full/10.1056/NEโ€ฆ @society_eas
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The Golden Age of Discovery Has Begun ๐Ÿ‡บ๐Ÿ‡ธ
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Benjamin L. Oakes retweeted
Presented at #ESCCongress: Among 16,808 adults without known cardiovascular disease, silent atherosclerosis was present in 57.1%, was detectable in early adulthood, and became more prevalent and extensive with age in a sex-dependent pattern. Full REACT trial results: nej.md/46gp1hP @escardio
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