A closed-loop cholesterol shunt controlling experimental dyslipidemia

Gokberk Unal1, Yu-Qing Xie1, Martin Fussenegger2

  • 1Department of Biosystems Science and Engineering, Eidgenössische Technische Hochschule Zurich, Schanzenstrasse 48, 4056 Basel, Switzerland.

Cell Metabolism
|September 19, 2025
PubMed

Insights

A novel genetic circuit, CHARM, effectively senses and regulates high cholesterol levels in real time. This engineered system restored cholesterol homeostasis in hypercholesterolemic mice, offering a new therapeutic strategy for managing dyslipidemia.

Area of Science:

  • Biotechnology and Genetic Engineering
  • Metabolic Disorders and Cardiovascular Health
  • Synthetic Biology Applications

Background:

  • Hypercholesterolemia, characterized by dysregulated lipid metabolism, is a primary risk factor for atherosclerosis and cardiovascular diseases.
  • Current therapeutic strategies for dyslipidemia face challenges in real-time monitoring and sustained regulation.
  • The need for innovative approaches to restore and maintain cholesterol homeostasis is critical.

Purpose of the Study:

  • To develop a designer genetic circuit, the Cholesterol Homeostasis and Regulation Module (CHARM), for real-time sensing and regulation of cholesterol levels.
  • To engineer a closed-loop system that strengthens the body's innate cholesterol homeostasis machinery.
  • To evaluate the efficacy of CHARM in restoring cholesterol balance in a preclinical model.

Main Methods:

  • Engineered a synthetic genetic circuit (CHARM) utilizing a fusion protein (KRAB-SREBP1a) as a cholesterol sensor.
  • Integrated a synthetic expression module with SRE operator sites to control therapeutic protein production.
  • Implanted microencapsulated CHARM-transgenic human cells into hypercholesterolemic mice.

Main Results:

  • CHARM successfully sensed elevated cholesterol levels in real time.
  • Implantation of CHARM-transgenic cells rapidly restored cholesterol homeostasis in hypercholesterolemic mice.
  • Stable maintenance of cholesterol homeostasis was achieved through the closed-loop regulation of the genetic circuit.

Conclusions:

  • The CHARM genetic circuit represents a promising synthetic biology approach for managing hypercholesterolemia.
  • This engineered system demonstrates the potential for closed-loop, real-time regulation of metabolic disorders.
  • CHARM offers a novel strategy for restoring and maintaining cholesterol balance, potentially reducing cardiovascular disease risk.

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