In this episode of IDEA Collider, host Mike Rea speaks with Dr. Sekar Kathiresan, founder of Verve Therapeutics and now part of Eli Lilly, about one of the boldest ideas in modern medicine: using one-time gene editing to permanently lower cholesterol and prevent heart disease.

Dr. Kathiresan shares his journey from immigrant upbringing to Harvard cardiologist, genetic researcher, biotech founder, and now leader inside a global pharmaceutical company. The conversation explores how human genetics, CRISPR base editing, lipid nanoparticle delivery, and asymmetric learning converged to create a potential lifelong solution to cardiovascular disease.

They also dive deep into the ethics of gene editing, global access and pricing, early intervention versus chronic care, FDA regulatory challenges, and what the Verve–Lilly acquisition means for the future of cardiometabolic medicine.

This episode is a must-listen for anyone interested in biotech innovation, gene therapy, cardiovascular disease, and the future of preventive medicine.

00:00 Introduction and Guest Welcome

01:16 Sekar Kathiresan's Early Life and Education

03:19 Founding Verve and Transition to Entrepreneurship

05:35 The Science Behind Verve's Mission

10:27 Challenges and Breakthroughs in Gene Editing

20:05 Regulatory Hurdles and First Human Trials

25:11 Ethical Considerations in Gene Editing

27:06 Introduction to Drug Delivery and Ethical Considerations

27:51 Historical Context and Pioneers in Medical Procedures

28:35 Commercial and Ethical Challenges in Medicine

29:32 Innovations in Cardiovascular Treatments

32:49 The Role of Gene Editing in Long-term Health

37:55 Strategic Partnerships and Industry Insights

45:08 Reflections on the US Medical Ecosystem

48:54 Conclusion and Future Outlook

Keep up with Sekar Kathiresan;

LinkedIn: https://www.linkedin.com/in/sekar-sek-kathiresan-3501846/

Website: https://www.lilly.com/

Follow Mike Rea On;

Website: https://www.ideapharma.com/

X: https://x.com/ideapharma

LinkedIn: https://www.linkedin.com/in/bigidea/

Listen to more fantastic podcast episodes: https://ideacollider.simplecast.com/