Will Lantern Bioworks's cavity-curing bioengineered S. mutans (Lumina) turn out to have horrible downsides by 2029?
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2028
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Lantern Bioworks is working on genetically modified Streptococcus mutans bacteria (Lumina Probiotic) that produce ethanol instead of lactic acid and that excrete the antibiotic mutacin 1140. In theory, they can outcompete natural S. mutans in your mouth and prevent you from getting any cavities ever again.

Is there some horrible downside to this treatment? I plan to check at the beginning of 2029 whether some horrible downside has been discovered. Market resolves to my best judgment at that point.

Notes:

  • If the treatment doesn't work but has no ill effects, resolves NO.

  • If the treatment doesn't work but people change their behavior on the assumption that it does (e.g. living on a candy diet post-treatment) and their changed behavior results in horrible dental consequences, resolves NO.

  • I might decide to resolve NO if there are only horrible downsides that I regard as negligibly rare, such as one-in-a-million life-threatening allergic reaction to the bacteria. One-in-a-hundred would be enough to resolve YES, though.

  • Market will resolve YES early if I learn about a horrible downside before close.

  • Variants on this technology don't count. It has to be S. mutans, it has to have the ethanol excretion mod, and it has to excrete mutacin 1140. If bad things only happen to people with bacteria that don't match these criteria, resolves NO.

  • The same technology deployed by other companies does count, though.

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https://trevorklee.substack.com/p/please-dont-take-luminas-anticavity

I don't think Trevor Klee said anything that updates me here.

The censored allegations about (I infer) manufacturing quality that doesn't meet FDA standards would be concerning if true, but I'm guessing Trevor Klee doesn't really have a case since he promptly backed down (while leaving other criticisms up) in the face of a legal threat. Also I have a lot of faith in US regulators to stay on top of supplement manufacturing pipelines.

bought Ṁ10 YES

If it lowers cavities, but raises something else like gum disease, is that horrible enough for this market?

@robm It would need to be a common side effect.

If it's directly due to the treatment and not user behavior changes: would resolve YES.

If it's because people quit brushing their teeth and that results in way more gum disease, leaning towards NO, but I could be persuaded otherwise.

predicts NO

Clarification: "everyone who gets it starts living on a diet of Jolly Ranchers because they assume they're immune to cavities, but it turns out the treatment doesn't actually work so they get a zillion cavities and lose several teeth" resolves NO.

The one I’m seeing most it that it if it produces non- negligible amounts of ethanol, that could be really bad.

predicts YES

*is

I’m not sure how much ethanol is produced, so if it’s low enough, my point is moot.

predicts YES

They’ve probably already thought about this, though.