# BioFe Mechanism of Action for the treatment of iron deficiency anemia

> **NIH NIH R43** · SIDERO BIOSCIENCE, LLC · 2020 · $299,955

## Abstract

Iron deficiency (ID) is the most common and widespread nutritional disorder worldwide with over
2 billion people suffering significant negative health effects. There is a widespread, serious
misperception that oral iron supplements are safe and effective at alleviating ID; yet in a recent
Cochrane review of 67 clinical trials, women taking oral iron supplements had just a 38%
decreased risk of ID at the end of treatment compared to placebo. Moreover, these subjects had
a 114% increased risk of side effects, the vast majority of which were associated with
gastrointestinal (GI) disturbance. The current standard of care for treating ID involves iron salts
or more recently iron nanoparticles which are degraded in the stomach and release elemental
iron. SideroBiosciences has developed a disruptive technology consisting of nutritional yeast
modified to express a H-ferritin:iron complex known as BioFe. The concept of using an H-
ferritin;iron complex is rooted in mimicking iron delivery from breast milk and using nutritional
yeast provides an easily accessible and economical platform for marketing and consumption by
many different cultures and age groups. That the ferritin:iron complex in BioFe is specifically H-
ferritin distinguishes it from L-ferritin or plant ferritin, both of which have had limited success as
iron supplements because they are degraded in the gut to release the iron and thus use the
same pathway into enterocytes as iron salts and thus their performance is at best similar to the
iron salts. BioFe has been successfully tested in rodents, non-human primates and humans
(including a STTR funded study). While the absorption and secretion of elemental iron across
the membranes of intestinal enterocytes are relatively well described, the receptor(s),
transporter(s), and regulatory mechanism(s) for H-Ferritin:Iron complexes have not been
described. In multiple discussions with potential marketing partners, SideroBiosciences has
been consistently queried for more details on how the entry of the ferritin;iron complex into the
body are different from iron salts. Therefore,to address these questions, we have provided
exciting pilot data to pursue in this application that will interrogate mechanisms by which
Ferritin:Iron complexes are transported across the apical membrane of intestinal enterocytes,
processed within the intestinal cells, and secreted across the basolateral membrane into the
systemic circulation. Furthermore, because the mechanism of release from the enterocyte is
different from elemental iron BioFe will be tested for its ability to treat inflammatory mediated
iron deficiency in rodents to position itself to be clinically tested in individuals with ID resulting
from chronic inflammation which is a significant clinical problem that BioFe can address.

## Key facts

- **NIH application ID:** 10009565
- **Project number:** 1R43HL155227-01A1
- **Recipient organization:** SIDERO BIOSCIENCE, LLC
- **Principal Investigator:** Darren Wolfe
- **Activity code:** R43 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $299,955
- **Award type:** 1
- **Project period:** 2020-07-01 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10009565

## Citation

> US National Institutes of Health, RePORTER application 10009565, BioFe Mechanism of Action for the treatment of iron deficiency anemia (1R43HL155227-01A1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10009565. Licensed CC0.

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