ACE2-carrying exosomes as a blood marker and decoy treatment for coronavirus

Clinical analysis and therapeutic development of exosomal ACE2

NIH-funded research Northwestern University · NIH-11134448

This work uses ACE2-containing exosomes from blood to help detect and potentially treat people infected with SARS‑CoV‑2 and related coronaviruses.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthwestern University NIH-funded
Lab location1 site (Chicago, United States)
Project IDNIH-11134448 on NIH RePORTER

What this research studies

Researchers found that a subset of tiny particles in blood called exosomes carry the ACE2 protein and that higher levels are linked with worse COVID‑19. They will create a standard clinical test to measure ACE2-positive exosomes (exoACE2) in patient samples. In parallel they will develop exoACE2 as a decoy therapy that can bind the virus’s Spike protein and block it from entering cells, testing activity in the lab and in preclinical models. The team plans methods for purifying exoACE2 and demonstrating safety and antiviral activity as steps toward clinical use.

Who could benefit from this research

Good fit: Ideal candidates would include people with current or recent SARS‑CoV‑2 infection—especially those with moderate to severe illness—or people at high risk of exposure to ACE2-using coronaviruses.

Not a fit: People with infections by viruses that do not use ACE2 to enter cells, or those without SARS‑CoV‑2 exposure, are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, this could provide a blood test to indicate disease severity and a new broad antiviral approach that blocks ACE2-using coronaviruses from infecting cells.

How similar studies have performed: Related approaches using soluble ACE2 or engineered decoy proteins have shown antiviral activity in lab and early-stage studies, but using naturally ACE2-positive exosomes as a therapy is a newer idea.

Where this research is happening

Chicago, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.