Blocking eNAMPT/TLR4 signaling to treat pulmonary arterial hypertension and right heart dysfunction

Novel Involvement of eNAMPT/TLR4 Signaling in PAH Vascular Remodeling and Right Ventricular Dysfunction

NIH-funded research University of Florida · NIH-11224149

Testing a new approach that blocks a protein called eNAMPT and its TLR4 signal to reduce blood-vessel scarring and help the right side of the heart in people with pulmonary arterial hypertension.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Florida NIH-funded
Lab location1 site (Gainesville, United States)
Project IDNIH-11224149 on NIH RePORTER

What this research studies

If you participate, researchers will measure eNAMPT levels and genetic markers in your blood and, when possible, in diseased lung tissue to link these markers to right heart function. They will study how eNAMPT activates TLR4 to drive inflammation and scarring in small lung arteries using lab-grown cells and animal models that mimic the mechanical stress of the lung circulation. The team will test whether blocking the eNAMPT/TLR4 pathway reduces vascular remodeling and right ventricular fibrosis in these models. The aim is to use those results to develop a drug that could slow or reverse PAH.

Who could benefit from this research

Good fit: Adults diagnosed with pulmonary arterial hypertension, especially those with signs of right ventricular dysfunction or willing to provide blood (and possibly tissue) samples, would be appropriate candidates.

Not a fit: People without PAH or with other types of pulmonary hypertension not driven by eNAMPT/TLR4 signaling are unlikely to benefit from this targeted approach.

Why it matters

Potential benefit: Could lead to a targeted therapy that limits pulmonary vascular remodeling and improves right ventricular function and symptoms in PAH patients.

How similar studies have performed: Preclinical and observational studies link eNAMPT/TLR4 to inflammation and worse PAH and right-heart outcomes, but therapies directly targeting this pathway in humans remain largely untested.

Where this research is happening

Gainesville, 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.
Conditions Acute Respiratory Distress SyndromeAdult Respiratory Distress Syndrome
Last reviewed 2026-06-10 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.