Gene-editing approaches for ACTA2-related blood vessel disease

Modeling and Therapeutic Approaches for Genetic Vasculopathies

NIH-funded research Massachusetts General Hospital · NIH-11169857

This project works to create gene-editing therapies for children with the ACTA2 R179H mutation that causes strokes, weakened aortas, and other smooth muscle problems.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11169857 on NIH RePORTER

What this research studies

From a patient point of view, the team is studying the exact ACTA2 R179H mutation in smooth muscle cells grown in the lab and in a new mouse model that mimics the human disease. They will look at how the mutation causes abnormal blood vessels, repeated strokes, and a weakened aorta, and they will track related behavior and neurologic outcomes in mice. To try to treat the disease they will use AAV delivery of CRISPR-based tools to either fix the mutation or disable the bad gene and check whether this improves blood vessel health and stroke outcomes before any human testing.

Who could benefit from this research

Good fit: Ideal candidates are children (and potentially adolescents) who carry the ACTA2 R179H mutation causing Smooth Muscle Dysfunction Syndrome, especially those with early strokes or aortic disease.

Not a fit: People without ACTA2 mutations or those whose organ damage is already advanced are unlikely to benefit from these preclinical therapeutic approaches in the near term.

Why it matters

Potential benefit: If successful, this work could lead to a gene therapy that reduces strokes, prevents life-threatening aortic problems, and improves long-term neurologic and respiratory outcomes for people with ACTA2 R179H.

How similar studies have performed: CRISPR and AAV-based gene therapies have shown promise in laboratory and early clinical work for some genetic diseases, but applying base-editing or gene-disruption to ACTA2 vascular disease is largely new and experimental.

Where this research is happening

Boston, 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 2026-06-14 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.