NIH-funded research R01 grant

How free heme damages kidney cell mitochondria and drives sudden and chronic kidney injury

Official title: Heme-mediated Mitochondrial Injury, Senescence, Acute Kidney Injury and Chronic Kidney Disease

Funded at Mayo Clinic Rochester · NIH-11320747 · Data updated 2026-11-12

This project looks at whether excess heme causes mitochondrial damage and aging-like changes in kidney cells that contribute to sudden (acute) and long-term (chronic) kidney injury in people at risk.

More Kidney Disease research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMayo Clinic Rochester
NIH-funded
Lab location1 site (Rochester, United States)
Project startMarch 15, 2023
Project endJanuary 31, 2027
Funding year2026
Award (this year)$599,173
NIH project number5R01DK133401-04
Project IDNIH-11320747 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates would be people who have had or are at high risk for acute kidney injury, for example after major bleeding, sepsis, crush injury, or other events that release heme proteins.

Less likely to help

People whose kidney problems are unrelated to heme-mediated damage or who need immediate dialysis support may not gain direct benefit from this research.

What this research studies

From a patient's perspective, researchers will study how heme released during injury harms mitochondria in kidney cells and triggers a persistent, inflammatory 'senescent' state. They will use cell and animal models to measure mitochondrial function, heme levels, and senescence markers such as p16 and p21, and examine the roles of transcription factors ETS1 and ATF4. The team will test whether these heme-driven changes promote acute kidney injury and later chronic decline, and whether removing senescent cells or blocking heme effects can reduce damage. Findings could point to new ways to protect kidneys after events like severe bleeding, sepsis, or muscle breakdown.

Why it matters

Potential benefit: If successful, this work could lead to therapies that prevent or lessen acute and chronic kidney damage caused by heme-related injury.

How similar studies have gone: Related work shows mitochondrial injury and cellular senescence contribute to kidney damage and early clinical trials of senolytic drugs are underway, but targeting heme-driven senescence is a relatively new approach.

Where this research is happening

  • Mayo Clinic Rochester
    Rochester, United States
    Active

Researchers

  • Principal investigator: Nath, Karl a. — Mayo Clinic Rochester
  • Study coordinator: Nath, Karl a.

Related research

Other NIH-funded projects on the same topics.

  • Illuminating human kidney injury with advanced tissue imaging

    This grant helps researchers map kidney injury in people by using a powerful imaging technique on kidney biopsy tissue to reveal cellular details that could guide better treatments.

    NIH research Yale University · New Haven, United States · NIH-11378497

  • Sudden (acute) kidney injury in children with chronic kidney disease

    This project looks at what leads to sudden kidney injury in children who already have chronic kidney disease so doctors can better prevent and treat it.

    NIH research Yale University · New Haven, United States · NIH-11319873

  • Mapping Kidney Damage in Acute and Chronic Kidney Disease

    This project uses advanced imaging to create detailed maps of kidney tissue from patients with acute and chronic kidney disease to better understand these conditions.

    NIH research Yale University · New Haven, United States · NIH-11174488

  • Investigating kidney injury in children with chronic kidney disease

    This study is looking at how to help kids with chronic kidney disease avoid sudden kidney problems and stay healthy by finding out what factors can be changed and how these issues affect their kidneys over time.

    NIH research Yale University · New Haven, United States · NIH-11045032

  • Investigating how heme affects kidney health in older adults

    This study is looking at how certain old cells in the kidneys can cause problems in older adults with kidney issues, and it’s exploring whether a substance called heme might be making things worse; the goal is to find new ways to help improve kidney health in people aged 65 and older.

    NIH research Mayo Clinic Rochester · Rochester, United States · NIH-11014982

  • Understanding kidney injury and disease using advanced imaging techniques

    This study is looking at how kidney injuries and diseases affect your kidneys by examining tiny samples from patients who choose to join, using a special imaging technique to create detailed maps of kidney cells, which will help us better understand these conditions and find better treatments for everyone.

    NIH research Yale University · New Haven, United States · NIH-10892126

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.
Last reviewed 2026-11-14 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.