How heart cells and scar tissue shape heart structure and function

Cellular Mechanisms of Cardiac ECM Structure and Function

NIH-funded research Ralph H Johnson VA Medical Center · NIH-11212827

This project looks at how heart cells and scarring behave after long-term pressure overload (like from high blood pressure or aortic valve narrowing) to find ways to reduce lingering heart scarring.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionRalph H Johnson VA Medical Center NIH-funded
Lab location1 site (Charleston, United States)
Project IDNIH-11212827 on NIH RePORTER

What this research studies

Researchers are using a mouse model that mimics long-term pressure overload and its surgical reversal, plus human-relevant heart cell cultures, to study why scar tissue (fibrosis) persists after the pressure problem is fixed. The team focuses on two cell types—macrophages and fibroblasts—and how their control of protein-degrading enzymes (protease homeostasis) affects extracellular matrix breakdown and persistence. They combine in vivo mouse experiments (including a transverse aortic constriction and its removal) with in vitro fibroblast work to trace cellular mechanisms. The goal is to identify the fundamental cellular causes that stop scarring from resolving so those pathways can be targeted in future therapies.

Who could benefit from this research

Good fit: People with long-standing high blood pressure or aortic valve narrowing leading to heart failure and lasting heart scarring are the patients most directly relevant to these findings.

Not a fit: Patients whose heart failure is primarily from other causes, such as a recent heart attack or inherited cardiomyopathy, are less likely to benefit directly from this work.

Why it matters

Potential benefit: If successful, this work could point to new treatments that help the heart clear persistent scar tissue and improve recovery of heart function after pressure overload is treated.

How similar studies have performed: Previous animal and lab studies from this team and others have shown related cell and fibrosis changes that support this approach, but translating those findings into proven human treatments is still early.

Where this research is happening

Charleston, 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 2026-06-09 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.