NIH-funded research R01 grant

How immune brain cells and blood vessel lining affect white matter damage in vascular cognitive impairment

Official title: Altered Microglia States and Microglia-Endothelial Cell Axis in Relation to White Matter Disease Progression in VCID

Funded at University of Edinburgh · NIH-11395721 · Data updated 2026-11-12

This project looks at whether changes in brain immune cells (microglia) and the cells lining small blood vessels contribute to white matter damage and thinking problems in people with vascular-related cognitive decline.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Edinburgh
NIH-funded
Lab location1 site (Edinburgh, United Kingdom)
Project startSeptember 18, 2023
Project endAugust 31, 2028
Funding year2025
Award (this year)$93,404
NIH project number3R01NS134015-03S1
Project IDNIH-11395721 on NIH RePORTER

Who could benefit from this research

Could help

People with vascular cognitive impairment, cerebral small vessel disease, or MRI-visible white matter changes would be the most relevant group for this research.

Less likely to help

Patients whose cognitive problems are caused purely by non-vascular processes without white matter or small vessel disease may not directly benefit from this work.

What this research studies

This research uses human brain tissue samples and animal models to study how microglia (the brain’s immune cells) interact with endothelial cells that line small blood vessels in white matter. The team will look at how reduced blood flow and blood–brain barrier breakdown change microglia 'states' and how those changes relate to white matter damage and cognitive performance. High-resolution imaging and molecular analyses will track microglia and vessel behavior in affected brain regions, and experimental manipulations will test whether shifting microglia states alters vessel function and thinking in animals. The overall aim is to map the cell-to-cell pathways that drive white matter disease in vascular cognitive impairment so future therapies can target them.

Why it matters

Potential benefit: If successful, this work could point to new ways to slow or prevent white matter damage and cognitive decline by targeting microglia or small blood vessels.

How similar studies have gone: Post-mortem and animal research already link microglia and endothelial dysfunction to white matter damage, but turning those findings into effective human treatments is still largely unproven.

Where this research is happening

  • University of Edinburgh
    Edinburgh, United Kingdom
    Active

Researchers

  • Principal investigator: Horsburgh, Karen — University of Edinburgh
  • Study coordinator: Horsburgh, Karen

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.