How kidney blood-vessel cells control tiny-vessel clots in the kidney

Transcriptional Regulation of Thrombotic Microangiopathy in the Renal Microvasculature

NIH-funded research Northport VA Medical Center · NIH-11212768

This project looks at whether a protein called KLF4 in kidney blood-vessel cells helps stop dangerous clotting and inflammation in people with thrombotic microangiopathy.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionNorthport VA Medical Center NIH-funded
Lab location1 site (Northport, United States)
Project IDNIH-11212768 on NIH RePORTER

What this research studies

Researchers are examining gene activity from kidney biopsy samples taken from people with thrombotic microangiopathy (TMA) to see which genes change in sick blood-vessel cells. They focus on a protein called KLF4 that normally helps blood-vessel cells stay anti-clotting and anti-inflammatory, and they will study how changing KLF4 affects complement proteins and membrane complement regulators like DAF, CD59, and CD46. The team combines analysis of human RNA-sequencing data with laboratory experiments on kidney endothelial cells to trace whether KLF4 loss drives complement activation and microthrombi. The goal is to understand mechanisms that cause TMA so future treatments might stop progression to chronic kidney disease.

Who could benefit from this research

Good fit: People whose kidney biopsies show thrombotic microangiopathy (including cases after anti-VEGF therapy, hemolytic uremic syndrome, malignant hypertension, or antibody-mediated transplant rejection) would be the most relevant candidates.

Not a fit: People with kidney disease that is not caused by TMA or those seeking an immediate treatment benefit should not expect direct clinical benefit from this mechanistic research.

Why it matters

Potential benefit: If successful, this work could point to new ways to prevent or treat TMA and reduce progression to chronic kidney disease.

How similar studies have performed: KLF4 has been shown to protect systemic blood vessels from clotting and inflammation in other settings, but applying that finding specifically to renal microvessels and complement-driven TMA is a novel approach.

Where this research is happening

Northport, 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 2026-06-13 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.