NIH-funded research NIH-funded research

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

Official title: Transcriptional Regulation of Thrombotic Microangiopathy in the Renal Microvasculature

Funded at Northport VA Medical Center · NIH-11212768 · Data updated 2026-11-12

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 startOctober 1, 2021
Project endSeptember 30, 2026
Funding year2026
NIH project number5IK2BX005380-05
Project IDNIH-11212768 on NIH RePORTER

Who could benefit from this research

Could help

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.

Less likely to help

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.

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.

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 gone: 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 VA Medical Center
    Northport, United States
    Active

Researchers

  • Principal investigator: Estrada, Chelsea — Northport VA Medical Center
  • Study coordinator: Estrada, Chelsea

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.