How the clot-busting drug tPA affects the brain's blood vessels and recovery after stroke

Unraveling the role of tPA in the neurovascular unit

NIH-funded research University of Michigan at Ann Arbor · NIH-11300266

Researchers are looking at how tPA and related signals cause blood–brain barrier leakage and brain support-cell changes after an ischemic stroke in adults to help guide better recovery treatments.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Michigan at Ann Arbor NIH-funded
Lab location1 site (Ann Arbor, United States)
Project IDNIH-11300266 on NIH RePORTER

What this research studies

This project focuses on adults who have had ischemic stroke and on how tPA, the clot-busting drug, acts within the neurovascular unit. The team uses laboratory experiments in cells and animal models alongside analysis of human tissue or clinical data to trace how tPA cleavage triggers PDGF-C/PDGFRα signaling in perivascular astrocytes and downstream VEGF effects that increase BBB permeability and risk of bleeding. By mapping these signaling steps and their timing after reperfusion therapies, investigators aim to identify points where new treatments could reduce barrier damage and improve long-term function. The work builds on prior grant cycles that established key links between tPA, PDGF signaling, VEGF, and symptomatic intracerebral hemorrhage.

Who could benefit from this research

Good fit: Adults who experienced an acute ischemic stroke—especially those treated with tPA or thrombectomy—would be the most relevant candidates for participation or for future therapies informed by this research.

Not a fit: People without ischemic stroke (for example those with non-stroke neurological conditions), children, or patients with primary hemorrhagic stroke are unlikely to benefit directly from this work.

Why it matters

Potential benefit: If successful, this work could point to new ways to protect the blood–brain barrier and reduce brain bleeding after clot-busting treatments, potentially improving long-term recovery after stroke.

How similar studies have performed: Previous preclinical studies have linked tPA to BBB opening and PDGF/VEGF signaling, but clinical therapies targeting these specific pathways have not yet been proven.

Where this research is happening

Ann Arbor, 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.
Conditions Acquired brain injury
Last reviewed 2026-06-10 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.