How the kidney's tiny blood vessels stay healthy

Novel regulatory mechanisms of the glomerular endothelium

['FUNDING_R01'] · UNIVERSITY OF SOUTHERN CALIFORNIA · NIH-11227546

Researchers are looking at how a protein made by kidney cells called Pappa2 helps protect the kidney's filtering blood vessels, especially for people with diabetes-related kidney damage.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF SOUTHERN CALIFORNIA (nih funded)
Locations1 site (Los Angeles, UNITED STATES)
Trial IDNIH-11227546 on ClinicalTrials.gov

What this research studies

This project focuses on signals from a small group of kidney cells (the macula densa) that appear to control the health of the glomerular endothelial cells that form the kidney's filtration barrier. The team is studying a protein called Pappa2 and a signaling molecule CCN1 to see how they influence growth factors like IGF and VEGF that keep the filter working. Researchers will use laboratory models, tissue studies, and molecular experiments to trace how these signals affect blood vessel stability and albumin leakage. The goal is to understand whether modifying these pathways could protect kidneys in diabetes.

Who could benefit from this research

Good fit: Adults with diabetes who have early signs of diabetic kidney damage—such as elevated urine albumin—would be the most relevant candidates for related future studies.

Not a fit: People without kidney involvement from diabetes or those with end-stage kidney failure on dialysis are unlikely to benefit directly from this work.

Why it matters

Potential benefit: If successful, this work could point to new ways to protect kidney blood vessels and reduce protein loss in the urine for people with diabetic kidney disease.

How similar studies have performed: Previous studies have shown that VEGF and IGF affect glomerular cells, but targeting macula densa–derived Pappa2 and CCN1 is a novel approach not yet tested in patients.

Where this research is happening

Los Angeles, 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.

View on NIH RePORTER →

Conditions: Adult-Onset Diabetes Mellitus

Last reviewed 2026-05-15 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.