NIH-funded research NIH-funded research

How the tissue around your bile ducts affects primary sclerosing cholangitis

Official title: The role of extracellular matrix in primary sclerosing cholangitis

Funded at Veterans Admin Palo Alto Health Care Sys · NIH-11204586 · Data updated 2026-11-12

This project looks at whether lowering a material called hyaluronan and softening stiff tissue around bile ducts could help people with primary sclerosing cholangitis (PSC).

More Primary Sclerosing Cholangitis research and trials

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionVeterans Admin Palo Alto Health Care Sys
NIH-funded
Lab location1 site (Palo Alto, United States)
Project startJuly 1, 2014
Project endSeptember 30, 2028
Funding year2026
NIH project number5I01BX002418-11
Project IDNIH-11204586 on NIH RePORTER

Who could benefit from this research

Could help

Adults diagnosed with primary sclerosing cholangitis (PSC), especially those cared for at or near VA Palo Alto and willing to provide tissue or clinical samples, would be ideal candidates.

Less likely to help

People without PSC or those with very advanced liver failure already needing transplant are unlikely to receive direct benefit from this project.

What this research studies

You would learn how the gel-like scaffold (the extracellular matrix) and a sugar molecule called hyaluronan around your bile ducts change early in PSC. Researchers use patient tissue samples and mouse models, plus a lab-made 3D adjustable-stiffness hydrogel and atomic force microscopy, to see how stiffness and hyaluronan affect bile duct cells and immune cells. They test blocking hyaluronan production with a drug called 4-methylumbelliferone gluconate (4-MUG) in mice and study cell signaling pathways such as CD44/Integrin-β1 and YAP that may drive scarring. If you participate you would likely provide tissue or clinical samples to help link the lab findings to the human disease.

Why it matters

Potential benefit: If successful, this work could lead to new treatments that reduce bile duct inflammation and scarring in PSC.

How similar studies have gone: Preclinical mouse studies using hyaluronan inhibitors like 4-MUG showed reduced stiffness and inflammation, but benefits in humans have not yet been proven.

Where this research is happening

  • Veterans Admin Palo Alto Health Care Sys
    Palo Alto, United States
    Active

Researchers

  • Principal investigator: Torok, Natalie J. — Veterans Admin Palo Alto Health Care Sys
  • Study coordinator: Torok, Natalie J.

Related research

Other NIH-funded projects on the same topics.

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.