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).
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Veterans Admin Palo Alto Health Care Sys NIH-funded |
| Lab location | 1 site (Palo Alto, United States) |
| Project start | July 1, 2014 |
| Project end | September 30, 2028 |
| Funding year | 2026 |
| NIH project number | 5I01BX002418-11 |
| Project ID | NIH-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.
-
Investigating the effects of oral vancomycin on liver disease in adults with primary sclerosing cholangitis.
This study is looking for adults with primary sclerosing cholangitis (PSC) to see if taking an oral medication called vancomycin can help reduce liver inflammation and improve liver function, which could lead to better treatment options for this serious condition.
-
Elafibranor for adults with primary sclerosing cholangitis
This trial will see if taking elafibranor once daily helps adults with primary sclerosing cholangitis compared with a placebo.
-
TAK-781 treatment in healthy adults and people with non-cirrhotic primary sclerosing cholangitis
This study will test whether TAK-781 is safe and tolerable in healthy adults and in people with non-cirrhotic primary sclerosing cholangitis while measuring how the body handles and responds to the drug.
-
Preventing recurrence of primary sclerosing cholangitis after liver transplantation
This study is testing if a daily medication called fenofibrate can help prevent primary sclerosing cholangitis from coming back in people who have had a liver transplant.
-
LEOPARD: Predicting liver transplant dropout with AI in European patients
This project tests new AI-based models to predict which liver transplant candidates are at highest risk of dropout or death while on the waitlist.
-
Collecting data to improve liver transplantation predictions
This study is trying to use AI to better predict which liver transplant candidates are at risk of dropping out of the waitlist, so that more people can get fair access to transplants across Europe.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.