Improving bone healing for fractures that don't mend, especially with inflammatory conditions

Targeting angiogenesis for fracture nonunion treatment under inflammatory diseases

NIH-funded research Washington University · NIH-11170491

This project looks for new ways to help broken bones heal better, especially for people with ongoing inflammation, by improving blood vessel growth at the fracture site.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionWashington University NIH-funded
Lab location1 site (Saint Louis, United States)
Project IDNIH-11170491 on NIH RePORTER

What this research studies

Many people experience fractures that don't heal properly, a condition called nonunion, which often requires multiple surgeries and causes significant disability. This problem is particularly common in individuals with inflammatory conditions such as rheumatoid arthritis, diabetes, or those who smoke. Our work suggests that ongoing inflammation prevents new blood vessels from forming correctly at the fracture site, which is essential for bone repair. We are exploring how a protein called Dnmt3b influences this process and aim to deliver specific molecules, OPN and CXCL12, directly to the fracture to restore healthy blood vessel growth and promote healing.

Who could benefit from this research

Good fit: This research is most relevant to patients experiencing fractures that are not healing, particularly those who also have inflammatory conditions such as rheumatoid arthritis, diabetes, or who are older or smokers.

Not a fit: Patients whose fractures heal normally or who do not have underlying inflammatory conditions would likely not receive direct benefit from this specific treatment approach.

Why it matters

Potential benefit: If successful, this work could lead to new treatments that help difficult-to-heal fractures mend more effectively, particularly for patients with inflammatory conditions, potentially reducing the need for repeated surgeries.

How similar studies have performed: Preliminary findings in laboratory models suggest that targeting Dnmt3b and delivering specific molecules can improve blood vessel formation and fracture healing, indicating a promising, yet early-stage, approach.

Where this research is happening

Saint Louis, 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.
Last reviewed 2026-06-15 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.