Lung cell damage in alpha-1 antitrypsin deficiency

Elucidating the contribution of lung epithelial gain of function toxicity to AATD disease pathogenesis

NIH-funded research Boston University Medical Campus · NIH-11309142

This work tests whether toxic changes inside lung lining cells make lung disease worse for people with alpha-1 antitrypsin deficiency (AATD).

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionBoston University Medical Campus NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11309142 on NIH RePORTER

What this research studies

From a patient viewpoint, the team is looking inside the lung lining cells of people with AATD and in laboratory models to see if mutant AAT proteins cause direct cell damage beyond just low AAT levels. They will compare cells and tissues that carry the common ZZ mutation to normal controls, use cell and animal models to trace how that damage leads to emphysema, and study why some people lose lung function faster than others. They will also review data from people treated with AAT augmentation to understand why replacement therapy does not always stop disease progression. The goal is to find new targets or strategies that protect lung cells in addition to replacing AAT.

Who could benefit from this research

Good fit: Ideal candidates would be people with alpha-1 antitrypsin deficiency—especially those with the ZZ genotype and signs of emphysema—who can provide clinical information or biological samples.

Not a fit: People without AATD or whose lung disease is unrelated to AATD are unlikely to directly benefit from this specific research.

Why it matters

Potential benefit: If successful, this work could point to new ways to prevent or slow lung damage in AATD by protecting lung cells as well as restoring AAT levels.

How similar studies have performed: Replacement (augmentation) therapy restores AAT levels but has had mixed results in slowing lung function loss, and studying epithelial gain-of-function toxicity is a newer approach with limited prior clinical validation.

Where this research is happening

Boston, 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 2026-06-13 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.