Notch signaling and small coronary vessel disease in type 2 diabetes

The Role of Notch Signaling in Type 2 Diabetic Coronary Microvascular Disease

NIH-funded research Research Inst Nationwide Children's Hosp · NIH-11303275

This work looks at a cell communication system called Notch to understand why people with type 2 diabetes often have damage to the small blood vessels in their hearts.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionResearch Inst Nationwide Children's Hosp NIH-funded
Lab location1 site (Columbus, United States)
Project IDNIH-11303275 on NIH RePORTER

What this research studies

This project focuses on how signaling between endothelial cells and vascular smooth muscle cells (the Notch pathway) affects coronary resistance microvessels in type 2 diabetes. The team studies diabetic mice and pigs and uses genetic models that lack Jagged1 or Notch3 to see how vessel structure and blood flow change. They measure coronary blood flow, examine vessel remodeling, and look at tiny endothelial openings (fenestrae) that affect how vessels work. The findings aim to point to targets that could be tested later to restore healthier small-vessel function in people with T2DM.

Who could benefit from this research

Good fit: Adults with type 2 diabetes who have symptoms or evidence of coronary microvascular disease (for example chest pain with normal large coronary arteries or reduced coronary blood flow) would be the group most relevant to related future studies.

Not a fit: People without type 2 diabetes or whose heart problems are driven mainly by large-vessel blockages rather than small-vessel (microvascular) disease are unlikely to benefit from these specific findings.

Why it matters

Potential benefit: If successful, this could identify targets to restore healthy small coronary vessel structure and improve blood flow, potentially lowering heart attack risk in people with type 2 diabetes.

How similar studies have performed: Previous animal studies and preliminary data link Notch pathway changes to vessel remodeling, but translating this into human treatments is novel and not yet proven.

Where this research is happening

Columbus, 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.
Conditions Adult-Onset Diabetes MellitusAtherosclerotic Cardiovascular DiseaseCardiac DiseasesCardiac DisordersCardiovascular Diseases
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.