NIH-funded research R01 grant

Targeting calcineurin regulators for better diagnostics and treatments for nephrotic syndrome

Official title: REGULATORS OF CALCINEURIN PATHWAYS AS DIAGNOSTIC AND THERAPEUTIC TARGETS FOR NEPHROTIC SYNDROME

Funded at Duke University · NIH-11248746 · Data updated 2026-11-12

This work looks at whether proteins that control calcineurin can be used to make better tests and more precise treatments for people with nephrotic syndrome.

More Nephrotic Syndrome research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionDuke University
NIH-funded
Lab location1 site (Durham, United States)
Project startFebruary 1, 2023
Project endDecember 31, 2026
Funding year2026
Award (this year)$615,845
NIH project number5R01DK134347-04
Project IDNIH-11248746 on NIH RePORTER

Who could benefit from this research

Could help

Adults or children with nephrotic syndrome—especially those with steroid-resistant disease or suspected genetic causes, including suspected RCAN gene changes—are the most likely candidates.

Less likely to help

People whose kidney disease is not driven by calcineurin signaling or who do not have RCAN-related abnormalities may not receive direct benefit from these specific findings.

What this research studies

The team found changes in RCAN genes in some people with nephrotic syndrome and saw that those changes make cells overactive for calcineurin and more likely to die. In lab models they used drugs that block calcineurin to reverse those harmful effects, and they will use genetic tools (including CRISPR) and patient-derived samples to map the pathways involved. The researchers will search for non-invasive biomarkers (like blood or urine markers) that indicate who has calcineurin-driven disease and who might respond to calcineurin-targeted treatments. Their goal is to connect genetic findings to real tests and treatment options that could be used in clinics.

Why it matters

Potential benefit: If successful, this work could produce tests to identify patients who will benefit from calcineurin-targeting drugs and lead to more targeted therapies that reduce kidney damage.

How similar studies have gone: Calcineurin inhibitors are already used for some glomerular diseases but help only a portion of patients, and using genetic findings to guide this approach is relatively new with promising preclinical support.

Where this research is happening

  • Duke University
    Durham, United States
    Active

Researchers

  • Principal investigator: Gbadegesin, Rasheed Adebayo — Duke University
  • Study coordinator: Gbadegesin, Rasheed Adebayo

Related research

Other NIH-funded projects on the same topics.

  • Whole genome sequencing to uncover molecular causes in nephrotic syndrome

    A study to map the genetic and molecular factors behind nephrotic syndrome and related kidney diseases to help diagnose and guide future treatments for patients.

    NIH research Boston Children's Hospital · Boston, United States · NIH-11447299

  • Sodium-related edema in nephrotic syndrome and ANGPTL4

    A physician-scientist group is studying how a protein called ANGPTL4 may drive skin edema in nephrotic syndrome, with experiments in rodents and tests on human ANGPTL4 fragments.

    NIH research Rush University Medical Center · Chicago, United States · NIH-11431977

  • Immune-driven tubulointerstitial injury in pediatric nephrotic syndrome

    A physician-scientist aims to understand how immune processes cause kidney tissue damage in children with difficult-to-treat nephrotic syndrome.

    NIH research Lurie Children's Hospital of Chicago · Chicago, United States · NIH-11352792

  • Hodgkin lymphoma–linked nephrotic syndrome and kidney injury

    This project looks at how Hodgkin lymphoma may cause nephrotic syndrome by changing a kidney gene and exposing kidney cells to lymphoma-related substances.

    NIH research Rush University Medical Center · Chicago, United States · NIH-11251265

  • Investigating the role of a specific protein in childhood kidney disease

    This study is looking at how a protein called CD93 might affect kidney health in children with Idiopathic Nephrotic Syndrome, and by examining blood and urine samples, researchers hope to find clues that could help doctors better understand and treat this condition.

    NIH research Research Inst Nationwide Children's Hosp · Columbus, United States · NIH-11120939

  • Improving how we measure symptoms for nephrotic syndrome

    This project aims to create better ways to measure how patients with nephrotic syndrome experience symptoms like fluid overload, making it easier to understand how new treatments are working.

    NIH research University of Michigan at Ann Arbor · Ann Arbor, United States · NIH-11082524

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.