NIH-funded research R01 grant

Understanding how cholesterol affects brain damage after a stroke

Official title: The role of cholesterol metabolic enzyme CYP46A1 and its metabolite 24S-hydroxycholesterol in ischemic stroke.

Funded at Morehouse School of Medicine · NIH-11143930 · Data updated 2026-11-12

This research explores how a cholesterol-related process in the brain contributes to damage after an ischemic stroke.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMorehouse School of Medicine
NIH-funded
Lab location1 site (Atlanta, United States)
Project startJune 1, 2022
Project endMay 31, 2027
Funding year2025
Award (this year)$355,000
NIH project number5R01NS128018-04
Project IDNIH-11143930 on NIH RePORTER

Who could benefit from this research

Could help

This foundational research does not directly involve patient participation, but future clinical applications would target individuals at risk for or recovering from ischemic stroke.

Less likely to help

Patients not affected by ischemic stroke would not directly benefit from this specific research direction.

What this research studies

We are looking into how a specific cholesterol-processing enzyme, CYP46A1, and its product, 24S-hydroxycholesterol, impact brain injury following an ischemic stroke. Our main idea is that when CYP46A1 becomes more active, it creates more 24S-hydroxycholesterol, which then makes brain damage worse by affecting certain brain cell receptors. To understand this better, we are using laboratory models of stroke and advanced techniques to observe brain cell activity and calcium levels. This work aims to uncover the exact steps involved in how this cholesterol pathway contributes to stroke-related brain injury.

Why it matters

Potential benefit: If successful, this research could identify new targets for treatments to reduce brain damage and improve recovery after an ischemic stroke.

How similar studies have gone: While the role of cholesterol in stroke is an active area of investigation, this specific focus on CYP46A1 and 24S-hydroxycholesterol in ischemic brain injury represents a novel and untested approach.

Where this research is happening

  • Morehouse School of Medicine
    Atlanta, United States
    Active

Researchers

  • Principal investigator: Leng, Tiandong — Morehouse School of Medicine
  • Study coordinator: Leng, Tiandong

Related research

Other NIH-funded projects on the same topics.

  • Improving blood flow after stroke by breaking down NETs

    Aims to see if breaking down neutrophil extracellular traps (NETs) after an ischemic stroke can improve blood flow and reduce brain injury in patients.

    NIH research Icahn School of Medicine at Mount Sinai · New York, United States · NIH-11606640

  • EP2 blockers to protect the brain after a stroke

    Aims to test brain-permeable EP2 antagonists to reduce damage after ischemic stroke and improve recovery.

    NIH research University of Tennessee Health Sci Ctr · Memphis, United States · NIH-11548335

  • Genetic testing to find causes of early-onset ischemic stroke

    This project uses whole-exome sequencing to look for gene changes that may cause ischemic stroke in adults who had a stroke at a young age.

    NIH research Baltimore VA Medical Center · Baltimore, United States · NIH-11510007

  • Targeted nanomedicine to protect the brain after stroke

    A targeted drug-delivery approach aims to boost blood-brain barrier repair and reduce brain damage after an acute ischemic stroke in patients at risk.

    NIH research Temple Univ of the Commonwealth · Philadelphia, United States · NIH-11504265

  • How biological aging and blood proteins relate to thinking after a stroke

    This project looks at whether measures of biological aging and patterns of blood proteins help explain which stroke survivors keep their thinking sharp and which go on to develop vascular dementia.

    NIH research University of Florida · Gainesville, United States · NIH-11470695

  • Repurposing NEXLETOL to treat ischemic stroke

    Aims to see if the cholesterol drug NEXLETOL can help people after an ischemic stroke by supporting brain energy use and reducing injury.

    NIH research Tulane University of Louisiana · New Orleans, United States · NIH-11468414

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.