Understanding why dialysis access veins fail to mature

Molecular control of vascular smooth muscle reprogramming in arteriovenous fistula maturation

NIH-funded research Augusta University · NIH-11128778

This research looks at how vein cells change after surgery to create a dialysis access, aiming to understand why these access points often don't work well for patients with kidney disease.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionAugusta University NIH-funded
Lab location1 site (Augusta, United States)
Project IDNIH-11128778 on NIH RePORTER

What this research studies

Many people with chronic kidney disease need a special surgical connection, called an arteriovenous fistula (AVF), in their arm for life-saving hemodialysis. Unfortunately, about 60% of these AVFs don't mature properly, meaning they can't be used for dialysis. This happens because the vein doesn't widen enough or develops blockages. Currently, there are no treatments to help AVFs mature better, largely because we don't fully understand how the vein adapts to the new blood flow. This project aims to uncover the specific changes in vein smooth muscle cells that prevent successful AVF maturation.

Who could benefit from this research

Good fit: Patients with chronic kidney disease who require hemodialysis and experience issues with their arteriovenous fistula maturation would ultimately benefit from this research.

Not a fit: Patients who do not require hemodialysis or do not have issues with arteriovenous fistula maturation would not directly benefit from this specific research.

Why it matters

Potential benefit: If successful, this research could lead to new treatments that help arteriovenous fistulas mature properly, improving dialysis access for patients with chronic kidney disease.

How similar studies have performed: Preliminary data from mouse models and human samples suggest a novel role for vein smooth muscle cells in AVF remodeling, indicating this approach builds on new findings.

Where this research is happening

Augusta, 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.