What causes small-vessel blood clots in thrombotic microangiopathies

Pathogenesis of thrombotic microangiopathies

NIH-funded research University of Kansas Medical Center · NIH-11124217

This project looks at how immune attacks and genetic changes lead to immune thrombotic thrombocytopenic purpura (iTTP), aiming to help people who get dangerous small-vessel blood clots.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Kansas Medical Center NIH-funded
Lab location1 site (Kansas City, United States)
Project IDNIH-11124217 on NIH RePORTER

What this research studies

Researchers will study blood samples and the antibodies that attack ADAMTS13, the enzyme that normally prevents dangerous clotting. They will read antibody genetic sequences (VDJ and CDR3 regions) to look for patterns tied to harmful versus harmless antibodies. The team will also examine ANKRD26 and the related 36 gene family to see if changes there affect platelet production and inflammation. Laboratory experiments and animal models will be used to test how these antibody and genetic changes drive disease.

Who could benefit from this research

Good fit: Adults with immune thrombotic thrombocytopenic purpura (iTTP), particularly those with low ADAMTS13 activity or detectable ADAMTS13 autoantibodies, would be the most relevant participants.

Not a fit: People with congenital (hereditary) TTP or clotting disorders that are not caused by ADAMTS13 autoantibodies would likely not benefit from this specific research.

Why it matters

Potential benefit: If successful, this work could enable tests or treatments that block harmful antibodies or correct platelet problems to prevent iTTP episodes.

How similar studies have performed: Previous research has identified ADAMTS13-targeting autoantibodies and genetic links to platelet disorders, but combining antibody sequence signature analysis with ANKRD26/36 genetics and animal modeling is a relatively new approach.

Where this research is happening

Kansas City, 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.