What triggers gout flares: looking at immune cells in joints and blood

Revealing novel mechanisms of gout flares by transcriptional phenotyping synovial and peripheral blood mononuclear cells.

NIH-funded research University of Alabama at Birmingham · NIH-11194466

Researchers will compare immune cell activity in joint fluid and blood from people with gout before and during flares to find genes that drive attacks.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Alabama at Birmingham NIH-funded
Lab location1 site (Birmingham, United States)
Project IDNIH-11194466 on NIH RePORTER

What this research studies

If you join this ancillary to the TRUST trial, you would give blood and, during an active gout flare, a joint fluid sample via arthrocentesis. Scientists will isolate immune cells from those samples and use flow cytometry and gene-expression (transcriptomic) tests to see which genes and cell types change during a flare. The work is time-sensitive, so samples must be collected quickly when a flare starts. The goal is to identify molecular signals in joint and blood cells that may cause or worsen gout attacks.

Who could benefit from this research

Good fit: Adults enrolled in the TRUST trial with a history of gout who can provide blood and undergo joint fluid collection during an active flare are ideal candidates.

Not a fit: People without gout, those not enrolled in the parent TRUST trial, or those unwilling or unable to undergo arthrocentesis would not directly participate or benefit from this study.

Why it matters

Potential benefit: If successful, this could reveal molecular triggers of gout flares that point to better-targeted treatments or preventive approaches.

How similar studies have performed: Previous work has flagged some inflammatory genes linked to gout, but time-sensitive joint-fluid transcriptomic profiling during flares is a novel and less-tested approach.

Where this research is happening

Birmingham, 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 Candidate Disease Gene
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.