Why kidneys sometimes scar after injury

Adaptive and maladaptive repair after kidney injury

NIH-funded research University of Pennsylvania · NIH-11249630

Researchers are looking at why kidneys sometimes fully recover after injury but other times develop scarring that leads to long-term kidney problems, especially for people who've had acute kidney injury.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Pennsylvania NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11249630 on NIH RePORTER

What this research studies

If I had a kidney injury, this work would follow how my kidney tubule cells either repair themselves or shift into a harmful state that promotes scarring. The team uses single-cell analysis, animal models, and human kidney tissue to trace signals like Notch and chemokines such as IL-34 and CXCL1 that attract immune cells. They are identifying specific damaged tubule cell types that fail to finish repair and studying how metabolic changes lock them into a fibrotic program. By mapping these steps, researchers hope to find points where drugs or other therapies could stop scarring after injury.

Who could benefit from this research

Good fit: Ideal candidates would be people who recently experienced acute kidney injury or those with early-stage chronic kidney disease at risk of progressive scarring.

Not a fit: People with long-standing end-stage kidney disease on dialysis are unlikely to benefit directly from these repair-focused approaches.

Why it matters

Potential benefit: If successful, this research could lead to treatments that prevent scarring after kidney injury and help preserve kidney function.

How similar studies have performed: Previous lab and animal studies — including work showing Notch signaling's role and identifying maladaptive tubule cells — are promising, but effective human therapies have not yet been established.

Where this research is happening

Philadelphia, 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.