Why the TDP-43 protein leaves the nucleus in ALS and FTD

RNA-based regulation of TDP-43 nuclear export in ALS/FTD

['FUNDING_R01'] · JOHNS HOPKINS UNIVERSITY · NIH-11144328

This project looks at how a protein called TDP‑43 moves out of the cell nucleus in people with ALS and frontotemporal dementia, with the goal of finding ways to stop that harmful movement.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorJOHNS HOPKINS UNIVERSITY (nih funded)
Locations1 site (BALTIMORE, UNITED STATES)
Trial IDNIH-11144328 on ClinicalTrials.gov

What this research studies

From a patient's perspective, researchers are tracing how TDP‑43 interacts with RNA and how that interaction controls whether the protein stays in the nucleus or drifts into the cell body. They use cell-based experiments, permeabilized cell assays, and molecular tools to measure TDP‑43 mobility and to test the roles of RNA-binding and export complexes like NXF1/TREX. The team also examines how energy (ATP) and displacement from RNA influence TDP‑43 leaving the nucleus. Findings could point to molecular steps that therapies might target to keep TDP‑43 in the right place.

Who could benefit from this research

Good fit: People with ALS or frontotemporal dementia, especially those with known TDP‑43–related disease or TDP‑43 genetic changes, would be the most relevant group for future related trials or sample donation.

Not a fit: Patients whose disease is driven by non‑TDP‑43 mechanisms (for example some SOD1 ALS cases) are less likely to benefit directly from findings focused on TDP‑43 export.

Why it matters

Potential benefit: If successful, this work could point to new drug targets to prevent TDP‑43 mislocalization and slow neuron loss in ALS and some forms of FTD.

How similar studies have performed: Prior research has firmly linked TDP‑43 mislocalization to ALS/FTD but the exact export mechanism is only recently being explored, so this approach builds on established findings but is still early‑stage and novel.

Where this research is happening

BALTIMORE, 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.

View on NIH RePORTER →

Conditions: Amyotrophic Lateral Sclerosis Motor Neuron Disease

Last reviewed 2026-05-15 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.