Mitigation of gastrointestinal acute radiation syndrome by promoting clusterin-mediated intestinal regeneration

Active Cooperative Agreement Awarded Last action

Award ID
U01AI186969
Recipient
Awarding agency
Obligated
$1,901,786

Award facts

Assistance listing
93.310 Trans-NIH Research Support
Completion date 38% complete
Funding agency
Office of the Director National Institutes of Health, Department of Health and Human Services
Place of performance
Durham, NC 27708, USA

Award details come from USAspending.gov.

Description

Abstract
The radiation tolerance of the gastrointestinal (GI) tract can be exceeded in radiation accidents or in the case of nuclear warfare, resulting in a lethal GI acute radiation syndrome (GI-ARS). There are no current FDA- approved medical countermeasures to mitigate GI-ARS; thus, there is an urgent need to identify key mechanisms of repair and regeneration in the irradiated intestinal epithelium. We have shown that the regeneration of the intestinal epithelium in response to severe radiation injury is mediated through revival stem cells (revscs), which are generated through fetal-like reprogramming and identified by a marker gene clusterin (CLU) (the mouse ortholog of human CLU). Remarkably, whole animal deletion of CLU significantly sensitizes mice to GI-ARS, while GI-ARS in mice is significantly mitigated via treatment with exogenous mouse CLU protein starting 24 hours post-irradiation. In addition, our preliminary data suggest that the cgas-sting pathway acts as an upstream regulator of CLU in the irradiated intestinal epithelium. Treatment of mice with a sting agonist MSA-2 starting 24 hours after irradiation significantly improves the regeneration of irradiated small intestines. Thus, the overall goal of this proposal is to develop novel mitigators of the GI-ARS that promote the regeneration of irradiated intestinal epithelium by targeting the sting-CLU axis. In aim 1, we will define the mechanisms by which CLU mitigates the development of GI-ARS. In aim 2, we will dissect the sting-CLU axis in regulating the development of GI-ARS. Successful completion of the proposed study will demonstrate the key role of CLU in promoting the regeneration of the intestinal epithelium following acute radiation injury in mice and human intestinal organoids. We anticipate that our findings will significantly impact the successful development of GI-ARS mitigators that target the sting-CLU axis.

Transactions

Action Obligated Date
Amendment $110,922
Amendment $380,106
Amendment $380,106
Amendment $515,326
Original award $515,326

Subawards

Subrecipient Amount Awarded
University Health Network Mitigation of gastrointestinal acute radiation syndrome by promoting clusterin-mediated in $110,922
University Health Network $113,400

Quick answers

Who received award U01AI186969?

U01AI186969 was awarded to Duke University by National Institute of Allergy and Infectious Diseases (National Institutes of Health) on December 2, 2024.

How much is award U01AI186969 worth?

$1,901,786 has been obligated on U01AI186969.

Which agency awarded U01AI186969?

National Institute of Allergy and Infectious Diseases (National Institutes of Health) awarded U01AI186969, with funding from Office of the Director (National Institutes of Health).

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