# How do early stages of fibrin fiber assembly affect clot structure and lysis

> **NIH NIH R15** · EAST CAROLINA UNIVERSITY · 2024 · $455,082

## Abstract

Project Summary/Abstract
The broad, long-term objective of the proposed research is to determine the mechanisms regulating 
fibrin and fibrinogen function, with the goal of improving the diagnosis and treatment of cardiovascular 
disease. In so doing, we plan to train the next generation of scientists with an interdisciplinary skill set.
In this specific proposal, we will study the polymerization, structural properties, and enzymatic digestion of fibrin 
fibers. Fibrin fibers polymerize into a 3-D gel after thrombin converts fibrinogen to fibrin. The structural properties 
of fibrin are regulated by many factors such as enzyme concentrations, and altered fibrin structures have been 
linked to pathologies such as diabetes. Although fibrin polymerization has been studied for decades, there 
remains a crucial gap in our understanding of how early fibrin polymers transition into a fully-formed gel. Because 
the transitional period likely determines the final gel structure, this gap in knowledge prevents a direct association 
between polymerization processes and the biochemical and pathological conditions that result in altered clot 
structures. In this research project, we will utilize recently developed approaches to determine mechanisms of 
fibrin polymerization. We hypothesize that these polymerization processes propagate throughout the entire 
coagulation process, affecting both the final gel structure and fibrin’s resistance to enzymatic digestion. Testing 
this hypothesis will rely heavily on undergraduate student researchers, providing training in molecular biology, 
biochemistry, biophysics, mathematical modeling, and blood coagulation. 
Specific Aim 1: Make direct observations of fibrin polymerization and quantify polymerization 
processes and kinetics. Using high framerate, high resolution fluorescent microscopy techniques combined 
with advanced image analysis tools, and atomic force microscopy, we will observe and quantify fibrin 
polymerization. In so doing, we will measure rates of fiber growth, changes in fiber stiffness, and branch point 
formation for the first time. Our experimental results will be tested against mathematical models to differentiate 
competing hypotheses about these processes. 
Specific Aim 2: Validate fibrin structural properties with multiple techniques and correlate the final 
structural properties of fibrin gels with the early stages of fibrin formation. Using two or more different 
techniques, we will measure fibrin structural properties including fibrin fiber length, diameter, and mass-length 
ratio and network pore size and branch point density. These network structural properties will be correlated 
with polymerization processes to identify which aspects of polymerization determine fibrin structures.
Specific Aim 3: Determine how early clot structures affect lysis. We will measure the fibrinolysis rates of 
whole networks and individual fibers within the network using novel fluorescence-based microscopy 
app...

## Key facts

- **NIH application ID:** 10875762
- **Project number:** 2R15HL148842-02
- **Recipient organization:** EAST CAROLINA UNIVERSITY
- **Principal Investigator:** Nathan E Hudson
- **Activity code:** R15 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $455,082
- **Award type:** 2
- **Project period:** 2019-07-01 → 2027-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10875762

## Citation

> US National Institutes of Health, RePORTER application 10875762, How do early stages of fibrin fiber assembly affect clot structure and lysis (2R15HL148842-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10875762. Licensed CC0.

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