# Mechanogenomics of the asthmatic airway epithelium

> **NIH NIH K25** · BRIGHAM AND WOMEN'S HOSPITAL · 2024 · $187,621

## Abstract

Summary/Abstract
Airway wall remodeling is one of the most documented hallmarks of asthma. Despite being a key clinical trait of
long-term asthma, this pathological condition remains largely uncontrolled even with front-line therapies.
Remodeling processes have been traditionally described as an aberrant response to chronic inflammation.
However, this picture is challenged by increasing evidence of airway remodeling as a primary
mechanotransduction event. Recent studies point to mechanical abnormalities in the airway epithelium as a core
factor of asthma pathogenesis. In vitro and in vivo experiments show that the mechanical effects of asthmatic
bronchoconstriction can trigger alone genomic, molecular, and morphological patterns of airway remodeling even
in the absence of inflammatory stimuli. As such, the traditional picture of asthma as a predominantly inflammatory
disease is giving way to a complex, multifactorial scenario where mechanical forces, immune response, and
tissue remodeling all contribute to the development of the disease. Building upon these findings, this proposal
hypothesizes that the mechanogenetic response of the airway epithelium to excessive mechanical stress
constitutes a route to aberrant airway remodeling that is independent of inflammation. To test this
hypothesis, Dr. De Marzio will develop a novel systems biology approach that combines genomics, biostatistics,
and network medicine. RNA-Sequencing and clinical data from asthma population studies will be integrated with
protein interaction networks to: 1) Identify the mechanogenetic signature of bronchoconstriction in the asthmatic
epithelium and understand its role on asthmatic phenotypes; 2) define the role of airway epithelial cell
heterogeneity in response to mechanical compression; and 3) determine the signaling pathways mediating
compression-induced airway remodeling to discover candidate therapeutic markers. In doing so, this project will
represent the first comprehensive study on the mechanogenomics of asthma. The intrinsic interdisciplinary
nature of this proposal makes Dr. De Marzio uniquely qualified to pursue this research direction. The proposed
research will leverage her physics background and her experience in computational biology and network
modeling to understand the pathogenic role of mechanical forces in asthma. For the successful development of
this project, she will receive additional training in airway pathobiology and pulmonary medicine and she will be
supported by an outstanding mentoring team composed of biologists, network scientists, and pulmonologists.
Dr. De Marzio's long-term career goal is to establish an independent research program at the intersection of
genomics, biomechanics, and network science. The resources offered by this award combined with the rich
intellectual environment of the Channing Division of Network Medicine will put her in an advantageous position
to transition to independence and submit multiple R01s. Dr. De Marzio's f...

## Key facts

- **NIH application ID:** 10891505
- **Project number:** 5K25HL168157-02
- **Recipient organization:** BRIGHAM AND WOMEN'S HOSPITAL
- **Principal Investigator:** Margherita De Marzio
- **Activity code:** K25 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $187,621
- **Award type:** 5
- **Project period:** 2023-08-01 → 2028-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10891505

## Citation

> US National Institutes of Health, RePORTER application 10891505, Mechanogenomics of the asthmatic airway epithelium (5K25HL168157-02). Retrieved via AI Analytics 2026-05-28 from https://api.ai-analytics.org/grant/nih/10891505. Licensed CC0.

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