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Sudarshan Rajagopal

Associate Professor of Medicine
Medicine, Cardiology
Box 102147, DUMC, Durham, NC 27710
Duke University Medical Center, Box 3126, Durham, NC 27710

Research Interests


The research of the Rajagopal lab focuses on understanding and untapping the signaling potential of G protein-coupled receptors (GPCRs) to regulate inflammation in vascular disease. GPCRs are the most common transmembrane receptors in the human genome (over 800 members) and are some of the most successful targets for drug therapies. While it has been known for some time that these receptors signal through multiple downstream effectors (such as heterotrimeric G proteins and multifunctional beta arrestin adapter proteins), over the past decade it has been better appreciated that these receptors are capable of signaling with different efficacies to these effectors, a phenomenon referred to as "biased agonism". Ligands can be biased, by activating different pathways from one another, and receptors can be biased, by signaling to a limited number of pathways that are normally available to them. Moreover, this phenomenon also appears to be common to other transmembrane and nuclear receptors. While a growing number of biased agonists acting at multiple receptors have been identified, there is still little known regarding the mechanisms underlying biased signaling and its physiologic impact.

Much of our research focuses on the chemokine system, which consists of approximately twenty receptors and fifty ligands that display considerable promiscuity with each other in the regulation of immune cell function in inflammatory diseases. Research from our group and others have shown that many of these ligands act as biased agonists when signaling through the same receptor. We use models of inflammation such as contact hypersensitivity and pulmonary arterial hypertension (PAH). PAH is a disease of the pulmonary arterioles that results in right heart failure and most of its treatments target signaling by GPCRs. We use multiple approaches to probe these signaling mechanisms, including in-house pharmacological assays, advanced phosphoproteomics and single cell RNA sequencing.

Selected Grants


Engineering a New Class of Therapies for Heart Failure

ResearchPrincipal Investigator · Awarded by American Heart Association · 2025 - 2030

GMS-PH-401 Pro00116519

Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2025 - 2029

GBT002-3102 PROSERA-EXT Pro00115550

Clinical TrialPrincipal Investigator · Awarded by GB002, Inc. · 2024 - 2029

OrphAL LAM-001-PAH Pro00113235

Clinical TrialPrincipal Investigator · Awarded by OrphAI Therapeutics · 2024 - 2029

129Xenon MRI MERCK Study (IIS)

Clinical TrialPrincipal Investigator · Awarded by Merck Sharp & Dohme LLC. · 2024 - 2029

CADANCE - A Phase 2 Study of Sotatercept for Cpc-PH Treatment

Clinical TrialPrincipal Investigator · Awarded by Acceleron Pharma · 2024 - 2028

TEAM Registry

ResearchPrincipal Investigator · Awarded by International CTEPH Association · 2024 - 2028

Early Detection of Changes in Pulmonary Gas Exchange by Hyperpolarized Xe MRI

ResearchCo Investigator · Awarded by National Heart, Lung, and Blood Institute · 2011 - 2027

UT Solar Defining a Noninvasive Signature for Pulmonary Vascular Remodeling in Group 3 PH

Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2022 - 2027

Regulation of Adrenomedullin Signaling by RAMPs in Chronic Thromboembolic Pulmonary Hypertension

ResearchPrincipal Investigator · Awarded by American Heart Association · 2024 - 2027

Medical Scientist Training Program

Inst. Training Prgm or CMEPreceptor · Awarded by National Institute of General Medical Sciences · 2022 - 2027

Duke Program of Training in Pulmonary ReSearch to Promote, Engage and Retain Academic Researchers (PROSPER)

Inst. Training Prgm or CMEPreceptor · Awarded by National Heart, Lung, and Blood Institute · 2022 - 2026

Novel Mechanisms and Therapeutic Targets for Pulmonary Hypertension in End-Stage Renal Disease (K23)

ResearchCo-Mentor · Awarded by National Institutes of Health · 2021 - 2026

Biasing CXCR3 Signaling to Modulate the Inflammatory Response

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2022 - 2026

Novel mitochondrial protective properties of annexin A1

ResearchCo Investigator · Awarded by National Institute of Diabetes and Digestive and Kidney Diseases · 2021 - 2026

Cell and Molecular Biology Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2021 - 2026

Xenon MRI in Pulmonary Hypertension

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2021 - 2026

The Duke Mandel Cardiovascular Research Center - Supporting Undergraduate Research Experiences (SURE) - Casey Powell

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by American Heart Association · 2025 - 2025

Assessing Response to Inhaled Prostacyclin with Hyperpolarized 129Xe MRI

Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2025

Restrospective Study of Outcomes of Patients with WHO Groups 1 and 3 Pulmonary Hypertension Treated with High-Dose Inhaled Treprostinil

ResearchPrincipal Investigator · Awarded by United Therapeutics Corporation · 2018 - 2024

Analytics 4 Life PHDEV Secondary

Clinical TrialPrincipal Investigator · Awarded by Analytics 4 Life · 2020 - 2024

National Research Service Award (F31)

FellowshipPrincipal Investigator · Awarded by National Institutes of Health · 2021 - 2024

Elevate 2 RVT-1201-2002

Clinical TrialPrincipal Investigator · Awarded by Altavant Sciences, Inc. · 2021 - 2024

Pluridemensional Signaling of Vasoactive G Protein-Coupled Receptors

FellowshipPrincipal Investigator · Awarded by American Heart Association · 2023 - 2023

Functional divergence of ss-arrestin isoforms drives distinct AT1R signaling in hypertension

FellowshipPrincipal Investigator · Awarded by American Heart Association · 2023 - 2023

R01: CXCL10/CXCR3 regulation of ozone-induced epithelial permeability

ResearchCo Investigator · Awarded by National Institutes of Health · 2017 - 2023

US - Base, observational, drug registry of Opsumit (macitentan) new users in clinical practice (OPUS Registry)

Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceuticals Ltd. · 2015 - 2023

Right Ventricular Metabolic Dysregulation after Surgery for Heart Failure

ResearchAdvisor · Awarded by International Anesthesia Research Society · 2021 - 2023

An Open-Label Extension study of Inhaled Treprostinil in Subjects with Pulmonary Hypertension due to Parenchymal Lung Disease

Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2023

Single Cell Profiling and Disease Modeling of CTEPH

ResearchPrincipal Investigator · Awarded by American Heart Association · 2019 - 2022

Medical Scientist Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 1997 - 2022

CXCR3 in Atherosclerosis

FellowshipPrincipal Investigator · Awarded by American Heart Association · 2020 - 2021

A Pilot Study of Transitioning from Parenteral Prostacyclins to Selexipag

Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceutical US, Inc · 2017 - 2021

Non-invasive Diagnosis of Pulmonary Vascular Disease Using Inhaled 129Xe MRI

ResearchCo-Principal Investigator · Awarded by National Institutes of Health · 2016 - 2020

Dissecting Receptor Signaling Pathways in Pulmonary Hypertension

ResearchPrincipal Investigator · Awarded by Burroughs Wellcome Fund · 2014 - 2020

RADPH - Building a Repository of Phase Signals for Algorithm Development from Subjects with Pulmonary Hypertension.

ResearchPrincipal Investigator · Awarded by Analytics 4 Life · 2019 - 2020

Probing the Mechanism of VEGFR3 regulation by Beta-rrwatins in Vascular Disease

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2017 - 2019

RV STRAIN

Clinical TrialPrincipal Investigator · Awarded by Gilead Sciences, Inc. · 2015 - 2019

A phase 2, randomized, double-blind, placebo-controlled study of ubenimex in patients with pulmonary arterial hypertension (WHO Group 1) (LIBERTY)

Clinical TrialPrincipal Investigator · Awarded by Eiger BioPharmaceuticals, Inc. · 2016 - 2018

Opsummit Historical Users cohort study (OrPHeUS)

ResearchPrincipal Investigator · Awarded by Actelion Pharmaceuticals Ltd. · 2018 - 2018

Noncanonical Receptor Signaling in Pulmonary Arterial Hypertension

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2013 - 2018

CardioMEMS

Clinical TrialPrincipal Investigator · Awarded by Pacesetter, Inc. · 2016 - 2018

Targeting the Right Ventricle with Biased Agonists in Pulmonary Arterial Hypertension

ResearchPrincipal Investigator · Awarded by Gilead Sciences, Inc. · 2014 - 2016

External Relationships


  • Gossamer Bio
  • Insmed
  • Janssen Pharmaceuticals
  • Liquidia Technologies, Inc
  • Merck
  • Polarean
  • TotalCME
  • United Therapeutics Corp.
  • Visterra

This faculty member (or a member of their immediate family) has reported outside activities with the companies, institutions, or organizations listed above. This information is available to institutional leadership and, when appropriate, management plans are in place to address potential conflicts of interest.