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 - 2030RVT-2301-201 - A Phase 2, Randomized, Placebo-Controlled Trial to Assess the Efficacy and Safety of Mosliciguat in Participants with Pulmonary Hypertension Associated with Interstitial Lung Disease
Clinical TrialPrincipal Investigator · Awarded by Pulmovant, Inc. · 2024 - 2029GMS-PH-401 Pro00116519
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2025 - 2029GBT002-3102 PROSERA-EXT Pro00115550
Clinical TrialPrincipal Investigator · Awarded by GB002, Inc. · 2024 - 2029OrphAL LAM-001-PAH Pro00113235
Clinical TrialPrincipal Investigator · Awarded by OrphAI Therapeutics · 2024 - 2029129Xenon MRI MERCK Study (IIS)
Clinical TrialPrincipal Investigator · Awarded by Merck Sharp & Dohme LLC. · 2024 - 2029GB002-3101 - Gossamer Bio - A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Inhalation of Seralutinib for the Treatment of Pulmonary Arterial Hypertension (PAH)
Clinical TrialPrincipal Investigator · Awarded by GB002, Inc. · 2023 - 2028CADANCE - A Phase 2 Study of Sotatercept for Cpc-PH Treatment
Clinical TrialPrincipal Investigator · Awarded by Acceleron Pharma · 2024 - 2028TEAM Registry
ResearchPrincipal Investigator · Awarded by International CTEPH Association · 2024 - 2028EPIPHANY Effects of Combination Medical Therapy Followed by Balloon Pulmonary Angioplasty on Right Ventricular-PA Coupling and Hemodynamics in Chronic Thromboembolic Pulmonary Hypertension (The EPIPHANY Study)
Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceutical US, Inc · 2023 - 2028Early Detection of Changes in Pulmonary Gas Exchange by Hyperpolarized Xe MRI
ResearchCo Investigator · Awarded by National Heart, Lung, and Blood Institute · 2011 - 2027UT Solar Defining a Noninvasive Signature for Pulmonary Vascular Remodeling in Group 3 PH
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2022 - 2027Regulation of Adrenomedullin Signaling by RAMPs in Chronic Thromboembolic Pulmonary Hypertension
ResearchPrincipal Investigator · Awarded by American Heart Association · 2024 - 2027Medical Scientist Training Program
Inst. Training Prgm or CMEPreceptor · Awarded by National Institute of General Medical Sciences · 2022 - 2027AC-055-315 A Phase 3, Prospective, Multicenter, Double-blind, Double-Dummy, Randomized, Active-controlled, Parallel-group, Group-sequential, Adaptive, Event-Driven Study to compare Efficacy, Safety, and Tollerability of Macitentan 75mg Versus Maciten
Clinical TrialPrincipal Investigator · Awarded by Janssen Research & Development, LLC · 2021 - 2027Duke 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 - 2026Novel Mechanisms and Therapeutic Targets for Pulmonary Hypertension in End-Stage Renal Disease (K23)
ResearchCo-Mentor · Awarded by National Institutes of Health · 2021 - 2026Biasing CXCR3 Signaling to Modulate the Inflammatory Response
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2022 - 2026Novel mitochondrial protective properties of annexin A1
ResearchCo Investigator · Awarded by National Institute of Diabetes and Digestive and Kidney Diseases · 2021 - 2026Cell and Molecular Biology Training Program
Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2021 - 2026Xenon MRI in Pulmonary Hypertension
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2021 - 2026Pulmonary Structure and Function with Hyperpolarized 129Xe Magnetic Resonance Imaging in Patients with Pulmonary Hypertension
ResearchMentor · Awarded by American Heart Association · 2023 - 2026The Duke Mandel Cardiovascular Research Center - Supporting Undergraduate Research Experiences (SURE) - Casey Powell
Inst. Training Prgm or CMEPrincipal Investigator · Awarded by American Heart Association · 2025 - 2025Assessing Response to Inhaled Prostacyclin with Hyperpolarized 129Xe MRI
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2025Restrospective 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 - 2024Analytics 4 Life PHDEV Secondary
Clinical TrialPrincipal Investigator · Awarded by Analytics 4 Life · 2020 - 2024National Research Service Award (F31)
FellowshipPrincipal Investigator · Awarded by National Institutes of Health · 2021 - 2024Elevate 2 RVT-1201-2002
Clinical TrialPrincipal Investigator · Awarded by Altavant Sciences, Inc. · 2021 - 2024Pluridemensional Signaling of Vasoactive G Protein-Coupled Receptors
FellowshipPrincipal Investigator · Awarded by American Heart Association · 2023 - 2023Functional divergence of ss-arrestin isoforms drives distinct AT1R signaling in hypertension
FellowshipPrincipal Investigator · Awarded by American Heart Association · 2023 - 2023R01: CXCL10/CXCR3 regulation of ozone-induced epithelial permeability
ResearchCo Investigator · Awarded by National Institutes of Health · 2017 - 2023US - Base, observational, drug registry of Opsumit (macitentan) new users in clinical practice (OPUS Registry)
Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceuticals Ltd. · 2015 - 2023TRACE: Selexipag ACT-293987, AC-065A404 A multicenter double-blind placebo controlled Phase 4 study in patients with pulmonary arterial hypertension to assess the effect of selexipag
Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceutical US, Inc · 2018 - 2023Right Ventricular Metabolic Dysregulation after Surgery for Heart Failure
ResearchAdvisor · Awarded by International Anesthesia Research Society · 2021 - 2023A Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Safety and Efficacy of Inhaled Treprostinil in Subjects with Pulmonary Hypertension due to Parenchymal Lung Disease
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2023An 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 - 2023Single Cell Profiling and Disease Modeling of CTEPH
ResearchPrincipal Investigator · Awarded by American Heart Association · 2019 - 2022Medical Scientist Training Program
Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 1997 - 2022CXCR3 in Atherosclerosis
FellowshipPrincipal Investigator · Awarded by American Heart Association · 2020 - 2021RVT-1201 A Phase 2a, Double-Blind Placebo-Controlled Multicenter Study to Assess the Safety tolerability pharmacokinetics and pharmacodynamic effects of RVT-1201 in Patients with PAH
Clinical TrialPrincipal Investigator · Awarded by Altavant Sciences, Inc. · 2019 - 2021A Pilot Study of Transitioning from Parenteral Prostacyclins to Selexipag
Clinical TrialPrincipal Investigator · Awarded by Actelion Pharmaceutical US, Inc · 2017 - 2021TDE-HF-302 Open-label extension study of oral Treprostinil in subjects with Pulmonary Hypertension associated wiht Heart Failure with Preserved Ejection Fraction- A long-term follow-up to TDE-HF-301
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2020Evaluate the Safety and Efficacy of Oral Treprostinil in Subjects with Pulmonary Hypertension in Heart FAilure with Preserved Ejection Fraction (HFpEF)
Clinical TrialPrincipal Investigator · Awarded by United Therapeutics Corporation · 2017 - 2020Non-invasive Diagnosis of Pulmonary Vascular Disease Using Inhaled 129Xe MRI
ResearchCo-Principal Investigator · Awarded by National Institutes of Health · 2016 - 2020Dissecting Receptor Signaling Pathways in Pulmonary Hypertension
ResearchPrincipal Investigator · Awarded by Burroughs Wellcome Fund · 2014 - 2020RADPH - Building a Repository of Phase Signals for Algorithm Development from Subjects with Pulmonary Hypertension.
ResearchPrincipal Investigator · Awarded by Analytics 4 Life · 2019 - 2020Probing the Mechanism of VEGFR3 regulation by Beta-rrwatins in Vascular Disease
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2017 - 2019RV STRAIN
Clinical TrialPrincipal Investigator · Awarded by Gilead Sciences, Inc. · 2015 - 2019A 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 - 2018Opsummit Historical Users cohort study (OrPHeUS)
ResearchPrincipal Investigator · Awarded by Actelion Pharmaceuticals Ltd. · 2018 - 2018A Phase 2, Open-Label, Extension Study to Evaluate the Long- Term Safety and Efficacy of Ubenimex in Patients with Pulmonary Arterial Hypertension (WHO Group 1)
Clinical TrialPrincipal Investigator · Awarded by Eiger BioPharmaceuticals, Inc. · 2016 - 2018Noncanonical Receptor Signaling in Pulmonary Arterial Hypertension
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2013 - 2018CardioMEMS
Clinical TrialPrincipal Investigator · Awarded by Pacesetter, Inc. · 2016 - 2018Investigation of the Effect of Expressing BMPr2, BMP10 or BMP9 in the monocrotaline rat model (MCT) and sugen-hypoxia model (SuHX) for PAH following the systemic delivery of genes using an AAV vector.
ResearchPrincipal Investigator · Awarded by StrideBio LLC · 2017 - 2018Targeting the Right Ventricle with Biased Agonists in Pulmonary Arterial Hypertension
ResearchPrincipal Investigator · Awarded by Gilead Sciences, Inc. · 2014 - 2016External 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.