Transfusion Medicine, Vascular Biology
& Cellular Therapy
Richard H. Aster, MD
Senior Investigator Emeritus
Thomas Abshire, MD
Senior Investigator Emeritus
Blood products save lives every day. Making them safer, more effective, and more accessible requires understanding blood at its most fundamental level, and then reimagining what's possible.
The Transfusion Medicine, Vascular Biology & Cellular Therapy program develops advanced blood products, novel cellular therapies, and new treatments for platelet and vascular disorders. Our investigators work at the intersection of basic biology and clinical application, where molecular insights become medical innovations.
"Our program sits at the frontier where basic biology becomes medical innovation. We're engineering next-generation blood products, designing cellular therapies that don't exist yet, and unraveling how vessels and platelets maintain health and respond to disease. From RNA-based clotting factors to groundbreaking platelet technology, our investigators are building the future of blood medicine. This is discovery work that reaches patients."
In transfusion medicine, we refine blood products for patients with bleeding disorders, cancer, and sepsis. We design diagnostic tests that improve safety and compatibility. We investigate how storage, processing, and preparation affect therapeutic outcomes.
Our vascular biology researchers study the delicate architecture of blood vessels, how they maintain integrity, respond to injury, and contribute to disease. This work has implications for cardiovascular conditions, trauma, sickle cell disease, and countless disorders where vascular health determines patient outcomes.
Cellular therapy represents the frontier. Our scientists harness RNA technology and stem cell engineering to create next-generation treatments. Self-amplifying RNA delivers therapeutic proteins for extended periods. Cell engineering produces blood components on demand. These aren't distant possibilities—they're active research programs with real translational potential.
This culture produces results. Our investigators publish widely, secure sustained federal funding, and earn recognition for innovation. More importantly, our research reaches patients. Safer blood products. Better diagnostic tools. New treatment options. This is how molecular biology becomes medicine.
Heart disease starts with inflammation that turns our own immune cells against us. We're tracing how macrophages build the plaques that block arteries and cause heart attacks. Every molecular signal we map brings us closer to stopping cardiovascular disease before it starts.
Blood vessels must strike a careful balance: they need to remain stable and protective, allow immune cells to enter tissues when needed, and grow new vessels to support repair. We study two closely related signaling proteins, Rap1A and Rap1B, that guide these decisions within the cells lining blood vessels.
Rap1A strengthens the vascular barrier and regulates immune cell passage, while Rap1B promotes angiogenesis — the growth of new blood vessels in response to injury or disease. When this balance is disrupted, it can drive conditions such as cancer, cardiovascular disease, and diabetic eye disease.
A safe blood transfusion or future pregnancy can depend on detecting antibodies that threaten patients. We detect immune responses against platelets and white blood cells that others might miss. Our diagnostic advances protect patients and make blood safer.
Cell-surface sugars (glycans) on hematopoietic cells are fundamental regulators of blood cell development and immune recognition. They influence blood cell production, platelet lifespan, and compatibility in transfusion and transplantation. We systematically map these glycan signatures to understand how the immune system distinguishes self from non-self at the molecular level. By integrating glycobiology with translational hematology, we develop precision-based strategies to advance therapies for patients with blood disorders.
Hemorrhage kills in minutes. Unwanted clots kill over months. I engineer solutions for both, designing RNA therapies, genetically modified platelets, and biomaterials that strengthen clots when bleeding threatens life. This technology answers urgent needs in trauma, surgery, childbirth, and rare bleeding disorders.
A mother's immune system can attack her baby's platelets before birth. We study how these disorders work and design therapies to stop them. Our work identifies the precise structural triggers of these attacks and develops treatments that silence the immune cells responsible, protecting mothers and babies.
Sickle cell disease destroys red blood cells (RBCs), and these sickled RBCs damages the organs they pass through. We investigate how this destruction injures different organs and what can be done at the molecular level to rescue the organ damage. We also study how damaged liver vessels interact with revolutionary gene therapies for hemophilia. Connecting these diseases through shared mechanisms opens new paths to healing.
Chronic inflammation rewires immune cells to cause heart attacks and strokes. We study CD36, a receptor that turns platelets and macrophages dangerous when stress persists. Our discoveries reveal how metabolism and immunity intersect in heart disease and point toward therapies that interrupt this deadly cycle.