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Nishad Jayasundara

Juli Plant Grainger Assistant Professor of Global Environmental Health
Environmental Natural Science

Overview


Dr. Jayasundara studies adverse human and ecological health outcomes of anthropogenic environmental change, primarily emphasizing studies on environmental drivers of kidney development and health. Of particular interest are aquatic contaminants in natural streams and the drinking water and the role of heat stress as an effect modifier. Ongoing projects in the laboratory aim to

1. Determine interactive effects of agrochemicals on kidney mitochondrial function in the context of chronic kidney disease epidemic in agricultural communities by integrating on environmental epidemiology and mechanistic toxicology studies.

2. Examine mitochondrial responses to acute and chronic heat exposure during organismal development and linking to later-life metabolic consequences 

3. Elucidate the role of genetic, epigenetic, and gut microbiome shifts associated with evolved resistance to chemical pollutants and fitness consequences.  

4. Assess water quality through citizen science and community engagement in multiple domestic and global communities.

Current Appointments & Affiliations


Juli Plant Grainger Assistant Professor of Global Environmental Health · 2023 - Present Environmental Natural Science, Nicholas School of the Environment
Assistant Professor of Environmental Toxicology and Health · 2024 - Present Environmental Natural Science, Nicholas School of the Environment
Assistant Professor in Medicine · 2021 - Present Medicine, Nephrology, Medicine
Assistant Research Professor of Global Health · 2021 - Present Duke Global Health Institute, University Institutes and Centers

In the News


Published October 28, 2024
Rural Areas Face a Kidney Disease Crisis
Published October 25, 2024
Individuals and Groups Collect 19 Climate and Sustainability Awards
Published December 5, 2023
Why Marginalized Communities Pay the Price for a Changing Planet

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Recent Publications


Environmental Microbial Cues Alter Embryonic Development and Stress Responses in Vertebrates: Insights From the Zebrafish (Danio rerio) Model.

Journal Article Mol Ecol · December 2025 Host-microbiome interactions shape key physiological processes, including bioenergetics, neurodevelopment and xenobiotic metabolism, and strongly influence the ecological fitness of the host. However, our understanding of host-microbiome interactions is pr ... Full text Link to item Cite

Is Fluoride the Culprit? Revisiting Evidence on Environmental Origins of Chronic Kidney Disease of Uncertain Etiology (CKDu): A Narrative Review.

Journal Article Toxics · November 2025 Fluoride is increasingly discussed as a geogenic risk factor for chronic kidney disease of uncertain etiology (CKDu); an epidemic of kidney disease is affecting hot tropical farming communities worldwide. Emerging evidence continues to support the associat ... Full text Cite

Integrating Contaminant Source Indicators, Water Quality Measures, and Ecotoxicity to Characterize Contaminant Mixtures and Per- and Polyfluoroalkyl Substance (PFAS) Variability in an Urban Watershed.

Journal Article Environmental science & technology · July 2025 Thousands of chemical contaminants threaten watersheds but are time and cost prohibitive to monitor. Identifying their sources, transport, and ecological risk is limited in heterogeneous urban watersheds. We present an integrative watershed approach using ... Full text Cite
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Recent Grants


Duke University Program in Environmental Health

Inst. Training Prgm or CMEMentor · Awarded by National Institute of Environmental Health Sciences · 2019 - 2029

The other plastic problem: weathering and plastic additives synergize to impact organismal health

ResearchCo Investigator · Awarded by Underwriters Laboratories Inc. · 2025 - 2028

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Education, Training & Certifications


Stanford University · 2012 Ph.D.