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Andrea Gail Nackley

Associate Professor in Anesthesiology
Anesthesiology
Box 3094, Mail Sort #50, Durham, NC 27710
3 Genome Court, #6120, Durham, NC 27710

Overview


Pain is a multidimensional sensory and emotional experience that is important for our survival, but once pain becomes chronic it is no longer beneficial and, instead, becomes a disorder in and of itself. Chronic pain remains one of our nation’s most significant healthcare problems due to a limited understanding of the underlying genetic and environmental factors. There are three main objectives of our lab’s research in this area: 

  1. To determine the factors that put some people, but not others, at risk for maladaptive chronic pain conditions. To achieve this objective, we study genetic, biological, and environmental factors associated with the initial onset of pain as well as its severity and duration. In addition, we are beginning to study factors associated with patient-centered outcomes, which may have the power to predict optimal management strategies for different individuals.
  2. To elucidate the mechanism(s) whereby genetic, biological, and environmental factors drive chronic pain. To achieve this objective, we integrate molecular genetics, animal models, and clinical epidemiologic measures in order to reveal pathogenic processes that are unique to as well as common across a particular condition or individual(s). This line of inquiry will provide novel targets for the development of individualized therapeutics for the management of chronic pain.
  3. To improve pharmacologic management of pain. To achieve this objective, we conduct pre-clinical studies to test the efficacy of new compounds and to optimize the efficacy of existing compounds in patient-relevant animal models.

Current Appointments & Affiliations


Associate Professor in Anesthesiology · 2019 - Present Anesthesiology, Clinical Science Departments
Associate Professor in Pharmacology and Cancer Biology · 2017 - Present Pharmacology & Cancer Biology, Basic Science Departments

Recent Publications


miR-374 family is a key regulator of chronic primary pain onset.

Journal Article Pain Rep · December 2024 INTRODUCTION: Chronic primary pain conditions (CPPCs) are linked to catecholamine activation of peripheral adrenergic receptors. Yet, catecholamine-dependent epigenetic mechanisms, such as microRNA (miRNA) regulation of mRNA transcripts, remain largely unk ... Full text Link to item Cite

MuscleMap: An Open-Source, Community-Supported Consortium for Whole-Body Quantitative MRI of Muscle.

Journal Article J Imaging · October 22, 2024 Disorders affecting the neurological and musculoskeletal systems represent international health priorities. A significant impediment to progress in trials of new therapies is the absence of responsive, objective, and valid outcome measures sensitive to ear ... Full text Link to item Cite

Vagus nerve stimulation rescues persistent pain following orthopedic surgery in adult mice.

Conference Pain · August 1, 2024 Postoperative pain is a major clinical problem imposing a significant burden on patients and society. In a survey 2 years after orthopedic surgery, 57% of patients reported persisting postoperative pain. However, only limited progress has been made in the ... Full text Link to item Cite
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Recent Grants


ASPET SURF Institutional Award

Inst. Training Prgm or CMEParticipating Faculty Member · Awarded by American Society for Pharmacology and Experimental Therapeutics · 2018 - 2028

Neuro-immune modulation of pain in health and disease

ResearchCo Investigator · Awarded by National Institute of Dental and Craniofacial Research · 2022 - 2027

Identification and validation of LPA/LPAR signaling in temporomandibular disorder pain

ResearchCo-Principal Investigator · Awarded by National Institutes of Health · 2024 - 2027

View All Grants

Education, Training & Certifications


University of Georgia · 2003 Ph.D.

External Links


Nackley Lab URL