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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 Duke 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 Scholarly Works


Introduction to the special issue on epigenetic regulation of chronic pain.

Journal article Pain Rep · April 2026 This Special Issue features 6 articles from leaders in the field that elucidate novel epigenetic mechanisms regulating nociception, inflammation, responses to pharmacologic and integrative therapies, and pain disparities among racial/ethnic groups. Togethe ... Full text Link to item Cite

Thermally Driven Release of Oxycodone from Poly(ester urea) Thin Films by Printed Microheaters for Transdermal Delivery.

Journal article ACS Appl Mater Interfaces · December 17, 2025 Opioids are widely considered to be one of the most effective pain management strategies, but current prescription and distribution models have resulted in high rates of misuse, addiction, and overdose. An alternative to the systemic delivery of opioids is ... Full text Link to item Cite
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Recent Grants


Integrated Training in Anesthesiology Research

Inst. Training Prgm or CMEMentor · Awarded by National Institute of General Medical Sciences · 1996 - 2031

Pharmacological Sciences Training Program

Inst. Training Prgm or CMEPreceptor · Awarded by National Institutes of Health · 2025 - 2030

Dysregulation of ceramide-to-sphingosine 1-phosphate signaling pathways as a potential therapeutic target for provoked vestibulodynia (PVD)

ResearchPrincipal Investigator · Awarded by University of California - Los Angeles · 2025 - 2027

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Education


University of Georgia · 2003 Ph.D.

External Links


Nackley Lab URL