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Cynthia Ann Moylan

Associate Professor of Medicine
Medicine, Gastroenterology
Duke Box 3256, 595 LaSalle GSRB 1, Durham, NC 27710
Duke South Clinic, 40 Medicine Circle, Room 0350, Durham, NC 27710

Overview


My research interests focus on the study of chronic liver disease and primary liver cancer, particularly from metabolic dysfunction associated steatotic liver disease (MASLD), formerly called nonalcoholic fatty liver disease (NAFLD).  As part of the MASLD Research Team at Duke, we are investigating the role of environmental contaminants, epigenetics, and genetics on the development of advanced fibrosis and liver cancer from MASLD and other chronic liver diseases.  We are also interested in understanding risks for progressive liver disease including developmental programming and in utero exposures and have been investigating these risks through studies of the Newborn Epigenetics Study (NEST).  The long term goal of our research is to develop non-invasive biomarkers to identify those patients at increased risk for cirrhosis and end stage liver disease in order to risk stratify patients as well as to develop better preventative and therapeutic strategies.

Current Appointments & Affiliations


Associate Professor of Medicine · 2022 - Present Medicine, Gastroenterology, Medicine
Associate Professor in Pathology · 2018 - Present Pathology, Clinical Science Departments
Member of the Duke Cancer Institute · 2014 - Present Duke Cancer Institute, Institutes and Centers

Recent Publications


Short-chain per- and polyfluoroalkyl substances associate with elevated alanine aminotransferase: Cross-sectional analysis results from the STRIVE cohort.

Journal Article Environ Res · October 15, 2025 BACKGROUND: The impact of short-chain, low molecular weight polyfluoroalkyl substances (PFAS) and long-chain, high molecular weight PFAS on elevated alanine aminotransferase (ALT) remains unclear. Additionally, demographic and behavioral factors influencin ... Full text Link to item Cite

Plasma Lipid Metabolites Differentiate Metabolic From Viral Chronic Liver Disease.

Journal Article J Infect Dis · August 14, 2025 BACKGROUND: Lipid metabolism is altered in human immunodeficiency virus (HIV) infection and chronic liver diseases, but common and unique pathways have not been elucidated, limiting prevention and treatment strategies. The aim of this study was to discover ... Full text Link to item Cite

Ubiquitous Environmental Exposures and Risk of Hepatocellular Carcinoma: A Narrative Review.

Journal Article Dig Dis Sci · August 10, 2025 BACKGROUND: Hepatocellular carcinoma (HCC) is among the most prevalent and deadly cancers worldwide. Chronic liver disease is the most established risk factor for HCC, but environmental exposures are increasingly recognized as contributor. In this narrativ ... Full text Link to item Cite
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Recent Grants


Genomic Imprinting in the Development of NAFLD

ResearchPrincipal Investigator · Awarded by National Institute of Diabetes and Digestive and Kidney Diseases · 2024 - 2028

Therapeutic modulation of a proteomic HCC risk signature with statins in patients with liver cirrhosis

ResearchCo-Principal Investigator · Awarded by University of Texas - Southwestern · 2023 - 2027

The Southeastern Liver Health Cohort Study

ResearchPrincipal Investigator · Awarded by North Carolina State University · 2023 - 2027

View All Grants

Education, Training & Certifications


University of Miami · 2002 M.D.