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Leonardo F Ferreira

Associate Professor in Orthopaedic Surgery
Orthopaedic Surgery, Physical Therapy
308 Research Dr, LSRC B330B, Durham, NC 27708

Overview


Leo Ferreira’s clinical experience with patients suffering from muscle weakness and fatigue triggered his interest in integrative and exercise physiology, striated muscle biology and biophysics, and cardiomyopathy. He joined the Department of Orthopaedic Surgery after spending 13 years at the University of Florida where he was Professor and Vice-Chair of Applied Physiology & Kinesiology and Director of the Center of Exercise Science. He underwent research training in clinical exercise testing and interpretation and rehabilitation at the University of California, Los Angeles (Harbor-UCLA) Rehabilitation Clinical Trials Center with Richard Casaburi, MD, PhD; Brian Whipp, PhD and Karlman Wasserman, MD; integrative physiology and exercise science at Kansas State University with David Poole, DSc, PhD and Timothy Musch, PhD; and striated muscle biology and biophysics at the Center for Muscle Biology at the University of Kentucky Medical School with Michael B. Reid, PhD and Kenneth S. Campbell, PhD. Leo Ferreira’s research experience spans from experiments in individual cells to non-invasive studies in humans. He has been funded by NIH and the American Heart Association throughout his career.

At Duke University School of Medicine, Leo Ferreira directs the Basic and Clinical Muscle Biology and Rehabilitation research group. The scientific mission of the laboratory is to resolve mechanisms and advance therapies To resolve mechanisms and advance therapies against striated muscle abnormalities in disease and aging. The academic goal of the laboratory is to prepare future generations of scientists, clinicians, and physiologists by providing the best possible opportunities and unwavering support for trainees and junior faculty to develop their careers and achieve their goals.

Leo Ferreira’s research group uses an integrative approach with state-of-the art techniques to study cardiac and skeletal muscle contraction and relaxation (e.g., intact preps in situ and ex vivo, single myocytes and multicellular preparations, echocardiography, limb and respiratory muscle strength and power in humans) and examine metabolic and molecular events in whole-tissue, individual myocytes, and cultured cells. Research studies involve pharmacologic and genetic approaches in rodents, nutritional interventions in humans and rodents, and experiments using muscle biopsies from patients. The group collaborates with biophysicists, biochemists, clinical geneticists, cardiologists, orthopaedic and cardiothoracic surgeons, and physical therapists.

Current Appointments & Affiliations


Associate Professor in Orthopaedic Surgery · 2024 - Present Orthopaedic Surgery, Physical Therapy, Orthopaedic Surgery

Recent Publications


Skeletal muscle knockout of NAD(P)H oxidase 2 delays the development of isotonic diaphragm fatigue in mice.

Journal Article Free Radic Biol Med · December 1, 2025 Mechanisms of skeletal muscle fatigue are commonly studied under isometric conditions, which exclude muscle shortening and limit physiological relevance. We developed a novel in vitro protocol to examine isotonic fatigue using afterload contractions that p ... Full text Link to item Cite

Relationship of red blood cell mass profiles and anemia type to outcomes and cardiopulmonary exercise performance in chronic heart failure.

Journal Article Am Heart J · October 2025 BACKGROUND: Blood volume analysis (BVA) allows direct measurement of red blood cell mass (RBCM) and differentiation of true and dilutional anemia in heart failure (HF). This study aimed to characterize the relationships of RBCM profiles and anemia types to ... Full text Link to item Cite

A 6-Minute Limb Function Assessment for Therapeutic Testing in Experimental Peripheral Artery Disease Models.

Journal Article JACC Basic Transl Sci · January 2025 In this study, we present a novel 6-minute limb function test that allows for the congruent assessment of muscular performance and hemodynamics in preclinical models of peripheral artery disease. Using several experimental conditions, the results demonstra ... Full text Link to item Cite
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Recent Grants


Dissecting the Ketone Metabolic Axis in Heart Failure with Reduced Ejection Fraction

ResearchCollaborator · Awarded by National Heart, Lung, and Blood Institute · 2022 - 2027

Ischemia reperfusion injury protection from high intensity exercise

FellowshipPrincipal Investigator · Awarded by American Heart Association · 2025 - 2026

Systemic antioxidant treatment for cardiomyopathy, muscle weakness, and exercise intolerance in postmenopausal HFpEF

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2023 - 2026

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Education, Training & Certifications


Kansas State University · 2006 Ph.D.