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Rodger Alan Liddle

Professor of Medicine
Medicine, Gastroenterology
Duke Box 103859, 1033A GSRB-1, Durham, NC 27710
1033A GSRB-1 Bldg, Durham, NC 27710

Overview


Our laboratory has two major research interests:

Enteroendocrine Cell Biology

Enteroendocrine cells (EECs) are sensory cells of the gut that send signals throughout the body.  They have the ability to sense food and nutrients in the lumen of the intestine and secrete hormones into the blood.  Our laboratory has had a longstanding interest in two types of EECs that regulate satiety and signal the brain to stop eating.   Cholecystokinin (CCK) is secreted from EECs of the upper small intestine and regulates the ingestion and digestion of food through effects on the stomach, gallbladder, pancreas and brain.  Peptide YY (PYY) is secreted from EECs of the small intestine and colon and regulates satiety.  We recently demonstrated that CCK and PYY cells not only secrete hormones but are directly connected to nerves through unique cellular processes called ‘neuropods’.  Our laboratory is devoted to understanding EECs signaling and its role in disease.

Pancreatitis

Pancreatitis is an inflammatory disease of the pancreas compounded by intrapancreaatic activation of digestive enzymes.  Our laboratory is studying the influence of nerves on the development of pancreatitis. Neurogenic inflammation results from the release of bioactive substances from sensory neurons in the pancreas causing vasodilatation, edema, and inflammatory cell infiltration producing tissue necrosis. Our goal is to identify the agents that activate sensory neurons, characterize the receptors on sensory nerves that mediate these actions, and determine the effects of neural stimulation on pancreatic injury with the long-term objective of developing strategies to reduce neurogenic inflammation to treat pancreatitis. 

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Current Duke Appointments & Affiliations


Professor of Medicine · 1994 - Present Medicine, Gastroenterology, Medicine
Member of the Duke Cancer Institute · 1988 - Present Duke Cancer Institute, Institutes and Centers
Faculty Network Member of the Duke Institute for Brain Sciences · 2013 - Present Duke Institute for Brain Sciences, University Institutes and Centers

Recent News Items


Published December 11, 2023
New Evidence Suggests Link Between Gut Health and Parkinson’s Disease
Published October 26, 2021
Duke-Led Teams Awarded $18 Million to Investigate Parkinson’s Disease
Published June 16, 2017
Pre-Clinical Study Suggests Parkinson’s Could Start in Gut Endocrine Cells

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Recent Scholarly Works


Incidence and Predictors of Acute Pancreatitis in Patients With Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS): A Multicenter Retrospective Study.

Journal article Endocr Pract · April 28, 2026 OBJECTIVES: Acute pancreatitis (AP) complicates hyperglycemic crisis, yet incidence and predictors remain unclear. We evaluated the incidence and predictors of AP in patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). METH ... Full text Link to item Cite

Mechanisms and clinical implications of gut-brain interactions.

Journal article J Clin Invest · January 2, 2026 Connections between the digestive system and the brain have been postulated for over 2000 years. Despite this, only recently have specific mechanisms of gut-brain interaction been identified. Due in large part to increased interest in the microbiome, the w ... Full text Link to item Cite

Loss of TRPV4 reduces pancreatic cancer growth and metastasis.

Journal article JCI Insight · December 8, 2025 Pancreatic ductal adenocarcinoma (PDAC) is a rapidly metastasizing cancer characterized by a dense desmoplastic stroma composed of extracellular matrix (ECM) proteins, which complicates treatment. Upon stimulation, pancreatic stellate cells (PSCs) differen ... Full text Link to item Cite
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Recent Grants


The Gut Brain Parkinson's Disease Consortium (GBPDC): Coordinating and Data Management Center (CDMC)

ResearchCo Investigator · Awarded by National Institutes of Health · 2024 - 2029

Endocrinology and Metabolism Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institute of Diabetes and Digestive and Kidney Diseases · 2024 - 2029

Phosphate in human acute pancreatitis

Clinical TrialPrincipal Investigator · Awarded by National Institutes of Health · 2026 - 2029

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Education


Vanderbilt University · 1978 M.D.
University of Utah · 1972 B.S.