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William Erle Kraus

Richard and Pat Johnson University Distinguished Professor
Medicine, Cardiology
Duke Box 104775, Room 51-201, Durham, NC 27710
300 N. Duke Street, Carmichael Building 51-201, Durham, NC 27701

Overview


My training, expertise and research interests range from human integrative physiology and genetics to animal exercise models to cell culture models of skeletal muscle adaptation to mechanical stretch. I am trained clinically as an internist and preventive cardiologist, with particular expertise in preventive cardiology and cardiac rehabilitation.  My research training spans molecular biology and cell culture, molecular genetics, and integrative human exercise physiology and metabolism. I practice as a preventive cardiologist with a focus on cardiometabolic risk and exercise physiology for older athletes.  My research space has both a basic wet laboratory component and a human integrative physiology one.

One focus of our work is an integrative physiologic examination of exercise effects in human subjects in clinical studies of exercise training in normal individuals, in individuals at risk of disease (such as pre-diabetes and metabolic syndrome; STRRIDE), and in individuals with disease (such as coronary heart disease, congestive heart failure and cancer).

A second focus of my research group is exploration of genetic determinates of disease risk in human subjects.  We conduct studies of early onset cardiovascular disease (GENECARD; CATHGEN), congestive heart failure (HF-ACTION), peripheral arterial disease (AMNESTI), and metabolic syndrome.  We are exploring analytic models of predicting disease risk using established and innovative statistical methodology.

A third focus of my group’s work is to understand the cellular signaling mechanisms underlying the normal adaptive responses of skeletal muscle to physiologic stimuli, such as occur in exercise conditioning, and to understand the abnormal maladaptive responses that occur in response to pathophysiologic stimuli, such as occur in congestive heart failure, aging and prolonged exposure to microgravity.

Recently we have begun to investigate interactions of genes and lifestyle interventions on cardiometabolic outcomes.  We have experience with clinical lifestyle intervention studies, particularly the contributions of genetic variants to interventions responses.  We call this Lifestyle Medicopharmacogenetics.

KEY WORDS:

exercise, skeletal muscle, energy metabolism, cell signaling, gene expression, cell stretch, heart failure, aging, spaceflight, human genetics, early onset cardiovascular disease, lifestyle medicine

Current Appointments & Affiliations


Richard and Pat Johnson University Distinguished Professor · 2017 - Present Medicine, Cardiology, Medicine
Professor of Medicine · 2006 - Present Medicine, Cardiology, Medicine
Professor in the School of Nursing · 2007 - Present School of Nursing
Member of Duke Molecular Physiology Institute · 2013 - Present Duke Molecular Physiology Institute, Institutes and Centers

In the News


Published January 8, 2024
Study of Duke Heart Attack Patients Finds Definitive Benefit of Cardiac Rehab
Published July 12, 2019
Even If You're Svelte, Cutting 300 Calories Daily Can Protect Your Heart
Published March 26, 2018
Whether Sustained or Sporadic, Exercise Offers Same Reductions in Death Risk

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Recent Publications


Plasma extracellular vesicle signatures of metabolic health and exercise response in a pilot study of older adults.

Journal Article Am J Physiol Cell Physiol · February 1, 2026 Extracellular vesicles (EVs) are key mediators of intercellular communication and regulators of cellular function, yet their roles in metabolic health and exercise response are poorly understood. This pilot study analyzed plasma from older adults (n = 20) ... Full text Link to item Cite

Caloric restriction modifies small RNA profiles and engages age-related molecular pathways in the CALERIE trial.

Journal Article iScience · January 16, 2026 Caloric restriction (CR) extends lifespan and enhances healthspan across species. In humans, the CALERIE Phase 2 trial demonstrated that CR improves inflammation, cardiometabolic health, and molecular aging. To explore underlying mechanisms, we examined CR ... Full text Open Access Link to item Cite
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Recent Grants


Investigating Senolytic Properties in Pulmonary Rehabilitation and Metformin in COPD Exacerbations (INSPIRE-COPD-E).

ResearchCo-Mentor · Awarded by National Institutes of Health · 2025 - 2030

Endocrinology and Metabolism Training Program

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

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Education, Training & Certifications


Duke University · 1982 M.D.

External Links


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