Overview
As an ABMGG-certified clinical biochemical geneticist and Co-Director of the DUHS Biochemical Genetics Laboratory, my research focuses on advancing laboratory diagnostics for rare inherited metabolic disorders. I lead efforts to develop and implement mass spectrometry–based assays to improve the detection, characterization, and monitoring of these conditions in both clinical and research settings. My work has a particular emphasis on biomarker validation for lysosomal disorders, including Pompe disease, Fabry disease, and the mucopolysaccharidoses. Through longitudinal biomarker studies, I contribute to the assessment of disease burden and therapeutic response, including enzyme replacement therapy, gene therapy, and emerging in utero interventions. I am also actively involved in translational research supporting newborn screening and diagnostic algorithms, with the goal of enabling earlier detection and more precise follow-up testing for metabolic diseases.
Current Duke Appointments & Affiliations
Professor of Pediatrics
·
2021 - Present
Pediatrics, Medical Genetics,
Pediatrics
Recent Scholarly Works
A North Carolina newborn screening pilot for mucopolysaccharidosis II: Evaluating endogenous nonreducing end glycosaminoglycan analysis and IDS sequencing as higher-tier testing options.
Journal article Genet Med · April 21, 2026 PURPOSE: Mucopolysaccharidosis II (MPS II, OMIM 309900) is a lysosomal disorder recommended for newborn screening (NBS) in the United States. This study evaluated outcomes of high-throughput NBS for MPS II and use of 2 reflex testing methods to improve sen ... Full text Link to item CiteLessons from late-onset Pompe disease identified by Newborn screening: A systematic review.
Journal article Mol Genet Metab · April 2026 CONTEXT: Late-onset Pompe disease (LOPD) is a lysosomal disease characterized by progressive weakness primarily in skeletal and respiratory muscles with symptom onset ranging from infancy to adulthood. The distinguishing feature between infantile-onset Pom ... Full text Link to item CiteFocused ultrasound delivery of enzyme replacement therapy to the brain of Gaa-/- Pompe disease mice.
Journal article Mol Genet Metab · January 2026 Clinically used enzyme replacements therapies (ERTs) have been successful in mitigating peripheral tissue pathology in patients with infantile onset (IOPD) and late onset (LOPD) Pompe disease (PD). However, none of the approved therapies are known to cross ... Full text Link to item CiteRecent Grants
Skeletal muscle-targeted gene therapy for Pompe disease
ResearchCo Investigator · Awarded by National Institutes of Health · 2025 - 2030Combination Gene Therapy for Treatment of Canine Mucopolysaccharidosis Type I
ResearchPrincipal Investigator · Awarded by Childrens Hospital of Orange County · 2023 - 2028Phase 1 Study of In Utero Enzyme Replacement Therapy for the Treatment of Lysosomal Storage Diseases
ResearchInvestigator · Awarded by University of California - San Francisco · 2022 - 2027View All Grants
Education
American Board of Medical Genetics and Genomics ·
2016
C.
University College London (United Kingdom) ·
1997
Ph.D.