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Profile

Peter Thule MD

  • Department of Medicine
    Professor Emeritus
  • (404) 321-6111
  • pthule@emory.edu
Head shot of Peter Thule

Overview

Research

Development of insulin gene therapy as a treatment for diabetes mellitus, and investigations into hepatocellular effects of ectopic insulin production. Our animal model utilizes a metabolically regulated, hepatic specific gene promoter to drive expression of an insulin transgene in the livers of diabetic rats. Administration of viral vectors containing these promoters coupled to a human insulin cDNA, normalizes blood sugars in diabetic rodents.

Academic Appointment

  • Professor of Medicine, Department of Medicine, Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine
  • Adjunct Clinical Associate Professor, Department of Internal Medicine, Morehouse School of Medicine

Education

Degrees

  • MD from Justus-Liebig University
  • BA from University of California

Research

Focus

  • Development of insulin gene therapy as a treatment for diabetes mellitus, investigations into hepatocellular effects of ectopic insulin production, and transdifferentiation of autologous somatic cells to produce regulated insulin secretion. Viral vectors using a metabolically regulated, hepatic specific promoter to express human insulin normalizes blood sugars in diabetic animals.

Publications

  • Diabetic rats with high levels of endogenous dopamine do not show retinal vascular pathology.
    Front Neurosci Volume: 17 Page(s): 1125784
    01/01/2023 Authors: Allen RS; Khayat CT; Feola AJ; Win AS; Grubman AR; Chesler KC; He L; Dixon JA; Kern TS; Iuvone PM
  • Novel Detection and Restorative Levodopa Treatment for Preclinical Diabetic Retinopathy.
    Diabetes Volume: 69 Page(s): 1518 - 1527
    07/01/2020 Authors: Motz CT; Chesler KC; Allen RS; Bales KL; Mees LM; Feola AJ; Maa AY; Olson DE; Thule PM; Iuvone PM
  • Short-term levodopa treatments ameliorate early stage electroretinogram (ERG) delays in diabetic patients
    Volume: 60
    07/01/2019 Authors: Motz C; Chesler K; Allen RS; Mees L; Olson D; Maa AY; Coulter M; Thule PM; Iuvone PM; Hendrick A
  • Retinal Deficits Precede Cognitive and Motor Deficits in a Rat Model of Type II Diabetes.
    Invest Ophthalmol Vis Sci Volume: 60 Page(s): 123 - 133
    01/02/2019 Authors: Allen RS; Feola A; Motz CT; Ottensmeyer AL; Chesler KC; Dunn R; Thul PM; Pardue MT
  • Dopamine Deficiency Mediates Early Rod-Driven Inner Retinal Dysfunction in Diabetic Mice.
    Invest Ophthalmol Vis Sci Volume: 59 Page(s): 572 - 581
    01/01/2018 Authors: Kim MK; Aung MH; Mees L; Olson DE; Pozdeyev N; Iuvone PM; Thule PM; Pardue MT
  • mRNA destabilization improves glycemic responsiveness of transcriptionally regulated hepatic insulin gene therapy in vitro and in vivo.
    J Gene Med Volume: 19
    03/01/2017 Authors: Thul PM; Lin Y; Jia D; Olson DE; Tang S-C; Sambanis A
  • In Vivo Imaging of Retinal Oxidative Stress Using a Reactive Oxygen Species-Activated Fluorescent Probe.
    Invest Ophthalmol Vis Sci Volume: 56 Page(s): 5862 - 5870
    09/01/2015 Authors: Prunty MC; Aung MH; Hanif AM; Allen RS; Chrenek MA; Boatright JH; Thule PM; Kundu K; Murthy N; Pardue MT
  • Engineered VEGF-releasing PEG-MAL hydrogel for pancreatic islet vascularization.
    Drug Deliv Transl Res Volume: 5 Page(s): 125 - 136
    04/01/2015 Authors: Phelps EA; Templeman KL; Thul PM; Garca AJ
  • Long-term glycemic control with hepatic insulin gene therapy in streptozotocin-diabetic mice.
    J Gene Med Volume: 17 Page(s): 141 - 152
    01/01/2015 Authors: Thul PM; Campbell AG; Jia D; Lin Y; You S; Paveglio S; Olson DE; Kozlowski M
  • Hepatic insulin gene therapy prevents diabetic enteropathy in STZ-treated CD-1 mice.
    Mol Ther Methods Clin Dev Volume: 2 Page(s): 15028
    01/01/2015 Authors: You S; Anitha M; deSouza SM; Jia D; Lu X; Kozlowski M; Olson DE; Srinivasan S; Thul PM
  • Therapeutic effects of a non- cell bioartificial pancreas in diabetic mice.
    Transplantation Volume: 98 Page(s): 507 - 513
    09/15/2014 Authors: Tiernan AR; Thul PM; Sambanis A
  • Engineered insulin secretion from neuroendocrine cells isolated from human thyroid.
    World J Surg Volume: 38 Page(s): 1251 - 1261
    06/01/2014 Authors: Thul PM; Jia D; Safley S; Gordon K; Barber G; Yi H; Nalli S; Onderci M; Sharma J; Shires J
  • Rodent Hyperglycemia-Induced Inner Retinal Deficits are Mirrored in Human Diabetes.
    Transl Vis Sci Technol Volume: 3 Page(s): 6
    05/01/2014 Authors: Pardue MT; Barnes CS; Kim MK; Aung MH; Amarnath R; Olson DE; Thul PM
  • Sulfonylureas: a new look at old therapy.
    Curr Diab Rep Volume: 14 Page(s): 473
    04/01/2014 Authors: Thul PM; Umpierrez G
  • Fluorescent probes for in vivo detection of oxidative stress within the eye
    Volume: 55
    04/01/2014 Authors: Prunty M; Aung MH; Boatright JH; Murthy N; Thule P; Pardue MT
  • Dopamine deficiency contributes to early visual dysfunction in a rodent model of type 1 diabetes.
    J Neurosci Volume: 34 Page(s): 726 - 736
    01/15/2014 Authors: Aung MH; Park HN; Han MK; Obertone TS; Abey J; Aseem F; Thule PM; Iuvone PM; Pardue MT
  • Vasculogenic bio-synthetic hydrogel for enhancement of pancreatic islet engraftment and function in type 1 diabetes.
    Biomaterials Volume: 34 Page(s): 4602 - 4611
    06/01/2013 Authors: Phelps EA; Headen DM; Taylor WR; Thul PM; Garca AJ
  • Role of Dopamine Deficiency in Visual Dysfunction in Early-stage Diabetic Retinopathy
    Volume: 54
    06/01/2013 Authors: Aung M; Han M; Park HN; Abey J; Thule P; Iuvone P; Pardue M
  • Early visual deficits in streptozotocin-induced diabetic long evans rats.
    Invest Ophthalmol Vis Sci Volume: 54 Page(s): 1370 - 1377
    02/15/2013 Authors: Aung MH; Kim MK; Olson DE; Thule PM; Pardue MT
  • Mechanisms of current therapies for diabetes mellitus type 2.
    Adv Physiol Educ Volume: 36 Page(s): 275 - 283
    12/01/2012 Authors: Thul PM
  • Engineered Insulin Secretion in Human Primary Thyroid Cells
    Volume: 20 Page(s): S164 - S164
    05/01/2012 Authors: Thule PM; Safley SA; Gordon KS; Jia D; Barber GF; Shires J; Sharma J; Weber CJ
  • Combinatorial insulin secretion dynamics of recombinant hepatic and enteroendocrine cells.
    Biotechnol Bioeng Volume: 109 Page(s): 1074 - 1082
    04/01/2012 Authors: Durvasula K; Thul PM; Sambanis A
  • Effects of common anesthetics on eye movement and electroretinogram.
    Doc Ophthalmol Volume: 122 Page(s): 163 - 176
    06/01/2011 Authors: Nair G; Kim M; Nagaoka T; Olson DE; Thul PM; Pardue MT; Duong TQ
  • [Effects of hepatic insulin gene therapy on enteric neuropathy in STZ-diabetic mice].
    Zhong Nan Da Xue Xue Bao Yi Xue Ban Volume: 36 Page(s): 546 - 553
    06/01/2011 Authors: You S; Zhang Q; Anitha M; Jia D; Olson DE; Srinivasan S; Thul PM; Zhou Z
  • MRI reveals differential regulation of retinal and choroidal blood volumes in rat retina.
    Neuroimage Volume: 54 Page(s): 1063 - 1069
    01/15/2011 Authors: Nair G; Tanaka Y; Kim M; Olson DE; Thul PM; Pardue MT; Duong TQ
  • Metabolically Responsive Hepatic Insulin Gene Therapy Prevents Enteric Neuropathy in STZ-Diabetic CD-1 Mice
    Volume: 31 Page(s): S813 - S813
    06/01/2010 Authors: You S; Anitha M; deSouza SMD; Jia D; Olson DE; Srinivasan S; Thule PM
  • Electroretinogram Changes With Scotopic Stimuli in Retinas of Diabetic Patients With and Without Retinopathy
    INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE Volume: 51
    04/01/2010 Authors: Kim MK; Mocko JA; Olson DE; Thule P; Pardue MT; Barnes CS
  • Bioartificial matrices for therapeutic vascularization.
    Proc Natl Acad Sci U S A Volume: 107 Page(s): 3323 - 3328
    02/23/2010 Authors: Phelps EA; Landzuri N; Thul PM; Taylor WR; Garca AJ
  • Hepatic insulin gene therapy diminishes liver glycogen despite insulin responsive transcriptional effects in diabetic CD-1 mice.
    J Gene Med Volume: 11 Page(s): 588 - 597
    07/01/2009 Authors: Zhang J-A; Jia D; Olson DE; Campbell AG; Thul PM
  • Hepatitis C Adds Insulin Resistance without Further Impairing Insulin Secretion in NHANES III Subjects Categorized as Prediabetes and Diabetes
    Volume: 58 Page(s): A577 - A578
    06/01/2009 Authors: Olson DE; Thule PM; Phillips LS
  • A cell-based approach for diabetes treatment using engineered non-beta cells.
    J Diabetes Sci Technol Volume: 3 Page(s): 555 - 561
    05/01/2009 Authors: Bara H; Thul PM; Sambanis A
  • Blood flow magnetic resonance imaging of retinal degeneration.
    Invest Ophthalmol Vis Sci Volume: 50 Page(s): 1824 - 1830
    04/01/2009 Authors: Li Y; Cheng H; Shen Q; Kim M; Thule PM; Olson DE; Pardue MT; Duong TQ
  • Layer-specific anatomical, physiological and functional MRI of the retina.
    NMR Biomed Volume: 21 Page(s): 978 - 996
    11/01/2008 Authors: Duong TQ; Pardue MT; Thul PM; Olson DE; Cheng H; Nair G; Li Y; Kim M; Zhang X; Shen Q
  • Gene transfer to induce insulin production for the treatment of diabetes mellitus.
    Expert Opin Drug Deliv Volume: 5 Page(s): 967 - 977
    09/01/2008 Authors: Olson DE; Thul PM
  • Hepatic insulin gene therapy normalizes diurnal fluctuation of oxidative metabolism in diabetic BB/Wor rats.
    Mol Ther Volume: 16 Page(s): 1235 - 1242
    07/01/2008 Authors: Olson DE; Campbell AG; Porter MH; Freeman KG; Kelso E; Flatt WP; Thul PM
  • Hepatic insulin gene therapy reduces liver triglyceride content in fasted and fed STZ-diabetic CD-1 mice
    Volume: 57 Page(s): A87 - A88
    06/01/2008 Authors: Zhang J-A; Olson DE; Jia D; Campbel AG; Thule PM
  • Glial cell line-derived neurotrophic factor increases beta-cell mass and improves glucose tolerance.
    Gastroenterology Volume: 134 Page(s): 727 - 737
    03/01/2008 Authors: Mwangi S; Anitha M; Mallikarjun C; Ding X; Hara M; Parsadanian A; Larsen CP; Thule P; Sitaraman SV; Anania F
  • Adeno-associated viral delivery of a metabolically regulated insulin transgene to hepatocytes.
    Mol Cell Endocrinol Volume: 273 Page(s): 6 - 15
    07/15/2007 Authors: Kozlowski M; Olson DE; Rubin J; Lyszkowicz D; Campbell A; Thul PM
  • The PPARgamma ligand, rosiglitazone, reduces vascular oxidative stress and NADPH oxidase expression in diabetic mice.
    Vascul Pharmacol Volume: 46 Page(s): 456 - 462
    06/01/2007 Authors: Hwang J; Kleinhenz DJ; Rupnow HL; Campbell AG; Thul PM; Sutliff RL; Hart CM
  • Rod-dominated OP responses enhance detection of early retinal dysfunction in STZ-diabetic rats
    Volume: 56 Page(s): A219 - A220
    06/01/2007 Authors: Thule PM; Kim MK; Olson DE; Cheng H; Nair G; Dong TQ; Pardue MT
  • Transgenic mice over expressing glial derived neurotrophic factor have increased beta cell mass
    Volume: 21 Page(s): A1314 - A1315
    04/01/2007 Authors: Mwangi S; Mallikarjun C; Ding X; Hara M; Parsadanian A; Larsen CP; Thule P; Anania F; Sitaraman S; Srinivasan S
  • Influence of glial cell line-derived neutotrophic factor and the enteric nervous system on beta-cell mass and glucose homeostasis
    Volume: 132 Page(s): A722 - A722
    04/01/2007 Authors: Mwangi S; Mallikarjun C; Ding X; Hara M; Parsadanian A; Larsen CP; Thule P; Anania FA; Sitaraman SV; Srinivasan S
  • Structural and functional MRI reveals multiple retinal layers.
    Proc Natl Acad Sci U S A Volume: 103 Page(s): 17525 - 17530
    11/14/2006 Authors: Cheng H; Nair G; Walker TA; Kim MK; Pardue MT; Thul PM; Olson DE; Duong TQ
  • Hepatic insulin gene therapy improves serum and tissue triglycerides in diabetic mice
    Volume: 55 Page(s): A459 - A459
    06/01/2006 Authors: Zhang JA; Olson DE; Lin Y; Jia D; Thule PM
  • Empiric mode decomposition to extract electroretinogram oscillatory potentials for the detection of early diabetic retinopathy
    Volume: 55 Page(s): A513 - A513
    06/01/2006 Authors: Olson DE; Kim MK; Walker TA; Amarnath RK; Barnes CS; Pardue MT; Thule PM
  • Hepatic insulin gene therapy sustains retinal oscillatory potential latency in STZ diabetic rats
    Volume: 55 Page(s): A471 - A471
    06/01/2006 Authors: Olson DE; Kim MK; Walker T; Pardue MT; Thule PM
  • Peroxisome Proliferator-Activated Receptor gamma (PPARgamma) ligand, Rosiglitazone, attenuates vascular oxidative stress in a mouse model of Type 2 Diabetes
    Volume: 20 Page(s): A1180 - A1180
    03/07/2006 Authors: Polikandrimis JA; Hwang J; Kleinhenz D; Rupnow HL; Campbell A; Thule PM; Boutwell J; Sutliff RL; Hart CM
  • Hepatic insulin gene therapy prevents deterioration of vascular function and improves adipocytokine profile in STZ-diabetic rats.
    Am J Physiol Endocrinol Metab Volume: 290 Page(s): E114 - E122
    01/01/2006 Authors: Thul PM; Campbell AG; Kleinhenz DJ; Olson DE; Boutwell JJ; Sutliff RL; Hart CM
  • Peroxisome proliferator-activated receptor gamma ligand, rosiglitazone, attenuates vascular oxidative stress in a mouse model of type 2 diabetes.
    Volume: 54 Page(s): S256 - S256
    01/01/2006 Authors: Polikandriotis J; Hwang J; Kleinhenz DJ; Rupnow HL; Campbell AG; Thule PM; Boutwell J; Sutliff RL; Hart CM
  • Counterregulatory hormones in rats treated with hepatic insulin gene therapy for diabetes.
    Volume: 54 Page(s): S287 - S287
    01/01/2006 Authors: Olson DE; Campbell AG; Jhia D; Lin Y; Thule PM
  • Host cells reduce glucose uptake and glycogen deposition in response to hepatic insulin gene therapy.
    J Investig Med Volume: 53 Page(s): 201 - 212
    05/01/2005 Authors: Porter MH; Paveglio SA; Zhang J-A; Olson DE; Campbell AG; Thul PM
  • Hepatic insulin gene therapy increases adipokines, improves insulin sensitivity and sustains endothelial responsiveness in STZ-diabetic rats
    Volume: 54 Page(s): A109 - A110
    01/01/2005 Authors: Thule PM; Campbell AG; Kleinhenz D; Olson D; Sutliff RL; Hart CM
  • Effects of insulin produced in the liver on hepatic glucose metabolism measured by NMR spectroscopy
    Volume: 54 Page(s): A328 - A328
    01/01/2005 Authors: Olson DE; Campbell AG; Burgess SC; Thule PM
  • A metabolically responsive insulin transgene delivered by AAV2/8 pseudotyped, self-complementary AAV (SC-AAV2/8) controls glycemia in STZ-diabetic mice
    Volume: 9 Page(s): S143 - S144
    05/01/2004 Authors: Kozlowski M; Lyszcowizc D; Campbell AG; Olson DE; Rubin JE; Thule PM
  • Effect of hepatic insulin gene therapy on intrahepatic carbohydrate metabolism in vivo
    Volume: 9 Page(s): S341 - S341
    05/01/2004 Authors: Olson DE; Campbell AG; Thule PM
  • Adenoviral transfer of glucose responsive insulin transgene to feline, canine and porcine hepatocytes.
    Volume: 52 Page(s): S310 - S310
    01/01/2004 Authors: Campbell AG; Olson DE; Paveglio SA; Thule PM
  • Glucose-responsive hepatic insulin gene therapy of spontaneously diabetic BB/Wor rats.
    Hum Gene Ther Volume: 14 Page(s): 1401 - 1413
    10/10/2003 Authors: Olson DE; Paveglio SA; Huey PU; Porter MH; Thul PM
  • Normalization of endothelium mediated vascular dysfunction in diabetic rats following hepatic insulin gene therapy
    Volume: 7 Page(s): S229 - S229
    05/01/2003 Authors: Thule PM; Campbell AG; Kleinhenz D; Paveglio SA; Olson DE; Hart CM
  • Self-complementary AAV (SC-AAV) delivery accelerates and enhances transgenic insulin production in hepatocytes
    Volume: 7 Page(s): S187 - S187
    05/01/2003 Authors: Kozlowski M; Lyszkowicz D; Paveglio SA; Campbell AG; Olson DE; Rubin J; Thule PM
  • Normal glycemia established in diabetic NOD mice and streptozocin-induced diabetic Balb/c mice with adenovirus containing a human insulin gene expressed in hepatocytes
    Volume: 12 Page(s): 140 - 140
    01/01/2003 Authors: Huang HL; Liu JM; Weber C; Cui H; Thule P; Kapp JA
  • Hepatic insulin gene therapy normalizes fuel oxidation and increases heat production in diabetic BB Wor rats
    DIABETES Volume: 51 Page(s): A391 - A391
    06/01/2002 Authors: Porter MH; Paveglio SA; Olson DE; Freeman KG; Kelso E; Flatt VP; Thule PM
  • Dominance of insulin effect within the liver in diabetic BB wor rats treated with hepatic insulin gene therapy
    DIABETES Volume: 51 Page(s): A597 - A597
    06/01/2002 Authors: Olson DE; Paveglio SA; Porter MH; Huey PU; Thule PM
  • Regulated hepatic insulin gene therapy of STZ-diabetic rats.
    Gene Ther Volume: 7 Page(s): 1744 - 1752
    10/01/2000 Authors: Thul PM; Liu JM
  • Glucose regulated production of human insulin in rat hepatocytes.
    Gene Ther Volume: 7 Page(s): 205 - 214
    02/01/2000 Authors: Thul PM; Liu J; Phillips LS
  • Glucose-regulated human insulin production from hepatocytes in STZ-treated rats: a model of insulin gene therapy
    DIABETES Volume: 48 Page(s): A58 - A58
    01/01/1999 Authors: Thule PM
  • Insulin use by bodybuilders.
    JAMA Volume: 279 Page(s): 1613
    05/27/1998 Authors: Rich JD; Dickinson BP; Merriman NA; Thule PM
  • Regulated production of insulin from hepatocytes in primary culture
    DIABETES Volume: 47 Page(s): A68 - A68
    05/01/1998 Authors: Thule P; Liu JM
  • Transcription initiation of the rat insulin-like growth factor-I gene in hepatocyte primary culture.
    J Endocrinol Volume: 151 Page(s): 215 - 223
    11/01/1996 Authors: Krishna AY; Pao CI; Thul PM; Villafuerte BC; Phillips LS
  • Diabetes in urban African Americans. III. Management of type II diabetes in a municipal hospital setting.
    Am J Med Volume: 101 Page(s): 25 - 33
    07/01/1996 Authors: Ziemer DC; Goldschmid MG; Musey VC; Domin WS; Thul PM; Gallina DL; Phillips LS
  • INTERIM RELIEF OF GLUCOTOXICITY DOES NOT IMPROVE RESPONSES TO ORAL-AGENTS IN PATIENTS WITH NIDDM
    DIABETES Volume: 44 Page(s): A158 - A158
    05/01/1995 Authors: MUSEY VC; MARSHALL KA; THULE PM
  • Identification of novel promoter and repressor elements in the 5'-flanking regions of the rat insulin-like growth factor-I gene.
    Biochem Biophys Res Commun Volume: 206 Page(s): 279 - 286
    01/05/1995 Authors: Huang S; Thul PM; Phillips LS
  • Insulin and glucocorticoids regulate IGFBP-1 expression via a common promoter region.
    Biochem Biophys Res Commun Volume: 200 Page(s): 226 - 232
    04/15/1994 Authors: Robertson DG; Marino EM; Thul PM; Seneviratne CK; Murphy LJ
  • Preoperative localization of parathyroid tissue with technetium-99m sestamibi 123I subtraction scanning.
    J Clin Endocrinol Metab Volume: 78 Page(s): 77 - 82
    01/01/1994 Authors: Thul P; Thakore K; Vansant J; McGarity W; Weber C; Phillips LS
  • INTRAOPERATIVE VALIDATION OF TC-99M SESTAMIBI AND I-123 SUBTRACTION TECHNIQUE FOR PREOPERATIVE LOCALIZATION OF HYPERFUNCTIONING PARATHYROID TISSUE
    JOURNAL OF NUCLEAR MEDICINE Volume: 34 Page(s): P165 - P166
    05/01/1993 Authors: THAKORE K; THULE P; PHILIPS L; MCGARITY W; WEBER C; VANSANT J
  • PREOPERATIVE LOCALIZATION OF PARATHYROID TISSUE WITH TC-99M SESTAMIBI I-123 SUBTRACTION SCANNING
    CLINICAL RESEARCH Volume: 41 Page(s): A153 - A153
    04/01/1993 Authors: THULE P; THAKORE K; VANSANT J; MCGARITY W; WEBER C; PHILLIPS LS
  • PREOPERATIVE LOCALIZATION OF PARATHYROID TISSUE WITH TC-99M SESTAMIBI I-123 SUBTRACTION SCANNING - THE EMORY EXPERIENCE
    CLINICAL RESEARCH Volume: 40 Page(s): A814 - A814
    12/01/1992 Authors: THULE P; THAKORE K; VANSANT J; MCGARITY W; PHILLIPS LS
  • PROSPECTIVE MANAGEMENT OF TYPE-II DIABETES IN A MUNICIPAL HOSPITAL SETTING
    CLINICAL RESEARCH Volume: 39 Page(s): A828 - A828
    12/01/1991 Authors: ZIEMER DC; THULE PM; MUSEY VC; BROWN SH; PHILLIPS LS; ODUGBESAN O; GALLINA DL
  • EVALUATION OF C-PEPTIDE GLUCOSE RATIO AS A MARKER FOR TREATMENT IN TYPE-2 DIABETES
    CLINICAL RESEARCH Volume: 39 Page(s): A838 - A838
    12/01/1991 Authors: GALLINA DL; BUCHHEIT TE; MUSEY VC; THULE PM; ZIEMER D; ODUGBESAN O; GOLDSTEIN S; PHILLIPS LS
  • Treatment options for patients with stage D1 (T0-3,N1-2,M0) adenocarcinoma of prostate.
    Urology Volume: 30 Page(s): 307 - 315
    10/01/1987 Authors: Zincke H; Utz DC; Thul PM; Taylor WF
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