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Richard Kibbey, MD, PhD

Ensign Professor of Medicine (Endocrinology and Metabolism), and Professor of Molecular and Cellular Physiology
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Additional Titles

Faculty Director, Core in Chemical Metabolism

Associate Director, Yale Program for Translational Biomedicine

Associate Chief of Research, Endocrinology

About

Titles

Ensign Professor of Medicine (Endocrinology and Metabolism), and Professor of Molecular and Cellular Physiology

Faculty Director, Core in Chemical Metabolism; Associate Director, Yale Program for Translational Biomedicine; Associate Chief of Research, Endocrinology

Biography

Dr. Kibbey is a clinically-active physician scientist focused on metabolic diseases, particularly mitochondrial metabolism and metabolic signaling. His research revealed mitochondrial GTP (mtGTP) as a key part of the glucose-sensing mechanism in pancreatic beta-cells, leading to the identification of the PEP cycle—a metabolic circuit involving pyruvate kinase, pyruvate carboxylase, mitochondrial PEPCK, and the GTP isoform of succinyl CoA synthase. This pathway enables glucose concentration sensing and resolves the limitations of the traditional beta-cell glucose sensing model by aligning KATP channel closure with PEP cycling.

Furthermore, Pyruvate Kinase was identified for its role in mitochondrial ADP privation- a metabolic signal that repurposes mitochondria function from OxPhos to biosynthesis and signaling a high energy state. Targeting this process in vivo boosts glucosestimulated insulin secretion, preserves beta-cell health, reduces hepatic gluconeogenesis, and improves insulin sensitivity. The Kibbey lab is working to translate these findings into a new class of obesity therapies.

Dr. Kibbey’s graduate training at UTSW was in NMR protein structure and dynamics. At Yale, his expertise expanded to include 13C mass spectrometry, islet biology, hepatic metabolism, insulin resistance and secretion, and bioenergetics, with applications to cellular, cancer, and animal models. His lab developed the Mass Isotopomeric Multi-Ordinate Spectroscopic Analysis (MIMOSA) platform using LC/MS/MS to interpret isotopomer patterns from mitochondrial metabolism. He directs the program in Mitochondrial Biology and Intermediary Metabolism as well as the university’s Chemical Metabolism Core, which measures islet function, oxygen consumption, metabolomics, and metabolic flux using MIMOSA. Dr. Kibbey co-founded Elucidata, providing the Polly biomedical omics data platform, and State 4 Therapeutics, focused on oral small molecules for obesity treatment.

Dr. Kibbey is also committed to mentorship and education. He is Associate Director for the graduate program in Translational Biomedicine and co-director of graduate studies, having mentored or co-mentored numerous trainees, including undergraduates, medical students, residents, graduate students, and postdocs—many of whom have advanced to academic and research careers. He has served on >19 thesis committees and currently leads a group of graduate, masters, and postdoctoral trainees. He co-directs the Mitochondrial Bioenergetics and Intermediary Metabolism course, actively contributes to the Yale Center for Molecular and Systems Metabolism, and co-directs the graduate level course in Mitochondrial Biology and Intermediary Metabolism.

Last Updated on April 15, 2026.

Appointments

Education & Training

Resident
Yale University School of Medicine (2002)
Intern
Yale University School of Medicine (2001)
Fellowship
Yale School of Medicine, New Haven, CT (2001)
PhD
University of Texas Southwestern Medical School (2000)
MD
University of Texas Southwestern Medical School (2000)
BS
Trinity University (1991)
BA
Trinity University (1991)

Board Certifications

  • Endocrinology Diabetes & Metabolism

    Certification Organization
    AB of Internal Medicine
    Latest Certification Date
    2016
    Original Certification Date
    2006

Research

Overview

Dr. Kibbey is a clinically-active physician scientist dedicated to the treatment of diabetes and other metabolic diseases. Mitochondria, as the primary sites of consumption and production of metabolites and energy, are central to regulation of insulin secretion, glucose production, nerve transmission, muscular contraction and normal and cancer cell growth. Mitochondria, therefore, require mechanisms to ‘sense’ their own metabolic environment in order to efficiently respond to supply and demand termed ‘metabolic equilibrioception.’ In order to better understand these and other important mitochondrial metabolic fluxes, methods to discriminate between oxidative, exchange, anaplerotic, and cataplerotic fluxes were developed. Consequently, the LC/MS/MS method Mass Isotopomeric Multi-Ordinate Spectroscopic Analysis (MIMOSA) follows the step-wise flow of mass isotopomers along these intersecting metabolic pathways. It captures both steady state and dynamic metabolic fluxes by resolving positional isotopomers of the TCA cycle. As a consequence, MIMOSA not only can determine the rates of individual intracellular fluxes but, when more than one pathway compete for a reaction, the relative flow of each contribution.

From the study of a rare condition of congenital hypoglycemia, the Kibbey lab identified mitochondrial GTP (mtGTP) as an important equilibrioceptive indicator involved in glucose homeostasis and ascribed the first physiological activity of the mitochondria GTP cycle as a “metabolic tachometer.” In tissues such as pancreatic b-cells and hepatocytes, the mtGTP is hydrolyzed by the mitochondrial isoform of phosphoenolpyruvate carboxykinase (PEPCK-M) to generate PEP that is essential for insulin secretion, while in hepatocytes it catalyzes this crucial step of gluconeogenesis. Finally, it also regulates glucagon secretion from a-cells.

His laboratory has developed a unique experience with mitochondrial, cellular, tissues-specific and whole body metabolism needed to advance mtGTP understanding. It is strongly vested in both understanding intracellular and inter-tissue metabolic flux associated with metabolic human disease. Differences in equilibrioception and responses to pharmacologic therapy are used to identify defects in metabolism as novel therapeutic targets for humans. While Dr. Kibbey’s graduate studies were NMR protein structure, his expertise now lies in 13C mass spectrometry, insulin resistance and secretion, bioenergetics, and applications to cellular, cancer and animal preclinical models.

Medical Research Interests

Diabetes Mellitus, Type 2; Endocrinology; Glucose; Insulin; Mass Spectrometry; Metabolism; Mitochondria; Obesity; Physiology

Research at a Glance

Yale Co-Authors

Frequent collaborators of Richard Kibbey's published research.

Publications

2026

2025

2024

Academic Achievements & Community Involvement

Activities

  • activity

    "Glucose Regulation of B-Cell KATP Channels: Is a New Model Needed?" -https://thesugarscience.org/ask-the-expert/

  • activity

    American Diabetes Association

  • activity

    How beta-cells (really) sense glucose

  • activity

    Tracer Studies Using MIMOSA – A New Window on Quantitative Fluxomics

  • activity

    How beta-cells (really) sense glucose

Honors

  • honor

    Ralph Hart Ensign Chair in Medicine (Nominee, pending promotion)

  • honor

    Visiting Professor

  • honor

    Visiting Professor

  • honor

    Visiting Professor

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