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Your Environment. Your Health.

Susan A. Elmore, M.S., D.V.M, D.A.B.T, D.A.C.V.P.

NTP Pathology Group

Susan Elmore, D.V.M., M.S., D.A.C.V.P.
Susan Elmore, M.S., D.V.M., D.A.B.T., D.A.C.V.P., F.I.A.T.P.
Group Leader, Staff Scientist – NTP Pathologist
Tel 984-287-3834
P.O. Box 12233
Mail Drop B3-06
Durham, N.C. 27709

Research Summary

Susan Elmore, M.S., D.V.M, D.A.B.T, D.A.C.V.P., is a veterinary medical officer and staff scientist in the NTP Pathology Group. She is a board certified toxicologist, board certified pathologist, and is a fellow of the International Academy of Toxicologic Pathology. She provides technical expertise for the NTP Pathology Support Contract, and other NTP contracts. Additionally, Elmore provides pathology oversight and preparation of the technical reports for various NTP studies including Beta Picoline, Tetrabromobisphenol A, Garcinia Cambogia, Chitosan, Tetrabromobisphenol A and O-Chloropyridine. Elmore also provides pathology oversight for various NTP Immunotox studies including Dibenzanthracene, Gum Guggul Extract, Lovastatin, Nelfinavir Mesylate, Resveratrol, TCAB and 2,3-Butanedione.

Her current focus is on the preparation of mouse embryo histology atlases. Each organ system will be published separately in the Toxicologic Pathology Journal. The heart and hepatobiliary atlases are completed and the CNS atlas and urinary system atlas are currently in preparation. Other areas of expertise include immunopathology and renal pathology. Elmore also organizes and chairs the NTP Satellite Symposium each year.

Boards and Committees

  • Editor-in-Chief, Journal of Toxicologic Pathology
  • STP Annual Symposium Committee
  • INHAND Lymphoid Nomenclature Committee
  • STP Apoptosis/Necrosis Task Force
  • Toxicologic Pathology Journal Task Force
  • STP Environmental Special Interest Group


Elmore joined the Cellular and Molecular Pathology Branch’s (CMPB) staff in January 2006 as Veterinary Medical Officer and Staff Scientist. She received her B.S. degree in genetics with a minor in biotechnology from NCSU in 1987. She worked as a Research Associate in the lab of Dr. Clyde Hutchison in the University of North Carolina Microbiology/Immunology Department from 1987-1997. After graduating from veterinary school at North Carolina State University (NCSU) in 2001, she began her residency in veterinary anatomic pathology, also at NCSU College of Veterinary Medicine. In 2003 she completed her residency and accepted a position as an Intramural Research Training Award (IRTA) fellow at NIEHS in the CMPB/NTP Toxicologic Pathology Training Program. She received her board certifications from the American College of Veterinary Pathologists in 2004 and from the American Board of Toxicology in 2010 and was elected a fellow in the International Academy of Toxicologic Pathology in 2011.

Selected Publications

  1. Elmore SA, Chen VS, Hayes-Bouknight S, Hoane JS, Janardhan K, kooistra LH, Nolte T, Szabo KA, Willson GA, Wolf JC, Malarkey DE. Proceedings of the 2016 National Toxicology Program Satellite Symposium. Journal of toxicologic pathology 2017 45(1):11-51. [Abstract]
  2. Elmore SA, Dixon D, Hailey JR, Harada T, Herbert RA, Maronpot RR, Nolte T, Regh J, Rittinghausen S, Rosol TJ, Satoh H, Vidal JD, Willard-Mack CL, Whitney K, Creasy D. Recommendations from the INHAND Apoptosis/Necrosis Working Group. Toxicologic pathology 2016 44(2):173-188. [Abstract]
  3. Elmore SA, Johnson CL, Morrison JP, Elmore SA. Comparison of Renal Amyloid and Hyaline Glomerulopathy in B6C3F1 Mice: An NTP Retrospective Study. Toxicologic pathology 2016 44(5):687-704. [Abstract]
  4. Swartley OM, Foley JF, Livingston DP, Sabio DA, Cullen JM, Elmore SA. Histology Atlas of the Developing Mouse Hepatobiliary Hemolymphatic Vascular System with Emphasis on Embryonic Days 11.5-18.5 and Early Postnatal Development. Journal of toxicologic pathology 2016 44(5):705-725. [Abstract]
  5. Resnik DB, Elmore SA. (2016) Ensuring the Quality, Fairness, and Integrity of Journal Peer Review: A Possible Role of Editors. Science and engineering ethics 22(1):169-188. [Abstract]
  6. Elmore SA, Farman CA, Hailey JR, Kovi RC, Malarkey DE, Morrison JP, Neel J, Pesavento PA, Porter BF, Szabo KA, Teixeira LBC, Quist EM. Proceedings of the 2015 National Toxicology Program Satellite Symposium. Journal of toxicologic pathology 2016 44(4):502-535. [Abstract]
  7. Dunnick JK, Sanders JM, Elmore S. Environmental chemical exposure may contribute to uterine cancer development: studies with tetrabromobisphenol A. Toxicologic pathology 2015 43(4):464-473. [Abstract]
  8. Malarkey DE, Willson GA, Willson CJ, Adams ET, Olson GR, Witt WM, Elmore SA, Hardisty JF, Boyle MC, Crabbs TA, Miller RA. Utilizing Whole Slide Images for Pathology Peer Review and Working Groups.Toxicologic pathology 2015 43(8):1149-1157. [Abstract]
  9. Guo TL, Germolec DR, Zheng JF, Kooistra L, Auttachoat W, Smith MJ, White KL Jr, Elmore SA. (2015) Genistein protects female nonobese diabetic mice from developing type 1 diabetes when fed a soy- and alfalfa-free diet. Toxicologic pathology 43(3):435-48-448. [Abstract]
  10. Elmore SA, Cora MC, Gruebbel MM, Hayes SA, Hoane JS, Koizumi H, Peters R, Rosol TJ, Singh BP and Szabo KA (2015). Proceedings of the 2014 National Toxicology Program Satellite Symposium. Toxicologic Pathology. 43(1):10-40. [Abstract]
  11. Resnik DB and Elmore SA (2015). Ensuring the quality, fairness, and integrity of journal peer review: a possible role for editors. Science and Engineering Ethics. [Abstract]
  12. Elmore SA, Ryan AM, Wood CE, Crabbs TA, and Sills RC (2014). FutureToxII: Contemporary concepts in toxicology: "Pathways to prediction: in vitro and in silico models for predictive toxicology. Toxicol Pathol 22;42(5): 940-942 [Abstract]
  13. Snow SJ, McGee J, Miller DB, Bass V, Schladweiler MC, Thomas RF, Krantz T, King C, Ledbetter AD, Richards J, Weinstein JP, Conner T, Willis R, Linak WP, Nash D, Wood CE, Elmore SA, Morrison JP, Johnson CL, Gilmour MI, Kodavanti UP (2014). Inhaled Diesel Emissions Generated With Cerium Oxide Nanoparticle Fuel Additive Induce Adverse Pulmonary and Systemic Effects. Toxicol Sci. PMID: 25239632 (STAA award) [Abstract]
  14. Guo TL, Germolec DR, Zheng JF, Kooistra L, Auttachoat W, Smith MJ, White KL, Elmore SA. (2014) Genistein protects female nonobese diabetic mice from developing type 1 diabetes when fed a soy- and alfalfa-free diet. Toxicol Pathol PMID 24713318. [Abstract]
  15. Elmore SA. Greetings from the Incoming Editor-In-Chief. Toxicologic Pathology (2014). 42(1):11 [Abstract]
  16. Elmore SA, Boyle MC, Boyle MH, Cora MC, Crabbs TA, Cummings CA, Gruebbel MM, Johnson CL, Malarkey DE, McInnes EF, Nolte T, Shackelford CC, Ward JM. Proceedings of the 2013 National Toxicology Program Satellite Symposium. Toxicologic Pathology (2014). 42(1):12-44 [Abstract]
  17. Behl M, Elmore SA, Hejtmancik MR, Gerken DK, Chhabra RS. Perinatal toxicity and carcinogenicity studies of styrene-acrylonitrile trimer, a ground water contaminant. Toxicology 2013 314(1):84-94. [Abstract]
  18. Thoolen, B., Ten Kate F.J., van Diest, P..J, Malarkey, D.E., Elmore, S.A., Maronpot, R.R. (2012). Comparative Histomorphological Review of Rat and Human Hepatocellular Proliferative lesions. J Toxicol Pathol.  Sep;25(3):189-99. Epub 2012 Oct 1
  19. Surh I., Behl M, Elmore S.A, Chhabra R.S. (2012). Comparative dermal toxicity of Dicyclohexylcarbodiimide and Diisopropylcarbodiimide in rodents. Cutaneous and ocular toxicology 31(3):177-187. [Abstract]
  20. Elmore, SA (2012). Enhanced histopathology of the immune system: a review and update. Toxicologic Pathology. 40: 148-156 [Abstract]
  21. Boorman, G., Crabbs, T.A., Kolenda-Roberts, H., Latimer, K., Miller, A.D., Muravnick, K.B., Nyska, A., Ochoa, R., Pardo, I.D., Ramot, Y., Rao, D.B., Schuh, J., Suttie, A., Travlos, G.S., Ward, J.M., Wolf, J.C., Elmore, S.A. (Chair) (2012). Proceedings of the 2011 National Toxicology Program Satellite Symposium. Toxicologic Pathology. 40: 321-344. [Abstract]
  22. Folie, J., Elmore, S.A., Ward, J. (2012). Pathology Methods for the Evaluation of Embryonic and Perinatal Developmental Defects and Lethality in Genetically Engineered Mice. Veterinary Pathology. 49(1): 71-84. [Abstract]
  23. Adams, E.T., Auerbach, S., Blackshear, P.E., Bradley, A., Gruebbel, M.M., Little, P.B., Malarkey, D., Maronpot, R., McKay, J., Miller, R.A., Moore, R.R., Morrison, J.P., Nyska, A., Ramot, Y., Rao, D., Suttie, A., Wells, M.Y., Willson, G.A., Elmore, S.A. (2011). Proceedings of the 2010 National Toxicology Program Satellite Symposium. Toxicologic Pathology 39(1):240-266. [Abstract]  
  24. Blystone, C.R., Elmore, S.A., Witt, K.L., Malarkey, D.E., Foster, P.M.D. (2011). Toxicity and carcinogenicity of androstenedione in F344/N rats and B6C3F1 mice. Food and Chemical Toxicology 49(9):2116-2124. [Abstract]  
  25. Dinse, G.E., Peddada, S.D., Harris, S.F., and Elmore, S.A. (2010). Comparison of NTP historical control tumor incidence rates in female Harlan-Sprague-Dawley and Fischer 344/N rats. Toxicologic Pathology. Vol. 38, No. 5, 765-775. [Abstract]
  26. Snyder, P.W., Mann, P., Bolon, B., Elmore, S., Haschek-Hock, W., McDorman, K., Morton, D.M., Ochoa, R., Ryan, A.M. (2010). The Society of Toxicologic Pathology and the "One Health" Initiative. Toxicologic Pathology, Vol. 38, No. 4, 521. [Abstract]
  27. Elmore, S.A. (2010) Ultrastructural Pathology; The comparative basis of disease by Norman F. Cheville (Invited review). Microscopy and Microanalysis. 16:502-502.
  28. Morrison, T.E., Montgomery, S.A., Oko, L., Gunn, B., Elmore, S.A., Heise, M.T. (2010). A mouse model of Chikungunya virus-induced musculoskeletal inflammatory disease: evidence of arthritis, tenosynovitis, and myositis. American Journal of Pathology. Vol 178, No. 1, 32-40. [Abstract]
  29. Bach, U., Hailey, J.R., Hill, G.D., Kaufmann, W., Latimer, K.S., Malarkey, D.E., Maronpot, R.M., Miller, R.A., Moore, R.R., Morrison, J.P., Nolte, T., Rinke, M., Rittinghausen, S., Suttie, A.W., Travlos, G.S., Vahle, J.L., Willson, G.A., Elmore, S.A. (2010). Proceedings of the 2009 National Toxicology Program Satellite Symposium. Toxicologic Pathology. 38: 9-36. [Abstract]
  30. Crawford, L.W., Foley, J.F. and Elmore, S.A. (2010). Histology Atlas of the Developing Mouse Hepatobiliary System With Emphasis on Embryonic Days 9.5-18.5. Toxicologic Pathology 38(6):872-906. [Abstract]  
  31. Elmore SE, Peddada SD. (2009) Points to consider on the statistical analysis of rodent cancer bioassay data when incorporating historical control data. Toxicologic pathology  37(5):672-6. [Abstract]
  32. Savolainen, S.M., Foley, J.F., Elmore, S.A. (2009). Histology atlas of the developing mouse heart with emphasis on E11.5 to E18.5. Toxicologic Pathology 37(4):395-414. [Abstract]  
  33. Arias-Loza, P.A., Muehlfelder, M., Elmore, S.A., Maronpot, R., Hu, K., Blode, H., Hegele-Hartung, C., Fritzemeier, K.H., Ertl, G., Pelzer, T. (2009). Differential effects of 17 beta-estradiol and of synthetic progestins on aldosterone-salt-induced kidney disease. Toxicologic Pathology 37(7):969-982. [Abstract]  
  34. Mac Law and Susan Elmore (2008). Mechanisms of Cell Death. Edited by Robert C. Smart and Ernest Hodgson in : Molecular and Biochemical Toxicology, 4th Edition. John Wiley & Sons, Inc. Hoboken, New Jersey. Chapter 16, pages 287-317.  
  35. Petiet, A.E., Kaufman, M.H., Goddeeris, M.M., Brandenburg, J., Elmore, S.A., Johnson GA. (2008). High-resolution magnetic resonance histology of the embryonic and neonatal mouse: A 4D atlas and morphologic database. PNAS 105, 12331-12336. [Abstract]  
  36. Elmore, S. A. and Travlos, G. S. (2008; submitted). Chemically Induced Histopathological Changes of the Bone Marrow. Toxicology of the blood and bone marrow – 2nd edition Edited by Jacques Descotes in: Target Organ Toxicology Series (Series Editors John A Thomas, A Wallace Hayes and Donald E Gardner, CRC Press/Taylor and Francis).  
  37. Elmore, S. A., Nyska, A. and Tischler, A. S. (2008). The Adrenal Medulla as a Target Organ in Toxicologic Studies of Rats and Mice. Edited by Philip Harvey, David Everett and Christopher Springall in: Target Organ Toxicology Series Vol 26 (Series Editors A Wallace Hayes, John A Thomas and Donald E Gardner, Informa Healthcare).  
  38. Tischler, A. S., Nyska, A. and Elmore, S. A. (2008, submitted). Toxic Responses of the Adrenal Medulla in: Volume 11 of Comprehensive Toxicology, 2nd Edition Edited by I. Glenn Sipes, Charlene A. McQueen and A. Jay Gandolfi. Elsevier, New York, NY.  
  39. Elmore, S. A. (2007). Apoptosis: a review of programmed cell death (invited review). Toxicol Pathol 35 (1-22).  
  40. Ramot, Y., Lewis, D. A., Ortel, T. L., Streicker, M., Moser, G., Elmore, S., Ward, S. M., Peddada, S., and Nyska, A. (2007). Age and dose sensitivities in the 2-butoxyethanol F344 rat model of hemolytic anemia and disseminated thrombosis. Exp Toxicol Pathol 58 (311-22). [Abstract]  
  41. Elmore, S. A. (2006). Enhanced histopathology of mucosa-associated lymphoid tissue. Toxicol Pathol 34, 687-96. [Abstract]  
  42. Elmore, S. A. (2006). Enhanced histopathology of the bone marrow. Toxicol Pathol 34, 666-86. [Abstract]  
  43. Elmore, S. A. (2006). Enhanced histopathology of the thymus. Toxicol Pathol 34, 656-65. [Abstract]  
  44. Elmore, S. A. (2006). Enhanced histopathology of the spleen. Toxicol Pathol 34, 648-55. [Abstract]  
  45. Elmore, S. A. (2006). Enhanced histopathology of the lymph nodes. Toxicol Pathol 34, 634-47. [Abstract]  
  46. Elmore, S. A. (2006). Histopathology of the lymph nodes. Toxicol Pathol 34, 425-54. [Abstract]  
  47. Elmore, S., Lanning, L., Allison, N., Vallant, M., and Nyska, A. (2006). The transduction of rat submandibular glands by an adenoviral vector carrying the human growth hormone gene is associated with limited and reversible changes at the infusion site. Toxicol Pathol 34, 385-92. [Abstract]  
  48. Zheng, C., Voutetakis, A., Kok, M. R., Goldsmith, C. M., Smith, G. B., Elmore, S., Nyska, A., Vallant, M., Irwin, R. D., and Baum, B. J. (2006). Toxicity and biodistribution of a first-generation recombinant adenoviral vector, in the presence of hydroxychloroquine, following retroductal delivery to a single rat submandibular gland. Oral Dis 12, 137-44. [Abstract]  
  49. Emmen, J.M., Couse, J.F., Elmore, S.A., Yates, M.M., Kissling, G.E., Korach, K.S. (2005). In vitro growth and ovulation of follicles from ovaries of estrogen receptor (ER){alpha} and ER{beta} null mice indicate a role for ER{beta} in follicular maturation. Endocrinology 146(6), 2817-26. [Abstract]
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