81. Post-infection disorders of gut-brain interaction: results of the Rome Foundation Global Epidemiology Study.
作者: Giovanni Marasco.;Max Schmulson.;Uday C Ghoshal.;Rutaba Khatun.;Shrikant I Bangdiwala.;Cesare Cremon.;Olafur S Palsson.;Ami D Sperber.;Giovanni Barbara.
来源: Gut. 2026年
Post-infection disorders of gut-brain interaction (PI-DGBI) are a subset of chronic gastrointestinal disorders triggered by acute infectious gastroenteritis. These conditions impose a significant burden on patients' quality of life.
86. Repositioning dual GLP-1/GIP receptor agonists for the treatment of colitis and colitis-associated tumourigenesis.
作者: Bianca N Islam.;Adrian Nguyen-Gomez.;Kristina Williams.;Kimberly Curry.;Neha S Khandekar.;Marcello Chieppa.;Wei Xin.;Theresa T Pizarro.;Rui Wang.;Fabio Cominelli.
来源: Gut. 2026年 88. Shaping the future of postoperative recurrence in Crohn's disease: personalised approaches with AI-enabled imaging and multi-omics.
作者: Marietta Iacucci.;Irene Zammarchi.;Cecilia Lina Pugliano.;Giovanni Santacroce.;Ivan Capobianco.;Snehali Majumder.;Andrea Ruffa.;Valery Naranjo.;Enrico Grisan.;Olga Maria Nardone.;Subrata Ghosh.
来源: Gut. 2026年
Postoperative recurrence (POR) is a major challenge in the long-term management of Crohn's disease (CD), affecting up to 70% of patients within the first year after surgical resection. The multifactorial pathogenesis of POR complicates prevention, while evolving surgical techniques and different anastomotic configurations further hinder accurate prediction and monitoring.Current surveillance strategies, including standard ileocolonoscopy and faecal calprotectin, remain limited by suboptimal accuracy, the absence of validated scoring systems and the lack of standardised monitoring intervals. Recent advances in high-resolution endoscopic imaging, such as confocal laser endomicroscopy and endocytoscopy, enable real-time, in vivo microstructural assessment of the anastomosis, offering opportunities for earlier and more precise detection of recurrence. In parallel, developments in intestinal ultrasound and cross-sectional imaging are reshaping non-invasive monitoring by providing transmural evaluation. Beyond imaging, multiomics approaches, spanning genomics, transcriptomics, proteomics, metabolomics and metagenomics, are uncovering novel biological pathways linked to POR, providing new mechanistic insights.Artificial intelligence (AI) has the potential to integrate clinical, endoscopic, imaging and omics data into predictive multimodal models for POR, supporting individualised risk stratification, early detection and personalised treatment strategies. While promising, these innovations require prospective validation, methodological standardisation and integration into clinical workflows before translation into routine practice.This review summarises the current understanding of POR, highlights emerging diagnostic and monitoring technologies and explores how AI-enabled endoscopy and multi-omics approaches may transform future management, paving the way towards precision medicine for POR in CD.
90. NSUN6 deficiency drives immune suppression in pancreatic cancer via the KDM5A-CCL2-macrophage axis.
作者: Lingxing Zeng.;Shuang Liu.;Xinyi Peng.;Chunling Xue.;Daoyuan Wang.;Ruihong Bai.;Shaoqiu Liu.;Ziming Chen.;Hongzhe Zhao.;Zilan Xu.;Sihan Zhao.;Yifan Zhou.;Xiaoyu Wu.;Shaojia Wu.;Mei Li.;Ji Liu.;Jialiang Zhang.;Qi Zhou.;Xudong Huang.;Jiachun Su.
来源: Gut. 2026年
RNA 5-methylcytosine (m5C) has emerged as a critical epigenetic regulator in cancer biology, yet its role in the tumour immune microenvironment (TME) remains incompletely understood.
92. Steatosis grade and cardiometabolic burden as determinants of hepatocellular carcinoma risk after hepatitis C cure in patients with metabolic dysfunction-associated steatotic liver disease.
作者: Yu-Ping Chang.;Yun-Chu Chen.;Pin-Nan Cheng.;Yu-Jen Fang.;Chi-Yi Chen.;Wei-Yu Kao.;Chih-Lin Lin.;Sheng-Shun Yang.;Yu-Lueng Shih.;Cheng-Yuan Peng.;Fu-Jen Lee.;Ming-Chang Tsai.;Shang-Chin Huang.;Tung-Hung Su.;Tai-Chung Tseng.;Chun-Jen Liu.;Pei-Jer Chen.;Jia-Horng Kao.;Chen-Hua Liu.
来源: Gut. 2026年
Coexistence of metabolic dysfunction-associated steatotic liver disease (MASLD) increases hepatocellular carcinoma (HCC) risk after HCV cure.
93. Genetic dissection of stool frequency implicates vitamin B1 metabolism and other actionable pathways in the modulation of gut motility.
作者: Cristian Díaz-Muñoz.;Isotta Bozzarelli.;Esteban Alexander Lopera-Maya.;Lazaros Belbasis.;Valeria Lo Faro.;Leticia Camargo Tavares.;Francisco Heredia-Fernández.;Biagio Di Lorenzo.;Trishla Sinha.;Cristina Esteban Blanco.;Marie-Julie Favé.;Philip Awadalla.;Robin G Walters.;Ferdinando Bonfiglio.;Alexandra Zhernakova.;Serena Sanna.;Mauro D'Amato.
来源: Gut. 2026年
Genetic studies of stool frequency (SF), an indirect proxy for gastrointestinal transit, may reveal therapeutically tractable pathways relevant to IBS and other dysmotility disorders.
94. Targeting ADAR1-mediated RNA editing inhibits hepatic stellate cell activation and liver fibrosis by enhancing HSC-intrinsic innate immunity.
作者: Yue Xi.;Lingyi Liu.;Jong-Won Kim.;Min Zhang.;Xiaofei Wang.;Aizat Abdirassil.;Meishu Xu.;Songrong Ren.;Qingde Wang.;Da Yang.;Pengfei Xu.;Wen Xie.
来源: Gut. 2026年
The pathogenesis of liver fibrosis centres on the activation of hepatic stellate cells (HSCs). Adenosine-to-inosine RNA editing, primarily catalysed by adenosine deaminase acting on RNA1 (ADAR1), is the most prevalent post-transcriptional modification that increases transcriptome diversity.
95. Associations between demographic, clinical and dietary factors and flares in inflammatory bowel disease: the PRognostic effect of Environmental factors in Crohn's and Colitis (PREdiCCt) prospective cohort study.
作者: Nathan Constantine-Cooke.;Beatriz Gros.;Nikolas Plevris.;Linda J Williams.;Gareth-Rhys Jones.;Janet Kyle.;Nicholas A Kennedy.;Victor Velasco-Pardo.;Alexander Rudge.;Debbie Alexander.;Carl A Anderson.;Maiara Brusco de Freitas.;Lisa M Derr.;Lauranne Aap Derikx.;Sian Gilchrist.;Paul Henderson.;Graham W Horgan.;Peter Irving.;Christopher A Lamb.;Luke Jostins-Dean.;James O Lindsay.;Jonathan MacDonald.;Craig Mowat.;Charles Murray.;Miles Parkes.;Spyros I Siakavellas.;Catalina A Vallejos.;Daniel R Gaya.;Jonathan M Rhodes.;Alexandra M Johnstone.;Christopher J Weir.;Charlie W Lees.; .
来源: Gut. 2026年
IBD is characterised by recurrent flares, but evidence on whether modifiable dietary factors influence flare risk is limited.
96. Oncological impact of universal endoscopic submucosal dissection for large Barrett's cancers.
作者: Sunil Gupta.;Ana-Maria Bucalau.;Francesco Vito Mandarino.;Brian Lam.;Mariana Figueiredo.;Pierre Eisdendrath.;Giuseppe Losurdo.;Anthony Sakiris.;Julia L Gauci.;Clarence Kerrison.;Eric Lee.;Jacques Devière.;Nicholas G Burgess.;Reginald V N Lord.;Thomas Rosch.;Arnaud Lemmers.;Michael J Bourke.
来源: Gut. 2026年75卷4期725-732页
Oncological principles favour en bloc R0 excision for curative endoscopic resection. In Barrett's neoplasia, endoscopically curable cancers include T1a and selected early T1b disease. Although endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are established treatments, optimal lesion selection remains debated.
97. LY6D identifies persistent stem-like cells driving pancreatic tumourigenesis.
作者: Juanjuan Shi.;Xian Wang.;Yingying Tang.;Shixin Meng.;Zhengyan Zhang.;Ping Lu.;Junyi Xu.;Feier Yu.;Xueni Wang.;Zheng Wang.;Yongwei Sun.;Jing Xue.
来源: Gut. 2026年
Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive malignancy characterised by remarkable cellular heterogeneity, which emerges early from the interplay of oncogenic KRAS signalling and inflammatory injury. However, the transcriptional, metabolic and functional properties of these pre-malignant cell states that initiate and drive PDAC progression remain elusive.
98. Zinc-dependent RNA-binding protein controls hepatocyte senescence and recovery from alcohol-related liver failure.
作者: Rajesh Kumar Dutta.;Kuo Du.;Niansheng Ren.;David S Umbaugh.;Seh-Hoon Oh.;Liuyang Wang.;Auinash Kalsotra.;Perry J Blackshear.;Anna Mae Diehl.
来源: Gut. 2026年
Why alcohol-associated liver disease (ALD) resolves after abstinence in most people but progresses to liver failure in others remains poorly understood. Experimental models show that increased exposure to proinflammatory cytokines exacerbates ALD, yet clinical trials targeting these cytokines have failed. The tumour necrosis factor alpha (TNFα)-inducible zinc finger protein 36 (ZFP 36) family of RNA binding proteins controls the outcomes of TNFα exposure by destabilising suites of messenger RNAs (mRNAs) that execute the pleiotropic downstream actions of TNFα.
99. Complement-secreting CAFs are associated with better prognosis in pancreatic cancer: single-cell multiomics.
作者: Kai Chen.;Yongsu Ma.;Liling Huang.;Pengfei Wu.;Heng-Chung Kung.;Bohan Yang.;Jixin Zhang.;Robert A Anders.;Jacquelyn W Zimmerman.;Qingfeng Zhu.;Xiaodong Tian.;Jin He.;Yinmo Yang.
来源: Gut. 2026年
Accumulating evidence has demonstrated that distinct tumour-promoting and tumour-restraining cancer-associated fibroblast (CAF) subtypes coexist in pancreatic ductal adenocarcinoma.
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