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Publication Name World Journal of Diabetes
Manuscript ID 114535
Country China
Category Endocrinology & Metabolism
Manuscript Type Minireviews
Article Title Peripheral nerve-mediated glucose lowering: Mechanisms, translational strategies, and future perspectives
Manuscript Source Invited Manuscript
All Author List Shuai-Yan Wang, Xin Liu, Zi-Mu Li, Chen-Xi Deng, Ke-Ran Chen, Si-Yu Zhuang, Bin Xu and Tian-Cheng Xu
Funding Agency and Grant Number
Funding Agency Grant Number
The National Natural Science Foundation 82305376
The Youth Talent Support Project of the China Acupuncture and Moxibustion Association 2024-2026ZGZJXH-QNRC005
The 2024 Jiangsu Province Youth Science and Technology Talent Support Project JSTJ-2024-380
2025 Jiangsu Provincial Science and Technology Think Tank Program Project JSKX0125035
Corresponding Author Tian-Cheng Xu, CEO, Chairman, Head, MD, PhD, President, Professor, Key Laboratory of Acupuncture and Medicine Research of Ministry of Education, Nanjing University of Chinese Medicine, No. 138 Xianlin Avenue, Qixia District, Nanjing 210023, Jiangsu Province, China. xtc@njucm.edu.cn
Key Words Peripheral nervous system; Glucose homeostasis; Diabetes; Neuromodulation; Vagus nerve stimulation; Focused ultrasound; Closed-loop system; Non-pharmacological intervention; Metabolic flexibility
Core Tip The peripheral nervous system is an underappreciated regulator of glucose balance. Targeted neuromodulation, like vagus nerve stimulation or focused ultrasound, modulates neural circuits to control liver glucose output, pancreatic hormones, and tissue uptake. Preclinical data show strong metabolic gains; early human trials prove safety. Tackling issues in precision, patient differences, and nerve damage could enable scalable, drug-free treatments for diabetes.
Citation Wang SY, Liu X, Li ZM, Deng CX, Chen KR, Zhuang SY, Xu B, Xu TC. Peripheral nerve-mediated glucose lowering: Mechanisms, translational strategies, and future perspectives. World J Diabetes 2025; In press
Received
2025-09-23 05:17
Peer-Review Started
2025-09-23 08:38
To Make the First Decision
Return for Revision
2025-10-13 07:27
Revised
2025-10-23 02:25
Second Decision
2025-11-12 00:10
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-11-19 06:02
Articles in Press
2025-11-19 06:02
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-9358 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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