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Publication Name World Journal of Gastroenterology
Manuscript ID 115995
Country China
Category Gastroenterology & Hepatology
Manuscript Type Basic Study
Article Title Wuda granules target estrogen receptors and modulate gut microbiota to alleviate postoperative ileus: A multi-omics perspective
Manuscript Source Unsolicited Manuscript
All Author List Tao Wang, Yi-Hua Xu, Yang-Hui Ou, Wen-Jun Xiong, Li-Jie Luo, Jin Li, Yao-Hui Peng, Yan Chen, Hai-Ping Zeng, Yang Yu, Hai-Peng Tang, Fei Wang, Hong-Liang Yao and Wei Wang
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China 82205109, 82304895
Youth Science and Technology Talent Cultivation Program 2025-2026 of Guangdong Association for Science and Technology SKXRC2025212
Guangzhou Science and Technology Bureau Basic and Applied Basic Research Project, 2025A04J3690
Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine 20261103
Young and Middle-aged Backbone Cultivation Project of the First Affiliated Hospital of Guangzhou University of Chinese Medicine 09005650055
Supporting Scientific Research Fund of the First Affiliated Hospital of Guangzhou University of Chinese Medicine 09005647001
Guangzhou Basic and Applied Basic Research Foundation 2023A04J0461
Corresponding Author Wei Wang, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Courtyard 16, Jichang Road, Guangzhou 510405, Guangdong Province, China. wangwei16400@163.com
Key Words Wuda granule; Postoperative ileus; Anti-inflammatory; Estrogen receptors; Gut microbiota
Core Tip Postoperative ileus (POI) is a frequent postsurgical complication. This study shows that Wuda granules (WDG), derived from the classical formula simo decoction, alleviate POI through coordinated actions on inflammation, epithelial barrier repair, intestinal pacemaker function, and gut microbiota remodeling. Multi-omics analysis revealed that WDG activates estrogen receptor signaling and enriches beneficial bacterial species linked to isovaleric acid production. These findings identify an inflammation-estrogen-microbiota axis as a key mechanism, supporting the therapeutic potential of WDG for POI management.
Citation Wang T, Xu YH, Ou YH, Xiong WJ, Luo LJ, Li J, Peng YH, Chen Y, Zeng HP, Yu Y, Tang HP, Wang F, Yao HL, Wang W. Wuda granules target estrogen receptors and modulate gut microbiota to alleviate postoperative ileus: A multi-omics perspective. World J Gastroenterol 2026; In press
Received
2025-10-31 13:36
Peer-Review Started
2025-10-31 13:37
First Decision by Editorial Office Director
2025-12-02 10:12
Return for Revision
2025-12-02 10:12
Revised
2025-12-13 11:41
Publication Fee Transferred
2025-12-20 06:05
Second Decision by Editor
2026-02-06 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-06 08:02
Articles in Press
2026-02-06 08:02
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (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: http://creativecommons.org/Licenses/by-nc/4.0/
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