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Publication Name World Journal of Gastroenterology
Manuscript ID 123835
Country China
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Phenotypic age acceleration predicts gallstone disease and acute biliary complications: A United Kingdom Biobank cohort study
Manuscript Source Unsolicited Manuscript
All Author List Zhi Wang, Hai-Feng Wang, Hou-Ru Li, Li-Fang Chen, Zhen-Zhen Zhang, He-Zhao Li, Jia-Hao Li, Henry Tong and Ke-Feng Li
Funding Agency and Grant Number
Funding Agency Grant Number
Macao Science and Technology Development Fund (FDCT) 0033/2023/RIB2
Joint Fund between FDCT and the Department of Science and Technology of Guangdong Province 0009/2024/AGJ
Joint Fund between FDCT and the Ministry of Science and Technology of China 0106/2025/AMJ
Corresponding Author Ke-Feng Li, Associate Professor, PhD, Faculty of Applied Sciences, Macao Polytechnic University, R. de Luís Gonzaga Gomes, Macau 999078, Macao SR, China. kefengl@mpu.edu.mo
Key Words Phenotypic age acceleration; Gallstone disease; Cholangitis; Plasma protein mediation; Risk stratification
Core Tip This study tested whether phenotypic age acceleration could indicate the risk of gallstone disease across the full biliary spectrum in 414756 United Kingdom Biobank participants. The aging signal was able to predict gallstone disease and three acute biliary complications. These four outcomes were jointly scored by Biliary Time-aware Multi-outcome model from routine blood biomarkers. The model was also able to link the risk to plasma proteins through mediation analysis in 53014 proteomic participants. In particular, the top proteins CSF1, PLAUR, and GDF15 converged on the cytokine receptor pathway hubbed by interleukin 6 and tumor necrosis factor. This shared pathway explains why one aging measure could flag four biliary outcomes at once, whereas these outcomes are usually managed as separate diseases.
Citation Wang Z, Wang HF, Li HR, Chen LF, Zhang ZZ, Li HZ, Li JH, Tong H, Li KF. Phenotypic age acceleration predicts gallstone disease and acute biliary complications: A United Kingdom Biobank cohort study. World J Gastroenterol 2026; In press
Received
2026-06-01 09:23
Peer-Review Started
2026-06-01 09:24
First Decision by Editorial Office Director
2026-06-11 10:00
Return for Revision
2026-06-11 10:00
Revised
2026-07-17 07:17
Publication Fee Transferred
2026-08-05 08:48
Second Decision by Editor
2026-10-08 07:09
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-08 09:06
Articles in Press
2026-10-08 09:06
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 distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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