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Publication Name World Journal of Gastroenterology
Manuscript ID 125036
DOI 10.3748/wjg.125036
Country China
Category Medicine, Research & Experimental
Manuscript Type Basic Study
Article Title Proenkephalin modulates apoptosis and neuronal differentiation in enteric neural crest cells with implications for the TLR4 signaling pathway
Manuscript Source Unsolicited Manuscript
All Author List Chun-Can Ma, Qiong-Qian Xu, Ya-Lan Xia, Yong Li, Xi-Xi He, Dong Sun, Ji-Chang Han, Xue Ren, Zhao Tian, Kai Qiu, Xiao-Yang Liu, Zhi-Hang Zhou, Lin Zhu, Tian-Ran Cheng, Fang-Ru Zong, Dong-Ming Wang, Jian Wang and Ai-Wu Li
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China No. 82271743 and No. 82071682
The Hunan Natural Science Foundation Regional Joint Fund Project No. 2024JJ7555
The Scientific Research Foundation of Jishou University No. Jdzd24047
Corresponding Author Ai-Wu Li, Chief Physician, PhD, Professor, Department of Pediatric Surgery, Qilu Hospital of Shandong University, No. 107 Wenhuaxilu Road, Jinan 250012, Shandong Province, China. liaiwu@qiluhospital.com
Key Words Proenkephalin; Toll-like receptor 4; Enteric neural crest cells; Hirschsprung’s disease; Apoptosis; Differentiation
Core Tip This study identifies proenkephalin (PENK) as a significantly downregulated factor in aganglionic bowel segments of Hirschsprung’s disease patients, predominantly enriched in enteric neuronal populations. Functional experiments in primary enteric neural crest cells demonstrate that PENK modulates apoptosis and neuronal differentiation, with the toll-like receptor 4 signaling pathway implicated as a downstream mediator. These findings identify the PENK-toll-like receptor 4 axis as a previously unrecognized regulator of enteric nervous system development and a candidate for future investigation in Hirschsprung’s disease.
Citation Ma CC, Xu QQ, Xia YL, Li Y, He XX, Sun D, Han JC, Ren X, Tian Z, Qiu K, Liu XY, Zhou ZH, Zhu L, Cheng TR, Zong FR, Wang DM, Wang J, Li AW. Proenkephalin modulates apoptosis and neuronal differentiation in enteric neural crest cells with implications for the TLR4 signaling pathway. World J Gastroenterol 2026; In press
PDF 125036-in-press.pdf
Received
2026-06-30 06:16
Peer-Review Started
2026-06-30 06:16
First Decision by Editorial Office Director
Return for Revision
2026-08-07 01:57
Revised
2026-08-17 10:38
Publication Fee Transferred
2026-09-13 02:08
Second Decision by Editor
2026-11-05 03:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-11-05 07:45
Articles in Press
2026-11-05 07:45
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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