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1/20/2026 2:54:06 AM | Browse: 4 | Download: 15
Publication Name World Journal of Stem Cells
Manuscript ID 114114
Country China
Received
2025-09-15 02:29
Peer-Review Started
2025-09-15 02:29
First Decision by Editorial Office Director
2025-10-13 07:35
Return for Revision
2025-10-13 07:35
Revised
2025-11-04 14:42
Publication Fee Transferred
Second Decision by Editor
2025-12-09 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-10 08:20
Articles in Press
2025-12-10 08:20
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-12 02:51
Publish the Manuscript Online
2026-01-20 02:54
ISSN 1948-0210 (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/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Medicine, Research & Experimental
Manuscript Type Letter to the Editor
Article Title Strengthening causal inference and analytical rigor in the Wumei Pills-Lactobacillus reuteri-intestinal stem cell axis for chemotherapy-induced mucositis
Manuscript Source Invited Manuscript
All Author List Rui-Li Yang, Qing Lu, Er-Min Liang and Hong-Cheng Luo
ORCID
Author(s) ORCID Number
Rui-Li Yang http://orcid.org/0009-0001-2638-8037
Qing Lu http://orcid.org/0009-0008-5930-2229
Er-Min Liang http://orcid.org/0009-0001-1773-4321
Hong-Cheng Luo http://orcid.org/0009-0007-1184-1357
Funding Agency and Grant Number
Corresponding Author Hong-Cheng Luo, MD, Division of Vascular Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, No. 3025 Shennan Zhong Road, Futian District, Hong Kong 999077, China. drlhc96@163.com
Key Words Chemotherapy-induced mucositis; Wumei Pills; Lactobacillus reuteri; Intestinal stem cells; Wnt/β-catenin
Core Tip In this methodological critique, we highlight six key areas to bolster the evidence that Wumei Pills (WMP) and Lactobacillus reuteri mitigate chemotherapy-induced mucositis via intestinal stem cell activation. We urge the authors to incorporate tissue-level inflammation indices (myeloperoxidase, interleukin-1β, immune cell infiltration) rather than relying solely on serum cytokines and lipopolysaccharide. We also suggest causality-verification experiments (probiotic depletion or fecal microbiota transplantation) to confirm the WMP-microbiota-intestinal stem cell linkage. The letter recommends more rigorous validation of Wnt/β-catenin signaling (e.g., demonstrating β-catenin nuclear translocation and downstream target gene activation), stronger study design practices (sample size calculation, blinded outcome assessment, accounting for cage effects, and false-discovery rate adjustments), dose-response and safety evaluations for WMP/Lactobacillus reuteri, and expanded experimental conditions to test the robustness of the therapeutic effect across different biological contexts. These improvements will help substantiate the mechanistic claims and translational potential of this promising gut microbiota-mediated therapy.
Publish Date 2026-01-20 02:54
Citation

Yang RL, Lu Q, Liang EM, Luo HC. Strengthening causal inference and analytical rigor in the Wumei Pills-Lactobacillus reuteri-intestinal stem cell axis for chemotherapy-induced mucositis. World J Stem Cells 2026; 18(1): 114114

URL https://www.wjgnet.com/1948-0210/full/v18/i1/114114.htm
DOI https://dx.doi.org/10.4252/wjsc.v18.i1.114114
Full Article (PDF) WJSC-18-114114-with-cover.pdf
Manuscript File 114114_Auto_Edited_013038.docx
Answering Reviewers 114114-answering-reviewers.pdf
Audio Core Tip 114114-audio.mp3
Conflict-of-Interest Disclosure Form 114114-conflict-of-interest-statement.pdf
Copyright License Agreement 114114-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 114114-non-native-speakers.pdf
Peer-review Report 114114-peer-reviews.pdf
Scientific Misconduct Check 114114-scientific-misconduct-check.png
Scientific Editor Work List 114114-scientific-editor-work-list.pdf
CrossCheck Report 114114-crosscheck-report.pdf