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9/22/2026 3:20:35 AM | Browse: 1 | Download: 0
Publication Name World Journal of Gastroenterology
Manuscript ID 117873
Country China
Received
2025-12-18 02:12
Peer-Review Started
2025-12-18 02:12
First Decision by Editorial Office Director
2026-01-21 09:22
Return for Revision
2026-01-21 09:22
Revised
2026-01-30 16:44
Publication Fee Transferred
Second Decision by Editor
2026-05-12 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-12 10:56
Articles in Press
2026-05-12 10:56
Edit the Manuscript by Language Editor
2026-05-13 03:02
Typeset the Manuscript
2026-06-26 03:17
Publish the Manuscript Online
2026-09-22 03:20
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.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Opinion Review
Article Title From the brain to the liver: Pharmacokinetic dilemmas and safety barriers in levodopa-based antifibrotic therapy
Manuscript Source Unsolicited Manuscript
All Author List Dan-Yu Yin, Xiang-Yi Liu, Ang Li and Zhi-Gang Ren
ORCID
Author(s) ORCID Number
Zhi-Gang Ren http://orcid.org/0000-0003-0798-3444
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China No. 82470654
Natural Science Foundation Key Project of Henan Province No. 232300421124
Henan Zhongyuan Medical Science and Technology Innovation and Development Foundation No. ZYYC202301ZD
Corresponding Author Zhi-Gang Ren, Department of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, Jianshe East Road, Zhengzhou 450052, Henan Province, China. fccrenzg@zzu.edu.cn
Key Words Levodopa; Liver fibrosis; Dopamine receptor D1; Drug repurposing; Pharmacokinetic mismatch
Core Tip There is a lack of approved direct antifibrotic therapies for liver fibrosis. Levodopa has been reported to exert antifibrotic effects by activating hepatic dopamine receptor D1 (DRD1) and suppressing yes-associated protein signaling in hepatic stellate cells. However, its standard Parkinson’s disease regimen includes peripheral aromatic L-amino acid decarboxylase inhibitors, which limit the generation of the hepatic dopamine required for this mechanism. This letter highlights this pharmacokinetic contradiction and additional translational barriers, including receptor nonselectivity, regeneration-related safety concerns, and portal hypertension risk, and proposes liver-targeted or DRD1-selective strategies as more rational alternatives.
Publish Date 2026-09-22 03:20
Citation

Yin DY, Liu XY, Li A, Ren ZG. From the brain to the liver: Pharmacokinetic dilemmas and safety barriers in levodopa-based antifibrotic therapy. World J Gastroenterol 2026; 32(42): 117873

URL https://www.wjgnet.com/1007-9327/full/v32/i42/117873.htm
DOI https://doi.org/10.3748/wjg.117873
Full Article (PDF) WJG-32-117873-with-cover.pdf
Manuscript File 117873_Auto_Edited_031532.docx
Answering Reviewers 117873-answering-reviewers.pdf
Audio Core Tip 117873-audio.mp3
Conflict-of-Interest Disclosure Form 117873-conflict-of-interest-statement.pdf
Copyright License Agreement 117873-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 117873-non-native-speakers.pdf
Peer-review Report 117873-peer-reviews.pdf
Scientific Misconduct Check 117873-scientific-misconduct-check.png
CrossCheck Report 117873-crosscheck-report.pdf