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Publication Name World Journal of Gastroenterology
Manuscript ID 119467
Country Italy
Received
2026-01-29 01:59
Peer-Review Started
2026-01-29 02:03
First Decision by Editorial Office Director
2026-02-14 07:51
Return for Revision
2026-02-14 07:51
Revised
2026-03-05 01:59
Publication Fee Transferred
Second Decision by Editor
2026-04-20 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-04-20 06:41
Articles in Press
2026-04-20 06:41
Edit the Manuscript by Language Editor
2026-04-28 22:22
Typeset the Manuscript
2026-08-11 02:51
Publish the Manuscript Online
2026-08-19 01:55
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 Review
Article Title Liver-spleen axis: Deciphering a crucial crosstalk in non‐alcoholic fatty liver disease progression and therapeutic implications
Manuscript Source Invited Manuscript
All Author List Giovanni Tarantino and Vincenzo Citro
ORCID
Author(s) ORCID Number
Giovanni Tarantino http://orcid.org/0000-0001-7751-2715
Funding Agency and Grant Number
Corresponding Author Giovanni Tarantino, Department of Clinical Medicine and Surgery, Federico II University Medical School, Department of Clinical and Experimental Medicine, Hepatology in Internal Medicine Section, Federico II University Medical School of Naples, Naples, Italy. tarantin@unina.it, Naples 80131, Italy. tarantin@unina.it
Key Words Immune cells; Diagnostic imaging; Spleen longitudinal diameter at ultrasound; Portal circulation; Chronic inflammation; Comorbidities; Central nervous system involvement; Therapeutic approach
Core Tip Traditional models of non‐alcoholic fatty liver disease focus on the “liver-adipose-gut axis”, but emerging evidence establishes the “liver-spleen axis” as a critical immunometabolic rheostat. The spleen is not a passive bystander; it acts as an active “priming station” where metabolic stress triggers immune reprogramming. Splenic monocytes and pro-inflammatory cytokines (interleukin-6, tumor necrosis factor alpha) are deployed via the portal circulation to the liver, accelerating steatohepatitis and fibrosis. Clinically, spleen longitudinal diameter measured by ultrasound and splenic metabolic activity assessed via positron emission tomography/computed tomography serve as high-reliability, non-invasive biomarkers of disease severity. Targeting this axis—through pharmacological agents like statins or neuroimmune modulation—offers a novel frontier for precision diagnostics and interventions to halt the progression of metabolic and systemic inflammatory decay.
Publish Date 2026-08-19 01:55
Citation

Tarantino G, Citro V. Liver-spleen axis: Deciphering a crucial crosstalk in non‐alcoholic fatty liver disease progression and therapeutic implications. World J Gastroenterol 2026; 32(34): 119467

URL https://www.wjgnet.com/1007-9327/full/v32/i34/119467.htm
DOI https://doi.org/10.3748/wjg.119467
Full Article (PDF) WJG-32-119467-with-cover.pdf
Manuscript File 119467_Auto_Edited_064024.docx
Answering Reviewers 119467-answering-reviewers.pdf
Audio Core Tip 119467-audio.m4a
Conflict-of-Interest Disclosure Form 119467-conflict-of-interest-statement.pdf
Copyright License Agreement 119467-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 119467-non-native-speakers.pdf
Peer-review Report 119467-peer-reviews.pdf
Scientific Misconduct Check 119467-scientific-misconduct-check.png
Scientific Editor Work List 119467-scientific-editor-work-list.pdf
CrossCheck Report 119467-crosscheck-report.pdf