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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 124378
Country China
Received
2026-06-12 10:50
Peer-Review Started
2026-06-12 10:52
First Decision by Editorial Office Director
Return for Revision
2026-07-02 03:37
Revised
2026-07-06 12:09
Publication Fee Transferred
2026-07-08 09:10
Second Decision by Editor
2026-08-31 03:15
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-08-31 08:44
Articles in Press
2026-08-31 08:44
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-29 10:37
Publish the Manuscript Online
2026-11-12 03:43
ISSN 1948-9366 (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 Transplantation
Manuscript Type Minireviews
Article Title Mechanisms, clinical translation, and future perspectives of liver-mediated immunoprotection in combined organ transplantation
Manuscript Source Unsolicited Manuscript
All Author List Zheng-Wei Zhao, Yu-Guo Chen and Guang-Yi Wang
ORCID
Author(s) ORCID Number
Zheng-Wei Zhao http://orcid.org/0009-0002-2189-5723
Yu-Guo Chen http://orcid.org/0000-0002-2155-4817
Guang-Yi Wang http://orcid.org/0000-0002-5737-4420
Funding Agency and Grant Number
Corresponding Author Guang-Yi Wang, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130021, Jilin Province, China. guangyi@jlu.edu.cn
Key Words Liver transplantation; Intestinal transplantation; Multivisceral transplantation; Immune tolerance; Immunoprotection; Combined transplantation
Core Tip This review highlights the immunoprotective mechanisms of the liver in combined intestinal and multivisceral transplantation, including liver sinusoidal endothelial cell-mediated antigen presentation, regulatory T cell enrichment, clonal deletion, and donor-specific antibody clearance. Concurrent liver inclusion reduces rejection rates but increases risks of graft-vs-host disease and infection. Normothermic machine perfusion and regulatory T-cell therapy represent promising strategies for optimizing immunomodulation.
Publish Date 2026-11-12 03:43
Citation

Zhao ZW, Chen YG, Wang GY. Mechanisms, clinical translation, and future perspectives of liver-mediated immunoprotection in combined organ transplantation. World J Gastrointest Surg 2026; 18(11): 124378

URL https://www.wjgnet.com/1948-9366/full/v18/i11/124378.htm
DOI https://doi.org/10.4240/wjgs.124378
Full Article (PDF) WJGS-18-124378-with-cover.pdf