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10/21/2026 2:09:38 AM | Browse: 1 | Download: 0
Publication Name World Journal of Hepatology
Manuscript ID 124748
Country China
Received
2026-06-29 03:22
Peer-Review Started
2026-06-29 03:22
First Decision by Editorial Office Director
Return for Revision
2026-07-21 02:54
Revised
2026-08-04 00:32
Publication Fee Transferred
Second Decision by Editor
2026-09-17 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-17 09:37
Articles in Press
2026-09-17 09:37
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-09 09:37
Publish the Manuscript Online
2026-10-21 02:09
ISSN 1948-5182 (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 ©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 Cardio-hepatic axis in metabolic dysfunction-associated steatotic liver disease: Mechanisms, clinical implications and therapeutic opportunities
Manuscript Source Invited Manuscript
All Author List Ran Zhao, Jia-Lian Zheng, Yan Wang, Bing-Jiu Lu, Yan Zhang and Bao-Cheng Deng
ORCID
Author(s) ORCID Number
Ran Zhao http://orcid.org/0009-0008-1778-3669
Jia-Lian Zheng http://orcid.org/0009-0005-0438-5141
Yan Wang http://orcid.org/0000-0001-7791-0238
Bing-Jiu Lu http://orcid.org/0009-0006-3603-0676
Yan Zhang http://orcid.org/0009-0004-0547-3146
Bao-Cheng Deng http://orcid.org/0000-0003-4825-9794
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China 82174241
Corresponding Author Bao-Cheng Deng, Department of Infectious Diseases, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang 110001, Liaoning Province, China. bcdeng@cmu.edu.cn
Key Words Metabolic dysfunction-associated steatotic liver disease; Cardio-hepatic axis; Cardiovascular disease; Risk stratification; Therapeutic strategies
Core Tip Metabolic dysfunction-associated steatotic liver disease is a systemic cardiometabolic disorder driven by the cardio-hepatic axis. This review examines bidirectional signaling and systemic amplification networks within this axis and explores its intrinsic mechanisms. Based on population evidence, we propose a risk stratification framework that integrates metabolic dysfunction-associated steatotic liver disease evaluation into cardiovascular risk assessment, shifting management from a liver-centric to a systemic cardio-hepatic co-management model. We also critically appraise therapeutic strategies targeting these mechanisms according to clinical evidence strength. However, key challenges remain, including the liver-heart causal relationship, the lack of a risk assessment system capturing cardio-hepatic crosstalk, and the limited availability of axis-specific randomized controlled trials.
Publish Date 2026-10-21 02:09
Citation

Zhao R, Zheng JL, Wang Y, Lu BJ, Zhang Y, Deng BC. Cardio-hepatic axis in metabolic dysfunction-associated steatotic liver disease: Mechanisms, clinical implications and therapeutic opportunities. World J Hepatol 2026; 18(10): 124748

URL https://www.wjgnet.com/1948-5182/full/v18/i10/124748.htm
DOI https://doi.org/10.4254/wjh.124748
Full Article (PDF) WJH-18-124748-with-cover.pdf
Manuscript File 124748_Auto_Edited_005504.docx
Answering Reviewers 124748-answering-reviewers.pdf
Audio Core Tip 124748-audio.mp3
Conflict-of-Interest Disclosure Form 124748-conflict-of-interest-statement.pdf
Copyright License Agreement 124748-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 124748-non-native-speakers.pdf
Peer-review Report 124748-peer-reviews.pdf
Scientific Misconduct Check 124748-scientific-misconduct-check.png
CrossCheck Report 124748-crosscheck-report.pdf