141. Top-down infliximab plus azathioprine versus azathioprine alone in patients with acute severe ulcerative colitis responsive to intravenous steroids: a parallel, open-label randomised controlled trial, the ACTIVE trial.
作者: Aurelien Amiot.;Philippe Seksik.;Antoine Meyer.;Carmen Stefanescu.;Pauline Wils.;Romain Altwegg.;Lucine Vuitton.;Laurianne Plastaras.;Adrien Nicolau.;Bruno Pereira.;Nicoals Duveau.;David Laharie.;Bassirou Mboup.;Medina Boualit.;Matthieu Allez.;Sylvie Rajca.;Elise Chanteloup.;Guillaume Bouguen.;Thomas Bazin.;Felix Goutorbe.;Nicolas Richard.;Driffa Moussata.;Eric Vicaut.;Laurent Peyrin-Biroulet.
来源: Gut. 2025年74卷2期197-205页
It is unknown which maintenance therapy is the most effective option for patients admitted for an acute severe ulcerative colitis (ASUC) episode responding to intravenous steroids.
142. Spatial dissection of tumour microenvironments in gastric cancers reveals the immunosuppressive crosstalk between CCL2+ fibroblasts and STAT3-activated macrophages.
作者: Sung Hak Lee.;Dagyeong Lee.;Junyong Choi.;Hye Jeong Oh.;In-Hye Ham.;Daeun Ryu.;Seo-Yeong Lee.;Dong-Jin Han.;Sunmin Kim.;Youngbeen Moon.;In-Hye Song.;Kyo Young Song.;Hyeseong Lee.;Seungho Lee.;Hoon Hur.;Tae-Min Kim.
来源: Gut. 2025年74卷5期714-727页
A spatially resolved, niche-level analysis of tumour microenvironments (TME) can provide insights into cellular interactions and their functional impacts in gastric cancers (GC).
143. Divergent lineage trajectories and genetic landscapes in human gastric intestinal metaplasia organoids associated with early neoplastic progression.
作者: Sarah S K Yue.;Yin Tong.;Hoi Cheong Siu.;Siu Lun Ho.;Simon Y K Law.;Wai Yin Tsui.;Dessy Chan.;Yuanhua Huang.;Annie S Y Chan.;Shui Wa Yun.;Ho Sang Hui.;Jee-Eun Choi.;Matthew S S Hsu.;Frank P L Lai.;April S Chan.;Siu Tsan Yuen.;Hans Clevers.;Suet Yi Leung.;Helen H N Yan.
来源: Gut. 2025年74卷4期522-538页
Gastric intestinal metaplasia (IM) is a precancerous stage spanning a morphological spectrum that is poorly represented by human cell line models.
144. Faecal phageome transplantation alleviates intermittent intestinal inflammation in IBD and the timing of transplantation matters: a preclinical proof-of-concept study in mice.
作者: Nengneng Li.;Yue Li.;Ziyu Huang.;Zhirui Cao.;Cha Cao.;Xiang Gao.;Tao Zuo.
来源: Gut. 2025年74卷5期868-870页 145. Identifying colorectal cancer-specific vulnerabilities in the Wnt-driven long non-coding transcriptome.
作者: Laura J Schwarzmueller.;Ronja S Adam.;Leandro F Moreno.;Lisanne E Nijman.;Adrian Logiantara.;Steven Eleonora.;Oscar Bril.;Sophie Vromans.;Nina E de Groot.;Francesca Paola Giugliano.;Ekaterina Stepanova.;Vanesa Muncan.;Clara C Elbers.;Kristiaan J Lenos.;Danny A Zwijnenburg.;Monique A J van Eijndhoven.;Dirk Michiel Pegtel.;Sanne M van Neerven.;Fabricio Loayza-Puch.;Tulin Dadali.;Wendy J Broom.;Martin A Maier.;Jan Koster.;Louis Vermeulen.;Nicolas Léveillé.
来源: Gut. 2025年74卷4期571-585页
Aberrant Wnt pathway activation is a key driver of colorectal cancer (CRC) and is essential to sustain tumour growth and progression. Although the downstream protein-coding target genes of the Wnt cascade are well known, the long non-coding transcriptome has not yet been fully resolved.
146. Liquid biopsy to identify Barrett's oesophagus, dysplasia and oesophageal adenocarcinoma: the EMERALD multicentre study.
作者: Jinsei Miyoshi.;Alessandro Mannucci.;Marco Scarpa.;Feng Gao.;Shusuke Toden.;Timothy Whitsett.;Landon J Inge.;Ross M Bremner.;Tetsuji Takayama.;Yulan Cheng.;Teodoro Bottiglieri.;Iris D Nagtegaal.;Martha J Shrubsole.;Ali H Zaidi.;Xin Wang.;Helen G Coleman.;Lesley A Anderson.;Stephen J Meltzer.;Ajay Goel.; .
来源: Gut. 2025年74卷2期169-181页
There is no clinically relevant serological marker for the early detection of oesophageal adenocarcinoma (EAC) and its precursor lesion, Barrett's oesophagus (BE).
148. CAF-macrophage crosstalk in tumour microenvironments governs the response to immune checkpoint blockade in gastric cancer peritoneal metastases.
作者: Yuanfang Li.;Yongqiang Zheng.;Jiaqian Huang.;Run-Cong Nie.;Qi-Nian Wu.;Zhijun Zuo.;Shuqiang Yuan.;Kai Yu.;Cheng-Cai Liang.;Yi-Qian Pan.;Bai-Wei Zhao.;Yuhong Xu.;Qihua Zhang.;Yashang Zheng.;Junquan Chen.;Zhao-Lei Zeng.;Wei Wei.;Ze-Xian Liu.;Rui-Hua Xu.;Hui-Yan Luo.
来源: Gut. 2025年74卷3期350-363页
Peritoneal metastasis is the most common metastasis pattern of gastric cancer. Patients with gastric cancer peritoneal metastasis (GCPM) have a poor prognosis and respond poorly to conventional treatments. Recently, immune checkpoint blockade (ICB) has demonstrated favourable efficacy in the treatment of GCPM. Stratification of best responders and elucidation of resistance mechanisms of ICB therapies are highly important and remain major clinical challenges.
149. Recent advances in clinical practice: mastering the challenge-managing IBS symptoms in IBD.
作者: Judith Wellens.;João Sabino.;Tim Vanuytsel.;Jan Tack.;Séverine Vermeire.
来源: Gut. 2025年74卷2期312-321页
Many patients with IBD report persisting symptoms, despite resolution of the inflammatory process. Although by definition, a diagnosis of IBS cannot be made, the prevalence of 'IBS in IBD' surpasses the rate of IBS in the global population by fivefold. Because IBS-like symptoms are associated with a decreased quality of life and increased healthcare utilisation in IBD, diagnosis and treatment are necessary. In this review, we summarise the current knowledge on IBS-like symptoms in IBD. A pathophysiological common ground is present, which includes genetic susceptibility, environmental triggers, gut microbial dysbiosis, increased intestinal permeability, visceral hypersensitivity and involvement of brain-gut interaction. When symptoms persist after resolution of inflammation, other GI diseases should be excluded based on the chief complaint, considering any possible psychological co-morbidity early in the diagnostic work-up. Subsequent treatment should be initiated that is evidence-based and often multimodal, including classical and non-classical pharmacological agents as well as lifestyle and microbiota-based approaches, spanning the breadth of the gut, brain and its interaction. Treatment goals in this substantial part of the IBD population should be adapted to not only focus on treating the inflammation but taking care of the patient.
155. TPX2 serves as a novel target for expanding the utility of PARPi in pancreatic cancer through conferring synthetic lethality.
作者: Mingming Xiao.;Rong Tang.;Haoqi Pan.;Jing Yang.;Xuhui Tong.;He Xu.;Yanmei Guo.;Yalan Lei.;Di Wu.;Yubin Lei.;Yamei Han.;Zhilong Ma.;Wei Wang.;Jin Xu.;Xianjun Yu.;Si Shi.
来源: Gut. 2025年74卷3期410-423页
PARP inhibitors (PARPi) have been licensed for the maintenance therapy of patients with metastatic pancreatic cancer carrying pathogenic germline BRCA1/2 mutations. However, mutations in BRCA1/2 are notably rare in pancreatic cancer.
156. Pharmacological activation of STAT1-GSDME pyroptotic circuitry reinforces epigenetic immunotherapy for hepatocellular carcinoma.
作者: Yalin Tu.;Haoran Wu.;Chengpeng Zhong.;Yan Liu.;Zhewen Xiong.;Siyun Chen.;Jing Wang.;Patrick Pak-Chun Wong.;Weiqin Yang.;Zhixian Liang.;Jiahuan Lu.;Shufen Chen.;Lingyun Zhang.;Yu Feng.;Willis Wai-Yiu Si-Tou.;Baoyi Yin.;Yingnan Lin.;Jianxin Liang.;Liying Liang.;Joaquim S L Vong.;Weida Ren.;Tsz Tung Kwong.;Howard Leung.;Ka Fai To.;Stephanie Ma.;Man Tong.;Hanyong Sun.;Qiang Xia.;Jingying Zhou.;David Kerr.;Nick La Thangue.;Joseph J Y Sung.;Stephen Lam Chan.;Alfred Sze-Lok Cheng.
来源: Gut. 2025年74卷4期613-627页
Genomic screening uncovered interferon-gamma (IFNγ) pathway defects in tumours refractory to immune checkpoint blockade (ICB). However, its non-mutational regulation and reversibility for therapeutic development remain less understood.
157. Single-use scopes may reduce various environmental impacts of gastroscopy in some situations but probably not in routine practice of endoscopy units.
作者: Mathieu Pioche.;Guillaume Vidal.;Madj Ben Rejeb.;Rémi Collin.;Jérémie Jacques.
来源: Gut. 2025年74卷5期866-867页 158. Evolution of the use, effectiveness and safety of bismuth-containing quadruple therapy for Helicobacter pylori infection between 2013 and 2021: results from the European registry on H. pylori management (Hp-EuReg).
作者: Llum Olmedo.;Xavier Calvet.;Emili Gené.;Dmitry S Bordin.;Irina Voynovan.;M Castro-Fernandez.;Manuel Pabón-Carrasco.;Alma Keco-Huerga.;Ángeles Perez-Aisa.;Alfredo J Lucendo.;Luís Rodrigo.;Aiman S Sarsenbaeva.;Igor B Khlinov.;Galyna Fadieienko.;Oleg Zaytsev.;Ángel Lanas.;Samuel J Martínez-Domínguez.;Enrique Alfaro.;Laimas Jonaitis.;Óscar Núñez.;Rinaldo Pellicano.;Luis Hernández.;Oleksiy Gridnyev.;Juozas Kupcinskas.;Antonio Gasbarrini.;Doron Boltin.;Yaron Niv.;Gülüstan Babayeva.;Ricardo Marcos-Pinto.;Bojan Tepes.;Marino Venerito.;Veronika Papp.;Frode Lerang.;Mārcis Leja.;Perminder S Phull.;Wojciech Marlicz.;Michael Doulberis.;Sinead M Smith.;Vladimir Milivojevic.;Lumir Kunovsky.;Antonio Mestrovic.;Tamara Matysiak-Budnik.;Halis Simsek.;Anna Cano-Català.;Ignasi Puig.;Leticia Moreira.;Pablo Parra.;Olga P Nyssen.;Francis Megraud.;Colm O'Morain.;Javier P Gisbert.; .
来源: Gut. 2024年74卷1期15-25页
Bismuth quadruple therapies (BQTs) including bismuth, a proton pump inhibitor (PPI) and two antibiotics have been shown to be highly effective for treating Helicobacter pylori infection even in areas of high bacterial antibiotic resistance.
160. ECM1 attenuates hepatic fibrosis by interfering with mediators of latent TGF-β1 activation.
作者: Frederik Link.;Yujia Li.;Jieling Zhao.;Stefan Munker.;Weiguo Fan.;Zeribe C Nwosu.;Ye Yao.;Shanshan Wang.;Chenjun Huang.;Roman Liebe.;Seddik Hammad.;Hui Liu.;Chen Shao.;Chunfang Gao.;Bing Sun.;Natalie J Török.;Huiguo Ding.;Matthias Pa Ebert.;Honglei Weng.;Peter Ten Dijke.;Dirk Drasdo.;Steven Dooley.;Sai Wang.
来源: Gut. 2025年74卷3期424-439页
Extracellular matrix protein 1 (ECM1) serves as a gatekeeper of hepatic fibrosis by maintaining transforming growth factor-β1 (TGF-β1) in its latent form. ECM1 knockout (KO) causes latent (L) TGF-β1 activation, resulting in hepatic fibrosis with rapid mortality. In chronic liver disease (CLD), ECM1 decreases with increasing CLD severity. We investigate the regulatory role of ECM1 in TGF-β1 bioavailability and its impact on CLD progression.
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