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World J Gastrointest Oncol. Mar 15, 2026; 18(3): 115905
Published online Mar 15, 2026. doi: 10.4251/wjgo.v18.i3.115905
Activation of interleukin-33/suppression of tumorigenicity 2 signaling contributes to gallbladder carcinoma-induced chronic pain
Xian-Xiu Ge, Xin-Ming Dong, Yang Yang, Wen Zhang, Wei Zhou, Xue-Ting Deng
Xian-Xiu Ge, Xin-Ming Dong, Yang Yang, Xue-Ting Deng, Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
Wen Zhang, Emergency Medicine Center, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi 210011, Jiangsu Province, China
Wei Zhou, Department of Child Health Care, Children’s Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
Co-first authors: Xian-Xiu Ge and Xin-Ming Dong.
Co-corresponding authors: Wei Zhou and Xue-Ting Deng.
Author contributions: Ge XX and Dong XM made equal contributions as co-first authors; Deng XT and Zhou W designed the experiments with the help of Ge XX, analyzed the results, and drafted the manuscript, contributed equally as co-corresponding authors; Zhou W, Dong XM, Ge XX, Yang Y, Deng XT, and Zhang W performed the experiments; Deng XT secured funding for the project. All the authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 82171222.
Institutional review board statement: This study was approved by the Review Board of the Second Affiliated Hospital of Nanjing Medical University, No. 2018-KY-32-01.
Institutional animal care and use committee statement: All the animal experimental procedures were approved by the Institutional Animal Care and Use Committee of Nanjing Medical University, No. IACUC-2106005.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
ARRIVE guidelines statement: The authors have read the ARRIVE guidelines, and the manuscript was prepared and revised according to the ARRIVE guidelines.
Data sharing statement: The data of this study are available from the corresponding author or any co-author on request.
Corresponding author: Xue-Ting Deng, Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, No. 121 Jiangjiayuan, Nanjing 210011, Jiangsu Province, China. xtdeng@njmu.edu.cn
Received: October 29, 2025
Revised: December 9, 2025
Accepted: January 16, 2026
Published online: March 15, 2026
Processing time: 134 Days and 22.2 Hours
Core Tip

Core Tip: This study revealed the role of spinal interleukin-33 (IL-33)/suppression of tumorigenicity 2 (ST2) signaling in the pathogenesis of gallbladder carcinoma (GBC)-induced chronic pain. IL-33/ST2 activation is critical for the genesis and maintenance of GBC-induced chronic pain. Blockade of IL-33/ST2 signaling in the spinal cord results in a significant reduction in pain-related behaviors as well as the proinflammatory cytokine levels in rodents with GBC-induced chronic pain. This study suggested that targeting IL-33/ST2 signaling may relieve chronic cancer pain due to gallbladder carcinoma.