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Gastrointestinal Diseases and Pharmacology

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 20 September 2026 | Viewed by 972

Editors


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Guest Editor
Department of Physiology and Pharmacology “V. Erspamer”, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
Interests: leaky gut; enteric glia; colitis; engineered probiotics
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Guest Editor Assistant
Neuropharmacology and Behavioral Science Laboratory, Santa Lucia Foundation (IRCCS Fondazione Santa Lucia), Rome, Italy
Interests: gut–brain axis; neurodegenerative diseases; neuroinflammation
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Gastrointestinal (GI) diseases represent a major global health challenge and include a broad spectrum of conditions ranging from chronic inflammatory disorders and gastrointestinal cancers to functional diseases characterized by visceral pain, altered motility, and hypersensitivity, such as irritable bowel syndrome (IBS). Despite advances in clinical management, many GI disorders remain insufficiently treated, highlighting the need for innovative pharmacological approaches and a deeper understanding of gastrointestinal pathophysiology. This Special Issue aims to bring together contributions addressing the pharmacological mechanisms and therapeutic strategies targeting gastrointestinal diseases. We particularly welcome submissions from pharmacologists studying drug effects on intestinal motility, inflammation, epithelial barrier function, tissue remodeling, and neuroimmune interactions involving the enteric nervous system and the gut–brain axis. Original research articles and review papers covering molecular, preclinical, translational, or clinical aspects of gastrointestinal pharmacology, including novel therapeutic targets and emerging drug candidates for GI disorders, are encouraged. This Special Issue seeks to provide a platform for researchers to share advances that may contribute to the development of new pharmacological strategies for the treatment of gastrointestinal diseases.

This Special Issue invites contributions focused on pharmacological mechanisms and therapeutic strategies for gastrointestinal diseases. Topics include pharmacological mechanisms underlying gastrointestinal inflammatory diseases and cancers; drug effects on intestinal motility and gastrointestinal dysmotility; pharmacological modulation of visceral pain and hypersensitivity, including irritable bowel syndrome (IBS) and other functional gastrointestinal disorders; regulation of intestinal inflammation, immune responses, tissue remodeling, and epithelial barrier function; and pharmacological modulation of the enteric nervous system and gut–brain axis. We also welcome studies addressing novel therapeutic targets, emerging drug candidates, microbiota–drug interactions, and pharmacological modulation of gut microbiota. Contributions describing preclinical models as well as translational and clinical pharmacology studies in gastrointestinal diseases are encouraged.

Dr. Giuseppe Esposito
Guest Editor

Dr. Irene Palenca
Guest Editor Assistant

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Molecular Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

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Keywords

  • gastrointestinal diseases
  • gastrointestinal pharmacology
  • inflammatory bowel diseases
  • gastrointestinal cancer
  • irritable bowel syndrome
  • visceral hypersensitivity
  • enteric nervous system
  • gut–brain axis
  • intestinal motility
  • neurogastroenterology
  • drug discovery
  • gastrointestinal inflammation
  • translational pharmacology
  • therapeutic targets
  • microbiota–drug interactions

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Published Papers (1 paper)

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Review

33 pages, 2596 KB  
Review
Recent Advances in Pancreatic Cancer and Biliary Tract Cancers: Biology, Biomarkers, and Evolving Systemic Therapy
by Ehab Takrori, Mahmoud Abdulmajid, Deepthi Devagudi, Ramsha Sohail, Zaynah Sadiq, Chris Berneau, Andrew Shenouda, Rakesh Adelli, Supriya Peshin and Sakshi Singal
Int. J. Mol. Sci. 2026, 27(10), 4413; https://doi.org/10.3390/ijms27104413 - 15 May 2026
Cited by 1 | Viewed by 727
Abstract
Pancreatic ductal adenocarcinoma (PDAC) and biliary tract cancers (BTCs) remain highly lethal gastrointestinal malignancies because of late presentation, marked molecular heterogeneity, and limited durable benefit from conventional systemic therapy. This narrative review summarizes recent advances in both diseases, focusing on practice-informing clinical trials, [...] Read more.
Pancreatic ductal adenocarcinoma (PDAC) and biliary tract cancers (BTCs) remain highly lethal gastrointestinal malignancies because of late presentation, marked molecular heterogeneity, and limited durable benefit from conventional systemic therapy. This narrative review summarizes recent advances in both diseases, focusing on practice-informing clinical trials, biomarker-driven treatment strategies, and translational insights into tumor biology and resistance. In PDAC, progress includes refinement of perioperative management, broader germline and somatic testing, recognition of DNA damage repair-deficient subsets, and development of KRAS-directed therapies and rational combination strategies. In BTCs, especially intrahepatic cholangiocarcinoma, comprehensive molecular profiling has expanded precision oncology through actionable alterations such as FGFR2 rearrangements, IDH1 mutations, HER2 amplification/overexpression, BRAF V600E, NTRK fusions, and MSI-high/dMMR status. Immunotherapy has a clearer role in selected BTC populations, whereas in PDAC benefit remains largely restricted to rare biomarker-defined subsets. Across both diseases, circulating tumor DNA is emerging as a promising tool for prognostication, minimal residual disease assessment, response monitoring, and early resistance detection. Contemporary care increasingly depends on early molecular profiling, individualized treatment sequencing, and integration of targeted therapies, biomarker-guided immunotherapy, and clinical trials. Full article
(This article belongs to the Special Issue Gastrointestinal Diseases and Pharmacology)
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