Evidence map›Paper›PMID 41629148›Full record

ArticleGut2026

Low-frequency repetitive transcranial magnetic stimulation attenuates visceral pain in IBS with diarrhoea via inhibition of the medial prefrontal cortex.

Rui-Xia Weng, Wei Lin, Qian Sun, Chun-Tao Ma, Fu-Chao Zhang, Shu-Man Jia, Shufen Hu, Yong-Chang Li, Chen-Hao Zhang, You-Jia Yu and 3 more

Abstract read
In one paragraph

Article in Gut, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rui-Xia Weng *Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0002-8032-9318
Wei Lin *Clinical Research Center of Neurological Disease, Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-0832-7548
Qian SunDepartment of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0003-3172-6317
Chun-Tao MaDepartment of Gastroenterology, Suzhou Xiangcheng People's Hospital, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0003-2918-423X
Fu-Chao ZhangClinical Research Center of Neurological Disease, Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-3241-3876
Shu-Man JiaDepartment of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0005-6487-545X
Shufen HuClinical Research Center of Neurological Disease, Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-5912-5532
Yong-Chang LiClinical Research Center of Neurological Disease, Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0007-8694-5150
Chen-Hao ZhangClinical Research Center of Neurological Disease, Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0002-2483-5988
You-Jia YuDepartment of Pain Medicine, Suzhou Xiangcheng People's Hospital, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-6977-0682
Wei-Ming ZhaoDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0001-6238-1679
Guang-Yin XuDepartment of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China lrhcsz@163.com guangyinxu@suda.edu.cn.ORCID http://orcid.org/0000-0002-1236-0850
Rui LiDepartment of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China lrhcsz@163.com guangyinxu@suda.edu.cn.ORCID http://orcid.org/0000-0002-1229-1576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic visceral pain in IBS with diarrhoea (IBS-D) is a profound therapeutic challenge. While aberrant central processing is implicated, the key brain regions driving this visceral pain and their suitability as neuromodulatory targets remain undefined.

objectiveTo identify a central hub of visceral pain in IBS-D and elucidate the mechanism by which repetitive transcranial magnetic stimulation (rTMS) confers analgesic effects.

designCombined functional MRI with visceral sensitivity assessments was used to pinpoint hyperactive brain regions of patients with IBS-D. Mechanistic studies were conducted in a well-established IBS mouse model. A clinical trial was performed to validate the therapeutic potential of rTMS in patients with IBS-D.

resultsClinical observations identified hyperexcitability of the medial prefrontal cortex (mPFC) as strongly correlated with visceral pain in patients with IBS-D. In IBS mice, visceral pain was driven by the hyperactivity of mPFC glutamatergic (mPFC

conclusionsHyperexcitability of the mPFC drives chronic visceral pain in patients with IBS-D and lf-rTMS provides analgesia by suppressing this hyperactivity, offering a novel, mechanism-based neuromodulation strategy for IBS-D treatment.

Indexed as

DiarrheaIrritable Bowel SyndromePrefrontal CortexTranscranial Magnetic StimulationVisceral PainAdultAnimalsDisease Models, AnimalFemaleHumansMagnetic Resonance ImagingMaleMiceMice, Inbred C57BLMiddle AgedBRAIN/GUT INTERACTIONIRRITABLE BOWEL SYNDROMENEUROBIOLOGYVISCERAL HYPERSENSITIVITY

Identifiers

PMID41629148
PMCPMC13479640

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.