The anti-hepatocellular carcinoma effect of Aidi injection was related to the synergistic action of cantharidin, formononetin, and isofraxidin through BIRC5, FEN1, and EGFR

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved..

ETHNOPHARMACOLOGICAL RELEVANCE: Aidi injection (ADI) is a popular anti-tumor Chinese patent medicine, widely used in clinics for the treatment of hepatocellular carcinoma (HCC) with remarkable therapeutic effects through multiple targets and pathways. However, the scientific evidence of the synergistic role of the complex chemical component system and the potential mechanism for treating diseases are ignored and remain to be elucidated.

AIM OF THE STUDY: This study aimed to elucidate and verify the cooperative association between the potential active ingredient of ADI, which is of significance to enlarge our understanding of its anti-HCC molecular mechanisms.

MATERIALS AND METHODS: Firstly, the anti-HCC effect of ADI was evaluated in various HCC cells and the zebrafish xenograft model. Subsequently, a variety of bioinformatic technologies, including network pharmacology, weighted gene co-expression network analysis (WGCNA), meta-analysis of gene expression profiles, and pathway enrichment analysis were performed to construct the competitive endogenous RNA (ceRNA) network of ADI intervention in HCC and to establish the relationship between the critical targets/pathways and the key corresponding components, which were involved in ADI against HCC in a synergistic way and were validated by molecular biology experiments.

RESULTS: ADI exerted remarkable anti-HCC in vitro cells and in vivo zebrafish model, especially that the Hep 3B2.1-7 cell showed substantial sensibility to ADI. The ceRNA network revealed that the EGFR/PI3K/AKT signaling pathway was identified as the promising pathway. Furthermore, the meta-analysis also demonstrated the critical role of BIRC5 and FEN1 as key targets. Finally, the synergistic effect of ADI was revealed by discovering the inhibitory effect of cantharidin on BIRC5, formononetin on FEN1 and EGFR, as well as isofraxidin on EGFR.

CONCLUSION: Our study unveiled that the incredible protective effect of ADI on HCC resulted from the synergistic inhibition effect of cantharidin, formononetin, and isofraxidin on multiple targets/pathways, including BIRC5, FEN1, and EGFR/PI3K/AKT, respectively, providing a scientific interpretation of ADI against HCC and a typical example of pharmacodynamic evaluation of other proprietary Chinese patent medicine.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

2023

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:319

Enthalten in:

Journal of ethnopharmacology - 319(2023), Pt 2 vom: 30. Jan., Seite 117209

Sprache:

Englisch

Beteiligte Personen:

Lu, Shan [VerfasserIn]
Huang, Jiaqi [VerfasserIn]
Zhang, Jingyuan [VerfasserIn]
Wu, Chao [VerfasserIn]
Huang, Zhihong [VerfasserIn]
Tao, Xiaoyu [VerfasserIn]
You, Leiming [VerfasserIn]
Stalin, Antony [VerfasserIn]
Chen, Meilin [VerfasserIn]
Li, Jiaqi [VerfasserIn]
Tan, Yingying [VerfasserIn]
Wu, Zhishan [VerfasserIn]
Geng, Libo [VerfasserIn]
Li, Zhiqi [VerfasserIn]
Fan, Qiqi [VerfasserIn]
Liu, Pengyun [VerfasserIn]
Lin, Yifan [VerfasserIn]
Zhao, Chongjun [VerfasserIn]
Wu, Jiarui [VerfasserIn]

Links:

Volltext

Themen:

295DQC67BJ
304915F056
Aidi injection
BIRC5
BIRC5 protein, human
Cantharidin
EC 2.7.1.-
EC 2.7.10.1
EC 2.7.11.1
EC 3.1.-
EC 3.1.11.-
EGFR protein, human
ErbB Receptors
FEN1
FEN1 protein, human
Flap Endonucleases
Formononetin
Hepatocellular carcinoma
IGL471WQ8P
Isofraxidin
Journal Article
Meta-Analysis
Nonprescription Drugs
PI3K-AKT signaling pathway
Phosphatidylinositol 3-Kinases
Proto-Oncogene Proteins c-akt
Survivin
Synergistic role

Anmerkungen:

Date Completed 20.11.2023

Date Revised 20.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jep.2023.117209

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362542775