Figures
Abstract
Hepatocellular carcinoma (HCC) has a very significant mortality rate and is one of the most common cancers worldwide. Jacaranda mimosifolia is reported to have potential antitumor activities against various human cancers. However, the effects of J. mimosifolia on HCC are yet elusive. This study aimed to investigate the anti-HCC potential of methanolic extract of J. mimosifolia leaves using in vitro and in vivo studies and a network pharmacology approach. The effect of J. mimosifolia extract was assessed on Huh-7.5 cells using MTT assay, wound healing assay, and DNA fragmentation assay. These experiments found that J. mimosifolia extract significantly suppressed Huh-7.5 cell proliferation, impaired cell migration, and induced cell apoptosis. The real-time PCR validated the upregulation of p53 and Bax, alongside the downregulation of AFP and GPC3 in Huh-7.5 cells after treatment with J. mimosifolia extract. In vivo experiments confirmed the hepatoprotective effects of J. mimosifolia extract in mice models with CCl4-induced hepatic injury. In addition, through network pharmacological analysis, J. mimosifolia was found to play a critical role against HCC via targeting multiple potential targets and pathways. Docking analysis identified apigenin and kaempferol with the lowest binding energy against PTGS2 and EGFR, respectively, while flavonol glycoside showed the lowest binding energy against MMP9. However, detailed research is needed to isolate the potential phytochemicals from J. mimosifolia against HCC.
Citation: Bibi A, Afandi MH, Mehmood A, Ashfaq UA, Masoud MS, Khan MA, et al. (2026) Anti-hepatocellular carcinoma activity of Jacaranda mimosifolia through experimental validation and network pharmacology. PLoS One 21(4): e0346325. https://doi.org/10.1371/journal.pone.0346325
Editor: Xiaosheng Tan, Rutgers: Rutgers The State University of New Jersey, UNITED STATES OF AMERICA
Received: January 4, 2025; Accepted: March 18, 2026; Published: April 3, 2026
Copyright: © 2026 Bibi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the manuscript and its Supporting Information files.
Funding: The author(s) received no specific funding for this work.
Competing interests: The authors have declared that no competing interests exist.
Introduction
Liver cancer is the third most common type of cancer, followed by lung and stomach cancer [1]. Among 9,555,027 cancer-related deaths, 781,631 cases (8.18%) died of liver cancer [2]. Hepatitis B, hepatitis C, metabolic syndrome, obesity, diabetes, alcohol, nonalcoholic fatty liver disease, Aflatoxin B1, tobacco, and familial genetic susceptibility have increased the risk of liver cancer [3]. Hepatocellular carcinoma (HCC) is the most common subtype of primary liver cancer that accounts for 75% of all liver cancers [4]. It is the sixth most common cancer throughout the world, ranking fifth in men and eighth in women [5]. In 2012, more than 782,000 cases of HCC were estimated to occur, as reported by the IARC (International Agency for Research on Cancer) [6]. Hormone therapy, radiotherapy, chemotherapy, and surgery are considered possible treatments for HCC. However, all these therapies have toxic effects on an individual’s healthy cells and destroy them non-specifically [7].
Plant secondary metabolites possess diverse biological properties such as anti-inflammatory, anti-cancer, and anti-microbial [8]. Alkaloids, flavonoids, phenols, and terpenoids are some secondary metabolites observed for their anti-cancer activities and may therefore be further developed as alternative treatments [9]. In recent years, patients with liver cancer have been treated with Chinese herbal extracts. For example, it was investigated that Crithmum maritimum had significantly increased cellular respiration and decreased lactic fermentation in HCC cells. Inhibition of HCC was associated with this reduction of lactic fermentation [10]. A phenolics-rich fraction of leaves of Pterospermum lanceifolium fraction (PLE) was studied against hepatic cancer cell lines (HepG2) and an NDEA-induced HCC rat model system. The results showed that PLE induced reactive oxygen species (ROS) generation and chromatin condensation in the nucleus and altered the mitochondrial membrane potential (MMP) in HepG2 cell lines [11].
Jacaranda mimosifolia belongs to the dicot family Bignoniaceae and is present in tropical climates worldwide. The methanolic extract of J. mimosifolia showed the most potent anticancer activity against human lung cancer and prostate cancer cell lines [12]. Acetone, petroleum ether, and chloroform extracts prepared from J. mimosifolia were evaluated for their cytotoxic potential on the HCT-15 (Colorectal cancer cell line) cell line by MTT assay. Acetone crude extract displayed an IC50 value of 600 µg/ml, while petroleum ether and chloroform crude extracts possessed IC50 values of 800 µg/ml [13]. However, the detailed effects of J. mimosifolia on HCC and related molecular mechanisms are yet elusive.
With the advancement in the bioinformatics field, network pharmacology has improved significantly for drug discovery and design processes [14]. Network pharmacology is a powerful and well-defined method used to study the underlying mechanisms of traditional medicines and the interactions between target compounds and disease-associated proteins [15]. In this study, network pharmacology was conducted to establish the target-disease network to investigate the core targets and biological functions, pathways, and mechanisms of J. mimosifolia in treating HCC. Cell-based experiments and in vivo studies were conducted to explore the anti-cancer effect of J. mimosifolia against hepatocellular carcinoma.
Materials and methods
Reagents
High glucose Dulbecco’s Modified Eagle Medium (DMEM) (Gibco, Cat #12100061) and fetal bovine serum (FBS) (Gibco, Cat # 10500064) were purchased from Life Technologies Limited Paisley, PA49RF, UK. Dimethylsulfoxide (DMSO) (Sigma-Aldrich, Cat # 34943) was purchased from Sigma-Aldrich, St. Louis, MO, USA.
Plant collection and extract preparation
Fresh J. mimosifolia leaves were identified and collected from the botanical garden of the University of the Punjab, and verified by Dr. Abdul Rehman Khan Niazi, professor in the botany department at the University of the Punjab, Lahore, Pakistan. The J. mimosifolia was assigned the voucher number LAH#060919. Leaves of J. mimosifolia were washed with water and then 70% ethanol, air-dried for 3 weeks, ground, and soaked in absolute methanol (1:3) for 4 days with periodic stirring. The resulting solution was filtered and the residue was soaked again. This process was repeated thrice. The filtrate was evaporated, and dried leaves crust was obtained. A stock solution of J. mimosifolia for in vitro experiments was prepared by dissolving 40 mg of dried crust in 1 ml of DMSO.
In vitro and in vivo experiments
Cell culture.
The Huh-7.5 and Vero cell lines were obtained from the Nutraceutical and Microbial Biotechnology lab, CEMB. Both cell lines were cultured in DMEM supplemented with 10% FBS and 100 U/ml penicillin-streptomycin at 37°C in a humidified 5% CO2 incubator.
Cytotoxicity assay.
The cytotoxic potential of the methanolic extract of J. mimosifolia leaves was determined against the Huh-7.5 and Vero cell lines at doses of 3.12 µg/ml, 6.25 µg/ml, 12.5 µg/ml, 25 µg/ml, 50 µg/ml, 100 µg/ml, and 200 µg/ml after 24 h of treatment. Huh-7.5 and Vero cells were seeded at a density of 3.5 x 105 cells/well for the MTT assay in a 96-well plate. Two wavelengths, i.e., test wavelength of 570 nm and the reference wavelength of 620 nm, were used for taking readings using a spectrophotometer.
Percent cell viability = (sample 570nm- 620nm/control 570nm-620nm)x100
Wound healing assay.
10 x 105 Huh-7.5 cells were seeded into a 6-well plate and grown until 80% confluent cell monolayer. A linear wound was generated in the monolayer with a sterile 10 μl plastic pipette tip. The detached cells were removed by washing with phosphate buffer saline (PBS), and images of scratches were photographed at 0 h. A control (DMSO with media) and three J. mimosifolia extract doses of 50 μg/ml, 100 μg/ml, and 200 μg/ml were added, and cells were incubated at 37°C with 5% CO2. Images of the scratched areas were photographed to estimate the relative migration of cells after 24 h and 48 h, and were measured by ImageJ.
Scratch closure (%) = (width of the scratch at 0h – width of scratch at 24h/ width of the scratch at 0h) x 100
DNA fragmentation assay.
Huh-7.5 cells with a density of 10 x 105 were seeded into a 6-well plate. After cell attachment, 100 μg/ml and 200 μg/ml doses of J. mimosifolia extract were added. DMSO with media was used as a negative control. After incubation for 24 h, cells were harvested by centrifugation and sequentially mixed with 100 μl of DMSO. An equal volume (100 μl) of 2% SDS with Tris-EDTA was added, and the resulting solution was centrifuged at 12000 rpm at 4°C for 25 minutes. 40 μl of supernatant from the control and each sample was loaded on agarose gel (1.5%). The gel was viewed under a UV transilluminator for clear results.
Hemolytic assay.
Human blood from a known healthy donor was obtained and centrifuged for five minutes at 500 x g. Plasma was aspirated gently using a micropipette. The initial mark of plasma was added to a 150 mM NaCl solution. The tube was covered and gently inverted a few times, centrifuged at 500 x g for 5 minutes, and the supernatant was removed. The same process was repeated twice to wash the blood cells. The tube was then filled to a marked level with PBS (pH 7.4), centrifuged at 500 x g for 5 minutes, and the supernatant was aspirated. The same process was repeated one more time. The tube was again filled with PBS (pH 7.4) at a marked level and gently inverted for mixing. 1 ml of erythrocytes was mixed with 49 ml of PBS for a 1:50 dilution. The erythrocytes were then treated with 10 μl of J. mimosifolia. 1% Triton X-100 was used as a positive control and PBS as a negative control. The plate was incubated at 37 °C for one hour followed by centrifugation at 25 °C for 5 min at 500 x g to make the pellet intact. 100 μl of supernatant was transferred from each well into a clear, flat-bottomed 96-well plate. The absorbance of supernatants was measured at 470 nm with a plate reader. The results were expressed as a percentage of hemolysis by the equation:
% hemolysis = (Treatment absorbance−negative control absorbance)/ (positive control absorbance − negative control absorbance) × 100.
RNA isolation, cDNA synthesis, and real-time PCR.
Total RNA was extracted from Huh-7.5 cells after 24 h incubation with 100 μg/ml and 200 μg/ml of J. mimosifolia, and DMSO with media (Control) using TRIzol reagent (ambion, USA) according to the manufacturer’s instructions. RNA was quantified by measuring optical density at 260 nm and 280 nm by nanodrop (NanoDrop-ND-1000). Reverse transcription was performed using RevertAid First Strand cDNA Synthesis Kit (Invitrogen Bioservices India Pvt. Ltd). cDNA was diluted 5 times, and Real-time PCR was performed with a Thermo Scientific PikoReal 96 Real-Time PCR System using Thermo Scientific Maxima SYBR Green/Fluorescein qPCR Master Mix (2X). The primers were designed and synthesized by Eurofins genomics (Germany) as follows: β-actin: 5′ - AGAGCTACGAGCTGCCTGAC-3’ (forward) and 5′ - AGCACTGTGTTGGCGTACAG-3’ (reverse); p53: 5′ -AAGGAAATTTGCGTGTGGAG −3’ (forward) and 5′ - CCAGTGTGATGATGGTGAGG −3’ (reverse); Bax: 5′ - ACCAAGAAGCTGAGCGAGTG-3’ (forward) and 5′ - AAGTAGAAAAGGGCGACAACC-3’ (reverse); AFP: 5′ -TGTCCCTCCTGCATTCTCTG-3’ (forward) and 5′ - ACCAAGCAGTACGTTCTCCA-3’ (reverse); GPC3: 5′ -TACTGCTCTTACTGCCAGGG-3’ (forward) and 5′ - TTGGCAGCATTTCTCCAACAG-3’ (reverse). Relative quantification of the mRNA levels was performed using the comparative Ct method by keeping β-actin as normalization control, and fold change was calculated with respect to the control group.
Mouse model.
All Swiss albino male mice (n = 20) were maintained at 23.0 ± 1 °C and relative humidity (60–70%) on a 12 h light/dark cycle with free access to food and water. After one week of adaptive feeding, animals were randomly divided into four experimental groups (n = 5 per group): normal control (NC), disease model (DM), and two J. mimosifolia treated groups. NC was intraperitoneally injected with olive oil, while remaining groups were intraperitoneally injected with CCl4 dissolved in olive oil (20% v/v, 1 ml/kg) thrice a week for consecutive six weeks. The NC and DM received normal saline, while J. mimosifolia treated groups received 100 mg/kg and 200 mg/kg separately thrice for consecutive four weeks by oral administration. At the end of the experiment, mice were euthanized using a two-step protocol. First, they were anesthetized using the isoflurane open-drop method, which produces rapid and smooth anesthesia with minimal distress and pain. Once they were fully anesthetized and unresponsive, cardiac puncture was performed as a secondary method that ensures irreversible cessation of circulation to confirm death. All efforts were made to minimize mice’s suffering throughout the procedure. Blood was collected from the heart, and serum was tested for liver biochemical markers. The liver was excised and kept in a 10% formalin solution for histological examination. The pathological status of the liver was confirmed with H&E staining and pathological examination.
In silico studies
Network pharmacology
Screening of active compounds of J. mimosifolia.
J. mimosifolia compounds were obtained from published literature. All of the compound’s canonical SMILES were retrieved from the PubChem database and were used to analyze the Lipinski rule of five and pharmacokinetic parameter including absorption, distribution, metabolism, and excretion (ADME) of compounds using SwissADME (http://www.swissadme.ch/) and admetSAR (https://lmmd.ecust.edu.cn/admetsar2). Subsequently, the compounds that met the criteria of ADME analysis and Lipinski rule were subjected to further evaluation.
Screening of potential targets for J. mimosifolia compounds.
Putative targets of selected compounds were found by providing their canonical SMILES on the SwissTargetPrediction online tool (http://www.swisstargetprediction.ch/). DisGeNET (https://www.disgenet.org/search) and GeneCards (http://www.genecards.org/) were used to obtain disease genes of HCC using the keyword “HCC”. A Venn diagram showing common targets of disease and compounds was constructed.
Gene function annotation.
Functional enrichment DAVID database (https://david.ncifcrf.gov/) was used for comprehensive annotation of genes. Gene ontology analysis provides information about MF (Molecular function), CC (Cellular component), and BP (Biological process). KEGG pathway analysis was also performed. “Homo sapiens” was selected as the model organism and only those pathways were selected whose probability score was less than 0.05. Results were visualized using Hiplot (https://hiplot-academic.com/).
Network Pharmacology analysis
PPI interactions and prediction of Hub genes.
The STRING database (https://string-db.org/) evaluated the interaction between HCC targets. A list of common targets was pasted in the STRING database by selecting protein by name as “Multiple proteins” and species as “Homo sapiens”. Protein-protein interaction network was visualized using the Cytoscape. The CytoHubba plugin was used to find the hub genes; hub genes are those genes that are highly interactive. They were selected based on having a degree of ≥ 10 in the Cytoscape network.
Compound-target network construction.
Compound-Target network was created by Cytoscape (version 3.9.0) (https://cytoscape.org/release_notes_3_9_0.html). Active compounds of J. mimosifolia and common targets were used to find most interacted genes with compounds (using degree method). The compounds and targets are represented by the nodes, while the interactions are shown by the edges in the network. The “Degree” is used to filter the network as it represents the number of connected nodes for a specific node.
Construction of compound-target-pathway network.
Based on KEGG pathway analysis, the pathways were determined using DAVID to create a compound-target- pathway network in Cytoscape.
Molecular docking.
Compounds were docked with hub genes (HCC proteins) using Glide in Schrodinger software. HCC proteins were obtained from AlphaFold in PDB format. The following criteria were used to select the proteins for docking: (1) protein should be complete (2) should have smaller resolution values (below 2 Å) (3) should be human proteins. Docking complexes with the lowest docking score were selected. Docked complexes were converted to PDB in PyMOL and visualized with Discovery Studio.
Results
Cell viability analysis of cancerous and normal cell lines
At 24 h treatment period, J. mimosifolia extract reduced (P < 0.0001) Huh-7.5 cell viability to 68.6%, 38.1%, and 36.8% at 50 μg/ml, 100 μg/ml, and 200 μg/ml doses, respectively, as compared to untreated Huh-7.5 cells (Control) (Fig 1A). Thus, the cell viability data suggest that J. mimosifolia treatment significantly reduces Huh-7.5 cell growth in a dose-dependent manner, indicating its ability to impair proliferation potential. J. mimosifolia extract showed low toxicity against Vero cells, and the percent cell viability after 24 h was found to be 92.1%, 86.8%, and 80.4% at 50 μg/ml, 100 μg/ml, and 200 μg/ml, respectively (Fig 1B). However, J. mimosifolia extract exhibited 80% survival on normal cells compared to Huh-7.5 cells (36%) at the highest dose of 200 μg/ml, indicating that its cytotoxic activity is selective for the cancer cell line.
Each error bar expresses mean ± SD; n = 3. **p < 0.01 and ****p < 0.0001 compared with control.
Cell migration analysis of cancerous cells
The wound healing method was used to assess the cell migration of Huh-7.5 cells after incubation with different concentrations (50, 100, and 200 μg/ml) of extract for 24 h and 48 h. It was found that 50 μg/ml and 100 μg/ml J. mimosifolia extract induced dose-dependent inhibition of cell migration in Huh-7.5 compared to untreated Huh-7.5 cells (Control) which showed a natural rate of cell migration. Huh-7.5 cells treated with a dose of 200 μg/ml became detached after 24 h of treatment from the surface of the plate. Huh-7.5 cells treated with 50 μg/ml and 100 μg/ml doses for 48 h showed dose-dependent migratory inhibition with P < 0.0001. These results indicate that J. mimosifolia inhibits the proliferative and migratory potential of Huh-7.5 cells. The detached 200 μg/ml treated Huh-7.5 cells became clustered and floated in the media after 48 h. This detachment could indicate cell death or a significant disruption in the adhesion and migration of the HCC cells (Fig 2).
Each error bar expresses mean ± SD; n = 3.*p < 0.05, **p < 0.01, and ****p < 0.0001 compared with control.
Analysis of cancerous cells with damaged DNA
DNA fragmentation is a hallmark feature of apoptosis. Huh-7.5 cells treated with 100 μg/ml and 200 μg/ml of J. mimosifolia extract induced a smear pattern of DNA fragmentation, while untreated Huh-7.5 cells (control) yielded a clear band of intact DNA after 24 h of treatment (Fig 3).
Determination of hemolytic activity of J. mimosifolia extract
Not a single tested dose caused any significant hemolysis to erythrocytes (P > 0.05) when compared to negative control. The percentage of hemolysis was negligible in the negative control while hemolysis was 100% in positive control. Only two doses, i.e., 100 μg/ml and 200 μg/ml showed the highest hemolysis which was only 3.2% and 5.4% respectively, and was not significant compared to negative control (Fig 4).The percentage of hemolysis did not exceed 10% with all doses indicating their non-cytotoxicity to healthy erythrocytes.
Each error bar expresses mean ± SD; n = 3.
Gene expression analysis
The expression level of p53 (P < 0.0001) and Bax (P < 0.001) was increased, and that of AFP and GPC3 was decreased (P < 0.0001) in J. mimosifolia-treated Huh-7.5 cells as compared to control cells (Fig 5).
(A) p53 (B) Bax (C) AFP (D) GPC3. Each error bar expresses mean ± SD; n = 3. ns = p > 0.05 (not significant),*p < 0.05,***p < 0.001, and ****p < 0.0001 compared with control.
Effects of J. mimosifolia on mice with hepatic injury
The levels of biochemical markers AST and ALT were significantly increased (p < 0.0001) in the disease model group (DM) compared to the normal control (NC) group, which did not receive CCl4 treatment. In contrast, elevated levels of these enzymes were restored (p < 0.0001) in the treated groups that received J. mimosifolia extract treatment at 200 mg/kg, indicating recovery from hepatic injury (Fig 6A). The hepatoprotective effect of J. mimosifolia on CCl4-induced liver damage was further confirmed by histopathological examination. The liver samples from the DM group showed disruption of normal hepatic architecture, particularly in centrilobular areas. Hepatocytes exhibited degenerative changes, including cytoplasmic vacuolization and ballooning, accompanied by sinusoidal dilatation and congestion. Marked inflammatory cell infiltration and necrosis were present, indicating hepatocellular injury. However, preserved hepatic architecture was observed in the groups administered with J. mimosifolia. 100 mg/kg group exhibited slight sinusoidal dilatation, minimal hepatocyte degeneration, and mild necrosis and inflammation whereas the 200 mg/kg group showed normal sinusoids and well-preserved hepatocytes with very mild inflammation, indicating enhanced restoration of normal liver histology (Fig 6B).
NC = Normal Control, DM = Disease Model, CCl4 + 100 mg/kg = Disease model treated with 100 mg/kg J. mimosifolia, CCl4 + 200 mg/kg = Disease model treated with 200 mg/kg J. mimosifolia. Each error bar represents the mean ± SD; n = 5. ****p < 0.0001 compared with the control. (B) Histopathological analysis of mice liver (100X). (a) Normal Control group without CCl4 treatment shows normal central vein (CV), well-packed hepatocytes with intact nucleus and normal sinusoids; (b) Disease Model group treated with CCl4 only exhibits congested central vein (CV), ballooning degeneration of hepatocytes, and prominent signs of inflammation; (c) CCl4 + 100 mg/kg J. mimosifolia treated group demonstrates mild congested central vein (CV), slight sinusoidal dilations (SD) and mild inflammation; (d) CCl4 + 200 mg/kg J. mimosifolia treated group shows normal central vein (CV), normal sinusoids (NS), and well-preserved hepatocytes.
Network pharmacology
Screening of targets for compounds of J. mimosifolia.
About 35 J. mimosifolia compounds were obtained from published literature using Google Scholar and PubMed. After performing the Lipinski rule of five and ADME analysis on these 35 compounds, only 12 were selected as effective components (Tables 1 and 2). 512 targets of 12 active compounds of J. mimosifolia were retrieved through the SwissTargetPrediction database. The GeneCard and DisGeNet databases identified 8168 and 150 possible targets of HCC, respectively. Potential mapping between active compounds’ targets and HCC targets found 22 common targets (Fig 7 and S1 Table), which were considered potential targets of J. mimosifolia against HCC.
PPI network and compounds target network construction.
Twenty-one nodes and 76 edges were found in the PPI network using Cytoscape analysis (Fig 8A). One gene, ST6GAL1, did not show any interaction with other target genes. Ten hub genes were identified using the CytoHubba plugin. A network was created between common targets and active compounds to study their interactions, revealing that the compound-target network consisted of 34 nodes and 62 edges (Fig 8B). The degree scores of active compounds with their corresponding targets were also computed (Table 3).
Compound-target-Pathway network analysis.
The compound-target-pathway network was created using Cytoscape by the selection of potential pathways, active compounds, and disease targets. The network contained 72 nodes and 216 edges (Fig 9). The targets of J. mimosifolia showed coordination with diverse pathways.
Red nodes represent active compounds, purple nodes represent common targets, and light-orange nodes represent pathways.
Go and KEGG analysis.
The gene ontology and molecular mechanisms of J. mimosifolia associated with HCC were predicted using GO and KEGG analysis, respectively. After applying a cutoff value of P ≤ 0.05, 71 biological processes (BP), 14 cellular components (CC), 9 molecular functions (MF), and 38 pathways were found. BP included regulation of apoptotic process, protein phosphorylation, and inflammatory response (Fig 10A); CC involved membrane, extracellular exosomes, and endoplasmic reticulum (Fig 10B); and MF consisted of cadherin binding, ubiquitin protein ligase binding, and chaperone binding (Fig 10C). KEGG pathways included fluid shear stress and atherosclerosis, MicroRNAs in cancer, PI3K-Akt signaling pathway, TNF signaling pathway, and JAK-STAT signaling pathway (Fig 10D).
(A) Biological Process (BP); (B) Cellular Component (CC); (C) Molecular Function (MF); (D) KEGG analysis.
Molecular docking analysis.
Docking analysis predicted the amount of energy released during the interactions between compounds and the binding sites on targets. Five target genes that are overexpressed in HCC and had the highest degrees were selected for molecular docking, i.e., EGFR, TNF, PTGS2, MMP9, and MCL1. So, all 12 compounds docked with five potential targets of HCC. The binding score ranged from −3.4 to −8.7 kcal mol ⁻ ¹ (Table 4). Apigenin and kaempferol showed the lowest binding energies of −8.7 and −7.4 kcal mol ⁻ ¹ with PTGS2 protein, respectively. Kaempferol also showed a binding energy of −7.4 kcal mol ⁻ ¹ for EGFR. Flavonol glycoside showed the lowest binding energy of −8.4 kcal mol ⁻ ¹ with the MMP9 (Fig 11).
(A) Docking complex of PTGS2 with Apigenin. (B) Docking complex of PTGS2 with Kaempferol. (C) Docking complex of EGFR with Kaempferol. (D) Docking complex of MMP9 with Flavonol glycoside.
Discussion
Liver cancer is the second leading cause of mortality and the seventh most common disease in the world [16]. In Pakistan, 10.7% of all cancer cases are HCC malignancies, which are the most prevalent kind of cancer in adult males [17]. Although there are surgical and medical treatments available, surgery has limited therapeutic options, especially for patients with advanced HCC, and drugs pose serious side effects [18]. This study investigated the potential of using J. mimosifolia, an alternative source of plant-based compounds that may reduce the adverse effects of traditional medications and inhibit cancer proliferation.
Our results align with previous studies employing medicinal plants that target liver cancer cells in vitro. Cytotoxicity of J. mimosifolia was determined through cell viability assay against the Huh-7.5 cell line and significant dose-dependent anti-proliferative effects were observed (Fig 1A). Naz et al. also showed cytotoxic activity of the methanolic extract of J. mimosifolia against LU-1 and LnCaP cell lines [12].The cytotoxicity of J. mimosifolia extract was also assessed against Vero cells (a normal cell line), ensuring it selectively targets Huh-7.5 cells. Interestingly, the J. mimosifolia extract did not demonstrate significant toxicity against Vero cells (Fig 1B), suggesting that J. mimosifolia is more toxic to liver cancer cells (Huh-7.5). A previous study also showed that the ethanolic extract of Ajwa date pulp (ADP) significantly inhibited the growth of human liver cancer HepG2 cells while having little to no effect on normal Vero cells [19]. In our study, wound healing assay showed significant inhibition in the migration of J. mimosifolia treated Huh-7.5 cells in a dose- dependent manner as compared to the untreated Huh-7.5 cells after 24 h. A minimal migration rate indicates that J. mimosifolia inhibits the proliferative and migratory capabilities of Huh-7.5 cells (Fig 2). Similar anti-migratory effects were also observed by Acacia modesta and Opuntia monocantha against liver cancer cells in a wound-healing assay [20]. However, Huh-7.5 cells treated with 200 μg/ml dose of J. mimosifolia extract became detached from the surface after 24 h of treatment. Wang et al. in a previous study investigated the roles of cytotoxic benzophenanthridine alkaloids in biological processes related to cell migration and cytoskeleton dynamics. It was noted that tumor cells were detached from the surface at higher doses of 5000 nM, 12,000 nM, and 20,000 nM of sanguinarine, chelerythrine, and chelidonine respectively. These alkaloids influenced the microtubule network and caused microtubule depolymerization that eventually resulted in apoptosis, even though they did not significantly inhibit cell migration [21]. Based on the above study, it is suggested that the J. mimosifolia extract at a higher concentration of 200 ug/ml similarly affects the cytoskeletal network, potentially leading to microtubule disruption and apoptosis. However, further investigation is needed to determine whether this detachment is associated with microtubule depolymerization or other mechanisms contributing to apoptosis. In our study, treatment of Huh-7.5 cells with J. mimosifolia extract resulted in DNA fragmentation (Fig 3), as evidenced by a smear pattern on the gel rather than the classic DNA ladder. Although a ladder pattern is often produced by internucleosomal DNA cleavage during apoptosis, it is well known that apoptotic DNA fragmentation can alternatively appear as a smear. This variation can be affected by factors, including cell type, the nature of apoptotic stimuli, and the degree of DNA degradation. A study by Kumar et al. showed that treatment with Moringa oleifera leaf extract caused DNA fragmentation, which was seen as a smear on the gel, showing apoptosis in cancer cells [22]. The presence of a smear pattern may also indicate that the apoptotic cells have entered late apoptosis (secondary necrosis) due to a lack of phagocytosis [23]. All seven doses of J. mimosifolia extract were evaluated for their hemolytic ability. Not a single dose caused any damage to the membrane of erythrocytes in our study (Fig 4). While 1% Triton X-100 used as a positive control caused 100% erythrocyte lysis and PBS used as a negative control showed negligible hemolysis, these findings are similar to previous studies [24–27].
The expression levels of p53 and Bax were significantly increased in J. mimosifolia treated Huh-7.5 cells compared to control Huh-7.5 cells while expression levels of AFP and GPC3 were significantly reduced in J. mimosifolia treated Huh-7.5 cells as compared to control cells (Fig 5). p53 is a phosphate protein found in the cell nucleus that regulates how a cell reacts to various types and levels of stress by triggering apoptosis, cell cycle arrest, senescence, DNA repair, cell metabolism, or autophagy [28,29]. Furthermore, it regulates several genes that are probably involved in apoptosis, including the gene for the pro-apoptotic protein Bax, which is associated with Bcl-2, and several genes that encode proteins involved in the generation of reactive oxygen species (ROS) [30–32]. If p53 is mutated, DNA-damaged cells can evade apoptosis and become malignant cells [33]. The silencing of p53 tumor suppressor gene is one of the most common abnormalities in a variety of malignancies, most notably HCC. Data from genome analysis revealed that 25–30% of the HCC patients have mutations in the p53 gene while half of the HCC patients have dysfunctional p53 signaling [34]. Elevated p53 protein levels trigger apoptosis in tumor cells by blocking cell proliferation through numerous biological pathways and making HCC vulnerable to different anticancer drugs [35]. Bax, as an accelerator of apoptosis has reduced levels in HCC. According to studies, Bax overexpression increases apoptosis in ovarian cancer cell lines and sensitizes human head and stomach cancer cells to different chemotherapeutic drugs [36–38]. Zheng et al. reported that overexpression of Bax not only caused apoptosis but also caused HCC-9204 cells sensitive to Adriamycin-induced cell death [39]. Increased levels of p53 and Bax in our study may indicate the role of J. mimosifolia extract in inducing cellular apoptosis.
AFP is the most commonly used tumor marker for HCC. It is an oncofetal glycoprotein that is naturally expressed in fetuses [40,41]. The complex genetic control of AFP has not yet been extensively characterized, although it is expressed in 60% to 80% of HCC cases [42]. AFP controls the proliferation of both normal and cancerous cells through a variety of processes, such as cytoplasmic signaling modulation and apoptotic regulation. It has been demonstrated that AFP protects HepG2 and HL-60 cells against apoptosis induced by various factors [43,44]. Hepatoma cells become more sensitive to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) when AFP is knocked down, which in turn triggers the caspase-3 signaling. Consequently, the chemotherapeutic efficacy of TRAIL may be increased by combining TRAIL therapy with AFP gene silencing [45]. Reduced levels of AFP by J. mimosifolia extract could demonstrate its role in inhibiting the pro-proliferative activity of AFP.
GPC3 is a crucial molecular target in HCC and can serve as a therapeutic target for the treatment of HCC, as evidenced by the high expression of GPC3 in 70–100% of cases [46]. A typical characteristic of HCC is the canonical Wnt signaling pathway, which is stimulated by GPC3 to promote the development of HCC [47]. GPC3 overexpression also affects cell proliferation by inhibiting the function of bone morphogenetic protein 7 (BMP-7) and fibroblast growth factor 2 (FGF2) [48]. Mechanistic studies revealed that GPC3 is involved in the regulation of the tumor microenvironment and the dissemination of cancer. Heparan sulfate chain-mediated interaction with the HGF/Met pathway demonstrated that GPC3 played a role in HCC cell migration and motility. GPC3 gene-specific shRNA was used to knock down GPC3, which decreased HCC cell migration and motility [49]. Wu et al. found a clinical correlation between the expression of EMT-associated proteins, tumor vascular invasion and elevated levels of GPC3 in HCC tumor tissues. Additionally, it was found that GPC3 can regulate HCC cell EMT by triggering p-ERK1/2 signaling [50]. Reduced levels of GPC3 induced by J. mimosifolia extract may indicate its role in preventing cancerous cells’ proliferation, migration, and metastasis.
Our results showed that injecting mice with CCl4 caused significant liver damage, reflected by an increase in AST and ALT serum levels. When liver cells are damaged, their functional state is altered; membrane permeability increases, allowing enzymes to leak into the extracellular environment [51,52]. The severity of CCl4-induced liver damage was significantly reduced by J. mimosifolia treatment. J. mimosifolia can stabilize liver cell membranes and prevent enzyme leakage, as shown by the recovery of treated mice to nearly normal enzyme levels (Fig 6A). The hepatoprotective effect of J. mimosifolia on CCl4-induced liver damage was further confirmed via histopathological examinations. The liver samples of mice administered with only CCl4 indicated damages such as necrotic hepatocytes and infiltration of inflammatory cells [53]. However, in the groups administered with J. mimosifolia, minimal necrosis and inflammation in the liver was observed compared to CCl4 group (Fig 6B). In a previous study, HCC-bearing rats were treated with Dioscorea membranacea, and cancer areas were significantly reduced compared to the untreated group [54].
Network pharmacology utilizes computational tools to identify and analyze interactions between compounds and disease genes for discovering drug candidates [55]. In our study, 12 compounds of J. mimosifolia were used against 22 HCC genes. GO analysis and KEGG pathways enrichment analysis were also performed. Only hub genes with the highest degree scores for KEGG pathways were selected for docking. EGFR, TNF, PTGS2, MMP9, and MCL1 were selected and docked against 12 active compounds of J. mimosifolia.
The EGFR is increased in liver macrophages, where it serves a tumor-promoting function, in both human and mouse HCC models [56]. In liver biopsies from chronic HCC patients with and without cirrhosis, serum TNF- was discovered to be positively correlated with both inflammation and fibrosis [57]. Aggressive characteristics and a poor prognosis are correlated with upregulated PTGS2 expression in HCC. Overexpression of PTGS2 inhibited mitophagy, a process that contributes to mitochondrial dysfunction in HCC cells while protecting normal cells from accumulated mitochondrial damage [58]. By stabilizing MMP9 mRNA, the RNA binding protein L23 may increase MMP9 expression and, consequently, promote HCC metastasis [59]. MCL-1 controls intrinsic apoptosis induction at the mitochondrial level and is frequently overexpressed in human cancer [60].
BP GO revealed that targets showed a notable response in the regulation of the apoptotic process and protein phosphorylation (Fig 10A). In HCC, several physiological pro-apoptotic molecules are either downregulated or rendered inactive. However, hepatocarcinogenesis, regardless of the presence of inflammation, can arise from increased apoptosis during spontaneous tumor development [61]. The phosphoproteins located in the cell nucleus may be linked to the processes of hepatic oncogenesis, as implied by the subcellular distributions of HCC phosphoproteins. Notably, the discovery that 29 dysregulated phosphoproteins are associated with mitochondria, which play a critical role in cell metabolism, survival, and apoptosis, suggests that mitochondria could significantly contribute to hepatic oncogenesis [62].
CC GO analysis showed that targets were primarily localized to the plasma membrane and endoplasmic reticulum (Fig 10B). The development of HCC depends primarily on cytoplasmic membrane proteins, which are extensively expressed in hepatic tumor tissues [63]. Endoplasmic reticulum stress driven by cellular disruptions like lipotoxicity is implicated in developing and progressing several hepatic diseases, including liver cancer [64].
MF GO analysis showed that targets were significantly involved in ubiquitin-protein ligase and cadherin binding (Fig 10C). Through a cascade of enzymatic reactions triggered by the ubiquitin-proteasome system (UPS), ubiquitin attaches to the targeted protein sequentially. The development of HCC is significantly correlated with proteins that serve as UPS enzymes, and the unchecked ubiquitination of essential proteins transduces signaling within HCC cells [65]. Disease pathogenesis, such as tumor growth and metastasis, is frequently associated with the dysregulation of cadherin (cell adhesion molecule) expression. Genetic polymorphisms and alternative splice isoforms of the CDH17 have been found in HCC and are associated with a higher risk of developing HCC [66].
In our study, KEGG pathway analysis revealed that many of the targets are involved in various cellular pathways. Targets were found to be enriched in the TNF signaling pathway, the PI3K/AKT signaling pathway, and the JAK/STAT pathway (Fig 10D). Tumor necrosis factor (TNF) is a cytokine that promotes inflammation, and its expression is dramatically higher in HCC than in healthy liver tissue [67]. One of the most significant intracellular pathways, the PI3K/AKT signaling pathway controls cellular metabolism, cell proliferation, differentiation, and survival. The PI3K/AKT signaling pathway, which is active in 30% to 50% of HCC, plays a significant role in the disease [68]. HCC initiation and progression have been linked to abnormal JAK/STAT pathway activation [69].
Twelve compounds were docked against hub genes. Apigenin was successfully docked against PTGS2, while Kaempferol was successfully docked against both PTGS2 and EGFR. Additionally, flavonol glycoside was docked against MMP9, resulting in the lowest docking score (Fig 11 and Table 4). The remaining compounds against hub genes also exhibited high docking scores. The docking results are consistent with previously reported in vitro and in silico approaches [70,71].
Conclusion
This study demonstrated that J. mimosifolia could efficiently suppress Huh-7.5 cellular proliferation, migration, and induce cytotoxicity. In addition, J. mimosifolia has the potential to reverse hepatic injury in mice. The pharmacological mechanisms by which J. mimosifolia inhibited HCC were investigated through network pharmacology, and potential phytochemicals of J. mimosifolia against HCC were found by molecular docking. To summarize, the data from this study provide initial evidence that J. mimosifolia extract may be considered a potential natural drug candidate for HCC. However, further research is necessary to better understand the therapeutic potential of this plant.
Supporting information
S1 Table. Potential common HCC proteins targeted by of J. mimosifolia.
https://doi.org/10.1371/journal.pone.0346325.s001
(DOCX)
References
- 1. Zheng Y, Zhang W, Xu L, Zhou H, Yuan M, Xu H. Recent progress in understanding the action of natural compounds at novel therapeutic drug targets for the treatment of liver cancer. Front Oncol. 2022;11:795548. pmid:35155196
- 2.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 2018;68(6):394–424.
- 3. McGlynn KA, Petrick JL, El-Serag HB. Epidemiology of Hepatocellular Carcinoma. Hepatology. 2021;73 Suppl 1(Suppl 1):4–13. pmid:32319693
- 4. Petrick JL, Florio AA, Znaor A, Ruggieri D, Laversanne M, Alvarez CS. International trends in hepatocellular carcinoma incidence, 1978–2012. Int J Cancer. 2020;147(2):317–30.
- 5. Zhu RX, Seto W-K, Lai C-L, Yuen M-F. Epidemiology of Hepatocellular Carcinoma in the Asia-Pacific Region. Gut Liver. 2016;10(3):332–9. pmid:27114433
- 6. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359-86. pmid:25220842
- 7. Pucci C, Martinelli C, Ciofani G. Innovative approaches for cancer treatment: current perspectives and new challenges. Ecancermedicalscience. 2019;13:961. pmid:31537986
- 8. Jain C, Khatana S, Vijayvergia R. Bioactivity of secondary metabolites of various plants: a review. Int J Pharm Sci Res. 2019;10(2):494–504.
- 9. Seca AML, Pinto DCGA. Plant Secondary Metabolites as Anticancer Agents: Successes in Clinical Trials and Therapeutic Application. Int J Mol Sci. 2018;19(1):263. pmid:29337925
- 10. Gnocchi D, Sabbà C, Mazzocca A. The Edible Plant Crithmum maritimum Shows Nutraceutical Properties by Targeting Energy Metabolism in Hepatic Cancer. Plant Foods Hum Nutr. 2022;77(3):481–3. pmid:35831770
- 11. Pal LC, Prateeksha Singh BN, Pande V, Rao CV. Phenolics-enriched fraction of pterospermum lanceifolium roxb. efficiently reverses the hepatocellular carcinoma in NDEA-Induced HCC Rats. Nutr Cancer. 2022;74(3):1106–21. pmid:34018459
- 12. Naz R, Roberts TH, Bano A, Nosheen A, Yasmin H, Hassan MN, et al. GC-MS analysis, antimicrobial, antioxidant, antilipoxygenase and cytotoxic activities of Jacaranda mimosifolia methanol leaf extracts and fractions. PLoS One. 2020;15(7):e0236319. pmid:32726328
- 13. Ragunathan A, Ravi L, Krishna K. Cytotoxic potential of 4-hydroxypentan-2-one extracted from Jacaranda mimosifolia on colorectal cancer cells. RJPT. 2018;11(6):2251–7.
- 14. Kibble M, Saarinen N, Tang J, Wennerberg K, Mäkelä S, Aittokallio T. Network pharmacology applications to map the unexplored target space and therapeutic potential of natural products. Nat Prod Rep. 2015;32(8):1249–66. pmid:26030402
- 15. Guo W, Huang J, Wang N, Tan H-Y, Cheung F, Chen F, et al. Integrating network pharmacology and pharmacological evaluation for deciphering the action mechanism of herbal formula zuojin pill in suppressing hepatocellular Carcinoma. Front Pharmacol. 2019;10:1185. pmid:31649545
- 16. Yang JD, Roberts LR. Epidemiology and management of hepatocellular carcinoma. Infect Dis Clin North Am. 2010;24(4):899–919, viii. pmid:20937457
- 17. Badar F, Mahmood S. Hospital-based cancer profile at the Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, pakistan. J Coll Physicians Surg Pak. 2015;25(4):259–63. pmid:25899190
- 18. Syed YY. Ramucirumab: A Review in hepatocellular carcinoma. Drugs. 2020;80(3):315–22. pmid:32034692
- 19. Siddiqui S, Ahmad R, Khan MA, Upadhyay S, Husain I, Srivastava AN. Cytostatic and Anti-tumor potential of ajwa date pulp against human hepatocellular carcinoma HepG2 Cells. Sci Rep. 2019;9(1):245. pmid:30664656
- 20. Abid F, Saleem M, Leghari T, Rafi I, Maqbool T, Fatima F, et al. Evaluation of in vitro anticancer potential of pharmacological ethanolic plant extracts Acacia modesta and Opuntia monocantha against liver cancer cells. Braz J Biol. 2022;84:e252526. pmid:35416847
- 21. Wang X, Decker CC, Zechner L, Krstin S, Wink M. In vitro wound healing of tumor cells: inhibition of cell migration by selected cytotoxic alkaloids. BMC Pharmacol Toxicol. 2019;20(1):4. pmid:30626448
- 22. Kumar S, Verma PK, Shukla A, Singh RK, Patel AK, Yadav L, et al. Moringa oleifera L. leaf extract induces cell cycle arrest and mitochondrial apoptosis in dalton’s lymphoma: an in vitro and in vivo study. J Ethnopharmacol. 2023;302(Pt A):115849. pmid:36306933
- 23. Krysko DV, Vanden Berghe T, D’Herde K, Vandenabeele P. Apoptosis and necrosis: detection, discrimination and phagocytosis. Methods. 2008;44(3):205–21. pmid:18314051
- 24. Sæbø IP, Bjørås M, Franzyk H, Helgesen E, Booth JA. Optimization of the hemolysis assay for the assessment of Cytotoxicity. Int J Mol Sci. 2023;24(3):2914. pmid:36769243
- 25. Mesdaghinia A, Pourpak Z, Naddafi K, Nodehi RN, Alizadeh Z, Rezaei S, et al. An in vitro method to evaluate hemolysis of human red blood cells (RBCs) treated by airborne particulate matter (PM10). MethodsX. 2019;6:156–61. pmid:30733928
- 26. Evans BC, Nelson CE, Shann SY, Beavers KR, Kim AJ, Li H. Ex vivo red blood cell hemolysis assay for the evaluation of pH-responsive endosomolytic agents for cytosolic delivery of biomacromolecular drugs. JoVE. 2013;73:50166.
- 27. Hussain A, Khan AA, Ali M, Zamani GY, Iqbal Z, Ullah Q. In-vitro and in-vivo assessment of toxic effects of Parthenium hysterophorus leaves extract. J Chil Chem Soc. 2022;67(2):5484–9.
- 28. Vazquez A, Bond EE, Levine AJ, Bond GL. The genetics of the p53 pathway, apoptosis and cancer therapy. Nat Rev Drug Discov. 2008;7(12):979–87. pmid:19043449
- 29. Kruse J-P, Gu W. Modes of p53 regulation. Cell. 2009;137(4):609–22. pmid:19450511
- 30. Ko LJ, Prives C. p53: puzzle and paradigm. Genes Dev. 1996;10(9):1054–72. pmid:8654922
- 31. Amundson SA, Myers TG, Fornace AJ Jr. Roles for p53 in growth arrest and apoptosis: putting on the brakes after genotoxic stress. Oncogene. 1998;17(25):3287–99. pmid:9916991
- 32. El-Deiry WS. Regulation ofp53downstream genes. Seminars in Cancer Biology. 1998;8(5):345–57.
- 33. Lai PBS, Chi T-Y, Chen GG. Different levels of p53 induced either apoptosis or cell cycle arrest in a doxycycline-regulated hepatocellular carcinoma cell line in vitro. Apoptosis. 2007;12(2):387–93. pmid:17191126
- 34. Schulze K, Imbeaud S, Letouzé E, Alexandrov LB, Calderaro J, Rebouissou S, et al. Exome sequencing of hepatocellular carcinomas identifies new mutational signatures and potential therapeutic targets. Nat Genet. 2015;47(5):505–11. pmid:25822088
- 35. Choudhary HB, Mandlik SK, Mandlik DS. Role of p53 suppression in the pathogenesis of hepatocellular carcinoma. World J Gastrointest Pathophysiol. 2023;14(3):46–70. pmid:37304923
- 36. Guo B, Cao S, Tóth K, Azrak RG, Rustum YM. Overexpression of Bax enhances antitumor activity of chemotherapeutic agents in human head and neck squamous cell carcinoma. Clin Cancer Res. 2000;6(2):718–24. pmid:10690558
- 37. Zhao Y, Xiao B, Chen B, Qiao T, Fan D. Upregulation of drug sensitivity of multidrug-resistant SGC7901/VCR human gastric cancer cells by bax gene transduction. Chin Med J (Engl). 2000;113(11):977–80. pmid:11776130
- 38. Cory S, Huang DCS, Adams JM. The Bcl-2 family: roles in cell survival and oncogenesis. Oncogene. 2003;22(53):8590–607. pmid:14634621
- 39. Zheng J-Y, Yang G-S, Wang W-Z, Li J, Li K-Z, Guan W-X, et al. Overexpression of Bax induces apoptosis and enhances drug sensitivity of hepatocellular cancer-9204 cells. World J Gastroenterol. 2005;11(23):3498–503. pmid:15962362
- 40. Bruix J, Cheng A-L, Meinhardt G, Nakajima K, De Sanctis Y, Llovet J. Prognostic factors and predictors of sorafenib benefit in patients with hepatocellular carcinoma: Analysis of two phase III studies. J Hepatol. 2017;67(5):999–1008. pmid:28687477
- 41. Llovet JM, Montal R, Sia D, Finn RS. Molecular therapies and precision medicine for hepatocellular carcinoma. Nat Rev Clin Oncol. 2018;15(10):599–616. pmid:30061739
- 42. Zhao Y-J, Ju Q, Li G-C. Tumor markers for hepatocellular carcinoma. Mol Clin Oncol. 2013;1(4):593–8. pmid:24649215
- 43. Laderoute MP, Pilarski LM. The inhibition of apoptosis by alpha-fetoprotein (AFP) and the role of AFP receptors in anti-cellular senescence. Anticancer Res. 1994;14(6B):2429–38. pmid:7532927
- 44. Semenkova LN, Dudich EI, Dudich IV, Shingarova LN, Korobko VG. Alpha-fetoprotein as a TNF resistance factor for the human hepatocarcinoma cell line HepG2. Tumour Biol. 1997;18(1):30–40. pmid:8989923
- 45. Li P, Wang S-S, Liu H, Li N, McNutt MA, Li G, et al. Elevated serum alpha fetoprotein levels promote pathological progression of hepatocellular carcinoma. World J Gastroenterol. 2011;17(41):4563–71. pmid:22147961
- 46. Nakatsura T, Yoshitake Y, Senju S, Monji M, Komori H, Motomura Y, et al. Glypican-3, overexpressed specifically in human hepatocellular carcinoma, is a novel tumor marker. Biochem Biophys Res Commun. 2003;306(1):16–25. pmid:12788060
- 47. Capurro MI, Xiang Y-Y, Lobe C, Filmus J. Glypican-3 promotes the growth of hepatocellular carcinoma by stimulating canonical Wnt signaling. Cancer Res. 2005;65(14):6245–54. pmid:16024626
- 48. Midorikawa Y, Ishikawa S, Iwanari H, Imamura T, Sakamoto H, Miyazono K, et al. Glypican-3, overexpressed in hepatocellular carcinoma, modulates FGF2 and BMP-7 signaling. Int J Cancer. 2003;103(4):455–65. pmid:12478660
- 49. Gao W, Kim H, Ho M. Human monoclonal antibody targeting the heparan sulfate chains of glypican-3 inhibits HGF-mediated migration and motility of hepatocellular carcinoma cells. PLoS One. 2015;10(9):e0137664. pmid:26332121
- 50. Wu Y, Liu H, Weng H, Zhang X, Li P, Fan C-L, et al. Glypican-3 promotes epithelial-mesenchymal transition of hepatocellular carcinoma cells through ERK signaling pathway. Int J Oncol. 2015;46(3):1275–85. pmid:25572615
- 51. Fu Y, Zheng S, Lin J, Ryerse J, Chen A. Curcumin protects the rat liver from CCl4-caused injury and fibrogenesis by attenuating oxidative stress and suppressing inflammation. Mol Pharmacol. 2008;73(2):399–409. pmid:18006644
- 52. Vuda M, D’Souza R, Upadhya S, Kumar V, Rao N, Kumar V, et al. Hepatoprotective and antioxidant activity of aqueous extract of Hybanthus enneaspermus against CCl4-induced liver injury in rats. Exp Toxicol Pathol. 2012;64(7–8):855–9. pmid:21478003
- 53. Dutta S, Chakraborty AK, Dey P, Kar P, Guha P, Sen S, et al. Amelioration of CCl4 induced liver injury in swiss albino mice by antioxidant rich leaf extract of Croton bonplandianus Baill. PLoS One. 2018;13(4):e0196411. pmid:29709010
- 54. Kerdput V, Nilbu-Nga C, Kaewnoonual N, Itharat A, Pongsawat S, Pradidarcheep W. Therapeutic efficacy of a Dioscorea membranacea extract in a rat model of hepatocellular carcinoma: Histopathological aspects. J Tradit Complement Med. 2021;11(5):400–8. pmid:34522634
- 55. Zhou Z, Chen B, Chen S, Lin M, Chen Y, Jin S. Applications of network pharmacology in traditional Chinese medicine research. eCAM. 2020;2020(1):1646905.
- 56. Komposch K, Sibilia M. EGFR signaling in liver diseases. Int J Mol Sci. 2015;17(1):30. pmid:26729094
- 57. Hammam O, Mahmoud O, Zahran M, Sayed A, Salama R, Hosny K, et al. A possible role for tnf-α in coordinating inflammation and angiogenesis in chronic liver disease and hepatocellular Carcinoma. Gastrointest Cancer Res. 2013;6(4):107–14. pmid:24147158
- 58. Chen H-N, Chen Y, Zhou Z-G, Wei Y, Huang C. A novel role for ketoconazole in hepatocellular carcinoma treatment: linking PTGS2 to mitophagy machinery. Autophagy. 2019;15(4):733–4. pmid:30653402
- 59. Yang M, Zhou Y, Deng H, Zhou H, Cheng S, Zhang D, et al. Ribosomal Protein L23 Drives the metastasis of hepatocellular carcinoma via upregulating MMP9. Front Oncol. 2021;11:779748. pmid:34926291
- 60. Fleischer B, Schulze-Bergkamen H, Schuchmann M, Weber A, Biesterfeld S, Müller M, et al. Mcl-1 is an anti-apoptotic factor for human hepatocellular carcinoma. Int J Oncol. 2006;28(1):25–32. pmid:16327976
- 61. Schattenberg JM, Schuchmann M, Galle PR. Cell death and hepatocarcinogenesis: Dysregulation of apoptosis signaling pathways. J Gastroenterol Hepatol. 2011;26 Suppl 1:213–9. pmid:21199533
- 62. Pinna LA, Meggio F. Protein kinase CK2 (“casein kinase-2”) and its implication in cell division and proliferation. Prog Cell Cycle Res. 1997;3:77–97. pmid:9552408
- 63. Molee P, Adisakwattana P, Reamtong O, Petmitr S, Sricharunrat T, Suwandittakul N, et al. Up-regulation of AKAP13 and MAGT1 on cytoplasmic membrane in progressive hepatocellular carcinoma: a novel target for prognosis. Int J Clin Exp Pathol. 2015;8(9):9796–811. pmid:26617690
- 64. Ajoolabady A, Kaplowitz N, Lebeaupin C, Kroemer G, Kaufman RJ, Malhi H, et al. Endoplasmic reticulum stress in liver diseases. Hepatology. 2023;77(2):619–39. pmid:35524448
- 65. Zhang M, Wei T, Guo D. The role of abnormal ubiquitination in hepatocellular carcinoma pathology. Cell Signal. 2024;114:110994. pmid:38036196
- 66. Lee NP, Poon RTP, Shek FH, Ng IOL, Luk JM. Role of cadherin-17 in oncogenesis and potential therapeutic implications in hepatocellular carcinoma. Biochim Biophys Acta. 2010;1806(2):138–45. pmid:20580775
- 67. Brenner D, Blaser H, Mak TW. Regulation of tumour necrosis factor signalling: live or let die. Nat Rev Immunol. 2015;15(6):362–74. pmid:26008591
- 68. Engelman JA. Targeting PI3K signalling in cancer: opportunities, challenges and limitations. Nat Rev Cancer. 2009;9(8):550–62. pmid:19629070
- 69. Alqahtani A, Khan Z, Alloghbi A, Said Ahmed TS, Ashraf M, Hammouda DM. Hepatocellular carcinoma: molecular mechanisms and targeted therapies. Medicina (Kaunas). 2019;55(9):526. pmid:31450841
- 70. Hussain S, Mustafa G, Ahmed S, Albeshr MF. Underlying mechanisms of bergenia spp. to treat hepatocellular carcinoma using an integrated network pharmacology and molecular docking approach. Pharmaceuticals (Basel). 2023;16(9):1239. pmid:37765047
- 71. Mohammed HA, Almahmoud SA, Arfeen M, Srivastava A, El-Readi MZ, Ragab EA, et al. Phytochemical profiling, molecular docking, and in vitro anti-hepatocellular carcinoid bioactivity of Suaeda vermiculata extracts. Arab J Chem. 2022;15(7):103950.