PMID- 28726775 OWN - NLM STAT- MEDLINE DCOM- 20180405 LR - 20231213 IS - 2041-4889 (Electronic) VI - 8 IP - 7 DP - 2017 Jul 20 TI - Oroxylin A activates PKM1/HNF4 alpha to induce hepatoma differentiation and block cancer progression. PG - e2944 LID - 10.1038/cddis.2017.335 [doi] AB - Liver cancer is the second cause of death from cancer worldwide, without effective treatment. Traditional chemotherapy for liver cancer has big side effects for patients, whereas targeted drugs, such as sorafenib, commonly have drug resistance. Oroxylin A (OA) is the main bioactive flavonoids of Scutellariae radix, which has strong anti-hepatoma effect but low toxicity to normal tissue. To date, no differentiation-inducing agents have been reported to exert a curative effect on solid tumors. Here our results demonstrated that OA restrained the proliferation and induced differentiation of hepatoma both in vitro and in vivo, via inducing a high PKM1 (pyruvate kinase M1)/PKM2 (pyruvate kinase M2) ratio. In addition, inhibited expression of polypyrimidine tract-binding protein by OA was in charge of the decrease of PKM2 and increase of PKM1. Further studies demonstrated that increased PKM1 translocated into the nucleus and bound with HNF-4alpha (hepatocyte nuclear factor 4 alpha) directly, promoting the transcription of HNF-4alpha-targeted genes. This work suggested that OA increased PKM1/PKM2 ratio, resulting in HNF-4alpha activation and hepatoma differentiation. Especially, OA showed reliable anticancer effect on both human primary hepatocellular carcinoma cells and patient-derived tumor xenograft model for hepatoma, and slowed down the development of primary hepatoma, suggesting that OA could be developed into a novel differentiation inducer agent for hepatoma. FAU - Wei, Libin AU - Wei L AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Dai, Yuanyuan AU - Dai Y AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Zhou, Yuxin AU - Zhou Y AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - He, Zihao AU - He Z AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Yao, Jingyue AU - Yao J AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Zhao, Li AU - Zhao L AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Guo, Qinglong AU - Guo Q AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. FAU - Yang, Lin AU - Yang L AD - State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 24 Tongjiaxiang, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170720 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Carrier Proteins) RN - 0 (Flavonoids) RN - 0 (HNF4A protein, human) RN - 0 (Hepatocyte Nuclear Factor 4) RN - 0 (Membrane Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Thyroid Hormones) RN - 53K24Z586G (5,7-dihydroxy-6-methoxy-2-phenylchromen-4-one) SB - IM MH - Carcinoma, Hepatocellular/*drug therapy/genetics/metabolism/pathology MH - Carrier Proteins/genetics/*metabolism MH - Cell Differentiation/*drug effects/genetics MH - Flavonoids/*pharmacology MH - Hep G2 Cells MH - Hepatocyte Nuclear Factor 4/genetics/*metabolism MH - Humans MH - Liver Neoplasms/*drug therapy/genetics/metabolism/pathology MH - Membrane Proteins/genetics/*metabolism MH - Neoplasm Proteins/genetics/*metabolism MH - Thyroid Hormones/genetics/*metabolism MH - Thyroid Hormone-Binding Proteins PMC - PMC5550876 COIS- The authors declare no conflict of interest. EDAT- 2017/07/21 06:00 MHDA- 2018/04/06 06:00 PMCR- 2017/07/01 CRDT- 2017/07/21 06:00 PHST- 2017/02/16 00:00 [received] PHST- 2017/05/15 00:00 [revised] PHST- 2017/06/08 00:00 [accepted] PHST- 2017/07/21 06:00 [entrez] PHST- 2017/07/21 06:00 [pubmed] PHST- 2018/04/06 06:00 [medline] PHST- 2017/07/01 00:00 [pmc-release] AID - cddis2017335 [pii] AID - 10.1038/cddis.2017.335 [doi] PST - epublish SO - Cell Death Dis. 2017 Jul 20;8(7):e2944. doi: 10.1038/cddis.2017.335.