PMID- 32903546 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 11 DP - 2020 TI - Uncovering the Mechanisms of Cryptotanshinone as a Therapeutic Agent Against Hepatocellular Carcinoma. PG - 1264 LID - 10.3389/fphar.2020.01264 [doi] LID - 1264 AB - Hepatocellular carcinoma (HCC) is a fatal and dominant form of liver cancer that currently has no effective treatment or positive prognosis. In this study, we explored the antitumor effects of cryptotanshinone (CPT) against HCC and the molecular mechanisms underlying these effects using a systems pharmacology and experimental validation approach. First, we identified a total of 296 CPT targets, 239 of which were also HCC-related targets. We elucidated the mechanisms by which CPT affects HCC through multiple network analysis, including CPT-target network analysis, protein-protein interaction network analysis, target-function network analysis, and pathway enrichment analysis. In addition, we found that CPT induced apoptosis in Huh7 and MHCC97-H ells due to increased levels of cleaved PARP, Bax, and cleaved caspase-3 and decreased Bcl-2 expression. CPT also induced autophagy in HCC cells by increasing LC3-II conversion and the expression of Beclin1 and ATG5, while decreasing the expression of p62/SQSTM1. Autophagy inhibitors (3-methyladenine and chloroquine) enhanced CPT-induced proliferation and apoptosis, suggesting that CPT-induced autophagy may protect HCC cells against cell death. Furthermore, CPT was found to inhibit the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) signaling pathway. Interestingly, activation of PI3K by insulin-like growth factor-I inhibited CPT-induced apoptosis and autophagy, suggesting that the PI3K/AKT/mTOR signaling pathway is involved in both CPT-induced apoptosis and autophagy. Finally, CPT was found to inhibit the growth of Huh7 xenograft tumors. In conclusion, we first demonstrated the antitumor effects of CPT in Huh7 and MHCC97-H cells, both in vitro and in vivo. We elucidated the potential antitumor mechanism of CPT, which involved inducing apoptosis and autophagy by inhibiting the PI3K/Akt/mTOR signaling pathway. Our findings may provide valuable insights into the clinical application of CPT, serving as a potential candidate therapeutic agent for HCC treatment. CI - Copyright (c) 2020 Luo, Song, Wang, Huang, Liu, Wang, Hong and Yuan. FAU - Luo, Yi AU - Luo Y AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Song, Lei AU - Song L AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Wang, Xinyu AU - Wang X AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Huang, Yujie AU - Huang Y AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Liu, Yongqiang AU - Liu Y AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Wang, Qi AU - Wang Q AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Hong, Ming AU - Hong M AD - Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Institute of Clinical Pharmacology, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Yuan, Zhongyu AU - Yuan Z AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. LA - eng PT - Journal Article DEP - 20200813 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC7438559 OTO - NOTNLM OT - apoptosis OT - autophagy OT - cryptotanshinone OT - hepatocellular carcinoma OT - system pharmacology EDAT- 2020/09/10 06:00 MHDA- 2020/09/10 06:01 PMCR- 2020/08/13 CRDT- 2020/09/09 17:55 PHST- 2020/05/20 00:00 [received] PHST- 2020/07/30 00:00 [accepted] PHST- 2020/09/09 17:55 [entrez] PHST- 2020/09/10 06:00 [pubmed] PHST- 2020/09/10 06:01 [medline] PHST- 2020/08/13 00:00 [pmc-release] AID - 10.3389/fphar.2020.01264 [doi] PST - epublish SO - Front Pharmacol. 2020 Aug 13;11:1264. doi: 10.3389/fphar.2020.01264. eCollection 2020.