PMID- 34913065 OWN - NLM STAT- MEDLINE DCOM- 20220309 LR - 20220309 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 25 IP - 2 DP - 2022 Feb TI - Kangxianruangan granule‑containing serum mediated inhibition of hepatic oval cell differentiation into hepatocellular carcinoma cells via the Wnt‑1/beta‑catenin signaling pathway. LID - 55 [pii] LID - 10.3892/mmr.2021.12571 [doi] AB - Hepatocellular carcinoma is a malignancy with poor clinical prognosis. Hepatic oval cells (HOCs) tend to differentiate into cancerous hepatocellular carcinoma cells (HCCs) in the tumor microenvironment. The purpose of the present study was to explore the role of kangxianruangan granule (KXRG)‑containing serum in inhibiting the differentiation of HOCs into HCCs via the Wnt‑1/beta‑catenin signaling pathway. N‑methyl‑N'‑nitro‑N‑nitrosoguanidine (MNNG) was applied to induce the transformation of the rat HOC cell line WB‑F344 into HCCs. The overexpression plasmid, Wnt‑1‑up, was utilized to increase Wnt‑1 expression. Subsequently, high, medium and low concentrations of KXRG were applied to MNNG‑treated WB‑F344 cells to assess the inhibitory effect of KXRG on cell differentiation. Flow cytometry was conducted to detect the cell cycle distribution, apoptotic rate and expression of cytokeratin‑19 (CK‑19) protein in cells. An immunofluorescence double staining protocol was used to detect the expression of Wnt‑1 and beta‑catenin. ELISAs were performed to detect alpha fetoprotein in the cell supernatants. Reverse transcription‑quantitative PCR and western blotting were conducted to detect the mRNA and protein expression levels of Wnt‑1, beta‑catenin, Cyclin D1, C‑myc, matrix metalloproteinase‑7 (MMP‑7), Axin2 and epithelial cell adhesion molecule (EpCAM) in cells. Compared with the normal group, the apoptotic rate, proportion of S phase cells, concentration of AFP in the cell supernatant, level of CK‑19 protein, and mRNA and protein expression levels of Wnt‑1, beta‑catenin, Cyclin D1, C‑myc, MMP‑7, Axin2 and EpCAM were all significantly increased in the model group. Addition of KXRG significantly reduced the aforementioned indicators compared with the model group. Moreover, Wnt‑1 overexpression further increased the aforementioned indicators compared with the model group, whereas KXRG significantly inhibited these effects. The results indicated that KXRG inhibited the differentiation of HOCs into HCCs via the Wnt‑1/beta‑catenin signaling pathway, which suggested the potential clinical application of KXRG for the prevention of hepatocellular carcinoma. FAU - Tang, Wenqian AU - Tang W AD - Health Management Centre, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - Xue, Juan AU - Xue J AD - Clinical College of Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, Hubei 430061, P.R. China. FAU - Luo, Lei AU - Luo L AD - Health Management Centre, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - Wang, Yao AU - Wang Y AD - Department of Infectious Diseases, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China. FAU - Cai, Xin AU - Cai X AD - Department of Infectious Diseases, The People's Hospital of Jiangshan, Jiangshan, Zhejiang 324100, P.R. China. FAU - Liu, Yuqing AU - Liu Y AD - Department of Infectious Diseases, Yancheng TCM Hospital Affiliated Nanjing University of Chinese Medicine, Nanjing, Jiangsu 224001, P.R. China. FAU - Huang, Dawei AU - Huang D AD - Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - Wang, Xiaodong AU - Wang X AD - Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - He, Tangqing AU - He T AD - Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - Lu, Dingbo AU - Lu D AD - Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. FAU - Yang, Fan AU - Yang F AD - Health Management Centre, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430074, P.R. China. LA - eng PT - Journal Article DEP - 20211216 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Drugs, Chinese Herbal) RN - 0 (kangxian ruangan) RN - 12H3O2UGSF (Methylnitronitrosoguanidine) SB - IM MH - Animals MH - Carcinoma, Hepatocellular/chemically induced/pathology/*prevention & control MH - Cell Differentiation/drug effects MH - Cell Line, Tumor MH - Cell Transformation, Neoplastic/chemically induced/*drug effects/pathology MH - Disease Models, Animal MH - Drugs, Chinese Herbal/*administration & dosage MH - Humans MH - Liver/cytology/pathology MH - Liver Neoplasms, Experimental/chemically induced/pathology/*prevention & control MH - Male MH - Methylnitronitrosoguanidine/toxicity MH - Rats MH - Tumor Microenvironment/drug effects MH - Wnt Signaling Pathway/*drug effects PMC - PMC8711029 OTO - NOTNLM OT - Wnt‑1/beta‑catenin signaling pathway OT - hepatic oval cells OT - hepatocellular carcinoma cells OT - kangxianruangan granule‑containing serum COIS- The authors declare that they have no competing interests. EDAT- 2021/12/17 06:00 MHDA- 2022/03/11 06:00 PMCR- 2021/12/15 CRDT- 2021/12/16 06:40 PHST- 2020/11/05 00:00 [received] PHST- 2021/04/27 00:00 [accepted] PHST- 2021/12/16 06:40 [entrez] PHST- 2021/12/17 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2021/12/15 00:00 [pmc-release] AID - 55 [pii] AID - MMR-0-0-12571 [pii] AID - 10.3892/mmr.2021.12571 [doi] PST - ppublish SO - Mol Med Rep. 2022 Feb;25(2):55. doi: 10.3892/mmr.2021.12571. Epub 2021 Dec 16.