Cited by 39Hepatocellular Carcinoma Treatment and PrognosisLiver physiology and pathologyFerroptosis and cancer prognosis

Artesunate: A potential drug for the prevention and treatment from hepatitis to hepatocellular carcinoma

Open access
Liu, Xinyue, Cai, Yilin, Zhang, Yuanhao, Zhang, Hetian, Tian, Sisi, Gong, Yuxia, Song, Qinmei, Chen, Xiaotong +4 more·2024·Pharmacological Research

Abstract

Liver cancer represents a multifactorial, multistage, and intricately progressive malignancy. Over the past decade, artesunate (ART), initially renowned for its anti-malarial efficacy, has been the focus of over 3000 studies uncovering its diverse pharmacological actions, including anti-inflammatory, immunoregulatory, metabolic regulatory, anti-fibrotic, and anti-cancer properties. This review highlights ART's role in the multistep progression from hepatitis to cancer and its underlying regulatory mechanisms, revealing signal transducer and activator of transcription 3 (STAT3) and ferroptosis (a novel form of programmed cell death) as promising therapeutic targets. ART demonstrates efficacy in inhibiting hepatitis virus infections, modulating inflammation, and facilitating recovery from inflammatory processes. During stages of hepatic fibrosis or cirrhosis, ART reverses fibrotic and cirrhotic changes by suppressing hepatic stellate cell activity, regulating inflammatory pathways, inhibiting hematopoietic stem cell proliferation, and inducing ferroptosis. Additionally, ART hinders hepatocellular carcinoma (HCC) cell proliferation, invasion, and metastasis, induces apoptosis and autophagy, combats drug resistance, and enhances chemosensitivity. Collectively, ART exhibits multi-step actions across multiple targets and signaling pathways, highlighting its potential as a clinical candidate for the prevention and treatment of liver cancer, from hepatitis and hepatic fibrosis to advanced HCC.

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Crossref · 10.1016/j.phrs.2024.107526

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Authors
Liu, X., Cai, Y., Zhang, Y., Zhang, H., Tian, S., Gong, Y., Song, Q., Chen, X., Ma, X., Wen, Y., Chen, Y., & Zeng, J.
Affiliations
Chengdu University of Traditional Chinese Medicine (CN)
Corresponding author
  • Chen, Xiaotong
  • Ma, Xiao
  • Wen, Yueqiang
  • Chen, Yu
  • Zeng, Jinhao
Venue
Pharmacological Research
Publisher
Elsevier BV
Published
2024-12
Volume
210
Pages
107526
ISSN
1043-6618 (ISSN-L)
OpenAlex
W4404843710
Cited by
39
References
109
Citations by year
2026: 26 · 2025: 13
FWCI
2.81
Type
journal article
Language
en
Open access
Locations
  • Pharmacological Research (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
Keywords
artesunate, hepatocellular carcinoma, hepatitis, liver fibrosis, liver cirrhosis, ferroptosis, STAT3 signaling, anticancer activity, anti-inflammatory activity, hepatic stellate cells, apoptosis, autophagy, drug resistance, chemosensitivity, liver cancer prevention
MeSH terms
Artesunate, Animals, Antineoplastic Agents, Hepatitis, Carcinoma, Hepatocellular, Humans, Liver Neoplasms, Signal Transduction

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