Artesunate: A potential drug for the prevention and treatment from hepatitis to hepatocellular carcinoma
Open accessAbstract
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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Artesunate exerts its anti-fibrotic effects through multiple mechanisms, including inducing ferroptosis of hepatic stellate cells, inhibiting inflammatory pathways such as LPS/TLR4/NF-κB, and regulating the p53 pathway.
“Artesunate exerts its anti-fibrotic effects through multiple mechanisms, including inducing ferroptosis of hepatic stellate cells, inhibiting inflammatory pathways such as LPS/TLR4/NF-κB, and regulating the p53 pathway [387].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [387]
Several pharmacological agents show potential for synergistic combination with MSC-based anti-fibrotic therapy.
“Beyond these drugs, several pharmacological agents show potential for synergistic combination with MSC-based anti-fibrotic therapy [386–388].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [387]
Cites
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024) · CA: a cancer journal for clinicians · doi:10.3322/caac.21834 · Cited by 27,064 · see citing works
Burden of liver diseases in the world
Asrani, S. K., Devarbhavi, H., Eaton, J., & Kamath, P. S. (2019) · Journal of Hepatology · doi:10.1016/j.jhep.2018.09.014 · Cited by 3,783 · see citing works
The Traditional Medicine and Modern Medicine from Natural Products
Yuan, H.-D., Ma, Q., Li, Y., & Piao, G. (2016) · Molecules · doi:10.3390/molecules21050559 · Cited by 2,451 · see citing works
Techniques for extraction and isolation of natural products: A comprehensive review
Zhang, Q.-W., Lin, L.-G., & Ye, W.-C. (2018) · Chinese Medicine · doi:10.1186/s13020-018-0177-x · Cited by 2,321 · see citing works
AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma
Singal, A. G., Llovet, J. M., Yarchoan, M., Mehta, N., Heimbach, J. K., Dawson, L. A., Jou, J. H., Kulik, L. M., Agopian, V. G., Marrero, J. A., et al. (2023) · Hepatology · doi:10.1097/hep.0000000000000466 · Cited by 2,052 · see citing works
Senescence of activated stellate cells limits liver fibrosis
Krizhanovsky, V., Yon, M., Dickins, R. A., Hearn, S., Simon, J., Miething, C., Yee, H., Zender, L., & Lowe, S. W. (2008) · Cell · doi:10.1016/j.cell.2008.06.049 · Cited by 2,029 · see citing works
Senescence of Activated Stellate Cells Limits Liver Fibrosis
Krizhanovsky, V., Yon, M., Dickins, R. A., Hearn, S., Simon, J., Miething, C., Yee, H., Zender, L., & Lowe, S. W. (2008) · Cell · doi:10.1016/j.cell.2008.09.015 · Cited by 2,027
Ginès, P., Krag, A., Abraldes, J. G., Solà, E., Fabrellas, N., & Kamath, P. S. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01374-x · Cited by 1,663 · see citing works
Mechanisms of HBV-induced hepatocellular carcinoma.
Levrero, M., & Zucman-Rossi, J. (2016) · Journal of Hepatology · doi:10.1016/j.jhep.2016.02.021 · Cited by 1,008 · see citing works
Guidelines for the Diagnosis and Treatment of Hepatocellular Carcinoma (2019 Edition)
Zhou, J., Sun, H., Wang, Z., Cong, W., Wang, J., Zeng, M., Zhou, W., Bie, P., Liu, L., Wen, T., et al. (2020) · Liver Cancer · doi:10.1159/000509424 · Cited by 804 · see citing works
Self-citationHepatic inflammatory responses in liver fibrosis
Hammerich, L., & Tacke, F. (2023) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-023-00807-x · Cited by 803 · see citing works
Mechanisms of Fibrosis Development in Nonalcoholic Steatohepatitis
Schwabe, R. F., Tabas, I., & Pajvani, U. B. (2020) · Gastroenterology · doi:10.1053/j.gastro.2019.11.311 · Cited by 671 · see citing works
Global, regional and national burden of primary liver cancer by subtype
Rumgay, H., Ferlay, J., de Martel, C., Georges, D., Ibrahim, A. S., Zheng, R., Wei, W., Lemmens, V. E. P. P., & Soerjomataram, I. (2022) · European Journal of Cancer · doi:10.1016/j.ejca.2021.11.023 · Cited by 615 · see citing works
Guidelines for the Diagnosis and Treatment of Primary Liver Cancer (2022 Edition)
Zhou, J., Sun, H., Wang, Z., Cong, W., Zeng, M., Zhou, W., Bie, P., Liu, L., Wen, T., Kuang, M., et al. (2023) · Liver Cancer · doi:10.1159/000530495 · Cited by 505 · see citing works
Self-citationThe role of IL-6/JAK2/STAT3 signaling pathway in cancers
Huang, B., Lang, X., & Li, X.-H. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1023177 · Cited by 465 · see citing works
Inflammation and Liver Cancer: Molecular Mechanisms and Therapeutic Targets
Yang, Y. M., Kim, S., & Seki, E. (2019) · Seminars in Liver Disease · doi:10.1055/s-0038-1676806 · Cited by 453 · see citing works
Fibrosis-dependent mechanisms of hepatocarcinogenesis
Zhang, D. Y., & Friedman, S. L. (2012) · Hepatology · doi:10.1002/hep.25670 · Cited by 444 · see citing works
Metabolic reprogramming in liver fibrosis
Horn, P., & Tacke, F. (2024) · Cell Metabolism · doi:10.1016/j.cmet.2024.05.003 · Cited by 432 · see citing works
Artesunate alleviates liver fibrosis by regulating ferroptosis signaling pathway
Kong, Z., Liu, R., & Cheng, Y. (2018) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2018.11.030 · Cited by 364 · see citing works
Taru, V., Szabo, G., Mehal, W., & Reiberger, T. (2024) · Journal of Hepatology · doi:10.1016/j.jhep.2024.06.016 · Cited by 344 · see citing works
Hou, J., Wang, D., Zhang, R., & Wang, H. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-08-0197 · Cited by 319 · see citing works
Artesunate synergizes with sorafenib to induce ferroptosis in hepatocellular carcinoma
Li, Z., Dai, H.-Q., Huang, X., Ji, F., Deng, J.-H., Wang, Z.-X., Yang, X., Liu, Y., Wu, Y., Chen, P.-H., et al. (2020) · Acta Pharmacologica Sinica · doi:10.1038/s41401-020-0478-3 · Cited by 317 · see citing works
Kanda, T., Goto, T., Hirotsu, Y., Moriyama, M., & Omata, M. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20061358 · Cited by 258 · see citing works
Cellular Mechanisms of Liver Fibrosis
Acharya, P., Chouhan, K., Weiskirchen, S., & Weiskirchen, R. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.671640 · Cited by 252 · see citing works
Hepatocellular Carcinoma Immunotherapy
Sperandio, R. C., Pestana, R. C., Miyamura, B. V., & Kaseb, A. O. (2021) · Annual Review of Medicine · doi:10.1146/annurev-med-042220-021121 · Cited by 198 · see citing works
STAT3, a key regulator in liver fibrosis.
Zhao, J., Qi, Y.-F., & Yu, Y.-R. (2020) · Annals of Hepatology · doi:10.1016/j.aohep.2020.06.010 · Cited by 190 · see citing works
Hepatic Stellate Cell-Macrophage Crosstalk in Liver Fibrosis and Carcinogenesis
Matsuda, M., & Seki, E. (2020) · Seminars in Liver Disease · doi:10.1055/s-0040-1708876 · Cited by 189 · see citing works
Epidemiology and Prevention of Hepatitis A in Travelers
Steffen, R. (1994) · JAMA · doi:10.1001/jama.1994.03520110065031 · Cited by 184 · see citing works
Immune suppression in chronic hepatitis B infection associated liver disease: A review
Li, T.-Y., Yang, Y., Zhou, G. F., & Tu, Z. (2019) · World Journal of Gastroenterology · doi:10.3748/wjg.v25.i27.3527 · Cited by 163 · see citing works
Antimalarial Bioavailability and Disposition of Artesunate in Acute Falciparum Malaria
Newton, P. N., Suputtamongkol, Y., Teja‐Isavadharm, P., Pukrittayakamee, S., Navaratnam, V., Bates, I., & White, N. J. (2000) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.44.4.972-977.2000 · Cited by 158 · see citing works
Hepatitis C-related hepatocellular carcinoma in the era of new generation antivirals
Baumert, T. F., Jühling, F., Ono, A., & Hoshida, Y. (2017) · BMC Medicine · doi:10.1186/s12916-017-0815-7 · Cited by 146 · see citing works
Autophagy and cancer: Modulation of cell death pathways and cancer cell adaptations
Towers, C. G., Wodetzki, D., & Thorburn, A. M. (2019) · The Journal of Cell Biology · doi:10.1083/jcb.201909033 · Cited by 139 · see citing works
Wang, Y., Zhao, M., Zhao, L., Geng, Y., Li, G., Chen, L., Yu, J., Yuan, H., Zhang, H., Yun, H., et al. (2023) · Cancer Research · doi:10.1158/0008-5472.can-22-3169 · Cited by 113 · see citing works
Self-citationA phase I study of intravenous artesunate in patients with advanced solid tumor malignancies
Deeken, J. F., Wang, H., Hartley, M. L., Cheema, A. K., Smaglo, B. G., Hwang, J. J., He, A. R., Weiner, L. M., Marshall, J. L., Giaccone, G., et al. (2018) · Cancer Chemotherapy and Pharmacology · doi:10.1007/s00280-018-3533-8 · Cited by 103 · see citing works
Liver fibrosis and extracellular matrix
Biagini, G., & Ballardini, G. (1989) · Journal of Hepatology · doi:10.1016/0168-8278(89)90170-0 · Cited by 96 · see citing works
Ma, Z., Chen, W., Liu, Y., Yu, L., Mao, X., Guo, X., Jiang, F., Guo, Q., Lin, N., & Zhang, Y. (2023) · Autophagy · doi:10.1080/15548627.2023.2261758 · Cited by 92 · see citing works
Self-citationMalaria and artemisinin derivatives: an updated review
Ansari, M. T., Saify, Z. S., Sultana, N., Ahmad, I. N., Saeed-ul-Hassan, S., Tariq, I., & Khanum, M. (2013) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/13895575113136660097 · Cited by 89 · see citing works
Liu, J., Luo, R., Zhang, Y., & Li, X. (2024) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2024.0222 · Cited by 83 · see citing works
Self-citationBaghaei, K., Mazhari, S., Tokhanbigli, S., Parsamanesh, G., Alavifard, H., Schaafsma, D., & Ghavami, S. (2021) · Drug Discovery Today · doi:10.1016/j.drudis.2021.12.012 · Cited by 82 · see citing works
Lai, L., Chen, Y., Tian, X., Li, X., Zhang, X., Lei, J., Bi, Y., Fang, B., & Song, X. (2015) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2015.08.040 · Cited by 80 · see citing works
Self-citationAntioxidant and anti-inflammatory agents in chronic liver diseases: Molecular mechanisms and therapy
Zhang, C., Liu, S., & Yang, M. J. (2023) · World Journal of Hepatology · doi:10.4254/wjh.v15.i2.180 · Cited by 71 · see citing works
Chen, L., Wang, J., Ren, Y., Ma, Y., Liu, J., Jiang, H., & Liu, C. (2024) · Phytomedicine · doi:10.1016/j.phymed.2024.155382 · Cited by 70 · see citing works
Artesunate, as a HSP70 ATPase activity inhibitor, induces apoptosis in breast cancer cells
Pirali, M., Taheri, M., Zarei, S., Majidi, M., & Ghafouri, H. (2020) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2020.08.198 · Cited by 69 · see citing works
Weifeng, T., Feng, S., Xiangji, L., Su, C., Zhiquan, Q., Huazhong, Z., Peining, Y., Yong, Y., Wu, M., Xiaoqing, J., et al. (2010) · Phytomedicine · doi:10.1016/j.phymed.2010.07.003 · Cited by 69 · see citing works
Kao, J., Feng, C., Yu, C., Tsai, S.-M., Hsu, P., Chen, Y.-L., & Wu, Y. (2015) · BMC Gastroenterology · doi:10.1186/s12876-015-0283-5 · Cited by 65 · see citing works
Self-citationThe Emerging Role of Ferroptosis in Liver Diseases
Chen, S., Zhu, J., Zang, X., & Zhai, Y. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.801365 · Cited by 63 · see citing works
Chen, Y., Qian, B., Sun, X., Kang, Z., Huang, Z. K., Ding, Z., Dong, L., Chen, J., Zhang, J., & Zang, Y. (2020) · Cancer Letters · doi:10.1016/j.canlet.2020.11.025 · Cited by 53 · see citing works
Self-citationArtesunate as an Anti-Cancer Agent Targets Stat-3 and Favorably Suppresses Hepatocellular Carcinoma
Ilamathi, M., Santhosh, S., & Venkatabalasubramanian, S. (2016) · Current Topics in Medicinal Chemistry · doi:10.2174/1568026616666160212122820 · Cited by 53 · see citing works
Pang, Y., Qin, G., Wu, L., Wang, X., & Chen, T. (2016) · Experimental Cell Research · doi:10.1016/j.yexcr.2016.06.012 · Cited by 52 · see citing works
Stella, L., Santopaolo, F., Gasbarrini, A., Pompili, M., & Ponziani, F. R. (2022) · World Journal of Gastroenterology · doi:10.3748/wjg.v28.i21.2251 · Cited by 52 · see citing works
Artesunate may inhibit liver fibrosis via the FAK/Akt/β-catenin pathway in LX-2 cells
Lv, J., Bai, R., Wang, L., Gao, J., & Zhang, H. (2018) · BMC Pharmacology and Toxicology · doi:10.1186/s40360-018-0255-9 · Cited by 47 · see citing works
Self-citationLi, Y., Lü, J., Chen, Q., Han, S., Shao, H., Chen, P., Jin, Q., Yang, M., Shangguan, F., Fei, M., et al. (2019) · Archives of Toxicology · doi:10.1007/s00204-019-02579-3 · Cited by 47 · see citing works
Su, T., Li, F., Guan, J., Liu, L., Huang, P. C., Wang, Y., Qi, X., Liu, Z., Lu, L., & Wang, D. (2019) · Phytomedicine · doi:10.1016/j.phymed.2019.152968 · Cited by 47 · see citing works
Xiao, F., Rui, K., Han, M., Zou, L., Huang, E., Tian, J., Zhang, L., Jiang, Q., Wu, Y., & Lu, L. (2022) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-022-01103-x · Cited by 46 · see citing works
Ilamathi, M., Prabu, P. C., Ayyappa, K. A., & Venkatabalasubramanian, S. (2016) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2016.04.061 · Cited by 43 · see citing works
Artesunate treats obesity in male mice and non-human primates through GDF15/GFRAL signalling axis
Guo, X., Asthana, P., Zhai, L., Cheng, K. W., Gurung, S., Huang, J., Wu, J., Zhang, Y., Mahato, A. K., Saarma, M., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-45452-3 · Cited by 41 · see citing works
Self-citationXu, Y., Liu, W., Fang, B., Gao, S., & Yan, J. (2014) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2014.09.035 · Cited by 41 · see citing works
Cirrhosis Regression in Patients With Viral Hepatitis B and C
Manne, V., Akhtar, E., & Saab, S. (2014) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0000000000000162 · Cited by 40 · see citing works
Chen, Y., Yang, J.-R., Wang, C., Wang, T., Zeng, Y., Li, X., Zuo, Y., Chen, H., Zhang, C., Cao, Y., et al. (2024) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-024-03133-5 · Cited by 39 · see citing works
Self-citationRoussel, C., Ndour, P. A., Kendjo, É., Larréché, S., Taieb, A., Henry, B., Lebrun‐Vignes, B., Chambrion, C., Argy, N., Houzé, S., et al. (2021) · Clinical Infectious Diseases · doi:10.1093/cid/ciab133 · Cited by 38 · see citing works
Chen, Y.-X., Lai, L.-N., Zhang, H.-Y., Bi, Y.-H., Li, M., Li, X.-J., Tian, X.-X., Wang, L.-M., Fan, Y., Zhao, Z.-F., et al. (2016) · World Journal of Gastroenterology · doi:10.3748/wjg.v22.i10.2949 · Cited by 37 · see citing works
Self-citationChen, W., Ma, Z., Yu, L., Mao, X., Ma, N., Guo, X., Yin, X., Jiang, F., Wang, Q., Wang, J., et al. (2022) · Experimental & Molecular Medicine · doi:10.1038/s12276-022-00780-6 · Cited by 36 · see citing works
Self-citationArtesunate promotes sensitivity to sorafenib in hepatocellular carcinoma
Wu, J., Liu, S., Xing, Y., Mu, M., Zhao, R., Xie, J., & Hu, D. (2019) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2019.08.115 · Cited by 35 · see citing works
Zhao, X., Liu, M., Li, J., Yin, S., Wu, Y., & Wang, A. (2017) · Chemico-Biological Interactions · doi:10.1016/j.cbi.2017.07.012 · Cited by 34 · see citing works
Jiang, Z., Wang, Z., Chen, L., Zhang, C., Liao, F., Wang, Y., Wang, Y., Luo, P., Luo, M., & Shi, C. (2021) · PubMed Central · Cited by 34 · see citing works
Zhang, J., Zhou, L., Xiang, J., Jin, C., Li, M., & He, Y. (2021) · International Immunopharmacology · doi:10.1016/j.intimp.2021.107705 · Cited by 34 · see citing works
Ghoneim, M. E.-S., Abdallah, D. M., Shebl, A. M., & El-Abhar, H. S. (2020) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2020.115309 · Cited by 34 · see citing works
Wan, Q., Chen, H., Xiong, G., Jiao, R., Liu, Y., Li, X., Sun, Y. L., Wang, J., & Yan, L. (2019) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2019.04.017 · Cited by 33 · see citing works
Natural Products for Liver Cancer Treatment: From Traditional Medicine to Modern Drug Discovery
Kim, D. B., Lee, D. K., Cheon, C., Ribeiro, R. I. M. D. A., & Kim, B. (2022) · Nutrients · doi:10.3390/nu14204252 · Cited by 31 · see citing works
Artesunate induces melanoma cell ferroptosis and augments antitumor immunity through targeting Ido1
Liu, W., Zhou, H., Lai, W., Hu, C., Wang, Q., Yuan, C., Luo, C., Yang, M., Hu, M., Zhang, R., et al. (2024) · Cell Communication and Signaling · doi:10.1186/s12964-024-01759-8 · Cited by 31 · see citing works
Liver cirrhosis: molecular mechanisms and therapeutic interventions
Dong, Z., Wang, Y., & Jin, W. (2024) · MedComm · doi:10.1002/mco2.721 · Cited by 31 · see citing works
Hepatitis B Virus Core Variants, Liver Fibrosis, and Hepatocellular Carcinoma
Ligat, G., Schuster, C., & Baumert, T. F. (2018) · Hepatology · doi:10.1002/hep.30231 · Cited by 30 · see citing works
Lee, S. W., Huang, D. Q., Bettencourt, R., Ajmera, V. H., Tincopa, M. A., Noureddin, N., Amangurbanova, M., Siddiqi, H., Madamba, E. V., Majzoub, A. M., et al. (2023) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.17783 · Cited by 29 · see citing works
Artesunate and sorafenib: Combinatorial inhibition of liver cancer cell growth
Li, H., Xu, K., Pian, G., & Sun, S. (2019) · Oncology Letters · doi:10.3892/ol.2019.10810 · Cited by 29 · see citing works
Pinyopornpanish, K., Al-Yaman, W. A., Dasarathy, S., Romero‐Marrero, C., & McCullough, A. J. (2021) · Digestive Diseases and Sciences · doi:10.1007/s10620-021-07048-5 · Cited by 27 · see citing works
Recent progress in the effect of ferroptosis of HSCs on the development of liver fibrosis
Tang, R., Luo, J., Zhu, X., Miao, P.-Y., Tang, H., Jian, Y., Ruan, S.-B., Ling, F.-Q., & Tang, M.-X. (2023) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2023.1258870 · Cited by 27 · see citing works
Wang, Y., Li, Y., Qiu, Y., Shen, M., Wang, L., Shao, J., Zhang, F., Xu, X., Zhang, Z., Guo, M. L., et al. (2023) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2023.00162 · Cited by 27 · see citing works
Longxi, P., Bu-wu, F., Yuan, W., & Gao, S. (2011) · PLoS ONE · doi:10.1371/journal.pone.0026500 · Cited by 25 · see citing works
Li, G., Ling, M., Yu, K., Yang, W., Liu, Q., He, L., Cai, X., Zhong, M., Mai, Z., Sun, R., et al. (2022) · Journal of Nanobiotechnology · doi:10.1186/s12951-022-01676-3 · Cited by 25 · see citing works
Zhang, D., Zhang, K., Protzer, U., & Zeng, C. (2021) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2021.00062 · Cited by 24 · see citing works
The Translational Bridge between Inflammation and Hepatocarcinogenesis
Gufler, S., Seeboeck, R., Schatz, C., & Haybaeck, J. (2022) · Cells · doi:10.3390/cells11030533 · Cited by 24 · see citing works
Xia, Y., Tang, Y., Huang, Z., Ke, N., Zheng, Y., Zhuang, W., Zhang, Y., Yin, X., Tu, M., Chen, J., et al. (2024) · Cellular Signalling · doi:10.1016/j.cellsig.2024.111108 · Cited by 24 · see citing works
Self-citationDosing ribavirin in hepatitis E-infected solid organ transplant recipients
de Winter, B. C. M., Hesselink, D. A., & Kamar, N. (2018) · Pharmacological Research · doi:10.1016/j.phrs.2018.02.030 · Cited by 24 · see citing works
Current Perspectives on the Unique Roles of Exosomes in Drug Resistance of Hepatocellular Carcinoma
Xue, D., Han, J., Liang, Z., Jia, L., Liu, Y., Tuo, H., & Peng, Y. (2022) · Journal of Hepatocellular Carcinoma · doi:10.2147/jhc.s351038 · Cited by 23 · see citing works
He, W., Huang, X., Berges, B. K., Wang, Y., An, N., Su, R., & Lu, Y. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.615889 · Cited by 21 · see citing works
Ilamathi, M., & Venkatabalasubramanian, S. (2017) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2017.01.086 · Cited by 21 · see citing works
Artesunate, an anti-malarial drug, has a potential to inhibit HCV replication
Dai, R.-J., Xiao, X., Peng, F., Li, M., & Gong, G. (2016) · Virus Genes · doi:10.1007/s11262-015-1285-7 · Cited by 20 · see citing works
Zheng, Y., Wang, L., Wang, J., Zhao, T., & Wang, J. (2024) · Current Medicinal Chemistry · doi:10.2174/0109298673271261231213051410 · Cited by 20 · see citing works
Sun, D., Li, W., Ding, D., Tan, K., Ding, W., Wang, Z., Fu, S., Hou, G., Zhou, W., & Gu, F. (2024) · Cell Death Discovery · doi:10.1038/s41420-024-01995-4 · Cited by 20 · see citing works
Nam, J. Y., Chang, Y. W., Cho, H., Kang, S. H., Cho, Y. Y., Cho, E. J., Lee, J., Yu, S. J., Yoon, J., & Kim, Y. J. (2017) · Journal of Viral Hepatitis · doi:10.1111/jvh.12838 · Cited by 19 · see citing works
Shen, S., Luo, J., & Ye, J. (2020) · Acta Tropica · doi:10.1016/j.actatropica.2020.105781 · Cited by 18 · see citing works
The role of inflammasome in chronic viral hepatitis
Wan, P., Yang, G., Cheng, Q., Zhang, X., Yue, Z., Li, M., Liu, C., Qian, Y., Jia, Y., Liu, J., et al. (2024) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1382029 · Cited by 17 · see citing works
Role of Artesunate in Autoimmune Diseases and Signaling Pathways
Gu, J., Xu, Y., Hua, D., & Chen, Z. (2023) · Immunotherapy · doi:10.2217/imt-2023-0052 · Cited by 16 · see citing works
Tang, J., Zhang, J., Zhang, G., Peng, W., Ling, N., Zhou, Y., Xu, H., Ren, H., & Chen, M. (2024) · mBio · doi:10.1128/mbio.03068-23 · Cited by 16 · see citing works
Sun, J., Chen, C., & Wang, J. (2024) · Discovery Medicine · doi:10.24976/discov.med.202436181.36 · Cited by 13 · see citing works
Signaling Induced by Chronic Viral Hepatitis: Dependence and Consequences
Boulahtouf, Z., Virzì, A., Baumert, T. F., Verrier, E. R., & Lupberger, J. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23052787 · Cited by 12 · see citing works
Liu, L., Wang, B., Ma, Y., Sun, K., Wang, P., Li, M., Dong, J., Qin, M., Li, M., Wei, C., et al. (2024) · Frontiers in Pharmacology · doi:10.3389/fphar.2024.1443667 · Cited by 11 · see citing works
Repurposing of artesunate, an antimalarial drug, as a potential inhibitor of hepatitis E virus
Bhise, N., Agarwal, M., Thakur, N., Akshay, P. S., Cherian, S., & Lole, K. S. (2023) · Archives of Virology · doi:10.1007/s00705-023-05770-1 · Cited by 11 · see citing works
Li, Z.-B., Chen, D., Jia, Y., He, Q., Cui, L., Du, F.-X., Kang, Y., Feng, X., He, M. L., Jin, X., et al. (2024) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1413589 · Cited by 8 · see citing works
Chow, V. Y. S., & Cheung, W. I. (2024) · BMC Gastroenterology · doi:10.1186/s12876-023-03099-2 · Cited by 6 · see citing works
Review article: the management of hepatitis A, B, D and non‐A non‐B
Dusheiko, G. M. (1989) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.1989.tb00186.x · Cited by 6 · see citing works
Yuan, Y., Lv, X., Wu, Y., Weng, Y., Dai, F., Ding, H., Chen, R., Zheng, B., Zhao, W., Tong, Q., et al. (2023) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0011626 · Cited by 5 · see citing works
Luo, J. T., Qian, S. N., Wu, K. Y., Zhu, S. C., Huang, Y., Ye, J. P., & Shen, S. (2022) · PubMed · doi:10.3760/cma.j.cn501113-20201024-00577 · Cited by 4 · see citing works
Yoo, J., Song, Y.-G., Moon, J. E., Kim, Y. S., & Kim, S. G. (2024) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2024.02.028 · Cited by 4 · see citing works
Pan, C., Li, L., & Li, G. (2022) · Indian Journal of Pharmaceutical Sciences · doi:10.36468/pharmaceutical-sciences.1050 · Cited by 1 · see citing works
Oliveira, M., Gaspar, R., Santos, L., & Macedo, G. (2024) · Clinics and Research in Hepatology and Gastroenterology · doi:10.1016/j.clinre.2024.102404 · Cited by 1 · see citing works
Editorial: Precision medicine in viral hepatitis: progress and prospects towards elimination
Fernández‐Rodríguez, A., & Valva, P. (2024) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1378423 · Cited by 1 · see citing works
Flagged first, then by citations
1 of the 109 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Natural anti-cancer products: insights from herbal medicine
Cui, D., Zhang, C., Zhang, L., Zheng, J., Wang, J., He, L., Jin, H., Kang, Q., Zhang, Y., Li, N., et al. (2025) · Chinese Medicine · doi:10.1186/s13020-025-01124-y · Cited by 59 · see citing works
Self-citationZheng, D., Yan, J., Liu, X., Zhang, Z., Jin, A., Zhao, Y., Bai, L., Quan, M.-Y., Qi, X., Fu, B., et al. (2025) · Advanced Materials · doi:10.1002/adma.202502617 · Cited by 34 · see citing works
Self-citationLi, Y., Shen, M., Li, M., Qiu, Y., Wang, Y. L., Shao, J., Xuan, J., Zheng, S., & Zhang, Z. (2026) · Chemico-Biological Interactions · doi:10.1016/j.cbi.2026.111950 · Cited by 7 · see citing works
The Role of Artesunate in Cancer Management: Mechanisms of Biomedical Effects and Toxicology
Li, J. F., Zheng, J., Cui, Y., Liu, Y., Fan, H., Wang, X., Liu, H., Li, X., Yu, G., & Luo, Z. (2025) · The American Journal of Chinese Medicine · doi:10.1142/s0192415x25500922 · Cited by 6 · see citing works
Yang, C., Liu, Y., Gai, L., Zhang, Z., Zhang, Y., Zhang, G., Du, K., & Gao, C. (2025) · PLoS ONE · doi:10.1371/journal.pone.0329490 · Cited by 5 · see citing works
Self-citationZhu, J., Yin, S., Luo, S., Yu, F., & Sun, K. (2025) · Drug Design Development and Therapy · doi:10.2147/dddt.s535244 · Cited by 4 · see citing works
Cai, K., Xia, R., Xu, M., Chen, W., Cai, W., Liu, X., Guo, T., Jiang, W., Yu, C., Feng, J., et al. (2026) · Journal of Nanobiotechnology · doi:10.1186/s12951-026-04381-7 · Cited by 4 · see citing works
Self-citationPan, X., Gao, T., & Wang, B. (2025) · Cell & Bioscience · doi:10.1186/s13578-025-01520-9 · Cited by 2 · see citing works
“Artesunate exerts its anti-fibrotic effects through multiple mechanisms, including inducing ferroptosis of hepatic stellate cells, inhibiting inflammatory pathways such as LPS/TLR4/NF-κB, and regulating the p53 pathway [387].”
Zhu, J., Luo, S., Yu, F., & Sun, K. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1549600 · Cited by 2 · see citing works
Artesunate reduces oxidative stress and inflammation in NAFLD by activating the Nrf2 pathway
Meng, Q., Zhong, M., Zhao, J., Xu, H., Jiang, W., Lin, C., Karishma, G., Wang, F., Xu, F., & Li, Y. (2025) · Biochemical Pharmacology · doi:10.1016/j.bcp.2025.117643 · Cited by 2 · see citing works
Wang, F., Huang, H., Zhang, R., Wei, X., Wang, Z., Qiu, X., Gao, Y., Wang, X., Xie, W., Zhang, H., et al. (2026) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-026-03645-2 · Cited by 2 · see citing works
Self-citationZhang, Z., Zhang, H., Guo, H., Zhang, X., Wang, Y., Wang, B., Wang, T., Zhao, G., Zhang, Q., Gao, F., et al. (2026) · Advanced Science · doi:10.1002/advs.202521818 · Cited by 2 · see citing works
Self-citationWang, M., Lyu, H., Liu, Y., & Sun, Y. (2025) · Current Topics in Medicinal Chemistry · doi:10.2174/0115680266366687250730060318 · Cited by 1 · see citing works
Targeted ferroptosis of myofibroblasts by tubeimoside I attenuates hypertrophic scar formation
Wang, J., Wang, C., Jia, Y., Chen, F., Wang, Y., & Du, J. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1654108 · Cited by 1 · see citing works
Zhang, Y., Zhang, Z., Yan, Z., He, M., & Wang, X. (2025) · European journal of medical research · doi:10.1186/s40001-025-03372-y · Cited by 1 · see citing works
Self-citationThe Therapeutic Effects of Active Components from Food-Medicine Plants on Liver Fibrosis
Sun, C., Chen, B., Hu, Y., Wang, S., Chen, T., Xu, M., & Gong, Q. (2026) · Journal of Inflammation Research · doi:10.2147/jir.s573983 · Cited by 1 · see citing works
Zhao, C., Wang, L., Xia, C., Ma, P., Huang, B., Dong, G., Shi, Y., & Zeng, S. (2026) · Discover Oncology · doi:10.1007/s12672-025-04267-4 · Cited by 1 · see citing works
Li, T. Z., Lv, Y., Zhang, J., Rui, H., Ma, X., Wang, J., Jiang, Y., Yuan, Y., Meng, Y., Ma, X., et al. (2026) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2026.154048 · Cited by 1 · see citing works
Self-citationArtesunate as an emerging anticancer modality: Insights and advances
Petrlak, F., Jemelikova, V., Hanzlíková, A., Šlesingerová, T., Haddad, Y., Opsenica, I., Taniele‐Silva, J., & Rodrigo, M. Á. M. (2026) · Pharmacological Research · doi:10.1016/j.phrs.2026.108317 · Cited by 1 · see citing works
Ding, J., Chen, Z., Yu, J., Xu, Y., Zhu, T., Wang, B., Feng, Z., Li, X., Qian, X., Jin, B., et al. (2025) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2025.117646
Shi, Q., Hu, X., & Wu, Z. (2026) · European journal of medical research · doi:10.1186/s40001-025-03762-2
Wang, Y., Fu, L., Yang, Z., Wang, W., Sun, J., & Gu, X. (2026) · European journal of medical research · doi:10.1186/s40001-026-03900-4
Yuan, Y., Li, Y., Li, J., Wang, S., Luo, F., Huang, C., Yang, J., Hu, Y., Jia, Y., & Wang, S. (2026) · Scientific Reports · doi:10.1038/s41598-026-39393-8
Gu, J., Xia, Q., Huang, P., Yuan, Y., Ren, H., Hua, D., & Chen, Z. (2026) · Redox Report · doi:10.1080/13510002.2026.2627096
Wei, L., Liu, T., Ma, Y., Li, J., & Qian, H. (2026) · Cancer Treatment and Research Communications · doi:10.1016/j.ctarc.2026.101156
Artesunate suppresses nasopharyngeal carcinoma progression by directly targeting MMP2
Wang, X., Huang, W., & Huang, S. (2026) · Applied Biological Chemistry · doi:10.1186/s13765-026-01087-0
Pan, C.-C., Xie, Q.-Q., Lu, P.-Y., Shi, Z., Li, H., Ma, Y.-J., Ding, T.-Y., Zeng, M.-Q., Luo, C., & Zhuge, F. (2026) · World Journal of Diabetes · doi:10.4239/wjd.v17.i4.116208
Chi, X., Chen, Q., Wang, G., Luo, H., Qu, S., & Zou, X. (2026) · Cancer Medicine · doi:10.1002/cam4.71907
Tan, P., Fu, D., Wang, F., Wang, Z., Huang, H., Wei, X., Qiu, X., Gao, Y., Zhang, R., Wang, X., et al. (2026) · Pharmacological Research · doi:10.1016/j.phrs.2026.108255
Targeting SEC23A: Artesunate's dual pathway approach to reversing gastric metaplasia
Hu, Q., Wu, F., Zhang, Y., Zeng, L., Chen, J., Ma, Y., Ma, X., Zeng, J., & Zhao, Y. (2026) · Journal of Pharmaceutical Analysis · doi:10.1016/j.jpha.2026.101667
Self-citationGong, J., Zhou, M. M., Huang, Y., Yu, M., Zhou, Q., Chen, S. S., Wang, J., Yang, M., Luo, Q., Zhang, R., et al. (2026) · Journal of Nanobiotechnology · doi:10.1186/s12951-026-04749-9
Han, K., Lin, Y., Huang, Y.-J., Tang, Y., Pu, J., Zhang, L., Wang, L., & Zhu, H. (2026) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2026.119124
Dai, Y., & Ding, W. (2026) · Molecular Diversity · doi:10.1007/s11030-026-11707-y
Özel, Y., Dogan, G., & Çavuş, İ. (2026) · European Journal of Life Sciences · doi:10.55971/ejls.1898193
Feng, K., Xia, Y., Liu, J., & Yang, M. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27177862
van Stiphoudt, J. F. W. F. W., Bold, C., & Griesbeck, A. G. (2026) · Organic & Biomolecular Chemistry · doi:10.1039/d6ob01142j
Zhang, W., Xu, L.-H., Gao, K., Girimpuhwe, D., Ren, H., Xu, D., Yang, G.-G., Luo, X.-W., Wang, J., & Wu, Q. (2026) · Phytomedicine · doi:10.1016/j.phymed.2026.158879
Artesunate targets STAT3 to alleviate Hodgkin’s lymphoma via JAK-STAT/PD-L1 axis
Chen, D., Zhang, G., San, J., Liu, B., Yuan, P., & Ren, M. (2026) · Biochemical Pharmacology · doi:10.1016/j.bcp.2026.118571
Artemisinin in chronic liver disease: therapeutic potential and mechanistic insights
Cheng, F.-E., Zheng, S., 杜宏波, & Ye, Y. (2026) · Materials Today Advances · doi:10.1016/j.mtadv.2026.101033
- 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
- ORCID
- 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
- gold
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review