Cited by 10Hepatocellular Carcinoma Treatment and PrognosisAutophagy in Disease and TherapyErythrocyte Function and Pathophysiology

Jianpi Huayu decoction enhances the antitumor effect of doxorubicin via piezo1-mediated autophagy in hepatocellular carcinoma

Fang, Chongkai, Liu, Silin, Zhang, Sijia, Zheng, Hao, Fang, Guang, Chen, Chuyao, Zhang, Ying, Yao, Ruiwei +4 more·2025·Phytomedicine

Abstract

Background Hepatocellular carcinoma (HCC) carries a poor prognosis, especially in advanced stages. Although Piezo1, a mechanosensitive ion channel, is linked to HCC progression, its underlying mechanisms and therapeutic potential remain poorly understood. Methods Piezo1 expression in HCC and its correlation with prognosis were assessed using TCGA and GEO datasets, along with clinical tissue samples. The role of Piezo1 in HCC malignancy and autophagy was investigated in MHCC97H cells via siRNA-mediated silencing. A DEN-induced Piezo1-knockout mouse model and an shPiezo1-transfected MHCC97H xenograft nude mouse model were also used to evaluate the role of Piezo1 in tumor development and growth. The effects of Jianpi Huayu decoction (JPHY), doxorubicin (DOX), and combined treatment on malignant phenotypes and autophagy were examined in MHCC97H cells as well as an allogeneic transplantation model. Shared pathways between JPHY and DOX were identified by network pharmacology analysis and validated by molecular biology experiments. Molecular docking studies analyzed interactions between JPHY active components and Piezo1. Results Piezo1 was overexpressed in HCC tissues and correlated with poor prognosis. Piezo1 knockdown suppressed malignancy and enhanced autophagy in MHCC97H cells. In Piezo1 +/- mice, the size and number of DEN-induced liver tumors were reduced by approximately 60 % and 45 %, respectively. Tumor growth was also suppressed in nude mice transplanted with shPiezo1-tran…

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Crossref · 10.1016/j.phymed.2025.156908

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Authors
Fang, C., Liu, S., Zhang, S., Zheng, H., Fang, G., Chen, C., Zhang, Y., Yao, R., Chen, X., Luo, R., Li, J., & Zhong, C.
Affiliations
  • Guangzhou University of Chinese Medicine (CN)
  • Twelfth Guangzhou City People's Hospital (CN)
Corresponding author
Zhong, Chong
Venue
Phytomedicine
Publisher
Elsevier BV
Published
2025-07
Volume
143
Pages
156908
ISSN
0944-7113 (ISSN-L)
OpenAlex
W4410726181
Cited by
8
References
37
Citations by year
2026: 4 · 2025: 4
FWCI
4.51
Type
journal article
Language
en
Open access
closed
Locations
  • Phytomedicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Natural Science Foundation of Guangdong Province (2023A1515011069)
  • National Natural Science Foundation of China (82405319, 82274526)
  • Guangzhou University of Chinese Medicine (A1\u20132601\u201324\u2013415\u2013110Z41, A1\u20132601\u201322\u2013415\u2013023, GZYFS2024G04)
Topics
  • Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
  • Health Sciences › Medicine › Physiology › Erythrocyte Function and Pathophysiology
Keywords
doxorubicin, hepatocellular carcinoma, Piezo1, mechanosensitive ion channels, autophagy, PI3K/AKT/mTOR pathway, combination chemotherapy, drug sensitivity, traditional Chinese medicine, MHCC97H cells
MeSH terms
Animals, Autophagy, Doxorubicin, Drug Synergism, Drugs, Chinese Herbal, Carcinoma, Hepatocellular, Humans, Ion Channels, Liver Neoplasms, Male, Mice, Inbred BALB C, Mice, Nude, Signal Transduction, Mice, Knockout, Xenograft Model Antitumor Assays, Cell Line, Tumor, Mice, Molecular Docking Simulation

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