Abstract

Hepatocellular carcinoma (HCC) is one of the most burdened tumors worldwide, with a complex and multifactorial pathogenesis. Current treatment approaches involve different molecular targets. Phytochemicals have shown considerable promise in the prevention and treatment of HCC. We investigated the efficacy of two natural components, 1,8 cineole (Cin) and ellagic acid (EA), against diethylnitrosamine/2-acetylaminofluorene (DEN/2-AAF) induced HCC in rats. DEN/2-AAF showed deterioration of hepatic cells with an impaired functional capacity of the liver. In addition, the levels of tumor markers including alpha-fetoprotein, arginase-1, alpha-L-fucosidase, and ferritin were significantly increased, whereas the hepatic miR-122 level was significantly decreased in induced-HCC rats. Interestingly, treatment with Cin (100mg/kg) and EA (60mg/kg) powerfully restored these biochemical alterations. Moreover, Cin and EA treatment exhibited significant downregulation in transforming growth factor beta-1 (TGF-β1), Fascin-1 (FSCN1), vascular endothelial growth factor (VEGF), matrix metalloproteinase-9 (MMP-9), and epithelial-mesenchymal transition (EMT) key marker, vimentin, along with a restoration of histopathological findings compared to HCC group. Such effects were comparable to Doxorubicin (DOX) (2mg/kg); however, a little additive effect was evident through combining these phytochemicals with DOX. Altogether, this study highlighted 1,8 cineole and ellagic acid for the first time as promising phytochemicals for the treatment of hepatocarcinogenesis via regulating multiple targets.

Highlights

  • Hepatocellular carcinoma (HCC) is the fourth main cause of cancer-related mortality, creating a large global cancer burden [1, 2]

  • DEN/ 2-AAF administration resulted in liver damage that was showed by an elevated level of liver function enzymes (ALT, aspartate transaminase (AST), and alkaline phosphatase (ALP)) along with impairment in the protein biosynthesis capacity

  • These results are in agreement with an earlier study by our group showing the hepatoprotective effects of 1,8 cineole and ellagic acid [41] and demonstrated their ability to protect the liver from carcinogens by maintaining the cell membrane and functional integrity, thereby mitigating the progression of carcinogenesis

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Summary

Introduction

Hepatocellular carcinoma (HCC) is the fourth main cause of cancer-related mortality, creating a large global cancer burden [1, 2]. Epithelial-mesenchymal transition (EMT) is partially considered as a critical step for HCC progression via mediating early

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