Abstract

In the present study, we aimed to find the target of Tanshinone IIA (Tan-IIA) in Cholangiocarcinoma by network pharmacology-based prediction and investigate the possible mechanism through experimental verification. In this study, we combined Tan-IIA-specific and Cholangiocarcinoma-specific targets with protein–protein interactions (PPI) to construct a Tan-IIA targets-Cholangiocarcinoma network, and network pharmacology approach was applied to identify potential targets and mechanisms of Tan-IIA in the treatment of Cholangiocarcinoma. The anti-cancer effects of Tan-IIA were investigated by using subcutaneous tumorigenic model in nude mice and in the human Cholangiocarcinoma cell lines in vitro. Our results showed that Tan-IIA treatment considerably suppressed the proliferation and migration of Cholangiocarcinoma cells while inducing apoptosis of Cholangiocarcinoma cells. Western blot results demonstrated that the expression of PI3K, p-Akt, p-mTOR, and mTOR were inhibited by Tan-IIA. Meanwhile, After treatment with Tan-IIA, the level of Bcl2 was downregulated and cleaved caspase-3 expression increased. Further studies revealed that the anticancer effects of Tan-IIA were severely mitigated by pretreatment with a PI3K agonist. Our research provides a new anticancer strategy and strengthens support for the use of Tan-IIA as an anticancer drug for the treatment of CCA.

Highlights

  • Cholangiocarcinoma (CCA) is an aggressive malignant tumor of the biliary tract that is often challenging to diagnose and ­treat[1]

  • The present study suggested that Tanshinone IIA (Tan-IIA) inhibited the proliferation, invasion, and migration of Cholangiocarcinoma cells by inhibiting the phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway

  • The effect of TanIIA on the proliferation of Cholangiocarcinoma cells was detected by CCK8 (Fig. 1A,B). This indicated that compared with the control group, Tan-IIA inhibited the proliferation of Cholangiocarcinoma cells in a time- and dose-dependent manner (Fig. 1A,B)

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Summary

Introduction

Cholangiocarcinoma (CCA) is an aggressive malignant tumor of the biliary tract that is often challenging to diagnose and ­treat[1] It is the second most common primary malignancy, and its incidence has increased significantly in recent ­decades[2,3]. A network pharmacological analysis identified common targets for Tan-IIA and Cholangiocarcinoma disease, and KEGG and GO analyses revealed that these common targets were enriched in pathways associated with PI3K-Akt. It is well known that in human cancers, phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway is the most common aberrant kinase cascade signaling pathway that promotes tumor cell proliferation through the activation of growth factor receptors such as insulin-like growth. The present study suggested that Tan-IIA inhibited the proliferation, invasion, and migration of Cholangiocarcinoma cells by inhibiting the PI3K/Akt/mTOR pathway. Tan-IIA upregulated the level of cleaved caspase-3 and suppressed the expression of Bcl[2], which induced apoptosis of Cholangiocarcinoma cells

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