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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 41 Issue 10
Oct.  2025
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Article Contents

Mechanism traditional Chinese medicine extract preventing and treating hepatocellular carcinoma by targeting the adenosine monophosphate-activated protein kinase signaling pathway

DOI: 10.12449/JCH251030
Research funding:

Joint Research Project of China Center for the Development of Traditional Chinese Medicine Science and Technology of the State Administration of Traditional Chinese Medicine (CXZH202304);

National Natural Science Foundation of China (82305074);

Henan Provincial Traditional Chinese Medicine Inheritance and Innovation Talent Project (Zhongjing Project) Traditional Chinese Medicine Discipline Leading Talent Project (Yuwei Zhongyi Han [2021] No.08)

More Information
  • Corresponding author: ZHANG Qinsheng, hnszqs@163.com (ORCID: 0000-0001-5960-0543)
  • Received Date: 2025-02-16
  • Accepted Date: 2025-04-11
  • Published Date: 2025-10-25
  • Hepatocellular carcinoma (HCC) is one of the most common malignant tumors with high incidence and mortality rates worldwide, which brings a huge burden to the physical and mental health and socio-economic life of patients. The adenosine monophosphate-activated protein kinase (AMPK) signaling pathway serves as the regulatory center of cellular energy metabolism and is closely associated with the biological activities of HCC cells, including autophagy, apoptosis, and angiogenesis, and it has become a hot topic in current cancer research. Traditional Chinese medicine drugs are abundant in natural components such as flavonoids, alkaloids, and phenols and have the characteristics of multiple targets, pathways, components, and hierarchies. By targeting the AMPK signaling pathway, these components can be used alone or in combination with conventional antitumor therapies to exert an anti-tumor effect on HCC from various aspects. This article reviews and summarizes the extracts of traditional Chinese medicine that target the AMPK signaling pathway for the prevention and treatment of HCC, in order to provide a theoretical basis and a reference for the clinical application of traditional Chinese medicine in the treatment of HCC and the development of related drugs.

     

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  • [1]
    KOSHY A. Evolving global etiology of hepatocellular carcinoma(HCC): Insights and trends for 2024[J]. J Clin Exp Hepatol, 2025, 15( 1): 102406. DOI: 10.1016/j.jceh.2024.102406.
    [2]
    YANG T, WANG MD, XU XF, et al. Management of hepatocellular carcinoma in China: Seeking common grounds while reserving differences[J]. Clin Mol Hepatol, 2023, 29( 2): 342- 344. DOI: 10.3350/cmh.2023.0106.
    [3]
    XU HC, WANG FL, XIE LH. Current status and perspectives in clinical treatment of intermediate and advanced primary hepatocellular carcinoma[J]. J Changchun Univ Chin Med, 2024, 40( 1): 103- 107. DOI: 10.13463/j.cnki.cczyy.2024.01.024.

    许华晨, 王凤玲, 谢林虎. 中晚期原发性肝细胞癌的临床治疗现状与展望[J]. 长春中医药大学学报, 2024, 40( 1): 103- 107. DOI: 10.13463/j.cnki.cczyy.2024.01.024.
    [4]
    KEERTHANA CK, RAYGINIA TP, SHIFANA SC, et al. The role of AMPK in cancer metabolism and its impact on the immunomodulation of the tumor microenvironment[J]. Front Immunol, 2023, 14: 1114582. DOI: 10.3389/fimmu.2023.1114582.
    [5]
    PENG B, ZHANG SY, CHAN KI, et al. Novel anti-cancer products targeting AMPK: Natural herbal medicine against breast cancer[J]. Molecules, 2023, 28( 2): 740. DOI: 10.3390/molecules28020740.
    [6]
    LIU CY, YANG SS, WANG KL, et al. Alkaloids from traditional Chinese medicine against hepatocellular carcinoma[J]. Biomed Pharmacother, 2019, 120: 109543. DOI: 10.1016/j.biopha.2019.109543.
    [7]
    CHEN G, LI MY, YANG JY, et al. Will AMPK be a potential therapeutic target for hepatocellular carcinoma?[J]. Am J Cancer Res, 2024, 14( 7): 3241- 3258. DOI: 10.62347/YAVK1315.
    [8]
    HASHEMI M, NADAFZADEH N, IMANI MH, et al. Targeting and regulation of autophagy in hepatocellular carcinoma: Revisiting the molecular interactions and mechanisms for new therapy approaches[J]. Cell Commun Signal, 2023, 21( 1): 32. DOI: 10.1186/s12964-023-01053-z.
    [9]
    SUN ZB, LIU LX, LIANG HY, et al. Nicotinamide mononucleotide induces autophagy and ferroptosis via AMPK/mTOR pathway in hepatocellular carcinoma[J]. Mol Carcinog, 2024, 63( 4): 577- 588. DOI: 10.1002/mc.23673.
    [10]
    KIM YW, BAK SB, LEE WY, et al. Systemic and molecular analysis dissect the red ginseng induction of apoptosis and autophagy in HCC as mediated with AMPK[J]. J Ginseng Res, 2023, 47( 3): 479- 491. DOI: 10.1016/j.jgr.2023.02.002.
    [11]
    ZHOU BY, YANG CH, YAN X, et al. LETM1 knockdown promotes autophagy and apoptosis through AMP-activated protein kinase phos‑phorylation-mediated beclin-1/bcl-2 complex dissociation in hepatocellular carcinoma[J]. Front Oncol, 2021, 10: 606790. DOI: 10.3389/fonc.2020.606790.
    [12]
    LI XX, WANG Z, YANG X, et al. Research advances in the mechanism of action of traditional Chinese medicine in inhibiting angiogenesis in hepatocellular carcinoma[J]. J Clin Hepatol, 2024, 40( 7): 1477- 1485. DOI: 10.12449/JCH240729.

    李香香, 王振, 杨星, 等. 中药抑制肝细胞癌血管生成的作用机制[J]. 临床肝胆病杂志, 2024, 40( 7): 1477- 1485. DOI: 10.12449/JCH240729.
    [13]
    EL-SEWEDY T, SALAMA AF, MOHAMED AE, et al. Hepatocellular Carcinoma cells: Activity of Amygdalin and Sorafenib in Targeting AMPK/mTOR and BCL-2 for anti-angiogenesis and apoptosis cell death[J]. BMC Complement Med Ther, 2023, 23( 1): 329. DOI: 10.1186/s12906-023-04142-1.
    [14]
    WEI TT, CHENG JJ, JI YG, et al. Baculovirus-mediated endostatin and angiostatin activation of autophagy through the AMPK/AKT/mTOR pathway inhibits angiogenesis in hepatocellular carcinoma[J]. Open Life Sci, 2024, 19( 1): 20220914. DOI: 10.1515/biol-2022-0914.
    [15]
    LI WX, YOU LP, LIN JC, et al. An herbal formula Shenlian decoction upregulates M1/M2 macrophage proportion in hepatocellular carcinoma by suppressing complement cascade[J]. Biomed Pharmacother, 2024, 177: 116943. DOI: 10.1016/j.biopha.2024.116943.
    [16]
    WANG M, LI YY, LI SS, et al. Cinobufacini injection delays hepatocellular carcinoma progression by regulating lipid metabolism via SREBP1 signaling pathway and affecting macrophage polarization[J]. J Ethnopharmacol, 2024, 321: 117472. DOI: 10.1016/j.jep.2023.117472.
    [17]
    YANG X, LI SD, LIU JK, et al. Current research status of traditional Chinese medicine in the prevention and treatment of hepatocellular carcinoma by regulating the JAK/STAT signaling pathway[J]. J Clin Hepatol, 2023, 39( 11): 2718- 2729. DOI: 10.3969/j.issn.1001-5256.2023.11.030.

    杨星, 李淑娣, 刘江凯, 等. 中药调控Janus激酶/信号转导和转录激活因子(JAK/STAT)信号通路防治肝细胞癌的研究现状[J]. 临床肝胆病杂志, 2023, 39( 11): 2718- 2729. DOI: 10.3969/j.issn.1001-5256.2023.11.030.
    [18]
    LIANG HG, CHEN ZX, YANG RH, et al. Methyl gallate suppresses the migration, invasion, and epithelial-mesenchymal transition of hepatocellular carcinoma cells via the AMPK/NF-κB signaling pathway in vitro and in vivo[J]. Front Pharmacol, 2022, 13: 894285. DOI: 10.3389/fphar.2022.894285.
    [19]
    HIDALGO F, FERRETTI AC, ETICHETTI CB, et al. Alpha lipoic acid diminishes migration and invasion in hepatocellular carcinoma cells through an AMPK-p53 axis[J]. Sci Rep, 2024, 14( 1): 21275. DOI: 10.1038/s41598-024-72309-y.
    [20]
    MENG SS, GU HW, ZHANG T, et al. Gradual deterioration of fatty liver disease to liver cancer via inhibition of AMPK signaling pathways involved in energy-dependent disorders, cellular aging, and chronic inflammation[J]. Front Oncol, 2023, 13: 1099624. DOI: 10.3389/fonc.2023.1099624.
    [21]
    AFRIN MR, ARUMUGAM S, PITCHAIMANI V, et al. Le Carbone prevents liver damage in non-alcoholic steatohepatitis-hepatocellular carcinoma mouse model via AMPKα-SIRT1 signaling pathway activation[J]. Heliyon, 2021, 7( 1): e05888. DOI: 10.1016/j.heliyon.2020.e05888.
    [22]
    BI L, REN YD, FENG MX, et al. HDAC11 regulates glycolysis through the LKB1/AMPK signaling pathway to maintain hepatocellular carcinoma stemness[J]. Cancer Res, 2021, 81( 8): 2015- 2028. DOI: 10.1158/0008-5472.CAN-20-3044.
    [23]
    WANG ZX, SHEN JY, CHEN CW, et al. FOXA2 plays a critical role in hepatocellular carcinoma progression and lenvatinib-associated drug resistance[J]. Biosci Trends, 2023, 17( 2): 136- 147. DOI: 10.5582/bst.2022.01535.
    [24]
    YANG CC, YAN YC, PAN GQ, et al. Thyroid hormones inhibit tumor progression and enhance the antitumor activity of lenvatinib in hepatocellular carcinoma via reprogramming glucose metabolism[J]. Cell Death Discov, 2025, 11( 1): 92. DOI: 10.1038/s41420-025-02378-z.
    [25]
    SIM KH, SHU MS, KIM S, et al. Cilostazol induces apoptosis and inhibits proliferation of hepatocellular carcinoma cells by activating AMPK[J]. Biotechnol Bioprocess Eng, 2021, 26( 5): 776- 785. DOI: 10.1007/s12257-021-0002-8.
    [26]
    WANG ST, HO HJ, LIN JT, et al. Simvastatin-induced cell cycle arrest through inhibition of STAT3/SKP2 axis and activation of AMPK to promote p27 and p21 accumulation in hepatocellular carcinoma cells[J]. Cell Death Dis, 2017, 8( 2): e2626. DOI: 10.1038/cddis.2016.472.
    [27]
    LI XY, LI XB, JIANG HY. Effects and mechanism of luteolin on proliferation, apoptosis, migration and glycolysis of human hepatocellular carcinoma cell lines[J]. Shandong Med J, 2024, 64( 24): 1- 7. DOI: 10.3969/j.issn.1002-266X.2024.24.001.

    李雪彦, 李小宝, 姜虹羽. 木犀草素对人肝癌细胞株增殖凋亡、迁移、糖酵解的影响及其机制[J]. 山东医药, 2024, 64( 24): 1- 7. DOI: 10.3969/j.issn.1002-266X.2024.24.001.
    [28]
    XIAO BY, JIANG YY, YUAN SY, et al. Silibinin, a potential fasting mimetic, inhibits hepatocellular carcinoma by triggering extrinsic apoptosis[J]. MedComm(2020), 2024, 5( 1): e457. DOI: 10.1002/mco2.457.
    [29]
    CHO AR, PARK WY, LEE HJ, et al. Antitumor effect of morusin via G1 arrest and antiglycolysis by AMPK activation in hepatocellular cancer[J]. Int J Mol Sci, 2021, 22( 19): 10619. DOI: 10.3390/ijms221910619.
    [30]
    YANG XW, XIE J, LIU XX, et al. Autophagy induction by xanthoangelol exhibits anti-metastatic activities in hepatocellular carcinoma[J]. Cell Biochem Funct, 2019, 37( 3): 128- 138. DOI: 10.1002/cbf.3374.
    [31]
    WU JJ, ZHANG WJ, ZHANG JH, et al. Preliminary study on effects of solamargine on the growth and apoptosis of human hepatocarcinoma cells HepG2 and its mechanism[J]. China Pharm, 2021, 32( 24): 2963- 2969. DOI: 10.6039/j.issn.1001-0408.2021.24.04.

    吴晶晶, 张文娟, 张骏鸿, 等. 澳洲茄边碱对人肝癌HepG2细胞生长和凋亡的影响及机制初探[J]. 中国药房, 2021, 32( 24): 2963- 2969. DOI: 10.6039/j.issn.1001-0408.2021.24.04.
    [32]
    YIN XZ, ZHANG JX, ZHAO WJ, et al. Combined Levo-tetrahydropalmatine and diphenyleneiodonium chloride enhances antitumor activity in hepatocellular carcinoma[J]. Pharmacol Res, 2022, 179: 106219. DOI: 10.1016/j.phrs.2022.106219.
    [33]
    CHEN Y, LI Q, REN SS, et al. Investigation and experimental validation of curcumin-related mechanisms against hepatocellular carcinoma based on network pharmacology[J]. J Zhejiang Univ Sci B, 2022, 23( 8): 682- 698. DOI: 10.1631/jzus.B2200038.
    [34]
    KWON HY, KIM JH, KIM B, et al. Regulation of SIRT1/AMPK axis is critically involved in gallotannin-induced senescence and impaired autophagy leading to cell death in hepatocellular carcinoma cells[J]. Arch Toxicol, 2018, 92( 1): 241- 257. DOI: 10.1007/s00204-017-2021-y.
    [35]
    OKASHA H, ABOUSHOUSHA T, COIMBRA MA, et al. Metabolite profiling of Alocasia gigantea leaf extract and its potential anticancer effect through autophagy in hepatocellular carcinoma[J]. Molecules, 2022, 27( 23): 8504. DOI: 10.3390/molecules27238504.
    [36]
    ZHENG LH, ZHANG Y, LIU GJ, et al. Tanshinone I regulates autophagic signaling via the activation of AMP-activated protein kinase in cancer cells[J]. Anticancer Drugs, 2020, 31( 6): 601- 608. DOI: 10.1097/CAD.0000000000000908.
    [37]
    JIANG T, HUANG JB, XU CY, et al. Arsenic trioxide cooperate cryptotanshinone exerts antitumor effect by medicating macrophage polarization through glycolysis[J]. J Immunol Res, 2022, 2022: 2619781. DOI: 10.1155/2022/2619781.
    [38]
    WU HY, QU LL, BAI X, et al. Ginsenoside Rk1 induces autophagy-dependent apoptosis in hepatocellular carcinoma by AMPK/mTOR signaling pathway[J]. Food Chem Toxicol, 2024, 186: 114587. DOI: 10.1016/j.fct.2024.114587.
    [39]
    YUAN F, GAO Q, TANG HL, et al. Ophiopogonin-B targets PTP1B to inhibit the malignant progression of hepatocellular carcinoma by regulating the PI3K/AKT and AMPK signaling pathways[J]. Mol Med Rep, 2022, 25( 4): 122. DOI: 10.3892/mmr.2022.12638.
    [40]
    SUN Y, SONG YY, ZHANG C, et al. Effects and mechanism of celastrol on the proliferation of hepatocellular carcinoma HepG2 cells by activating AMPK signal pathway[J]. China Pharm, 2021, 24( 11): 1961- 1966. DOI: 10.19962/j.cnki.issn1008-049X.2021.11.001.

    孙懿, 宋莹莹, 张聪, 等. 雷公藤红素激活AMPK信号通路抑制肝癌HepG2细胞增殖的作用研究[J]. 中国药师, 2021, 24( 11): 1961- 1966. DOI: 10.19962/j.cnki.issn1008-049X.2021.11.001.
    [41]
    HASEI S, YAMAMOTOYA T, NAKATSU Y, et al. Carnosic acid and carnosol activate AMPK suppress expressions of gluconeogenic and lipogenic genes, and inhibit proliferation of HepG2 cells[J]. Int J Mol Sci, 2021, 22( 8): 4040. DOI: 10.3390/ijms22084040.
    [42]
    HONG JY, PARK SH, PARK HJ, et al. Anti-proliferative effect of 15, 16-dihydrotanshinone I through cell cycle arrest and the regulation of AMP-activated protein kinase/Akt/mTOR and mitogen-activated protein kinase signaling pathway in human hepatocellular carcinoma cells[J]. J Cancer Prev, 2018, 23( 2): 63- 69. DOI: 10.15430/JCP.2018.23.2.63.
    [43]
    HUANG H, XUE J, XIE T, et al. Osthole increases the radiosensitivity of hepatoma cells by inhibiting GSK-3β/AMPK/mTOR pathway-controlled glycolysis[J]. Naunyn Schmiedebergs Arch Pharmacol, 2023, 396( 4): 683- 692. DOI: 10.1007/s00210-022-02347-8.
    [44]
    RAVINAYAGAM V, SHEHZAD A, ALMOHAZEY D, et al. Decursin induces apoptosis by regulating AMP-activated protein kinase and Bax/Bcl-2 pathway in HepG2 cell line[J]. Eur J Integr Med, 2018, 24: 17- 22. DOI: 10.1016/j.eujim.2018.10.003.
    [45]
    KIM YW, JANG EJ, KIM CH, et al. Sauchinone exerts anticancer effects by targeting AMPK signaling in hepatocellular carcinoma cells[J]. Chem Biol Interact, 2017, 261: 108- 117. DOI: 10.1016/j.cbi.2016.11.016.
    [46]
    SUN SS, LIU XY, WEI X, et al. Diallyl trisulfide induces pro-apoptotic autophagy via the AMPK/SIRT1 signalling pathway in human hepatocellular carcinoma HepG2 cell line[J]. Food Nutr Res, 2023, 66: 66. DOI: 10.29219/fnr.v66.8981.
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