Itraconazole exerts anti-liver cancer potential through the Wnt, PI3K/AKT/mTOR, and ROS pathways
Wenping Wang1, XiaoXv Dong1, Yi Liu1
1School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 100102, China.
Abstract:
Hepatocellular carcinoma (HCC) is one of the most common cancers with the highest morbidity and mortality. It is necessary to develop new anti-liver cancer drugs. Itraconazole is a popular systemic anti-fungal drug with a strong anti-tumor effect. However, so far, it is not clear whether itraconazole has specific anti-tumor effect on liver cancer. The purpose of this study was to investigate itraconazole resistant effect of liver cancer and to explore its potential anti-cancer mechanism. The effect of itraconazole on the proliferation of liver cancer cells was studied with MTT assay. Flow cytometry was used to determine the effect of itraconazole on apoptosis, cell cycle distribution, changes in intracellular reactive oxygen species (ROS) and mitochondrial membrane potential (MMP). In addition, after DAPI staining, nuclear morphological changes were observed under the fluorescent microscope, and the release of lactate dehydrogenase (LDH) was measured using the microplate reader. Finally, the expressions of proteins related to the anti-tumor signaling pathway were determined by Western blotting. The results showed that itraconazole significantly inhibited the proliferation of HepG2 and Bel-7405 cells. In addition, the data showed that itraconazole induced apoptosis in HepG2 cells, increased the production of ROS, blocked cell cycle, and decreased MMP. Furthermore, itraconazole inhibited HCC cell growth and promoted apoptosis through the Hh, Wnt/catenin, AKT/mTOR/S6K, ROS and death receptor pathways. Finally, we come to the conclusion that itraconazole exerts anti-liver cancer effect, and has potential for use as a new drug for liver cancer in clinic.
Insights
Itraconazole, an antifungal drug, effectively inhibits liver cancer cell growth and induces apoptosis. This study explores its anti-cancer mechanisms, suggesting potential as a new liver cancer treatment.
Area of Science:
- Oncology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) presents high mortality, necessitating novel therapeutic agents.
- Itraconazole, an antifungal, exhibits anti-tumor properties, but its specific efficacy against HCC remains uninvestigated.
Purpose of the Study:
- To evaluate the anti-liver cancer effects of itraconazole.
- To elucidate the underlying anti-cancer mechanisms of itraconazole in HCC.
Main Methods:
- MTT assay for proliferation, flow cytometry for apoptosis, cell cycle, ROS, and MMP.
- DAPI staining for nuclear morphology, LDH assay for cell damage, and Western blotting for signaling pathways.
Main Results:
- Itraconazole significantly inhibited HepG2 and Bel-7405 cell proliferation.
- It induced apoptosis, increased ROS, arrested cell cycle, and reduced MMP in HCC cells.
- Mechanistically, itraconazole impacted Hh, Wnt/catenin, AKT/mTOR/S6K, ROS, and death receptor pathways.
Conclusions:
- Itraconazole demonstrates significant anti-liver cancer activity.
- It holds potential as a novel therapeutic drug for clinical application in HCC treatment.
More Related Videos
09:32Drug-Induced Senescence in Liver Cells Promotes M2 Macrophage Polarization: Implications for Tyrosine Kinase Inhibitor-Associated Hepatotoxicity
Published on: October 17, 2025
11:13Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
Targeted Cancer Therapies
There are several types of targeted therapies against...
Tumor Immunotherapy
Inhibition of Cdk Activity
lncRNA - Long Non-coding RNAs
