Systemic and molecular analysis dissect the red ginseng induction of apoptosis and autophagy in HCC as mediated with AMPK
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Updated: Jul 28, 2025

Establishment of Hepatocarcinoma in BALB/c-nu Mice and Investigation of the Therapeutic Effect of the Sanleng Jiashen Formula
Published on: January 26, 2024
Young Woo Kim1,2, Seon Been Bak1, Won-Yung Lee1
1School of Korean Medicine, Dongguk University, Gyeongju, Republic of Korea.
Background:
Hepatocellular carcinoma (HCC) has a high incidence and is one of the highest mortality cancers when advanced stage is proceeded. However, Anti-cancer drugs available for treatment are limited and new anti-cancer drugs and new ways to treat them are minimal. We examined that the effects and possibility of Red Ginseng (RG, Panax ginseng Meyer) as new anti-cancer drug on HCC by combining network pharmacology and molecular biology.
Materials And Methods:
Network pharmacological analysis was employed to investigate the systems-level mechanism of RG focusing on HCC. Cytotoxicity of RG was determined by MTT analysis, which were also stained by annexin V/PI staining for apoptosis and acridine orange for autophagy. For the analyze mechanism of RG, we extracted protein and subjected to immunoblotting for apoptosis or autophagy related proteins.
Results:
We constructed compound-target network of RG and identified potential pathways related to HCC. RG inhibited growth of HCC through acceleration of cytotoxicity and reduction of wound healing ability of HCC. RG also increased apoptosis and autophagy through AMPK induction. In addition, its ingredients, 20S-PPD (protopanaxadiol) and 20S-PPT (protopanaxatriol), also induced AMPK mediated apoptosis and autophagy.
Conclusion:
RG effectively inhibited growth of HCC cells inducing apoptosis and autophagy via ATG/AMPK in HCC cells. Overall, our study suggests possibility as new anti-cancer drug on HCC by proof for the mechanism of the anti-cancer action of RG.
Insights
Red Ginseng (RG) shows potential as a novel anti-cancer drug for hepatocellular carcinoma (HCC). RG inhibits HCC growth by inducing apoptosis and autophagy through the ATG/AMPK pathway.
Area of Science:
- Oncology
- Pharmacology
- Natural Products
Background:
- Hepatocellular carcinoma (HCC) presents a significant global health challenge with limited effective treatments.
- There is an urgent need for novel anti-cancer drugs and therapeutic strategies for advanced HCC.
Purpose of the Study:
- To investigate the anti-cancer effects and therapeutic potential of Red Ginseng (RG) on HCC.
- To elucidate the underlying molecular mechanisms of RG's action in HCC using network pharmacology and molecular biology.
Main Methods:
- Network pharmacology was used to analyze the systems-level mechanism of RG in HCC.
- Cytotoxicity, apoptosis, and autophagy were assessed using MTT assays, annexin V/PI, and acridine orange staining.
- Western blotting was performed to analyze key apoptosis and autophagy-related proteins.
Main Results:
- RG demonstrated significant inhibition of HCC cell growth and reduced wound healing capacity.
- RG treatment led to increased apoptosis and autophagy in HCC cells, mediated by AMPK induction.
- Key RG compounds, 20S-protopanaxadiol (PPD) and 20S-protopanaxatriol (PPT), also induced AMPK-mediated apoptosis and autophagy.
Conclusions:
- Red Ginseng effectively inhibits HCC cell proliferation by inducing apoptosis and autophagy via the ATG/AMPK pathway.
- This study provides mechanistic evidence supporting RG's potential as a novel anti-cancer therapeutic agent for HCC.
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