Exploring the Anticancer Effects of Xianliu Jieduan Fang on Colitis-Associated Colorectal Cancer Through Network

Fang-Lan Li1, Bei-Bei Wang1, Ke-Feng Zeng2

  • 1Department of Anorectal, Shenzhen Traditional Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China.

Insights

Xianliu Jieduan Fang (XLJDF) effectively treats colitis-associated colorectal cancer (CAC) by targeting multiple molecular pathways. This traditional formula inhibits the Wnt/β-catenin signaling pathway, offering a novel therapeutic strategy for CAC.

Area of Science:

  • Integrative oncology
  • Pharmacology
  • Molecular biology

Background:

  • Colitis-associated colorectal cancer (CAC) presents a significant therapeutic challenge.
  • Understanding the molecular mechanisms of traditional Chinese medicine (TCM) for CAC is crucial for developing novel treatments.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of Xianliu Jieduan Fang (XLJDF) on CAC.
  • To elucidate the molecular mechanisms underlying XLJDF's anti-CAC effects using network pharmacology and experimental validation.

Main Methods:

  • An AOM/DSS-induced CAC mouse model was employed for efficacy evaluation.
  • Ultra-high-performance liquid chromatography-quadrupole-time-of-flight mass spectrometry (UHPLC-QE-HRMS) identified active compounds.
  • Network pharmacology (SwissTargetPrediction, PubChem, Cytoscape, Metascape) predicted targets and pathways.
  • Molecular docking and experimental validation confirmed mechanisms.

Main Results:

  • XLJDF treatment improved colon pathology in the CAC mouse model.
  • Sixty-eight active compounds were identified, with Kaempferol and Luteolin being key components.
  • Network analysis revealed 959 targets, including 29 core genes (e.g., AKT1, CTNNB1, GSK3B).
  • XLJDF primarily modulates Wnt signaling, affecting apoptosis and cell migration.
  • Experimental validation confirmed XLJDF inhibits the Wnt/β-catenin pathway by preventing GSK3β inactivation.

Conclusions:

  • XLJDF exerts anti-CAC effects through a multi-component, multi-target mechanism.
  • XLJDF suppresses the Wnt/β-catenin pathway by inhibiting GSK3β inactivation, thereby preventing β-catenin stabilization.
  • This study provides a scientific basis for XLJDF as a potential therapeutic agent for CAC.