Dahuang Zhechong Pill Combined with TNS4 Silencing Inhibits the NF-Κb/VEGF Pathway To Slow Down The Progression Of

Dawei Yan1, Yayi Jiang1, Youpeng Hu1,2

  • 1Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Abstract

Insights

This study shows that combining Dahuang Zhechong Pill with TNS4 gene silencing effectively inhibits pancreatic cancer (PC) progression by targeting the NF-κB/VEGF pathway and reducing inflammation.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Pancreatic cancer (PC) is an aggressive malignancy with poor prognosis and limited therapeutic options.
  • Dahuang Zhechong Pill, a traditional Chinese medicine, exhibits anti-inflammatory properties.
  • TNS4 is identified as a key molecule implicated in PC progression.

Purpose of the Study:

  • To investigate the combined therapeutic effects of Dahuang Zhechong Pill and TNS4 silencing on pancreatic cancer.
  • To explore the underlying mechanisms, including the modulation of the NF-κB/VEGF signaling pathway and inflammatory response.
  • To assess the potential of this combination as a novel treatment strategy for PC.

Main Methods:

  • Bioinformatic analysis identified TNS4 as a key factor in PC.
  • TNS4 was silenced in CFPAC-1 PC cells using lentiviral transfection.
  • In vitro assays (CCK-8, Transwell, colony formation, flow cytometry, TUNEL staining) assessed proliferation, migration, invasion, cell cycle, and apoptosis.
  • In vivo studies utilized subcutaneous and orthotopic tumor models in nude mice, treated with Dahuang Zhechong Pill.
  • Immunohistochemistry, immunofluorescence, and ELISA were used to analyze protein expression and inflammatory markers (NF-κB, VEGF, IL-17, amylase).

Main Results:

  • TNS4 upregulation correlated with PC progression; TNS4 silencing inhibited PC cell proliferation, migration, and invasion in vitro.
  • TNS4 knockdown induced G0/G1 phase arrest and apoptosis.
  • Combination therapy with Dahuang Zhechong Pill and TNS4 silencing significantly reduced tumor size in vivo.
  • The combined treatment suppressed NF-κB and VEGF expression and modulated inflammatory markers (reduced IL-17 and amylase, increased insulin).

Conclusions:

  • The combination of Dahuang Zhechong Pill and TNS4 silencing presents a novel therapeutic strategy for pancreatic cancer.
  • This approach effectively inhibits PC progression by targeting the NF-κB/VEGF pathway and reducing the inflammatory microenvironment.
  • Findings support the potential of integrating traditional Chinese medicine with gene silencing for advanced PC treatment.