Mechanistic insights into aristolochic acid-induced hepatocellular carcinoma: a multi-dimensional analysis

Can Liu1, Ru Qiao1, Peng He1

  • 1School of Pharmacy, Hunan University of Chinese Medicine, Changsha, 410208, China; Hunan Provincial Key Laboratory of Drugability and Preparation Modification of TCM, Changsha, 410208, China.

Abstract

Insights

Aristolochic acids (AA) are linked to liver cancer (HCC). This study identifies PSMB4 as a key gene connecting AA exposure to HCC development, suggesting it as a potential therapeutic target.

Area of Science:

  • Toxicology
  • Oncology
  • Bioinformatics

Background:

  • Aristolochic acids (AA) are natural carcinogens in herbal medicines.
  • Hepatocellular carcinoma (HCC) is a major liver cancer.
  • The molecular link between AA and HCC remains unclear.

Purpose of the Study:

  • Investigate the molecular mechanisms of AA-induced liver cancer.
  • Identify key molecular targets in AA-driven hepatocarcinogenesis.
  • Explore potential therapeutic strategies for AA-related HCC.

Main Methods:

  • Integrated toxicogenomic and HCC gene datasets.
  • Constructed protein-protein interaction networks.
  • Applied machine learning for gene prioritization.
  • Validated findings using bioinformatics, molecular docking, and simulations.

Main Results:

  • Identified 2378 overlapping genes between AA and HCC.
  • Highlighted activated proteasome, cell cycle, and antigen processing pathways.
  • Prioritized PSMB4 as a core gene overexpressed in HCC, linked to poor prognosis and immune infiltration.
  • Confirmed stable binding between AA and PSMB4.

Conclusions:

  • Established a mechanistic link between AA and HCC via network toxicology and machine learning.
  • Identified PSMB4 as a potential biomarker and therapeutic target.
  • Provided insights into toxicant-driven liver cancer development.