Sennoside A Modulates the Ferroptosis and Immune Evasion of Oral Squamous Cell Carcinoma Cells Through Inhibiting the

Jiaying Huo1, Jianhua Qi2, Qixuan Ren1

  • 1Hebei Medical University, Shijiazhuang, Hebei, China.

Integrative Cancer Therapies
|September 17, 2025
PubMed
Abstract

Insights

Sennoside A (SA) combats oral squamous cell carcinoma (OSCC) by inhibiting proliferation and immune evasion while inducing ferroptosis. This natural compound shows promise in treating OSCC by targeting the NF-κB pathway.

Area of Science:

  • Oncology
  • Natural Products Chemistry
  • Immunology

Background:

  • Oral squamous cell carcinoma (OSCC) presents significant challenges due to high metastasis and recurrence rates.
  • Sennoside A (SA), an anthraquinone natural product, has shown anti-cancer effects in various malignancies.
  • The specific impact of SA on OSCC remains largely unexplored.

Purpose of the Study:

  • To investigate the effects of SA on OSCC cell proliferation, ferroptosis, and immune evasion.
  • To elucidate the underlying molecular mechanisms of SA action in OSCC.
  • To evaluate the in vivo efficacy of SA in a mouse model of OSCC.

Main Methods:

  • Cell viability was assessed using CCK8 assays to determine IC50 values.
  • Proliferation, ferroptosis, and immune evasion markers were analyzed via DCHF-DA staining, biochemical assays, ELISA, and western blotting.
  • In vivo studies involved tumor-bearing mice treated with SA, with analyses including HE staining, immunohistochemistry, and western blotting.

Main Results:

  • SA significantly reduced OSCC cell viability and tumor growth in vivo.
  • SA induced ferroptosis by downregulating GPX4 and xCT, and increasing ROS, MDA, and Fe2+ levels.
  • SA suppressed immune evasion by decreasing PD-L1 expression and enhancing CD8+ T cell cytotoxicity and pro-inflammatory cytokine production (IFN-γ, IL-2, TNF-α).
  • SA acted via the NF-κB pathway, reducing NF-κB and IκBα phosphorylation, an effect reversed by RANKL treatment.

Conclusions:

  • SA effectively suppresses OSCC proliferation and immune evasion.
  • SA induces ferroptosis in OSCC cells through the inactivation of the NF-κB pathway.
  • SA demonstrates therapeutic potential for OSCC treatment, both in vitro and in vivo.