Xihuang Wan mediates glycolysis and inhibits lung cancer development by downregulating the AKT/STAT3 pathway

Xiaoliang Han1, Tong Liu2, Jinrong Huang3

  • 1Department of Thoracic Surgery, Affiliated Hospital of Shaoxing University (The Shaoxing Municipal Hospital), Shaoxing 312000, China.

Tissue & Cell
|November 1, 2025
PubMed

Insights

Xihuang Wan (XHW) significantly inhibits lung cancer cell growth and glycolysis by downregulating the AKT-STAT3 pathway. This traditional Chinese medicine shows promise in treating lung cancer by targeting key metabolic processes.

Area of Science:

  • Oncology
  • Metabolic pathways
  • Traditional Chinese Medicine

Background:

  • Glycolysis is crucial for lung cancer cell proliferation and survival.
  • Targeting cancer metabolism offers a potential therapeutic strategy.

Purpose of the Study:

  • To investigate the effect of Xihuang Wan (XHW) on lung cancer glycolysis.
  • To elucidate the underlying molecular mechanisms involving the AKT-STAT3 pathway.

Main Methods:

  • In vitro studies using A549 lung cancer cells treated with XHW, AKT activator SC79, and AKT inhibitor MK-2206.
  • In vivo studies using a lung cancer mouse model treated with XHW.
  • Assays included cell proliferation, migration, invasion, apoptosis, cell cycle analysis, glucose uptake, extracellular acidification rate, and Western blotting for protein expression.

Main Results:

  • XHW inhibited A549 cell proliferation, migration, invasion, and induced apoptosis and G1 cell cycle arrest.
  • XHW markedly reduced glycolysis, evidenced by decreased glucose uptake, metabolic products, extracellular acidification rate, and glycolysis-related proteins.
  • XHW downregulated the AKT-STAT3 pathway, with effects partially reversed by SC79 and enhanced by MK-2206.
  • In vivo, XHW inhibited tumor growth and improved lung pathology in mice, reducing glycolysis and AKT-STAT3 pathway proteins.

Conclusions:

  • Xihuang Wan (XHW) demonstrates significant anti-lung cancer effects by inhibiting glycolysis.
  • The mechanism involves the downregulation of the AKT-STAT3 signaling pathway.
  • XHW represents a potential therapeutic agent for lung cancer treatment targeting metabolic reprogramming.