A network toxicology approach to elucidate shared oncogenic pathways of Aristolochic acids in prostate, kidney, and

Yuhang Wang1, Cong Li2

  • 1Liaoning Health Industry Group Fukuang General Hospital, Graduate Training Center of Jinzhou Medical University, No. 24, Zhongyang Street, Xinfu District, Fushun City, Liaoning 113000,China.

Toxicology Research
|November 3, 2025
PubMed

Insights

Aristolochic acids (AA) cause kidney damage and cancer. This study reveals AA targets CASP3, a key protein in apoptosis, offering insights into how AA promotes urinary tract tumors.

Area of Science:

  • Toxicology
  • Molecular Biology
  • Oncology

Background:

  • Aristolochic acids (AA) are known nephrotoxins and carcinogens.
  • Their precise molecular mechanisms in inducing urinary system tumors require further elucidation.

Purpose of the Study:

  • To systematically explore the molecular mechanisms underlying Aristolochic acid-induced urinary tract tumors.
  • To identify key molecular targets and pathways involved in AA-induced carcinogenesis using a network toxicology approach.

Main Methods:

  • Network toxicology, including target prediction, protein-protein interaction network construction, and enrichment analysis (GO, KEGG).
  • Utilized TCGA datasets for LASSO regression to identify survival-related hub genes in prostate, renal, and bladder cancers.
  • Performed molecular docking to validate interactions between AA and key targets.

Main Results:

  • Identified 27 overlapping targets between AA and urinary tract tumors.
  • Enrichment analysis implicated targets in apoptosis, inflammation, and cancer pathways (PI3K-Akt, MAPK).
  • CASP3 emerged as a common core gene, with molecular docking confirming stable binding of AA to CASP3.

Conclusions:

  • CASP3 is a potential common key target in Aristolochic acid-induced urinary tract tumorigenesis.
  • Findings provide novel theoretical insights into the molecular mechanisms of AA-related urinary system cancers.