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Published on: March 20, 2018
A network toxicology approach to elucidate shared oncogenic pathways of Aristolochic acids in prostate, kidney, and
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.
Abstract:
Extensive clinical and epidemiological studies have shown that Aristolochic acids (AA) exhibit significant nephrotoxicity, mutagenicity, and carcinogenicity. This study aimed to systematically explore the potential molecular mechanisms by which AA induce urinary system tumors using a network toxicology approach.The carcinogenic potential of AA was predicted using ProTox, ADMETlab, and admetSAR. Potential targets of AA were identified via SEA, SwissTargetPrediction, and TargetNet, and then intersected with urinary tract tumor related genes obtained from the GeneCards database to yield common targets. A protein-protein interaction network was constructed, and GO and KEGG enrichment analyses were performed to determine their functional characteristics. LASSO regression models were built using TCGA datasets for prostate cancer, clear cell renal cell carcinoma, and bladder cancer to screen survival related hub genes. Finally, molecular docking of AA with the key targets was conducted using the CB-Dock2 platform. A total of 27 overlapping targets between AA and the three urinary tract tumors were identified. Enrichment analysis indicated that these targets are significantly involved in apoptosis, inflammatory responses, and cancer related pathways such as PI3K-Akt and MAPK. The LASSO regression models exhibited good prognostic performance across all three tumor types, with CASP3 identified as a common and significant core gene. Molecular docking analysis showed that AA can stably bind to the active pocket of CASP3.CASP3 may serve as a common key target in AA-induced urinary tract tumorigenesis. These findings provide novel theoretical insights into the molecular mechanisms by which AA promote the development of urinary system cancers.
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.

