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Updated: Jan 9, 2026

Author Spotlight: Investigating the Potential of Chinese Herbal Medicinal Active Dioscin in Treating IgA Nephropathy
Published on: October 13, 2023
Dioscin suppresses epithelial-mesenchymal transition in gastric cancer by upregulating Cx43 to inhibit the
Yu Kou1, Rentao Zhu2, Feng Gu1
1School of Traditional Chinese Medicine, Faculty of Medicine, Yangzhou University, Yangzhou, 225009, PR China; NATCM Key Laboratory of Syndrome Differentiation and Treatment of Gastric Cancer, Yangzhou, 225009, PR China.
Background:
Connexin 43 (Cx43) and Cx43-gap-junction-intercellular-communications (Cx43-GJs) play an important role in metastasis. While dioscin exhibits remarkable anticancer activities in various cancers, its effect on Cx43/Cx43-GJs in gastric cancer (GC) remains poorly understood.
Purpose:
This study aimed to elucidate the anti-metastatic efficacy and underlying mechanism of the plant-derived compound dioscin against gastric cancer cells.
Methods:
We integrated network pharmacology, molecular docking, and dynamics simulations to identify targets. Using in vitro models (overexpression, G21R mutant, siRNA knockdown) and in vivo xenograft models, we assessed dioscin's effects on proliferation, invasion, migration, epithelial-mesenchymal transition (EMT), and signaling pathways via Western blot, immunofluorescence, wound healing, transwell, and co-immunoprecipitation assays.
Results:
Bioinformatic analysis highlighted the VEGFA/PI3K/AKT/mTOR pathway as central to GC malignancy. Dioscin suppressed this axis in a time- and concentration-dependent manner by upregulating Cx43 and enhancing gap junction function. Loss-of-function (siRNA/G21R) and rescue experiments confirmed that functional Cx43 is essential for the efficacy of dioscin. The G21R mutant revealed the critical role of Cx43's scaffolding function in signaling regulation. Dioscin, via a Cx43-mediated "dual-barrier" mechanism-strengthening epithelial adhesion and triggering migration inhibition-effectively suppressed EMT and cell motility.
Conclusion:
This study elucidates a novel mechanism by which dioscin inhibits GC via Cx43-mediated suppression of VEGFA/PI3K/AKT/mTOR signaling and establishes Cx43 as a key nexus linking natural compounds to oncogenic pathways. The non-channel scaffolding function of Cx43 offers a new theoretical framework and therapeutic strategy for GC intervention.
Insights
Dioscin, a natural compound, inhibits gastric cancer metastasis by upregulating connexin 43 (Cx43) and enhancing its function, thereby suppressing the VEGFA/PI3K/AKT/mTOR pathway. This study reveals Cx43
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Connexin 43 (Cx43) and its gap junctions (Cx43-GJs) are implicated in cancer metastasis.
- Dioscin demonstrates anticancer properties, but its mechanism in gastric cancer (GC) regarding Cx43 is unclear.
Purpose of the Study:
- To investigate the anti-metastatic effects of dioscin on gastric cancer cells.
- To elucidate the underlying molecular mechanisms involving Cx43 and associated signaling pathways.
Main Methods:
- Integrated network pharmacology, molecular docking, and dynamics simulations.
- Utilized in vitro (cell lines, mutants, knockdown) and in vivo (xenograft) models.
- Assessed proliferation, invasion, migration, epithelial-mesenchymal transition (EMT), and signaling via Western blot, immunofluorescence, and co-immunoprecipitation.
Main Results:
- Identified the VEGFA/PI3K/AKT/mTOR pathway as crucial in GC malignancy.
- Dioscin suppressed this pathway by upregulating Cx43 and enhancing gap junction function.
- Demonstrated that functional Cx43 is essential for dioscin's anti-metastatic efficacy through a dual-barrier mechanism.
Conclusions:
- Dioscin inhibits GC metastasis by suppressing the VEGFA/PI3K/AKT/mTOR pathway via Cx43.
- Establishes Cx43 as a critical link between natural compounds and oncogenic pathways in GC.
- Highlights the non-channel scaffolding function of Cx43 as a therapeutic target for GC.
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