Network pharmacology reveals that Yanghe Decoction inhibits osteosarcoma progression via ROS-induced mitochondrial

Yanran Huang1, Dagang Tang1, Runhan Zhao1

  • 1Department of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

Genes & Diseases
|February 20, 2026
PubMed

Insights

Yanghe Decoction (YHD) shows anti-osteosarcoma potential by disrupting mitochondria and modulating signaling pathways. It enhances cisplatin sensitivity, offering a promising adjuvant therapy for bone cancer.

Area of Science:

  • Oncology
  • Pharmacology
  • Traditional Chinese Medicine

Background:

  • Osteosarcoma (OS) is an aggressive bone cancer with poor treatment outcomes.
  • Chemoresistance is a major challenge in osteosarcoma management.
  • The anti-tumor mechanisms of Yanghe Decoction (YHD) in OS are not well understood.

Purpose of the Study:

  • To investigate the anti-osteosarcoma mechanisms of YHD using network pharmacology and experimental validation.
  • To identify active components and molecular targets of YHD in osteosarcoma.
  • To evaluate YHD's potential as an adjuvant therapy for osteosarcoma.

Main Methods:

  • Network pharmacology identified YHD components and targets.
  • Molecular docking assessed compound-target interactions.
  • In vitro assays evaluated YHD's effects on OS cell proliferation, migration, invasion, and apoptosis.
  • Western blotting analyzed key signaling pathways (PI3K/AKT, MAPK).
  • In vivo studies assessed YHD's efficacy in an orthotopic OS mouse model.

Main Results:

  • YHD targets 101 OS-related genes, with AKT1, TP53, MAPK14, and CASP3 as core targets.
  • YHD inhibited OS cell proliferation, migration, and invasion, while promoting apoptosis.
  • YHD induced mitochondrial dysfunction and elevated reactive oxygen species (ROS).
  • YHD suppressed PI3K/AKT signaling and activated p38 MAPK signaling.
  • YHD enhanced cisplatin sensitivity in OS cells both in vitro and in vivo.

Conclusions:

  • YHD exerts anti-osteosarcoma effects through ROS-mediated mitochondrial disruption and modulation of PI3K/AKT and MAPK pathways.
  • YHD demonstrates potential as an adjuvant therapy to improve conventional chemotherapy efficacy for osteosarcoma.
  • Further research into YHD's active compounds and precise mechanisms is warranted.