Deciphering Lipid Metabolic Landscape of Sorafenib-Treated Hepatocellular Carcinoma by Mass Spectrometry Imaging and

Dongsheng Li1, Yuanyuan Tuo2, Luheng Sai2

  • 1First Clinical Medical School, Shanxi Medical University, Taiyuan 030001, China.

Biomolecules
|May 27, 2026
PubMed

Insights

Sorafenib disrupts sphingolipid metabolism in hepatocellular carcinoma (HCC) cells and activates immune pathways in mouse models. This suggests dual effects on tumor lipid metabolism and the immune microenvironment for HCC therapy.

Area of Science:

  • Oncology
  • Metabolomics
  • Immunology

Background:

  • Advanced hepatocellular carcinoma (HCC) exhibits metabolic heterogeneity, limiting sorafenib (SOR) efficacy.
  • Understanding SOR's impact on lipid metabolism and the immune microenvironment is crucial for improving HCC treatment.

Purpose of the Study:

  • To investigate the spatial lipidomic alterations in HCC spheroids treated with SOR.
  • To explore the immunological and inflammatory changes induced by SOR in an orthotopic HCC mouse model.

Main Methods:

  • High-resolution matrix-assisted laser desorption/ionization mass spectrometry imaging (MALDI MSI) for spatial lipidomics.
  • Immunohistochemistry, immunofluorescence, transcriptomics, and Q-PCR for molecular and immunological analyses.
  • Bio-layer interferometry and molecular docking to assess drug-target interactions.

Main Results:

  • SOR treatment significantly altered sphingophospholipid and glycerophospholipid metabolism in HCC spheroids.
  • SOR induced immunological changes, including increased expression of inflammatory genes (Stat1, Zbp1, Parp14, Irf1, Tifa) and altered macrophage polarization.
  • ZBP1 showed favorable binding affinity with SOR, suggesting a potential molecular interaction.

Conclusions:

  • SOR disrupts sphingolipid metabolism in HCC tumor cells and activates the NOD-like receptor signaling pathway in vivo.
  • SOR exhibits dual effects on tumor cell lipid metabolism and the tumor immune microenvironment.
  • Findings support exploring lipid-modulating strategies combined with immunotherapy for HCC treatment.

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