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Updated: May 31, 2026

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Resveratrol's hepatic symphony: conducting a multi-stage intervention in liver cancer's progression
Cui Guo1, Fang Cao2, Ling Zhou3
1Department of Rheumatology and Immunology, First Affiliated Hospital of Army Military Medical University, Chongqing 400038, China; Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China.
Abstract:
The development of hepatocellular carcinoma (HCC) is a multistep process often associated with chronic hepatitis, liver fibrosis, and cirrhosis. Natural products, like resveratrol, have attracted considerable attention as anticancer drugs due to their diverse pharmacological activities. Resveratrol is a natural polyphenol present in plant foods, which has antioxidant, anti-inflammatory, anti-tumor, and anti-angiogenesis effects. The growing consensus shows that resveratrol plays a therapeutic role in liver diseases positively. The therapeutic effect observed in chronic hepatitis may be related to its ability to interfere with viral replication through PI3K/Akt, NF-κB, and MAPK signaling modulation, as well as to diminish hepatocellular injury by anti-inflammatory and antioxidant means. In liver fibrosis and cirrhosis, resveratrol decelerates the progression of fibrosis by suppressing the activation of hepatic stellate cells (HSC) and collagen production as well as by regulating signaling pathways, Hippo, Nrf2/Keap1, and SIRT1. Resveratrol also prevents tumor growth, induces apoptosis and inhibits migration, invasion and angiogenesis by various signaling pathways, which include PI3K/AKT, JNK, NF-κB, and p53 in advanced HCC. It is the first time that a multi-stage mechanism of resveratrol is presented in the development of HCC, which highlights its multi-target regulation and treatment capabilities.
Insights
Resveratrol, a natural compound, shows therapeutic potential in liver diseases by targeting multiple pathways. It combats chronic hepatitis, liver fibrosis, and hepatocellular carcinoma (HCC) progression.
Area of Science:
- Natural Product Chemistry
- Hepatology
- Oncology
Background:
- Hepatocellular carcinoma (HCC) development involves chronic hepatitis, liver fibrosis, and cirrhosis.
- Resveratrol, a natural polyphenol, exhibits antioxidant, anti-inflammatory, and anti-tumor properties.
- Resveratrol demonstrates therapeutic effects in various liver diseases.
Purpose of the Study:
- To elucidate the multi-stage mechanism of resveratrol in hepatocellular carcinoma (HCC) development.
- To highlight resveratrol's multi-target regulation and treatment capabilities in liver diseases.
Main Methods:
- Review of signaling pathways modulated by resveratrol in chronic hepatitis, liver fibrosis, and HCC.
- Analysis of resveratrol's effects on viral replication, hepatocellular injury, hepatic stellate cell activation, and tumor growth.
- Investigation of pathways including PI3K/Akt, NF-κB, MAPK, Hippo, Nrf2/Keap1, SIRT1, JNK, and p53.
Main Results:
- Resveratrol interferes with viral replication and reduces hepatocellular injury via antioxidant and anti-inflammatory actions.
- Resveratrol decelerates fibrosis by suppressing hepatic stellate cell activation and collagen production.
- Resveratrol inhibits tumor growth, induces apoptosis, and reduces migration, invasion, and angiogenesis in advanced HCC.
Conclusions:
- Resveratrol exhibits a multi-stage therapeutic mechanism in HCC development.
- Resveratrol's multi-target regulation offers significant treatment potential for liver diseases.
- This study presents a comprehensive view of resveratrol's role across different stages of liver disease progression.
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