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Serum Metabolomics and Multiomics Validation Reveal Zishangan Granule-Induced P53-Bax/Casp3 Signaling in NSCLC

Muhammad Yousif1,2, Fei Liao1, Haoan Wang1

  • 1Agricultural Animal Diseases and Veterinary Public Health Key Laboratory of Sichuan Province, College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, China.

Insights

Zishangan Granule (ZSG) demonstrates significant anti-nonsmall cell lung cancer (NSCLC) effects by targeting key apoptosis-related genes. This traditional Chinese medicine formulation warrants further investigation for NSCLC treatment.

Area of Science:

  • Integrative oncology
  • Pharmacology
  • Computational biology

Background:

  • Nonsmall cell lung cancer (NSCLC) is a leading cause of cancer mortality, necessitating novel therapeutic strategies.
  • Multitarget agents with clear mechanisms are crucial for effective NSCLC treatment.

Purpose of the Study:

  • To investigate the anti-NSCLC activity of Zishangan Granule (ZSG), a four-herb formulation.
  • To elucidate the molecular mechanisms underlying ZSG's therapeutic effects in NSCLC.

Main Methods:

  • Serum metabolomics and network pharmacology to identify active compounds and targets.
  • Molecular docking and analysis of public multiomics datasets (transcriptomic, proteomic, IHC).
  • In vivo (Lewis lung carcinoma model) and in vitro (LLC, A549 cells) experimental validation.

Main Results:

  • Identified 15 serum-available constituents in ZSG; network analysis revealed 111 shared targets with NSCLC genes, highlighting TP53, CASP3, BAX, PTEN, and PARP1 as core targets.
  • ZSG significantly reduced tumor weight (58.3%) and increased apoptosis in a Lewis lung carcinoma model, upregulating P53, P21, BAX, CASP3, PTEN, and PARP1.
  • In vitro studies showed ZSG reduced cancer cell viability and colony formation, inducing apoptosis.

Conclusions:

  • Zishangan Granule exhibits potent anti-NSCLC activity.
  • The mechanism involves the TP53-associated BAX/CASP3 apoptotic signaling pathway.
  • ZSG demonstrates potential as a novel therapeutic agent for NSCLC, meriting further preclinical research.