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Research Progress on the Regulation of Ferroptosis by Traditional Chinese Medicine in the Intervention of Hepatocellular Carcinoma

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DOI: 10.23977/medcm.2025.070201 | Downloads: 9 | Views: 359

Author(s)

Yuanrong Shi 1, Xiaofeng Zhai 2

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Middle Section of Century Avenue, Xianyang City, Shaanxi Province, China
2 Department of Traditional Chinese Medicine Oncology, The First Affiliated Hospital of Naval Medical University, Xiangyin Road, Yangpu District, Shanghai, China

Corresponding Author

Xiaofeng Zhai

ABSTRACT

Hepatocellular Carcinoma is a common malignant tumour in China, with high morbidity and mortality rates, seriously threatening people's lives and health. Traditional treatments for liver cancer have poor efficacy, high toxicity and side effects, drug resistance and easy recurrence. Traditional Chinese medicine, however, has the advantages of multiple pathways and low side effects because it is derived from natural products. Ferroptosis, as a new type of cell death, can effectively inhibit the proliferation and metastasis of hepatocellular carcinoma cells, and significantly improve the resistance of hepatocellular carcinoma patients to chemotherapeutic drugs and their sensitivity to radiotherapy. Numerous studies have shown that the active ingredients in traditional Chinese medicine can induce the occurrence of ferroptosis and inhibit the progression of hepatocellular carcinoma through lipid peroxidation, iron metabolism, and Xc--GSH-GPX4 system in order to exert anti-hepatocellular carcinoma efficacy. This paper summarises the relationship between the occurrence of ferroptosis and hepatocellular carcinoma, and discusses the mechanism of targeting and regulating the ferroptosis of TCM extracts against hepatocellular carcinoma, with a view to providing research ideas and theoretical basis for the treatment of hepatocellular carcinoma by traditional Chinese medicine.

KEYWORDS

Hepatocellular carcinoma, Ferroptosis, Medicinal herb, Mechanism

CITE THIS PAPER

Yuanrong Shi, Xiaofeng Zhai, Research progress on the regulation of Ferroptosis by traditional Chinese medicine in the intervention of hepatocellular carcinoma. MEDS Chinese Medicine (2025) Vol. 7: 1-5. DOI: http://dx.doi.org/10.23977/medcm.2025.070201.

REFERENCES

[1] McGlynn K A, Petrick J L, Groopman J D. Liver Cancer: Progress and Priorities[J]. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 2024, 33(10): 1261–1272.
[2] Rumgay H, Arnold M, Ferlay J, Lesi O, Cabasag C J, Vignat J, Laversanne M, McGlynn K A, Soerjomataram I. Global burden of primary liver cancer in 2020 and predictions to 2040[J]. Journal of Hepatology, 2022, 77(6): 1598.
[3] Chen D, Wang J, Li Y, Xu C, Fanzheng M, Zhang P, Liu L. LncRNA NEAT1 suppresses cellular senescence in hepatocellular carcinoma via KIF11-dependent repression of CDKN2A[J]. Clinical and Translational Medicine, 2023, 13(9): e1418. 
[4] Liu Y, Yang S, Wang K, Lu J, Bao X, Wang R, Qiu Y, Wang T, Yu H. Cellular senescence and cancer: Focusing on traditional Chinese medicine and natural products[J]. Cell Proliferation, 2020, 53(10): e12894.
[5] Ursini F, Maiorino M. Lipid peroxidation and ferroptosis: The role of GSH and GPx4[J]. Free Radical Biology & Medicine, 2020, 152: 175–185.
[6] Dahiya M, Dureja H. Sorafenib for hepatocellular carcinoma: potential molecular targets and resistance mechanisms[J]. Journal of Chemotherapy (Florence, Italy), 2022, 34(5): 286–301.
[7] Zhao L, Zhou X, Xie F, Zhang L, Yan H, Huang J, Zhang C, Zhou F, Chen J, Zhang L. Ferroptosis in cancer and cancer immunotherapy[J]. Cancer Communications (London, England), 2022, 42(2): 88–116.
[8] Pope L E, Dixon S J. Regulation of ferroptosis by lipid metabolism[J]. Trends in Cell Biology, 2023, 33(12): 1077–1087.
[9] Cui K, Wang K, Huang Z. Ferroptosis and the tumor microenvironment[J]. Journal of experimental & clinical cancer research: CR, 2024, 43(1): 315.
[10] Li F-J, Long H-Z, Zhou Z-W, Luo H-Y, Xu S-G, Gao L-C. System Xc -/GSH/GPX4 axis: An important antioxidant system for the ferroptosis in drug-resistant solid tumor therapy[J]. Frontiers in Pharmacology, 2022, 13: 910292.
[11] Du Y, Guo Z. Recent progress in ferroptosis: inducers and inhibitors[J]. Cell Death Discovery, 2022, 8(1): 501.
[12] Liu J, Kang R, Tang D. Signaling pathways and defense mechanisms of ferroptosis[J]. The FEBS journal, 2022, 289(22): 7038–7050.
[13] He Y, Lin Y, Song J, Song M, Nie X, Sun H, Xu C, Han Z, Cai J. From mechanisms to medicine: Ferroptosis as a Therapeutic target in liver disorders[J]. Cell communication and signaling: CCS, 2025, 23(1): 125.
[14] Feng J, Lu P-Z, Zhu G-Z, Hooi S C, Wu Y, Huang X-W, Dai H-Q, Chen P-H, Li Z-J, Su W-J, Han C-Y, Ye X-P, Peng T, Zhou J, Lu G-D. ACSL4 is a predictive biomarker of sorafenib sensitivity in hepatocellular carcinoma[J]. Acta Pharmacologica Sinica, 2021, 42(1): 160–170.
[15] Nassar-Reis J P, Umeta P F, Stefano J T, Longatto-Filho A, Carrilho F J, Alves V A F, Cogliati B, Oliveira C P. P53 and VEGF are promising biomarkers for sorafenib efficacy in an experimental model of NASH-related HCC[J]. Journal of Molecular Histology, 2023, 54(5): 473–488.
[16] Miao Chang-Xin, Leng Jin-Hong. Progress of pharmacological effects and mechanism of Diosgenin[J]. Chinese Journal of Traditional Chinese Medicine, 2024, 42(11): 113-118. 
[17] Semwal P, Painuli S, Abu-Izneid T, Rauf A, Sharma A, Daştan S D, Kumar M, Alshehri M M, Taheri Y, Das R, Mitra S, Emran T B, Sharifi-Rad J, Calina D, Cho W C. Diosgenin: An Updated Pharmacological Review and Therapeutic Perspectives[J]. Oxidative Medicine and Cellular Longevity, 2022, 2022: 1035441.
[18] Liu Ziyu, Zhu Wenbin, Feng Bo, et al. Progress of pharmacological activity and mechanism of Diosgenin[J]. Chinese Pharmaceutical Science, 2023, 13(3): 34-37.
[19] Song S, Chu L, Liang H, Chen J, Liang J, Huang Z, Zhang B, Chen X. Protective Effects of Dioscin Against Doxorubicin-Induced Hepatotoxicity Via Regulation of Sirt1/FOXO1/NF-κb Signal[J]. Frontiers in Pharmacology, 2019, 10: 1030.
[20] Liang D, Minikes A M, Jiang X. Ferroptosis at the intersection of lipid metabolism and cellular signaling[J]. Molecular cell, 2022, 82(12): 2215–2227.
[21] Guo Z, Huo X, Li X, Jiang C, Xue L. Advances in regulation and function of stearoyl-CoA desaturase 1 in cancer, from bench to bed[J]. Science China. Life Sciences, 2023, 66(12): 2773–2785.
[22] Liu H-H, Xu Y, Li C-J, Hsu S-J, Lin X-H, Zhang R, Chen J, Chen J, Gao D-M, Cui J-F, Yang X-R, Ren Z-G, Chen R-X. An SCD1-dependent mechanoresponsive pathway promotes HCC invasion and metastasis through lipid metabolic reprogramming[J]. Molecular Therapy: The Journal of the American Society of Gene Therapy, 2022, 30(7): 2554–2567.
[23] X C, R K, G K, D T. Nat Rev Clin Oncol, 2021. Broadening horizons: the role of ferroptosis in cancer[J]. Nature reviews. Clinical oncology, 2021, 18(5).
[24] Yang R, Gao W, Wang Z, Jian H, Peng L, Yu X, Xue P, Peng W, Li K, Zeng P. Polyphyllin I induced ferroptosis to suppress the progression of hepatocellular carcinoma through activation of the mitochondrial dysfunction via Nrf2/HO-1/GPX4 axis[J]. Phytomedicine: International Journal of Phytotherapy and Phytopharmacology, 2024, 122: 155135.
[25] Zheng Qiuyan, Chen Lidan, Cai Jiajia, Sun Zhaohui. Study on the mechanism of action of baicalin in inducing ferroptosis in hepatocellular carcinoma cells[J]. Laboratory Medicine and Clinics, 2024, 21(15): 2270-2273, 2278.

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