Article(id=1322631328424636856, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631259684192984, articleNumber=null, orderNo=null, doi=10.7501j.issn.0253-2670.2026.19.013, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1771430400000, receivedDateStr=2026-02-19, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793269481997, onlineDateStr=2026-10-29, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793269481997, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793269481997, creator=13701087609, updateTime=1793269481997, updator=13701087609, issue=Issue{id=1322631259684192984, tenantId=1146029695717560320, journalId=1302319053441957962, year='2026', volume='57', issue='19', pageStart='7501', pageEnd='7928', issueExtLink='null', onlineDate='null', pubDate='1791734400000', pubDateStr='2026-10-12', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1793269465608, creator='13701087609', updateTime=1793269554856, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322631634101326494, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631259684192984, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322631634101326495, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631259684192984, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=7651, endPage=7665, ext={EN=ArticleExt(id=1322631328755986874, articleId=1322631328424636856, tenantId=1146029695717560320, journalId=1302319053441957962, language=EN, title=Gamabufotalin induces autophagy via PFKFB4-mediated GSK-3β/mTOR signaling pathway in nasopharyngeal carcinoma cells, columnId=null, journalTitle=Chinese Traditional and Herbal Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=Objective To study the effect of gamabufotalin (CS-6) on the proliferation of nasopharyngeal carcinoma cells, and explore the mechanism by which CS-6 inhibits nasopharyngeal carcinoma cell proliferation through cell cycle arrest and autophagy. Methods The inhibitory effect of CS-6 on the proliferation of HK-1 and 5-8F cells was detected through CCK-8 assay and colony formation assay. Flow cytometry was used to detect the effect of CS-6 on the cell cycle distribution and apoptosis of HK-1 and 5-8F cells. Western blotting was used to detect the expressions of Cyclin B1 and cyclin dependent protein kinase 1 (CDK1). Transcriptome sequencing was used to screen for differentially expressed genes after CS-6 treatment, and IPA software was used to analyze the enrichment pathways of differentially expressed genes. The ultrastructure of autophagosomes after CS-6 acts on cells was observed using transmission electron microscopy. Western blotting was used to detect the expressions of microtubule associated protein light chain 3 (LC3), p62, and glycogen synthase kinase-3β (GSK-3β)/mammalian target of rapamycin (mTOR) pathway related proteins. After transient transfection of mCherry-EGFP-LC3 plasmid, the changes in autophagy flux of cells treated with CS-6 were observed using laser confocal microscopy. In order to investigate the effect of PFKFB4 on CS-6-induced proliferation, cell cycle arrest and autophagy of nasopharyngeal carcinoma cells, HK-1 and 5-8F cells were transfected with PFKFB4 plasmid, qRT-PCR and Western blotting were used to detect the expression of 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase-4 (PFKFB4), as well as changes in cell survival rate, colony formation, autophagy flux, cell cycle and autophagy related protein expressions. A mouse model of nasopharyngeal carcinoma transplantation in vivo was established, after CS-6 administration, tumor volume and weight were measured, pathological changes in tumor, liver and kidney tissues were observed using hematoxylin-eosin staining, Ki67 expression in tumor tissues was detected using immunohistochemistry, LC3, p62, Cyclin B1, CDK1, p-mTOR, PFKFB4 and p-GSK-3β protein expressions in tumor tissues were detected using Western blotting. Results After 48 h of treatment, CS-6 significantly inhibited the proliferation of HK-1 and 5-8F cells (P < 0.05, 0.001), with half-maximal inhibitory concentrations of 8.684 and 14.320 nmol/L, respectively. CS-6 caused significant G2/M phase arrest in HK-1 and 5-8F cells (P < 0.05, 0.01), while increasing protein expressions of Cyclin B1 and CDK1 (P < 0.05, 0.01, 0.001). CS-6 did not induce apoptosis in HK-1 and 5-8F cells under treatment conditions of 48 h. CS-6 significantly reduced the mRNA and protein expressions of PFKFB4 (P < 0.05, 0.01, 0.001), typical double-membrane autophagosomes and autolysosomes were observed in the cells, CS-6 upregulated LC3-II/I and downregulated p62 protein expressions (P < 0.05, 0.01, 0.001), promoted the fusion of autophagosomes and lysosomes. Overexpression of PFKFB4 could partially reverse the inhibitory effect of CS-6 on cell proliferation and regulate the expressions of cell cycle and autophagy related proteins (P < 0.05, 0.01, 0.001), and inhibit the fusion of autophagosomes and lysosomes. CS-6 significantly increased the expression of p-GSK-3β and inhibited the expression of p-mTOR (P < 0.05, 0.01, 0.001). Overexpression of PFKFB4 could partially reverse the regulatory effects of CS-6 on p-GSK-3β and p-mTOR (P < 0.05, 0.01). In vivo, CS-6 significantly inhibited tumor growth in tumor bearing mice (P < 0.001), induced pathological damage to tumor tissue, inhibited tumor cell proliferation (P < 0.001), upregulated LC3-II/I, p-GSK-3β expressions and downregulated p62 expression in tumor tissue (P < 0.001), downregulated protein expressions of p-mTOR, PFKFB4, Cyclin B1 and CDK1 (P < 0.01, 0.001), and had no effect on liver and kidney tissues. Conclusion CS-6 exerts an anti-nasopharyngeal carcinoma effect by downregulating PFKFB4, thereby regulating GSK-3β/mTOR signaling pathway and inducing autophagy and cell-cycle arrest., authors=ZHANG Naiyu1, MU Yuejun2, SUN Xin1, ZHANG Xuefeng3, FENG Xiaofei3, XIONG Xuemei1, LIN Haiyan1, BI Sixue1, authorsList=ZHANG Naiyu, MU Yuejun, SUN Xin, ZHANG Xuefeng, FENG Xiaofei, XIONG Xuemei, LIN Haiyan, BI Sixue, authorCompany=1 College of Traditional Chinese Medicine, Shandong Medical and Pharmaceutical University, Yantai 264003, China;
2 Yantai Traditional Chinese Medicine Hospital Affiliated to Shandong Medical and Pharmaceutical University, Yantai 264000, China;
3 Yantai Affiliated Hospital of Shandong Medical and Pharmaceutical University, Yantai 264100, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322631328676295097, articleId=1322631328424636856, tenantId=1146029695717560320, journalId=1302319053441957962, language=CN, title=日蟾蜍它灵通过PFKFB4介导的GSK-3β/mTOR信号通路诱导鼻咽癌细胞自噬, columnId=1304140191707456168, journalTitle=中草药, columnName=药理与临床, runingTitle=null, highlight=null, articleAbstract=目的 研究日蟾蜍它灵(gamabufotalin,CS-6)对鼻咽癌细胞增殖的影响,从细胞周期阻滞和自噬探讨CS-6抑制鼻咽癌细胞增殖的机制。方法 通过CCK-8实验、克隆形成实验检测CS-6对HK-1和5-8F细胞的增殖抑制作用;使用流式细胞仪检测CS-6对HK-1和5-8F细胞周期分布和凋亡的影响;采用Western blotting检测细胞周期蛋白B1(Cyclin B1)和周期蛋白依赖性激酶1(cyclin dependent protein kinase 1,CDK1)的表达;采用转录组测序技术筛选CS-6作用于细胞后的差异表达基因,IPA软件分析差异表达基因的富集通路;采用透射电镜观察CS-6作用于细胞后自噬体的超微结构;采用Western blotting检测微管相关蛋白轻链3(microtubule-associated protein light chain 3,LC3)、p62、糖原合成酶激酶-3β(glycogen synthase kinase-3β,GSK-3β)/哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)通路相关蛋白表达;通过瞬时转染mCherry-EGFP-LC3质粒后,使用激光共聚焦显微镜观察CS-6作用于细胞后自噬通量的变化。为了研究PFKFB4在CS-6诱导鼻咽癌细胞增殖、周期阻滞及自噬中的作用,HK-1和5-8F细胞转染PFKFB4质粒后,采用qRT-PCR和Western blotting检测6-磷酸果糖-2-激酶/果糖-2,6-二磷酸酶-4(6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 4,PFKFB4)的表达,检测细胞存活率、集落形成、自噬通量、细胞周期和自噬相关蛋白表达的变化。体内建立鼻咽癌移植瘤小鼠模型,给予CS-6干预后,测定肿瘤体积和质量,采用苏木素-伊红染色观察肿瘤、肝、肾组织病理变化,采用免疫组化法检测肿瘤组织Ki67表达,采用Western blotting检测肿瘤组织中LC3、p62、Cyclin B1、CDK1、p-mTOR、PFKFB4、p-GSK-3β蛋白表达。结果 CS-6作用于细胞48 h后,能够显著抑制HK-1和5-8F细胞的增殖(P<0.05、0.001),其半数抑制浓度分别为8.684、14.320 nmol/L;CS-6引起HK-1和5-8F细胞发生明显的G₂/M期阻滞(P<0.05、0.01),同时增加Cyclin B1和CDK1的蛋白表达(P<0.05、0.01、0.001);CS-6在48 h处理条件下未诱导HK-1和5-8F细胞发生凋亡。CS-6显著降低PFKFB4的mRNA及蛋白表达(P<0.05、0.01、0.001),在细胞内观察到自噬典型的双层膜结构及自噬溶酶体,上调LC3-II/I以及下调p62的蛋白表达(P<0.05、0.01、0.001),促进自噬体与溶酶体的融合。过表达PFKFB4能部分逆转CS-6对细胞增殖的抑制以及对细胞周期、自噬相关蛋白表达的调控作用(P<0.05、0.01、0.001),并使自噬小体和溶酶体的融合受阻。CS-6显著增加p-GSK-3β表达并抑制p-mTOR的表达(P<0.05、0.01、0.001);过表达PFKFB4可部分逆转CS-6对p-GSK-3β和p-mTOR的调控作用(P<0.05、0.01)。体内实验中,CS-6显著抑制荷瘤小鼠肿瘤生长(P<0.001),诱导肿瘤组织发生病理损伤,抑制肿瘤细胞增殖(P<0.001),上调肿瘤组织中LC3-II/I、p-GSK3β表达并下调p62表达(P<0.001),下调p-mTOR、PFKFB4、Cyclin B1和CDK1的蛋白表达(P<0.01、0.001),且对肝肾组织无影响。结论 CS-6通过下调PFKFB4,进而调控GSK-3β/mTOR信号通路,激活自噬及细胞周期过程,从而发挥抗鼻咽癌作用。, authors=张乃宇1, 慕岳峻2, 孙欣1, 张雪峰3, 冯晓飞3, 熊雪梅1, 林海燕1, 毕思学1, authorsList=张乃宇, 慕岳峻, 孙欣, 张雪峰, 冯晓飞, 熊雪梅, 林海燕, 毕思学, authorCompany=1 山东医药大学中医学院, 山东 烟台 264003;
2 山东医药大学附属烟台市中医医院, 山东 烟台 264000;
3 山东医药大学烟台附属医院, 山东 烟台 264100, correspAuthors=毕思学, authorNote=张乃宇: 张乃宇,女,硕士研究生,研究方向为中药抗肿瘤药理研究。E-mail:1226984985@qq.com, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=fpLRB7Yv1iC6zfPTgwD8ng==, pdfFileSize=2103593, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=山东省自然科学基金面上项目 (ZR2024MH059); 滨州医学院中医药学科融合科技计划专项项目 (2024YYKJ12); 国家自然科学基金青年基金项目 (82104463); 山东省自然科学基金青年基金项目 (ZR202103060169))}, authors=null, keywords=[Keyword(id=1322634687177147142, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=CN, orderNo=1, keyword=鼻咽癌), Keyword(id=1322634687244256007, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=CN, orderNo=2, keyword=日蟾蜍它灵), Keyword(id=1322634687328142088, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=CN, orderNo=3, keyword=PFKFB4), Keyword(id=1322634687391056649, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=CN, orderNo=4, keyword=细胞自噬), Keyword(id=1322634687453971210, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=CN, orderNo=5, keyword=GSK-3β/mTOR信号通路), Keyword(id=1322634687579800331, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=EN, orderNo=1, keyword=nasopharyngeal carcinoma), Keyword(id=1322634687646909196, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=EN, orderNo=2, keyword=gamabufotalin), Keyword(id=1322634687722406669, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=EN, orderNo=3, keyword=PFKFB4), Keyword(id=1322634689395933966, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=EN, orderNo=4, keyword=autophagy), Keyword(id=1322634689475625743, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631328424636856, language=EN, orderNo=5, keyword=GSK-3β/mTOR signaling pathway)], refs=null, funds=null, companyList=null, figs=null, attaches=null, journal=Journal(id=1302309778002903112, delFlag=0, nameCn=中草药, nameEn=Chinese Traditional and Herbal Drugs, nameHistory1=null, nameHistory2=null, issn=0253-2670, eissn=null, cn=12-1108/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=cGpSKCP11AF8PAOcTXYWfg==, journalPrice=null, startedYear=null, abbrevIsoEn=Chinese Traditional and Herbal Drugs, journalRemark=null, publicationField=null, createdTime=1788424446827, updatedTime=1788949289390, createdBy=18614031015, updatedBy=13041195026, firstLetterCn=Z, firstLetterEn=Z, subjectCode=Medical and Pharmaceutical Sciences, subjectName=null, subjectCodeEn=Medical and Pharmaceutical Sciences, subjectNameEn=null, picCn=cGpSKCP11AF8PAOcTXYWfg==, picEn=Xw//kxUC3ON4eHxev0QLhQ==, jcr=null, cjcr=null, exts=[JournalExt(id=1304511127375863983, language=CN, name=中草药, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1788949289411, updatedTime=1788949289411, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://www.tiprpress.com/zcy/author/login, submissionEditorUrl=https://www.tiprpress.com/zcy/editor/login, submissionReviewUrl=https://www.tiprpress.com/zcy/reviewer/login, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1304511127442972848, language=EN, name=Chinese Traditional and Herbal Drugs, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1788949289427, updatedTime=1788949289427, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://www.tiprpress.com/zcy/author/login, submissionEditorUrl=https://www.tiprpress.com/zcy/editor/login, submissionReviewUrl=https://www.tiprpress.com/zcy/reviewer/login, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1302319053441957962, websiteList=[Website(id=1302319176408912052, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1302319053441957962, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/zcy/CN, language=CN, createTime=1788426687576, createBy=18614031015, updateTime=1788427346252, updateBy=18614031015, name=中草药-中文, tplId=1146099689490845704, title=中草药, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1302322043651904087, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=articleTextType, value=kx, createTime=1788427371180, updateTime=1788427371180, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043593183828, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=banner, value=null, createTime=1788427371166, updateTime=1788427371166, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043672875610, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=grayFlag, value=0, createTime=1788427371185, updateTime=1788427371185, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043584795219, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=logo, value=https://castjournals.cast.org.cn/joweb/zcy/CN/file/pic?fileId=uiD1gpiRqR++OLOz4iKzDg==, createTime=1788427371164, updateTime=1788427371164, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043689652828, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=minRunFlag, value=0, createTime=1788427371189, updateTime=1788427371189, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043643515478, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/zcy/CN/file/pic, createTime=1788427371178, updateTime=1788427371178, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043681264219, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=silenceFlag, value=0, createTime=1788427371187, updateTime=1788427371187, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043601572437, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1788427371168, updateTime=1788427371168, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043660292696, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=themeColor, value=null, createTime=1788427371182, updateTime=1788427371182, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322043668681305, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176408912052, code=themeStyle, value=null, createTime=1788427371184, updateTime=1788427371184, creator=18614031015, updator=18614031015)]), Website(id=1302319176715096246, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1302319053441957962, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/zcy/EN, language=EN, createTime=1788426687649, createBy=18614031015, updateTime=1788427341161, updateBy=18614031015, name=中草药-英文, tplId=1146101810881728533, title=Chinese Traditional and Herbal Drugs, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1302322015206134340, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=articleTextType, value=kx, createTime=1788427364398, updateTime=1788427364398, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015185162817, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=banner, value=null, createTime=1788427364393, updateTime=1788427364393, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015227105863, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=grayFlag, value=0, createTime=1788427364403, updateTime=1788427364403, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015176774208, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=logo, value=https://castjournals.cast.org.cn/joweb/zcy/EN/file/pic?fileId=uiD1gpiRqR++OLOz4iKzDg==, createTime=1788427364391, updateTime=1788427364391, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015239688777, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=minRunFlag, value=0, createTime=1788427364406, updateTime=1788427364406, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015201940035, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/zcy/EN/file/pic, createTime=1788427364397, updateTime=1788427364397, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015235494472, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=silenceFlag, value=0, createTime=1788427364405, updateTime=1788427364405, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015193551426, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1788427364395, updateTime=1788427364395, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015214522949, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=themeColor, value=null, createTime=1788427364400, updateTime=1788427364400, creator=18614031015, updator=18614031015), WebsiteProps(id=1302322015218717254, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1302319176715096246, code=themeStyle, value=null, createTime=1788427364401, updateTime=1788427364401, creator=18614031015, updator=18614031015)])], journalTitle=中草药, weixinUrl=null, journalUrl=https://www.tiprpress.com/zcy, iacademicId=null, status=1, seqNo=null, journalTitleEn=Chinese Traditional and Herbal Drugs, journalPhotoCn=cGpSKCP11AF8PAOcTXYWfg==, journalPhotoEn=Xw//kxUC3ON4eHxev0QLhQ==, journalFirstLetter=Z, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false, interPubPlatform=, interPubPlatformUrl=null), detailUrlCn=https://castjournals.cast.org.cn/joweb/zcy/CN/10.7501j.issn.0253-2670.2026.19.013, detailUrlEn=https://castjournals.cast.org.cn/joweb/zcy/EN/10.7501j.issn.0253-2670.2026.19.013, pdfUrlCn=https://castjournals.cast.org.cn/joweb/zcy/CN/PDF/10.7501j.issn.0253-2670.2026.19.013, pdfUrlEn=https://castjournals.cast.org.cn/joweb/zcy/EN/PDF/10.7501j.issn.0253-2670.2026.19.013, aliStartDate=null, aliEndDate=null, collectionFlag=false, citedCount=null, citedUrl=null, previewStatus=0, delFlag=0, hasFullText=0, orderTime=1791734400000, fullTextJson=null, articleText=null, reference=Chen Y P, Chan A T C, Le Q T, et al. Nasopharyngeal carcinoma [J]. Lancet, 2019, 394(10192): 64-80.
Carvajal F, Luyo G, Veloso J, et al. Advances in nasopharyngeal carcinoma treatment: Induction chemotherapy and concomitant radio-chemotherapy [J]. Rev Med Chil, 2023, 151(9): 1221-1232.
Lee H M, Okuda K S, González F E, et al. Current perspectives on nasopharyngeal carcinoma [M] //Rhim J S, Dritschilo A, Kremer R. Human Cell Transformation. Cham: Springer International Publishing, 2019: 11-34.
Su Z Y, Siak P Y, Lwin Y Y, et al. Epidemiology of nasopharyngeal carcinoma: Current insights and future outlook [J]. Cancer Metastasis Rev, 2024, 43(3): 919-939.
Zeng C L, Qiao M C, Chen Y H, et al. EBV-positive glycoproteins associated with nasopharyngeal carcinoma [J]. Pathol Res Pract, 2024, 260: 155427.
Liu Q Q, Wang H Y, Chen Z, et al. Global, regional, and national epidemiology of nasopharyngeal carcinoma in middle-aged and elderly patients from 1990 to 2021[J]. Ageing Res Rev, 2025, 104: 102613.
Chua M L, Sun Y, Supiot S. Advances in nasopharyngeal carcinoma-“West meets East” [J]. Br J Radiol, 2019, 92(1102): 20199004.
Tang L L, Chen Y P, Chen C B, et al. The Chinese Society of Clinical Oncology (CSCO) clinical guidelines for the diagnosis and treatment of nasopharyngeal carcinoma [J]. Cancer Commun, 2021, 41(11): 1195-1227.
Cai M Y, Wang Y F, Ma H R, et al. Advances and challenges in immunotherapy for locally advanced nasopharyngeal carcinoma [J]. Cancer Treat Rev, 2024, 131: 102840.
Juarez-Vignon Whaley J J, Afkhami M, Onyshchenko M, et al. Recurrent/metastatic nasopharyngeal carcinoma treatment from present to future: Where are we and where are we heading? [J]. Curr Treat Options Oncol, 2023, 24(9): 1138-1166.
Tang L L, Chen L, Xu G Q, et al. Reduced-volume radiotherapy versus conventional-volume radiotherapy after induction chemotherapy in nasopharyngeal carcinoma: An open-label, noninferiority, multicenter, randomized phase 3 trial [J]. CA Cancer J Clin, 2025, 75(3): 203-215.
安雪菁, 崔齐晓, 赵盈, 等. 蟾蜍它灵对人头颈部鳞状细胞癌的影响及作用机制[J]. 中草药, 2026, 57(4): 1325-1335.
Thompson H J, Lutsiv T. Natural products in precision oncology: Plant-based small molecule inhibitors of protein kinases for cancer chemoprevention [J]. Nutrients, 2023, 15(5): 1192.
Liu L, Shi D, Xia Z Y, et al. Gamabufotalin induces apoptosis and cytoprotective autophagy through the mTOR signaling pathway in hepatocellular carcinoma [J]. J Nat Prod, 2023, 86(4): 966-978.
Ma K, Zhang C, Li W Y. Gamabufotalin suppressed osteosarcoma stem cells through the TGF-β/periostin/PI3K/Akt pathway [J]. Chem Biol Interact, 2020, 331: 109275.
Yuan B, Shimada R, Xu K, et al. Multiple cytotoxic effects of gamabufotalin against human glioblastoma cell line U-87[J]. Chem Biol Interact, 2019, 314: 108849.
Kotowski K, Rosik J, Machaj F, et al. Role of PFKFB3 and PFKFB4 in cancer: Genetic basis, impact on disease development/progression, and potential as therapeutic targets [J]. Cancers, 2021, 13(4): 909.
Ros S, Flöter J, Kaymak I, et al. 6-Phosphofructo-2-kinase/fructose-2,6-biphosphatase 4 is essential for p53-null cancer cells [J]. Oncogene, 2017, 36(23): 3287-3299.
Chen S T, Han J S, Wang W, et al. Expression and prognostic analysis of PFKFB4 in oral squamous cell carcinoma [J]. Cell Mol Biol, 2024, 70(7): 193-199.
Zhou S, Liu Y, Zhang N, et al. Glycolytic enzyme PFKFB4 governs lipolysis by promoting de novo lipogenesis to drive the progression of hepatocellular carcinoma [J]. Cancer Lett, 2025, 626: 217774.
Wang T, Wang X T, Zheng X L, et al. Overexpression of SLC2A1, ALDOC, and PFKFB4 in the glycolysis pathway drives strong drug resistance in 3D HeLa tumor cell spheroids [J]. Biotechnol J, 2024, 19(9): e2400163.
Liu Y Z, Shi Q L, Liu Y F, et al. Fibrillarin reprograms glucose metabolism by driving the enhancer-mediated transcription of PFKFB4 in liver cancer [J]. Cancer Lett, 2024, 602: 217190.
Zhang R Q, Zhang Q, Deng F, et al. Potential applications of PFKFB in cancer treatment strategies [J]. Int J Biol Macromol, 2025, 320: 145860.
Jalal S, Zhang T, Deng J, et al. β-Elemene isopropanolamine derivative LXX-8250 induces apoptosis through impairing autophagic flux via PFKFB4 repression in melanoma cells [J]. Front Pharmacol, 2022, 13: 900973.
Schleicher S M, Moretti L, Varki V, et al. Progress in the unraveling of the endoplasmic reticulum stress/autophagy pathway and cancer: Implications for future therapeutic approaches [J]. Drug Resist Updat, 2010, 13(3): 79-86.
Moosavi M A, Djavaheri-Mergny M. Exploring the complex link between autophagy, regulated cell death, and cell fate pathways in cancer pathogenesis and therapy [J]. Cells, 2023, 12(3): 498.
Wang Y H, Chen B C, Xiao M, et al. Brucea javanica oil emulsion promotes autophagy in ovarian cancer cells through the miR-8485/LAMTOR3/mTOR/ATG13 signaling axis [J]. Front Pharmacol, 2022, 13: 935155.
Azoulay-Alfaguter I, Elya R, Avrahami L, et al. Combined regulation of mTORC1 and lysosomal acidification by GSK-3 suppresses autophagy and contributes to cancer cell growth [J]. Oncogene, 2015, 34(35): 4613-4623.
Fan J L, Liu B, Long Y, et al. Sequentially-targeted biomimetic nano drug system for triple-negative breast cancer ablation and lung metastasis inhibition [J]. Acta Biomater, 2020, 113: 554-569.
Yu Z L, Guo W, Ma X C, et al. Gamabufotalin, a bufadienolide compound from toad venom, suppresses COX-2 expression through targeting IKKβ/NF-κB signaling pathway in lung cancer cells [J]. Mol Cancer, 2014, 13(1): 203.
Gao R F, Liu Y H, Li D, et al. PFKFB4 promotes breast cancer metastasis via induction of hyaluronan production in a p38-dependent manner [J]. Cell Physiol Biochem, 2018, 50(6): 2108-2123.
Zhang P F, Tao W W, Lu C, et al. Bruceine A induces cell growth inhibition and apoptosis through PFKFB4/GSK3β signaling in pancreatic cancer [J]. Pharmacol Res, 2021, 169: 105658.
Cai Y C, Yang H, Shan H B, et al. PFKFB4 overexpression facilitates proliferation by promoting the G1/S transition and is associated with a poor prognosis in triple-negative breast cancer [J]. Dis Markers, 2021, 2021: 8824589.
Mizushima N, Komatsu M. Autophagy: Renovation of cells and tissues [J]. Cell, 2011, 147(4): 728-741.
Liu X C, Meng L, Li X, et al. Regulation of FN1 degradation by the p62/SQSTM1-dependent autophagy-lysosome pathway in HNSCC [J]. Int J Oral Sci, 2020, 12(1): 34.
Lamark T, Svenning S, Johansen T. Regulation of selective autophagy: The p62/SQSTM1 paradigm [J]. Essays Biochem, 2017, 61(6): 609-624.
Amaravadi R K, Kimmelman A C, Debnath J. Targeting autophagy in cancer: Recent advances and future directions [J]. Cancer Discov, 2019, 9(9): 1167-1181.
Mancinelli R, Carpino G, Petrungaro S, et al. Multifaceted roles of GSK-3 in cancer and autophagy-related diseases [J]. Oxid Med Cell Longev, 2017, 2017: 4629495.
Zhang Y J, Jiang L, Su P F, et al. Urolithin A suppresses tumor progression and induces autophagy in gastric cancer via the PI3K/Akt/mTOR pathway [J]. Drug Dev Res, 2023, 84(2): 172-184.
Yang J L, Pi C C, Wang G H. Inhibition of PI3K/Akt/mTOR pathway by apigenin induces apoptosis and autophagy in hepatocellular carcinoma cells [J]. Biomed Pharmacother, 2018, 103: 699-707.
Strohecker A M, Joshi S, Possemato R, et al. Identification of 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase as a novel autophagy regulator by high content shRNA screening [J]. Oncogene, 2015, 34(45): 5662-5676.
Zhou Y, Fan Y F, Qiu B Z, et al. Effect of PFKFB4 on the prognosis and immune regulation of NSCLC and its mechanism [J]. Int J Gen Med, 2022, 15: 6341-6353.
Wang Q Y, Zeng F R, Sun Y Q, et al. Etk interaction with PFKFB4 modulates chemoresistance of small-cell lung cancer by regulating autophagy [J]. Clin Cancer Res, 2018, 24(4): 950-962.
Senapati P K, Mahapatra K K, Singh A, et al. mTOR inhibitors in targeting autophagy and autophagy-associated signaling for cancer cell death and therapy [J]. Biochim Biophys Acta Rev Cancer, 2025, 1880(3): 189342.
Li J Y, Zhang D, Wang S H, et al. Baicalein induces apoptosis by inhibiting the glutamine-mTOR metabolic pathway in lung cancer [J]. J Adv Res, 2025, 68: 341-357.
Hossain M T, Hossain M A. Targeting mTOR kinase for cancer treatment: A comprehensive review with clinical insights [J]. Drug Dev Res, 2025, 86(7): e70167.
Piazza F, Manni S, Tubi L Q, et al. Glycogen synthase kinase-3 regulates multiple myeloma cell growth and bortezomib-induced cell death [J]. BMC Cancer, 2010, 10: 526.
Li G Y, Wu F M, Lei F, et al. MARCH5 promotes cardiac hypertrophy by regulating Akt/mTOR/GSK-3β/GATA4 signalling pathway [J]. J Cell Mol Med, 2025, 29(15): e70735.
Park C H, Lee B H, Ahn S G, et al. Serine 9 and tyrosine 216 phosphorylation of GSK-3β differentially regulates autophagy in acquired cadmium resistance [J]. Toxicol Sci, 2013, 135(2): 380-389.
Beurel E, Grieco S F, Jope R S. Glycogen synthase kinase-3(GSK3): Regulation, actions, and diseases [J]. Pharmacol Ther, 2015, 148: 114-131.)
收藏切换
日蟾蜍它灵通过PFKFB4介导的GSK-3β/mTOR信号通路诱导鼻咽癌细胞自噬
收藏切换
PDF下载
中草药 | 药理与临床 2026,57(19): 7651-7665
收起
收藏切换
中草药 |药理与临床 2026 , 57 (19) : 7651 -7665
日蟾蜍它灵通过PFKFB4介导的GSK-3β/mTOR信号通路诱导鼻咽癌细胞自噬
全屏
张乃宇1, 慕岳峻2, 孙欣1, 张雪峰3, 冯晓飞3, 熊雪梅1, 林海燕1, 毕思学1
作者信息
    1 山东医药大学中医学院, 山东 烟台 264003;
    2 山东医药大学附属烟台市中医医院, 山东 烟台 264000;
    3 山东医药大学烟台附属医院, 山东 烟台 264100
通讯作者:
毕思学
作者简介:
张乃宇: 张乃宇,女,硕士研究生,研究方向为中药抗肿瘤药理研究。E-mail:1226984985@qq.com
Gamabufotalin induces autophagy via PFKFB4-mediated GSK-3β/mTOR signaling pathway in nasopharyngeal carcinoma cells
  • ZHANG Naiyu1, MU Yuejun2, SUN Xin1, ZHANG Xuefeng3, FENG Xiaofei3, XIONG Xuemei1, LIN Haiyan1, BI Sixue1
  • Affiliations
      1 College of Traditional Chinese Medicine, Shandong Medical and Pharmaceutical University, Yantai 264003, China;
      2 Yantai Traditional Chinese Medicine Hospital Affiliated to Shandong Medical and Pharmaceutical University, Yantai 264000, China;
      3 Yantai Affiliated Hospital of Shandong Medical and Pharmaceutical University, Yantai 264100, China
    doi: 10.7501j.issn.0253-2670.2026.19.013
    文章导航
    收藏切换
    目的 研究日蟾蜍它灵(gamabufotalin,CS-6)对鼻咽癌细胞增殖的影响,从细胞周期阻滞和自噬探讨CS-6抑制鼻咽癌细胞增殖的机制。方法 通过CCK-8实验、克隆形成实验检测CS-6对HK-1和5-8F细胞的增殖抑制作用;使用流式细胞仪检测CS-6对HK-1和5-8F细胞周期分布和凋亡的影响;采用Western blotting检测细胞周期蛋白B1(Cyclin B1)和周期蛋白依赖性激酶1(cyclin dependent protein kinase 1,CDK1)的表达;采用转录组测序技术筛选CS-6作用于细胞后的差异表达基因,IPA软件分析差异表达基因的富集通路;采用透射电镜观察CS-6作用于细胞后自噬体的超微结构;采用Western blotting检测微管相关蛋白轻链3(microtubule-associated protein light chain 3,LC3)、p62、糖原合成酶激酶-3β(glycogen synthase kinase-3β,GSK-3β)/哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)通路相关蛋白表达;通过瞬时转染mCherry-EGFP-LC3质粒后,使用激光共聚焦显微镜观察CS-6作用于细胞后自噬通量的变化。为了研究PFKFB4在CS-6诱导鼻咽癌细胞增殖、周期阻滞及自噬中的作用,HK-1和5-8F细胞转染PFKFB4质粒后,采用qRT-PCR和Western blotting检测6-磷酸果糖-2-激酶/果糖-2,6-二磷酸酶-4(6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 4,PFKFB4)的表达,检测细胞存活率、集落形成、自噬通量、细胞周期和自噬相关蛋白表达的变化。体内建立鼻咽癌移植瘤小鼠模型,给予CS-6干预后,测定肿瘤体积和质量,采用苏木素-伊红染色观察肿瘤、肝、肾组织病理变化,采用免疫组化法检测肿瘤组织Ki67表达,采用Western blotting检测肿瘤组织中LC3、p62、Cyclin B1、CDK1、p-mTOR、PFKFB4、p-GSK-3β蛋白表达。结果 CS-6作用于细胞48 h后,能够显著抑制HK-1和5-8F细胞的增殖(P<0.05、0.001),其半数抑制浓度分别为8.684、14.320 nmol/L;CS-6引起HK-1和5-8F细胞发生明显的G₂/M期阻滞(P<0.05、0.01),同时增加Cyclin B1和CDK1的蛋白表达(P<0.05、0.01、0.001);CS-6在48 h处理条件下未诱导HK-1和5-8F细胞发生凋亡。CS-6显著降低PFKFB4的mRNA及蛋白表达(P<0.05、0.01、0.001),在细胞内观察到自噬典型的双层膜结构及自噬溶酶体,上调LC3-II/I以及下调p62的蛋白表达(P<0.05、0.01、0.001),促进自噬体与溶酶体的融合。过表达PFKFB4能部分逆转CS-6对细胞增殖的抑制以及对细胞周期、自噬相关蛋白表达的调控作用(P<0.05、0.01、0.001),并使自噬小体和溶酶体的融合受阻。CS-6显著增加p-GSK-3β表达并抑制p-mTOR的表达(P<0.05、0.01、0.001);过表达PFKFB4可部分逆转CS-6对p-GSK-3β和p-mTOR的调控作用(P<0.05、0.01)。体内实验中,CS-6显著抑制荷瘤小鼠肿瘤生长(P<0.001),诱导肿瘤组织发生病理损伤,抑制肿瘤细胞增殖(P<0.001),上调肿瘤组织中LC3-II/I、p-GSK3β表达并下调p62表达(P<0.001),下调p-mTOR、PFKFB4、Cyclin B1和CDK1的蛋白表达(P<0.01、0.001),且对肝肾组织无影响。结论 CS-6通过下调PFKFB4,进而调控GSK-3β/mTOR信号通路,激活自噬及细胞周期过程,从而发挥抗鼻咽癌作用。
    鼻咽癌  /  日蟾蜍它灵  /  PFKFB4  /  细胞自噬  /  GSK-3β/mTOR信号通路
    Objective To study the effect of gamabufotalin (CS-6) on the proliferation of nasopharyngeal carcinoma cells, and explore the mechanism by which CS-6 inhibits nasopharyngeal carcinoma cell proliferation through cell cycle arrest and autophagy. Methods The inhibitory effect of CS-6 on the proliferation of HK-1 and 5-8F cells was detected through CCK-8 assay and colony formation assay. Flow cytometry was used to detect the effect of CS-6 on the cell cycle distribution and apoptosis of HK-1 and 5-8F cells. Western blotting was used to detect the expressions of Cyclin B1 and cyclin dependent protein kinase 1 (CDK1). Transcriptome sequencing was used to screen for differentially expressed genes after CS-6 treatment, and IPA software was used to analyze the enrichment pathways of differentially expressed genes. The ultrastructure of autophagosomes after CS-6 acts on cells was observed using transmission electron microscopy. Western blotting was used to detect the expressions of microtubule associated protein light chain 3 (LC3), p62, and glycogen synthase kinase-3β (GSK-3β)/mammalian target of rapamycin (mTOR) pathway related proteins. After transient transfection of mCherry-EGFP-LC3 plasmid, the changes in autophagy flux of cells treated with CS-6 were observed using laser confocal microscopy. In order to investigate the effect of PFKFB4 on CS-6-induced proliferation, cell cycle arrest and autophagy of nasopharyngeal carcinoma cells, HK-1 and 5-8F cells were transfected with PFKFB4 plasmid, qRT-PCR and Western blotting were used to detect the expression of 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase-4 (PFKFB4), as well as changes in cell survival rate, colony formation, autophagy flux, cell cycle and autophagy related protein expressions. A mouse model of nasopharyngeal carcinoma transplantation in vivo was established, after CS-6 administration, tumor volume and weight were measured, pathological changes in tumor, liver and kidney tissues were observed using hematoxylin-eosin staining, Ki67 expression in tumor tissues was detected using immunohistochemistry, LC3, p62, Cyclin B1, CDK1, p-mTOR, PFKFB4 and p-GSK-3β protein expressions in tumor tissues were detected using Western blotting. Results After 48 h of treatment, CS-6 significantly inhibited the proliferation of HK-1 and 5-8F cells (P < 0.05, 0.001), with half-maximal inhibitory concentrations of 8.684 and 14.320 nmol/L, respectively. CS-6 caused significant G2/M phase arrest in HK-1 and 5-8F cells (P < 0.05, 0.01), while increasing protein expressions of Cyclin B1 and CDK1 (P < 0.05, 0.01, 0.001). CS-6 did not induce apoptosis in HK-1 and 5-8F cells under treatment conditions of 48 h. CS-6 significantly reduced the mRNA and protein expressions of PFKFB4 (P < 0.05, 0.01, 0.001), typical double-membrane autophagosomes and autolysosomes were observed in the cells, CS-6 upregulated LC3-II/I and downregulated p62 protein expressions (P < 0.05, 0.01, 0.001), promoted the fusion of autophagosomes and lysosomes. Overexpression of PFKFB4 could partially reverse the inhibitory effect of CS-6 on cell proliferation and regulate the expressions of cell cycle and autophagy related proteins (P < 0.05, 0.01, 0.001), and inhibit the fusion of autophagosomes and lysosomes. CS-6 significantly increased the expression of p-GSK-3β and inhibited the expression of p-mTOR (P < 0.05, 0.01, 0.001). Overexpression of PFKFB4 could partially reverse the regulatory effects of CS-6 on p-GSK-3β and p-mTOR (P < 0.05, 0.01). In vivo, CS-6 significantly inhibited tumor growth in tumor bearing mice (P < 0.001), induced pathological damage to tumor tissue, inhibited tumor cell proliferation (P < 0.001), upregulated LC3-II/I, p-GSK-3β expressions and downregulated p62 expression in tumor tissue (P < 0.001), downregulated protein expressions of p-mTOR, PFKFB4, Cyclin B1 and CDK1 (P < 0.01, 0.001), and had no effect on liver and kidney tissues. Conclusion CS-6 exerts an anti-nasopharyngeal carcinoma effect by downregulating PFKFB4, thereby regulating GSK-3β/mTOR signaling pathway and inducing autophagy and cell-cycle arrest.
    nasopharyngeal carcinoma  /  gamabufotalin  /  PFKFB4  /  autophagy  /  GSK-3β/mTOR signaling pathway
    张乃宇, 慕岳峻, 孙欣, 张雪峰, 冯晓飞, 熊雪梅, 林海燕, 毕思学. 日蟾蜍它灵通过PFKFB4介导的GSK-3β/mTOR信号通路诱导鼻咽癌细胞自噬. 中草药, 2026 , 57 (19) : 7651 -7665 . DOI: 10.7501j.issn.0253-2670.2026.19.013
    ZHANG Naiyu, MU Yuejun, SUN Xin, ZHANG Xuefeng, FENG Xiaofei, XIONG Xuemei, LIN Haiyan, BI Sixue. Gamabufotalin induces autophagy via PFKFB4-mediated GSK-3β/mTOR signaling pathway in nasopharyngeal carcinoma cells[J]. Chinese Traditional and Herbal Drugs, 2026 , 57 (19) : 7651 -7665 . DOI: 10.7501j.issn.0253-2670.2026.19.013

      山东省自然科学基金面上项目 (ZR2024MH059); 滨州医学院中医药学科融合科技计划专项项目 (2024YYKJ12); 国家自然科学基金青年基金项目 (82104463); 山东省自然科学基金青年基金项目 (ZR202103060169)

    参考文献 引证文献
    排序方式:
    Chen Y P, Chan A T C, Le Q T, et al. Nasopharyngeal carcinoma [J]. Lancet, 2019, 394(10192): 64-80.
    Carvajal F, Luyo G, Veloso J, et al. Advances in nasopharyngeal carcinoma treatment: Induction chemotherapy and concomitant radio-chemotherapy [J]. Rev Med Chil, 2023, 151(9): 1221-1232.
    Lee H M, Okuda K S, González F E, et al. Current perspectives on nasopharyngeal carcinoma [M] //Rhim J S, Dritschilo A, Kremer R. Human Cell Transformation. Cham: Springer International Publishing, 2019: 11-34.
    Su Z Y, Siak P Y, Lwin Y Y, et al. Epidemiology of nasopharyngeal carcinoma: Current insights and future outlook [J]. Cancer Metastasis Rev, 2024, 43(3): 919-939.
    Zeng C L, Qiao M C, Chen Y H, et al. EBV-positive glycoproteins associated with nasopharyngeal carcinoma [J]. Pathol Res Pract, 2024, 260: 155427.
    Liu Q Q, Wang H Y, Chen Z, et al. Global, regional, and national epidemiology of nasopharyngeal carcinoma in middle-aged and elderly patients from 1990 to 2021[J]. Ageing Res Rev, 2025, 104: 102613.
    Chua M L, Sun Y, Supiot S. Advances in nasopharyngeal carcinoma-“West meets East” [J]. Br J Radiol, 2019, 92(1102): 20199004.
    Tang L L, Chen Y P, Chen C B, et al. The Chinese Society of Clinical Oncology (CSCO) clinical guidelines for the diagnosis and treatment of nasopharyngeal carcinoma [J]. Cancer Commun, 2021, 41(11): 1195-1227.
    Cai M Y, Wang Y F, Ma H R, et al. Advances and challenges in immunotherapy for locally advanced nasopharyngeal carcinoma [J]. Cancer Treat Rev, 2024, 131: 102840.
    Juarez-Vignon Whaley J J, Afkhami M, Onyshchenko M, et al. Recurrent/metastatic nasopharyngeal carcinoma treatment from present to future: Where are we and where are we heading? [J]. Curr Treat Options Oncol, 2023, 24(9): 1138-1166.
    Tang L L, Chen L, Xu G Q, et al. Reduced-volume radiotherapy versus conventional-volume radiotherapy after induction chemotherapy in nasopharyngeal carcinoma: An open-label, noninferiority, multicenter, randomized phase 3 trial [J]. CA Cancer J Clin, 2025, 75(3): 203-215.
    安雪菁, 崔齐晓, 赵盈, 等. 蟾蜍它灵对人头颈部鳞状细胞癌的影响及作用机制[J]. 中草药, 2026, 57(4): 1325-1335.
    Thompson H J, Lutsiv T. Natural products in precision oncology: Plant-based small molecule inhibitors of protein kinases for cancer chemoprevention [J]. Nutrients, 2023, 15(5): 1192.
    Liu L, Shi D, Xia Z Y, et al. Gamabufotalin induces apoptosis and cytoprotective autophagy through the mTOR signaling pathway in hepatocellular carcinoma [J]. J Nat Prod, 2023, 86(4): 966-978.
    Ma K, Zhang C, Li W Y. Gamabufotalin suppressed osteosarcoma stem cells through the TGF-β/periostin/PI3K/Akt pathway [J]. Chem Biol Interact, 2020, 331: 109275.
    Yuan B, Shimada R, Xu K, et al. Multiple cytotoxic effects of gamabufotalin against human glioblastoma cell line U-87[J]. Chem Biol Interact, 2019, 314: 108849.
    Kotowski K, Rosik J, Machaj F, et al. Role of PFKFB3 and PFKFB4 in cancer: Genetic basis, impact on disease development/progression, and potential as therapeutic targets [J]. Cancers, 2021, 13(4): 909.
    Ros S, Flöter J, Kaymak I, et al. 6-Phosphofructo-2-kinase/fructose-2,6-biphosphatase 4 is essential for p53-null cancer cells [J]. Oncogene, 2017, 36(23): 3287-3299.
    Chen S T, Han J S, Wang W, et al. Expression and prognostic analysis of PFKFB4 in oral squamous cell carcinoma [J]. Cell Mol Biol, 2024, 70(7): 193-199.
    Zhou S, Liu Y, Zhang N, et al. Glycolytic enzyme PFKFB4 governs lipolysis by promoting de novo lipogenesis to drive the progression of hepatocellular carcinoma [J]. Cancer Lett, 2025, 626: 217774.
    Wang T, Wang X T, Zheng X L, et al. Overexpression of SLC2A1, ALDOC, and PFKFB4 in the glycolysis pathway drives strong drug resistance in 3D HeLa tumor cell spheroids [J]. Biotechnol J, 2024, 19(9): e2400163.
    Liu Y Z, Shi Q L, Liu Y F, et al. Fibrillarin reprograms glucose metabolism by driving the enhancer-mediated transcription of PFKFB4 in liver cancer [J]. Cancer Lett, 2024, 602: 217190.
    Zhang R Q, Zhang Q, Deng F, et al. Potential applications of PFKFB in cancer treatment strategies [J]. Int J Biol Macromol, 2025, 320: 145860.
    Jalal S, Zhang T, Deng J, et al. β-Elemene isopropanolamine derivative LXX-8250 induces apoptosis through impairing autophagic flux via PFKFB4 repression in melanoma cells [J]. Front Pharmacol, 2022, 13: 900973.
    Schleicher S M, Moretti L, Varki V, et al. Progress in the unraveling of the endoplasmic reticulum stress/autophagy pathway and cancer: Implications for future therapeutic approaches [J]. Drug Resist Updat, 2010, 13(3): 79-86.
    Moosavi M A, Djavaheri-Mergny M. Exploring the complex link between autophagy, regulated cell death, and cell fate pathways in cancer pathogenesis and therapy [J]. Cells, 2023, 12(3): 498.
    Wang Y H, Chen B C, Xiao M, et al. Brucea javanica oil emulsion promotes autophagy in ovarian cancer cells through the miR-8485/LAMTOR3/mTOR/ATG13 signaling axis [J]. Front Pharmacol, 2022, 13: 935155.
    Azoulay-Alfaguter I, Elya R, Avrahami L, et al. Combined regulation of mTORC1 and lysosomal acidification by GSK-3 suppresses autophagy and contributes to cancer cell growth [J]. Oncogene, 2015, 34(35): 4613-4623.
    Fan J L, Liu B, Long Y, et al. Sequentially-targeted biomimetic nano drug system for triple-negative breast cancer ablation and lung metastasis inhibition [J]. Acta Biomater, 2020, 113: 554-569.
    Yu Z L, Guo W, Ma X C, et al. Gamabufotalin, a bufadienolide compound from toad venom, suppresses COX-2 expression through targeting IKKβ/NF-κB signaling pathway in lung cancer cells [J]. Mol Cancer, 2014, 13(1): 203.
    Gao R F, Liu Y H, Li D, et al. PFKFB4 promotes breast cancer metastasis via induction of hyaluronan production in a p38-dependent manner [J]. Cell Physiol Biochem, 2018, 50(6): 2108-2123.
    Zhang P F, Tao W W, Lu C, et al. Bruceine A induces cell growth inhibition and apoptosis through PFKFB4/GSK3β signaling in pancreatic cancer [J]. Pharmacol Res, 2021, 169: 105658.
    Cai Y C, Yang H, Shan H B, et al. PFKFB4 overexpression facilitates proliferation by promoting the G1/S transition and is associated with a poor prognosis in triple-negative breast cancer [J]. Dis Markers, 2021, 2021: 8824589.
    Mizushima N, Komatsu M. Autophagy: Renovation of cells and tissues [J]. Cell, 2011, 147(4): 728-741.
    Liu X C, Meng L, Li X, et al. Regulation of FN1 degradation by the p62/SQSTM1-dependent autophagy-lysosome pathway in HNSCC [J]. Int J Oral Sci, 2020, 12(1): 34.
    Lamark T, Svenning S, Johansen T. Regulation of selective autophagy: The p62/SQSTM1 paradigm [J]. Essays Biochem, 2017, 61(6): 609-624.
    Amaravadi R K, Kimmelman A C, Debnath J. Targeting autophagy in cancer: Recent advances and future directions [J]. Cancer Discov, 2019, 9(9): 1167-1181.
    Mancinelli R, Carpino G, Petrungaro S, et al. Multifaceted roles of GSK-3 in cancer and autophagy-related diseases [J]. Oxid Med Cell Longev, 2017, 2017: 4629495.
    Zhang Y J, Jiang L, Su P F, et al. Urolithin A suppresses tumor progression and induces autophagy in gastric cancer via the PI3K/Akt/mTOR pathway [J]. Drug Dev Res, 2023, 84(2): 172-184.
    Yang J L, Pi C C, Wang G H. Inhibition of PI3K/Akt/mTOR pathway by apigenin induces apoptosis and autophagy in hepatocellular carcinoma cells [J]. Biomed Pharmacother, 2018, 103: 699-707.
    Strohecker A M, Joshi S, Possemato R, et al. Identification of 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase as a novel autophagy regulator by high content shRNA screening [J]. Oncogene, 2015, 34(45): 5662-5676.
    Zhou Y, Fan Y F, Qiu B Z, et al. Effect of PFKFB4 on the prognosis and immune regulation of NSCLC and its mechanism [J]. Int J Gen Med, 2022, 15: 6341-6353.
    Wang Q Y, Zeng F R, Sun Y Q, et al. Etk interaction with PFKFB4 modulates chemoresistance of small-cell lung cancer by regulating autophagy [J]. Clin Cancer Res, 2018, 24(4): 950-962.
    Senapati P K, Mahapatra K K, Singh A, et al. mTOR inhibitors in targeting autophagy and autophagy-associated signaling for cancer cell death and therapy [J]. Biochim Biophys Acta Rev Cancer, 2025, 1880(3): 189342.
    Li J Y, Zhang D, Wang S H, et al. Baicalein induces apoptosis by inhibiting the glutamine-mTOR metabolic pathway in lung cancer [J]. J Adv Res, 2025, 68: 341-357.
    Hossain M T, Hossain M A. Targeting mTOR kinase for cancer treatment: A comprehensive review with clinical insights [J]. Drug Dev Res, 2025, 86(7): e70167.
    Piazza F, Manni S, Tubi L Q, et al. Glycogen synthase kinase-3 regulates multiple myeloma cell growth and bortezomib-induced cell death [J]. BMC Cancer, 2010, 10: 526.
    Li G Y, Wu F M, Lei F, et al. MARCH5 promotes cardiac hypertrophy by regulating Akt/mTOR/GSK-3β/GATA4 signalling pathway [J]. J Cell Mol Med, 2025, 29(15): e70735.
    Park C H, Lee B H, Ahn S G, et al. Serine 9 and tyrosine 216 phosphorylation of GSK-3β differentially regulates autophagy in acquired cadmium resistance [J]. Toxicol Sci, 2013, 135(2): 380-389.
    Beurel E, Grieco S F, Jope R S. Glycogen synthase kinase-3(GSK3): Regulation, actions, and diseases [J]. Pharmacol Ther, 2015, 148: 114-131.
    2026年第57卷第19期
    PDF下载
    36
    9
    引用本文
    BibTeX
    文章信息
    doi: 10.7501j.issn.0253-2670.2026.19.013
    • 接收时间:2026-02-19
    • 首发时间:2026-10-29
    补充材料
    相关文章
    文章信息
    作者
    出版历史
    • 收稿日期:2026-02-19
    基金
    作者信息
    参考文献
    分享链接
    https://castjournals.cast.org.cn/joweb/zcy/CN/10.7501j.issn.0253-2670.2026.19.013
    分享至
    全文二维码

    扫描看全文

    引用本文
    BibTeX
    本文的引用情况
    2种不同金属材料的力学参数
    科
    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)
    属
    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
    关闭全屏