Article(id=1291707017362690166, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, articleNumber=null, orderNo=null, doi=10.13699/j.cnki.1001-6821.2025.21.017, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1752595200000, receivedDateStr=2025-07-16, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1785896551694, onlineDateStr=2026-08-05, pubDate=1763308800000, pubDateStr=2025-11-17, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1785896551694, onlineIssueDateStr=2026-08-05, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1785896551694, creator=13701087609, updateTime=1785896551694, updator=13701087609, issue=Issue{id=1291706987964822180, tenantId=1146029695717560320, journalId=1246415772164075586, year='2025', volume='41', issue='21', pageStart='3001', pageEnd='3150', issueExtLink='null', onlineDate='null', pubDate='1763308800000', pubDateStr='2025-11-17', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1785896544684, creator='13701087609', updateTime=1785896721343, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1291707729324826977, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1291707729324826978, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=3103, endPage=3109, ext={EN=ArticleExt(id=1291707017652097143, articleId=1291707017362690166, tenantId=1146029695717560320, journalId=1246415772164075586, language=EN, title=Research of midazolam on the proliferation, invasion and apoptosis of colorectal cancer cells by regulating the LKB1/AMPK signaling pathway, columnId=1246531407326105792, journalTitle=Chinese Journal of Clinical Pharmacology, columnName=Clinical and Basic Bridging Research, runingTitle=null, highlight=null, articleAbstract=
Objective

To explore the effects of midazolam on the proliferation, invasion and apoptosis of colorectal cancer cells by regulating the liver kinase B1 (LKB1)/AMP-activated protein kinase (AMPK) signaling pathway.

Methods

Cell counting kit-8 method was used to detect the effects of different concentrations (5, 10, 20 and 40 μg·mL-1) midazolam on the proliferation of HCT116 cells. 20 μg·mL-1 midazolam was selected for the subsequent experiments. HCT116 cells were grouped into blank group (no treatment), midazolam group (20 μg·mL-1 midazolam), si-NC group (transfected with si-NC plasmid), si-LKB1 group (transfected with si-LKB1 plasmid), midazolam+si-NC group (transfected with si-NC plasmid+20 μg·mL-1 midazolam) and midazolam+si-LKB1 group (transfected with si-LKB1 plasmid+20 μg·mL-1 midazolam). Flow cytometry, cell countig kit-8 (CCK-8), EdU and Transwell experiments were used to detect changes in cell apoptosis, proliferation and invasion. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was used to measure the LKB1 and AMPK mRNAs. Western blot was used to measure the proliferating cell nuclear antigen (PCNA), cysteinyl aspartate-specific protease 3 (caspase-3), matrix metalloproteinase 9 (MMP-9), liver kinase B1 (LKB1) and AMP-activated protein kinase (AMPK) proteins.

Results

The EdU positive rates of the blank group, midazolam group, si-NC group, si-LKB1 group, midazolam + si-NC group and midazolam + si-LKB1 group were (62.52±6.38)%, (35.26±3.64)%, (61.95±6.24)%, (88.63±8.94)%, (36.05±3.71)% and (55.62±5.67)%, respectively; the proliferation rates were (90.85±9.04)%, (48.85±4.92)%, (91.04±8.92)%, (129.32±13.05)%, (49.05±4.98)% and (79.86±8.11)%, respectively; the apoptosis rates were (5.05±0.53)%, (20.22±2.15)%, (4.86±0.49)%, (3.11±0.35)%, (19.86±2.08)% and (8.77±0.91)%, respectively; the invasion numbers were 198.64±20.45, 122.53±12.37, 195.32±20.34, 286.61±29.33, 123.64±12.46 and 176.64±18.06, respectively; the relative expression levels of LKB1 mRNA were 0.93±0.10, 2.86±0.31, 1.08±0.12, 0.57±0.07, 2.78±0.29 and 1.55±0.17, respectively; AMPK mRNA were 1.06±0.11, 2.25±0.24, 0.98±0.10, 0.42±0.05, 2.19±0.23 and 1.35±0.15, respectively; the relative protein expression levels of PCNA were 0.79±0.08, 0.42±0.05, 0.81±0.09, 1.22±0.14, 0.46±0.05 and 0.68±0.07, respectively; Caspase-3 were 0.92±0.10, 1.44±0.16, 1.03±0.11, 0.51±0.06, 1.48±0.16 and 1.07±0.11, respectively; MMP-9 were 0.98±0.10, 0.52±0.06, 1.01±0.12, 1.53±0.17, 0.58±0.06 and 0.82±0.09, respectively; LKB1 were 0.31±0.03, 0.76±0.08, 0.34±0.04, 0.15±0.02, 0.72±0.08 and 0.45±0.05, respectively; AMPK were 0.44±0.05, 0.85±0.09, 0.42±0.05, 0.23±0.03, 0.80±0.09 and 0.57±0.06, respectively. For all these indicators, compared between the midazolam group and the blank group, the si-LKB1 group and the si-NC group, the midazolam + si-LKB1 group and the midazolam + si-NC group, and the si-LKB1 group, all showed statistically significant differences (all P<0.05).

Conclusion

Midazolam activates the LKB1/AMPK signaling pathway, inhibits the proliferation and invasion of colorectal cancer cells, and induces their apoptosis.

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目的

探讨咪达唑仑调节肝激酶B1(LKB1)/腺苷酸(AMP)活化蛋白激酶(AMPK)信号通路对结直肠癌细胞增殖、侵袭及凋亡的影响。

方法

用细胞计数试剂盒-8(CCK-8)实验法检测不同浓度(5、10、20和40 μg·mL-1)的咪达唑仑对HCT116细胞增殖的影响,选择20 μg·mL-1咪达唑仑进行后续实验。将HCT116细胞分为空白组(不作处理)、咪达唑仑组(20 μg·mL-1咪达唑仑)、si-NC组(转染si-NC质粒)、si-LKB1组(转染si-LKB1质粒)、咪达唑仑+ si-NC组(转染si-NC质粒+20 μg·mL-1咪达唑仑)和咪达唑仑+ si-LKB1组(转染si-LKB1质粒+20 μg·mL-1咪达唑仑)。用流式细胞法、细胞计数试剂盒-8(CCK-8)实验法、EdU试剂盒法及Transwell实验法检测细胞凋亡、增殖及侵袭变化;用实时荧光定量逆转录聚合酶链反应(qRT-PCR)检测LKB1和AMPK mRNA相对表达水平;用蛋白质印迹法检测增殖细胞核抗原(PCNA)、半胱氨酸天冬氨酸蛋白酶3(Caspase-3)、金属蛋白酶9(MMP-9)、LKB1和AMPK蛋白相对表达水平。

结果

空白组、咪达唑仑组、si-NC组、si-LKB1组、咪达唑仑+si-NC组和咪达唑仑+si-LKB1组的EdU阳性率分别为(62.52±6.38)%、(35.26±3.64)%、(61.95±6.24)%、(88.63±8.94)%、(36.05±3.71)%和(55.62±5.67)%,增殖率分别为(90.85±9.04)%、(48.85±4.92)%、(91.04±8.92)%、(129.32±13.05)%、(49.05±4.98)%和(79.86±8.11)%,凋亡率分别为(5.05±0.53)%、(20.22±2.15)%、(4.86±0.49)%、(3.11±0.35)%、(19.86±2.08)%和(8.77±0.91)%,侵袭数分别为198.64±20.45、122.53±12.37、195.32±20.34、286.61±29.33、123.64±12.46和176.64±18.06,LKB1 mRNA相对表达水平分别为0.93±0.10、2.86±0.31、1.08±0.12、0.57±0.07、2.78±0.29和1.55±0.17,AMPK mRNA相对表达水平分别为1.06±0.11、2.25±0.24、0.98±0.10、0.42±0.05、2.19±0.23和1.35±0.15,PCNA相对表达水平分别为0.79±0.08、0.42±0.05、0.81±0.09、1.22±0.14、0.46±0.05和0.68±0.07,Caspase-3相对表达水平分别为0.92±0.10、1.44±0.16、1.03±0.11、0.51±0.06、1.48±0.16和1.07±0.11,MMP-9相对表达水平分别为0.98±0.10、0.52±0.06、1.01±0.12、1.53±0.17、0.58±0.06和0.82±0.09,LKB1相对表达水平分别为0.31±0.03、0.76±0.08、0.34±0.04、0.15±0.02、0.72±0.08和0.45±0.05,AMPK相对表达水平分别为0.44±0.05、0.85±0.09、0.42±0.05、0.23±0.03、0.80±0.09和0.57±0.06,咪达唑仑组的上述指标与空白组比较;si-LKB1组的上述指标与si-NC组比较;咪达唑仑+si-LKB1组的上述指标与咪达唑仑+si-NC组及si-LKB1组比较,在统计学上差异均有统计学意义(均P<0.05)。

结论

咪达唑仑激活LKB1/AMPK信号通路抑制结直肠癌细胞增殖、侵袭,诱导其凋亡。

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徐国兴(1984-),男,副主任医师,从事临床麻醉方面的研究和工作

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徐国兴 Tel: (0377)63328360 E-mail:
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徐国兴(1984-),男,副主任医师,从事临床麻醉方面的研究和工作

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咪达唑仑调节LKB1/AMPK信号通路对结直肠癌细胞增殖、侵袭及凋亡影响的研究
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徐国兴 1a , 徐国亭 1a , 王苗级 1a , 刘耿 1b
中国临床药理学杂志 | 临床与基础桥接研究 2025,41(21): 3103-3109
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中国临床药理学杂志 |临床与基础桥接研究 2025 , 41 (21) : 3103 -3109
咪达唑仑调节LKB1/AMPK信号通路对结直肠癌细胞增殖、侵袭及凋亡影响的研究
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徐国兴1a , 徐国亭1a, 王苗级1a, 刘耿1b
作者信息
  • 1a.南阳医学高等专科学校 第一附属医院,麻醉与围术期医学科,河南 南阳 473000
  • 1b.南阳医学高等专科学校 第一附属医院,普通外科,河南 南阳 473000
通讯作者:
徐国兴 Tel: (0377)63328360 E-mail:
作者简介:

徐国兴(1984-),男,副主任医师,从事临床麻醉方面的研究和工作

Research of midazolam on the proliferation, invasion and apoptosis of colorectal cancer cells by regulating the LKB1/AMPK signaling pathway
Guo-xing XU1a , Guo-ting XU1a, Miao-ji WANG1a, Geng LIU1b
Affiliations
  • 1a.Department of Anesthesiology and Perioperative Medicine, the First Affiliated Hospital of Nanyang Medical College, Nanyang 473000, Henan Province, China
  • 1b.Department of General Surgery, the First Affiliated Hospital of Nanyang Medical College, Nanyang 473000, Henan Province, China
出版时间: 2025-11-17 doi: 10.13699/j.cnki.1001-6821.2025.21.017
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目的

探讨咪达唑仑调节肝激酶B1(LKB1)/腺苷酸(AMP)活化蛋白激酶(AMPK)信号通路对结直肠癌细胞增殖、侵袭及凋亡的影响。

方法

用细胞计数试剂盒-8(CCK-8)实验法检测不同浓度(5、10、20和40 μg·mL-1)的咪达唑仑对HCT116细胞增殖的影响,选择20 μg·mL-1咪达唑仑进行后续实验。将HCT116细胞分为空白组(不作处理)、咪达唑仑组(20 μg·mL-1咪达唑仑)、si-NC组(转染si-NC质粒)、si-LKB1组(转染si-LKB1质粒)、咪达唑仑+ si-NC组(转染si-NC质粒+20 μg·mL-1咪达唑仑)和咪达唑仑+ si-LKB1组(转染si-LKB1质粒+20 μg·mL-1咪达唑仑)。用流式细胞法、细胞计数试剂盒-8(CCK-8)实验法、EdU试剂盒法及Transwell实验法检测细胞凋亡、增殖及侵袭变化;用实时荧光定量逆转录聚合酶链反应(qRT-PCR)检测LKB1和AMPK mRNA相对表达水平;用蛋白质印迹法检测增殖细胞核抗原(PCNA)、半胱氨酸天冬氨酸蛋白酶3(Caspase-3)、金属蛋白酶9(MMP-9)、LKB1和AMPK蛋白相对表达水平。

结果

空白组、咪达唑仑组、si-NC组、si-LKB1组、咪达唑仑+si-NC组和咪达唑仑+si-LKB1组的EdU阳性率分别为(62.52±6.38)%、(35.26±3.64)%、(61.95±6.24)%、(88.63±8.94)%、(36.05±3.71)%和(55.62±5.67)%,增殖率分别为(90.85±9.04)%、(48.85±4.92)%、(91.04±8.92)%、(129.32±13.05)%、(49.05±4.98)%和(79.86±8.11)%,凋亡率分别为(5.05±0.53)%、(20.22±2.15)%、(4.86±0.49)%、(3.11±0.35)%、(19.86±2.08)%和(8.77±0.91)%,侵袭数分别为198.64±20.45、122.53±12.37、195.32±20.34、286.61±29.33、123.64±12.46和176.64±18.06,LKB1 mRNA相对表达水平分别为0.93±0.10、2.86±0.31、1.08±0.12、0.57±0.07、2.78±0.29和1.55±0.17,AMPK mRNA相对表达水平分别为1.06±0.11、2.25±0.24、0.98±0.10、0.42±0.05、2.19±0.23和1.35±0.15,PCNA相对表达水平分别为0.79±0.08、0.42±0.05、0.81±0.09、1.22±0.14、0.46±0.05和0.68±0.07,Caspase-3相对表达水平分别为0.92±0.10、1.44±0.16、1.03±0.11、0.51±0.06、1.48±0.16和1.07±0.11,MMP-9相对表达水平分别为0.98±0.10、0.52±0.06、1.01±0.12、1.53±0.17、0.58±0.06和0.82±0.09,LKB1相对表达水平分别为0.31±0.03、0.76±0.08、0.34±0.04、0.15±0.02、0.72±0.08和0.45±0.05,AMPK相对表达水平分别为0.44±0.05、0.85±0.09、0.42±0.05、0.23±0.03、0.80±0.09和0.57±0.06,咪达唑仑组的上述指标与空白组比较;si-LKB1组的上述指标与si-NC组比较;咪达唑仑+si-LKB1组的上述指标与咪达唑仑+si-NC组及si-LKB1组比较,在统计学上差异均有统计学意义(均P<0.05)。

结论

咪达唑仑激活LKB1/AMPK信号通路抑制结直肠癌细胞增殖、侵袭,诱导其凋亡。

咪达唑仑  /  结直肠癌  /  肝激酶/腺苷酸活化蛋白激酶信号通路  /  侵袭  /  增殖  /  凋亡
Objective

To explore the effects of midazolam on the proliferation, invasion and apoptosis of colorectal cancer cells by regulating the liver kinase B1 (LKB1)/AMP-activated protein kinase (AMPK) signaling pathway.

Methods

Cell counting kit-8 method was used to detect the effects of different concentrations (5, 10, 20 and 40 μg·mL-1) midazolam on the proliferation of HCT116 cells. 20 μg·mL-1 midazolam was selected for the subsequent experiments. HCT116 cells were grouped into blank group (no treatment), midazolam group (20 μg·mL-1 midazolam), si-NC group (transfected with si-NC plasmid), si-LKB1 group (transfected with si-LKB1 plasmid), midazolam+si-NC group (transfected with si-NC plasmid+20 μg·mL-1 midazolam) and midazolam+si-LKB1 group (transfected with si-LKB1 plasmid+20 μg·mL-1 midazolam). Flow cytometry, cell countig kit-8 (CCK-8), EdU and Transwell experiments were used to detect changes in cell apoptosis, proliferation and invasion. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was used to measure the LKB1 and AMPK mRNAs. Western blot was used to measure the proliferating cell nuclear antigen (PCNA), cysteinyl aspartate-specific protease 3 (caspase-3), matrix metalloproteinase 9 (MMP-9), liver kinase B1 (LKB1) and AMP-activated protein kinase (AMPK) proteins.

Results

The EdU positive rates of the blank group, midazolam group, si-NC group, si-LKB1 group, midazolam + si-NC group and midazolam + si-LKB1 group were (62.52±6.38)%, (35.26±3.64)%, (61.95±6.24)%, (88.63±8.94)%, (36.05±3.71)% and (55.62±5.67)%, respectively; the proliferation rates were (90.85±9.04)%, (48.85±4.92)%, (91.04±8.92)%, (129.32±13.05)%, (49.05±4.98)% and (79.86±8.11)%, respectively; the apoptosis rates were (5.05±0.53)%, (20.22±2.15)%, (4.86±0.49)%, (3.11±0.35)%, (19.86±2.08)% and (8.77±0.91)%, respectively; the invasion numbers were 198.64±20.45, 122.53±12.37, 195.32±20.34, 286.61±29.33, 123.64±12.46 and 176.64±18.06, respectively; the relative expression levels of LKB1 mRNA were 0.93±0.10, 2.86±0.31, 1.08±0.12, 0.57±0.07, 2.78±0.29 and 1.55±0.17, respectively; AMPK mRNA were 1.06±0.11, 2.25±0.24, 0.98±0.10, 0.42±0.05, 2.19±0.23 and 1.35±0.15, respectively; the relative protein expression levels of PCNA were 0.79±0.08, 0.42±0.05, 0.81±0.09, 1.22±0.14, 0.46±0.05 and 0.68±0.07, respectively; Caspase-3 were 0.92±0.10, 1.44±0.16, 1.03±0.11, 0.51±0.06, 1.48±0.16 and 1.07±0.11, respectively; MMP-9 were 0.98±0.10, 0.52±0.06, 1.01±0.12, 1.53±0.17, 0.58±0.06 and 0.82±0.09, respectively; LKB1 were 0.31±0.03, 0.76±0.08, 0.34±0.04, 0.15±0.02, 0.72±0.08 and 0.45±0.05, respectively; AMPK were 0.44±0.05, 0.85±0.09, 0.42±0.05, 0.23±0.03, 0.80±0.09 and 0.57±0.06, respectively. For all these indicators, compared between the midazolam group and the blank group, the si-LKB1 group and the si-NC group, the midazolam + si-LKB1 group and the midazolam + si-NC group, and the si-LKB1 group, all showed statistically significant differences (all P<0.05).

Conclusion

Midazolam activates the LKB1/AMPK signaling pathway, inhibits the proliferation and invasion of colorectal cancer cells, and induces their apoptosis.

midazolam  /  colorectal cancer  /  liver kinase B1/ adenosine monophosphate activated protein kinase signaling pathway  /  invasion  /  proliferation  /  apoptosis
徐国兴, 徐国亭, 王苗级, 刘耿. 咪达唑仑调节LKB1/AMPK信号通路对结直肠癌细胞增殖、侵袭及凋亡影响的研究. 中国临床药理学杂志, 2025 , 41 (21) : 3103 -3109 . DOI: 10.13699/j.cnki.1001-6821.2025.21.017
Guo-xing XU, Guo-ting XU, Miao-ji WANG, Geng LIU. Research of midazolam on the proliferation, invasion and apoptosis of colorectal cancer cells by regulating the LKB1/AMPK signaling pathway[J]. Chinese Journal of Clinical Pharmacology, 2025 , 41 (21) : 3103 -3109 . DOI: 10.13699/j.cnki.1001-6821.2025.21.017
  • 河南省医学科技攻关计划项目基金资助项目(LHGJ20210104)
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doi: 10.13699/j.cnki.1001-6821.2025.21.017
  • 接收时间:2025-07-16
  • 首发时间:2026-08-05
  • 出版时间:2025-11-17
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  • 收稿日期:2025-07-16
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河南省医学科技攻关计划项目基金资助项目(LHGJ20210104)
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    1a.南阳医学高等专科学校 第一附属医院,麻醉与围术期医学科,河南 南阳 473000
    1b.南阳医学高等专科学校 第一附属医院,普通外科,河南 南阳 473000

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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
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