Network construction integrated compound targets derived from Traditional Chinese Medicine Systems Pharmacology and SuperPred with HCC-related targets filtered from GeneCards. The resulting interaction network, based on degree centrality analysis, identified pivotal hub genes such as STAT3, NFKB1, and TLR4, underscoring their importance in key signaling pathways. This approach provided a strong foundation for therapeutic target identification and enabled a systematic understanding of the molecular processes underlying HCC.
STAT3, NFKB1, and TLR4 are pivotal mediators in cancer biology, orchestrating complex signaling networks that contribute to tumor initiation, progression, and resistance to therapy. STAT3 (signal transducer and activator of transcription 3) is a transcription factor that, when activated via phosphorylation through the JAK/STAT pathway, translocates to the nucleus to regulate proliferation, survival, and angiogenesis (
15,
16). Aberrant STAT3 signaling has been observed in various cancers, including breast, lung, and colorectal cancers, in which constitutive activation promotes oncogenic transformation and tumor maintenance (
17). The ability of STAT3 to upregulate antiapoptotic and pro-proliferative genes makes it a central node in oncogenic signaling networks and a promising target for anticancer therapies (
18). Accordingly, the literature indicates that STAT3 is an important target in cancer therapy, and our network analysis identified it as the top interacting gene in the protein-protein interaction network. Thus, our network analysis directly corroborates prior studies.
NFKB1 (nuclear factor kappa-B subunit 1) is another key transcription factor that forms part of the NF-κB complex, which is essential for regulating immune and inflammatory responses (
19,
20). In cancer, persistent NF-κB activation has been linked to enhanced cell survival, resistance to apoptosis, and chronic inflammation, all of which contribute to tumor development and progression (
21). In malignancies such as lymphoma, pancreatic cancer, and prostate cancer, NF-κB signaling fosters an environment conducive to tumor growth by promoting the expression of genes that inhibit programmed cell death and stimulate proliferation (
22). Crosstalk with other signaling pathways further amplifies its oncogenic potential. We identified NFKB1 as a key hub gene in the protein-protein interaction network, aligning our results with the existing literature and the pathways it modulates, including apoptosis.
TLR4 (Toll-like receptor 4) is traditionally known for its role in innate immunity through recognition of molecular patterns linked to pathogens; however, emerging evidence indicates that TLR4 is also intricately involved in cancer (
23). TLR4 signaling can initiate inflammatory cascades that inadvertently support tumorigenesis through activation of downstream effectors, including NF-κB and STAT3 (
24). In several cancer types, including ovarian, gastric, and hepatocellular carcinoma, TLR4 engagement has been associated with enhanced carcinoma survival and metastasis. The ability of this receptor to modulate the tumor microenvironment by recruiting inflammatory cells further underscores its significance in promoting a protumorigenic milieu. TLR4 has been shown to be critical in modulating cellular processes that enable evasion of cell death and support tumorigenesis. Our bioinformatics analysis identified TLR4 as a central hub gene in the protein-protein interaction network, predicting it as a high-value target in HCC.
Collectively, the interplay among STAT3, NFKB1, and TLR4 contributes to a robust network of oncogenic signaling pathways. Their activation not only sustains cancer cell growth and survival but also facilitates evasion of apoptosis and promotes angiogenesis and metastasis. Targeting these molecules has therefore become an attractive strategy in the development of novel cancer therapeutics aimed at disrupting the signaling cascades underlying tumor progression and resistance mechanisms.
The coordinated regulation of cytotoxicity, apoptosis, and metastasis by STAT3, NFKB1, and TLR4 is central to the malignant phenotype observed in many cancers (
25). Activation of STAT3 often induces transcription of genes that promote survival and proliferation while inhibiting apoptotic processes. Consequently, its dysregulation can reduce cytotoxicity in response to cellular stress or therapeutic agents. Similarly, NFKB1 drives the expression of antiapoptotic factors, thereby conferring resistance to cell death. Its persistent activation creates an environment in which cancer cells can withstand cytotoxic insults and evade apoptosis.
TLR4, by initiating innate immune responses, can inadvertently enhance metastatic potential by modulating the tumor microenvironment (
26). It activates downstream signaling cascades, such as those involving STAT3 and NF-κB, leading to the secretion of pro-inflammatory cytokines that facilitate tumor cell migration and invasion. In addition to promoting metastasis, this inflammatory environment also increases chemoresistance (
27). Moreover, interplay among these pathways orchestrates epithelial-mesenchymal transition, a key metastatic process. In sum, the combined aberrant activation of STAT3, NFKB1, and TLR4 disrupts normal cellular homeostasis, reduces cytotoxic efficacy, inhibits apoptosis, and fosters metastatic behavior in cancer cells.
In the context of our study, STAT3, NFKB1, and TLR4 emerged as hub genes, underscoring their central role in orchestrating key oncogenic pathways. Our in silico analyses revealed that these genes not only serve as critical nodes within the protein-protein interaction network but also exhibit robust interconnectivity with other molecular targets implicated in HCC. The prominence of STAT3 in the network aligns with its established role in promoting proliferation and survival in liver cancer cells, whereas the involvement of NFKB1 reflects its contribution to an inflammatory microenvironment that supports tumor progression. TLR4, by mediating innate immune responses, further highlights the crosstalk between inflammation and carcinogenesis in HCC.
Our findings demonstrated that treatment with A. sinensis extract resulted in a significant, dose-dependent reduction in the viability of Hep-G2 cells. This cytotoxic effect was accompanied by downregulation of the identified hub genes, STAT3, NFKB1, and TLR4. Suppression of these key regulatory genes, which are critically involved in oncogenic signaling pathways governing proliferation and survival, suggests that their knockdown may contribute to the observed reduction in cell viability. Angelica sinensis extract significantly enhanced apoptotic cell death in Hep-G2 cells. The induction of apoptosis was associated with downregulation of the hub genes STAT3, NFKB1, and TLR4, which are known to regulate inflammatory signaling and apoptosis resistance in HCC. Knockdown of these genes may disrupt pro-survival signaling networks, thereby facilitating activation of apoptotic pathways. In addition, A. sinensis extract markedly inhibited the migratory capacity of Hep-G2 cells. This anti-migratory effect was correlated with downregulation of STAT3, NFKB1, and TLR4, genes that play pivotal roles in tumor invasion, inflammation-mediated signaling, and metastatic progression. Knockdown of these hub genes may impair downstream signaling cascades that regulate cytoskeletal dynamics, epithelial-mesenchymal transition, and cell motility. These results demonstrate the therapeutic potential of A. sinensis extract in HCC, with STAT3, NFKB1, and TLR4 emerging as key molecular targets whose suppression may contribute to reduced proliferation, enhanced apoptosis, and diminished migratory behavior of cancer cells. These results warrant further mechanistic and in vivo studies to validate the potential of these targets for the development of novel therapeutic strategies against HCC.
5.1. Limitations
This study has notable limitations that temper interpretation of the findings. First, experiments were conducted exclusively in the Hep-G2 HCC cell line without inclusion of additional HCC cell lines or normal hepatocytes as controls. This design restricts generalizability and precludes assessment of potential selectivity or off-target effects in nonmalignant liver cells. Second, the in vitro downregulation of STAT3, NFKB1, and TLR4 by A. sinensis extract remains correlative; the study did not include functional validation, such as siRNA/shRNA knockdown, overexpression rescue experiments, or specific pathway inhibitors, to establish direct causality between the hub genes and the observed antiproliferative, pro-apoptotic, and anti-migratory effects. These constraints underscore the need for broader cell-line panels, normal-cell controls, and mechanistic follow-up studies to strengthen the proposed therapeutic rationale.
5.2. Conclusions
In summary, this integrative study elucidated the antiproliferative mechanisms of A. sinensis extract against HCC. Network analysis identified 123 common targets, with STAT3, NFKB1, and TLR4 as hub genes, whereas Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses revealed involvement in peptide phosphorylation, inflammatory signaling, sphingolipid signaling, and apoptosis. Molecular docking validated strong binding of stigmasterol to key proteins. In vitro assays demonstrated dose-dependent cytotoxicity, reduced colony formation, increased apoptosis, and inhibited migration in Hep-G2 cells, with Western blotting confirming the downregulation of pivotal signaling proteins. Collectively, these results indicate the multifaceted antiproliferative potential of the herbal extract against the HCC cell line Hep-G2 and merit further investigation.