Evidence map›Paper›PMID 32013250›Full record

ArticleInternational journal of molecular sciences2020

(+)-Usnic Acid Induces ROS-dependent Apoptosis via Inhibition of Mitochondria Respiratory Chain Complexes and Nrf2 Expression in Lung Squamous Cell Carcinoma.

Wanchen Qi, Changpeng Lu, Huiliang Huang, Weinan Zhang, Shaofei Song, Bing Liu

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
8.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  3. PVP-Stabilized Ag@SiOInternational journal of nanomedicine · 2026
    Article
  4. Natural product as a lead for impairing mitochondrial respiration in cancer cells.Journal of enzyme inhibition and medicinal chemistry · 2025
    Article
  5. Article
  6. Article
  7. Observational
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  9. Review
  10. Article
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  12. Hepatotoxicity of usnic acid and underlying mechanisms.Journal of environmental science and health. Part C, Toxicology and carcinogenesis · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Wanchen QiSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Changpeng LuSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Huiliang HuangSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Weinan ZhangSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Shaofei SongSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Bing LiuSchool of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Guangdong Pharmaceutical University · CN

Funding

Key Laboratory of New Drug Discovery and Evaluation of ordinary universities of Guangdong province 2017KSYS002the National Natural Science Foundation of China 81972821 and 81672836the project of the new star of Zhujiang science and technology 201710010001the projects of Guangzhou key laboratory of construction and application of new drug screening model systems 201805010006
6 · The paper itself

Abstract

Lung squamous cell carcinoma (LUSC) has a poor prognosis, in part due to poor therapeutic response and limited therapeutic alternatives. Lichens are symbiotic organisms, producing a variety of substances with multiple biological activities. (+)-Usnic acid, an important biologically active metabolite of lichens, has been shown to have high anti-cancer activity at low doses. However, there have been no reports regarding the effect of (+)-usnic acid on LUSC cells. This study found that (+)-usnic acid reduced viability and induced apoptosis in LUSC cells by reactive oxygen species (ROS) accumulation. (+)-Usnic acid induced mitochondria-derived ROS production via inhibition of complex I and complex III of the mitochondrial respiratory chain (MRC). Interestingly, the elimination of mitochondrial ROS by Mito-TEMPOL only partially reversed the effect of (+)-usnic acid on cellular ROS production. Further study showed that (+)-usnic acid also induced ROS production via reducing Nrf2 stability through disruption of the PI3K/Akt pathway. The in vitro and in vivo xenograft studies showed that combined treatment of (+)-usnic acid and paclitaxel synergistically suppressed LUSC cells. In conclusion, this study indicates that (+)-usnic acid induces apoptosis of LUSC cells through ROS accumulation, probably via disrupting the mitochondrial respiratory chain (MRC) and the PI3K/Akt/Nrf2 pathway. Therefore, although clinical use of (+)-usnic acid will be limited due to toxicity issues, derivatives thereof may turn out as promising anticancer candidates for adjuvant treatment of LUSC.

Indexed as

AnimalsAntineoplastic Agents, PhytogenicApoptosisBenzofuransCarcinoma, Squamous CellCell Line, TumorElectron Transport Chain Complex ProteinsHumansLung NeoplasmsMiceMitochondriaNF-E2-Related Factor 2PaclitaxelPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktReactive Oxygen SpeciesAntineoplastic Agents, PhytogenicBenzofuransElectron Transport Chain Complex ProteinsNF-E2-Related Factor 2PaclitaxelPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktReactive Oxygen Speciesusnic acidlung squamous cell carcinomapaclitaxelreactive oxygen species (ROS)(+)-usnic acid

Identifiers

PMID32013250
PMCPMC7037438
OpenAlexW3003273489

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.