Evidence map›Paper›PMID 40522515›Full record

ArticleMedical oncology (Northwood, London, England)2025

Formononetin-induced apoptosis in hepatocellular carcinoma: insights from mTOR inhibition and caspase-3 activation through in silico and in vitro approaches.

Nurul Hidayah, Sri Agus Sudjarwo, Lilik Herawati, Rochmah Kurnijasanti, Muhammad Rais Mustafa, Retina Yunani

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Article in Medical oncology (Northwood, London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nurul HidayahDoctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0000-0002-1338-3667
Sri Agus SudjarwoDepartment of Pharmacology, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya, Indonesia. ags158@yahoo.com.ORCID http://orcid.org/0000-0002-7998-7500
Lilik HerawatiDepartment of Physiology and Medical Biochemistry, Faculty of Medicine, Univesitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0000-0002-8014-6952
Rochmah KurnijasantiDepartment of Pharmacology, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya, Indonesia.
Muhammad Rais MustafaDepartment of Pharmacology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Retina YunaniDoctoral Program of Veterinary Sciences, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the most prevalent primary liver cancer and remains a major contributor to global cancer-related deaths. The progression of HCC is strongly influenced by the dysregulation of the mechanistic target of rapamycin (mTOR) signaling pathway and impaired apoptotic mechanisms, particularly due to caspase-3 suppression. These molecular aberrations promote oncogenic proliferation and confer resistance to conventional therapeutic regimens. Existing treatment modalities are frequently constrained by limited efficacy, the emergence of drug resistance, and dose-limiting toxicities, highlighting the critical need for innovative and targeted therapeutic approaches to improve patient outcomes. This study investigates the dual anticancer mechanisms of formononetin, a bioactive isoflavone, focusing on its ability to suppress the mTOR signaling pathway and induce caspase-3 activation in hepatocellular carcinoma (HCC). By targeting these critical molecular pathways, formononetin exhibits therapeutic potential by impeding tumor progression and counteracting apoptosis resistance in HCC. In silico analyses employing molecular docking, PASS Online, and ProTox 3.0 were utilized to predict formononetin's biological activity, pharmacokinetic properties, and toxicity profile. These computational tools provided valuable insights into formononetin's potential therapeutic properties. To validate these predictions, in vitro studies were conducted, including cytotoxicity assays (MTT), apoptosis quantification via Annexin V-FITC/PI staining, and protein expression analysis of mTOR and caspase-3 using flow cytometry. The experimental results substantiated formononetin's capacity to suppress mTOR signaling and induce apoptotic cell death in HCC models. In silico analyses demonstrated that formononetin exhibited high binding affinities to mTOR (- 8.7 kcal/mol) and caspase-3 (- 7.2 kcal/mol), supported by favorable pharmacokinetic properties and low toxicity profiles. Cytotoxicity assays revealed selective activity against HepG2 cells, with an IC

Indexed as

ApoptosisCarcinoma, HepatocellularCaspase 3IsoflavonesLiver NeoplasmsMTOR InhibitorsTOR Serine-Threonine KinasesCell Line, TumorComputer SimulationHep G2 CellsHumansMolecular Docking SimulationSignal TransductionCASP3 protein, humanCaspase 3formononetinIsoflavonesMTOR InhibitorsMTOR protein, humanTOR Serine-Threonine KinasesApoptosisCaspase-3 activationFormononetinHepatocellular carcinomamTOR inhibition

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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.