Evidence map›Paper›PMID 41425491›Full record

ReviewDrug design, development and therapy2025

Dihydroartemisinin: A Promising Therapeutic Agent Against the Hepatitis-to-Hepatocellular Carcinoma Cascade.

Tingyao Wang, Wei Jiang, Jiqiang Li, Jia Ma, Yuanhao Zhang, Jijun Zheng, Jie Chen, Yueqiang Wen, Xiao Ma, Jinhao Zeng

Abstract readReview
In one paragraph

Review in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Frontiers in immunology · 2026
    Article
  2. Review
4 · The record

Corrections and comments

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

10 authors.

Tingyao Wang *TCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0009-0005-6320-7222
Wei Jiang *Pingshan Hospital of Traditional Chinese Medicine, Pingshan, Sichuan, People's Republic of China.ORCID 0009-0006-6350-2501
Jiqiang LiPingshan Hospital of Traditional Chinese Medicine, Pingshan, Sichuan, People's Republic of China.ORCID 0009-0001-8542-0703
Jia MaTCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0009-0002-1376-3077
Yuanhao ZhangTCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0009-0001-2822-6912
Jijun ZhengTCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0009-0009-3276-2492
Jie ChenTCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0009-0005-3074-7812
Yueqiang WenSchool of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0000-0001-8867-7187
Xiao MaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0000-0002-0261-0369
Jinhao ZengTCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.ORCID 0000-0002-5860-3790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver cancer progression is a multifactorial, multistage, and complex malignancy. Dihydroartemisinin (DHA) is widely recognized for its antimalarial, antifibrotic, and anticancer activities. This review highlights that DHA in the hepatitis-to-hepatocellular carcinoma (HCC) cascade and explores its underlying mechanisms. DHA has remarkable effectiveness in suppressing inflammatory cytokines and promoting tissue recovery, primarily targeting the phosphoinositide 3-Kinase (PI3K)/protein kinase B (Akt) and interleukin signaling pathways. During hepatic fibrosis, DHA inhibits hepatic stellate cell activation through mechanisms including α-smooth muscle actin (α-SMA) and nuclear factor kappa B (NF-kB) pathways. It further modulates inflammatory responses, suppresses hematopoietic stem cell proliferation, induces ferroptosis, and regulates lipid droplet metabolism. Moreover, DHA inhibits the PI3K/Akt/mammalian target of rapamycin (mTOR) pathway and yes-associated protein 1 (YAP1) signaling, thereby suppressing the proliferation, invasion, and metastatic potential of HCC cells, while simultaneously activating apoptotic and autophagic pathways. Additionally, it counteracts drug resistance and improves responsiveness to chemotherapy. Notably, lipid metabolism is identified as a promising therapeutic target in this cascade, and some nanoparticle drug delivery systems have been demonstrated to optimize DHA's therapeutic efficacy. DHA demonstrates broad therapeutic efficacy by targeting multiple molecular pathways, supporting its potential clinical application in hepatocellular carcinoma prevention and treatment.

Indexed as

Antineoplastic AgentsArtemisininsCarcinoma, HepatocellularHepatitisLiver NeoplasmsAnimalsCell ProliferationHumansSignal TransductionAntineoplastic AgentsArtemisininsartenimoldihydroartemisininhepatic fibrosishepatitishepatocellular carcinomalipid metabolism

Identifiers

PMID41425491
PMCPMC12716146

What OpenQuestion holds

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Registered trials

None linked

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.