Evidence map›Paper›PMID 41963939›Full record

ArticleCancer cell international2026

CDK4 inhibition by luteolin enhances lenvatinib sensitivity in HCC via Wnt/β-catenin modulation.

Baohong Yuan, Ruotian Wang, Ruhong Li, Songlin Yang, Dong Zhan, Jing Tan

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Article in Cancer cell international, 2026. 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

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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Baohong YuanDepartment of General Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, China.
Ruotian WangDepartment of General Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, China.
Ruhong LiDepartment of General Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, China.
Songlin YangDepartment of General Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, China.
Dong ZhanKunming Medical University, Kunming, China.
Jing TanDepartment of General Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, China. kmtjing@sina.com.

Funding

National Natural Science Foundation of China 82060536Yunnan Provincial Science and Technology Department Kunming Medical University Joint Special Project 202101AC070837
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) frequently develops resistance to lenvatinib. We investigated CDK4’s role in this resistance and the potential of Danshen/luteolin to overcome it.

methodsUsing bioinformatics, in vitro models, and in vivo xenografts, we modulated CDK4 expression (overexpression/shRNA) in HCC cells. Danshen extract and luteolin’s effects on lenvatinib sensitivity were assessed via viability/apoptosis assays and molecular analyses. Wnt/β-catenin pathway involvement was tested with an inhibitor and luciferase reporter.

resultsNetwork pharmacology identified CDK4 as a Danshen target in resistant HCC. High CDK4 correlated with poor prognosis and increased resistance. Danshen/luteolin reduced CDK4 protein, enhanced lenvatinib sensitivity, and suppressed tumor growth in vitro and in vivo. Luteolin promoted CDK4 degradation via the ubiquitin-proteasome pathway and modulated Wnt/β-catenin signaling, crucial for resistance.

conclusionsCDK4 is a key mediator of lenvatinib resistance in HCC. Danshen-derived luteolin acts as a CDK4 inhibitor, enhancing lenvatinib sensitivity by degrading CDK4 and targeting Wnt/β-catenin, supporting combination therapies to overcome resistance.

Indexed as

CDK4Danshen (Salvia miltiorrhiza)Hepatocellular carcinomaLenvatinib resistanceLuteolinWnt/β-catenin signaling

Identifiers

PMID41963939
PMCPMC13251295

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