Evidence map›Paper›PMID 42050199›Full record

ArticleCancer chemotherapy and pharmacology2026

Homoharringtonine suppresses gastric cancer progression by targeting PI3K/ AKT/FOXO pathway and impairing the GSH-GPX4 antioxidant axis.

Xiaonan Wang, Xiao Ying, Sunyuan Lv, Shanshan Ru, Haonan Jin, Yingzhe Zhang, Jingjing Guo

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Article in Cancer chemotherapy and pharmacology, 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

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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

7 authors.

Xiaonan Wang *Department of Pharmacy, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Huayu Road 1, Keqiao District, Shaoxing, 312030, Zhejiang, China.
Xiao Ying *Department of Gastroenterology, The First People's Hospital Yongkang, Jinhua, 321000, China.
Sunyuan Lv *Department of General Surgery, The Chengdu Fifth People's Hospital, Chengdu, 611130, China.
Shanshan RuDepartment of Pharmacy, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Huayu Road 1, Keqiao District, Shaoxing, 312030, Zhejiang, China.
Haonan JinDepartment of Pharmacy, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Huayu Road 1, Keqiao District, Shaoxing, 312030, Zhejiang, China.
Yingzhe ZhangDepartment of Pharmacy, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Huayu Road 1, Keqiao District, Shaoxing, 312030, Zhejiang, China. zyzlcl@126.com.
Jingjing GuoDepartment of Pharmacy, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Huayu Road 1, Keqiao District, Shaoxing, 312030, Zhejiang, China. guojingjing-www@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the unexplored therapeutic potential and identify the specific molecular targets of homoharringtonine (HHT) in gastric cancer (GC).

methodsHHT’s efficacy was evaluated in GC cell lines (MKN1/MKN45), normal epithelial cells (GES-1), and an HGC27 xenograft model. Mechanisms were investigated using RNA-sequencing, microscale thermophoresis (MST), molecular docking, and biochemical assays.

resultsHHT suppressed GC cell proliferation and migration, inducing G1-phase arrest and apoptosis, while demonstrating lower cytotoxicity toward normal GES-1 cells. MST and docking assays confirmed that HHT directly and stably binds to AKT (KD= 6.496 nM) and suppresses the PI3K/AKT/FOXO/GSK3β signaling pathway. Concurrently, transcriptomic profiling and experimental validation showed that HHT disrupts glutathione metabolism. It depleted intracellular GSH and downregulated GPX4, triggering ferroptosis-like oxidative damage and mitochondrial cristae loss. In vivo, HHT inhibited GC xenograft tumor growth without causing systemic toxicity, which was accompanied by decreased Ki-67 and increased Caspase-3 expression.

conclusionHHT inhibits GC progression by suppressing AKT-mediated tumor growth and inducing GPX4-dependent ferroptosis. These findings highlight HHT as a promising targeted therapeutic for GC.

Indexed as

HomoharringtoninePhospholipid Hydroperoxide Glutathione PeroxidaseStomach NeoplasmsAnimalsAntineoplastic Agents, PhytogenicAntioxidantsApoptosisCell Line, TumorCell MovementCell ProliferationDisease ProgressionGlutathioneHumansMiceMice, NudePhosphatidylinositol 3-KinasesAntineoplastic Agents, PhytogenicAntioxidantsGlutathioneHomoharringtoninePhosphatidylinositol 3-KinasesPhospholipid Hydroperoxide Glutathione PeroxidaseProto-Oncogene Proteins c-aktApoptosisCell cycle arrestGastric cancerGPX4HomoharringtoninePI3K/AKT pathway

Identifiers

PMID42050199

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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.