Donafenib activates the p53 signaling pathway in hepatocellular carcinoma, induces ferroptosis, and enhances cell apoptosis

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Publicado en:Clinical and Experimental Medicine vol. 25, no. 1 (Dec 2025), p. 29
Autor principal: Liang, Jiaming
Otros Autores: Chen, Meifeng, Yan, Guohong, Hoa, Pham Thi Thai, Wei, Shuxin, Huang, Hailian, Xie, Qichong, Luo, Xiaoling, Mo, Shutian, Han, Chuangye
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Springer Nature B.V.
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024 7 |a 10.1007/s10238-024-01550-6  |2 doi 
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100 1 |a Liang, Jiaming  |u the First Affiliated Hospital of Guangxi Medical University, Department of Hepatobiliary Surgery, Nanning, China (GRID:grid.412594.f) 
245 1 |a Donafenib activates the p53 signaling pathway in hepatocellular carcinoma, induces ferroptosis, and enhances cell apoptosis 
260 |b Springer Nature B.V.  |c Dec 2025 
513 |a Journal Article 
520 3 |a Donafenib is an improved version of sorafenib in which deuterium is substituted into the drug’s chemical structure, enhancing its stability and antitumor activity. Donafenib exhibits enhanced antitumor activity and better tolerance than sorafenib in preclinical and clinical studies. However, the specific mechanism of its effect on hepatocellular carcinoma has not been reported. Iron deposition is a cell death pattern caused by disturbances in iron metabolism. Apoptosis is a form of programmed cell death. They may interact with each other during cell death. This study mainly explores the potential mechanism of donafenib activating the p53 signaling pathway, inducing iron deposition, and enhancing cell apoptosis in hepatocellular carcinoma. Hepa1-6 and Huh7 cells were treated with various concentrations of donafenib. Scratch healing and pore migration tests were conducted. Analyze apoptosis through flow cytometry and TUNEL fluorescence labeling. RNA sequencing was conducted on both untreated and donafenib-treated Huh7 cells. The key proteins involved in ferroptosis (SLC7A11, GPX4) and apoptosis (caspase3, caspase8, Bax, Bcl-2, p53) were then evaluated using immunoblotting and immunohistochemical staining. Reactive oxygen species (ROS) levels in the cancer cells were measured. Donafenib treatment resulted in a dose-dependent decrease in the proliferation, migration, and invasion capabilities of cancer cells. There was an increase in apoptosis rates and ROS accumulation, and a reduction in tumor volume. The key proteins involved in ferroptosis and apoptosis underwent significant changes. Donafenib activates the p53 signaling pathway, induce ferroptosis, and enhance apoptosis, suggesting its potential as an effective therapeutic agent for HCC. 
651 4 |a China 
653 |a p53 Protein 
653 |a Monoclonal antibodies 
653 |a Ferroptosis 
653 |a Cell death 
653 |a Metastasis 
653 |a Cancer therapies 
653 |a Antitumor activity 
653 |a Cell proliferation 
653 |a BAX protein 
653 |a Bcl-2 protein 
653 |a Reactive oxygen species 
653 |a Metabolism 
653 |a Liver cancer 
653 |a Flow cytometry 
653 |a Apoptosis 
653 |a Immunoblotting 
653 |a Kinases 
653 |a Drug resistance 
653 |a Cell culture 
653 |a Statistical analysis 
653 |a Oxidative stress 
653 |a Medical prognosis 
653 |a Hepatocellular carcinoma 
653 |a Iron 
653 |a Polyclonal antibodies 
653 |a Glutathione 
653 |a Signal transduction 
700 1 |a Chen, Meifeng  |u the First Affiliated Hospital of Guangxi Medical University, Department of Hepatobiliary Surgery, Nanning, China (GRID:grid.412594.f) 
700 1 |a Yan, Guohong  |u the First Affiliated Hospital of Guangxi Medical University, Department of Hepatobiliary Surgery, Nanning, China (GRID:grid.412594.f) 
700 1 |a Hoa, Pham Thi Thai  |u Guangxi International Zhuang Medical Hospital, Research and Development Centre of Zhuang and Yao Medicines, Nanning, China (GRID:grid.412594.f) 
700 1 |a Wei, Shuxin  |u Guangxi Medical University, School of Basic Medical Sciences, Nanning, China (GRID:grid.256607.0) (ISNI:0000 0004 1798 2653) 
700 1 |a Huang, Hailian  |u Guangxi Medical University, School of Basic Medical Sciences, Nanning, China (GRID:grid.256607.0) (ISNI:0000 0004 1798 2653) 
700 1 |a Xie, Qichong  |u Guangxi Medical University, School of Basic Medical Sciences, Nanning, China (GRID:grid.256607.0) (ISNI:0000 0004 1798 2653) 
700 1 |a Luo, Xiaoling  |u Guangxi Medical University, School of Basic Medical Sciences, Nanning, China (GRID:grid.256607.0) (ISNI:0000 0004 1798 2653) 
700 1 |a Mo, Shutian  |u the First Affiliated Hospital of Guangxi Medical University, Department of Hepatobiliary Surgery, Nanning, China (GRID:grid.412594.f) 
700 1 |a Han, Chuangye  |u the First Affiliated Hospital of Guangxi Medical University, Department of Hepatobiliary Surgery, Nanning, China (GRID:grid.412594.f) 
773 0 |t Clinical and Experimental Medicine  |g vol. 25, no. 1 (Dec 2025), p. 29 
786 0 |d ProQuest  |t Health & Medical Collection 
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