# Antiinflammatory effects of cucurbitacins and sorafenib in Hepg2 cells by modulating the IκB/NF-κB/COX-2 pathway through Akt signaling

**Authors:** Muhammed Mehdi ÜREMİŞ, Yusuf TÜRKÖZ, Nuray ÜREMİŞ

PMC · DOI: 10.55730/1300-0152.2747 · Turkish Journal of Biology · 2025-01-15

## TL;DR

This study shows that cucurbitacins and sorafenib reduce inflammation in liver cancer cells by affecting key signaling pathways.

## Contribution

The study demonstrates that cucurbitacins induce antiinflammatory effects in HepG2 cells via the Akt/NF-κB/COX-2 pathway, similar to sorafenib.

## Key findings

- Cucurbitacins and sorafenib reduced p-Akt, p-IκBα, and NF-κB nuclear translocation in HepG2 cells.
- All compounds significantly decreased COX-2, iNOS, and NO levels, especially at 5 μM concentration.
- Cucurbitacins induced apoptosis at lower concentrations than sorafenib.

## Abstract

Cucurbitacins possess antitumor, antiproliferative, and antiinflammatory properties. This study aims to examine the antiinflammatory effects of CuD, CuI, and CuE on NF-κB, iNOS, COX-2, and Akt and compare their cytotoxic and antiinflammatory effects on HepG2 cells with sorafenib, the primary chemotherapeutic agent used in HCC treatment.

Cytotoxic effects of cucurbitacins and sorafenib on HepG2 cells were evaluated using MTT and LDH assays, along with Annexin V, MMP, and comet assays. Levels of proteins related to the Akt/NF-κB pathway and COX-2, iNOS, and NO were also measured.

Our study showed that CuD, CuI, CuE, and sorafenib have antiproliferative and cytotoxic effects on HepG2 cells. Cucurbitacins induced apoptosis at lower concentrations than sorafenib and, like sorafenib, reduced p-Akt, p-IκBα protein levels, and nuclear translocation of NF-κB in a dose-dependent manner. Moreover, all compounds significantly decreased COX-2, iNOS, and NO levels, especially at 5 μM concentration.

These results indicate that cucurbitacins exert antiinflammatory effects on HepG2 cells by modulating the PI3K/Akt/NFκB signaling pathway, thereby reducing COX-2, iNOS, and NO levels. These effects are similar to those of sorafenib.

## Linked entities

- **Proteins:** NFKB1 (nuclear factor kappa B subunit 1), NOS2 (nitric oxide synthase 2), COX2 (cytochrome c oxidase subunit II), AKT1 (AKT serine/threonine kinase 1), Akt (Akt kinase)
- **Chemicals:** CuI (PubChem CID 104815), CuE (PubChem CID 5281319), sorafenib (PubChem CID 216239)
- **Diseases:** HCC (MONDO:0007256)

## Full-text entities

- **Genes:** COX2 (cytochrome c oxidase subunit II) [NCBI Gene 4513] {aka COII, MTCO2}, ANXA5 (annexin A5) [NCBI Gene 308] {aka ANX5, CPB-I, ENX2, HEL-S-7, PP4, RPRGL3}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, NOS2 (nitric oxide synthase 2) [NCBI Gene 4843] {aka HEP-NOS, INOS, NOS, NOS2A}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}
- **Diseases:** Cytotoxic (MESH:D064420), HCC (MESH:D006528)
- **Chemicals:** sorafenib (MESH:D000077157), MTT (MESH:C070243), CuD (MESH:C536778), Cucurbitacins (MESH:D054728), NO (MESH:D009614), CuI (MESH:C073870)
- **Cell lines:** HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027)

## Full text

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## Figures

10 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12266348/full.md

## References

73 references — full list in the complete paper: https://tomesphere.com/paper/PMC12266348/full.md

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Source: https://tomesphere.com/paper/PMC12266348