# Plant-Derived Secondary Metabolites Modulating Inflammation-Driven Pathways in Hepatocellular Carcinoma: Preclinical Insights

**Authors:** Sergio Arael Mendoza-Calderón, Holanda Isabel Cruz Luis, Laura Pérez-Campos Mayoral, Itzel Patricia Vásquez-Martínez, Eduardo Pérez-Campos, Irma Leticia Bazán Salinas, Juan de Dios Ruiz-Rosado, Nahui Samanta Nájera-Segura, Efrén Emmanuel Jarquín González, Jeanet Elizabeth Aragón Ayala, Christopher Torres Flores, Serafina Pérez Rodríguez, María Teresa Hernández-Huerta, Hector A. Cabrera-Fuentes

PMC · DOI: 10.3390/cimb48020172 · 2026-02-02

## TL;DR

This paper reviews plant compounds that may help treat liver cancer by targeting inflammation pathways, but more clinical studies are needed.

## Contribution

The paper systematically reviews preclinical evidence of plant-derived metabolites modulating inflammation-driven pathways in HCC.

## Key findings

- Phytochemicals like resveratrol and curcumin modulate key signaling pathways in HCC models.
- These compounds induce apoptosis and inhibit cancer progression in preclinical studies.
- Clinical translation is hindered by bioavailability and safety data gaps.

## Abstract

Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide, primarily driven by chronic inflammation from viral hepatitis, metabolic dysfunction, alcohol-induced liver disease, and cirrhosis. Conventional therapies often fail in advanced stages, highlighting the need for mechanism-based, precision-guided interventions. Plant-derived secondary metabolites represent a promising class of bioactive compounds with structural diversity, multitarget activity, anti-inflammatory effects, and favorable toxicity profiles. This review follows a semi-systematic narrative that synthesizes preclinical and experimental evidence on the anti-inflammatory and anticancer properties of key phytochemicals, including epigallocatechin-3-gallate, galangin, resveratrol, quercetin, curcumin, berberine, genistein, and thymoquinone. These compounds consistently modulate critical inflammation-driven signaling pathways, PI3K/AKT/mTOR, NF-κB, JAK/STAT, Wnt/β-catenin, and MAPK, resulting in apoptosis induction, cell cycle arrest, inhibition of angiogenesis, and reduced invasion and metastasis in multiple HCC models. Despite strong preclinical evidence, clinical translation remains limited by variable bioavailability, incomplete safety data, and insufficient human studies. A staged development strategy is recommended: standardized formulations, Good Laboratory Practice-compliant pharmacokinetic/toxicology studies, validation in patient-derived models, and early-phase, biomarker-guided clinical trials with combination therapy arms. Addressing regulatory, manufacturing, and quality control considerations will be essential for advancing these compounds as adjuvant or complementary agents in precision HCC therapy.

## Linked entities

- **Chemicals:** epigallocatechin-3-gallate (PubChem CID 65064), galangin (PubChem CID 5281616), resveratrol (PubChem CID 5056), quercetin (PubChem CID 5280343), curcumin (PubChem CID 969516), berberine (PubChem CID 2353), genistein (PubChem CID 5280961), thymoquinone (PubChem CID 10281)
- **Diseases:** Hepatocellular carcinoma (MONDO:0007256), viral hepatitis (MONDO:0006011), cirrhosis (MONDO:0005155)

## Full-text entities

- **Genes:** PRKAA2 (protein kinase AMP-activated catalytic subunit alpha 2) [NCBI Gene 5563] {aka AMPK, AMPK2, AMPKa2, PRKAA}, IFI27 (interferon alpha inducible protein 27) [NCBI Gene 3429] {aka FAM14D, ISG12, ISG12A, P27}, CDC25C (cell division cycle 25C) [NCBI Gene 995] {aka CDC25, PPP1R60}, PI3 (peptidase inhibitor 3) [NCBI Gene 5266] {aka ESI, SKALP, WAP3, WFDC14, cementoin}, CNR1 (cannabinoid receptor 1) [NCBI Gene 1268] {aka CANN6, CB-R, CB1, CB1A, CB1K5, CB1R}, Akt1 (Akt serine/threonine kinase 1) [NCBI Gene 11651] {aka Akt, LTR-akt, PKB, PKB/Akt, PKBalpha, Rac}, EIF2A (eukaryotic translation initiation factor 2A) [NCBI Gene 83939] {aka CDA02, EIF-2A, MST089, MSTP004, MSTP089}, Stat3 (signal transducer and activator of transcription 3) [NCBI Gene 20848] {aka 1110034C02Rik, Aprf}, CCNL2 (cyclin L2) [NCBI Gene 81669] {aka ANIA-6B, CCNM, CCNS, HCLA-ISO, HLA-ISO, PCEE}, Igf1r (insulin-like growth factor I receptor) [NCBI Gene 16001] {aka A330103N21Rik, CD221, D930020L01, IGF-1R, hyft}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, SLTM (SAFB like transcription modulator) [NCBI Gene 79811] {aka Met}, H3P16 (H3 histone pseudogene 16) [NCBI Gene 644914] {aka H3.6, H3F3AP6, p21}, Ptgs2 (prostaglandin-endoperoxide synthase 2) [NCBI Gene 19225] {aka COX2, Cox-2, PES-2, PGHS-2, PHS II, PHS-2}, Pdgfrb (platelet derived growth factor receptor, beta polypeptide) [NCBI Gene 18596] {aka CD140b, PDGFR-1, Pdgfr}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, Sirt3 (sirtuin 3) [NCBI Gene 64384] {aka 2310003L23Rik, Sir2l3}, Cdkn1a (cyclin dependent kinase inhibitor 1A) [NCBI Gene 12575] {aka CAP20, CDKI, CIP1, Cdkn1, P21, SDI1}, MIF (macrophage migration inhibitory factor) [NCBI Gene 4282] {aka GIF, GLIF, MMIF}, HK2 (hexokinase 2) [NCBI Gene 3099] {aka HKII, HXK2}, GSTK1 (glutathione S-transferase kappa 1) [NCBI Gene 373156] {aka GST, GST 13-13, GST13, GST13-13, GSTK1-1, hGSTK1}, BMF (Bcl2 modifying factor) [NCBI Gene 90427], CDKN1B (cyclin dependent kinase inhibitor 1B) [NCBI Gene 1027] {aka CDKN4, KIP1, MEN1B, MEN4, P27KIP1}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, BIRC2 (baculoviral IAP repeat containing 2) [NCBI Gene 329] {aka API1, HIAP2, Hiap-2, IAP-2, MIHB, RNF48}, HIF1A (hypoxia inducible factor 1 subunit alpha) [NCBI Gene 3091] {aka HIF-1-alpha, HIF-1A, HIF-1alpha, HIF1, HIF1-ALPHA, MOP1}, ERN1 (endoplasmic reticulum to nucleus signaling 1) [NCBI Gene 2081] {aka IRE1, IRE1P, IRE1a, hIRE1p}, AFP (alpha fetoprotein) [NCBI Gene 174] {aka AFPD, FETA, HPAFP}, SP1 (Sp1 transcription factor) [NCBI Gene 6667], MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, Prdx6-ps2 (peroxiredoxin 6 pseudogene 2) [NCBI Gene 384001] {aka Aop2-rs2, GPx*, Prdx6-rs2}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, Jun (Jun proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 16476] {aka AP-1, Junc, c-jun}, CBR1 (carbonyl reductase 1) [NCBI Gene 873] {aka CBR, PG-9-KR, SDR21C1, hCBR1}, ADAM17 (ADAM metallopeptidase domain 17) [NCBI Gene 6868] {aka ADAM18, CD156B, CSVP, HYPT16, NISBD, NISBD1}, IGF1R (insulin like growth factor 1 receptor) [NCBI Gene 3480] {aka CD221, IGFIR, IGFR, JTK13}, BSG (basigin (Ok blood group)) [NCBI Gene 682] {aka 5F7, CD147, EMMPRIN, EMPRIN, HAb18G, OK}, Aifm1 (apoptosis-inducing factor, mitochondrion-associated 1) [NCBI Gene 26926] {aka AIF, AIFsh2, Hq, Pdcd8}, PIK3R1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 5295] {aka AGM7, GRB1, IMD36, p85, p85-ALPHA, p85alpha}, DIABLO (diablo IAP-binding mitochondrial protein) [NCBI Gene 56616] {aka DFNA64, SMAC}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, CASP8 (caspase 8) [NCBI Gene 841] {aka ALPS2B, CAP4, Casp-8, FLICE, MACH, MCH5}, MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, Mpo (myeloperoxidase) [NCBI Gene 17523] {aka mKIAA4033}, TERT (telomerase reverse transcriptase) [NCBI Gene 7015] {aka CMM9, DKCA2, DKCB4, EST2, PFBMFT1, TCS1}, Atp2a2 (ATPase, Ca++ transporting, cardiac muscle, slow twitch 2) [NCBI Gene 11938] {aka 9530097L16Rik, D5Wsu150e, SERCA2, SERCA2B, Serca2a, mKIAA4195}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, Hif1a (hypoxia inducible factor 1, alpha subunit) [NCBI Gene 15251] {aka HIF-1-alpha, HIF1-alpha, HIF1alpha, MOP1, bHLHe78}, Fasl (Fas ligand) [NCBI Gene 14103] {aka APT1LG1, CD178, CD95-L, CD95L, Fas-L, Faslg}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, Nos2 (nitric oxide synthase 2, inducible) [NCBI Gene 18126] {aka MAC-NOS, NOS-II, Nos-2, Nos2a, i-NOS, iNOS}, NADK (NAD kinase) [NCBI Gene 65220] {aka NADK1, dJ283E3.1}, CASP2 (caspase 2) [NCBI Gene 835] {aka CASP-2, ICH1, MRT80, NEDD-2, NEDD2, PPP1R57}, Bcl2 (B cell leukemia/lymphoma 2) [NCBI Gene 12043] {aka Bcl-2, C430015F12Rik, D630044D05Rik, D830018M01Rik}, FAS (Fas cell surface death receptor) [NCBI Gene 355] {aka ALPS1A, APO-1, APT1, CD95, FAS1, FASTM}, ALB (albumin) [NCBI Gene 213] {aka FDAHT, HSA, PRO0883, PRO0903, PRO1341}, CISH (cytokine inducible SH2 containing protein) [NCBI Gene 1154] {aka BACTS2, CIS, CIS-1, G18, SOCS}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}
- **Diseases:** Damage in the liver (MESH:D056486), ovarian cancer (MESH:D010051), liver injury (MESH:D017093), ER (MESH:D008228), chronic (MESH:D002908), fungal (MESH:D009181), HCC tumors (MESH:D006528), immune dysregulation (OMIM:614878), carcinogenic (MESH:D011230), deaths (MESH:D003643), tumorigenic (MESH:D002471), viral hepatitis (MESH:D014777), intrahepatic metastasis (MESH:D009362), HCV infection (MESH:D006526), cytotoxic (MESH:D064420), tumor suppressor (OMIM:601308), viral hepatitis (B and/or C (MESH:D006525), immune dysfunction (MESH:D007154), gastrointestinal disorders (MESH:D005767), chronic liver injury (MESH:D056487), HCC oncogenesis (MESH:D063646), hypoxic (MESH:D002534), NASH (MESH:D005235), obesity (MESH:D009765), dysplastic (MESH:D004416), hypoxia (MESH:D000860), metabolic dysfunction (MESH:D008659), metabolic dysregulation (MESH:D021081), cardiotoxicity (MESH:D066126), mitochondrial damage (MESH:D028361), alcohol (MESH:D000437), Chronic inflammation (MESH:D007249), chronic liver disease (MESH:D008107), injury to (MESH:D014947), Cirrhosis (MESH:D005355), liver fibrosis (MESH:D008103), EMT (MESH:D002277), NAFLD (MESH:D065626), cancer (MESH:D009369), diabetes (MESH:D003920)
- **Chemicals:** lipid (MESH:D008055), sesquiterpenoid (MESH:D012717), polyphenol (MESH:D059808), ATP (MESH:D000255), Capsaicin (MESH:D002211), GSH (MESH:D005978), flavonoid (MESH:D005419), glucose (MESH:D005947), ROS (MESH:D017382), BBR (MESH:D001599), DEN (MESH:D004052), GA (MESH:D005708), DNROL (MESH:C000847), DOX (MESH:D004317), TQ (MESH:C003466), cisplatin (MESH:D002945), cytotoxic (-), NO (MESH:D009614), Curcumin (MESH:D003474), malondialdehyde (MESH:D008315), AT-II (MESH:C458582), lignan (MESH:D017705), Hispidulin (MESH:C055957), isoflavone (MESH:D007529), Oroxylin A (MESH:C080669), raloxifene (MESH:D020849), terpenes (MESH:D013729), catechin (MESH:D002392), 4',5,7-trihydroxyisoflavone (MESH:D019833), nitric oxide (MESH:D009569), ceramides (MESH:D002518), Resveratrol (MESH:D000077185), aglycone (MESH:C458179), alkaloid (MESH:D000470), SOR (MESH:D000077157), chitosan (MESH:D048271), flavone (MESH:C043562), EGCG (MESH:C045651), aflatoxin B1 (MESH:D016604), 3, 5, 7-trihydroxyflavone (MESH:C037032), stilbene (MESH:D013267), sulforaphane (MESH:C016766), LPO (MESH:D008054), tamoxifen (MESH:D013629), LA (MESH:C060282), 3, 3', 4', 5, 7-pentahydroxyflavone (MESH:D011794), MDA (MESH:D015104), prostaglandins (MESH:D011453), vincristine (MESH:D014750)
- **Species:** Curcuma longa (turmeric, species) [taxon 136217], Camellia sinensis (black tea, species) [taxon 4442], Polygonum cuspidatum (species) [taxon 83819], Alnus pendula (species) [taxon 109067], Scutellaria galericulata (marsh skullcap, species) [taxon 53169], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Plantago major (cart-track plant, species) [taxon 29818], Morus sp. (in: birds) (species) [taxon 2047046], Hepatitis B virus (no rank) [taxon 10407], hepatitis C virus [taxon 11103], Alpinia officinarum (Chinese-ginger, species) [taxon 199623], Saussurea involucrata (species) [taxon 200489], Scutellaria baicalensis (Baikal skullcap, species) [taxon 65409]
- **Cell lines:** HuH7 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0336), PLC/PRF/5 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0485), Hep3B — Homo sapiens (Human), Childhood hepatocellular carcinoma, Cancer cell line (CVCL_0326), HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027), LM3 CHC — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_W519)

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12939473/full.md

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Source: https://tomesphere.com/paper/PMC12939473