Journal of International Obstetrics and Gynecology ›› 2025, Vol. 52 ›› Issue (5): 498-504.doi: 10.12280/gjfckx.20250391

• Research on Gynecological Malignancies: Review • Previous Articles     Next Articles

Research Progress on the Regulation of Cervical Cancer HeLa Cells by Traditional Chinese Medicine Monomers Based on the PI3K/Akt Signaling Pathway

SHANG Jing-ying, LIU Tong-tong, GU Xu-meng, WANG Jia-meng, CONG Hui-fang()   

  1. Graduate School of Heilongjiang University of Chinese Medicine, Harbin 150040, China (SHANG Jing-ying, WANG Jia-meng); The Third Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150030, China (LIU Tong-tong); The Second Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150001, China (GU Xu-meng, CONG Hui-fang)
  • Received:2025-04-15 Published:2025-10-15 Online:2025-10-16
  • Contact: CONG Hui-fang E-mail:245394336@qq.com

Abstract:

Cervical cancer is one of the most common gynecological malignancies. The phosphoinositide 3-kinase (PI3K) / protein kinase B (Akt) signaling pathway is one of the signal transduction pathways closely related to cervical cancer. Studies have found that quercetin, luteolin, triterpenoids from Inonotus obliquus, tubeimoside Ⅰ, and neferine can inhibit the activation of the PI3K/Akt pathway, reduce the phosphorylation levels of PI3K and Akt, and induce apoptosis in HeLa cells. Wogonin, rotenone, saikosaponin A, lycorine, camptothecin, shikonin, and artemisinin activate pro-apoptotic proteins and autophagic complexes through this pathway, promoting cell autophagy and apoptosis. Paeonol, oxymatrine, and protopanaxadiol inhibit cell migration and invasion by regulating the epithelial-mesenchymal transition mediated by the PI3K/Akt signaling pathway. Arsenic trioxide, paclitaxel, and gambogic acid can block this pathway, reduce the expression of angiogenesis-related proteins, and inhibit tumor angiogenesis. Pterostilbene down-regulates the expression of mammalian target of rapamycin through this pathway, affecting the tumor microenvironment. Traditional Chinese medicine monomers affect the proliferation, apoptosis, autophagy, migration, invasion of HeLa cells and the tumor microenvironment by regulating the PI3K/Akt signaling pathway, providing new therapeutic perspectives and theoretical basis for cervical cancer.

Key words: Uterine cervical neoplasms, HeLa cells, Phosphatidylinositol 3-kinases, Protein-serine-threonine kinases, Signal transduction