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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2025.1622666</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Andrographolide suppresses chondrosarcoma cell migration and invasion by inhibiting the PI3K/Akt/mTOR signaling pathway and activating autophagy</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Wu</surname>
<given-names>Chun-Fei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Ouyang</surname>
<given-names>Li-xin</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Wan-hao</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Shuo</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhong</surname>
<given-names>Xian-Xing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Yong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Fan</surname>
<given-names>Shuai</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Peng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Liang</surname>
<given-names>Zu-Jian</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2854522/overview"/>
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<aff id="aff1">
<sup>1</sup>
<institution>The Third Affiliated Hospital of Guangzhou University of Chinese Medicine</institution>, <addr-line>Guangzhou</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine</institution>, <addr-line>Guangzhou</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine</institution>, <addr-line>Shenzhen</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>The Second Clinical College of Guangzhou University of Chinese Medicine</institution>, <addr-line>Guangzhou</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Shenzhen Traditional Chinese Medicine Hospital</institution>, <addr-line>Shenzhen</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/727555/overview">Mohammed Abu El-Magd</ext-link>, Kafrelsheikh University, Egypt</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3091542/overview">Foad A. Farrag</ext-link>, Kafrelsheikh University, Egypt</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3092033/overview">Fan Zhang</ext-link>, Guangxi University of Chinese Medicine, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Zu-Jian Liang, <email xlink:href="mailto:liangzujian@gzucm.edu.cn">liangzujian@gzucm.edu.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>15</volume>
<elocation-id>1622666</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Wu, Ouyang, Zhang, Yang, Zhong, Lin, Fan, Li and Liang.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Wu, Ouyang, Zhang, Yang, Zhong, Lin, Fan, Li and Liang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Objective</title>
<p>Chondrosarcoma, a malignant bone tumor, exhibits a high incidence rate. This study employed network pharmacology and cell-based experiments to explore the molecular mechanisms by which andrographolide (Andro) suppressed the migration and invasion of chondrosarcoma cells.</p>
</sec>
<sec>
<title>Methods</title>
<p>Andro&#x2019;s target genes were identified through integration of data from SuperPred, SEA, STITCH, Pharmmapper, HERB, HIT-2, and Swiss Target Prediction databases, and subsequently cross-referenced with chondrosarcoma-related genes. A protein&#x2013;protein interaction (PPI) network was constructed using the STRING platform, followed by GO functional annotation and KEGG pathway enrichment analyses of potential targets with R software. Molecular docking assessed the binding affinities between Andro and key targets. Based on network pharmacology data, <italic>in vitro</italic> experiments validated Andro&#x2019;s impact on the migration and invasion of chondrosarcoma cells and investigated its underlying mechanisms.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 167 potential targets for Andro were identified. The PPI network highlighted PI3K, Akt, and mTOR as core targets. KEGG pathway analysis revealed that Andro&#x2019;s inhibitory effects on cell migration and invasion were linked to the PI3K/Akt, HIF-1, and T-cell receptor signaling pathways. Molecular docking confirmed that the binding energies for the Andro-PI3K, Andro-Akt, and Andro-mTOR complexes were&lt;&#x2013;5 kcal/mol. Wound healing and transwell assays demonstrated that Andro (5 and 20 &#x3bc;M) treatment significantly reduced the wound healing rate and impaired the migratory and invasive abilities of chondrosarcoma cells after 24 hours (<italic>p&lt;</italic>0.05) compared to controls. Western blotting (WB) analysis showed that Andro (5, 20, and 50 &#x3bc;M) notably downregulated vimentin and MMP-9 expression while upregulating E-cadherin in chondrosarcoma cells (<italic>p&lt;</italic>0.05 for all). Furthermore, Andro (5, 20, and 50 &#x3bc;M) decreased the p-mTOR/mTOR, p-PI3K/PI3K, and p-Akt/Akt ratios in SW1353 and Hs 819.T cells. WB results also revealed that Andro (5, 20, and 50 &#x3bc;M) reduced p62 expression, while Beclin-1 expression and the LC3A/B-II/LC3A/B-I ratio increased in SW1353 and Hs 819.T cells. Confocal microscopy demonstrated a significant increase in autophagic flux in Andro-treated SW1353 cells. Andro&#x2019;s effects were attenuated by autophagy inhibitor chloroquine, indicating its pharmacological action via autophagy inhibition in chondrosarcoma cells.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Therefore, Andro could reduce the migration and invasion of chondrosarcoma cells by modulating the PI3K/Akt/mTOR signaling pathway, alleviating autophagy inhibition, and subsequently promoting autophagic activity.</p>
</sec>
</abstract>
<kwd-group>
<kwd>andrographolide</kwd>
<kwd>chondrosarcoma</kwd>
<kwd>PI3K/AKT/mTOR</kwd>
<kwd>network pharmacology</kwd>
<kwd>
<italic>in vitro</italic> experiments</kwd>
</kwd-group>
<counts>
<fig-count count="9"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="14"/>
<word-count count="5687"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Pharmacology of Anti-Cancer Drugs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Chondrosarcoma represents a malignant bone neoplasm, comprising 20%&#x2013;30% of all such tumors (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). It affects individuals across all age groups, with a higher prevalence in men (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). The pelvis and long bones, particularly the femur, are the most frequent locations for this tumor (<xref ref-type="bibr" rid="B3">3</xref>). Surgical resection remains the standard treatment, with tumor margin excision correlating with improved postoperative survival (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). In contrast, chondrosarcoma exhibits resistance to radiotherapy and chemotherapy (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>), primarily due to factors such as limited angiogenesis, an abundant extracellular matrix, restricted cellular proliferation, and slow growth rates (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B7">7</xref>). The anatomical features and invasive properties of common chondrosarcoma sites complicate effective medical intervention. Furthermore, surgical resection is often not a viable option for patients with metastatic chondrosarcoma (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). Consequently, there is a pressing need for more targeted and effective pharmacological therapies for managing chondrosarcoma.</p>
<p>Andrographolide (Andro), a diterpenoid lactone with the molecular formula C<sub>20</sub>H<sub>30</sub>O<sub>5</sub>, is the principal bioactive compound derived from <italic>Andrographis paniculata</italic> (Burm. f.) Nees, a member of the Oleaceae family. Its molecular structure comprises three hydroxyl groups and a lactone ring (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Andro exhibits a range of biological activities, including anti-cancer, anti-inflammatory, antioxidant, and immune-modulatory effects (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). According to Attri et&#xa0;al., Andro holds promise as a natural anti-cancer agent, capable of overcoming certain limitations inherent in conventional cancer treatments due to its broad-spectrum efficacy and low toxicity (<xref ref-type="bibr" rid="B12">12</xref>). The compound exerts anti-cancer actions by disrupting the cell cycle, suppressing cell migration, and inducing apoptosis and autophagic cell death at distinct biological stages (<xref ref-type="bibr" rid="B13">13</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). A previous investigation emphasized Andro&#x2019;s role as an antiviral agent (<xref ref-type="bibr" rid="B16">16</xref>), exploring its activity and that of its derivatives against COVID-19 through systems biology, suggesting its involvement in various biological processes. Furthermore, Wang et&#xa0;al. demonstrated that Andro promoted protective autophagy by targeting DJ-1, triggering reactive oxygen species to induce pancreatic cancer cell death (<xref ref-type="bibr" rid="B17">17</xref>). This suggests that autophagy induction is a central mechanism behind Andro&#x2019;s anti-cancer effects (<xref ref-type="bibr" rid="B17">17</xref>). Additionally, previous work has shown that Andro inhibits chondrosarcoma cell proliferation (<xref ref-type="bibr" rid="B18">18</xref>), though the mechanisms through which it prevents chondrosarcoma metastasis remain unclear.</p>
<p>The hypothesis that Andro suppresses the migratory and invasive potential of chondrosarcoma cells, with Andro-induced autophagy as a central mechanism, is derived from prior studies. This hypothesis was tested using network pharmacology and <italic>in vitro</italic> cell experiments to evaluate Andro&#x2019;s effects on chondrosarcoma cell migration and invasion, as well as to identify the associated mechanisms (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Study design.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g001.tif">
<alt-text content-type="machine-generated">Diagram illustrating the study of andrographolide in chondrosarcoma research. It includes a chemical structure of andrographolide, target prediction methods, a graphical representation of molecular interactions, and experimental results with cell imaging and protein analysis graphs. The image conveys the process from target identification to cell experiments, highlighting the pathways and effects studied.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Network pharmacology</title>
<sec id="s2_1_1">
<label>2.1.1</label>
<title>Potential targets of Andro</title>
<p>The structural data for Andro were sourced from PubChem (<ext-link ext-link-type="uri" xlink:href="https://pubchem.ncbi.nlm.nih.gov/">https://pubchem.ncbi.nlm.nih.gov/</ext-link>), and potential targets were identified via SuperPred (<ext-link ext-link-type="uri" xlink:href="http://prediction.charite.de/">http://prediction.charite.de/</ext-link>), SEA (<ext-link ext-link-type="uri" xlink:href="http://sea.bkslab.org/">http://sea.bkslab.org/</ext-link>), STITCH (<ext-link ext-link-type="uri" xlink:href="https://ngdc.cncb.ac.cn/databasecommons/database/id/208">https://ngdc.cncb.ac.cn/databasecommons/database/id/208</ext-link>), Pharmmapper (<ext-link ext-link-type="uri" xlink:href="http://lilab-ecust.cn/pharmmapper/index.html">http://lilab-ecust.cn/pharmmapper/index.html</ext-link>), HERB (<ext-link ext-link-type="uri" xlink:href="http://herb.ac.cn/">http://herb.ac.cn/</ext-link>), HIT-2 (<ext-link ext-link-type="uri" xlink:href="http://www.badd-cao.net:2345/">http://www.badd-cao.net:2345/</ext-link>), and Swiss Target Prediction (<ext-link ext-link-type="uri" xlink:href="http://www.swisstargetprediction.ch/">http://www.swisstargetprediction.ch/</ext-link>) databases. Gene names were standardized using the UniProt database (<ext-link ext-link-type="uri" xlink:href="https://www.uniprot.org/">https://www.uniprot.org/</ext-link>).</p>
</sec>
<sec id="s2_1_2">
<label>2.1.2</label>
<title>Acquisition of chondrosarcoma-related genes</title>
<p>Chondrosarcoma-related genes were retrieved from Genecards (<ext-link ext-link-type="uri" xlink:href="https://www.genecards.org/">https://www.genecards.org/</ext-link>), the Comparative Toxicology Database (CTD) (<ext-link ext-link-type="uri" xlink:href="http://ctdbase.org/">http://ctdbase.org/</ext-link>), and MalaCards (<ext-link ext-link-type="uri" xlink:href="https://www.malacards.org/">https://www.malacards.org/</ext-link>) by searching for &#x201c;Chondrosarcoma&#x201d;. Intersection analysis was performed by comparing these genes with Andro&#x2019;s target genes using a Venn diagram, identifying the&#xa0;overlapping genes as potential therapeutic targets of Andro in&#xa0;chondrosarcoma. The Venn diagram was generated with Venny&#xa0;(version 2.1.0) (<ext-link ext-link-type="uri" xlink:href="https://bioinfogp.cnb.csic.es/tools/venny/index.html">https://bioinfogp.cnb.csic.es/tools/venny/index.html</ext-link>).</p>
</sec>
<sec id="s2_1_3">
<label>2.1.3</label>
<title>Gene Ontology and Kyoto Encyclopedia of genes and genomes analyses</title>
<p>The clusterProfiler package in R (version 4.3.1) (<ext-link ext-link-type="uri" xlink:href="http://www.R-project.org">http://www.R-project.org</ext-link>, The R Foundation) was utilized for Gene Ontology (GO) functional annotation and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses of potential targets (<xref ref-type="bibr" rid="B19">19</xref>). GO analysis identified molecular functions (MFs), biological processes (BPs), and cellular components (CCs) linked to these targets, while KEGG analysis highlighted signaling pathways involved in the anti-cancer effects of Andro on chondrosarcoma. By applying a <italic>P</italic>-value threshold of &lt;0.05 and a <italic>Q</italic>-value threshold of &lt;0.05, key genes and pathways in the enrichment were identified.</p>
</sec>
<sec id="s2_1_4">
<label>2.1.4</label>
<title>Construction of a protein&#x2013;protein interaction network and identification of core targets</title>
<p>The therapeutic targets of Andro for osteosarcoma (identified in section 2.1.2) were analyzed using the STRING database. Data analysis parameters included specifying &#x201c;<italic>Homo sapiens</italic>&#x201d; as the species and setting the confidence threshold at &#x2265;0.90. The resulting protein&#x2013;protein interaction (PPI) network was imported into Cytoscape (version 3.7.1) for visualization. To identify key genes, the cytoHubba plugin, utilizing the Degree algorithm, was employed to rank the top 15 genes based on connectivity, with darker red shades representing higher scores. These 15 genes were designated as core targets for Andro&#x2019;s therapeutic effect on chondrosarcoma.</p>
</sec>
<sec id="s2_1_5">
<label>2.1.5</label>
<title>Molecular docking</title>
<p>The three-dimensional structures of the core target proteins and Andro were retrieved from the RCSB Protein Data Bank (RCSB PDB) (<ext-link ext-link-type="uri" xlink:href="http://www.rcsb.org/">http://www.rcsb.org/</ext-link>). Following retrieval, structural preprocessing was conducted: missing atoms were repaired, hydrogen atoms were incorporated to preserve structural integrity, water molecules and other heteroatoms were removed to minimize interference, and energy minimization was performed to optimize the structures. Binding sites were identified using the protein pocket detection function of the CB-Dock2 platform, along&#xa0;with solvent-accessible surface area and electrostatic potential maps. Docking parameters were set according to the characteristics of the active sites. Molecular docking procedures and visualizations were carried out on the CB-Dock2 platform (<xref ref-type="bibr" rid="B20">20</xref>). A binding energy &#x2264;-5 kcal/mol indicated favorable binding activity (<xref ref-type="bibr" rid="B21">21</xref>). Finally, <italic>in vitro</italic> experiments were performed to confirm the molecular docking results, with a focus on Andro&#x2019;s regulatory effects on the core targets.</p>
</sec>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Experimental verification</title>
<sec id="s2_2_1">
<label>2.2.1</label>
<title>Cell culture and reagents</title>
<p>The human chondrosarcoma cell lines SW1353 and Hs 819.T (<xref ref-type="bibr" rid="B18">18</xref>) were acquired from the American Type Culture Collection (ATCC, Manassas, VA) and Beina Chuanglian Biotechnology Research Institute (Beijing, China), respectively. All cells were provided by the Institute of Orthopedic Diseases and the Center for Joint Surgery and Sports Medicine, the First Affiliated Hospital of Jinan University (<xref ref-type="bibr" rid="B18">18</xref>). Cells were cultured in high-glucose DMEM (Gibco) supplemented with 10% fetal bovine serum (FBS, Gibco) and 100 units/mL of penicillin/streptomycin (Gibco). Cultures were maintained in a humidified incubator with 5% CO<sub>2</sub> at 37&#xb0;C, with subculturing performed every 3 days. Andro (Sigma, MO, USA) was dissolved in dimethyl sulfoxide (DMSO). In all cell experiments, cells treated with an equivalent volume of DMSO (vehicle control) were included to account for any potential solvent-related effects. The concentration of drug intervention was determined using the CCK-8 assay kit (Beyotime Biotechnology, Shanghai, China).</p>
</sec>
<sec id="s2_2_2">
<label>2.2.2</label>
<title>Wound healing assay</title>
<p>SW1353 and Hs 819.T cells were seeded into 6-well plates and cultured until a confluent monolayer was established. Following medium removal, a sterile 1000-&#x3bc;L pipette tip was used to create a scratch at the center of the monolayer. The cells were subsequently washed with PBS to eliminate non-adherent cells. After 24 hours of treatment with varying concentrations of Andro (5 and 20 &#x3bc;M) (<xref ref-type="bibr" rid="B18">18</xref>), wound healing was assessed by observing the cells under a microscope, and images were captured to evaluate the healing rate.</p>
</sec>
<sec id="s2_2_3">
<label>2.2.3</label>
<title>Transwell migration assay</title>
<p>A Transwell insert (8 &#x3bc;m, 353097, BD) was positioned in a 24-well plate. A 200 &#x3bc;L suspension of SW1353 or HS 819.T cells (2&#xd7;10<sup>4</sup> cells) was added to the upper chamber, while 500 &#x3bc;L of culture medium supplemented with 10% FBS was added to the lower chamber. The cells were exposed to various concentrations of Andro (5 and 20 &#x3bc;M) and incubated for 24 hours. Afterward, non-migratory cells on the upper surface of the insert membrane were removed with a cotton swab, and cells that had migrated to the lower surface were fixed with pre-cooled methanol for 30 minutes and stained with 0.3% crystal violet (C0121, Beyotime) for 3 minutes. Following this, the cells were washed with PBS, and the number of migrated cells was counted under a microscope.</p>
</sec>
<sec id="s2_2_4">
<label>2.2.4</label>
<title>Transwell invasion assay</title>
<p>An 8-&#x3bc;m Transwell insert was pre-coated with 100 &#x3bc;L of Matrigel Matrix (356231, BD). Once the Matrigel solidified, 200 &#x3bc;L of SW1353 or Hs 819.T cell suspension (2&#xd7;10<sup>4</sup> cells) was added to the upper chamber. The following procedures mirrored those of the transwell migration assay.</p>
</sec>
<sec id="s2_2_5">
<label>2.2.5</label>
<title>Western blotting</title>
<p>After 24 hours of treatment with Andro at concentrations of 5, 20, and 50 &#x3bc;M, both adherent and non-adherent cells were harvested for protein expression analysis via western blotting (WB) as previously described (<xref ref-type="bibr" rid="B22">22</xref>). The following primary antibodies were utilized for WB: anti-&#x3b2;-actin (1:2000, 3700, CST), anti-E-cadherin (1:1000, 14472, CST), anti-vimentin (1:1000, 5741, CST), anti-MMP-9 (1:1000, ab76003, abcam), anti-mTOR (1:1000, 2983, CST), anti-p-mTOR (Ser2448) (1:1000, 5536, CST), anti-PI3K (1:1000, 3358, CST), anti-PI3K p85 (1:1000, ab182651, abcam), anti-Akt (1:1000, 4691, CST), anti-phospho-Akt (Ser473) (1:1000, 4058, CST), anti-p62 (1:5000, ab109012, Abcam), anti-Beclin1 (1:1000, 3459, CST), and anti-LC3A/B (1:1000, 12741, CST).</p>
</sec>
<sec id="s2_2_6">
<label>2.2.6</label>
<title>Immunofluorescence</title>
<p>Immunofluorescence was performed using the following reagents: mRFP-GFP-LC3 lentivirus (GeneChem, China) and DAPI. SW1353 cells were infected with the mRFP-GFP-LC3 lentivirus, and the infected cells were subsequently plated in 24-well plates containing coverslips. After a 24-hour incubation period, cells were treated with Andro at concentrations of 20 &#x3bc;M and 50 &#x3bc;M for an additional 24 hours. Following treatment, DAPI&#xa0;solution was applied for nuclear staining prior to immunofluorescence analysis.</p>
</sec>
<sec id="s2_2_7">
<label>2.2.7</label>
<title>Statistical analysis</title>
<p>Cell experiments were conducted with three independent biological replicates. Data were analyzed using one-way ANOVA in GraphPad Prism 8.0 software and presented as the mean &#xb1; standard error of the mean (SEM). A <italic>p</italic>-value &lt;0.05 was considered statistically significant, with asterisks indicating the level of significance: *, <italic>p&lt;</italic>0.05; **, <italic>p&lt;</italic>0.01; ***, <italic>p&lt;</italic>0.001.</p>
</sec>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Potential targets of Andro for the treatment of osteosarcoma</title>
<p>Following the standardization of all Andro target genes using the UniProt database, 443 genes were selected for further analysis. After merging and removing duplicates from the Genecards, CTD, and MalaCards databases, a total of 3238 chondrosarcoma-related genes were identified. The intersection of these two gene sets yielded 167 overlapping genes, which were considered potential Andro targets for chondrosarcoma treatment (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>
<bold>(A)</bold> Venn diagram showing the intersection of target genes of andrographolide with chondrosarcoma-related genes; <bold>(B)</bold> biological processes (BP); <bold>(C)</bold> cellular components (CC); <bold>(D)</bold> molecular functions (MF); <bold>(E)</bold> Bubble chart demonstrating the results of KEGG pathway enrichment analysis.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g002.tif">
<alt-text content-type="machine-generated">A composite image with five panels. Panel A shows a Venn diagram of Chondrosarcoma and Andro_Targets, with 3,071 exclusive to Chondrosarcoma, 276 exclusive to Andro_Targets, and 167 common. Panel B is a dot plot of GO enrichment analysis (BP) highlighting significant biological processes like inflammatory response regulation. Panel C shows GO enrichment analysis (MF) focusing on kinase activities with gene ratio plotting. Panel D presents GO enrichment analysis (CC) indicating components like membrane rafts. Panel E features a dot plot of signaling pathways with the PI3K-Akt signaling pathway prominently noted.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Results of GO and KEGG analyses</title>
<p>GO enrichment analysis results were illustrated in <xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B&#x2013;D</bold>
</xref>, highlighting the top 10 biological functions associated with the potential targets of Andro. KEGG pathway enrichment analysis identified 169 signaling pathways implicated in Andro&#x2019;s anti-cancer effects. Among these, the 15 most relevant pathways to chondrosarcoma were selected, including the PI3K/Akt, HIF-1, T-cell receptor, and PD-L1 expression/PD-1 checkpoint pathways (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). These findings suggest that Andro exerts its therapeutic effects on chondrosarcoma through a broad array of biological functions and signaling pathways.</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>PPI network construction and core target analysis</title>
<p>The potential targets of Andro for treating chondrosarcoma were imported into the STRING database to construct a PPI network. PPI analysis revealed an average degree of 4 for all targets. <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> illustrated the PPI network, where all nodes were interconnected. The top 15 target genes identified were Akt, ESR1, EGFR, EP300, MAPK1, CASP3, JAK2, MAPK3, HDAC1, IGF1R, MTOR, AR, IFNG, CYP3A4, and ITK (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). The PPI network was further visualized using Cytoscape software, and the top 15 core genes were determined through the cytoHubba plugin. These core genes included SRC, PIK3R1, JAK2, EGFR, PIK3CD, PIK3CB, PDGFRB, PDGFRA, STAT3, IGF1R, ESR1, KDR, STAT1, Akt, and MAPK1 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>
<bold>(A)</bold> PPI network of the overlapping target genes. <bold>(B)</bold> Histogram of the adjacent target number.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g003.tif">
<alt-text content-type="machine-generated">Network diagram and bar chart illustrating gene interaction and degree values. Panel A presents a complex network of genes connected by various nodes and lines, depicting interactions. Panel B shows a horizontal bar chart listing genes with corresponding degree values, indicating the number of connections: ITK and CYP3A4 (7), IFNG and AR (8), MTOR, IGF1R, HDAC1 (9), MAPK3 (10), JAK2 and CASP3 (11), MAPK1 and EP300 (12), EGFR (17), ESR1 (18), AKT1 (25).</alt-text>
</graphic>
</fig>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>
<bold>(A)</bold> Core genes identified using the cytoHubba plugin; Molecular docking between andrographolide and its core targets for the treatment of chondrosarcoma: <bold>(B)</bold> PI3K, <bold>(C)</bold> Akt, and <bold>(D)</bold> mTOR.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g004.tif">
<alt-text content-type="machine-generated">Network diagram and protein structures related to specific signaling pathways. Panel A shows interconnected nodes labeled with gene names like PIK3R1, SRC, and EGFR in a circular layout, colored from yellow to red. Panels B, C, and D depict detailed 3D structures of proteins PI3K, AKT, and mTOR with highlighted binding sites, featuring close-up views in red dashed boxes.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Results of molecular docking</title>
<p>Network pharmacology analysis identified PI3K, Akt, and&#xa0;mTOR as the primary therapeutic targets of Andro in chondrosarcoma for molecular docking. The docking results revealed that the binding energies of the Andro-PI3K, Andro-Akt, and Andro-mTOR complexes were&lt;&#x2013;5 kcal/mol (&#x2013;7.4, &#x2013;8.7, and &#x2013;9.2, respectively), suggesting strong binding affinity between Andro and these core targets (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B&#x2013;D</bold>
</xref>).</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Effects of Andro on chondrosarcoma cell migration and invasion</title>
<p>CCK-8-based assays indicated that Andro at concentrations of 5, 10, 20, 50 &#x3bc;M significantly inhibited both SW1353 and Hs 819.T cells (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>). Wound healing assays revealed a reduction in the wound healing rates of SW1353 and Hs 819.T cells after 24 hours of treatment with 5- and 20-&#x3bc;M Andro (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C&#x2013;E</bold>
</xref>). Transwell migration and invasion assays demonstrated a marked decrease in the migratory and invasive capabilities of these cells following 24-hour treatment with 5- and 20-&#x3bc;M Andro. Notably, higher Andro concentrations correlated with a reduced number of migratory and invasive cells (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5F&#x2013;G</bold>
</xref>). WB analysis indicated that treatment with 5-, 20-, and 50-&#x3bc;M Andro for 24 hours significantly downregulated the protein expression of vimentin and MMP-9, while upregulating E-cadherin expression in both chondrosarcoma cell lines (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Andrographolide inhibited chondrosarcoma cell migration and invasion <italic>in vitro</italic>. The healing of scratches on cell monolayers was observed under an inverted microscope. <bold>(A)</bold> SW1353 and <bold>(B)</bold> Hs 819.T cells were treated with increasing concentrations (1, 5, 10, 20, and 50 &#x3bc;M) of Andro for the indicated times (24&#x2013;72 h). The OD value was then determined by CCK-8 assay, and the relative inhibition rate was statistically analyzed. <bold>(C)</bold> SW1353 and <bold>(D)</bold> Hs 819.T cell monolayers were scratched and treated with different concentrations of Andro (5 and 20 &#x3bc;M) for 24 hours. <bold>(E)</bold> The wound healing rates of SW1353 and Hs 819.T cells were statistically analyzed. Each bar represents the mean &#xb1; SEM of three independent experiments. <bold>(F)</bold> Number of invasive cells. <bold>(G)</bold> Number of migrated cells. *<italic>p</italic>&lt;0.05; **<italic>p</italic>&lt;0.01 versus DMSO.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g005.tif">
<alt-text content-type="machine-generated">Graphs and images show the effects of andrographolide on cancer cell lines SW 1353 and Hs 819.T. Charts A and B depict dose-dependent reductions in cell viability over 24, 48, and 72 hours. Panels C and D show wound healing assays at 0 and 24 hours, indicating reduced cell migration. Bar graphs E illustrate migration rates, and panels F and G display cell migration and invasion assays with corresponding quantifications.</alt-text>
</graphic>
</fig>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Andrographolide regulated the expression of cell migration-related proteins in chondrosarcoma. SW1353 <bold>(A)</bold> and Hs 819.T <bold>(C)</bold> cells were treated with different concentrations of Andro (5, 20, and 50 &#x3bc;M) for 24 h, and the expression of cell migration-related proteins (E-cadherin, vimentin, and MMP-9) was determined via western blotting (Representative images). <bold>(B, D)</bold> The expression of E-cadherin, vimentin, and MMP-9 in SW1353 <bold>(B)</bold> and Hs 819.T <bold>(D)</bold> cells was analyzed using the ImageJ software. Each bar represents the mean &#xb1; SEM of three independent experiments. Original blots are included in a <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;1, 2</bold>
</xref>. *<italic>p</italic>&lt;0.05; **<italic>p</italic>&lt;0.01; ***<italic>p</italic>&lt;0.001 versus DMSO.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g006.tif">
<alt-text content-type="machine-generated">Western blot analysis and bar graphs showing the effects of different concentrations of Andrographolide on protein expression in SW 1353 (panels A and B) and Hs 819.T (panels C and D) cell lines. Proteins analyzed include E-cadherin, Vimentin, and MMP-9, with &#x3b2;-actin as the loading control. Bar graphs illustrate changes in protein levels compared to DMSO, with statistical significance indicated by asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Andro inhibited the mTOR/PI3K/Akt signaling pathway in chondrosarcoma cells</title>
<p>Network pharmacology analysis informed the investigation of Andro&#x2019;s impact on the PI3K/Akt/mTOR signaling pathway in chondrosarcoma cells <italic>in vitro</italic>. WB analysis revealed that treatment with Andro for 24 hours at concentrations of 5, 20, and 50 &#x3bc;M reduced the p-mTOR/mTOR, p-PI3K/PI3K, and p-Akt/Akt ratios in both SW1353 and Hs 819.T cells (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>). These results suggest that Andro suppresses chondrosarcoma cell migration and invasion by inhibiting the PI3K/Akt/mTOR signaling pathway.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Andrographolide inhibited the mTOR/PI3K/Akt signaling pathway in chondrosarcoma. SW1353 <bold>(A)</bold> and Hs 819.T <bold>(C)</bold> cells were treated with different concentrations of Andro (5, 20, and 50 &#x3bc;M) for 24 h, and the protein and phosphorylation levels of mTOR, PI3K, and Akt were determined via western blotting (Representative images). <bold>(B, D)</bold> The p-mTOR/mTOR, p-PI3K/PI3K, and p-Akt/Akt ratios in SW1353 <bold>(B)</bold> and Hs 819.T <bold>(D)</bold> cells were analyzed using the ImageJ software. Each bar represents the mean &#xb1; SEM of three independent experiments. Original blots are included in a <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;3, 4</bold>
</xref>. *<italic>p</italic>&lt;0.05; **<italic>p</italic>&lt;0.01; ***<italic>p</italic>&lt;0.001 versus DMSO.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g007.tif">
<alt-text content-type="machine-generated">Immunoblot analysis and associated graphs showing the effects of Andrographolide on phosphorylation levels of proteins in SW 1353 and Hs 819.T cells. Panels A and C illustrate protein bands for p-mTOR, mTOR, p-PI3K, PI3K, p-Akt, Akt, and &#x3b2;-actin. Panels B and D display bar graphs quantifying the phosphorylation ratios, indicating significant decreases with increasing concentrations of Andrographolide. Each condition is compared with a DMSO control, with statistical significance noted by asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Andro induces autophagy in chondrosarcoma cells</title>
<p>Building on previous findings, it was hypothesized that Andro could inhibit chondrosarcoma cell migration and invasion, with Andro-induced autophagy serving as a key mechanism. To assess this, the effects of Andro on autophagy-related proteins in chondrosarcoma cells were examined <italic>in vitro</italic>. WB analysis revealed a dose-dependent decrease in p62 expression, while Beclin-1 levels and the LC3A/B-II/LC3A/B-I ratios increased following 24-hour treatment with Andro at concentrations of 5, 20, and 50 &#x3bc;M in both SW1353 and Hs 819.T cells (<xref ref-type="fig" rid="f8">
<bold>Figures&#xa0;8A, B</bold>
</xref>). Confocal microscopy further confirmed a marked increase in the red-to-green fluorescence ratio in Andro-treated cells, indicating enhanced autophagic flux (<xref ref-type="fig" rid="f8">
<bold>Figures&#xa0;8C, D</bold>
</xref>). These results suggest that Andro inhibits chondrosarcoma cell migration and invasion by downregulating the PI3K/Akt/mTOR pathway and promoting autophagy.</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Andrographolide induces autophagy in chondrosarcoma cells. SW1353 <bold>(A)</bold> and Hs 819.T <bold>(B)</bold> cells were exposed to various concentrations of Andro (5, 20, and 50 &#x3bc;M) for 24 hours, and the protein expression levels of Beclin-1, p62, LC3A/B-II, and LC3A/B-I were assessed via Western blotting (Representative images). The Beclin-1 and p62 expression levels, along with the LC3A/B-II/LC3A/B-I ratios, were quantified using ImageJ software. Each bar represents the mean &#xb1; SEM from three independent experiments. Original blots are included in a <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;5, 6</bold>
</xref>. <bold>(C)</bold> SW1353 cells were infected with mRFP-GFP-LC3 lentivirus and treated with Andro at concentrations of 20 and 50 &#x3bc;M for 24 hours. Cells were subsequently examined using confocal fluorescence microscopy (LSM710, Carl Zeiss, Germany). <bold>(D)</bold> Number of RFP<sup>+</sup> GFP<sup>-</sup> LC3 per cells (Autolysosome). Statistical significance is indicated as follows: *<italic>p&lt;</italic>0.05; **<italic>p&lt;</italic>0.01; ***<italic>p&lt;</italic>0.001 versus DMSO.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g008.tif">
<alt-text content-type="machine-generated">Western blot and fluorescence microscopy analysis showing the effects of andrographolide on protein expression and autophagosome formation in SW 1353 and Hs 819.T cells. Panels A and B display western blots of Beclin1, p62, and LC3A/B levels, with accompanying bar graphs indicating expression changes. Panel C shows fluorescence images of cells treated with DMSO, 20 &#xb5;M, and 50 &#xb5;M andrographolide, stained with RFP, GFP, and DAPI, highlighting merged overlays. Panel D presents a bar graph quantifying autolysosomes in SW 1353 cells, showing increased autophagosome levels with andrographolide treatment.</alt-text>
</graphic>
</fig>
<p>To establish a causal relationship between autophagy induction and the observed inhibition of migration, we incorporated autophagy inhibitor intervention into rescue experiments, with chloroquine (CQ, MedChemExpress, HY-17589A) serving as the autophagy inhibitor. To determine the optimal intervention concentration of CQ, we conducted cell viability assays. CCK-8 results indicated that the optimal concentration of CQ for intervening in SW1353 and Hs 819.T cells was 0.5 &#x3bc;M (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;7</bold>
</xref>). Scratch assay results showed that the effect of Andro was attenuated by the autophagy inhibitor CQ (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9A&#x2013;C</bold>
</xref>). After CQ intervention, the number of migrated and invasive cells was higher than that in the Andro group (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9D, E</bold>
</xref>). WB results revealed that, on the basis of Andro treatment, CQ intervention significantly increased the&#xa0;expression of vimentin and MMP-9 proteins and downregulated the expression of E-cadherin protein in SW1353 and Hs 819.T cells (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9F, G</bold>
</xref>). Collectively, these results suggest that Andro exerts&#xa0;its pharmacological effects by inhibiting autophagy in chondrosarcoma cells.</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Inhibiting autophagy restores the migration and invasion abilities of chondrosarcoma cells that were suppressed by andrographolide. <bold>(A)</bold> SW1353 and <bold>(B)</bold> Hs 819.T cell monolayers were scratched and treated with Andro (20 &#x3bc;M) or chloroquine (CQ, 0.5 &#x3bc;M, MedChemExpress, HY-17589A) for 24 hours. <bold>(C)</bold> The wound healing rates of SW1353 and Hs 819.T cells were statistically analyzed. Each bar represents the mean &#xb1; SEM of three independent experiments. <bold>(D)</bold> Number of migrated and invasive SW1353 cells. <bold>(E)</bold> Number of migrated and invasive Hs 819.T cells. SW1353 <bold>(F)</bold> and Hs 819.T <bold>(G)</bold> cells were treated with Andro (20 &#x3bc;M) or CQ (0.5 &#x3bc;M) for 24 h, and the expression of cell migration-related proteins (E-cadherin, Vimentin, and MMP-9) was determined via western blotting (Representative images). The expression levels of E-cadherin, Vimentin, and MMP-9 were analyzed using the ImageJ software. Each bar represents the mean &#xb1; SEM of three independent experiments. Original blots are included in a <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;8&#x2013;11</bold>
</xref>. *<italic>p</italic>&lt;0.05; **<italic>p</italic>&lt;0.01; ***<italic>p</italic>&lt;0.001 versus DMSO.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-15-1622666-g009.tif">
<alt-text content-type="machine-generated">Experimental images and graphs showing the effects of treatments on SW 1353 and Hs 819.T cells. Panels A and B display cell migration under different conditions (DMSO, Andro, Andro+CQ) at 0 and 24 hours. Panel C shows bar graphs comparing migration distances. Panels D and E depict migration and invasion assays with corresponding bar graphs for cell counts. Panels F and G present protein expression levels of E-cadherin, Vimentin, and MMP-9 with &#x3b2;-actin as a control, including bar graphs comparing protein expression across treatments.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Surgical resection remains limited in the treatment of metastatic chondrosarcoma, often resulting in a poor prognosis (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>). Consequently, preventing invasion and metastasis across all pathological stages of chondrosarcoma holds significant clinical relevance. Although Andro exhibits potential anti-cancer properties, its pharmacological effects in chondrosarcoma remain inadequately explored. Previous research has demonstrated that Andro inhibits chondrosarcoma cell proliferation and promotes apoptosis (<xref ref-type="bibr" rid="B18">18</xref>). Building upon this evidence, the current study investigates the impact of Andro on chondrosarcoma cell migration and invasion. The findings indicate that Andro diminishes the migratory and invasive capabilities of chondrosarcoma cells by inhibiting the PI3K/Akt/mTOR signaling pathway. These results may contribute to advancing Andro as a therapeutic agent for chondrosarcoma treatment.</p>
<p>Network pharmacology identified PI3K, Akt, and mTOR as central targets of Andro in chondrosarcoma treatment. Numerous studies have established the significant roles of PI3K, Akt, and mTOR in chondrosarcoma metastasis (<xref ref-type="bibr" rid="B25">25</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>). Qu et&#xa0;al. (<xref ref-type="bibr" rid="B25">25</xref>) demonstrated that PRKCI was overexpressed in osteosarcoma cell lines, and its silencing suppressed the proliferation, migration, and invasion of osteosarcoma cells. Moreover, they identified that PRKCI interacted with SQSTM1, modulating osteosarcoma cell proliferation via the Akt/mTOR signaling pathway. Truong et&#xa0;al. (<xref ref-type="bibr" rid="B26">26</xref>) emphasized that the IGF/PI3K/mTOR pathways were crucial in chondrosarcoma, with activation of the PI3K/Akt/mTOR pathway correlating with invasiveness and drug resistance. Additionally, interactions between PRKCI and the Akt/mTOR pathway in osteosarcoma were confirmed (<xref ref-type="bibr" rid="B27">27</xref>), highlighting the relevance of this pathway in both osteosarcoma and chondrosarcoma. Given that osteosarcoma and chondrosarcoma are both primary malignant bone tumors (<xref ref-type="bibr" rid="B27">27</xref>), they share common biological traits and signaling pathway activations. Collectively, these studies reinforce the pivotal roles of PI3K, Akt, and mTOR in chondrosarcoma metastasis. KEGG pathway enrichment analysis further indicated that the PI3K-Akt signaling pathway was a primary pathway linked to the core target genes. The PI3K/Akt/mTOR pathway is a well-known signaling cascade regulating cell proliferation and apoptosis, playing a critical role in the initiation and progression of various cancers (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). Zhang et&#xa0;al. demonstrated that upon activation, PI3K activated Akt, triggering its translocation to the cell membrane, where it was subsequently activated and underwent auto-phosphorylation (<xref ref-type="bibr" rid="B30">30</xref>). Akt thus functions as a key downstream kinase of PI3K (<xref ref-type="bibr" rid="B30">30</xref>). Activation of the PI3K/Akt signaling pathway induces the upregulation of intracellular p-Akt (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>), which contributes to cell proliferation, apoptosis, transcription, translation, the cell cycle, and vascular growth across various cancers. Moreover, mTOR signaling pathway activation is implicated in the development of multiple malignancies. mTOR is typically upregulated in tumors and suppresses autophagy. Kopecky et&#xa0;al. observed higher mTOR expression in kidney cancer tissues compared to normal kidney tissues (<xref ref-type="bibr" rid="B33">33</xref>) and confirmed mTOR as a potential drug target for renal cancer treatment. The PI3K/Akt pathway, a classical apoptotic signaling route, is upstream of mTOR and plays a critical role in its activation (<xref ref-type="bibr" rid="B34">34</xref>). The PI3K/Akt/mTOR signaling pathway regulates the initiation and modulation of autophagy; thus, inhibiting this pathway can enhance cellular autophagy (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Zhu et&#xa0;al. demonstrated that baicalin inhibited the PI3K/Akt/mTOR pathway, inducing apoptosis in human chondrosarcoma cells (<xref ref-type="bibr" rid="B36">36</xref>). Similarly, Wu et&#xa0;al. reported that endothelin-1 regulated the FAK/PI3K/Akt/mTOR pathway, promoting MMP-13 expression and migration in human chondrosarcoma cells (<xref ref-type="bibr" rid="B37">37</xref>). Furthermore, Kouvaras et&#xa0;al. identified the HIF-1 signaling pathway as a key regulator of chondrosarcoma angiogenesis and malignant progression through VEGF expression, highlighting its potential as a therapeutic target (<xref ref-type="bibr" rid="B38">38</xref>). The T-cell receptor signaling pathway also modulates the immune microenvironment and response to chondrosarcoma treatment, suggesting new avenues for immunotherapy (<xref ref-type="bibr" rid="B39">39</xref>). These pathways present valuable research prospects for chondrosarcoma treatment (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>). Based on network pharmacology findings, drugs targeting the PI3K/Akt/mTOR pathway represent promising therapeutic agents for chondrosarcoma.</p>
<p>Proliferation is a defining feature of tumor cells and a key factor in tumor malignancy. In this study, wound healing and transwell assays demonstrated that Andro significantly reduced the migration and invasion of chondrosarcoma cells <italic>in vitro</italic>. WB analysis revealed&#xa0;that Andro downregulated vimentin and MMP-9, while upregulating E-cadherin in chondrosarcoma cells. Autophagy inhibitor CQ effectively reversed the inhibitory effects of Andro on cell migration and invasion, highlighting that Andro acts through autophagy modulation. These findings underscore the critical role of autophagy in mediating Andro&#x2019;s anticancer effects, suggesting that autophagy inhibition is a key mechanism by which Andro suppresses chondrosarcoma progression. Additionally, Andro decreased the p-mTOR/mTOR, p-PI3K/PI3K, and p-Akt/Akt ratios in these cells. Collectively, these results suggest that Andro suppresses the migratory and invasive capabilities of chondrosarcoma cells by inhibiting the PI3K/Akt/mTOR signaling pathway. These results align with those of Zhu et&#xa0;al., who demonstrated that inhibition of the PI3K/Akt/mTOR pathway reduced the metastatic and invasive potential of chondrosarcoma cells (<xref ref-type="bibr" rid="B36">36</xref>). Moreover, Zheng et&#xa0;al. reported that curcumin induced autophagy through the inhibition of the PI3K/Akt/mTOR pathway in gastric cancer (<xref ref-type="bibr" rid="B40">40</xref>). Moreover, Andro&#x2019;s dual action of inducing autophagy and inhibiting the PI3K/Akt/mTOR pathway may effectively overcome resistance mechanisms in chondrosarcoma, offering a more comprehensive therapeutic effect than single-target inhibitors.</p>
<p>In this study, <italic>in vitro</italic> experiments demonstrated that Andro significantly induced autophagy in chondrosarcoma cells, providing novel insights into its anti-chondrosarcoma mechanisms. Autophagy, a process of cellular self-degradation, preserves homeostasis by degrading damaged organelles and protein aggregates (<xref ref-type="bibr" rid="B41">41</xref>). The expression of autophagy-related proteins p62, Beclin-1, and LC3A/B was assessed through WB. Results revealed that Andro treatment notably reduced p62 expression while increasing Beclin-1 levels and the LC3A/B-II to LC3A/B-I ratio. Given that p62 functions as a selective autophagy receptor (<xref ref-type="bibr" rid="B42">42</xref>), its reduction suggests enhanced autophagic degradation. Beclin-1, a critical initiator of autophagy, shows increased expression during autophagy activation (<xref ref-type="bibr" rid="B43">43</xref>). An elevated LC3A/B-II to LC3A/B-I ratio reflects increased autophagosome formation. Furthermore, Andro treatment significantly boosted autophagic flux, as evidenced by a marked increase in the red/green fluorescence ratio, indicating that Andro promotes both autophagosome formation and substrate degradation. Previous studies have also suggested that promoting autophagy can hinder the pathological progression of chondrosarcoma (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>). Sun et&#xa0;al. (<xref ref-type="bibr" rid="B44">44</xref>) reported that GANT-61 inhibited chondrosarcoma growth by inducing autophagy through suppression of the RNAP III pathway and tRNA-Gly-CCC synthesis, involving ULK1 and MAPK pathways. Pang et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) demonstrated that vitamin E subtypes (AnTT, &#x3b3;-T3, and &#x3b4;-T3) triggered autophagy in chondrosarcoma cells by activating pathways such as ER stress and the unfolded protein response, thereby inhibiting cell proliferation and tumor development. As a key regulator of autophagy, the PI3K/Akt/mTOR pathway generally suppresses autophagy when activated (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B47">47</xref>), whereas its inhibition promotes autophagy. Our results demonstrate that Andro significantly induces autophagy in chondrosarcoma cells, which is associated with the inhibition of cell migration and invasion. However, it should be noted that autophagy is a context-dependent process. While autophagy can promote tumor survival under certain stress conditions, as reported in some studies, our findings suggest that Andro-induced autophagy exerts a tumor-suppressive effect in chondrosarcoma cells. This discrepancy may be attributed to the specific signaling pathways modulated by Andro. In particular, Andro inhibits the PI3K/Akt/mTOR signaling pathway, which is known to suppress autophagy when activated. By downregulating this pathway, Andro promotes autophagy, leading to the degradation of pro-metastatic proteins such as vimentin and MMP-9, and the upregulation of E-cadherin, thereby inhibiting the metastatic potential of chondrosarcoma cells. Therefore, the autophagy induced by Andro appears to be beneficial in the context of chondrosarcoma treatment, highlighting the importance of understanding the context-dependent outcomes of autophagy in different tumor settings. Our findings suggest that Andro&#x2019;s inhibition of the PI3K/Akt/mTOR pathway may offer a potential strategy to address metastasis in chondrosarcoma, a tumor type resistant to conventional therapies. These results provide a rational basis for exploring Andro&#x2019;s clinical relevance in improving patient outcomes.</p>
<p>This study presents several limitations that warrant consideration. Firstly, our study&#x2019;s findings are currently limited to <italic>in vitro</italic> experiments, and the link between Andro-induced autophagy and migration inhibition lacks direct <italic>in vivo</italic> validation. Future work will include autophagy inhibitor experiments and knockout models to directly demonstrate this link, as well as <italic>in vivo</italic> studies using genetic or chondrosarcoma-specific mouse models to further elucidate Andro&#x2019;s mechanisms. Secondly, the databases employed for network pharmacology are continually updated, implying that the bioinformatics analysis is based on the current data available. Thirdly, the KEGG pathway enrichment analysis identifies multiple pathways (such as the HIF-1 and FoxO signaling pathways) beyond the PI3K/Akt signaling pathway, necessitating further validation of these pathways as a key area for future research. Finally, the use of inhibitors or activators to target core signaling pathways, followed by a comparison of their effects with those of Andro, could clarify Andro&#x2019;s mechanism and efficacy. This approach is essential for advancing future research, particularly <italic>in vitro</italic> studies.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusion</title>
<p>This study demonstrates that Andro can inhibit chondrosarcoma cell migration and invasion, likely through the suppression of the PI3K/Akt/mTOR pathway, alleviation of autophagy inhibition, and activation of autophagy. This discovery provides a novel molecular&#xa0;mechanism underlying Andro&#x2019;s anti-chondrosarcoma effects and supports the development of autophagy-targeted cancer therapies. Future research should evaluate Andro&#x2019;s <italic>in vivo</italic> antitumor&#xa0;efficacy and explore its potential synergistic effects with other anticancer agents. Further investigation into Andro&#x2019;s long-term&#xa0;influence on autophagy and its role within the tumor microenvironment will contribute to a deeper understanding of its clinical application potential.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>C-FW: Writing &#x2013; review &amp; editing, Methodology, Investigation, Writing &#x2013; original draft, Visualization, Conceptualization. L-XO: Writing &#x2013; review &amp; editing, Validation, Investigation. W-HZ: Writing &#x2013; review &amp; editing, Validation, Investigation. SY: Writing &#x2013; review &amp; editing, Visualization, Investigation, Writing &#x2013; original draft, Data curation, Resources. X-XZ: Methodology, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Investigation, Data curation. YL: Software, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft, Investigation. SF: Data curation, Writing &#x2013; original draft, Visualization, Formal Analysis, Writing &#x2013; review &amp; editing. PL: Formal Analysis, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft, Data curation. Z-JL: Resources, Project administration, Writing &#x2013; review &amp; editing, Funding acquisition, Writing &#x2013; original draft, Supervision.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This work was supported by the Guangdong Basic and Applied Basic Research Foundation (2021A1515011469, 2018A0303130103), Project of Administration of Traditional Chinese Medicine of Guangdong Province (No.20211211, No.20231138) and Guangzhou Science and Technology Bureau Project (No. 2024A03J0105).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fonc.2025.1622666/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fonc.2025.1622666/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
<fn-group>
<title>Abbreviations</title>
<fn fn-type="abbr" id="abbrev1">
<p>Andro, andrographolide; PPI, protein-protein interaction; WB, western blotting; CTD, Comparative Toxicogenics Database; MFs, molecular functions; BPs, biological processes; CCs, cellular components; KEGG, Kyoto Encyclopedia of Genes and Genomes.</p>
</fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>XG</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Bao</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>QY</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Novel machine-learning prediction tools for overall survival of patients with chondrosarcoma: Based on recursive partitioning analysis</article-title>. <source>Cancer Med</source>. (<year>2024</year>) <volume>13</volume>:<elocation-id>e70058</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/cam4.70058</pub-id>, PMID: <pub-id pub-id-type="pmid">39123313</pub-id></citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Biermann</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Chow</surname> <given-names>W</given-names>
</name>
<name>
<surname>Reed</surname> <given-names>DR</given-names>
</name>
<name>
<surname>Lucas</surname> <given-names>D</given-names>
</name>
<name>
<surname>Adkins</surname> <given-names>DR</given-names>
</name>
<name>
<surname>Agulnik</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>NCCN guidelines insights: bone cancer, version 2.2017</article-title>. <source>J Natl Compr Canc Netw</source>. (<year>2017</year>) <volume>15</volume>:<page-range>155&#x2013;67</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.6004/jnccn.2017.0017</pub-id>, PMID: <pub-id pub-id-type="pmid">28188186</pub-id></citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>X</given-names>
</name>
<name>
<surname>Shi</surname> <given-names>X</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Pang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>A CT-based radiomics nomogram for predicting histologic grade and outcome in chondrosarcoma</article-title>. <source>Cancer Imaging</source>. (<year>2024</year>) <volume>24</volume>:<fpage>50</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40644-024-00695-7</pub-id>, PMID: <pub-id pub-id-type="pmid">38605380</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gitto</surname> <given-names>S</given-names>
</name>
<name>
<surname>Annovazzi</surname> <given-names>A</given-names>
</name>
<name>
<surname>Nulle</surname> <given-names>K</given-names>
</name>
<name>
<surname>Interlenghi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Salvatore</surname> <given-names>C</given-names>
</name>
<name>
<surname>Anelli</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>X-rays radiomics-based machine learning classification of atypical cartilaginous tumour and high-grade chondrosarcoma of long bones</article-title>. <source>Ebiomedicine</source>. (<year>2024</year>) <volume>101</volume>:<elocation-id>105018</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ebiom.2024.105018</pub-id>, PMID: <pub-id pub-id-type="pmid">38377797</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Trovarelli</surname> <given-names>G</given-names>
</name>
<name>
<surname>Sbaraglia</surname> <given-names>M</given-names>
</name>
<name>
<surname>Angelini</surname> <given-names>A</given-names>
</name>
<name>
<surname>Bellan</surname> <given-names>E</given-names>
</name>
<name>
<surname>Pala</surname> <given-names>E</given-names>
</name>
<name>
<surname>Belluzzi</surname> <given-names>E</given-names>
</name>
<etal/>
</person-group>. <article-title>Are IDH1 R132 mutations associated with poor prognosis in patients with chondrosarcoma of the bone</article-title>? <source>Clin Orthop Relat Res</source>. (<year>2024</year>) <volume>482</volume>:<page-range>947&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1097/CORR.0000000000002960</pub-id>, PMID: <pub-id pub-id-type="pmid">38170705</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Su</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yau</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lam</surname> <given-names>YL</given-names>
</name>
<name>
<surname>Shek</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yeung</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>A single-cell atlas of conventional central chondrosarcoma reveals the role of endoplasmic reticulum stress in Malignant transformation</article-title>. <source>Commun Biol</source>. (<year>2024</year>) <volume>7</volume>:<fpage>124</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s42003-024-05790-w</pub-id>, PMID: <pub-id pub-id-type="pmid">38267611</pub-id></citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bovee</surname> <given-names>JV</given-names>
</name>
<name>
<surname>Cleton-Jansen</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Taminiau</surname> <given-names>AH</given-names>
</name>
<name>
<surname>Hogendoorn</surname> <given-names>PC</given-names>
</name>
</person-group>. <article-title>Emerging pathways in the development of chondrosarcoma of bone and implications for targeted treatment</article-title>. <source>Lancet Oncol</source>. (<year>2005</year>) <volume>6</volume>:<fpage>599</fpage>&#x2013;<lpage>607</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1470-2045(05)70282-5</pub-id>, PMID: <pub-id pub-id-type="pmid">16054571</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cohen-Nowak</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Dressler</surname> <given-names>DB</given-names>
</name>
<name>
<surname>Rock</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mojica</surname> <given-names>K</given-names>
</name>
<name>
<surname>Woo</surname> <given-names>D</given-names>
</name>
<name>
<surname>Zuckerman</surname> <given-names>LM</given-names>
</name>
<etal/>
</person-group>. <article-title>Role of immunotherapy in chondrosarcoma: A case report and review of the literature</article-title>. <source>Ther Adv Med Oncol</source>. (<year>2023</year>) <volume>15</volume>:<fpage>2644613</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/17588359231199877</pub-id>, PMID: <pub-id pub-id-type="pmid">37745839</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>HG</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Hunting for the vulnerability in chondrosarcoma by tracing metabolic and genetic links</article-title>. <source>Cell Rep Med</source>. (<year>2024</year>) <volume>5</volume>:<elocation-id>101385</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.xcrm.2023.101385</pub-id>, PMID: <pub-id pub-id-type="pmid">38232691</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ningsih</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kusumastuti</surname> <given-names>SA</given-names>
</name>
<name>
<surname>Nuralih</surname> <given-names>N</given-names>
</name>
<name>
<surname>Fajriawan</surname> <given-names>AA</given-names>
</name>
<name>
<surname>Permatasari</surname> <given-names>D</given-names>
</name>
<name>
<surname>Yunianto</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Andrographis paniculata (Burm. f.) Nees extract ameliorates insulin resistance in the insulin-resistant HepG2 cells via GLUT2/IRS-1 pathway</article-title>. <source>Arch Physiol Biochem</source>. (<year>2023</year>) <volume>130</volume>(<issue>6</issue>):<page-range>779&#x2013;89</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/13813455.2023.2273221</pub-id>, PMID: <pub-id pub-id-type="pmid">37878369</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sheng</surname> <given-names>F</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>T</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Andrographis paniculata (Burm.f.) Nees and its major constituent andrographolide as potential antiviral agents</article-title>. <source>J&#xa0;Ethnopharmacol</source>. (<year>2021</year>) <volume>272</volume>:<elocation-id>113954</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jep.2021.113954</pub-id>, PMID: <pub-id pub-id-type="pmid">33610706</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Attri</surname> <given-names>DC</given-names>
</name>
<name>
<surname>Dhyani</surname> <given-names>P</given-names>
</name>
<name>
<surname>Trivedi</surname> <given-names>VL</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>E</given-names>
</name>
<name>
<surname>Ibrayeva</surname> <given-names>M</given-names>
</name>
<name>
<surname>Jantwal</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Current evidence on molecular mechanisms of andrographolide in cancer</article-title>. <source>Curr Med Chem</source>. (<year>2024</year>) <volume>32</volume>(<issue>22</issue>):<page-range>4357&#x2013;75</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2174/0109298673295496240530100728</pub-id>, PMID: <pub-id pub-id-type="pmid">38867528</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Preet</surname> <given-names>R</given-names>
</name>
<name>
<surname>Chakraborty</surname> <given-names>B</given-names>
</name>
<name>
<surname>Siddharth</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mohapatra</surname> <given-names>P</given-names>
</name>
<name>
<surname>Das</surname> <given-names>D</given-names>
</name>
<name>
<surname>Satapathy</surname> <given-names>SR</given-names>
</name>
<etal/>
</person-group>. <article-title>Synthesis and biological evaluation of andrographolide analogues as anti-cancer agents</article-title>. <source>Eur J Med Chem</source>. (<year>2014</year>) <volume>85</volume>:<fpage>95</fpage>&#x2013;<lpage>106</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ejmech.2014.07.088</pub-id>, PMID: <pub-id pub-id-type="pmid">25078313</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tamang</surname> <given-names>N</given-names>
</name>
<name>
<surname>Andrews</surname> <given-names>C</given-names>
</name>
<name>
<surname>Mavileti</surname> <given-names>SK</given-names>
</name>
<name>
<surname>Nanduri</surname> <given-names>S</given-names>
</name>
<name>
<surname>Golakoti</surname> <given-names>NR</given-names>
</name>
<name>
<surname>Karanam</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>Anti-cancer activity of heteroaromatic acetals of andrographolide and its isomers</article-title>. <source>New J Chem</source>. (<year>2022</year>) <volume>46</volume>:<page-range>9745&#x2013;54</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1039/d2nj01055k</pub-id>, PMID: <pub-id pub-id-type="pmid">36093125</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tundis</surname> <given-names>R</given-names>
</name>
<name>
<surname>Patra</surname> <given-names>JK</given-names>
</name>
<name>
<surname>Bonesi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Das</surname> <given-names>S</given-names>
</name>
<name>
<surname>Nath</surname> <given-names>R</given-names>
</name>
<name>
<surname>Das</surname> <given-names>TA</given-names>
</name>
<etal/>
</person-group>. <article-title>Anti-cancer agent: the labdane diterpenoid-andrographolide</article-title>. <source>Plants (Basel)</source>. (<year>2023</year>) <volume>12</volume>:<elocation-id>1969</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/plants12101969</pub-id>, PMID: <pub-id pub-id-type="pmid">37653887</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Khanal</surname> <given-names>P</given-names>
</name>
<name>
<surname>Dey</surname> <given-names>YN</given-names>
</name>
<name>
<surname>Patil</surname> <given-names>R</given-names>
</name>
<name>
<surname>Chikhale</surname> <given-names>R</given-names>
</name>
<name>
<surname>Wanjari</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Gurav</surname> <given-names>SS</given-names>
</name>
<etal/>
</person-group>. <article-title>Combination of system biology to probe the anti-viral activity of andrographolide and its derivative against COVID-19</article-title>. <source>RSC Adv</source>. (<year>2021</year>) <volume>11</volume>:<page-range>5065&#x2013;79</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1039/d0ra10529e</pub-id>, PMID: <pub-id pub-id-type="pmid">35424441</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>H</given-names>
</name>
<name>
<surname>Cai</surname> <given-names>X</given-names>
</name>
<name>
<surname>Bu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Andrographolide induces protective autophagy and targeting DJ-1 triggers reactive oxygen species-induced cell death in pancreatic cancer</article-title>. <source>Peerj (San Francisco Ca)</source>. (<year>2024</year>) <volume>12</volume>:<fpage>e17619</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.7717/peerj.17619</pub-id>, PMID: <pub-id pub-id-type="pmid">38952980</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>HT</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>GH</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>XJ</given-names>
</name>
<name>
<surname>Sang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Gui</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Andrographolide induces cell cycle arrest and apoptosis of chondrosarcoma by targeting TCF-1/SOX9 axis</article-title>. <source>J Cell Biochem</source>. (<year>2017</year>) <volume>118</volume>:<page-range>4575&#x2013;86</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jcb.26122</pub-id>, PMID: <pub-id pub-id-type="pmid">28485543</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kanehisa</surname> <given-names>M</given-names>
</name>
<name>
<surname>Furumichi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sato</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Matsuura</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ishiguro-Watanabe</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>KEGG: biological systems database as a model of the real world</article-title>. <source>Nucleic Acids Res</source>. (<year>2025</year>) <volume>53</volume>:<page-range>D672&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkae909</pub-id>, PMID: <pub-id pub-id-type="pmid">39417505</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>S</given-names>
</name>
<name>
<surname>Xiao</surname> <given-names>ZX</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>CB-Dock2: improved protein-ligand blind docking by integrating cavity detection, docking and homologous template fitting</article-title>. <source>Nucleic Acids Res</source>. (<year>2022</year>) <volume>50</volume>:<page-range>W159&#x2013;64</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkac394</pub-id>, PMID: <pub-id pub-id-type="pmid">35609983</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Erk</surname> <given-names>N</given-names>
</name>
<name>
<surname>Kurtay</surname> <given-names>G</given-names>
</name>
<name>
<surname>Bouali</surname> <given-names>W</given-names>
</name>
<name>
<surname>Sakal</surname> <given-names>ZG</given-names>
</name>
<name>
<surname>Genc&#x327;</surname> <given-names>AA</given-names>
</name>
<name>
<surname>Erbas&#x327;</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Electrochemical detection of melphalan in biological fluids using a g&#x2212;C3N4@ND-COOH@MoSe2 modified electrode complemented by molecular docking studies with cellular tumor antigen P53</article-title>. <source>ACS Omega</source>. (<year>2024</year>) <volume>9</volume>:<page-range>21058&#x2013;70</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acsomega.4c00558</pub-id>, PMID: <pub-id pub-id-type="pmid">38764632</pub-id></citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liang</surname> <given-names>GH</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>N</given-names>
</name>
<name>
<surname>He</surname> <given-names>MT</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>ZJ</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>XJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Transcriptional regulation of Runx2 by HSP90 controls osteosarcoma apoptosis via the AKT/GSK-3&#x3b2;/&#x3b2;-catenin signaling</article-title>. <source>J Cell Biochem</source>. (<year>2018</year>) <volume>119</volume>:<page-range>948&#x2013;59</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jcb.26260</pub-id>, PMID: <pub-id pub-id-type="pmid">28681940</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Zhen</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Prognostic factors and surgical impact of non-metastatic conventional chondrosarcoma of the extremities</article-title>. <source>Orthop Surg</source>. (<year>2023</year>) <volume>15</volume>:<page-range>3288&#x2013;99</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/os.13916</pub-id>, PMID: <pub-id pub-id-type="pmid">37875420</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Laitinen</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Thorkildsen</surname> <given-names>J</given-names>
</name>
<name>
<surname>Morris</surname> <given-names>G</given-names>
</name>
<name>
<surname>Kurisunkal</surname> <given-names>V</given-names>
</name>
<name>
<surname>Stevenson</surname> <given-names>JD</given-names>
</name>
<name>
<surname>Parry</surname> <given-names>MC</given-names>
</name>
<etal/>
</person-group>. <article-title>Intraosseous conventional central chondrosarcoma does not metastasise irrespective of grade in pelvis, scapula and in long bone locations</article-title>. <source>J Bone Oncol</source>. (<year>2023</year>) <volume>43</volume>:<elocation-id>100514</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jbo.2023.100514</pub-id>, PMID: <pub-id pub-id-type="pmid">38033413</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qu</surname> <given-names>L</given-names>
</name>
<name>
<surname>Xin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ren</surname> <given-names>X</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Downregulation of PRKCI inhibits osteosarcoma cell growth by inactivating the Akt/mTOR signaling pathway</article-title>. <source>Front Oncol</source>. (<year>2024</year>) <volume>14</volume>:<elocation-id>1389136</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fonc.2024.1389136</pub-id>, PMID: <pub-id pub-id-type="pmid">39015499</pub-id></citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Truong</surname> <given-names>DD</given-names>
</name>
<name>
<surname>Lamhamedi-Cherradi</surname> <given-names>SE</given-names>
</name>
<name>
<surname>Ludwig</surname> <given-names>JA</given-names>
</name>
</person-group>. <article-title>Targeting the IGF/PI3K/mTOR pathway and AXL/YAP1/TAZ pathways in primary bone cancer</article-title>. <source>J Bone Oncol</source>. (<year>2022</year>) <volume>33</volume>:<elocation-id>100419</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jbo.2022.100419</pub-id>, PMID: <pub-id pub-id-type="pmid">35251924</pub-id></citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Omar</surname> <given-names>R</given-names>
</name>
<name>
<surname>Cooper</surname> <given-names>A</given-names>
</name>
<name>
<surname>Maranyane</surname> <given-names>HM</given-names>
</name>
<name>
<surname>Zerbini</surname> <given-names>L</given-names>
</name>
<name>
<surname>Prince</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>COL1A2 is a TBX3 target that mediates its impact on fibrosarcoma and chondrosarcoma cell migration</article-title>. <source>Cancer Lett</source>. (<year>2019</year>) <volume>459</volume>:<page-range>227&#x2013;39</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.canlet.2019.06.004</pub-id>, PMID: <pub-id pub-id-type="pmid">31202624</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Glaviano</surname> <given-names>A</given-names>
</name>
<name>
<surname>Foo</surname> <given-names>ASC</given-names>
</name>
<name>
<surname>Lam</surname> <given-names>HY</given-names>
</name>
<name>
<surname>Yap</surname> <given-names>KCH</given-names>
</name>
<name>
<surname>Jacot</surname> <given-names>W</given-names>
</name>
<name>
<surname>Jones</surname> <given-names>RH</given-names>
</name>
<etal/>
</person-group>. <article-title>PI3K/AKT/mTOR signaling transduction pathway and targeted therapies in cancer</article-title>. <source>Mol Cancer</source>. (<year>2023</year>) <volume>22</volume>:<fpage>138</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12943-023-01827-6</pub-id>, PMID: <pub-id pub-id-type="pmid">37596643</pub-id></citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>M</given-names>
</name>
<name>
<surname>Yin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>S</given-names>
</name>
<name>
<surname>Shi</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Ameliorative effects of Modified Huangqi Chifeng decoction on podocyte injury via autophagy mediated by PI3K/AKT/mTOR and AMPK/mTOR pathways</article-title>. <source>J Ethnopharmacol</source>. (<year>2024</year>) <volume>321</volume>:<elocation-id>117520</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jep.2023.117520</pub-id>, PMID: <pub-id pub-id-type="pmid">38042389</pub-id></citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Lyu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Niu</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Sulfur dioxide induces vascular relaxation through PI3K/Akt/eNOS and NO/cGMP signaling pathways in rats</article-title>. <source>Hum Exp Toxicol</source>. (<year>2020</year>) <volume>39</volume>:<page-range>1108&#x2013;17</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/0960327120911428</pub-id>, PMID: <pub-id pub-id-type="pmid">32153200</pub-id></citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname> <given-names>J</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Lian</surname> <given-names>J</given-names>
</name>
<name>
<surname>Li</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Xie</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Evaluation of the effect of GSK-3&#x3b2; on liver cancer based on the PI3K/AKT pathway</article-title>. <source>Front Cell Dev Biol</source>. (<year>2024</year>) <volume>12</volume>:<elocation-id>1431423</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcell.2024.1431423</pub-id>, PMID: <pub-id pub-id-type="pmid">39156976</pub-id></citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hoxhaj</surname> <given-names>G</given-names>
</name>
<name>
<surname>Manning</surname> <given-names>BD</given-names>
</name>
</person-group>. <article-title>The PI3K-AKT network at the interface of oncogenic signalling and cancer metabolism</article-title>. <source>Nat Rev Cancer</source>. (<year>2020</year>) <volume>20</volume>:<fpage>74</fpage>&#x2013;<lpage>88</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41568-019-0216-7</pub-id>, PMID: <pub-id pub-id-type="pmid">31686003</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kopecky</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kubecek</surname> <given-names>O</given-names>
</name>
<name>
<surname>Buchler</surname> <given-names>T</given-names>
</name>
<name>
<surname>Melichar</surname> <given-names>B</given-names>
</name>
<name>
<surname>Poprach</surname> <given-names>A</given-names>
</name>
<name>
<surname>Zemanova</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Administration of nivolumab in metastatic renal cell cancer following treatment with mTOR inhibitors</article-title>. <source>In Vivo</source>. (<year>2021</year>) <volume>35</volume>:<page-range>2981&#x2013;90</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.21873/invivo.12593</pub-id>, PMID: <pub-id pub-id-type="pmid">34410998</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zou</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>X</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>X</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Contactin -associated protein1 regulates autophagy by modulating the PI3K/AKT/mTOR signaling pathway and ATG4B levels <italic>in vitro</italic> and <italic>in vivo</italic>
</article-title>. <source>Mol Neurobiol</source>. (<year>2024</year>) <volume>62</volume>(<issue>3</issue>):<page-range>2764&#x2013;80</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s12035-024-04425-9</pub-id>, PMID: <pub-id pub-id-type="pmid">39164481</pub-id></citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zeng</surname> <given-names>N</given-names>
</name>
<name>
<surname>Li</surname> <given-names>H</given-names>
</name>
<name>
<surname>Hua</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>Panax notoginseng saponins dually modulates autophagy in gastric precancerous lesions complicated with myocardial ischemia-reperfusion injury model through the PI3K/AKT/mTOR pathway</article-title>. <source>BioMed Pharmacother</source>. (<year>2024</year>) <volume>178</volume>:<elocation-id>117268</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.biopha.2024.117268</pub-id>, PMID: <pub-id pub-id-type="pmid">39116780</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ying</surname> <given-names>J</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>C</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>K</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Baicalin induces apoptotic death of human chondrosarcoma cells through mitochondrial dysfunction and downregulation of the PI3K/akt/mTOR pathway</article-title>. <source>Planta Med</source>. (<year>2019</year>) <volume>85</volume>:<page-range>360&#x2013;69</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1055/a-0791-1049</pub-id>, PMID: <pub-id pub-id-type="pmid">30469147</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>MH</given-names>
</name>
<name>
<surname>Lo</surname> <given-names>JF</given-names>
</name>
<name>
<surname>Kuo</surname> <given-names>CH</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>YM</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>LM</given-names>
</name>
<etal/>
</person-group>. <article-title>Endothelin-1 promotes MMP-13 production and migration in human chondrosarcoma cells through FAK/PI3K/Akt/mTOR pathways</article-title>. <source>J Cell Physiol</source>. (<year>2012</year>) <volume>227</volume>:<page-range>3016&#x2013;26</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jcp.23043</pub-id>, PMID: <pub-id pub-id-type="pmid">21959927</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kouvaras</surname> <given-names>E</given-names>
</name>
<name>
<surname>Christoni</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Siasios</surname> <given-names>I</given-names>
</name>
<name>
<surname>Malizos</surname> <given-names>K</given-names>
</name>
<name>
<surname>Koukoulis</surname> <given-names>GK</given-names>
</name>
<name>
<surname>Ioannou</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Hypoxia-inducible factor 1-alpha and vascular endothelial growth factor in cartilage tumors</article-title>. <source>Biotech Histochem</source>. (<year>2019</year>) <volume>94</volume>:<page-range>283&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/10520295.2018.1556806</pub-id>, PMID: <pub-id pub-id-type="pmid">30605014</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>T cell receptor signaling pathway subgroups and construction of a novel prognostic model in osteosarcoma</article-title>. <source>Heliyon</source>. (<year>2024</year>) <volume>11</volume>:<elocation-id>e41191</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.heliyon.2024.e41191</pub-id>, PMID: <pub-id pub-id-type="pmid">39811323</pub-id></citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname> <given-names>X</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Curcumin induces autophagy-mediated ferroptosis by targeting the PI3K/AKT/mTOR signaling pathway in gastric cancer</article-title>. <source>Turkish J Gastroenterol</source>. (<year>2024</year>) <volume>35</volume>:<fpage>625</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.5152/tjg.2024.23526</pub-id>, PMID: <pub-id pub-id-type="pmid">39150386</pub-id></citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>P</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>X</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Xiao</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Autophagy in tumor immune escape and immunotherapy</article-title>. <source>Mol Cancer</source>. (<year>2025</year>) <volume>24</volume>:<fpage>85</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12943-025-02277-y</pub-id>, PMID: <pub-id pub-id-type="pmid">40102867</pub-id></citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mi</surname> <given-names>N</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Phase separation of p62: roles and regulations in autophagy</article-title>. <source>Trends Cell Biol</source>. (<year>2025</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.tcb.2025.01.010</pub-id>, PMID: <pub-id pub-id-type="pmid">40011090</pub-id></citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>K</given-names>
</name>
<name>
<surname>Ran</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>L</given-names>
</name>
<name>
<surname>Ding</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Beclin-1: a therapeutic target at the intersection of autophagy, immunotherapy, and cancer treatment</article-title>. <source>Front Immunol</source>. (<year>2024</year>) <volume>15</volume>:<elocation-id>1506426</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2024.1506426</pub-id>, PMID: <pub-id pub-id-type="pmid">39650649</pub-id></citation></ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Fang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>GANT-61 induces cell cycle resting and autophagy by down-regulating RNAP III signal pathway and tRNA-Gly-CCC synthesis to combate chondrosarcoma</article-title>. <source>Cell Death Dis</source>. (<year>2023</year>) <volume>14</volume>:<fpage>461</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41419-023-05926-6</pub-id>, PMID: <pub-id pub-id-type="pmid">37488121</pub-id></citation></ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pang</surname> <given-names>KL</given-names>
</name>
<name>
<surname>Foong</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Abd Ghafar</surname> <given-names>N</given-names>
</name>
<name>
<surname>Soelaiman</surname> <given-names>IN</given-names>
</name>
<name>
<surname>Law</surname> <given-names>JX</given-names>
</name>
<name>
<surname>Leong</surname> <given-names>LM</given-names>
</name>
<etal/>
</person-group>. <article-title>Transcriptomic analysis of the anticancer effects of annatto tocotrienol, delta-tocotrienol and gamma-tocotrienol on chondrosarcoma cells</article-title>. <source>Nutrients</source>. (<year>2022</year>) <volume>14</volume>:<elocation-id>4277</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/nu14204277</pub-id>, PMID: <pub-id pub-id-type="pmid">36296960</pub-id></citation></ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rahman</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Jalouli</surname> <given-names>M</given-names>
</name>
<name>
<surname>Bhajan</surname> <given-names>SK</given-names>
</name>
<name>
<surname>Al-Zharani</surname> <given-names>M</given-names>
</name>
<name>
<surname>Harrath</surname> <given-names>AH</given-names>
</name>
</person-group>. <article-title>A comprehensive review of nanoparticle-based drug delivery for modulating PI3K/AKT/mTOR-mediated autophagy in cancer</article-title>. <source>Int J Mol Sci</source>. (<year>2025</year>) <volume>26</volume>:<elocation-id>1868</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms26051868</pub-id>, PMID: <pub-id pub-id-type="pmid">40076496</pub-id></citation></ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>L</given-names>
</name>
<name>
<surname>Han</surname> <given-names>X</given-names>
</name>
</person-group>. <article-title>Isoegomaketone improves radiotherapy efficacy and intestinal injury by regulating apoptosis, autophagy and PI3K/AKT/mTOR signaling in a colon cancer model</article-title>. <source>Oncol Rep</source>. (<year>2025</year>) <volume>53</volume>:<fpage>51</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3892/or.2025.8884</pub-id>, PMID: <pub-id pub-id-type="pmid">40084689</pub-id></citation></ref>
</ref-list>
</back>
</article>