<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en" article-type="research-article">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2025.15118</article-id>
<article-id pub-id-type="publisher-id">OL-30-2-15118</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Atractylenolide I inhibits the growth, proliferation and migration of B16 melanoma cells via the PI3K/AKT/mTOR pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Xiaochun</given-names></name>
<xref rid="af1-ol-30-2-15118" ref-type="aff"/>
<xref rid="c1-ol-30-2-15118" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Ping</given-names></name>
<xref rid="af1-ol-30-2-15118" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Che</surname><given-names>Hong</given-names></name>
<xref rid="af1-ol-30-2-15118" ref-type="aff"/></contrib>
</contrib-group>
<aff id="af1-ol-30-2-15118">Department of Dermatology, Ordos Central Hospital, Ordos, Inner Mongolia Autonomous Region 017010, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-30-2-15118"><italic>Correspondence to</italic>: Dr Xiaochun Xu, Department of Dermatology, Ordos Central Hospital, 6 Sudu Street, Kangbashi, Ordos, Inner Mongolia Autonomous Region 017010, P.R. China, E-mail: <email>pfkxxc8593209@163.com</email></corresp>
</author-notes>
<pub-date pub-type="collection"><month>08</month><year>2025</year></pub-date>
<pub-date pub-type="epub"><day>30</day><month>05</month><year>2025</year></pub-date>
<volume>30</volume>
<issue>2</issue>
<elocation-id>372</elocation-id>
<history>
<date date-type="received"><day>19</day><month>09</month><year>2024</year></date>
<date date-type="accepted"><day>24</day><month>03</month><year>2025</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 Xu et al.</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Melanoma is a malignancy that affects millions of individuals worldwide. Atractylenolide I (AT) has been reported to suppress cell proliferation in melanoma cells, but the underlying mechanism is not fully understood. Therefore, the present study investigated the mechanism underlying the antitumor activity of AT in melanoma. Cell Counting Kit-8 and colony formation assays were performed after B16 and A875 melanoma cells were treated with 25, 50 and 100 &#x00B5;M AT. The results indicated that AT could significantly and dose-dependently suppress melanoma cell viability and proliferation (P&#x003C;0.001). Furthermore, the stemness and migration of melanoma cells were significantly inhibited by the three doses of AT (P&#x003C;0.001), as demonstrated by sphere formation and wound healing assays. Gene Ontology, Kyoto Encyclopedia of Genes and Genomes and target-pathway networks analyses identified the phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/AKT/mTOR) axis as a potential target of AT in melanoma. Mechanistically, the suppression of viability, proliferation, stemness and migration by AT was significantly reversed by overexpression of PI3K in melanoma cells. However, AT did not affect melanoma cells when PI3K was knocked down, suggesting that the anti-melanoma effects of AT are mediated by PI3K. Additionally, the expression of phosphorylated (p-)PI3K, PI3K, p-AKT (Ser<sup>473</sup>), p-AKT (Thr<sup>308</sup>), AKT, p-mTOR (Ser<sup>2448</sup>), p-mTOR (Ser<sup>2481</sup>) and mTOR, determined via western blotting, revealed that the phosphorylation of PI3K, AKT and mTOR was significantly suppressed following AT treatment (P&#x003C;0.001), further supporting the notion that AT exerts its antitumor activity through the PI3K/AKT/mTOR axis. In conclusion, the present study demonstrated that AT could inhibit the viability, proliferation and migration of melanoma cells through the PI3K/AKT/mTOR axis. These findings reveal a novel anti-melanoma effect and the therapeutic potential of AT in melanoma.</p>
</abstract>
<kwd-group>
<kwd>atractylenolide I</kwd>
<kwd>melanoma</kwd>
<kwd>network pharmacology</kwd>
<kwd>phosphatidylinositol 3-kinase/serine-threonine kinase/mammalian target of rapamycin</kwd>
</kwd-group>
<funding-group>
<funding-statement><bold>Funding:</bold> No funding was received.</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Melanoma is characterized by the malignant transformation of melanocytes. This skin cancer is highly aggressive and drug-resistant, with a survival rate of only 29.8&#x0025; after 5 years, and causes &#x007E;55,500 deaths annually (<xref rid="b1-ol-30-2-15118" ref-type="bibr">1</xref>,<xref rid="b2-ol-30-2-15118" ref-type="bibr">2</xref>). At present, the primary therapeutic strategy for melanoma involves surgical excision of the primary tumor followed by adjuvant treatment to prevent recurrence of the malignancy (<xref rid="b3-ol-30-2-15118" ref-type="bibr">3</xref>). First-line adjuvant treatments for melanoma include interferon-&#x03B1; and dabrafenib. However, these treatments have not been successful in markedly improving overall survival and often result in severe side effects (<xref rid="b4-ol-30-2-15118" ref-type="bibr">4</xref>&#x2013;<xref rid="b7-ol-30-2-15118" ref-type="bibr">7</xref>). Therefore, the development of new adjuvants with high efficacy and low toxicity is required for the treatment of melanoma.</p>
<p>In recent years, Traditional Chinese Medicine (TCM) has gained increasing attention for its potential in the development of novel drugs for postoperative adjuvant treatment, due to its high efficacy and low toxicity (<xref rid="b8-ol-30-2-15118" ref-type="bibr">8</xref>&#x2013;<xref rid="b10-ol-30-2-15118" ref-type="bibr">10</xref>). <italic>Atractylodes macrocephala</italic>, known as &#x2018;Baizhu&#x2019; in Chinese, is a perennial herb with a history spanning thousands of years in treating various disorders, including spleen hypofunction, diarrhea and cancer (<xref rid="b11-ol-30-2-15118" ref-type="bibr">11</xref>,<xref rid="b12-ol-30-2-15118" ref-type="bibr">12</xref>). Both <italic>in vitro</italic> and <italic>in vivo</italic> experimental studies have demonstrated the antitumor activity of <italic>A. macrocephala</italic> rhizome extract (<xref rid="b13-ol-30-2-15118" ref-type="bibr">13</xref>&#x2013;<xref rid="b15-ol-30-2-15118" ref-type="bibr">15</xref>). Atractylenolide I (AT) is a sesquiterpenoid lactone extracted from the <italic>A. macrocephala</italic> rhizome. AT induces apoptosis and suppresses glycolysis in colorectal cancer cells (<xref rid="b16-ol-30-2-15118" ref-type="bibr">16</xref>). The suppressive role of AT in tumorigenesis has also been reported in breast cancer (<xref rid="b15-ol-30-2-15118" ref-type="bibr">15</xref>). AT induces apoptosis and cell cycle arrest in melanoma cells via the extracellular regulated protein kinase/glycogen synthase kinase 3&#x03B2; axis (<xref rid="b17-ol-30-2-15118" ref-type="bibr">17</xref>). Additionally, Xu <italic>et al</italic> (<xref rid="b18-ol-30-2-15118" ref-type="bibr">18</xref>) discovered that AT enhances the responsiveness to immune checkpoint blockade therapy by activating tumor antigen presentation in colorectal cancer cell implanted C57BL/6 mice and human patient-derived colorectal cancer organoid models. Therefore, the promising therapeutic potential of AT in melanoma is supported by various studies. However, its precise role and underlying mechanisms remain largely unknown. Furthermore, the multitude of targets and complex interactions between AT and melanoma pose a major challenge in understanding the antitumor mechanism of action of AT.</p>
<p>Network pharmacology has recently emerged as a robust method for systematically revealing the biological mechanisms underlying complex diseases and natural ingredients in TCM (<xref rid="b19-ol-30-2-15118" ref-type="bibr">19</xref>,<xref rid="b20-ol-30-2-15118" ref-type="bibr">20</xref>). Unlike the traditional &#x2018;one symptom-one target-one drug&#x2019; dogma, network pharmacology prefers to establish a &#x2018;compound-protein/gene-disease&#x2019; synergistic network, sharing a similar holistic philosophy as that of TCM (<xref rid="b21-ol-30-2-15118" ref-type="bibr">21</xref>). This approach effectively provides an understanding of the mechanisms underlying complex interactions between diseases and TCM preparations, making it valuable for new drug discovery and, in particular, the modern analysis of TCM treatments. For example, <italic>Ganoderma lucidum</italic>, known as &#x2018;Ling Zhi&#x2019; in China, is a typical TCM with anticancer properties, whose mechanism of action was analyzed using network pharmacology and experimental data (<xref rid="b22-ol-30-2-15118" ref-type="bibr">22</xref>). Additionally, Li <italic>et al</italic> (<xref rid="b23-ol-30-2-15118" ref-type="bibr">23</xref>) utilized network pharmacology to predict the immunoregulatory mechanisms of ginseng leaves in lung cancer. These findings indicate the potential value of network pharmacology as a strategy for enhancing the understanding of the underlying mechanisms of TCM in disease treatment.</p>
<p>Considering the complex interactions between AT and melanoma cells, to the best of our knowledge, the present study was the first to utilize network pharmacology and integrate experimental verification to uncover the underlying therapeutic mechanisms of AT in treating melanoma.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>B16 cells were obtained from Procell Life Science &#x0026; Technology Co., Ltd. and A875 cells were acquired from the American Type Culture Collection. Both cell types were cultured in RPMI 1640 medium (MilliporeSigma), supplemented with penicillin/streptomycin (Corning, Inc.) and 10&#x0025; fetal bovine serum (Gibco; Thermo Fisher Scientific, Inc.), at 37&#x00B0;C in a humidified atmosphere with 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>B16 and A875 cells in the logarithmic phase were trypsinized, counted and seeded in 96-well plates at a density of 5&#x00D7;10<sup>3</sup> cells/well in RPMI 1640 medium containing 10&#x0025; fetal bovine serum. To investigate the cytotoxicity of AT (purity &#x003E;98&#x0025;; Chengdu Push Bio-Technology Co., Ltd.) in B16 cells and A875 cells, cells were cultured in media only (control), AT at 25 &#x00B5;M (AT-low group; AT-L), 50 &#x00B5;M (AT-medium group; AT-M) and 100 &#x00B5;M (AT-high group; AT-H) were added to the experimental wells for 24 h at 37&#x00B0;C. After treatment, the original medium was replaced with 100 &#x00B5;l fresh medium containing 10 &#x00B5;l Cell Counting Kit-8 (CCK-8) reagent (cat. no. C0043; Beyotime Institute of Biotechnology). Optical density was measured at 450 nm using a microplate reader (Bio-Rad Laboratories, Inc.) to calculate the cell viability after a 2 h incubation with CCK-8 in a humidified incubator with 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C. The assay was repeated thrice.</p>
</sec>
<sec>
<title>Colony formation assay</title>
<p>B16 and A875 cells were seeded in 6-well plates at a density of 2,000 cells/well (Corning, Inc.) and incubated for 10 days. The cells were then fixed with 4&#x0025; paraformaldehyde for 30 min at room temperature, stained with crystal violet (Beijing Solarbio Science &#x0026; Technology Co., Ltd.) at 25&#x00B0;C for 30 min and washed thrice with 1X phosphate buffered saline. A cell population containing &#x003E;50 cells (<xref rid="b24-ol-30-2-15118" ref-type="bibr">24</xref>) was considered a single colony. The number of colonies was counted using a light microscope (Leica Microsystems GmbH) and evaluated by ImageJ software (version 1.52m; National Institutes of Health,) using the ColonyArea plugin (<uri xlink:href="https://imagej.net/plugins/colonyarea">https://imagej.net/plugins/colonyarea</uri>). The assay was performed in parallel using three biological replicates.</p>
</sec>
<sec>
<title>Sphere formation assay</title>
<p>To generate spheres, 4&#x00D7;10<sup>3</sup> B16 and A875 cells, with or without AT treatment, were seeded in 24-well plates coated with 0.5 mg/ml poly-2-hydroxyethyl methacrylate ethanol solution (MilliporeSigma) to prevent cell attachment. To further promote the formation of sphere, cells were cultured in 1 ml RPMI 1640 supplemented with 20 ng/ml epidermal growth factor (Stemcell Technologies, Inc.), a 1:50 dilution of B27 supplement (Gibco; Thermo Fisher Scientific, Inc.) and 20 ng/ml recombinant human basic fibroblast growth factor (Promo Kine; PromoCell GmbH) and incubated in a humidified 5&#x0025; CO<sub>2</sub> incubator at 37&#x00B0;C for 7 days. Cell density was maintained at 4 cells/&#x00B5;l to prevent cell aggregation. Spheres (containing &#x003E;50 cells) were counted through inverted light microscopy and data were evaluated by ImageJ and the ImageJ Bio-Formats Plugin (<uri xlink:href="https://www.openmicroscopy.org/bio-formats/">https://www.openmicroscopy.org/bio-formats/</uri>). The experiment was performed thrice to facilitate the statistical analysis of the data.</p>
</sec>
<sec>
<title>Wound healing assay</title>
<p>B16 and A875 cells were seeded into 6-well plates. Once the cells were at 90&#x0025; confluency, the cell layer was disturbed using a sterile 200 &#x00B5;l pipette tip to generate a linear scratch wound on the cell surface. Subsequently, the cells were cultured in serum-free RPMI 1640 medium, with images collected at 0 and 24 h. Wound closure was assessed through a light microscopy and quantified using ImageJ software. The wound closure was calculated as the wound healing rate using the following formula: Wound healing rate (&#x0025;)= (wound width at 0 h-wound width at 24 h)/wound width at 0 h &#x00D7;100&#x0025;. The assay was performed independently three times in parallel.</p>
</sec>
<sec>
<title>AT target prediction</title>
<p>The Similarity Ensemble Approach (<uri xlink:href="https://sea.bkslab.org/">https://sea.bkslab.org/</uri>) and Swiss TargetPrediction (<uri xlink:href="https://www.swisstargetprediction.ch/">http://www.swisstargetprediction.ch/</uri>) databases were used to predict protein target for screening, with &#x2018;<italic>Homo sapiens</italic>&#x2019; specified as the restriction condition.</p>
</sec>
<sec>
<title>Melanoma target collection</title>
<p>Melanoma-related targets were sourced from various online medical databases, including GeneCards (<uri xlink:href="https://www.genecards.org/">https://www.genecards.org/</uri>) (<xref rid="b25-ol-30-2-15118" ref-type="bibr">25</xref>), DrugBank (<uri xlink:href="https://go.drugbank.com/">https://go.drugbank.com/</uri>) (<xref rid="b26-ol-30-2-15118" ref-type="bibr">26</xref>), Online Mendelian Inheritance in Man (<uri xlink:href="https://www.omim.org/">https://www.omim.org/</uri>) (<xref rid="b27-ol-30-2-15118" ref-type="bibr">27</xref>) and Therapeutic Target Database (<uri xlink:href="https://db.idrblab.net/ttd/">https://db.idrblab.net/ttd/</uri>) (<xref rid="b28-ol-30-2-15118" ref-type="bibr">28</xref>). After obtaining melanoma-related disease targets, duplicates were removed and a database of disease-target information was created. Subsequently, melanoma disease targets were compared with AT therapeutic targets to identify overlapping targets. The significance threshold was set at -log(p) &#x2265;5.</p>
</sec>
<sec>
<title>Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses</title>
<p>The data were obtained using the following restriction conditions: &#x2018;OFFICIAL-GENE-SYMBOL&#x2019;, &#x2018;P&#x003C;0.05&#x2019; and &#x2018;<italic>Homo sapiens</italic>&#x2019;. GO and KEGG pathway enrichment analyses were conducted using the DAVID database (<xref rid="b29-ol-30-2-15118" ref-type="bibr">29</xref>,<xref rid="b30-ol-30-2-15118" ref-type="bibr">30</xref>). The results were ranked in descending order based on the degree of target enrichment. Subsequently, the top 10 processes and pathways were selected and visualized.</p>
</sec>
<sec>
<title>Construction of the target-pathway network</title>
<p>Intersecting targets between AT and melanoma as well as notable pathways predicted using the KEGG database (<uri xlink:href="https://www.kegg.jp/">https://www.kegg.jp/</uri>) were imported into Cytoscape 3.7.0 (<uri xlink:href="https://cytoscape.org/">https://cytoscape.org/</uri>) to construct the component-target-pathway network of AT. The importance of AT and the targets was determined according to Degree &#x2265;5 (<xref rid="b31-ol-30-2-15118" ref-type="bibr">31</xref>), which indicates the total number of routes related to a node by other nodes. Increasingly higher degree values indicate increasing importance.</p>
</sec>
<sec>
<title>RNA interference and overexpression</title>
<p>To knock down phosphatidylinositol 3-kinase (PI3K) expression, B16 cells were transfected with PI3K-specific small interfering RNAs (siRNAs; Qiagen, Inc.) using Lipofectamine RNAiMAX (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s instructions. AllStars negative control (NC) siRNA (Qiagen, Inc.) was used as the experimental control. The sequences of the specific genes used in the present study are as follows: PI3K (#1) sense strand, 5&#x2032;-AGAAAACCGCCUUAUGGAGUC-3&#x2032; and antisense strand, 5&#x2032;-CUCCAUAAGGCGGUUUUCUAU-3&#x2032;; PI3K (#2) sense strand, 5&#x2032;-AUAGAAAACCGCCUUAUGGAG-3&#x2032; and antisense strand, 5&#x2032;-CCAUAAGGCGGUUUUCUAUGU-3&#x2032;; siNC 5&#x2032;-AATTCTCCGAACGTGTCACGT-3&#x2032; and antisense strand, 5&#x2032;-UUAAGAGGCTTGCACAGTGCA-3&#x2032;. For PI3K overexpression in A875 cells, the cDNA encoding PI3K (NCBI reference sequence, NM_006218.4) was amplified via PCR and subcloned into the pcDNA3.1 vector (Invitrogen; Thermo Fisher Scientific, Inc.) to construct the PI3K overexpression (oe) vector, with an empty vector serving as a NC. B16 and A875 cells seeded in 6-well plates at a density of 1&#x00D7;10<sup>6</sup> cells/well were transfected with the aforementioned siRNAs or vectors (PI3K-specific siRNAs and siNC, 50 nM; PI3K oe vector and empty vector, 2 &#x00B5;g) at 37&#x00B0;C. The expression levels of PI3K in transfected cells were quantified using reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and western blotting 48 h post-transfection.</p>
</sec>
<sec>
<title>RT-qPCR</title>
<p>Total RNA was isolated from B16 cells and A875 using TRIzol reagent according to the manufacturer&#x0027;s instructions (Invitrogen; Thermo Fisher Scientific, Inc.). Reverse Transcription was performed with the GoScript&#x2122; Reverse Transcription kit (Promega Corporation) according to the manufacturer&#x0027;s instructions. Briefly, 500 ng of total RNA was reverse transcribed in a 20 &#x00B5;l reaction volume using oligo(dT) primers and M-MLV reverse transcriptase. The reaction was incubated at 42&#x00B0;C for 60 min, followed by enzyme inactivation at 70&#x00B0;C for 15 min. qPCR was subsequently performed on the LightCycler System 2.0 (Roche Diagnostics GmbH) with the following thermocycling conditions: Initial pre-denaturation for 2 min at 90&#x00B0;C, followed by 40 cycles at 93&#x00B0;C for 10 sec, 60&#x00B0;C for 15 sec and 72&#x00B0;C for 15 sec. Evaluation of the solubility curve was performed at 95&#x00B0;C for 5 sec and 60&#x00B0;C for 1 min, followed by cooling at 42&#x00B0;C for 30 sec. The primer sequences for PI3K and &#x03B2;-actin are listed in <xref rid="SD2-ol-30-2-15118" ref-type="supplementary-material">Table SI</xref>. The expression level of each gene was analyzed using a SYBR Green kit (Promega Corporation). Relative quantitation analysis was conducted based on the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b32-ol-30-2-15118" ref-type="bibr">32</xref>), with &#x03B2;-actin serving as the internal control. The RT-qPCR assays were conducted in triplicate.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Briefly, RIPA buffer (Beyotime Institute of Biotechnology) containing a protease inhibitor cocktail (Roche Diagnostics GmbH) was used to extract proteins from the cells. Protein concentrations were determined using a BCA kit (Beyotime Institute of Biotechnology). Next, all protein samples (20 &#x00B5;g per lane) were separated using 8&#x0025; sodium dodecyl-sulfate polyacrylamide gel electrophoresis and transferred to polyvinylidene difluoride membranes. Different membranes were used for probing phosphorylated and non-phosphorylated proteins to ensure optimal blocking and detection conditions. The membranes were blocked for 2 h at 25&#x00B0;C using 8&#x0025; skim milk for &#x03B2;-actin as well as non-phosphorylated proteins, and 5&#x0025; bovine serum albumin (Gibco; Thermo Fisher Scientific, Inc.) for the phosphorylated proteins. The membranes were then incubated with the corresponding primary antibodies at 4&#x00B0;C overnight, followed by incubation with secondary antibodies for 1 h at 25&#x00B0;C. Finally, the ECL Kit (cat. no. ab65623; Abcam) was used to visualize the protein bands through an ECL imaging system (Tanon Science and Technology Co., Ltd.). Band intensity was semi-quantified using ImageJ. The following antibodies were provided by Beyotime Institute of Biotechnology: PI3K antibody (cat. no. AF7749; 1:1,000), Phosphorylated (p)-PI3K (cat. no. AF5905; 1:1,000), protein kinase B (AKT; cat. no. AA326; 1:1,000), p-AKT (Ser<sup>473</sup>; cat. no. AA329; 1:1,000), p-AKT (Thr<sup>308</sup>; cat. no. AA331; 1:1,000), mammalian target of rapamycin (mTOR; cat. no. AF1648; 1:1,000), p-mTOR (Ser<sup>2448</sup>; cat. no. AF5869; 1:1,000) and &#x03B2;-actin (cat. no. AF0003; 1:2,000). p-mTOR antibody (Ser<sup>2481</sup>; cat. no. abs130934; 1:1,000) was purchased from Absin Bioscience, Inc. The HRP-conjugated secondary antibodies were purchased from Abcam (cat. nos. ab6721 and ab6728; 1:2,000). All western blotting experiments were repeated thrice.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>GraphPad Prism (version 8.0.2; Dotmatics) was used for the data analyses. All data are presented as the mean &#x00B1; standard error of the mean. The normality of the data was tested using the Shapiro-Wilk test, with P&#x003C;0.05 considered to indicate normally distributed data. Homogeneity of variance was tested using Levene&#x0027;s test, with P&#x003E;0.05 considered to indicate homogenous data. For data that met normal distribution assumptions and equal variances, statistical analyses were performed through one-way analysis of variance and Bonferroni post hoc test for multiple comparisons. Two-way ANOVA followed by Bonferroni post hoc test was used for experiments involving multiple independent variables (such as time and dose-dependent comparisons of the cytotoxicity of AT). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>AT inhibits the proliferation, stemness and migration of melanoma cells</title>
<p>The chemical structure of AT is shown in <xref rid="f1-ol-30-2-15118" ref-type="fig">Fig. 1A</xref>. To evaluate the antitumor activity of AT, B16 and A875 melanoma cells were initially co-cultured with a series of concentrations of AT (5, 10, 25, 50, 100 and 200 &#x00B5;M) for 24 h to calculate the half-maximal inhibitory concentration (IC<sub>50</sub>) of AT. The AT IC<sub>50</sub> values were 80.07 &#x00B5;M for B16 cells and 45.39 &#x00B5;M for A875 cells (<xref rid="f1-ol-30-2-15118" ref-type="fig">Fig. 1B</xref>). Next, doses of 25 &#x00B5;M (AT-L), 50 &#x00B5;M (AT-M) and 100 &#x00B5;M (AT-H) were chosen to explore the cytotoxicity of AT in melanoma cells. After 24, 48 and 72 h of treatment, the viability of B16 cells was significantly reduced by all three AT doses in both a time-dependent (P&#x003C;0.001) and dose-dependent (P&#x003C;0.001) manner, as revealed by the CCK-8 assay (<xref rid="f1-ol-30-2-15118" ref-type="fig">Fig. 1C</xref>). Similar findings were observed in A875 cells (both P&#x003C;0.001; <xref rid="f1-ol-30-2-15118" ref-type="fig">Fig. 1D</xref>), supporting the antitumor effect of AT on melanoma cells. Additionally, a colony formation assay was performed to evaluate the antiproliferative effect of AT on melanoma cells. Compared with the colony numbers in the control group, the number of melanoma cell colonies in the AT-L, AT-M and AT-H groups were significantly reduced (<xref rid="f1-ol-30-2-15118" ref-type="fig">Fig. 1E and F</xref>). Collectively, these results indicate a suppressive role for AT in melanoma proliferation.</p>
<p>Since cancer stemness plays a crucial role in the recurrence and metastasis of malignancy (<xref rid="b33-ol-30-2-15118" ref-type="bibr">33</xref>), the suppressive effect of AT on the stemness of melanoma cells was examined using a sphere formation assay. The results indicated a significant decrease in the number of spheres formed by the B16 and A875 cells after AT treatment (<xref rid="f2-ol-30-2-15118" ref-type="fig">Fig. 2A and B</xref>). The collective results suggest that AT could inhibit the stemness of melanoma cells. Additionally, as shown in <xref rid="f2-ol-30-2-15118" ref-type="fig">Fig. 2C and D</xref>, the migration of both B16 and A875 cells was also significantly hindered by AT treatment. The collective data indicate that AT effectively inhibits the proliferation, stemness and migration of melanoma cells in a dose-dependent manner.</p>
</sec>
<sec>
<title>Prediction of the mechanism of action of AT via network pharmacology</title>
<p>After confirming the antitumor effects of AT, its mechanism of action was the next focus. However, the therapeutic targets and interactions between AT and melanoma are complex, making it difficult to determine the most likely therapeutic pathway. Network pharmacology was used to predict the main axis and reveal the potential therapeutic mechanisms of AT in melanoma. A total of 22 overlapping target genes were identified from the 79 AT and 1,366 melanoma target genes (<xref rid="f3-ol-30-2-15118" ref-type="fig">Fig. 3A</xref>). Subsequently, all intersecting target genes were subjected to GO and KEGG enrichment analyses using the DAVID database. The results revealed that 105 biological processes, 16 related cellular components and 78 molecular functions were involved in the interactions between AT and melanoma. The pathways associated with the top 10 intersecting targets were considered for the construction of a GO enrichment analysis pathway map (<xref rid="f3-ol-30-2-15118" ref-type="fig">Fig. 3B</xref>).</p>
<p>KEGG enrichment analysis was used to determine the signaling pathways associated with the anti-melanoma effects of AT. KEGG enrichment analysis yielded 62 statistically significant pathways, and the top ten KEGG enrichment analyses are shown in <xref rid="f3-ol-30-2-15118" ref-type="fig">Fig. 3C</xref>. Among these, the &#x2018;PI3K-Akt signaling pathway&#x2019; stood out as a potential axis in AT treatment, with a high -log<sub>10</sub>(P-value) of 9.99&#x00D7;10<sup>&#x2212;2</sup> and a gene count of 5. Since the mTOR signaling pathway is a well-known downstream pathway of the PI3K/AKT signaling pathway, the PI3K/AKT/mTOR axis was chosen for further exploration of the therapeutic mechanism of AT. Additionally, the PI3K/AKT and mTOR signaling pathways were selected as crucial pathways due to their high degree values (8 for the PI3K/AKT axis and 5 for the mTOR axis) in the target-pathway network (<xref rid="f3-ol-30-2-15118" ref-type="fig">Fig. 3D</xref>). Therefore, based on the network pharmacology results, it is reasonable to consider the PI3K/AKT/mTOR axis as the mechanism underlying the therapeutic effects of AT in melanoma.</p>
</sec>
<sec>
<title>Overexpression of PI3K reverses the suppressive effects of AT in melanoma cells</title>
<p>The role of PI3K in the suppressive effects of AT on melanoma cells was explored. Transfection of the PI3K oe vector successfully overexpressed PI3K in A875 cells, as demonstrated by RT-qPCR (<xref rid="f4-ol-30-2-15118" ref-type="fig">Fig. 4A</xref>) and western blotting (<xref rid="f4-ol-30-2-15118" ref-type="fig">Fig. 4B</xref>). Consistently, AT treatment significantly suppressed the cell viability, proliferation, stemness as well as migration of B16 cells (<xref rid="f4-ol-30-2-15118" ref-type="fig">Fig. 4C-F</xref>), while the effects of AT were reversed by overexpressing PI3K (<xref rid="f4-ol-30-2-15118" ref-type="fig">Fig. 4C-F</xref>).</p>
<p>To confirm the contribution of the PI3K/AKT/mTOR pathway to the effects AT of observed, the effects after PI3K knockdown were studied. The efficiency of PI3K knockdown was measured at both the RNA and protein levels, and siPI3K#2 was selected for subsequent experiments based on the results (<xref rid="SD1-ol-30-2-15118" ref-type="supplementary-material">Fig. S1A and B</xref>). As expected, the cell viability, proliferation, stemness and migration of B16 cells were significantly reduced after knocking down PI3K expression, which indicated that PI3K contributes to the malignant phenotypes of B16 cells. Additionally, in the absence of PI3K, AT did not significantly affect the cell viability, proliferation, stemness and migration of B16 cells, supporting the hypothesis that the inhibitory effect of AT on melanoma cells relies on its regulation of PI3K (<xref rid="SD1-ol-30-2-15118" ref-type="supplementary-material">Fig. S1C-F</xref>). In summary, PI3K signaling was demonstrated to be a major axis through which AT inhibits the viability, proliferation, stemness and migration of melanoma cells.</p>
</sec>
<sec>
<title>AT inhibits the PI3K/AKT/mTOR pathway in melanoma cells</title>
<p>After determining the role of PI3K signaling in AT activity, the effect of AT on the expression of the PI3K/AKT/mTOR axis in B16 cells was investigated. As shown in <xref rid="f5-ol-30-2-15118" ref-type="fig">Fig. 5A</xref>, AT treatment significantly decreased the phosphorylation of PI3K and AKT. As a downstream target of the PI3K/AKT axis, mTOR signaling has been widely reported to promote proliferation in various cancer types (<xref rid="b34-ol-30-2-15118" ref-type="bibr">34</xref>). In the present study, the phosphorylation of mTOR was significantly suppressed by AT treatment, as shown in <xref rid="f5-ol-30-2-15118" ref-type="fig">Fig. 5B</xref>. These results further imply that the inhibition of the PI3K/AKT/mTOR axis may be an underlying mechanism of action of AT in melanoma treatment.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>AT has been used to treat splenic and stomach ailments in Asia for centuries (<xref rid="b35-ol-30-2-15118" ref-type="bibr">35</xref>,<xref rid="b36-ol-30-2-15118" ref-type="bibr">36</xref>). Previous pharmacological studies have reported various activities of AT, such as antioxidant, anti-inflammatory and anticancer activities (<xref rid="b37-ol-30-2-15118" ref-type="bibr">37</xref>&#x2013;<xref rid="b39-ol-30-2-15118" ref-type="bibr">39</xref>). Melanoma is one of the most common skin carcinomas worldwide and affects millions of individuals annually (<xref rid="b40-ol-30-2-15118" ref-type="bibr">40</xref>). The results of the present study demonstrated that AT effectively inhibited the growth and proliferation of melanoma cells, underscoring its potential for melanoma treatment.</p>
<p>Since malignant metastasis always occurs in patients with advanced melanoma and poses a major challenge to clinical therapy (<xref rid="b41-ol-30-2-15118" ref-type="bibr">41</xref>), the suppressive effect of AT on the migration of melanoma cells was investigated in the present study. AT treatment significantly inhibited cell migration, suggesting the potential of AT as an adjuvant treatment to prevent melanoma metastasis. Similar to these results, Fu <italic>et al</italic> (<xref rid="b42-ol-30-2-15118" ref-type="bibr">42</xref>) demonstrated that AT inhibits the migration of melanoma cells and suggested that the role of AT may be mediated by the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) pathway. However, the bioinformatics analysis performed in the present study suggested the potential role of the PI3K/AKT signaling pathway in AT activity during melanoma treatment and the JAK2/STAT3 pathway was not revealed in the analysis. Hence, the JAK2/STAT3 pathway was not explored further in the present study. Metastatic progression is affected by various factors, including post-transcriptional regulation, cancer stemness and epithelial-mesenchymal transition (EMT). Among these, stemness has been shown to play a role in AT treatment of melanoma metastasis (<xref rid="b43-ol-30-2-15118" ref-type="bibr">43</xref>). Cancer stemness is often characterized by the ability of specific cancer cells to self-renew, differentiate and regenerate. The induction of stemness in cancer cells is closely related to the proliferation, migration and drug resistance of melanoma cells (<xref rid="b44-ol-30-2-15118" ref-type="bibr">44</xref>,<xref rid="b45-ol-30-2-15118" ref-type="bibr">45</xref>). In the present study, AT treatment significantly inhibited the stemness of B16 cells, which may be a key factor in the therapeutic effect of AT on melanoma metastasis. EMT is a process characterized by the loss of epithelial cell markers and upregulation of mesenchymal cell markers. This process is another critical factor in cancer cell metastasis (<xref rid="b46-ol-30-2-15118" ref-type="bibr">46</xref>). Li <italic>et al</italic> (<xref rid="b47-ol-30-2-15118" ref-type="bibr">47</xref>) showed that fibronectin 1 promotes melanoma proliferation and metastasis through apoptosis and EMT. Additionally, evidence suggests a positive crosstalk between stemness and EMT in cancer cells (<xref rid="b48-ol-30-2-15118" ref-type="bibr">48</xref>), with EMT transcription factors playing a role in regulating tumor cell stemness (<xref rid="b49-ol-30-2-15118" ref-type="bibr">49</xref>). Notably, a previous study demonstrated the suppression of EMT by AT in prostate cancer cells (<xref rid="b50-ol-30-2-15118" ref-type="bibr">50</xref>). Considering the marked inhibitory effect of AT on the stemness of melanoma cells, EMT may also be suppressed by AT treatment.</p>
<p>Although the inhibitory effect of AT on cancer progression has been demonstrated, its specific mechanisms of action remain unknown. In the present study, the mechanism underlying the anti-melanoma effects of AT was investigated using network pharmacology. Based on these data, the PI3K/AKT signaling pathway was considered the key pathway for AT activity, whereas mTOR was identified as a notable downstream effector of the PI3K axis. The crucial role of PI3K/AKT signaling in melanoma pathophysiology has been emphasized by network pharmacology and extensive preliminary research (<xref rid="b51-ol-30-2-15118" ref-type="bibr">51</xref>,<xref rid="b52-ol-30-2-15118" ref-type="bibr">52</xref>). Inhibiting the PI3K/AKT/mTOR axis sensitizes melanoma cells to cisplatin and temozolomide (<xref rid="b53-ol-30-2-15118" ref-type="bibr">53</xref>). Previous studies on other diseases have demonstrated a relationship between AT and the PI3K/AKT/mTOR pathway. For example, AT effectively inhibits colorectal tumor progression both <italic>in vitro</italic> and <italic>in vivo</italic>, mainly by regulating the AKT/mTOR signaling pathway (<xref rid="b14-ol-30-2-15118" ref-type="bibr">14</xref>). In addition, the antitumor effect of AT in bladder cancer cells reportedly relies on the inhibition of the PI3K/Akt/mTOR signaling pathway (<xref rid="b54-ol-30-2-15118" ref-type="bibr">54</xref>). Moreover, Wang <italic>et al</italic> (<xref rid="b55-ol-30-2-15118" ref-type="bibr">55</xref>) recently demonstrated that AT suppresses the osteogenic differentiation of human valve interstitial cells by regulating the PI3K/AKT pathway. Similarly, the present study confirmed that this axis is essential for AT activity in melanoma cells, as revealed by PI3K knockdown and overexpression experiments.</p>
<p>PI3K is an intracellular phosphatidylinositol kinase that regulates cell survival, growth, proliferation, angiogenesis and metabolism in human cancer via the PI3K/AKT/mTOR pathway (<xref rid="b56-ol-30-2-15118" ref-type="bibr">56</xref>,<xref rid="b57-ol-30-2-15118" ref-type="bibr">57</xref>). In the present study, the phosphorylation of PI3K and AKT in B16 cells was significantly inhibited by AT treatment, suggesting that AT inhibits melanoma cells through the PI3K signaling pathway. AT has been shown to effectively inhibit the migration of B16 cells and the phosphorylation of AKT (<xref rid="b58-ol-30-2-15118" ref-type="bibr">58</xref>), which is consistent with the results of the present study. Following activation, AKT promotes the phosphorylation of tuberous sclerosis complex 2, which then activates the mammalian target of rapamycin complex 1 (mTORC1). AKT directly activates mTORC1 by phosphorylating Ser2448 (<xref rid="b59-ol-30-2-15118" ref-type="bibr">59</xref>). In the present study, mTOR phosphorylation at different sites (Ser 2448 and Ser2481) was significantly downregulated by AT treatment.</p>
<p>Taken together, the results of the present study confirm the anti-melanoma effects of AT. Additionally, the PI3K/AKT/mTOR axis was identified as an underlying mechanism of action of AT, as revealed by network pharmacology predictions and experimental validation. The significant suppressive effect of AT on melanoma suggests its potential as a novel drug for melanoma treatment. AT has several advantages that may facilitate its future use. First, clinical evidence suggests that AT is safe and exhibits low toxicity without serious adverse reactions (<xref rid="b60-ol-30-2-15118" ref-type="bibr">60</xref>). Second, a previous study reported that AT sensitizes human ovarian cancer cells to paclitaxel, indicating that the combination of AT with current chemotherapies may overcome drug resistance (<xref rid="b61-ol-30-2-15118" ref-type="bibr">61</xref>). Thus, AT is a valuable natural component that may play a role in the treatment of <italic>melanoma</italic>, either individually or in combination with other chemotherapeutic agents.</p>
<p>However, the present study has some limitations. Since all experiments were conducted <italic>in vitro</italic>, robust animal models are needed to verify the anti-melanoma properties and underlying mechanisms of action of AT. The PI3K family consists of three classes of phosphatidylinositol kinases (I/II/III); therefore, the regulatory role of AT should be thoroughly explored by further investigating which phosphatidylinositol kinases AT interacts with. Although the suppressive effect of AT on PI3K expression has been confirmed, further investigation is required to understand the interaction between AT and PI3K. Further detailed research on the regulation of the PI3K/AKT/mTOR axis by AT is required.</p>
<p>In conclusion, the present study demonstrated the anti-melanoma activity of AT and identified the PI3K/AKT/mTOR axis as a key mechanism underlying its therapeutic action, as confirmed through network pharmacology and experimental validation.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-ol-30-2-15118" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data1.pdf"/>
</supplementary-material>
<supplementary-material id="SD2-ol-30-2-15118" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data2.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The data generated in the present study may be requested from the corresponding author.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>XCX and PK designed the experiments. PK and HC performed the experiments and analyzed the results. PK and HC confirm the authenticity of all the raw data. XCX wrote and revised the manuscript. All authors read and approved the final version of the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-ol-30-2-15118"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>AC</given-names></name><name><surname>Zappasodi</surname><given-names>R</given-names></name></person-group><article-title>A decade of checkpoint blockade immunotherapy in melanoma: Understanding the molecular basis for immune sensitivity and resistance</article-title><source>Nat Immunol</source><volume>23</volume><fpage>660</fpage><lpage>670</lpage><year>2022</year><pub-id pub-id-type="doi">10.1038/s41590-022-01141-1</pub-id><pub-id pub-id-type="pmid">35241833</pub-id></element-citation></ref>
<ref id="b2-ol-30-2-15118"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schadendorf</surname><given-names>D</given-names></name><name><surname>van Akkooi</surname><given-names>ACJ</given-names></name><name><surname>Berking</surname><given-names>C</given-names></name><name><surname>Griewank</surname><given-names>KG</given-names></name><name><surname>Gutzmer</surname><given-names>R</given-names></name><name><surname>Hauschild</surname><given-names>A</given-names></name><name><surname>Stang</surname><given-names>A</given-names></name><name><surname>Roesch</surname><given-names>A</given-names></name><name><surname>Ugurel</surname><given-names>S</given-names></name></person-group><article-title>Melanoma</article-title><source>Lancet</source><volume>392</volume><fpage>971</fpage><lpage>984</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/S0140-6736(18)31559-9</pub-id><pub-id pub-id-type="pmid">30238891</pub-id></element-citation></ref>
<ref id="b3-ol-30-2-15118"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eddy</surname><given-names>K</given-names></name><name><surname>Chen</surname><given-names>S</given-names></name></person-group><article-title>Overcoming immune evasion in melanoma</article-title><source>Int J Mol Sci</source><volume>21</volume><fpage>8984</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/ijms21238984</pub-id><pub-id pub-id-type="pmid">33256089</pub-id></element-citation></ref>
<ref id="b4-ol-30-2-15118"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rubin</surname><given-names>KM</given-names></name><name><surname>Vona</surname><given-names>K</given-names></name><name><surname>Madden</surname><given-names>K</given-names></name><name><surname>McGettigan</surname><given-names>S</given-names></name><name><surname>Braun</surname><given-names>IM</given-names></name></person-group><article-title>Side effects in melanoma patients receiving adjuvant interferon alfa-2b therapy: A nurse&#x0027;s perspective</article-title><source>Support Care Cancer</source><volume>20</volume><fpage>1601</fpage><lpage>1611</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s00520-012-1473-0</pub-id><pub-id pub-id-type="pmid">22562583</pub-id></element-citation></ref>
<ref id="b5-ol-30-2-15118"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hauschild</surname><given-names>A</given-names></name><name><surname>Gogas</surname><given-names>H</given-names></name><name><surname>Tarhini</surname><given-names>A</given-names></name><name><surname>Middleton</surname><given-names>MR</given-names></name><name><surname>Testori</surname><given-names>A</given-names></name><name><surname>Dr&#x00E9;no</surname><given-names>B</given-names></name><name><surname>Kirkwood</surname><given-names>JM</given-names></name></person-group><article-title>Practical guidelines for the management of interferon-alpha-2b side effects in patients receiving adjuvant treatment for melanoma: Expert opinion</article-title><source>Cancer</source><volume>112</volume><fpage>982</fpage><lpage>994</lpage><year>2008</year><pub-id pub-id-type="doi">10.1002/cncr.23251</pub-id><pub-id pub-id-type="pmid">18236459</pub-id></element-citation></ref>
<ref id="b6-ol-30-2-15118"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hersey</surname><given-names>P</given-names></name><name><surname>Tiffen</surname><given-names>JC</given-names></name><name><surname>Gallagher</surname><given-names>SJ</given-names></name></person-group><article-title>Shedding light on dabrafenib-induced fevers in patients with melanoma</article-title><source>Lancet Oncol</source><volume>20</volume><fpage>1637</fpage><lpage>1638</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/S1470-2045(19)30681-3</pub-id><pub-id pub-id-type="pmid">31797778</pub-id></element-citation></ref>
<ref id="b7-ol-30-2-15118"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sloot</surname><given-names>S</given-names></name><name><surname>Fedorenko</surname><given-names>IV</given-names></name><name><surname>Smalley</surname><given-names>KS</given-names></name><name><surname>Gibney</surname><given-names>GT</given-names></name></person-group><article-title>Long-term effects of BRAF inhibitors in melanoma treatment: Friend or foe?</article-title><source>Expert Opin Pharmacother</source><volume>15</volume><fpage>589</fpage><lpage>592</lpage><year>2014</year><pub-id pub-id-type="doi">10.1517/14656566.2014.881471</pub-id><pub-id pub-id-type="pmid">24456413</pub-id></element-citation></ref>
<ref id="b8-ol-30-2-15118"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Dang</surname><given-names>Z</given-names></name><name><surname>Yu</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Jiang</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>Z</given-names></name></person-group><article-title>Effects of adjuvant traditional Chinese medicine therapy on long-term survival in patients with hepatocellular carcinoma</article-title><source>Phytomedicine</source><volume>62</volume><fpage>152930</fpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.phymed.2019.152930</pub-id><pub-id pub-id-type="pmid">31128485</pub-id></element-citation></ref>
<ref id="b9-ol-30-2-15118"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>R</given-names></name><name><surname>Sun</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>F</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>T</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Tang</surname><given-names>H</given-names></name><name><surname>Zhou</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><etal/></person-group><article-title>Efficacy and safety of Chinese herbal medicine on ovarian cancer after reduction surgery and adjuvant chemotherapy: A systematic review and meta-analysis</article-title><source>Front Oncol</source><volume>9</volume><fpage>730</fpage><year>2019</year><pub-id pub-id-type="doi">10.1634/theoncologist.2018-0898</pub-id><pub-id pub-id-type="pmid">31475101</pub-id></element-citation></ref>
<ref id="b10-ol-30-2-15118"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Qiu</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Dong</surname><given-names>F</given-names></name><name><surname>Huang</surname><given-names>X</given-names></name><name><surname>Zhao</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>T</given-names></name></person-group><article-title>Polysaccharides from hawthorn fruit alleviate high-fat diet-induced NAFLD in mice by improving gut microbiota dysbiosis and hepatic metabolic disorder</article-title><source>Phytomedicine</source><volume>139</volume><fpage>156458</fpage><year>2025</year><pub-id pub-id-type="doi">10.1016/j.phymed.2025.156458</pub-id><pub-id pub-id-type="pmid">39919328</pub-id></element-citation></ref>
<ref id="b11-ol-30-2-15118"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hoang</surname><given-names>LS</given-names></name><name><surname>Tran</surname><given-names>MH</given-names></name><name><surname>Lee</surname><given-names>JS</given-names></name><name><surname>Ngo</surname><given-names>QM</given-names></name><name><surname>Woo</surname><given-names>MH</given-names></name><name><surname>Min</surname><given-names>BS</given-names></name></person-group><article-title>Inflammatory inhibitory activity of sesquiterpenoids from atractylodes macrocephala Rhizomes</article-title><source>Chem Pharm Bull (Tokyo)</source><volume>64</volume><fpage>507</fpage><lpage>511</lpage><year>2016</year><pub-id pub-id-type="doi">10.1248/cpb.c15-00805</pub-id><pub-id pub-id-type="pmid">27150484</pub-id></element-citation></ref>
<ref id="b12-ol-30-2-15118"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shu</surname><given-names>YT</given-names></name><name><surname>Kao</surname><given-names>KT</given-names></name><name><surname>Weng</surname><given-names>CS</given-names></name></person-group><article-title>In vitro antibacterial and cytotoxic activities of plasma-modified polyethylene terephthalate nonwoven dressing with aqueous extract of Rhizome Atractylodes macrocephala</article-title><source>Mater Sci Eng C Mater Biol Appl</source><volume>77</volume><fpage>606</fpage><lpage>612</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.msec.2017.03.291</pub-id><pub-id pub-id-type="pmid">28532071</pub-id></element-citation></ref>
<ref id="b13-ol-30-2-15118"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kou</surname><given-names>N</given-names></name><name><surname>Cho</surname><given-names>H</given-names></name><name><surname>Kim</surname><given-names>HE</given-names></name><name><surname>Sun</surname><given-names>Q</given-names></name><name><surname>Ahn</surname><given-names>K</given-names></name><name><surname>Ji</surname><given-names>H</given-names></name><name><surname>Choi</surname><given-names>H</given-names></name><name><surname>Kim</surname><given-names>O</given-names></name></person-group><article-title>Anti-cancer effect of Atractylodes macrocephala extract by double induction of apoptotic and autophagic cell death in head and neck cancer cells</article-title><source>Bangladesh J Pharmacol</source><volume>12</volume><fpage>140</fpage><lpage>146</lpage><year>2017</year><pub-id pub-id-type="doi">10.3329/bjp.v12i2.31238</pub-id></element-citation></ref>
<ref id="b14-ol-30-2-15118"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>K</given-names></name><name><surname>Huang</surname><given-names>W</given-names></name><name><surname>Sang</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Shan</surname><given-names>Q</given-names></name><name><surname>Tang</surname><given-names>D</given-names></name><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Cao</surname><given-names>G</given-names></name></person-group><article-title>Atractylenolide I inhibits colorectal cancer cell proliferation by affecting metabolism and stemness via AKT/mTOR signaling</article-title><source>Phytomedicine</source><volume>68</volume><fpage>153191</fpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.phymed.2020.153191</pub-id><pub-id pub-id-type="pmid">32135457</pub-id></element-citation></ref>
<ref id="b15-ol-30-2-15118"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Long</surname><given-names>F</given-names></name><name><surname>Lin</surname><given-names>H</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Xiao</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>T</given-names></name></person-group><article-title>Atractylenolide-I suppresses tumorigenesis of breast cancer by inhibiting toll-like receptor 4-mediated nuclear factor-&#x03BA;B signaling pathway</article-title><source>Front Pharmacol</source><volume>11</volume><fpage>598939</fpage><year>2020</year><pub-id pub-id-type="doi">10.3389/fphar.2020.598939</pub-id><pub-id pub-id-type="pmid">33363472</pub-id></element-citation></ref>
<ref id="b16-ol-30-2-15118"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Guo</surname><given-names>X</given-names></name><name><surname>Miao</surname><given-names>Z</given-names></name><name><surname>Ma</surname><given-names>S</given-names></name></person-group><article-title>Atractylenolide I induces apoptosis and suppresses glycolysis by blocking the JAK2/STAT3 signaling pathway in colorectal cancer cells</article-title><source>Front Pharmacol</source><volume>11</volume><fpage>273</fpage><year>2020</year><pub-id pub-id-type="doi">10.3389/fphar.2020.00273</pub-id><pub-id pub-id-type="pmid">32273843</pub-id></element-citation></ref>
<ref id="b17-ol-30-2-15118"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname><given-names>Y</given-names></name><name><surname>Chao</surname><given-names>XJ</given-names></name><name><surname>Wu</surname><given-names>JF</given-names></name><name><surname>Cheng</surname><given-names>BC</given-names></name><name><surname>Su</surname><given-names>T</given-names></name><name><surname>Fu</surname><given-names>XQ</given-names></name><name><surname>Li</surname><given-names>T</given-names></name><name><surname>Guo</surname><given-names>H</given-names></name><name><surname>Tse</surname><given-names>AK</given-names></name><name><surname>Kwan</surname><given-names>HY</given-names></name><etal/></person-group><article-title>ERK/GSK3&#x03B2; signaling is involved in atractylenolide I-induced apoptosis and cell cycle arrest in melanoma cells</article-title><source>Oncol Rep</source><volume>34</volume><fpage>1543</fpage><lpage>1548</lpage><year>2015</year><pub-id pub-id-type="doi">10.3892/or.2015.4111</pub-id><pub-id pub-id-type="pmid">26151480</pub-id></element-citation></ref>
<ref id="b18-ol-30-2-15118"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Van der Jeught</surname><given-names>K</given-names></name><name><surname>Zhou</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Yu</surname><given-names>T</given-names></name><name><surname>Sun</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Wan</surname><given-names>C</given-names></name><name><surname>So</surname><given-names>KM</given-names></name><name><surname>Liu</surname><given-names>D</given-names></name><etal/></person-group><article-title>Atractylenolide I enhances responsiveness to immune checkpoint blockade therapy by activating tumor antigen presentation</article-title><source>J Clin Invest</source><volume>131</volume><fpage>e146832</fpage><year>2021</year><pub-id pub-id-type="doi">10.1172/JCI146832</pub-id><pub-id pub-id-type="pmid">33830945</pub-id></element-citation></ref>
<ref id="b19-ol-30-2-15118"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Khanal</surname><given-names>P</given-names></name><name><surname>Patil</surname><given-names>BM</given-names></name></person-group><article-title>Integration of network and experimental pharmacology to decipher the antidiabetic action of Duranta repens L</article-title><source>J Integr Med</source><volume>19</volume><fpage>66</fpage><lpage>77</lpage><year>2021</year><pub-id pub-id-type="doi">10.1016/j.joim.2020.10.003</pub-id><pub-id pub-id-type="pmid">33071211</pub-id></element-citation></ref>
<ref id="b20-ol-30-2-15118"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname><given-names>P</given-names></name><name><surname>Su</surname><given-names>HF</given-names></name><name><surname>Ye</surname><given-names>CY</given-names></name><name><surname>Qiu</surname><given-names>SW</given-names></name><name><surname>Shi</surname><given-names>A</given-names></name><name><surname>Wang</surname><given-names>JZ</given-names></name><name><surname>Zhou</surname><given-names>XW</given-names></name><name><surname>Tian</surname><given-names>Q</given-names></name></person-group><article-title>A tau pathogenesis-based network pharmacology approach for exploring the protections of Chuanxiong Rhizoma in Alzheimer&#x0027;s disease</article-title><source>Front Pharmacol</source><volume>13</volume><fpage>877806</fpage><year>2022</year><pub-id pub-id-type="doi">10.3389/fphar.2022.877806</pub-id><pub-id pub-id-type="pmid">35529440</pub-id></element-citation></ref>
<ref id="b21-ol-30-2-15118"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nogales</surname><given-names>C</given-names></name><name><surname>Mamdouh</surname><given-names>ZM</given-names></name><name><surname>List</surname><given-names>M</given-names></name><name><surname>Kiel</surname><given-names>C</given-names></name><name><surname>Casas</surname><given-names>AI</given-names></name><name><surname>Schmidt</surname><given-names>H</given-names></name></person-group><article-title>Network pharmacology: Curing causal mechanisms instead of treating symptoms</article-title><source>Trends Pharmacol Sci</source><volume>43</volume><fpage>136</fpage><lpage>150</lpage><year>2022</year><pub-id pub-id-type="doi">10.1016/j.tips.2021.11.004</pub-id><pub-id pub-id-type="pmid">34895945</pub-id></element-citation></ref>
<ref id="b22-ol-30-2-15118"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>RL</given-names></name><name><surname>He</surname><given-names>YM</given-names></name></person-group><article-title>Network pharmacology analysis of the anti-cancer pharmacological mechanisms of Ganoderma lucidum extract with experimental support using Hepa1-6-bearing C57 BL/6 mice</article-title><source>J Ethnopharmacol</source><volume>210</volume><fpage>287</fpage><lpage>295</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.jep.2017.08.041</pub-id><pub-id pub-id-type="pmid">28882624</pub-id></element-citation></ref>
<ref id="b23-ol-30-2-15118"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>ZH</given-names></name><name><surname>Yu</surname><given-names>D</given-names></name><name><surname>Huang</surname><given-names>NN</given-names></name><name><surname>Wu</surname><given-names>JK</given-names></name><name><surname>Du</surname><given-names>XW</given-names></name><name><surname>Wang</surname><given-names>XJ</given-names></name></person-group><article-title>Immunoregulatory mechanism studies of ginseng leaves on lung cancer based on network pharmacology and molecular docking</article-title><source>Sci Rep</source><volume>11</volume><fpage>18201</fpage><year>2021</year><pub-id pub-id-type="doi">10.1038/s41598-021-97115-8</pub-id><pub-id pub-id-type="pmid">34521875</pub-id></element-citation></ref>
<ref id="b24-ol-30-2-15118"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>B</given-names></name><name><surname>Liu</surname><given-names>C</given-names></name><name><surname>Long</surname><given-names>H</given-names></name><name><surname>Bai</surname><given-names>G</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name><name><surname>Xu</surname><given-names>H</given-names></name></person-group><article-title>N<sup>6</sup>-methyladenosine-induced long non-coding RNA PVT1 regulates the miR-27b-3p/BLM axis to promote prostate cancer progression</article-title><source>Int J Oncol</source><volume>62</volume><fpage>16</fpage><year>2023</year><pub-id pub-id-type="doi">10.3892/ijo.2022.5464</pub-id><pub-id pub-id-type="pmid">36484368</pub-id></element-citation></ref>
<ref id="b25-ol-30-2-15118"><label>25</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Safran</surname><given-names>M</given-names></name><name><surname>Rosen</surname><given-names>N</given-names></name><name><surname>Twik</surname><given-names>M</given-names></name><name><surname>BarShir</surname><given-names>R</given-names></name><name><surname>Stein</surname><given-names>TI</given-names></name><name><surname>Dahary</surname><given-names>D</given-names></name><name><surname>Fishilevich</surname><given-names>S</given-names></name><name><surname>Lancet</surname><given-names>D</given-names></name></person-group><article-title>The GeneCards suite</article-title><source>Practical Guide to Life Science Databases</source><person-group person-group-type="editor"><name><surname>Abugessaisa</surname><given-names>I</given-names></name><name><surname>Kasukawa</surname><given-names>T</given-names></name></person-group><publisher-name>Springer Nature Singapore</publisher-name><publisher-loc>Singapore</publisher-loc><fpage>27</fpage><lpage>56</lpage><year>2021</year><pub-id pub-id-type="doi">10.1007/978-981-16-5812-9_2</pub-id></element-citation></ref>
<ref id="b26-ol-30-2-15118"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wishart</surname><given-names>DS</given-names></name><name><surname>Feunang</surname><given-names>YD</given-names></name><name><surname>Guo</surname><given-names>AC</given-names></name><name><surname>Lo</surname><given-names>EJ</given-names></name><name><surname>Marcu</surname><given-names>A</given-names></name><name><surname>Grant</surname><given-names>JR</given-names></name><name><surname>Sajed</surname><given-names>T</given-names></name><name><surname>Johnson</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Sayeeda</surname><given-names>Z</given-names></name><etal/></person-group><article-title>DrugBank 5.0: A major update to the DrugBank database for 2018</article-title><source>Nucleic Acids Res</source><volume>46</volume><fpage>D1074</fpage><lpage>D1082</lpage><year>2018</year><pub-id pub-id-type="doi">10.1093/nar/gkx1037</pub-id><pub-id pub-id-type="pmid">29126136</pub-id></element-citation></ref>
<ref id="b27-ol-30-2-15118"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hamosh</surname><given-names>A</given-names></name><name><surname>Amberger</surname><given-names>JS</given-names></name><name><surname>Bocchini</surname><given-names>C</given-names></name><name><surname>Scott</surname><given-names>AF</given-names></name><name><surname>Rasmussen</surname><given-names>SA</given-names></name></person-group><article-title>Online mendelian inheritance in man (OMIM<sup>&#x00AE;</sup>): Victor McKusick&#x0027;s magnum opus</article-title><source>Am J Med Genet A</source><volume>185</volume><fpage>3259</fpage><lpage>3265</lpage><year>2021</year><pub-id pub-id-type="doi">10.1002/ajmg.a.62407</pub-id><pub-id pub-id-type="pmid">34169650</pub-id></element-citation></ref>
<ref id="b28-ol-30-2-15118"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Zhao</surname><given-names>D</given-names></name><name><surname>Yu</surname><given-names>X</given-names></name><name><surname>Shen</surname><given-names>X</given-names></name><name><surname>Zhou</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Qiu</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Zhu</surname><given-names>F</given-names></name></person-group><article-title>TTD: Therapeutic target database describing target druggability information</article-title><source>Nucleic Acids Res</source><volume>52</volume><fpage>D1465</fpage><lpage>D1477</lpage><year>2024</year><pub-id pub-id-type="doi">10.1093/nar/gkad751</pub-id><pub-id pub-id-type="pmid">37713619</pub-id></element-citation></ref>
<ref id="b29-ol-30-2-15118"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>DW</given-names></name><name><surname>Sherman</surname><given-names>BT</given-names></name><name><surname>Lempicki</surname><given-names>RA</given-names></name></person-group><article-title>Systematic and integrative analysis of large gene lists using DAVID bioinformatics resources</article-title><source>Nat Protoc</source><volume>4</volume><fpage>44</fpage><lpage>57</lpage><year>2009</year><pub-id pub-id-type="doi">10.1038/nprot.2008.211</pub-id><pub-id pub-id-type="pmid">19131956</pub-id></element-citation></ref>
<ref id="b30-ol-30-2-15118"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>DW</given-names></name><name><surname>Sherman</surname><given-names>BT</given-names></name><name><surname>Lempicki</surname><given-names>RA</given-names></name></person-group><article-title>Bioinformatics enrichment tools: Paths toward the comprehensive functional analysis of large gene lists</article-title><source>Nucleic Acids Res</source><volume>37</volume><fpage>1</fpage><lpage>13</lpage><year>2009</year><pub-id pub-id-type="doi">10.1093/nar/gkn923</pub-id><pub-id pub-id-type="pmid">19033363</pub-id></element-citation></ref>
<ref id="b31-ol-30-2-15118"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tianyu</surname><given-names>Z</given-names></name><name><surname>Liying</surname><given-names>G</given-names></name></person-group><article-title>Identifying the molecular targets and mechanisms of xuebijing injection for the treatment of COVID-19 via network parmacology and molecular docking</article-title><source>Bioengineered</source><volume>12</volume><fpage>2274</fpage><lpage>2287</lpage><year>2021</year><pub-id pub-id-type="doi">10.1080/21655979.2021.1933301</pub-id><pub-id pub-id-type="pmid">34077310</pub-id></element-citation></ref>
<ref id="b32-ol-30-2-15118"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(&#x2212;Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b33-ol-30-2-15118"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>P</given-names></name><name><surname>Hsu</surname><given-names>WH</given-names></name><name><surname>Han</surname><given-names>J</given-names></name><name><surname>Xia</surname><given-names>Y</given-names></name><name><surname>DePinho</surname><given-names>RA</given-names></name></person-group><article-title>Cancer stemness meets immunity: From mechanism to therapy</article-title><source>Cell Rep</source><volume>34</volume><fpage>108597</fpage><year>2021</year><pub-id pub-id-type="doi">10.1016/j.celrep.2020.108597</pub-id><pub-id pub-id-type="pmid">33406434</pub-id></element-citation></ref>
<ref id="b34-ol-30-2-15118"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>SY</given-names></name></person-group><article-title>mTOR-targeted cancer therapy: Great target but disappointing clinical outcomes, why?</article-title><source>Front Med</source><volume>15</volume><fpage>221</fpage><lpage>231</lpage><year>2021</year><pub-id pub-id-type="doi">10.1007/s11684-020-0812-7</pub-id><pub-id pub-id-type="pmid">33165737</pub-id></element-citation></ref>
<ref id="b35-ol-30-2-15118"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Song</surname><given-names>HP</given-names></name><name><surname>Li</surname><given-names>RL</given-names></name><name><surname>Zhou</surname><given-names>C</given-names></name><name><surname>Cai</surname><given-names>X</given-names></name><name><surname>Huang</surname><given-names>HY</given-names></name></person-group><article-title>Atractylodes macrocephala Koidz stimulates intestinal epithelial cell migration through a polyamine dependent mechanism</article-title><source>J Ethnopharmacol</source><volume>159</volume><fpage>23</fpage><lpage>35</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.jep.2014.10.059</pub-id><pub-id pub-id-type="pmid">25446597</pub-id></element-citation></ref>
<ref id="b36-ol-30-2-15118"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Song</surname><given-names>HP</given-names></name><name><surname>Hou</surname><given-names>XQ</given-names></name><name><surname>Li</surname><given-names>RY</given-names></name><name><surname>Yu</surname><given-names>R</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Zhou</surname><given-names>SN</given-names></name><name><surname>Huang</surname><given-names>HY</given-names></name><name><surname>Cai</surname><given-names>X</given-names></name><name><surname>Zhou</surname><given-names>C</given-names></name></person-group><article-title>Atractylenolide I stimulates intestinal epithelial repair through polyamine-mediated Ca(2&#x002B;) signaling pathway</article-title><source>Phytomedicine</source><volume>28</volume><fpage>27</fpage><lpage>35</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.phymed.2017.03.001</pub-id><pub-id pub-id-type="pmid">28478810</pub-id></element-citation></ref>
<ref id="b37-ol-30-2-15118"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>RB</given-names></name><name><surname>Xing</surname><given-names>JH</given-names></name><name><surname>Tang</surname><given-names>YX</given-names></name></person-group><article-title>Atractylenolide inhibits apoptosis and oxidative stress of HTR-8/SVneo cells by activating MAPK/ERK signalling in preeclampsia</article-title><source>Phytomedicine</source><volume>93</volume><fpage>153773</fpage><year>2021</year><pub-id pub-id-type="doi">10.1016/j.phymed.2021.153773</pub-id><pub-id pub-id-type="pmid">34649213</pub-id></element-citation></ref>
<ref id="b38-ol-30-2-15118"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Du</surname><given-names>Z</given-names></name><name><surname>Ma</surname><given-names>Z</given-names></name><name><surname>Lai</surname><given-names>S</given-names></name><name><surname>Ding</surname><given-names>Q</given-names></name><name><surname>Hu</surname><given-names>Z</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name><name><surname>Qian</surname><given-names>Q</given-names></name><name><surname>Zhu</surname><given-names>L</given-names></name><name><surname>Dou</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>S</given-names></name></person-group><article-title>Atractylenolide I ameliorates acetaminophen-induced acute liver injury via the TLR4/MAPKs/NF-&#x03BA;B signaling pathways</article-title><source>Front Pharmacol</source><volume>13</volume><fpage>797499</fpage><year>2022</year><pub-id pub-id-type="doi">10.3389/fphar.2022.797499</pub-id><pub-id pub-id-type="pmid">35126160</pub-id></element-citation></ref>
<ref id="b39-ol-30-2-15118"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname><given-names>M</given-names></name><name><surname>Gu</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Shen</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Fang</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Guo</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name></person-group><article-title>Atractylenolide I ameliorates cancer cachexia through inhibiting biogenesis of IL-6 and tumour-derived extracellular vesicles</article-title><source>J Cachexia Sarcopenia Muscle</source><volume>13</volume><fpage>2724</fpage><lpage>2739</lpage><year>2022</year><pub-id pub-id-type="doi">10.1002/jcsm.13079</pub-id><pub-id pub-id-type="pmid">36085573</pub-id></element-citation></ref>
<ref id="b40-ol-30-2-15118"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Waseh</surname><given-names>S</given-names></name><name><surname>Lee</surname><given-names>JB</given-names></name></person-group><article-title>Advances in melanoma: Epidemiology, diagnosis, and prognosis</article-title><source>Front Med (Lausanne)</source><volume>10</volume><fpage>1268479</fpage><year>2023</year><pub-id pub-id-type="doi">10.3389/fmed.2023.1268479</pub-id><pub-id pub-id-type="pmid">38076247</pub-id></element-citation></ref>
<ref id="b41-ol-30-2-15118"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kibbi</surname><given-names>N</given-names></name><name><surname>Kluger</surname><given-names>H</given-names></name><name><surname>Choi</surname><given-names>JN</given-names></name></person-group><article-title>Melanoma: Clinical presentations</article-title><source>Cancer Treat Res</source><volume>167</volume><fpage>107</fpage><lpage>129</lpage><year>2016</year><pub-id pub-id-type="doi">10.1007/978-3-319-22539-5_4</pub-id><pub-id pub-id-type="pmid">26601860</pub-id></element-citation></ref>
<ref id="b42-ol-30-2-15118"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fu</surname><given-names>XQ</given-names></name><name><surname>Chou</surname><given-names>JY</given-names></name><name><surname>Li</surname><given-names>T</given-names></name><name><surname>Zhu</surname><given-names>PL</given-names></name><name><surname>Li</surname><given-names>JK</given-names></name><name><surname>Yin</surname><given-names>CL</given-names></name><name><surname>Su</surname><given-names>T</given-names></name><name><surname>Guo</surname><given-names>H</given-names></name><name><surname>Lee</surname><given-names>KW</given-names></name><name><surname>Hossen</surname><given-names>MJ</given-names></name><etal/></person-group><article-title>The JAK2/STAT3 pathway is involved in the anti-melanoma effects of atractylenolide I</article-title><source>Exp Dermatol</source><volume>27</volume><fpage>201</fpage><lpage>204</lpage><year>2018</year><pub-id pub-id-type="doi">10.1111/exd.13454</pub-id><pub-id pub-id-type="pmid">29078004</pub-id></element-citation></ref>
<ref id="b43-ol-30-2-15118"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Castaneda</surname><given-names>M</given-names></name><name><surname>den Hollander</surname><given-names>P</given-names></name><name><surname>Kuburich</surname><given-names>NA</given-names></name><name><surname>Rosen</surname><given-names>JM</given-names></name><name><surname>Mani</surname><given-names>SA</given-names></name></person-group><article-title>Mechanisms of cancer metastasis</article-title><source>Semin Cancer Biol</source><volume>87</volume><fpage>17</fpage><lpage>31</lpage><year>2022</year><pub-id pub-id-type="doi">10.1016/j.semcancer.2022.10.006</pub-id><pub-id pub-id-type="pmid">36354098</pub-id></element-citation></ref>
<ref id="b44-ol-30-2-15118"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname><given-names>CY</given-names></name><name><surname>Zhu</surname><given-names>MX</given-names></name><name><surname>Yang</surname><given-names>YW</given-names></name><name><surname>Zhang</surname><given-names>PF</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Peng</surname><given-names>R</given-names></name><name><surname>Gao</surname><given-names>C</given-names></name><name><surname>Lu</surname><given-names>JC</given-names></name><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Deng</surname><given-names>XY</given-names></name><etal/></person-group><article-title>Downregulation of RNF128 activates Wnt/&#x03B2;Mani-catenin signaling to induce cellular EMT and stemness via CD44 and CTTN ubiquitination in melanoma</article-title><source>J Hematol Oncol</source><volume>12</volume><fpage>21</fpage><year>2019</year><pub-id pub-id-type="doi">10.1186/s13045-019-0711-z</pub-id><pub-id pub-id-type="pmid">30832692</pub-id></element-citation></ref>
<ref id="b45-ol-30-2-15118"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gong</surname><given-names>Q</given-names></name><name><surname>Yu</surname><given-names>H</given-names></name><name><surname>Ding</surname><given-names>G</given-names></name><name><surname>Ma</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Cheng</surname><given-names>X</given-names></name></person-group><article-title>Suppression of stemness and enhancement of chemosensibility in the resistant melanoma were induced by Astragalus polysaccharide through PD-L1 downregulation</article-title><source>Eur J Pharmacol</source><volume>916</volume><fpage>174726</fpage><year>2022</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2021.174726</pub-id><pub-id pub-id-type="pmid">34954232</pub-id></element-citation></ref>
<ref id="b46-ol-30-2-15118"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kalluri</surname><given-names>R</given-names></name><name><surname>Weinberg</surname><given-names>RA</given-names></name></person-group><article-title>The basics of epithelial-mesenchymal transition</article-title><source>J Clin Invest</source><volume>119</volume><fpage>1420</fpage><lpage>1428</lpage><year>2009</year><pub-id pub-id-type="doi">10.1172/JCI39104</pub-id><pub-id pub-id-type="pmid">19487818</pub-id></element-citation></ref>
<ref id="b47-ol-30-2-15118"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Shen</surname><given-names>W</given-names></name><name><surname>Peng</surname><given-names>H</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>F</given-names></name><name><surname>Zheng</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><name><surname>Jia</surname><given-names>L</given-names></name></person-group><article-title>Fibronectin 1 promotes melanoma proliferation and metastasis by inhibiting apoptosis and regulating EMT</article-title><source>Onco Targets Ther</source><volume>12</volume><fpage>3207</fpage><lpage>3221</lpage><year>2019</year><pub-id pub-id-type="doi">10.2147/OTT.S195703</pub-id><pub-id pub-id-type="pmid">31118673</pub-id></element-citation></ref>
<ref id="b48-ol-30-2-15118"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname><given-names>G</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Shang</surname><given-names>L</given-names></name><name><surname>Zhou</surname><given-names>F</given-names></name><name><surname>Yang</surname><given-names>S</given-names></name></person-group><article-title>EMT-associated microRNAs and their roles in cancer stemness and drug resistance</article-title><source>Cancer Commun (Lond)</source><volume>41</volume><fpage>199</fpage><lpage>217</lpage><year>2021</year><pub-id pub-id-type="doi">10.1002/cac2.12138</pub-id><pub-id pub-id-type="pmid">33506604</pub-id></element-citation></ref>
<ref id="b49-ol-30-2-15118"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Battula</surname><given-names>VL</given-names></name><name><surname>Evans</surname><given-names>KW</given-names></name><name><surname>Hollier</surname><given-names>BG</given-names></name><name><surname>Shi</surname><given-names>Y</given-names></name><name><surname>Marini</surname><given-names>FC</given-names></name><name><surname>Ayyanan</surname><given-names>A</given-names></name><name><surname>Wang</surname><given-names>RY</given-names></name><name><surname>Brisken</surname><given-names>C</given-names></name><name><surname>Guerra</surname><given-names>R</given-names></name><name><surname>Andreeff</surname><given-names>M SA</given-names></name></person-group><article-title>Epithelial-mesenchymal transition-derived cells exhibit multilineage differentiation potential similar to mesenchymal stem cells</article-title><source>Stem Cells</source><volume>28</volume><fpage>1435</fpage><lpage>1445</lpage><year>2010</year><pub-id pub-id-type="doi">10.1002/stem.467</pub-id><pub-id pub-id-type="pmid">20572012</pub-id></element-citation></ref>
<ref id="b50-ol-30-2-15118"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qiao</surname><given-names>P</given-names></name><name><surname>Tian</surname><given-names>Z</given-names></name></person-group><article-title>Atractylenolide I inhibits EMT and enhances the antitumor effect of cabozantinib in prostate cancer via targeting Hsp27</article-title><source>Front Oncol</source><volume>12</volume><fpage>1084884</fpage><year>2022</year><pub-id pub-id-type="doi">10.3389/fonc.2022.1084884</pub-id><pub-id pub-id-type="pmid">36686743</pub-id></element-citation></ref>
<ref id="b51-ol-30-2-15118"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Smalley</surname><given-names>KS</given-names></name></person-group><article-title>Understanding melanoma signaling networks as the basis for molecular targeted therapy</article-title><source>J Invest Dermatol</source><volume>130</volume><fpage>28</fpage><lpage>37</lpage><year>2010</year><pub-id pub-id-type="doi">10.1038/jid.2009.177</pub-id><pub-id pub-id-type="pmid">19571822</pub-id></element-citation></ref>
<ref id="b52-ol-30-2-15118"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>SJ</given-names></name><name><surname>Ma</surname><given-names>T</given-names></name><name><surname>Long</surname><given-names>Q</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>KX</given-names></name><name><surname>Cao</surname><given-names>Y</given-names></name></person-group><article-title>Promotion of apoptosis in melanoma cells by taxifolin through the PI3K/AKT signaling pathway: Screening of natural products using WGCNA and CMAP platforms</article-title><source>Int Immunopharmacol</source><volume>138</volume><fpage>112517</fpage><year>2024</year><pub-id pub-id-type="doi">10.1016/j.intimp.2024.112517</pub-id><pub-id pub-id-type="pmid">38924866</pub-id></element-citation></ref>
<ref id="b53-ol-30-2-15118"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sinnberg</surname><given-names>T</given-names></name><name><surname>Lasithiotakis</surname><given-names>K</given-names></name><name><surname>Niessner</surname><given-names>H</given-names></name><name><surname>Schittek</surname><given-names>B</given-names></name><name><surname>Flaherty</surname><given-names>KT</given-names></name><name><surname>Kulms</surname><given-names>D</given-names></name><name><surname>Maczey</surname><given-names>E</given-names></name><name><surname>Campos</surname><given-names>M</given-names></name><name><surname>Gogel</surname><given-names>J</given-names></name><name><surname>Garbe</surname><given-names>C</given-names></name><name><surname>Meier</surname><given-names>F</given-names></name></person-group><article-title>Inhibition of PI3K-AKT-mTOR signaling sensitizes melanoma cells to cisplatin and temozolomide</article-title><source>J Invest Dermatol</source><volume>129</volume><fpage>1500</fpage><lpage>1515</lpage><year>2009</year><pub-id pub-id-type="doi">10.1038/jid.2008.379</pub-id><pub-id pub-id-type="pmid">19078992</pub-id></element-citation></ref>
<ref id="b54-ol-30-2-15118"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>R</given-names></name><name><surname>Yu</surname><given-names>BX</given-names></name><name><surname>Chen</surname><given-names>JF</given-names></name><name><surname>Lv</surname><given-names>XY</given-names></name><name><surname>Yan</surname><given-names>ZJ</given-names></name><name><surname>Cheng</surname><given-names>Y</given-names></name><name><surname>Ma</surname><given-names>Q</given-names></name></person-group><article-title>Anti-tumor effects of Atractylenolide I on bladder cancer cells</article-title><source>J Exp Clin Cancer Res</source><volume>35</volume><fpage>40</fpage><year>2016</year><pub-id pub-id-type="doi">10.1186/s13046-016-0312-4</pub-id><pub-id pub-id-type="pmid">26931119</pub-id></element-citation></ref>
<ref id="b55-ol-30-2-15118"><label>55</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>P</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Ma</surname><given-names>Z</given-names></name><name><surname>Tian</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Lv</surname><given-names>G</given-names></name><name><surname>Qu</surname><given-names>L</given-names></name></person-group><article-title>Atractylenolide-1 targets FLT3 to regulate PI3K/AKT/HIF1-&#x03B1; pathway to inhibit osteogenic differentiation of human valve interstitial cells</article-title><source>Front Pharmacol</source><volume>13</volume><fpage>899775</fpage><year>2022</year><pub-id pub-id-type="doi">10.3389/fphar.2022.899775</pub-id><pub-id pub-id-type="pmid">35571096</pub-id></element-citation></ref>
<ref id="b56-ol-30-2-15118"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akinleye</surname><given-names>A</given-names></name><name><surname>Avvaru</surname><given-names>P</given-names></name><name><surname>Furqan</surname><given-names>M</given-names></name><name><surname>Song</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>D</given-names></name></person-group><article-title>Phosphatidylinositol 3-kinase (PI3K) inhibitors as cancer therapeutics</article-title><source>J Hematol Oncol</source><volume>6</volume><fpage>88</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1756-8722-6-88</pub-id><pub-id pub-id-type="pmid">24261963</pub-id></element-citation></ref>
<ref id="b57-ol-30-2-15118"><label>57</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koyasu</surname><given-names>S</given-names></name></person-group><article-title>The role of PI3K in immune cells</article-title><source>Nat Immunol</source><volume>4</volume><fpage>313</fpage><lpage>319</lpage><year>2003</year><pub-id pub-id-type="doi">10.1038/ni0403-313</pub-id><pub-id pub-id-type="pmid">12660731</pub-id></element-citation></ref>
<ref id="b58-ol-30-2-15118"><label>58</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>Y</given-names></name><name><surname>Chou</surname><given-names>GX</given-names></name><name><surname>Hui</surname><given-names>W</given-names></name><name><surname>Chu</surname><given-names>JH</given-names></name><name><surname>Fong</surname><given-names>WF</given-names></name><name><surname>Yu</surname><given-names>ZL</given-names></name></person-group><article-title>Effects of sesquiterpenes isolated from largehead atractylodes rhizome on growth, migration, and differentiation of B16 melanoma cells</article-title><source>Integr Cancer Ther</source><volume>10</volume><fpage>92</fpage><lpage>100</lpage><year>2011</year><pub-id pub-id-type="doi">10.1177/1534735410378660</pub-id><pub-id pub-id-type="pmid">20713377</pub-id></element-citation></ref>
<ref id="b59-ol-30-2-15118"><label>59</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Osaki</surname><given-names>M</given-names></name><name><surname>Oshimura</surname><given-names>M</given-names></name><name><surname>Ito</surname><given-names>H</given-names></name></person-group><article-title>PI3K-Akt pathway: Its functions and alterations in human cancer</article-title><source>Apoptosis</source><volume>9</volume><fpage>667</fpage><lpage>676</lpage><year>2004</year><pub-id pub-id-type="doi">10.1023/B:APPT.0000045801.15585.dd</pub-id><pub-id pub-id-type="pmid">15505410</pub-id></element-citation></ref>
<ref id="b60-ol-30-2-15118"><label>60</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Jia</surname><given-names>Z</given-names></name><name><surname>Dong</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>R</given-names></name><name><surname>Qiu</surname><given-names>G</given-names></name></person-group><article-title>A randomized pilot study of atractylenolide I on gastric cancer cachexia patients</article-title><source>Evid Based Complement Alternat Med</source><volume>5</volume><fpage>337</fpage><lpage>344</lpage><year>2008</year><pub-id pub-id-type="doi">10.1093/ecam/nem031</pub-id><pub-id pub-id-type="pmid">18830451</pub-id></element-citation></ref>
<ref id="b61-ol-30-2-15118"><label>61</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>JM</given-names></name><name><surname>Zhang</surname><given-names>GN</given-names></name><name><surname>Shi</surname><given-names>Y</given-names></name><name><surname>Zha</surname><given-names>X</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>MM</given-names></name><name><surname>Lin</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Lu</surname><given-names>HY</given-names></name><name><surname>Ma</surname><given-names>SQ</given-names></name><etal/></person-group><article-title>Atractylenolide-I sensitizes human ovarian cancer cells to paclitaxel by blocking activation of TLR4/MyD88-dependent pathway</article-title><source>Sci Rep</source><volume>4</volume><fpage>3840</fpage><year>2014</year><pub-id pub-id-type="doi">10.1038/srep03840</pub-id><pub-id pub-id-type="pmid">24452475</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ol-30-2-15118" position="float">
<label>Figure 1.</label>
<caption><p>AT inhibits the proliferation, stemness and migration of melanoma cells. (A) The chemical structure of AT. (B) The IC<sub>50</sub> values of AT in B16 and A875 cells were calculated based on cell viability after the cells were treated with a series of concentrations of AT. OD values of (C) B16 and (D) A875 cells from different groups following incubation with Cell Counting Kit-8. Proliferation capacity of (E) B16 and (F) A875 cells quantified via the colony formation assay. &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. the Control group. AT, atractylenolide I; IC<sub>50</sub>, half-maximal inhibitory concentration; OD, optical density; AT-L, AT-low; AT-M, AT-medium; AT-H, AT-high.</p></caption>
<graphic xlink:href="ol-30-02-15118-g00.tif"/>
</fig>
<fig id="f2-ol-30-2-15118" position="float">
<label>Figure 2.</label>
<caption><p>AT suppresses the stemness and migration of melanoma cells. Stemness of (A) B16 and (B) A875 cells were assessed by sphere formation assay. Migration ability of (C) B16 and (D) A875 cells were analyzed via wound healing assay. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. the Control group. AT, atractylenolide I; IC<sub>50</sub>, half-maximal inhibitory concentration; AT-L, AT-low; AT-M, AT-medium; AT-H, AT-high.</p></caption>
<graphic xlink:href="ol-30-02-15118-g01.tif"/>
</fig>
<fig id="f3-ol-30-2-15118" position="float">
<label>Figure 3.</label>
<caption><p>Prediction of the mechanism underlying the therapeutic effects of AT via network pharmacology. (A) Venn diagram of AT-melanoma intersection targets. Intersection targets investigated via (B) Gene Ontology and (C) Kyoto Encyclopedia of Genes and Genomes analyses. (D) The underlying therapeutic action of AT against melanoma shown in the target-pathway network. The blue dots represent intersection targets, yellow hexagons represent important pathways and edges represent the relationships among targets, pathways and specific objects (AT or melanoma). AT, atractylenolide I; BP, biological process; CC, cellular component; MF, molecular function.</p></caption>
<graphic xlink:href="ol-30-02-15118-g02.tif"/>
</fig>
<fig id="f4-ol-30-2-15118" position="float">
<label>Figure 4.</label>
<caption><p>Overexpression of PI3K reverses the suppressive effects of AT in melanoma cells. PI3K overexpression efficiency was verified via (A) PCR and (B) western blotting. (C) OD of B16 cells following incubation with Cell Counting Kit-8. Proliferation ability, stemness and migration capacity of B16 cells was measured via (D) colony formation assay, (E) sphere formation assay and (F) wound healing assay, respectively. &#x002A;&#x002A;&#x002A;P&#x003C;0.001. AT, atractylenolide I; PI3K, phosphatidylinositol 3-kinase; PI3K oe, PI3K overexpression vector. OD, optical density;</p></caption>
<graphic xlink:href="ol-30-02-15118-g03.tif"/>
</fig>
<fig id="f5-ol-30-2-15118" position="float">
<label>Figure 5.</label>
<caption><p>AT inhibits the PI3K/AKT/mTOR pathway in melanoma cells. (A) Expression levels of p-PI3K, PI3K, p-AKT (Ser<sup>473</sup>), p-AKT (Thr<sup>308</sup>) and AKT were measured via western blotting. (B) Expression levels of p-mTOR (Ser<sup>2448</sup>), p-mTOR (Ser<sup>2481</sup>) and mTOR were measured via western blotting. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. the control group. AT, atractylenolide I; AT-L, AT-low; AT-M, AT-medium; AT-H, AT-high; p-, phosphorylated; PI3K, phosphatidylinositol 3-kinase; AKT, protein kinase B; mTOR, mammalian target of rapamycin.</p></caption>
<graphic xlink:href="ol-30-02-15118-g04.tif"/>
</fig>
</floats-group>
</article>
