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               Formononetin inhibits lymphangiogenesis of human lymphatic endothelial

               cells via Akt/mTOR pathways


                                                  1
                                                                     2
               Chen-Lin Yu,  Chen-Chen Huang,  Kuan-Hung Lin,  Shih-Wei Wang*          ,2,3
                             1

               1  Department of Medical Research, Hsinchu MacKay Memorial Hospital, Hsinchu City,
                 Taiwan
               2  Institute of Biomedical Science, Mackay Medical College.
               3  Department of Medicine, MacKay Medical College, New Taipei City, Taiwan
               * E-mail: shihwei@mmc.edu.tw

               Abstract
                  Angiogenesis and lymphangiogenesis, serving as significant routes and nutrition source for
               cancer  cell  dissemination  to  surrounding  tissues,  are  both  critical  for  tumor  growth  and
               metastasis.  While  many  therapies  focus  on  inhibiting  blood  vessel  formation,  targeting
               lymphangiogenesis  is  equally  essential  for  reducing  metastatic  spread. Traditional  Chinese
               medicine Astragali Radix (AR), known as Huang qi in Chinese, is derived from the roots of
               Astragalus membranaceus (Fisch.) Bunge. To date, there are more than 200 compounds have
               been isolated from AR. Among these compounds, formononetin has been found to have various
               anticancer  effects  including  inducing  cell  cycle  arrest  and  apoptosis.  However,  whether
               Formononetin can inhibit lymphangiogenesis, and if such inhibition could impact tumor growth
               and metastasis, remains unclear. Therefore, this study focuses on Formononetin to investigate
               its potential to inhibit tumor-associated lymphangiogenesis and reduce cancer cell metastasis.
               Human lymphatic endothelial cells (LEC) were utilized to study the effect of formononetin on
               lymphangiogenesis. As SRB assay was performed to evaluate the growth of LECs. Migration
               and tube formation assay were conducted to examine the lymphangiogenesis capability of LECs.
               Western blot was employed to study variations in protein expression and phosphorylation of
               LECs. Herein, we demonstrated that formononetin inhibited the cell growth, migration, and
               tube formation  of lymphatic endothelial cells  (LECs). We also  observed that formononetin
               decreased  the  phosphorylation  of Akt,  mTOR,  eIF4E,  and  4EBP1  signals  in  LECs.  Taken
               together, our data reveals that formononetin impedes lymphangiogenesis via suppressing the
               Akt/mTOR translation pathway, providing initial evidence for its clinical application

               Keywords: Astragali Radix; Formononetin; Lymphangiogenesis
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