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  1. General Info
  2. Source Info
  3. Effects Info
  4. Reference
Phytochemical Details
01. General Information
Name Artesunate
PubChem CID 6917864
Molecular Weight 384.4g/mol
Synonyms

artesunate, Dihydroartemisinin, Succinyl, Dihydroartemisinine 12 alpha succinate, dihydroartemisinine-12-alpha-succinate, Malacef, malartin, SM 804, SM-804, SM804, sodium artesunate, succinyl dihydroartemisinin

Formula C₁₉H₂₈O₈
SMILES CC1CCC2C(C(OC3C24C1CCC(O3)(OO4)C)OC(=O)CCC(=O)O)C
InChI 1S/C19H28O8/c1-10-4-5-13-11(2)16(23-15(22)7-6-14(20)21)24-17-19(13)12(10)8-9-18(3,25-17)26-27-19/h10-13,16-17H,4-9H2,1-3H3,(H,20,21)/t10-,11-,12+,13+,16-,17-,18-,19-/m1/s1
InChIKey FIHJKUPKCHIPAT-AHIGJZGOSA-N
CAS Number 88495-63-0
ChEMBL ID CHEMBL361497
ChEBI ID CHEBI:63918
Herb ID HBIN016977
Drug Bank ID DB09274
Toxicity Organism Test Type Route(Dose)
rat LD50 intraperitoneal(165 mg/kg)
mouse LD50 intraperitoneal(254 mg/kg)
rat LD50 oral(322 mg/kg)
Structure 2D-img
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2D MOL 3D MOL
02. Source Information of Phytochemical
(1) Artemisia annua Cold
Chineses Pinyin QingHao
Use Part Whole Grass
Habitat China
Flavor Bitter, Pungent
Meridian Tropism Liver, Gallbladder
Species
>Kingdom: Viridiplantae
 -->Phylum: Streptophyta
  -->Class: Equisetopsida
   -->Order: Asterales
    -->Family: Asteraceae
     -->Genus: Artemisia
      -->Species: Artemisia annua
(2) Artemisia annua Cold
Chineses Pinyin QINGHao
Use Part Whole herb
Habitat China
Flavor Pungent; Bitter
Meridian Tropism Liver; Gallbladder
Species
>Kingdom: Viridiplantae
 -->Phylum: Streptophyta
  -->Class: Equisetopsida
   -->Order: Asterales
    -->Family: Asteraceae
     -->Genus: Artemisia
      -->Species: Artemisia annua
03. Combinatorial Therapeutic Effect(s)
Synergistic Effect
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Drug(s) whose efficacy can be enhanced by this phytochemical
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Combination Pair ID: 169
Pair Name Artesunate, Sorafenib
Partner Name Sorafenib
Disease Info [ICD-11: 2C12] Hepatocellular carcinoma Investigative
Gene Regulation Down-regulation Expression NUS1 hsa116150
In Vitro Model Hep-G2 Hepatoblastoma Homo sapiens (Human) CVCL_0027
Result We report that sorafenib treatment in combination with artesunate overcomes HCC resistance to sorafenib alone in a cell culture model.
Combination Pair ID: 170
Pair Name Artesunate, Cisplatin
Partner Name Cisplatin
Disease Info [ICD-11: 2C9Z] Urothelial carcinoma Investigative
Biological Phenomena Induction-->Blockade of cell cycle in G2/M phase
In Vitro Model HT-1376 Bladder carcinoma Homo sapiens (Human) CVCL_1292
BFTC-909 Renal pelvis urothelial carcinoma Homo sapiens (Human) CVCL_1084
Result Artesunate Exhibits Synergy With Cisplatin and Cytotoxicity for Upper Tract and Bladder Urothelial Carcinoma Cells
Combination Pair ID: 171
Pair Name Artesunate, Cisplatin
Partner Name Cisplatin
Disease Info [ICD-11: 2C31.Z] Head and neck squamous cell carcinoma Investigative
Gene Regulation Down-regulation Expression RB1 hsa5925
Down-regulation Phosphorylation RB1 hsa5925
In Vitro Model UM-SCC-23 Laryngeal squamous cell carcinoma Homo sapiens (Human) CVCL_7733
UM-SCC-81B Tonsillar squamous cell carcinoma Homo sapiens (Human) CVCL_7784
Result These results suggested that artesunate is a useful drug in combination with cisplatin.
Combination Pair ID: 674
Pair Name Artesunate, Cisplatin
Partner Name Cisplatin
Disease Info [ICD-11: 2C25] Lung cancer Investigative
Biological Phenomena Induction-->Blockade of cell cycle in G2/M phase
Gene Regulation Up-regulation Expression BAX hsa581
Down-regulation Expression BCL2 hsa596
Up-regulation Expression CASP3 hsa836
Up-regulation Expression CASP7 hsa840
Up-regulation Expression CASP9 hsa842
Down-regulation Expression CCNB1 hsa891
Up-regulation Expression CDKN1A hsa1026
Down-regulation Expression GTF2H3 hsa2967
Down-regulation Phosphorylation MAPK14 hsa1432
Down-regulation Phosphorylation MAPK3 hsa5595
Down-regulation Phosphorylation MAPK8 hsa5599
Up-regulation Expression TP53 hsa7157
In Vitro Model A-549 Lung adenocarcinoma Homo sapiens (Human) CVCL_0023
In Vivo Model For a xenograft model, 1.0×10⁷/mL A-549 cell was injected into the right flanks of the five-week-old female nude mice (nu/nu) with weight of 13-16 g
Result ART exhibited significant anti-tumor effect on A549 cells and this efficiency could be enhanced by combination with CIS
Combination Pair ID: 1005
Pair Name Artesunate, Sorafenib
Partner Name Sorafenib
Disease Info [ICD-11: 2C12] Hepatocellular carcinoma Investigative
Biological Phenomena Induction-->Mitochondria-dependent autophagy
Gene Regulation Down-regulation Expression AFAP1L2 hsa84632
Down-regulation Phosphorylation FUNDC1 hsa139341
Up-regulation Expression MAP1LC3B hsa81631
Down-regulation Phosphorylation SRC hsa6714
Result Artesunate may be a promising strategy to mitigate sorafenib resistance in HCC via exacerbating AFAP1L2-SRC-FUNDC1 axis-dependent mitophagy.
Combination Pair ID: 1006
Pair Name Artesunate, Sorafenib
Partner Name Sorafenib
Disease Info [ICD-11: XH50P3] Non‑hodgkin lymphoma Investigative
Biological Phenomena Induction-->Ferroptosis
Gene Regulation Up-regulation Cleavage CASP3 hsa836
Down-regulation Expression GPX4 hsa2879
Down-regulation Expression MCL1 hsa4170
Up-regulation Cleavage PARP1 hsa142
Down-regulation Expression PECAM1 hsa5175
Down-regulation Expression STAT3 hsa6774
In Vitro Model SU-DHL-4 Diffuse large B-cell lymphoma Homo sapiens (Human) CVCL_0539
Result Artesunate synergistically promotes sorafenib‑induced apoptosis and ferroptosis in non‑Hodgkin lymphoma cells through inhibition of the STAT3 pathway
Combination Pair ID: 1007
Pair Name Artesunate, TP-0903
Partner Name TP-0903
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Biological Phenomena Induction-->DNA damage and cell death
Gene Regulation Up-regulation Cleavage CASP3 hsa836
Up-regulation Activity CDH3 hsa1001
Down-regulation Expression GPX8 hsa493869
Up-regulation Phosphorylation H2AX hsa3014
Down-regulation Expression SOD2 hsa6648
Down-regulation Expression ZEB1 hsa6935
In Vitro Model MCF-7 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0031
T-47D Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0553
ZR-75-1 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0588
SK-BR-3 Breast adenocarcinoma Homo sapiens (Human) CVCL_0033
MDA-MB-231 Breast adenocarcinoma Homo sapiens (Human) CVCL_0062
MDA-MB-436 Invasive breast carcinoma Homo sapiens (Human) CVCL_0623
BT-549 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_1092
HBL-100 Healthy Homo sapiens (Human) CVCL_4362
MCF-10A Healthy Homo sapiens (Human) CVCL_0598
Result Synergistic interactions between TP-0903 and ART indicate that combination approaches involving these compounds can have therapeutic prospects for TNBC treatment.
Combination Pair ID: 1008
Pair Name Artesunate, Metformin
Partner Name Metformin
Disease Info [ICD-11: 2A00] Glioblastoma multiforme Investigative
Biological Phenomena Induction-->Autophagy
Gene Regulation Up-regulation Expression CASP9 hsa842
Down-regulation Expression MAP1LC3A hsa84557
Up-regulation Expression MAP1LC3B hsa81631
Down-regulation Phosphorylation MTOR hsa2475
Up-regulation Phosphorylation PRKAA1 hsa5562
Down-regulation Expression SQSTM1 hsa8878
In Vitro Model U-118MG Astrocytoma Homo sapiens (Human) CVCL_0633
U-251MG Astrocytoma Homo sapiens (Human) CVCL_0021
Result The study findings suggest that MET used in combination with ART can induce autophagy-dependent apoptosis in GBM cells by activating the ROS-AMPK-mTOR pathway, providing a potential new treatment for GBM.
Drug(s) whose resistance can be reversed by this phytochemical
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Combination Pair ID: 172
Pair Name Artesunate, Venetoclax
Partner Name Venetoclax
Disease Info [ICD-11: 2A60.Z] Acute myeloid leukemia Investigative
Biological Phenomena Induction-->DNA damage
Gene Regulation Up-regulation Expression BCL2L11 KEGG ID N.A.
Up-regulation Cleavage CASP3 hsa836
Down-regulation Phosphorylation CHEK1 hsa1111
Up-regulation Expression H2AX hsa3014
Down-regulation Expression MCL1 hsa4170
Up-regulation Cleavage PARP1 hsa142
Down-regulation Expression PMAIP1 hsa5366
In Vitro Model THP-1 Childhood acute monocytic leukemia Homo sapiens (Human) CVCL_0006
MOLM-13 Adult acute myeloid leukemia Homo sapiens (Human) CVCL_2119
In Vivo Model NOD/SCID mice (8 weeks) were injected with 5×10⁶ log-phase MOLM-13 cells subcutaneously in the right flank.
Result We provide a new triple combination for AML treatment by targeting the Noxa/Mcl-1/Bim axis to reverse Mcl-1/p-Chk1 resistance of cytarabine therapy.
Drug(s) whose toxicity can be decreased by this phytochemical
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Combination Pair ID: 1004
Pair Name Artesunate, Fluorouracil
Partner Name Fluorouracil
Disease Info [ICD-11: 2B91] Colorectal cancer Investigative
Biological Phenomena Induction-->Cell senescence
Gene Regulation Down-regulation Expression CDKN1A hsa1026
Down-regulation Expression CDKN2A hsa1029
Down-regulation Phosphorylation MAPK14 hsa1432
Down-regulation Phosphorylation MTOR hsa2475
Down-regulation Phosphorylation PRKAA1 hsa5562
Down-regulation Phosphorylation RELA hsa5970
Down-regulation Expression TP53 hsa7157
In Vitro Model HCT 116 Colon carcinoma Homo sapiens (Human) CVCL_0291
HIEC-6 Healthy Homo sapiens (Human) CVCL_6C21
In Vivo Model HCT116 cells (1×10⁷) were subcutaneously inoculated into the left thigh dorsal region of nude mice, and tumor size was measured every 2 days for xenograft model establishment.
Result Our findings point to the crucial treatment effect of Arte on inflammation, intestinal cell senescence, and CRC cell proliferation and offer a new option for CRC treatment.
Antagonistic Effect
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Drug(s) whose efficacy can be decreased by this phytochemical
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Combination Pair ID: 1044
Pair Name Artesunate, Nevirapine
Partner Name Nevirapine
Result Coadministration with nevirapine may decrease the peak plasma concentration (Cmax) and systemic exposure (AUC) of dihydroartemisinin (DHA), an active metabolite of artesunate. The mechanism is unknown. Reduced efficacy of artesunate may occur.
04. Reference
No. Title Href
1 DDInter: an online drug-drug interaction database towards improving clinical decision-making and patient safety. Nucleic Acids Res. 2022;50(D1):D1200-D1207. doi:10.1093/nar/gkab880 Click
2 Artesunate alleviates 5-fluorouracil-induced intestinal damage by suppressing cellular senescence and enhances its antitumor activity. Discov Oncol. 2023 Jul 27;14(1):139. doi: 10.1007/s12672-023-00747-7. Click
3 Artesunate Regulates Neurite Outgrowth Inhibitor Protein B Receptor to Overcome Resistance to Sorafenib in Hepatocellular Carcinoma Cells. Front Pharmacol. 2021 Feb 25;12:615889. doi: 10.3389/fphar.2021.615889. Click
4 Artesunate Exhibits Synergy With Cisplatin and Cytotoxicity for Upper Tract and Bladder Urothelial Carcinoma Cells. Anticancer Res. 2023 Mar;43(3):1175-1184. doi: 10.21873/anticanres.16263. Click
5 Artesunate and cisplatin synergistically inhibit HNSCC cell growth and promote apoptosis with artesunate‑induced decreases in Rb and phosphorylated Rb levels. Oncol Rep. 2023 Aug;50(2):154. doi: 10.3892/or.2023.8591. Click
6 Artesunate exhibits synergistic anti-cancer effects with cisplatin on lung cancer A549 cells by inhibiting MAPK pathway. Gene. 2021 Jan 15;766:145134. doi: 10.1016/j.gene.2020.145134. Click
7 Artesunate Sensitizes human hepatocellular carcinoma to sorafenib via exacerbating AFAP1L2-SRC-FUNDC1 axis-dependent mitophagy. Autophagy. 2023 Sep 21:1-16. doi: 10.1080/15548627.2023.2261758. Click
8 Artesunate synergistically promotes sorafenib‑induced apoptosis and ferroptosis in non‑Hodgkin lymphoma cells through inhibition of the STAT3 pathway. Oncol Rep. 2023 Jul;50(1):147. doi: 10.3892/or.2023.8584. Click
9 Mesenchymal-epithelial transition and AXL inhibitor TP-0903 sensitise triple-negative breast cancer cells to the antimalarial compound, artesunate. Sci Rep. 2024 Jan 3;14(1):425. doi: 10.1038/s41598-023-50710-3. Click
10 Lower dose of metformin combined with artesunate induced autophagy-dependent apoptosis of glioblastoma by activating ROS-AMPK-mTOR axis. Exp Cell Res. 2023 Sep 1;430(1):113691. doi: 10.1016/j.yexcr.2023.113691. Click
11 Artesunate improves venetoclax plus cytarabine AML cell targeting by regulating the Noxa/Bim/Mcl-1/p-Chk1 axis. Cell Death Dis. 2022 Apr 20;13(4):379. doi: 10.1038/s41419-022-04810-z. Click
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