1. Introduction
HCC is the most common type of primary liver cancer. It has become one of the most challenging malignancies worldwide [
1,
2]. Its incidence continues to rise, and the prognosis remains poor. Most patients are diagnosed at an advanced stage. They miss the opportunity for curative treatments such as surgery or local ablation.
The current standard of care for HCC involves multikinase and immune checkpoint inhibitors. These agents are typically given as part of combination regimens. These regimens regulate key oncogenic signalling pathways, including the Wnt/β-catenin, NF-κB, and PI3K/Akt/mTOR pathways [
3,
4]. Multikinase inhibitors primarily target downstream signals of receptor tyrosine kinases (e.g., VEGFR and EGFR), thereby inhibiting tumour angiogenesis and cell proliferation. Immune checkpoint inhibitors relieve T cell suppression to restore the body’s anti-tumour immune response [
5,
6]. Combination regimens of immunotherapy and targeted therapy have significantly improved patient prognosis. For instance, the combination of bevacizumab and atezolizumab extends overall survival in patients with advanced HCC. Regimens such as sorafenib combined with immunotherapy and lenvatinib plus PD-1 inhibitors have also demonstrated distinct clinical efficacy [
7,
8]. Despite these advances, however, HCC research still faces numerous challenges. Multikinase inhibitors are prone to primary or acquired resistance, which is often driven by mechanisms such as the reactivation of the NF-κB pathway [
9]. Immune checkpoint inhibitors have limited objective response rates and are associated with immune-related toxicities [
4]. Furthermore, the optimal treatment sequence and precise combination strategies for targeted therapies and immunotherapies remain to be elucidated. Additionally, access to standard care is limited for patients in developing countries. These unmet practical needs have led to the exploration of low-toxic, multi-target natural products. These natural products are potential adjuvant or lead agents for HCC intervention.
Plant-derived natural active components, including polyphenols, flavonoids, anthocyanins and phenolic acids, are a research focus for HCC intervention [
10]. These components exhibit pharmacological properties such as multi-target synergistic regulation, low toxicity, and compatibility with other therapeutic modalities [
11]. Numerous studies have confirmed that these natural active components exert anti-HCC effects. They act by regulating pathways associated with cell apoptosis, proliferation and metastasis, including the MAPK, PI3K/Akt/mTOR, and NF-κB pathways. Malvidin-3-galactoside, the primary anthocyanin found in blueberries, acts against HepG
2 cells and tumour metastasis. This has been shown across in vitro and in vivo models. It inhibits cell proliferation, induces apoptosis and suppresses metastatic potential in these models. This activity is linked to PTEN/AKT pathway activation and the downregulation of MMP-2/9 expression [
12,
13]. Extracts from cranberries and blueberries, which are rich in diverse natural active components, significantly alleviate CCl
4-induced liver fibrosis and injury. They do this by inhibiting inflammatory factors (IL-6, TNF-α) and reducing oxidative stress (MDA), thus providing evidence for their hepatoprotective potential in clinical applications [
14]. Curcumin and resveratrol co-loaded nanoparticles exhibit significantly superior anti-HCC effects compared to the components individually, as they synergistically regulate apoptotic signalling pathways [
15]. This indicates that multi-component natural active ingredients can avoid single-target resistance through complementary effects. They are therefore better suited to the long-term requirements of HCC intervention and offering new strategies to overcome therapeutic resistance in current anti-HCC regimens [
16]. Moreover, plant active components can synergize with traditional targeted agents. For example, ellagic acid enhances the efficacy of sorafenib in killing HCC cells by blocking the MAPK/Akt/mTOR pathway [
17]. This finding provides experimental evidence to support the optimisation of plant active components in combination with other agents for HCC suppression.
Lingonberry, a representative species of berries in the Vaccinium genus, is rich in polyphenolic components such as anthocyanins, flavonoids, and phenolic acids. The chemical stability and bioavailability of its extract have been verified [
18,
19,
20,
21], supporting its potential application as a complementary intervention agent. In terms of anti-cancer activity, Lingonberry extract exhibits broad-spectrum inhibitory effects. It can significantly inhibit the proliferation of colorectal (HT-29), malignant melanoma (IGR39), and hepatocellular carcinoma (HepG
2) cells [
22,
23]. Notably, Lingonberry extract has a clear hepatoprotective effect. In models of non-alcoholic fatty liver disease, it alleviates liver injury by reducing hepatic lipid accumulation, inhibiting oxidative stress, and suppressing NF-κB-mediated inflammatory responses [
24]. It can also target the Notch1 signalling pathway to regulate hepatic lipid metabolism [
25]. This property addresses the key issue of hepatotoxicity associated with therapeutic agents, providing direct experimental evidence for the safety of lingonberry extract as a potential adjuvant intervention against HCC.
Notably, PSMB8, a subunit of the immunoproteasome, has emerged as a key target associated with HCC progression. PSMB8 is a critical member of the PSM family and is abnormally overexpressed in HCC tissues. It is closely linked to tumour malignancy and poor patient prognosis. PSMB8 drives HCC progression by promoting cell proliferation, migration, and epithelial–mesenchymal transition (EMT). Its oncogenic effects are mediated by the upstream transcriptional regulation of ZNF655. They are also closely associated with the activation of the PI3K/AKT oncogenic pathway [
26]. Furthermore, dysregulated PSMB8 expression contributes to genomic instability and the maintenance of cancer stem cell properties in HCC [
27]. Collectively, these findings underscore the potential of PSMB8 as a promising therapeutic target for HCC. However, the regulatory effects of natural plant bioactive components on PSMB8 in HCC cells remain unclear. The underlying molecular mechanisms also require further investigation.
In our previously published work, we confirmed that Lingonberry extract can inhibit the proliferation of HepG
2 hepatoma cells in vitro [
23]. Building on this observation, we further verified the anti-tumour effect of the extract in HepG
2 tumour-bearing mouse models. However, the key molecular targets that mediate the anti-tumour activity of Lingonberry extract in HepG
2 cells remain unclear. The potential regulatory relationship between Lingonberry extract and PSMB8 in this cell line has also not been elucidated. To identify novel targets of Lingonberry extract in HCC intervention and clarify its correlation with PSMB8, we performed bioinformatics analysis. This analysis was on gene expression data from HepG
2 tumour-bearing mice treated with Lingonberry extract. Further in vitro functional validation was then conducted in HepG
2 cells. PSMB8 was selected as a candidate core regulatory gene through bioinformatics screening. Subsequent in vitro experiments confirmed that PSMB8 mediates the anti-HepG
2 activity of Lingonberry extract. This study provides a novel perspective on the anti-tumour mechanism of Lingonberry extract in HepG
2 cells. It also offers theoretical support and experimental evidence for the development of Lingonberry extract as a potential adjuvant intervention or natural product-derived lead compound for HCC.
2. Materials and Methods
2.1. Materials and Reagents
Lingonberry fruits were purchased from Tahe County, Daxing’anling, China, and stored at −20 °C as fresh frozen samples until use. The extraction, purification, and component characterization of Lingonberry extract were performed exactly as described in our previously published study [
23]. Briefly, the extract powder was obtained via ethanol extraction, macroporous resin (YWD07) and polyamide resin purification, and freeze-drying. HPLC-based component characterization, key component quantification and batch-to-batch functional consistency verification by CCK-8 assay are detailed in
Supplementary Material S1.
Prior to the experiment, the lyophilized extract was dissolved in normal saline to the desired concentrations and filtered through a 0.22 μm membrane for sterilisation.
The HepG
2 cell line used in the animal experiment and in vitro validation was a commercially available product purchased from Shanghai Jinyuan Biotechnology Co., Ltd. Shanghai, China (official website:
http://www.ssrcc.com.cn/ accessed on 1 June 2025). Cell lines were confirmed to be mycoplasma-free and authenticated via short tandem repeat (STR) genotyping within the past three years, with identity verified against STR profiles in comparable databases (Zhejiang Ruyao Biotechnology Co., Ltd., Taizhou, China).
High-glucose Dulbecco’s Modified Eagle Medium (DMEM) was purchased from Gibco (Thermo Fisher Scientific, Waltham, MA, USA). Foetal bovine serum (FBS) was obtained from Invitrogen (Thermo Fisher Scientific, Waltham, MA, USA). Penicillin-streptomycin solution and phosphate-buffered saline (PBS) were sourced from Sigma-Aldrich (St. Louis, MO, USA) and Gibco (Waltham, MA, USA), respectively. 0.25% Trypsin was acquired from HyClone (Cytiva, Logan, UT, USA). 6-well, 24-well, and 96-well tissue culture plates were purchased from Corning (Corning, NY, USA). Cell Counting Kit-8 (CCK-8) was obtained from Dojindo Laboratories (Kumamoto, Japan). Annexin V-FITC/Propidium Iodide (PI) apoptosis assay kits were supplied by Beyotime Biotechnology (Shanghai, China).
2.2. Cell Culture
HepG2 cells were cultured in DMEM supplemented with 10% FBS at 37 °C in a humidified atmosphere containing 5% CO2.
2.3. Animal Experiments
The animal experiment was conducted as part of the first author’s doctoral dissertation (2022, DOI: 10.27009/d.cnki.gdblu.2022.001858. It can be retrieved by searching this DOI on the CNKI website (
https://www.cnki.net/ accessed on 1 June 2025). Detailed data from the animal experiment are included in the data set. The tumor tissues from this experiment were used for transcriptome sequencing in the present study. All procedures were performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and approved by the Institutional Animal Care and Use Committee (IACUC) of Harbin Institute of Technology (Approval No. IACUC-2019017).
Forty male BALB/c nude mice (4-week-old, 18–20 g) were purchased from Beijing Weitalihua Experimental Animal Technology Co., Ltd (Beijing, China). and housed under specific pathogen-free (SPF) conditions (22 ± 1 °C, 50% humidity, 12 h light/dark cycle) with free access to sterile food and water. Six of the 40 mice were designated as the normal control group without any cell inoculation (the normal control group was also gavaged with normal saline, consistent with the model group’s intervention route). HepG2 cells (5 × 105 cells in 100 μL PBS) were subcutaneously injected into the right flank of the remaining 34 mice to establish tumour models. Ten days after inoculation, mice with successful tumour formation (tumour volume ≥ 50 mm3) were randomly divided into 5 groups (n = 6/group): model group (gavaged with normal saline), low/medium/high-dose Lingonberry extract groups (50/100/200 mg/kg, daily gavage), and positive control group (cyclophosphamide 30 mg/kg, alternate-day gavage).
After 28 consecutive days of intervention, all mice were euthanized by cervical dislocation to minimise suffering (no animals reached humane endpoints such as tumour volume >2000 mm3 or >20% weight loss during the experiment). Tumours were excised on ice, snap-frozen in liquid nitrogen, and tissues from the high-dose group (with the most significant anti-tumour effect confirmed in the doctoral dissertation) and model group were selected for transcriptome sequencing.
2.4. Gene Chip Detection Methodology
Tumour tissues from the tumour model group and Lingonberry group were dissected. Total RNA was isolated and submitted for detection using the DNBSEQ platform. BGI (Beijing Genomics Institute, Beijing, China) performed all sequencing-related procedures according to their standard operating protocols (SOPs). These included RNA quality control, library construction, and sequencing on the DNBSEQ platform.
The samples consisted mainly of human hepatocellular carcinoma cells, with a small proportion of mouse stromal cells. To avoid losing key regulatory signals from host contamination during alignment, initial differential gene analysis was performed. The reference genome used was Mus musculus (GCF_000001635.26_GRCm38.p6), which was obtained from the NCBI database.
Raw sequencing data were first subjected to quality control using BGI’s internal filtering pipeline. Clean reads were then aligned to the mouse reference genome, and a second round of quality control was conducted. Following quality validation, the data were used for downstream bioinformatic analysis. Gene expression counts and related information are provided in
Supplementary Materials S2 and S3.
2.5. Bioinformatics Analysis and Screening Strategy
The overall bioinformatics analysis workflow is illustrated in
Figure 1.
To address the research aim of this study, we established a dedicated bioinformatics analysis and screening strategy. This strategy prioritised evolutionarily conserved genes shared between human and mouse, rather than species-specific genetic elements.
In conventional species-disambiguation pipelines, some functionally important conserved genes are frequently lost. This is mainly caused by the mixed cell population in tumour tissues, which contains both host (mouse) and human cells. During analysis, such heterogeneity can lead to overly strict filtering or artefacts from cross-species contamination. These factors may cause key conserved genes to be incorrectly excluded.
Our strategy was designed to avoid this issue and retain a relatively more complete set of evolutionarily conserved genes. Briefly, raw reads were aligned to the mouse reference genome (GCF_000001635.26 GRCh38.p6). This step helped remove human-specific genes that cannot be mapped. Subsequent filtering using the human PPI network was applied to exclude mouse-specific genes. This process yielded a set of conserved genes shared between the two species. This set was further refined by GO biological process (BP) enrichment analysis and topological analysis in the PPI network. This step allowed us to identify core target genes. These genes were then validated by in vitro experiments. Although this pipeline carries a theoretical risk of cross-species read misassignment, it does not affect our core objective. Mapping reliability from sequence alignment alone is also limited. However, these factors do not influence the identification of functionally conserved genes shared by human and mouse. Moreover, potential uncertainty from sequence mapping was minimised by topological filtering. It was further excluded by in vitro validation.
KEGG pathway enrichment analysis was performed on differentially expressed genes (DEGs). DEGs associated with apoptosis and tumour-suppressive pathways were extracted and submitted to the STRING human PPI database (v10.5). The interaction confidence threshold was dynamically set to 0.7 for gene sets of 20 or fewer genes to ensure high-confidence interactions during hub identification. For gene sets containing more than 20 genes, the threshold was adjusted to 0.4 to retain enough candidates for cross-species comparison.
GO-BP analysis was conducted using both human and mouse databases. The top 5 significant terms from each species were compared, and 4 shared functional terms were identified. Genes corresponding to these common terms were intersected, yielding 61 conserved DEGs.
Genes were ranked by adjusted Q-value in descending order of significance. The top 25% (16 genes) were selected as the core gene pool for hub screening. This threshold was empirically optimized to balance statistical significance and network connectivity. A more stringent cutoff would reduce the gene number excessively, preventing reliable topological analysis. A more relaxed cutoff would introduce non-essential genes and dilute the identification of true functional hubs.
Core target identification was performed using 5 independent analytical methods in Cytoscape (v3.9.0). Molecular Complex Detection (MCODE) was used to identify densely connected network modules. The highest-scoring module, containing 10 genes including PSMB8, was selected. Four topological algorithms, including Maximal Neighborhood Component (MNC), Betweenness, Bottleneck, and Clustering Coefficient, were used to evaluate gene centrality. For each algorithm, the eight most influential nodes were selected from the core pool of 16 genes. PSMB8 was identified as the final core target. It was the only gene included in all five independent screening lists, confirming its stable and non-random centrality within the network.
Venn diagrams were generated using the OmicShare platform (
https://www.omicshare.com/tools accessed on 1 June 2025). Enrichment analysis was performed using the hypergeometric test in R, with a significance threshold of Q-value ≤ 0.05.
Reference genomes: Homo sapiens: GCF_000001405.39_GRCh38.p13; Mus musculus: GCF_000001635.26_GRCm38.p6.
2.6. Lentiviral Packaging Transfection of HepG2 Cells and Grouping
The cDNA sequence encoding PSMB8 was digested with BamH I and Apa I, then cloned into the pLVX-CMV-MCS-Puro lentiviral vector using T4 DNA ligase. For PSMB8 knockdown, siRNA-targeting oligos were designed, annealed to form double-stranded DNA, and ligated into the EcoRI/AgeI-digested pLKO.1 vector to generate pLKO.1-shRNA recombinant lentivirus. The constructed lentiviral vectors (or empty vectors) were co-transfected with psPAX2 and pMD2. G packaging plasmids into 293T cells. The viral supernatant was collected 72 h post-transfection, filtered, and added to HepG2 cells. Infections were allowed to proceed for 24 h.
PSMB8 experiment grouping: Empty PSMB8 group, PSMB8 Vector group, Control ShRNA group, PSMB8 shRNA group.
PSMB8 regulation by Lingonberry extract: Control group, Extract group (The optimal effective concentration of Lingonberry extract, verified by the CCK-8 assay, was determined to be 70 μg/mL. See
Supplementary Material S1 for details), OE-PSMB8 group (PSMB8 overexpression), Extract+OE-PSMB8 (PSMB8 overexpression + 70 μg/mL Lingonberry extract treatment).
2.7. PSMB8 Expression Analysis in Cancer Cells by Western Blotting
Protein extraction from HepG2 cells in each group was performed using RIPA lysis buffer. Protein concentration was quantified with a BCA kit (Thermo Fisher Scientific, Waltham, MA, USA). Protein samples were separated by SDS-PAGE and transferred to PVDF membranes, which were blocked with 5% non-fat milk at room temperature for 1 h. Membranes were incubated with primary antibodies at 4 °C overnight, washed with TBST, and then probed with secondary antibodies for 2 h at room temperature. After three TBST washes, chemiluminescent detection was performed in a darkroom, followed by film development and fixation. Film images were analysed using Quantity One gel analysis software (v4.6.2). Densitometric quantification of the Western blotting bands was performed using ImageJ software (v1.53). Band intensities were normalized to the internal reference protein GAPDH.
2.8. PSMB8 Expression in Cancer Cells by RT-PCR
Total RNA was extracted and validated, followed by cDNA synthesis in 0.2 mL RNase-free EP tubes using the following reaction conditions: 15 min at 37 °C, 5 s at 85 °C, and 60 min at 4 °C. The synthesised cDNA was diluted with 180 μL of ddH2O for subsequent second-strand cDNA synthesis or PCR amplification and stored at −20 °C.
Primer sequences for quantitative PCR were designed as follows:
GAPDH-F: 5′-GTCTCCTCTGACTTCAACAGCG-3′
GAPDH-R: 5′-ACCACCCTGTTGCTGTAGCCAA-3′
PSMB8-F: 5′-GCTGCCTTCAACATAACATCA-3′
PSMB8-R: 5′-CTGCCACCACCACCATTA-3′
The PCR program was set up for amplification and relative expression levels were calculated using 2−ΔΔCt.
2.9. Cell Viability Assay via CCK-8 Method
HepG2 cells from the control and transfected groups were seeded into 96-well plates at 1 × 104 cells/well and incubated for 4 h at 37 °C in a humidified 5% CO2 atmosphere. After cell attachment, the medium was discarded, and each well was supplemented with 100 μL of fresh medium and 10 μL of CCK-8 reagent (from Dojindo Laboratories, Kumamoto, Japan). Following a 2 h incubation at 37 °C, absorbance values were measured at 490 nm using a microplate reader.
2.10. Colony Formation Assay
HepG2 cells from the control and transfected groups were seeded into 6-well plates at a density of 1 × 103 cells/well with three technical replicates per group. Cells were cultured at 37 °C with medium changes every 3 days. Visible colonies were typically observed after ~2 weeks. Following incubation, the medium was discarded, and cells were washed thrice with PBS, fixed with 4% paraformaldehyde for 15 min, and stained with 0.1% crystal violet solution for 20 min. After washing with PBS and air-drying, colonies were counted under an inverted microscope and photographed.
2.11. Cell Apoptosis Analysis by Flow Cytometry
HepG2 cells from each experimental group were seeded into 24-well plates at a density of 2 × 105 cells/well and cultured for 24 h at 37 °C in a humidified 5% CO2 incubator. Following trypsinization with 0.25% trypsin, cells were washed twice with ice-cold PBS and resuspended in 1× Binding Buffer at a concentration of 1 × 106 cells/mL. Single-stained compensation controls (Annexin V-FITC only and PI only) were prepared from untreated HepG2 cells to adjust for spectral overlap between fluorophores. For staining, 100 μL of cell suspension was transferred to a flow cytometry tube, followed by the addition of 5 μL Annexin V-FITC and 5 μL PI. The mixture was gently vortexed and incubated for 10–15 min at room temperature in the dark. Flow cytometry analysis was performed within one hour.
A standard gating strategy was applied to exclude debris and cell aggregates using forward scatter (FSC) vs. side scatter (SSC) plots, selecting a pure single-cell population for analysis. Quadrant interpretation was defined as follows: lower left (LL) quadrant, viable cells (Annexin V−/PI−); lower right (LR) quadrant, early apoptotic cells (Annexin V+/PI−); upper right (UR) quadrant, late apoptotic cells (Annexin V+/PI+); upper left (UL) quadrant, necrotic cells (Annexin V−/PI+). The total apoptotic rate was calculated as the sum of early (LR) and late (UR) apoptotic cells.
2.12. TUNEL Assay for Apoptosis Detection
Apoptosis was quantified using the One Step TUNEL Apoptosis Assay Kit (supplied by Beyotime Biotechnology, Shanghai, China) following the manufacturer’s instructions. Briefly, cells were fixed with 4% paraformaldehyde for 30–60 min at room temperature, washed twice with PBS, and permeabilized with 0.1% Triton X-100 in PBS on ice for 2 min. Following permeabilization, cells were incubated with 50 μL of TUNEL Reaction Mixture at 37 °C in the dark for 1 h. After three washes with PBS, nuclei were counterstained with DAPI for 5 min at room temperature in the dark. Samples were then washed three times with PBS and mounted using an anti-fade mounting medium. Fluorescence images were captured using a confocal microscope, and apoptotic cells were quantified by counting TUNEL-positive nuclei as a percentage of total DAPI-stained nuclei.
2.13. Statistical Analysis
All experiments were conducted using SPSS Statistics 17.0. One-way analysis of variance (ANOVA) followed by Fisher’s Least Significant Difference (LSD) post hoc test was used to evaluate significant differences between multiple groups. Statistical significance was defined as p ≤ 0.05 (*) and high significance as p ≤ 0.01 (**). All cellular data are presented as the mean ± standard deviation (SD) from at least three independent experiments.
4. Discussion
In this study, we employed a cross-species bioinformatics pipeline combined with in vitro experiments. We investigated the effects of Lingonberry extract on HepG2 cells and its association with PSMB8. Our findings identified PSMB8 as a pivotal target. We demonstrated that Lingonberry extract inhibits proliferation and induces late apoptosis in HepG2 cells. These effects are mediated by suppressing PSMB8 expression. These results suggest that PSMB8 mediates the pro-apoptotic effects of Lingonberry extract. This provides a mechanistic explanation for its anti-proliferative activity in HepG2 cells.
A major strength of this study is its stepwise bioinformatics screening strategy. Traditional HCC target screening is often hindered by host cell contamination in xenograft models. It is also limited by signal dilution due to tumour heterogeneity in clinical samples [
28,
29]. To address these challenges, we used cross-species transcriptome comparison and human-derived PPI network refinement. Two-dimensional GO-BP functional matching between human and mouse was also applied. By focusing on conserved immune-related biological processes, we improved the biological credibility of target selection. Furthermore, we integrated five distinct topological analysis approaches in Cytoscape. These approaches included MCODE, MNC, Betweenness, Bottleneck, and Clustering Coefficient. We identified core gene targets through intersection analysis of the resulting gene sets. Collectively, these analytical strategies effectively reduced interference from host–cell signals. They also improved the accuracy and reliability of target identification. Focusing on evolutionarily conserved functions enhances the translational potential of the identified targets. This systematic bioinformatics approach provides a reference for target identification in cross-species omics studies. It is also useful for screening in heterogeneous clinical samples. A potential limitation related to the bioinformatics pipeline should also be acknowledged. Xenograft RNA-seq reads were aligned to the mouse reference genome. Dual-genome alignment was not used, which may carry a risk of cross-species read misassignment. In addition, gene mapping based solely on sequence homology has limitations. It cannot fully ensure consistent functional conservation between human and mouse orthologs. However, our conserved-gene prioritization strategy was specifically designed. It did not aim to eliminate this misassignment risk. Instead, it focused on the functional conservation of genes across human and mouse species. This was applied even in the presence of mapping ambiguity. Potential uncertainties related to gene mapping and functional conservation were further mitigated. This was achieved through GO-BP functional matching and in vitro validation in human cell models. This approach allowed us to capture evolutionarily conserved targets. These targets would be inadvertently excluded by dual-genome alignment with strict species separation. Future studies may integrate dual-genome alignment as a complementary tool. This could further optimise mapping accuracy and analytical rigor.
In terms of translational potential, Lingonberry extract has multiple advantages. It is multi-component, multi-targeted, and exhibits low toxicity. Previous studies have shown that Lingonberry anthocyanins can alleviate liver fibrosis. They act by inhibiting hepatic stellate cell activation [
30]. This suggests that Lingonberry extract may also improve the liver microenvironment. Our results supplement the anti-HCC mechanism of Lingonberry extract in HepG
2 cells. They support its further development as a potential natural agent for HCC intervention. PSMB8 expression in HepG
2 cells may serve as an indicator of sensitivity to Lingonberry extract. Notably, our results showed that Lingonberry extract only partially reversed the anti-apoptotic effect of PSMB8 overexpression. This implies that PSMB8 is a key but not the sole target mediating the anti-tumour effects of Lingonberry extract. This finding is consistent with the multi-component and multi-target nature of natural products. Further studies are needed to identify additional potential targets in this process.
The treatment of HCC still faces multiple clinical challenges [
31,
32]. The immunoproteasome subunit PSMB8 is highly expressed in HCC tissues. It is also closely associated with patient prognosis [
33]. As a molecule involved in both immune regulation and apoptosis, PSMB8 represents a promising intervention target. Future studies are warranted to validate the regulatory effects of Lingonberry extract on PSMB8 in additional HCC cell models. This validation may help establish this natural product as a potential candidate or adjuvant agent for HCC intervention.
Nevertheless, several limitations of this study should be noted. First, the present study was performed only in HepG2 cells. The generalisability of our findings to other HCC cell lines remains to be confirmed. Second, in vivo experiments and clinical sample validation have not been performed. Third, the key active components in Lingonberry extract that contribute to PSMB8 regulation remain to be further identified and verified. Fourth, the detailed downstream signalling pathways of PSMB8 require further investigation. Future studies will focus on these aspects. This will help establish a more comprehensive regulatory network. It will also support the translational development of Lingonberry extract.