TY - JOUR TI - Liquidambaris fructus inhibits osteosarcoma through PTGS2/TGFB1 and regulates efferocytosis AU - Deng, Lan AU - Jiang, Mo AU - Zhang, Chen AU - You, Rihui AU - Huang, Zhiyao AU - Chen, Wenhui JO - Pakistan Journal of Pharmaceutical Sciences JA - Pak. J. Pharm. Sci. VL - 39 IS - 5 SP - 1568 EP - 1577 PY - 2026 DA - 2026/05 KW - Efferocytosis KW - Liquidambaris fructus KW - Mechanism KW - Network pharmacology KW - Osteosarcoma DO - 10.36721/PJPS.2026.39.5.REG.13984.1 AB - Background: Liquidambaris Fructus has demonstrated anti-tumor effects by inducing cell cycle arrest, promoting apoptosis and inhibiting cancer cell proliferation. Objectives: This study evaluated the effects and potential mechanisms of Liquidambaris Fructus on osteosarcoma cell lines 143B and MNNG/HOS CI #5. Methods: Cell viability was assessed using the CCK-8 assay, while cell migration and invasion were evaluated using Transwell assays. Apoptosis was analyzed by flow cytometry. Network pharmacology was used to predict potential targets and pathways of Liquidambaris Fructus against osteosarcoma. Protein expression levels were analyzed using Western blotting and mRNA levels using RT-qPCR. In vitro efferocytosis assays involving apoptotic osteosarcoma cells and macrophages were assessed using flow cytometry. Results: Liquidambaris Fructus significantly increased apoptosis in 143B and MNNG/HOS CI #5 cells while inhibiting cell viability, migration and invasion. Network pharmacology analysis identified PTGS2 and TGFB1 as key targets involved in the efferocytosis pathway. Treatment with Liquidambaris Fructus reduced both protein and mRNA expression levels of PTGS2 and TGFB1 in osteosarcoma cells and in co-culture systems with macrophages. Additionally, Liquidambaris Fructus inhibited efferocytosis. Conclusion: Liquidambaris Fructus suppresses osteosarcoma cell growth and metastasis by targeting PTGS2 and TGFB1 and regulating efferocytosis, indicating its potential therapeutic role in osteosarcoma treatment. ER -