Paris saponin VII (Chonglou Saponin VII), a steroidal saponin from Trillium tschonoskii, induces apoptosis in K562/ADR cells via Akt/MAPK and P-gp inhibition. It attenuates mitochondrial membrane potential, increases apoptosis-related proteins (e.g., Bax, cytochrome c), and decreases Bcl-2, caspase-9, caspase-3, PARP-1, and p-Akt levels. It also induces robust autophagy in K562/ADR cells, providing a biochemical basis for leukemia treatment.
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