Abstract:Objective: To discuss the effects of artesunate (ART) on the proliferation, apoptosis and angiogenic mimicry formation of glioma cells, and to analyze its relationship with the hedgehog factor (Shh)/glioma-associated oncogene homologue 1 (Gli1) pathway. Methods: Glioma cells U251 were stochastically separated into the control (CK) group, low-, medium-, and high-dose ART (L, M, H-ART) groups, Shh activator PM (PM) group, and H-ART+PM groups. Cell proliferation, apoptosis and cell angiogenesis mimicry formation were respectively detected by plate cloning assay, Hoechst33258 staining and angiogenesis assay. Phalloidin staining was used to observe the cytoskeleton. The protein expression was measured by Western blot. Moreover, the nude mouse transplant tumor experiment was used to detect its mass and volume. Results Compared with the CK group, the number of cell colony formation, the expressions of PCNA, the number of angiogenic mimicry tubular structures, the expressions of VEGF-A, VE-cadherin, Shh, Gli1, and Snail in the L, M, and H-ART groups were lower, the apoptosis rate, the expressions of Caspase-3 and the fluorescence intensity of actin were higher (P < 0.05). Compared with the H-ART group, the number of cell colony formation, the expressions of PCNA, the number of angiogenic mimicry tubular structures, the expressions of VEGF-A, VE-cadherin, Shh, Gli1, and Snail in the H-ART+PM groups were higher, the apoptosis rate, the expressions of Caspase-3 and the fluorescence intensity of actin were lower (P < 0.05). Compared with the control group, the tumor mass and tumor volume in the ART group were smaller (P < 0.05). Compared with the ART group, the tumor mass and tumor volume in the combination group were increased (P < 0.05). Conclusion: ART inhibits the proliferation of glioma cells, the formation of angiogenic mimicry, and promotes their apoptosis by suppressing the Shh/Gli1 pathway.