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D rhamnose β-hederin (DRβ-H) is a novel oleanane-type triterpenoid saponin isolated from the traditional Chinese medicinal plant *Clematis ganpiniana*. It is currently in the preclinical research stage, primarily investigated for its anti-tumor activity in breast cancer. DRβ-H exerts its effects by inhibiting the PI3K/AKT signaling pathway and activating the ERK signaling pathway, leading to the induction of apoptosis via the mitochondrial pathway (regulating Bcl-2 family proteins and activating caspases). Additionally, it has been shown to inhibit cancer cell migration and invasion by upregulating RNPC1 and E-cadherin and suppressing tumor-derived exosome secretion. It also demonstrates potential in reversing chemoresistance to agents like docetaxel and adriamycin in breast cancer cells.
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