Abstract:Objective To investigate the effects of carvacrol (CV) on the proliferation, apoptosis, and cell cycle of nasopharyngeal carcinoma CNE2 cells, and to explore the potential mechanisms underlying CV-induced apoptosis and cell cycle arrest in CNE2 cells. Methods Network pharmacology was used to predict the potential targets of CV in nasopharyngeal carcinoma. Kyoto encyclopedia of genes and genomes (KEGG) pathway enrichment analysis was performed on these potential targets using R software. Molecular docking between CV and target proteins was conducted using the CB-Dock2 platform, and molecular dynamics simulations of CV and target proteins were performed using Gromacs 2022.3 software. Colony formation assays and flow cytometry were used to assess the effects of CV on the proliferation, apoptosis, and cell cycle. Western blotting was employed to examine the impact of CV on protein expression in CNE2 cells. Results Network pharmacology predictions indicated that CV affected nasopharyngeal carcinoma through 137 common targets. KEGG pathway enrichment analysis suggested that CV might involve several signaling pathways, including phosphoinositide 3-kinase/protein kinase B (PI3K/AKT). Molecular docking results revealed that PI3K, AKT, PIK3CA, Bcl-2, Caspase-3, and CDK2 exhibited strong binding affinities with CV. Molecular dynamics simulations further demonstrated that CV formed a stable binding with CDK2. Compared with the control group, the proliferative capacity of CNE2 cells after CV treatment decreased, the apoptosis ability increased, the G0/G1 phase of the cell cycle was prolonged, and the expressions of PIK3CA, p-PI3K, p-AKT, Bcl-2, and CDK2 proteins all significantly decreased, while the protein expressions of Bax and Caspase-3 significantly increased. All the differences were statistically significant (all P<0.05). Conclusion CV inhibits the proliferation of CNE2 cells, induces apoptosis, and blocks the cell cycle at the G0/G1 phase. The apoptosis and cell cycle arrest induced by CV in CNE2 cells may be associated with the decreased expressions of PIK3CA, p-PI3K, p-AKT, Bcl-2, and CDK2 proteins, as well as the increased expressions of Bax and Caspase-3 proteins, which are related to the PI3K/AKT signaling pathway.