Abstract:Objective To investigate the effect of Losartan on angiogenesis in hepatocellular carcinoma and angiotensin II receptor 1 (AT1R)/vascular endothelial growth factor (VEGF) pathway. Methods Immunofluorescent staining and Western blot were used to detect the expression levels of AT1R in hepatocellular carcinoma cell lines HepG2, HuH-7 and PLC/PRF/5, and normal hepatocytes LO2. In HepG2 cells, Western blot was used to test the variation of AT1R expression level that was influenced by Losartan and then ELISA was used to investigate the change of VEGF level after treatment by Losartan. And immunohistochemistry was used to study the expression levels of AT1R, VEGF and CD34 in hepatocellular carcinoma tissues of rats that were influenced by Losartan. Results The results of immunofluorescent staining and Western blot showed the expression level of AT1R was low in LO2 cells (P < 0.05), but was high in hepatocellular carcinoma cell lines HepG2, HuH-7 and PLC/PRF/5 cells (P < 0.05), and the highest in HepG2 cells (P < 0.05). After addition of Losartan in HepG2 cells, the protein levels of AT1R and VEGF were decreased (P < 0.05). The expression levels of AT1R, VEGF and CD34 were high in liver cancer tissues, but decreased after addition of Losartan (P < 0.05). Conclusions Losartan attenuates angiogenesis in hepatocellular carcinoma via down-regulation of AT1R/VEGF signaling pathway.