“…Previous studies demonstrated that berberine possesses various pharmacological activities and may treat different diseases, such as sepsis, inflammation, diabetes and cancer, by multiple mechanisms, e.g., halting cell cycle progression and triggering apoptosis (Chen et al, 2017;Hou et al, 2017;Zou et al, 2017). In cancer cells, berberine could induce apoptosis and inhibit the chemotherapyinduced repopulation by suppressing the arachidonic acid metabolic pathway Zhao et al, 2017), enhance chemosensitivity through dose-orchestrated AMPK signaling , and reverses hypoxia-induced chemoresistance through the inhibition of AMPK-HIF-1a , In addition, berberine also plays a role in the regulation of immune response, oxidant stress, tissue fibrosis, and autophagy with low side effects and good resistance, suggesting its clinical and research values (Yang et al, 2019). In this study, berberine alone or in combination with doxorubicin maintained the N1 neutrophil phenotype to prevent carcinogenesis and chemotherapeutic resistance.…”