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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2017.5568</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-5568</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Anti-tumour effects of polysaccharide extracted from <italic>Acanthopanax senticosus</italic> and cell-mediated immunity</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Meng</surname><given-names>Qinglong</given-names></name>
<xref rid="af1-etm-0-0-5568" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Pan</surname><given-names>Jingzhi</given-names></name>
<xref rid="af2-etm-0-0-5568" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yajing</given-names></name>
<xref rid="af3-etm-0-0-5568" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Li</given-names></name>
<xref rid="af4-etm-0-0-5568" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Ren</surname><given-names>Yueying</given-names></name>
<xref rid="af1-etm-0-0-5568" ref-type="aff">1</xref>
<xref rid="c1-etm-0-0-5568" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-5568"><label>1</label>College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun, Jilin 130118, P.R. China</aff>
<aff id="af2-etm-0-0-5568"><label>2</label>Tuberculous Meningitis Research Center, Infectious Disease Hospital, Changchun, Jilin 130123, P.R. China</aff>
<aff id="af3-etm-0-0-5568"><label>3</label>College of Plant Science, Jilin University, Changchun, Jilin 130062, P.R. China</aff>
<aff id="af4-etm-0-0-5568"><label>4</label>Innovation and Development Centre of Small and Medium Enterprises, Siping, Jilin 136000, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-5568"><italic>Correspondence to</italic>: Professor Yueying Ren, College of Chinese Medicinal Materials, Jilin Agricultural University, 2888 Xincheng Street, Changchun, Jilin 130118, P.R. China, E-mail: <email>24474524@qq.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>02</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>11</month>
<year>2017</year></pub-date>
<volume>15</volume>
<issue>2</issue>
<fpage>1694</fpage>
<lpage>1701</lpage>
<history>
<date date-type="received"><day>14</day><month>04</month><year>2017</year></date>
<date date-type="accepted"><day>22</day><month>09</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p><italic>Acanthopanax senticosus</italic>, also known as Siberian ginseng, is widely distributed throughout northern Asia and used in traditional Chinese medicine; it has been reported to prevent a number of diseases. However, the association between the antitumour and immunostimulatory activities of polysaccharide extracted from <italic>A. senticosus</italic> (ASPS) remains to be elucidated. The aim of the present study was to investigate the anti-tumour and immunomodulatory effects of polysaccharide extracted from ASPS on Crocker sarcoma S<sub>180</sub>, hepatic carcinoma H<sub>22</sub> and uterine cervical carcinoma U<sub>14</sub> tumour cell lines implanted in mice. High performance liquid chromatography, gas chromatography and infrared spectroscopy were used to analyse the monosaccharide composition of ASPS. The monosaccharide composition of ASPS (Arabic candy: Xylose: Glucose: Mannose) was 7.1:22.3:7.6:1.0. On day 0, female Kunming mice, were injected subcutaneously with 1&#x00D7;10<sup>8</sup> tumour cells in 0.2 ml. The inoculated mice were subsequently divided into five groups (10 mice/group) as follows: Model group, treated with normal saline; positive control group, treated with 30 mg/kg cyclophosphamide (CTX); and three treatment groups, treated with 200, 100 or 50 mg/kg ASPS. Non-inoculated mice were divided into the normal group, which was treated with normal saline, and the negative control group, which was treated with 200 mg/kg ASPS (n=10/group). CTX and ASPS were administered intragastrically once daily for 10 days. All mice were sacrificed on day 11. ASPS was observed to have an inhibitory effect on the growth of S<sub>180</sub>, H<sub>22</sub> and U<sub>14</sub> cells in solid and ascites tumour-bearing mice. Serum interleukin (IL)-2 and IL-12 levels were significantly increased in S<sub>180</sub> solid tumour-bearing mice treated with 200 or 100 mg/kg ASPS compared with mice in the normal, control and model groups (P&#x003C;0.05), whereas serum IL-2 and IL-12 levels were significantly decreased in the cyclophosphamide treatment group compared with the normal, control and model groups (P&#x003C;0.05). No significant difference in serum levels of tumour necrosis factor-&#x03B1; level was observed between any groups. In S<sub>180</sub> and U<sub>14</sub> solid tumour-bearing mice, no significant differences in serum levels of interferon (INF)-&#x03B3; level in were observed between groups; however, in H<sub>22</sub> solid tumour-bearing mice, treatment with ASPS significantly increased serum INF-&#x03B3; compared with the positive control group (P&#x003C;0.05). The results may provide a basis for the potential application of ASPS in clinical treatment for cancer.</p>
</abstract>
<kwd-group>
<kwd><italic>Acanthopanax senticosus</italic></kwd>
<kwd>polysaccharide</kwd>
<kwd>cytokine</kwd>
<kwd>tumour</kwd>
<kwd>immunity</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Malignant cancer is a serious disease that has a negative impact on human health worldwide (<xref rid="b1-etm-0-0-5568" ref-type="bibr">1</xref>&#x2013;<xref rid="b3-etm-0-0-5568" ref-type="bibr">3</xref>). Clinical treatment typically comprises chemically synthesized medicines; however, these are very expensive and often have serious side effects (<xref rid="b4-etm-0-0-5568" ref-type="bibr">4</xref>&#x2013;<xref rid="b6-etm-0-0-5568" ref-type="bibr">6</xref>). Recently, several studies have reported that some agents that are currently used to promote immunity may also inhibit tumour growth (<xref rid="b7-etm-0-0-5568" ref-type="bibr">7</xref>&#x2013;<xref rid="b9-etm-0-0-5568" ref-type="bibr">9</xref>). Research into the activity of natural products and their potential for as cancer treatments is therefore of great medical importance (<xref rid="b10-etm-0-0-5568" ref-type="bibr">10</xref>,<xref rid="b11-etm-0-0-5568" ref-type="bibr">11</xref>).</p>
<p><italic>Acanthopanax senticosus</italic>, also known as Siberian ginseng, is a perennial xylophyta species in the family of Araliaceae, prefers warm and wet habitats. It is widely distributed in the mountainous broad-leaved forests, mixed forests and forest edges of eastern Hokkaido, Korean Peninsula, northern China and Siberia. <italic>A. senticosus</italic> has been used in traditional Chinese medicine as an adaptogen due to its pharmacological effects, including anti-bacterial, anti-cancer, anti-inflammatory, anti-gout, anti-hepatitis, anti-hyperglycemic, anti-leishmanicidal, anti-oxidant, anti-pyretic effects; other effects include choleretic, hemostatic, immunostimulatory, hypocholesterolemic and radioprotectant effects (<xref rid="b12-etm-0-0-5568" ref-type="bibr">12</xref>&#x2013;<xref rid="b15-etm-0-0-5568" ref-type="bibr">15</xref>). It has been shown to protect against oxidative damage and exhibits anti-diabetic activity (<xref rid="b16-etm-0-0-5568" ref-type="bibr">16</xref>,<xref rid="b17-etm-0-0-5568" ref-type="bibr">17</xref>). In China, <italic>A. senticosus</italic> is used as a nutritional supplement and a sedative (<xref rid="b18-etm-0-0-5568" ref-type="bibr">18</xref>). A number of studies have demonstrated that <italic>A. senticosus</italic> has significant therapeutic effects on severe neurosis, fatigue, cardiovascular disease (<xref rid="b19-etm-0-0-5568" ref-type="bibr">19</xref>,<xref rid="b20-etm-0-0-5568" ref-type="bibr">20</xref>). <italic>A. senticosus</italic> can also improve the immune function (<xref rid="b21-etm-0-0-5568" ref-type="bibr">21</xref>). Various compounds from <italic>A. senticosus</italic>, including acanthosides, eleutherosides, senticoside, triterpenic saponin, flavon, vitamins, minerals and polysaccharides, have been reported to have diverse biological activities (<xref rid="b22-etm-0-0-5568" ref-type="bibr">22</xref>,<xref rid="b23-etm-0-0-5568" ref-type="bibr">23</xref>).</p>
<p>ASPS, as an extract, has been shown to have potent immunomodulatory activity, it is typically concentrated (<xref rid="b24-etm-0-0-5568" ref-type="bibr">24</xref>,<xref rid="b25-etm-0-0-5568" ref-type="bibr">25</xref>). ASPS has been demonstrated to improve lymphocyte proliferation (<xref rid="b26-etm-0-0-5568" ref-type="bibr">26</xref>), induce cytokine actions (<xref rid="b27-etm-0-0-5568" ref-type="bibr">27</xref>), enhance Toll-like receptor-mediated activation of B cells and improve macrophages phagocytosis (<xref rid="b28-etm-0-0-5568" ref-type="bibr">28</xref>). However, the association between the antitumour and immunostimulatory activities of ASPS remains to be elucidated. The aim of the present study was to investigate the antitumour effect of ASPS on S<sub>180</sub>, H<sub>22</sub> and U<sub>14</sub> solid and ascites tumour-bearing mice. The immunomodulatory effect of ASPS was also analysed to obtain additional information regarding its underlying mechanisms. ASPS, its composition, proportion of monosaccharides and anti-tumour activity are reported here for the first time.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Materials</title>
<p>A specimen <italic>of A. senticosus</italic> was foraged by Dr Qinglong Meng from the Liaodong planting base of Chinese Medicinal Materials (Qingyuan, China) and Professor Yueying Ren identified the specimen. The specimen was stored in the Cultivation and Breeding of Medicinal Plants Laboratory in State Administration of Traditional Chinese Medicine (Changchun, China) for experimental applications. The specimen was crushed to powder then passed through mesh sieves, the pass rate of the 20 mesh pharmacopoeia sieve was &#x2265;90&#x0025; and the 80 mesh pharmacopoeia sieve was &#x2264;10&#x0025;. The pharmacopoeia sieves were provided by Xinxiang Zhuohang Precision Mesh Filter Co., Ltd. (Henan, China). The specimen then underwent 60&#x00B0;C thermostatic drying for 6 h by blowing air in a thermostatic oven (model, DHG-92438-2; Shanghai Fuma Experimental Equipment Co., Ltd., Shanghai, China). The dried powder was extracted with supercritical CO<sub>2</sub> and placed in distilled water with 0.01&#x2013;0.05&#x0025; of mixed enzymes (protease: Cellulose: pectinase in the ratio 3:1.5:0.5). Continuous upstream extraction was performed using distilled water (material: Liquid, 1:18; extraction temperature, 75&#x00B0;C; extraction time, 2 h). The extracted liquid was filtered, adsorbed with non-polar macroporous resin, washed with 11.2 ml distilled water and filtered through a 0.22 &#x00B5;m membrane. The solid content was concentrated to 20&#x0025; by 45&#x00B0;C thermostatic drying for 4 h in a thermostatic oven. The ASPS extraction yield was 10.76&#x0025;.</p>
</sec>
<sec>
<title>Compositional analysis</title>
<p>Sephadex-G75 gel filtration (column size, 16&#x00D7;500 mm; internal diameter, 15 mm) was performed using a high performance liquid chromatography (HPLC) system (&#x00C4;KTAFPLC with Fraction Collector Frac-920; all GE Healthcare, Chicago, IL, USA) to purify active molecules from the ASPS extract. The molecules were separated using an Ultrahydrogel<sup>&#x2122;</sup> 500 column (7.8&#x00D7;300 mm), which was provided by Waters GmbH (Eschborn, Germany), on the HPLC system using a 0.9&#x0025; NaCl water solution and distilled water. The column was operated at 35&#x00B0;C. The samples were of 2 mg ASPS were diluted in 1 ml 0.9&#x0025; NaCl water solution and a total of 20 &#x00B5;l was injected onto the column. The column was operated at a maximum of 1.6 MPa with a flow rate of 0.5 ml/min. Gas chromatography was then used to analyse the composition of ASPS. Firstly, the samples were hydrated with ethanol (Nanjing Chemical Reagent Co., Ltd., Nanjing, China) for 12 h at 22&#x00B0;C and silylanised with silylate (Shandong Baiqian Chemical Co., Ltd., Shangdong, China) for 30 min at 22&#x00B0;C. Secondly, the samples were analysed with aVarian 7890 gas chromatography spectrometer. The gasification temperature was 300&#x00B0;C. The samples were then separated in high purity nitrogen in a SE-54 column (15 m &#x00D7;0.2 mm &#x00D7;0.25 &#x00B5;m) at 120&#x00B0;C for 2 min, increasing by 8&#x00B0;C/min until the column reached 250&#x00B0;C, then 250&#x00B0;C for 30 min. An infrared spectrometer (Perkin Elmer, Inc., Waltham, MA, USA) was used to record the infrared spectrum of ASPS.</p>
</sec>
<sec>
<title>Cell lines</title>
<p>The tumour cell lines Crocker sarcoma S<sub>180</sub>, hepatic carcinoma H<sub>22</sub> and uterine cervical carcinoma U<sub>14</sub> were provided by a drug clinical trial from Jilin Province Cancer Hospital (Changchun, China) and cultured fro 7 days at 37&#x00B0;C in the Cultivation and Breeding of Medicinal Plants Laboratory.</p>
</sec>
<sec>
<title>Mice</title>
<p>A total of 360 female Kunming mice, 6&#x2013;7 weeks old and weighing 18&#x2013;22 g, were provided by the Changchun Institute of Biological Products (Changchun, China; license number: SCXKJi 2013-0001). The mice were maintained in clean plastic cages in the laboratory of the College of Chinese Medicinal Materials at Jilin Agricultural University (Changchun, China). The temperature was controlled at 22&#x00B1;2&#x00B0;C with a 12 h light/dark cycle and relative humidity of 50&#x2013;60&#x0025;. Standard rodent chow and water were freely accessible. All mice were maintained for an acclimatization period of ~7 days under normal laboratory conditions. All mice were treated according to the National Regulations on the Usage and Welfare of Animals (<xref rid="b29-etm-0-0-5568" ref-type="bibr">29</xref>) and study protocols were approved by the Animal Ethical and Welfare Committee of the College of Chinese Medicinal Materials, Jilin Agricultural University prior to the experiments (approval no. 2013-006).</p>
</sec>
<sec>
<title>Inhibition rate, immune organ index and cytokine levels of solid tumour-bearing mice</title>
<p>On day 0, each mouse was injected subcutaneously with 1&#x00D7;10<sup>8</sup> tumour cells in 0.2 ml normal saline. A total of 50 Kunming mice used for each cell line and the same number of tumour cells were injected regardless of the cell line used. The inoculated mice were subsequently randomly divided into five groups (10 mice/group) as follows: Model group, treated with normal saline; positive control group, treated with cyclophosphamide (CTX; 30 mg/kg); and treatment groups, administered with 200, 100 or 50 mg/kg ASPS. Non-inoculated mice were divided into the normal group, treated with normal saline, and the negative control group, treated with 200 mg/kg ASPS (n=10/group). CTX and ASPS were administered intragastrically once daily for 10 days. All mice were sacrificed on day 11. Mice were weighed every 2 days throughout the treatment period and, following sacrifice, the tumours, spleens and thymuses were harvested and weighed. The tumour growth inhibition rates and immune organ indices were calculated using the following equations: Inhibition rate (&#x0025;) = [(Mean tumour weight in the model group-mean tumour weight in the treatment group) / mean tumour weight in the model group] &#x00D7;100. Immune organ index = Organ weight (mg) / body weight (g) (<xref rid="b30-etm-0-0-5568" ref-type="bibr">30</xref>,<xref rid="b31-etm-0-0-5568" ref-type="bibr">31</xref>). Blood was harvested from mice in each group and centrifuged at 1,409 &#x00D7; g at room temperature for 10&#x2013;15 min. The serum levels of tumour necrosis factor (TNF)-&#x03B1; (cat. no. MTA00B), interleukin (IL)-2 (cat. no. M2000), IL-12 (cat. no. M1270) and interferon (INF)-&#x03B3; (cat. no. MIF00) were determined using commercial ELISA kits according to the manufacturer&#x0027;s protocols (R&#x0026;D Systems, Inc., Minneapolis, MN, USA).</p>
</sec>
<sec>
<title>Increased life span (ILS) of ascites tumour-bearing mice</title>
<p>A total of 50 female Kunming mice were inoculated, divided into groups and treated as above. For ascites tumour-bearing mice, there were no non-inoculated mice ILS was calculated using the following equation: ILS &#x0025;=[(Mean survival days of treated group-mean survival days of model group)/mean survival days of model group] &#x00D7;100 (<xref rid="b31-etm-0-0-5568" ref-type="bibr">31</xref>).</p>
</sec>
<sec>
<title>Test of acute toxicity</title>
<p>A total of 40 Kunming mice (20 male and 20 female; 6&#x2013;7 weeks old; 20&#x2013;22 g) were randomly divided into two groups: Administration and blank (n=20 in each). All mice were fasted for l2 h prior to experimentation, but were not deprived of water. Mice in the administration group were treated with 10 g/kg ASPS once daily for 14 days. Mice in the blank group were administered with 0.2 ml normal saline daily. Observations of the limb flexibility, feeding, diarrhoea, death, hair finish (whether the hair is dry and falling out), and stool and urine secretions were recorded. All mice were sacrificed on day 15. The major organs, including the heart, liver, spleen, lungs and kidneys of the mice, were tested for toxicity following the sacrifice of the mice.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x00B1; standard deviation. Differences between groups were analysed using the Least-Significant Difference post-test. Statistical analyses were conducted using SPSS (version 17.0; SPSS, Inc., Chicago, IL, USA). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Composition of ASPS</title>
<p>The single, narrow, symmetrical peak of the analysed ASPS sample revealed its homogeneous composition (<xref rid="f1-etm-0-0-5568" ref-type="fig">Fig. 1</xref>). The molecular weight of ASPS was 10 kDa and its monosaccharide composition was demonstrated to be (Arabinose: Xylose: Glucose: Mannose)=7.1:22.3:7.6:1.0 (<xref rid="f2-etm-0-0-5568" ref-type="fig">Fig. 2</xref>).</p>
</sec>
<sec>
<title>Tumour growth inhibitory effect of ASPS in solid tumour-bearing mice</title>
<p>Treatment with high, medium and low dose ASPS had a significant inhibitory effect on tumour growth in mice inoculated with S<sub>180</sub> (<xref rid="tI-etm-0-0-5568" ref-type="table">Table I</xref>), H<sub>22</sub> (<xref rid="tII-etm-0-0-5568" ref-type="table">Table II</xref>) and U<sub>14</sub> (<xref rid="tIII-etm-0-0-5568" ref-type="table">Table III</xref>) compared with the model group (all P&#x003C;0.01). The greatest inhibitory effect in S<sub>180</sub> and U<sub>14</sub> tumour-bearing mice was achieved with the medium dose (100 mg/kg; <xref rid="tI-etm-0-0-5568" ref-type="table">Tables I</xref> and <xref rid="tIII-etm-0-0-5568" ref-type="table">III</xref>), whereas the high dose (200 mg/kg) had the greatest effect in H<sub>22</sub> tumour-bearing mice (<xref rid="tII-etm-0-0-5568" ref-type="table">Table II</xref>).</p>
</sec>
<sec>
<title>Effect of ASPS on immune organ index in solid tumour-bearing mice</title>
<p>Treatment with high, medium and low doses of ASPS increased the immune organ indices in S<sub>180</sub>, H<sub>22</sub> and U<sub>14</sub> solid tumour-bearing mice. Spleen and thymus indices in the CTX group were significantly decreased compared with the normal, control and model groups for all cell lines (P&#x003C;0.01; <xref rid="f3-etm-0-0-5568" ref-type="fig">Figs. 3</xref>&#x2013;<xref rid="f5-etm-0-0-5568" ref-type="fig">5</xref>). Spleen and thymus indices in the high, medium and low ASPS treatment groups were significantly increased compared with the positive control group for all cell lines (P&#x003C;0.01; <xref rid="f3-etm-0-0-5568" ref-type="fig">Figs. 3</xref>&#x2013;<xref rid="f5-etm-0-0-5568" ref-type="fig">5</xref>).</p>
</sec>
<sec>
<title>Effect of ASPS on cytokines levels in solid tumour-bearing mice</title>
<p>Treatment with high, medium and low doses of ASPS significantly increased serum IL-2 levels in S<sub>180</sub>, H<sub>22</sub> and U<sub>14</sub> solid tumour-bearing mice compared with the normal, control, CTX and model groups (S<sub>180</sub>, P&#x003C;0.05, P&#x003C;0.05 and P&#x003C;0.01, respectively; H<sub>22</sub> and U<sub>14</sub>, all P&#x003C;0.01; <xref rid="f6-etm-0-0-5568" ref-type="fig">Fig. 6</xref>). IL-2 levels were significantly decreased in the CTX group compared with the normal, control and model groups (S<sub>180</sub>, P&#x003C;0.01, P&#x003C;0.05 and P&#x003C;0.05, respectively; H<sub>22</sub> and U<sub>14</sub>, all P&#x003C;0.01; <xref rid="f6-etm-0-0-5568" ref-type="fig">Fig. 6</xref>). High and medium doses of ASPS significantly increased serum IL-12 levels in H<sub>22</sub> and U<sub>14</sub> solid tumour-bearing mice compared with the normal, control, CTX and model groups (P&#x003C;0.01; <xref rid="f7-etm-0-0-5568" ref-type="fig">Fig. 7</xref>); furthermore, IL-12 levels were significantly increased with high or medium-dose ASPS treatment in S<sub>180</sub> tumour-bearing mice compared with the control, CTX and normal groups (P&#x003C;0.01; <xref rid="f7-etm-0-0-5568" ref-type="fig">Fig. 7</xref>). No significant differences in serum TNF-&#x03B1; levels were observed between groups, irrespective of treatment (<xref rid="f8-etm-0-0-5568" ref-type="fig">Fig. 8</xref>). No significant differences in serum INF-&#x03B3; levels were observed in S<sub>180</sub> and U<sub>14</sub> solid tumour-bearing mice in different treatment groups (<xref rid="f9-etm-0-0-5568" ref-type="fig">Fig. 9</xref>). However, treatment with high (P&#x003C;0.05), medium (P&#x003C;0.01) and low (P&#x003C;0.05) doses of ASPS significantly increased INF-&#x03B3; expression in H<sub>22</sub> solid tumour-bearing mice compared with the positive control group (<xref rid="f9-etm-0-0-5568" ref-type="fig">Fig. 9</xref>).</p>
</sec>
<sec>
<title>Antitumour effect of ASPS in ascites tumour-bearing mice</title>
<p>Treatment with medium (P&#x003C;0.01) and low (P&#x003C;0.05) doses of ASPS had inhibitory effects on the growth of S<sub>180</sub> in ascites tumour-bearing mice compared with the model group (<xref rid="tIV-etm-0-0-5568" ref-type="table">Table IV</xref>). Treatment with high (P&#x003C;0.01), medium (P&#x003C;0.01) and low (H<sub>22</sub>, P&#x003C;0.05 and U<sub>14</sub>, P&#x003C;0.01) doses of ASPS had an inhibitory effect on the growth of H<sub>22</sub> and U<sub>14</sub>in ascites tumour-bearing mice (<xref rid="tV-etm-0-0-5568" ref-type="table">Tables V</xref> and <xref rid="tVI-etm-0-0-5568" ref-type="table">VI</xref>). The greatest inhibitory effect in S<sub>180</sub> tumour-bearing mice was observed with the ASPS medium dose (100 mg/kg; <xref rid="tIV-etm-0-0-5568" ref-type="table">Table IV</xref>). The greatest inhibitory effect in H<sub>22</sub> and U<sub>14</sub> tumour-bearing mice was observed with the ASPS high dose (200 mg/kg; <xref rid="tV-etm-0-0-5568" ref-type="table">Tables V</xref> and <xref rid="tVI-etm-0-0-5568" ref-type="table">VI</xref>).</p>
</sec>
<sec>
<title>Test of acute toxicity</title>
<p>All mice in the oral administration groups survived until the end of the 14-day observation period. Mice were sacrificed on day 15 and no visible lesions were observed in the vital organs. These results suggest that mice are able to tolerate &#x003E;10 g/kg ASPS without adverse effects. According to the standard classification of acute toxicity of chemical substances (<xref rid="b32-etm-0-0-5568" ref-type="bibr">32</xref>), ASPS is a non-toxic material. No abnormalities in eating, drinking, stool, urine, disposition, mobility (data not shown) or body weight (<xref rid="tVII-etm-0-0-5568" ref-type="table">Table VII</xref>) were observed in any groups.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Biological response modifiers have previously been used as a tool for inhibiting tumour growth and metastasis (<xref rid="b33-etm-0-0-5568" ref-type="bibr">33</xref>,<xref rid="b34-etm-0-0-5568" ref-type="bibr">34</xref>). In the tumour microenvironment, tumour cells often secrete immunosuppressive factors that alter host immune function and suppress immune response cells (<xref rid="b35-etm-0-0-5568" ref-type="bibr">35</xref>). The dysregulation of immunity and abnormal immune effector cells may lead to reduced anti-tumour activity (<xref rid="b36-etm-0-0-5568" ref-type="bibr">36</xref>); therefore, reversing the apoptotic pathway in tumour-induced immune cells has emerged as a method of tumour therapy (<xref rid="b37-etm-0-0-5568" ref-type="bibr">37</xref>). In the present study, the inhibitory effects of ASPS on tumour growth and its immunomodulatory activity were demonstrated to be independent of dosage. The medium dosage (100 mg/kg) of ASPS had the greatest inhibitory effect on tumour growth in mice. Previous studies have reported that the key determinant of polysaccharide regulatory function is the level in the body rather than the administered dose (<xref rid="b38-etm-0-0-5568" ref-type="bibr">38</xref>&#x2013;<xref rid="b40-etm-0-0-5568" ref-type="bibr">40</xref>). These results suggest that ASPS may regulate immunity levels during normal autoimmune processes.</p>
<p>The immune system is a network comprising cells and organs that protect the body against external attacks. The degeneration and atrophy of immune organs will therefore negatively affect the function of the whole immune system. For example, the spleen filters and serves as a reservoir for blood; if the spleen is damaged or removed, the individual will be more susceptible to infection (<xref rid="b41-etm-0-0-5568" ref-type="bibr">41</xref>). In the present study, ASPS treatment had a positive effect on thymus and spleen indices in tumour-bearing mice.</p>
<p>Cellular immunity is important for host tumour immunity and cytokines serve an important role in the development of the immune response. IL-2 is a prominent immune factor that is secreted from helper T lymphocytes, natural killer cells, lymphokine activated killer cells and macrophages, all of which are involved in antitumour immunological mechanisms (<xref rid="b42-etm-0-0-5568" ref-type="bibr">42</xref>). Inflammatory cytokines, including TNF-&#x03B1;, are secreted by macrophages and serve a role in the activation of T cells and tumour cell recognition (<xref rid="b43-etm-0-0-5568" ref-type="bibr">43</xref>). IL-12 is secreted by phagocytic antigen-presenting cells, including macrophages and dendritic cells, and is considered to be one of the most essential cytokines in antitumour immunity, serving as a multifunctional cytokine in the early stages of the immune response (<xref rid="b44-etm-0-0-5568" ref-type="bibr">44</xref>,<xref rid="b45-etm-0-0-5568" ref-type="bibr">45</xref>). Previous animal studies have demonstrated that IL-12 has potent antitumour and antimetastasis activities, and its effect is most likely mediated via IFN-&#x03B3; (<xref rid="b45-etm-0-0-5568" ref-type="bibr">45</xref>,<xref rid="b46-etm-0-0-5568" ref-type="bibr">46</xref>).</p>
<p>In the present study, ASPS was demonstrated to have an inhibitory effect on the growth of S<sub>180</sub>, H<sub>22</sub> and U<sub>14</sub> cells in both solid and ascites tumour-bearing mice, potentially via increasing serum IL-2, IL-12 and INF-&#x03B3; levels. The results may provide a basis for the potential applications of ASPS in clinical treatment for cancer. There were a number of limitations in the present study, including a lack of pharmacodynamic tests for each independent component. During the treatment of tumour-bearing mice, each active component may exert different functions. In future studies, it will be necessary to assess the pharmacodynamic effects of each component of ASPS. In addition, although ASPS is an active component extracted from a natural pharmaceutical, its potential adverse effects require further investigation.</p>
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<floats-group>
<fig id="f1-etm-0-0-5568" position="float">
<label>Figure 1.</label>
<caption><p>Chromatogram of <italic>Acanthopanax senticosus</italic> polysaccharide.</p></caption>
<graphic xlink:href="etm-15-02-1694-g00.TIF"/>
</fig>
<fig id="f2-etm-0-0-5568" position="float">
<label>Figure 2.</label>
<caption><p>Gas chromatogram of the monosaccharide composition of <italic>Acanthopanax senticosus</italic> polysaccharide.</p></caption>
<graphic xlink:href="etm-15-02-1694-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-5568" position="float">
<label>Figure 3.</label>
<caption><p>Immune organ indices of ASPS in S<sub>180</sub> solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>#</sup>P&#x003C;0.05 and <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;</sup>P&#x003C;0.05 and <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g02.tif"/>
</fig>
<fig id="f4-etm-0-0-5568" position="float">
<label>Figure 4.</label>
<caption><p>Immune organ indices of ASPS in H<sub>22</sub> solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>#</sup>P&#x003C;0.05 and <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;</sup>P&#x003C;0.05 and <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g03.tif"/>
</fig>
<fig id="f5-etm-0-0-5568" position="float">
<label>Figure 5.</label>
<caption><p>Immune organ indices of ASPS in U<sub>14</sub> solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>#</sup>P&#x003C;0.05 and <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;</sup>P&#x003C;0.05 and <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g04.tif"/>
</fig>
<fig id="f6-etm-0-0-5568" position="float">
<label>Figure 6.</label>
<caption><p>Serum IL-2 levels of ASPS in solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>#</sup>P&#x003C;0.05 and <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;</sup>P&#x003C;0.05 and <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;</sup>P&#x003C;0.01 and <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. IL, interleukin; ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g05.tif"/>
</fig>
<fig id="f7-etm-0-0-5568" position="float">
<label>Figure 7.</label>
<caption><p>Serum IL-12 levels of ASPS in solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>#</sup>P&#x003C;0.05 and <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;</sup>P&#x003C;0.05 and <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;</sup>P&#x003C;0.01 and <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. IL, interleukin; ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g06.tif"/>
</fig>
<fig id="f8-etm-0-0-5568" position="float">
<label>Figure 8.</label>
<caption><p>Serum TNF-&#x03B1; levels of ASPS in solid tumour-bearing mice. TNF, tumour necrosis factor; ASPS, Acanthopanax senticosus polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g07.tif"/>
</fig>
<fig id="f9-etm-0-0-5568" position="float">
<label>Figure 9.</label>
<caption><p>Serum INF-&#x03B3; levels of ASPS in solid tumour-bearing mice. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. normal group; <sup>##</sup>P&#x003C;0.01 vs. control group; <sup>&#x0024;&#x0024;</sup>P&#x003C;0.01 vs. model group; <sup>&#x2206;&#x2206;</sup>P&#x003C;0.01 vs. CTX group. INF, interferon; ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide; ASPS200, 200 mg/kg ASPS; ASPS100, 100 mg/kg ASPS; ASPS50, 50 mg/kg ASPS.</p></caption>
<graphic xlink:href="etm-15-02-1694-g08.tif"/>
</fig>
<table-wrap id="tI-etm-0-0-5568" position="float">
<label>Table I.</label>
<caption><p>Inhibitory effect of ASPS in S<sub>180</sub> solid tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2">Weight (g)</th>
<th/>
<th/>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Pre-treatment</th>
<th align="center" valign="bottom">Post-treatment</th>
<th align="center" valign="bottom">Tumour weight (g)</th>
<th align="center" valign="bottom">Inhibition rate (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">22.09&#x00B1;1.34</td>
<td align="center" valign="top">30.45&#x00B1;2.24</td>
<td align="center" valign="top">2.69&#x00B1;0.45</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive control</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">22.17&#x00B1;1.28</td>
<td align="center" valign="top">27.31&#x00B1;2.16<sup><xref rid="tfn1-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.78&#x00B1;0.29<sup><xref rid="tfn1-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">71.00</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">21.98&#x00B1;1.19</td>
<td align="center" valign="top">32.73&#x00B1;1.93<sup><xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.63&#x00B1;0.32<sup><xref rid="tfn1-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">39.41</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">22.04&#x00B1;1.17</td>
<td align="center" valign="top">31.06&#x00B1;1.37<sup><xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.49&#x00B1;0.45<sup><xref rid="tfn1-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">44.61</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">21.97&#x00B1;1.25</td>
<td align="center" valign="top">32.69&#x00B1;2.04<sup><xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.59&#x00B1;0.41<sup><xref rid="tfn1-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn2-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">40.89</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-5568"><label>a</label><p>P&#x003C;0.01 vs. model group</p></fn>
<fn id="tfn2-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. positive control group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-etm-0-0-5568" position="float">
<label>Table II.</label>
<caption><p>Inhibitory effect of ASPS in H<sub>22</sub> solid tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2">Weight (g)</th>
<th/>
<th/>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Pre-treatment</th>
<th align="center" valign="bottom">Post-treatment</th>
<th align="center" valign="bottom">Tumour weight (g)</th>
<th align="center" valign="bottom">Inhibition rate (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">21.99&#x00B1;1.56</td>
<td align="center" valign="top">29.03&#x00B1;1.98</td>
<td align="center" valign="top">3.08&#x00B1;0.74</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">21.95&#x00B1;1.38</td>
<td align="center" valign="top">26.73&#x00B1;2.07<sup><xref rid="tfn3-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.99&#x00B1;0.36<sup><xref rid="tfn3-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">67.86</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">22.01&#x00B1;1.62</td>
<td align="center" valign="top">30.95&#x00B1;2.33<sup><xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.71&#x00B1;0.41<sup><xref rid="tfn3-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">44.48</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">21.97&#x00B1;1.48</td>
<td align="center" valign="top">31.29&#x00B1;2.67<sup><xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.75&#x00B1;0.51<sup><xref rid="tfn3-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">43.19</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">22.02&#x00B1;1.51</td>
<td align="center" valign="top">30.82&#x00B1;2.18<sup><xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.87&#x00B1;0.65<sup><xref rid="tfn3-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">39.29</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-etm-0-0-5568"><label>a</label><p>P&#x003C;0.01 vs. model group</p></fn>
<fn id="tfn4-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. positive control group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-etm-0-0-5568" position="float">
<label>Table III.</label>
<caption><p>Inhibitory effect of ASPS in U<sub>14</sub> solid tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2">Weight (g)</th>
<th/>
<th/>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Pre-treatment</th>
<th align="center" valign="bottom">Post-treatment</th>
<th align="center" valign="bottom">Tumour weight (g)</th>
<th align="center" valign="bottom">Inhibition rate (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">21.82&#x00B1;1.76</td>
<td align="center" valign="top">29.65&#x00B1;2.05</td>
<td align="center" valign="top">2.89&#x00B1;0.64</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive control</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">21.98&#x00B1;1.91</td>
<td align="center" valign="top">26.47&#x00B1;2.19<sup><xref rid="tfn5-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.93&#x00B1;0.41<sup><xref rid="tfn5-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">67.82</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">22.08&#x00B1;1.62</td>
<td align="center" valign="top">29.87&#x00B1;2.40<sup><xref rid="tfn6-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.65&#x00B1;0.46<sup><xref rid="tfn5-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn6-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">42.91</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">22.03&#x00B1;1.81</td>
<td align="center" valign="top">30.53&#x00B1;2.81<sup><xref rid="tfn6-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.61&#x00B1;0.58<sup><xref rid="tfn5-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn6-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">44.29</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">21.94&#x00B1;1.71</td>
<td align="center" valign="top">30.12&#x00B1;2.17</td>
<td align="center" valign="top">1.82&#x00B1;0.53<sup><xref rid="tfn5-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn6-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">37.02</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn5-etm-0-0-5568"><label>a</label><p>P&#x003C;0.01 vs. model group</p></fn>
<fn id="tfn6-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. positive control group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIV-etm-0-0-5568" position="float">
<label>Table IV.</label>
<caption><p>Antitumour effect of ASPS in S<sub>180</sub> ascites tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Survival time (days)</th>
<th align="center" valign="bottom">ILS (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">13.67&#x00B1;2.65</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive control</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">18.78&#x00B1;2.68<sup><xref rid="tfn8-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">37.38</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">15.44&#x00B1;2.70<sup><xref rid="tfn9-etm-0-0-5568" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">12.95</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">17.22&#x00B1;2.58<sup><xref rid="tfn8-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">25.97</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">16.33&#x00B1;2.12<sup><xref rid="tfn7-etm-0-0-5568" ref-type="table-fn">a</xref>,<xref rid="tfn9-etm-0-0-5568" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">19.46</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn7-etm-0-0-5568"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn8-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. model group</p></fn>
<fn id="tfn9-etm-0-0-5568"><label>c</label><p>P&#x003C;0.01 vs. positive control group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tV-etm-0-0-5568" position="float">
<label>Table V.</label>
<caption><p>Antitumour effect of ASPS in H<sub>22</sub> ascites tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Survival time (days)</th>
<th align="center" valign="bottom">Increased life span (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">11.67&#x00B1;2.65</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive control</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">16.89&#x00B1;2.09<sup><xref rid="tfn11-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">44.73</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">15.21&#x00B1;2.39<sup><xref rid="tfn11-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">30.25</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">14.67&#x00B1;2.55<sup><xref rid="tfn11-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">25.71</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">13.89&#x00B1;2.57<sup><xref rid="tfn10-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">19.02</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn10-etm-0-0-5568"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn11-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. model group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tVI-etm-0-0-5568" position="float">
<label>Table VI.</label>
<caption><p>Antitumour effect of ASPS in U<sub>14</sub> ascites tumour-bearing mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Dose (mg/kg) and agent</th>
<th align="center" valign="bottom">Survival time (days)</th>
<th align="center" valign="bottom">Increased life span (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Model</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">12.22&#x00B1;3.15</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Positive control</td>
<td align="center" valign="top">30 CTX</td>
<td align="center" valign="top">16.89&#x00B1;3.33<sup><xref rid="tfn13-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">38.22</td>
</tr>
<tr>
<td align="left" valign="top">High dose</td>
<td align="center" valign="top">200 ASPS</td>
<td align="center" valign="top">15.44&#x00B1;2.07<sup><xref rid="tfn13-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">26.35</td>
</tr>
<tr>
<td align="left" valign="top">Medium dose</td>
<td align="center" valign="top">100 ASPS</td>
<td align="center" valign="top">14.67&#x00B1;2.92<sup><xref rid="tfn13-etm-0-0-5568" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">20.05</td>
</tr>
<tr>
<td align="left" valign="top">Low dose</td>
<td align="center" valign="top">50 ASPS</td>
<td align="center" valign="top">14.11&#x00B1;2.62<sup><xref rid="tfn12-etm-0-0-5568" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">15.47</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn12-etm-0-0-5568"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn13-etm-0-0-5568"><label>b</label><p>P&#x003C;0.01 vs. model group. ASPS, <italic>Acanthopanax senticosus</italic> polysaccharide; CTX, cyclophosphamide.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tVII-etm-0-0-5568" position="float">
<label>Table VII.</label>
<caption><p>Body weight changes of mice following oral administration of 10 g/kg <italic>Acanthopanax senticosus</italic> polysaccharide for 14 days.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="5">Body weight (g)</th>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="5"><hr/></th>
</tr>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Sex</th>
<th align="center" valign="bottom">Day 0</th>
<th align="center" valign="bottom">Day 2</th>
<th align="center" valign="bottom">Day 6</th>
<th align="center" valign="bottom">Day 10</th>
<th align="center" valign="bottom">Day 14</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Administration</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">19.2&#x00B1;0.94</td>
<td align="center" valign="top">23.6&#x00B1;1.01</td>
<td align="center" valign="top">29.1&#x00B1;1.62</td>
<td align="center" valign="top">32.6&#x00B1;2.04</td>
<td align="center" valign="top">35.0&#x00B1;2.72</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">18.7&#x00B1;0.96</td>
<td align="center" valign="top">22.1&#x00B1;1.39</td>
<td align="center" valign="top">26.1&#x00B1;1.45</td>
<td align="center" valign="top">27.5&#x00B1;2.13</td>
<td align="center" valign="top">28.9&#x00B1;2.17</td>
</tr>
<tr>
<td align="left" valign="top">Blank</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">19.4&#x00B1;0.97</td>
<td align="center" valign="top">23.7&#x00B1;1.01</td>
<td align="center" valign="top">29.1&#x00B1;1.37</td>
<td align="center" valign="top">32.6&#x00B1;1.85</td>
<td align="center" valign="top">33.4&#x00B1;2.33</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">18.5&#x00B1;0.82</td>
<td align="center" valign="top">21.75&#x00B1;1.23</td>
<td align="center" valign="top">25.5&#x00B1;1.53</td>
<td align="center" valign="top">27.0&#x00B1;2.27</td>
<td align="center" valign="top">27.2&#x00B1;2.66</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</article>
