Component Analysis and Anti-Colorectal Cancer Mechanism via AKT/mTOR Signalling Pathway of Sanghuangporus vaninii Extracts

Sanghuangporus vaninii (Ljub.) L.W. Zhou & Y.C. Dai (SV) is a major cultivar of Sanghuang, which is well known as an excellent anti-tumour drug and reaches the mainstream market in China. Water, 60% ethanol and 95% ethanol were used to extract the drug, and three kinds of polar extracts were obtained separately. Compared with water extracts and 95% ethanol extracts, the 60% ethanol extract had the highest flavonoid content, and its polysaccharide content was greater than that in the 95% ethanol extract and lower than that in the water extract. Its essential components were phenolics whose majority were phenolic acids, flavonoids and phenylpropanoids. This extract has better inhibition effects on the proliferation of SW480 human colon cancer cells, inducing cell apoptosis and blocking G2/M period cells. It can significantly inhibit gene expression and reduce the activation of the AKT/mTOR signalling pathway. The anti-cancer activity of the 60% ethanol extract is satisfactory and may be a result of the combined effects of polysaccharides and flavonoids. The data suggest that the 60% ethanol extract can be used as an adjuvant for chemotherapy and as a potential anti-cancer agent with broad development prospects.


Introduction
Colon cancer is the third most common cancer in the world and ranks fourth in cancer mortality [1,2]. The mammalian target of rapamycin (mTOR) is a 289 kDa serine/threonine kinase which belongs to the Akt phosphorylated downstream effector family. It can control cell growth and regulate cancer cell survival and proliferation [3,4]. The Akt/mTOR signalling pathway plays an important role in the survival and growth of cancer cells, such as colon cancer cells [5]. Phytomedicine has become the focus of colon cancer research due to its mild medicinal effect and few side effects [6].
Sanghuang is a large perennial medicinal fungus that parasitizes the woody substrate of Morus plants. Sanghuang has strong inhibitory effects on tumours, and it is widely used in Japan and South Korea [7]. It was first recorded in Shen Nong's Materia Medica and was considered to be a high-grade herb. Sanghuang is stated to have an "elimination of toxicant" ("pai du qi" in Chinese) function in the New Compendium of Materia Medica (Xin Xiu Ben Cao) and Chinese Compendium of Materia Medica (Ben Cao Gang Mu) [8,9]. Pharmacological studies have revealed that Sanghuang possesses a variety of biological activities, including anti-cancer, immunoregulation, anti-diabetes, antioxidation and antiinflammation activities. Many kinds of compounds, such as polysaccharides, flavones, triterpenes, aromatic acids and amino acids, have been reported in Sanghuang, and the largest proportion of compounds in the drug are polysaccharides [10]. According to the research of the Japanese scholar Tetsuro Ikekawa, the wild fruit body extract of Sanghuang has a 96.7% inhibitory rate on mouse sarcoma S180, with little toxicity towards normal cells [11]. Many studies have also shown that Sanghuang polysaccharides have significant anti-cancer activity [12,13]. Ge Li et al. reported that polysaccharides have an inhibitory effect on the proliferation and colony formation of SW480 human colon cancer cells, and the effect is associated with decreased Bcl-2 expression, increased release of cytochrome c and reduced cyclin B1 expression [14]. The study also showed that Sanghuang polyphenols have a significant anti-cancer effect, as the polyphenols had cytotoxic activities against various cancer cells [15]. In the treatment of medullary thyroid cancer, researchers found that citric acid did improve symptoms caused by cancer [16]. Takuji Tanaka et al. [17] reported that PA can protect against the development of epithelial malignancy in different tissues and cardiovascular diseases. The mechanism of action mostly involves antioxidant activity, such as inhibiting free radical generation and scavenging and upregulating antioxidant enzymes. By performing a caffeic acid-mediated facile synthesis of silver nanoparticles, the study demonstrated that PA could enhance anti-cancer activity [18].
Sanghuangporus vaninii is responsible for the largest amount of Sanghuang in markets. However, many studies have mainly focused on the extraction, isolation and component analysis of S. vaninii, and there are few studies regarding its bioactivity [7]. Qiong Guo et al. found that S. vaninii exhibits a strong capacity for free radical scavenging, can effectively alleviate cellular oxidative stress and provides therapeutic effects on gout [19]. Xilin Wan et al. reported that polysaccharide from S. vaninii have anti-tumour functions through the activation of the p53 signalling pathway in breast cancer MCF-7 cells. The anti-colon mechanism of S. vaninii has been reported scarcely. In this article, three kinds of extracts were extracted by different polar solvents (water, 60% ethanol and 95% ethanol). The effects on the proliferation, cell cycle and apoptosis of SW480 colon cancer cells in vitro were used as indicators. qRT-PCR and Western blotting were used to explore the effects of the extracts on the AKT/mTOR pathway and preliminarily explain their mechanism of inhibiting human colon cancer cells.

Total Polysaccharide and Flavonoids Contents
The total polysaccharide and flavonoid contents of SVW (water extract of S. vaninii), SVE60 (60% ethanolic extract of S. vaninii) and SVE95 (95% ethanolic extract of S. vaninii) were 0.626, 0.342 and 0.337 mg/mg and 0.0481, 0.5574 and 0.4843 mg/mg, respectively. The polysaccharide content of SVW was the highest, and that of flavonoids was the lowest. The polysaccharide content of SVE60 was slightly higher than that of SVE95, and the total flavonoid content was the highest in SVE60, which was 11.58 times as high as that in SVW and 1.15 times as that in SVE95.

The Result of CCK8 Cell Proliferation
Cancer cells are unmanageable, chronic and have obvious characteristics, including a high proliferation ability and an ability to rapidly migrate [40,41]. To demonstrate whether the extracts of S. vaninii have an inhibitory effect on SW480 human colon cell proliferation in a dose-dependent manner, the experiments involved three groups. The SVW group (the control group, group 1), SVE60 (group 2) and SVE95 (group 3) were each treated with the same dosages (0, 1.2, 3.7, 11.1, 33.3, 100 and 300 μg/mL) and effective times (72 h).
Compared with that of the control group, the OD values of the three extracts gradually decreased with increasing dose levels after administration for 72 h. There were significant differences in the SVW group (300, 100, 33.3 μg/mL dose groups) (Figure 3a), SVE60 group (300, 100, 33.3, 11.1 and 3.7 μg/mL dose groups) ( Figure 3b) and SVE95 group (300, 100 and 33.3 μg/mL dose groups) (Figure 3c). The three extracts could significantly

The Result of CCK8 Cell Proliferation
Cancer cells are unmanageable, chronic and have obvious characteristics, including a high proliferation ability and an ability to rapidly migrate [40,41]. To demonstrate whether the extracts of S. vaninii have an inhibitory effect on SW480 human colon cell proliferation in a dose-dependent manner, the experiments involved three groups. The SVW group (the control group, group 1), SVE60 (group 2) and SVE95 (group 3) were each treated with the same dosages (0, 1.2, 3.7, 11.1, 33.3, 100 and 300 μg/mL) and effective times (72 h).
Compared with that of the control group, the OD values of the three extracts gradually decreased with increasing dose levels after administration for 72 h. There were significant differences in the SVW group (300, 100, 33.3 μg/mL dose groups) (Figure 3a

The Result of CCK8 Cell Proliferation
Cancer cells are unmanageable, chronic and have obvious characteristics, including a high proliferation ability and an ability to rapidly migrate [40,41]. To demonstrate whether the extracts of S. vaninii have an inhibitory effect on SW480 human colon cell proliferation in a dose-dependent manner, the experiments involved three groups. The SVW group (the control group, group 1), SVE60 (group 2) and SVE95 (group 3) were each treated with the same dosages (0, 1.2, 3.7, 11.1, 33.3, 100 and 300 µg/mL) and effective times (72 h).
Compared with that of the control group, the OD values of the three extracts gradually decreased with increasing dose levels after administration for 72 h. There were significant differences in the SVW group (300, 100, 33.3 µg/mL dose groups) (Figure 3a), SVE60 group (300, 100, 33.3, 11.1 and 3.7 µg/mL dose groups) ( Figure 3b) and SVE95 group (300, 100 and 33.3 µg/mL dose groups) (Figure 3c). The three extracts could significantly reduce the cell survival rate with increased dosage, especially the 300, 100 and 33.3 µg/mL dose groups (p < 0.01).
proliferation of colon cancer cells SW480 at a lower concentration (3.7 μg/mL), with a significant difference (p < 0.05). The IC50 values of SVW, SVE60 and SVE95 were 209.5, 7.91 and 27.14 μg/mL. The effect of two ethanol extracts was more obvious than that of the water extract, particularly the 60% ethanol extract of S. vaninii, whose IC50 was only one third of 95% ethanol extract and one twenty-sixth of water extract, approximately.

Induction of Apoptosis by the Ethanol Extracts of S. vaninii
Apoptosis is the key process in inhibiting the proliferation of cancer cells [42]. Annexin-V can specially bind with the early stage of apoptosis and provide FITC labels [43]. Propidine iodide (PI) is a nucleic acid dye that can penetrate the cell membrane in the middle and advanced stages of apoptosis to incarnadine nuclei. Therefore, Annexin-V and PI are used simultaneously in experiments to identify and differentiate early, middle and advanced apoptosis and necrotic cells [44]. This procedure was adopted in our research, and flow cytometry was applied to detect the apoptosis rates.
There were two groups in the experiment, the SVE60 (Figure 4a-d) and SVE95 group (Figure 4e-h), which were divided into four dose groups (the control group, 3, 30 and 300 μg/mL dose groups). Then, the cells were stained with Annexin V and PI.
Compared with the control group, the numbers of late apoptotic cells and early apoptotic cells were greater with multiplied dosages (10 times) of SVE60 and SVE95 ( Figure 3). The results showed that the ethanol extracts of S. vaninii induced the SW480 apoptosis in a certain dose-dependent manner, and the effect of SVE60 was slightly superior to that of SVE95 (Table 2). Compared with the SVW and SVE95, SVE60 showed an inhibitory effect on the proliferation of colon cancer cells SW480 at a lower concentration (3.7 µg/mL), with a significant difference (p < 0.05). The IC 50 values of SVW, SVE60 and SVE95 were 209.5, 7.91 and 27.14 µg/mL. The effect of two ethanol extracts was more obvious than that of the water extract, particularly the 60% ethanol extract of S. vaninii, whose IC 50 was only one third of 95% ethanol extract and one twenty-sixth of water extract, approximately.

Induction of Apoptosis by the Ethanol Extracts of S. vaninii
Apoptosis is the key process in inhibiting the proliferation of cancer cells [42]. Annexin-V can specially bind with the early stage of apoptosis and provide FITC labels [43]. Propidine iodide (PI) is a nucleic acid dye that can penetrate the cell membrane in the middle and advanced stages of apoptosis to incarnadine nuclei. Therefore, Annexin-V and PI are used simultaneously in experiments to identify and differentiate early, middle and advanced apoptosis and necrotic cells [44]. This procedure was adopted in our research, and flow cytometry was applied to detect the apoptosis rates.
There were two groups in the experiment, the SVE60 (Figure 4a-d) and SVE95 group (Figure 4e-h), which were divided into four dose groups (the control group, 3, 30 and 300 µg/mL dose groups). Then, the cells were stained with Annexin V and PI.
Compared with the control group, the numbers of late apoptotic cells and early apoptotic cells were greater with multiplied dosages (10 times) of SVE60 and SVE95 (Figure 3). The results showed that the ethanol extracts of S. vaninii induced the SW480 apoptosis in a certain dose-dependent manner, and the effect of SVE60 was slightly superior to that of SVE95 (

Effect of SVE60 on Cell Cycle Progression
The cell cycle is an important factor in cell proliferation, and its process begins with one cell division and ends when the next cell division is finished [45]. The cell cycle process was analysed via flow cytometry, and the study used SVE60 as the drug. The control group, and 3, 30 and 300 μg/mL dose groups were used. Compared with that of the control group, the proportion of cells in the G0/G1 phase was decreased by 6.08%, 1.82% and 9.53% at 3, 30 and 300 μg/mL, and those in G2/M phase increased by 7.75%, 0.61% and 9.36%, respectively. The proportion of cells in S phase was increased by 1.21% and 0.16% at 30 and 300 μg/mL, respectively, but decreased by 1.68% at 3 μg/mL.
The proportion of cells in the S or G2/M phase was influenced by different drug concentrations. The 3 μg/mL dose decreased the proportion of cells in the S phase and increased the proportion of cells in the G2/M phase. The 30 μg/mL dose group induced apoptosis of cells derived from the G0/G1 phase. The results ( Figure 5) showed that SVE60 was able to inhibit cancer cell proliferation by causing cell arrest in different phases.

Effect of SVE60 on Cell Cycle Progression
The cell cycle is an important factor in cell proliferation, and its process begins with one cell division and ends when the next cell division is finished [45]. The cell cycle process was analysed via flow cytometry, and the study used SVE60 as the drug. The control group, and 3, 30 and 300 µg/mL dose groups were used. Compared with that of the control group, the proportion of cells in the G0/G1 phase was decreased by 6.08%, 1.82% and 9.53% at 3, 30 and 300 µg/mL, and those in G2/M phase increased by 7.75%, 0.61% and 9.36%, respectively. The proportion of cells in S phase was increased by 1.21% and 0.16% at 30 and 300 µg/mL, respectively, but decreased by 1.68% at 3 µg/mL.
The proportion of cells in the S or G2/M phase was influenced by different drug concentrations. The 3 µg/mL dose decreased the proportion of cells in the S phase and increased the proportion of cells in the G2/M phase. The 30 µg/mL dose group induced apoptosis of cells derived from the G0/G1 phase. The results ( Figure 5) showed that SVE60 was able to inhibit cancer cell proliferation by causing cell arrest in different phases.

The Result of qRT-PCR
The study observed the influence of SVE on the mTOR and AKT gene expression in the mTOR signalling pathway ( Figure 6). There were significant differences between the SVE60 0.01 μg/mL dose group, which had an obvious inhibitory effect on mTOR gene expression, and the control group. Three dose groups showed a decreasing trend in AKT gene expression. The data demonstrated that SVE60 had a significant inhibitory effect on the expression of key genes in the mTOR signalling pathway.

The Result of SVE60 on the Protein Expression via mTOR Signalling Pathway
Tubulin was used as an internal reference protein to observe the influence of SVE60 on the mTOR, AKT and p-AKT proteins in the mTOR signalling pathway (Figure 7). The results showed that the three dose groups significantly decreased the expression of mTOR, AKT and p-AKT proteins. SVE60 exhibited an obvious dose-dependent relationship with the expression of AKT and p-AKT proteins. This result indicated that the inhibitory effect of SVE60 on the proliferation of SW480 cells was related to the activation of mTOR signalling.

The Result of qRT-PCR
The study observed the influence of SVE on the mTOR and AKT gene expression in the mTOR signalling pathway ( Figure 6). There were significant differences between the SVE60 0.01 µg/mL dose group, which had an obvious inhibitory effect on mTOR gene expression, and the control group. Three dose groups showed a decreasing trend in AKT gene expression. The data demonstrated that SVE60 had a significant inhibitory effect on the expression of key genes in the mTOR signalling pathway.

The Result of qRT-PCR
The study observed the influence of SVE on the mTOR and AKT gene expression in the mTOR signalling pathway ( Figure 6). There were significant differences between the SVE60 0.01 μg/mL dose group, which had an obvious inhibitory effect on mTOR gene expression, and the control group. Three dose groups showed a decreasing trend in AKT gene expression. The data demonstrated that SVE60 had a significant inhibitory effect on the expression of key genes in the mTOR signalling pathway.

The Result of SVE60 on the Protein Expression via mTOR Signalling Pathway
Tubulin was used as an internal reference protein to observe the influence of SVE60 on the mTOR, AKT and p-AKT proteins in the mTOR signalling pathway (Figure 7). The results showed that the three dose groups significantly decreased the expression of mTOR, AKT and p-AKT proteins. SVE60 exhibited an obvious dose-dependent relationship with the expression of AKT and p-AKT proteins. This result indicated that the inhibitory effect of SVE60 on the proliferation of SW480 cells was related to the activation of mTOR signalling.

The Result of SVE60 on the Protein Expression via mTOR Signalling Pathway
Tubulin was used as an internal reference protein to observe the influence of SVE60 on the mTOR, AKT and p-AKT proteins in the mTOR signalling pathway (Figure 7). The results showed that the three dose groups significantly decreased the expression of mTOR, AKT and p-AKT proteins. SVE60 exhibited an obvious dose-dependent relationship with the expression of AKT and p-AKT proteins. This result indicated that the inhibitory effect of SVE60 on the proliferation of SW480 cells was related to the activation of mTOR signalling.

Materials
The

Preparation of the Phellinus Linteus Extracts
The powder (20 g, approximately) of S. vaninii was extracted with 400 mL of pure water for 1 h in a water bath. The extract was centrifuged at 5000 r/min for 5 min. The supernatant was concentrated under vacuum and then lyophilized using a vacuum freeze dryer. The water extract of S. vaninii (SVW) was stored for further use. The 60% and 95% ethanolic extracts (SVE60 and SVE95) were prepared with the same method as SVW, and the supernatants were evaporated in vacuum until dry.

Total Polysaccharide Content
The polysaccharide content was analysed by the glucose calibration, which was determined using the anthrone-sulfuric acid method [46]. SVW, SVE60 and SVE95 were diluted with distilled water (w/v, 1:5), and 1.0 mL of aqueous solution was used for

Preparation of the Phellinus Linteus Extracts
The powder (20 g, approximately) of S. vaninii was extracted with 400 mL of pure water for 1 h in a water bath. The extract was centrifuged at 5000 r/min for 5 min. The supernatant was concentrated under vacuum and then lyophilized using a vacuum freeze dryer. The water extract of S. vaninii (SVW) was stored for further use. The 60% and 95% ethanolic extracts (SVE60 and SVE95) were prepared with the same method as SVW, and the supernatants were evaporated in vacuum until dry.

Total Polysaccharide Content
The polysaccharide content was analysed by the glucose calibration, which was determined using the anthrone-sulfuric acid method [46]. SVW, SVE60 and SVE95 were diluted with distilled water (w/v, 1:5), and 1.0 mL of aqueous solution was used for measurement. The solution was added to 2.0 mL with distilled water, and 6.0 mL of 0.2% anthrone-sulfuric acid was added slowly and heated at 100 • C for 15 min, and absorbance measurements were recorded at 625 nm.

Total Flavonoids Content
The total flavonoid content was measured by sodium nitrite-aluminium nitrate colorimetry through UV spectroscopy using rutin as a reference substance at a concentration of 0.20 mg/mL [47]. The control solutions 1.0, 2.0, 3.0, 4.0, 5.0 and 6.0 mL were added, and distilled water was added to 6.0 mL. Then, 1.0 mL of 5% sodium nitrite was added to the solutions and incubated for 6 min separately. Next, 1.0 mL of 10% aluminium nitrate was added and reacted for 6 min. Finally, 10.0 mL of NaOH was added, distilled water was added to increase the liquid level, and the solution was shaken and developed for 15 min. The test solution and water were the blank controls, and a 500 nm wavelength was used. To formulate the standard curve, the concentration of rutin (C) was used as the X-axis and the Y-axis was the absorbance (A). The extracts were dissolved in methanol (w/v, 1:1), and the filtrates were measured in the same way.

UPLC-Q-TOF-MS Analytical Conditions
The

Cell Culture
The human colon cancer cell line SW480 was cultured in 1640 culture fluid with 10% foetal bovine serum. The cells displayed monolayer growth in a 37 • C atmosphere of 95% relative humidity and 5% CO 2 . Cells at logarithmic growth phase were used in the experiment.

CCK-8 Assay
The human colon cancer cell line SW480 was inoculated in 96-well culture plates at a density of 1 × 10 5 per mL per well. The clear supernatant of SW480 cells that would be used for detection was poured out, and the cells were washed twice with PBS. A total of 100 µL of fresh L-15 complete medium and 10 µL of CCK-8 reagent was used per well. Then, the plates were placed in an incubator for 3 h, and the optical density (OD) was detected at 450 nm using a microplate reader.

Flow Cytometry Cell Apoptosis Analysis
The cells were pre-treated before the formal experiment. The colon cell SW480 was digested with trypsin. The adherent cells were washed with PBS three times and collected into centrifuge tubes. The supernatant was discarded after centrifugation at 2600 r/min for 5 min. The binding buffer was diluted 10 times with deionized water. The single-cell suspension was prepared by mixing the primed cells with 250 µL of diluted binding buffer. Then, the 50 µL single-cell suspension was removed from the 1.5 mL centrifuge tube, and the cells were stained with 2.5 µL of Annexin V-FITC and 5 µL of propidium iodide (PI) for 15 min at ambient temperature. Apoptosis was detected through flow cytometric analysis.

Cell Cycle Analysis
The colon cell line SW480 was prepared as a single-cell suspension through the same method as described in 2.8. The pre-treated cells were put into a tube, strained with 1 mL of DNA staining solution and 10 µL of permeabilization solution, and were mixed by vortex oscillation for 5-10 s. Then, the cells were incubated for 30 min at room temperature and were subjected to flow cytometry.

Quantitative RT-PCR
Total RNA was extracted from the cells with TRIzon reagent. The effect on the pathway mediated by mTOR and AKT was determined using the qRT-PCR method using a variety of extracts doses, such as blank, 0.01 µg/mL, 0.1 µg/mL and 1 µg/mL. A quantitative PCR instrument (Bio-Rad CFX96, Hercules, CA, USA) was used for the PCR, and the following primer sequences were used for the qRT-PCR (Table 3).

Western Blot
The expression of mTOR, p-AKT and AKT protein was detected after the extracts reacted with SW480 cells for 48 h and the antibodies, including mTOR, p-AKT and AKT, were diluted at a ratio of 1:1000. SW480 cells were washed with PBS three times, RIPA protein lysis buffer was added, the mixture rested for 30 min, and the cells were centrifuged at 12,000 rpm at 4 • C.
The supernatant liquid was obtained and the concentration of protein in the samples was detected using BCA test kits. Total protein was obtained and rinsed with TBST after sample filling, electrophoresis, transmembrane and closure was performed. Extracts with different concentrations, such as 0, 0.01, 0.1 and 1 µg/mL, were added, and then the mixture was stored overnight at 4 • C. Then, the mixture was rinsed with TBST again. After exposure and imaging, tubulin was used as a reference protein (at 1:1000 dilution) and Image Quant TL software was used to analyse the grey value of every belts.

Statistical Analysis
All quantitative data are presented as the means ± standard deviation (SD). The data were analysed by t-tests using GraphPad Prism 9.0 software. Differences were considered statistically significant when p < 0.05.

Conclusions and Discussion
Sanghuang has long been known to possess anti-cancer abilities. S. vaninii is its most widespread cultivar and provides rich resources for the application of this plant. To explore the medical usage of this drug, the relationship between the active compounds and anti-colon cancer was studied in this experiment.
Phenolic compounds and polysaccharides are the two main bioactive chemical groups with medicinal properties of Sanghuang [48]. In the study of Yang, the proximate compositions and microelements of Sanghuang were determined, including the contents of total phenolics, flavonoids and polysaccharides, SOD-like and nutrient compositions of water extracts. The content of total polysaccharides was obviously higher than flavonoids [49]. SVW, SVE60 and SVE95 were three extracts of S. vaninii which were separately extracted by water, 60% ethanol and 95% ethanol in this experiment. The SVW had the richest content in polysaccharides and lowest content in flavonoid compounds in those extracts. SVW60 had the highest flavonoid content, and its polysaccharide content was greater than that in SVE95. Therefore, the composition of SVE60 was analysed via UPLC-MS. The results suggested that the essential components were phenolics, and the majority were phenolic acids, flavonoids and phenylpropanoids. Many phenolic compounds have been shown to inhibit proliferation and angiogenesis of tumour cells in vitro [50].
The 95% ethanolic extract from the fruiting body of Sanghuang inhibited the proliferation of both cell lines in a dose-dependent manner, and the IC 50 values at 48 h were 72 and 103 g/mL for SK-Hep-1 cells and RHE cells [51]. According to the CCK-8 cell proliferation results, the three extracts significantly reduced the cell survival rate with a good dose-effect relationship, and the effect of the two ethanol extracts was better than the water extract, especially SVE60, which had a much higher IC 50 than SVW and SVW95. It is well known that apoptosis is an evolutionarily suicide program regulated by many genes that activates the cell death process, resulting in the removal of damaged tissue [52]. Furthermore, the two ethanol extracts induced SW480 apoptosis, particularly SVE60. SVE60 also had the ability to inhibit cancer cell proliferation by causing cell arrest in different phases.
Actually, while obvious inhibitory trends for cancer cells were observed in all dosages, there was very little apoptosis at high concentrations in this experiment, survival rates were low in all concentrations, and similar results were also found in cell cycle. They were probably caused by apoptosis or the death of cancer cells, due to the short detection time in these tests. SVE60 could significantly decrease the expression of mTOR, AKT and p-AKT proteins, which was related to the proliferation of SW480 cells and the activation of mTOR signalling. This study analysed the extract components of S. vaninii and explored its anti-colon cancer mechanism. These results showed that SVE60 had good potential for usage as an adjuvant chemotherapeutic and anti-colon cancer drug, in postoperative nutrition and in the prevention of recurrence.
The study demonstrated SVE60 had an obvious effect on anti-colon cancer. In a further study, we plan to prolong the determining time in apoptosis and cell cycle experiments so a clearer trend can be observed. Furthermore, we need to isolate and purify components from the 60% ethanol extract and observe the inhibition effect of the extract on human colon cancer in vivo via an orthotopic model of colon cancer in nude mice.  Data Availability Statement: The study did not report any data.