Abstract:Objective To explore the effects of betulin on natural killer (NK) cell cytotoxicity and lymphocyte proliferative activity in mouse models of cervical cancer.Methods Mouse models of cervical cancer were established by subcutaneous injection of the human cervical cancer cell line HeLa, and a total of 45 mouse models were randomly divided into model group, betulin group and betulin+SB203580 group, each with 15 mice. Besides, another 15 untreated mice were set as a control group. Betulin was given via intragastric administration (100 mg/kg), while intraperitoneal injection of SB203580 (50 ng/kg) was given to inhibit the p38 pathway. The cell proliferation was detected by immunohistochemical staining. The protein expression of p38, NK cell cytotoxicity and lymphocyte proliferative activity were compared among groups.Results The volume and mass of tumors in the betulin group and the betulin+SB203580 group were smaller than those in the model group (P < 0.05), and they were even smaller in the betulin+SB203580 group relative to the betulin group (P < 0.05). The mmunoreactive score and the relative expression of p38 protein in the betulin group and the betulin + SB203580 group were lower than those in the model group (P < 0.05), and they were even lower in the betulin + SB203580 group relative to the betulin group (P < 0.05). The spleen index, NK cell cytotoxicity and lymphocyte proliferative activity were higher in the betulin group and the betulin + SB203580 group compared with the model group (P < 0.05), while these indicators were even higher in the betulin + SB203580 group than those in the betulin group (P < 0.05).Conclusions Betulin not only inhibits the proliferation of cervical cancer cells, but also improves NK cell cytotoxicity and the lymphocyte proliferative activity by suppressing the p38.