OBJECTIVE: To study the effects of 3 extracts of Acanthopanax sessiliflorus fruits on the proliferation and apoptosis of human hepatocarcinoma cells SMMC-7721, and to provide reference for confirming the mechanism of anti-tumor effect. METHODS: MTT assay was adopted to investigate the effects of low-mass concentration, medium-mass concentration and high-mass concentration of ethanol extract (0.92, 1.84, 3.68 mg/mL), crude polysaccharide extract (0.06, 0.12, 0.24 mg/mL) and refined polysaccharide extract (0.04, 0.08, 0.16 mg/mL) from A. sessiliflorus fruits on the proliferation and apoptosis of SMMC-7721 cells after treated for 24, 36, 48 h, respectively. Flow cytometry was used to investigate the effects of 1.84 mg/mL ethanol extract, 0.24 mg/mL crude polysaccharide extract and 0.16 mg/mL refined polysaccharide extract on cell cycle and cell apoptosis after treated for 24 h. The above tests were all negative control (only adding cells without drugs). RESULTS: Compared with negative control, 3 extracts of A. sessiliflorus fruits could significantly inhibit the proliferation of SMMC-7721 cells (P<0.01), could significantly decrease the percentage of SMMC-7721 cells in G0/G1 and G2/M phase (P<0.01), could significantly increase the percentage of SMMC-7721 cells in S phase (P<0.01) and the apoptosis rate of SMMC-7721 cells (P<0.05); especially the effects of ethanol extract from A. sessiliflorus fruits were the most obvious. CONCLUSIONS: Three extracts of A. sessiliflorus fruits can inhibit the proliferation of human hepatocarcinoma SMMC-7721 cells, block SMMC-7721 cells in S phase and induce the apoptosis of SMMC-7721 cells.