Background: High-fat, low-carbohydrate and adequate-protein ketogenic diets (KD) are expected to become an effective adjunct therapy for cancer patients. However, the direct effects of KD on tumor cells and the underlying mechanisms are elusive. In this study, the nude mouse models of subcutaneous transplanted human colon cancer cells were established and applied to study the effects and mechanisms of KD on the growth of subcutaneous tumors in nude mice.Methods: Male nude mice were injected subcutaneously with human colon cancer HCT-116 cell line to construct a subcutaneous tumor model of human colon cancer. The successfully constructed subcutaneous tumor mice were divided into normal diet group and KD group. The mice were anesthetized and euthanized after 30 days of feeding, the subcutaneous tumor tissues were collected, and the size of tumors was measured and weighed. HE staining was used to observe the pathological changes of subcutaneous tumor tissues in normal feeding group and KD group. TUNEL staining was used to detect the level of apoptosis in tumor tissue. Immunohistochemistry of subcutaneous tumor tissues was used to detect the expression levels of Wnt-1 and β-catenin. In addition, RT-qPCR and western blotting were applied to detect the expression levels of Wnt1/β-catenin signaling pathway-related proteins.Results: After 30 days of normal diet and KD feeding, the subcutaneous tumor tissues of human colon cancer mice were taken out for various assays. The results of tumor size measurement showed that the tumor size and weight of KD group were significantly smaller than that of the normal diet group. HE staining showed that the pathological characteristics of colon tumor tissue in the KD group were significantly improved, and the infiltration of inflammatory cells was reduced. TUNEL staining showed that the apoptosis level of tumor cells in the KD group was significantly increased compared to the normal diet group. RT-qPCR and western blotting revealed that the expression of pro-apoptotic proteins such as caspase 3,caspase 9 and Bax were increased(P < 0.01), while the expression of anti-apoptotic protein such as Bcl-2 or survivin was decreased (P < 0.01). Furthermore, the expression of Wnt1/β-catenin signaling pathway-related proteins including Wnt1 and β-catenin were largely reduced after 30 days of KD feeding compared to normal feeding group (P < 0.01).Conclusions: Ketogenic diets (KD) promotes apoptosis of human colon cancer subcutaneous tumor cells and inhibits the growth of tumor by inhibiting Wnt1/β-catenin signaling pathway in mouse subcutaneous tumor models of human colon cancer.