Background: 4-O-Carboxymethyl ascochlorin (AS-6), a PPARâ„ agonist, reduces serum glucose levels in a diabetic mouse model. Results: Proteomics analysis revealed that many proteins up-regulated after AS-6 treatment were associated with ER stress response. Conclusion: AS-6 produces an ER unfolded protein response, inducing autophagy, and activating transcription factor CHOPdependent apoptosis. Significance: By stimulating autophagy, AS-6 might be effective in blocking proliferation of cancer cells.