Endoplasmic reticulum stress (ERS) is usually involved in tumor development and progression, and anticancer agents have recently been recognized to induce ERS. CucurbitacinâI showed a potent anticancer action by inducing apoptosis through the inhibition of signal transducer and activator of transcription 3 pathway and triggering autophagic cell death. It is not known whether ERS mediates the cancer cell death induced by cucurbitacinâI. Here, we investigated the role of ERS in cucurbitacinâIâtreated SKOV3 ovarian cancer cells and PANCâ1 pancreatic cancer cells. We confirmed that cucurbitacinâI caused cell death and stirred excessive ERS levels by activating inositol requiring enzyme 1α (IRE1α) and protein kinase Râlike endoplasmic reticulum kinase (PERK), as well as PERK downstream factors, including IRE1α and C/EBP homologous protein, but not activating transcription factor 6 (ATF6α) pathway, which was in parallel with the increased Bax and caspaseâ12âdependent ERSâassociated apoptosis, autophagy and autophagy flux levels and caspaseâindependent nonapoptotic cell death. Furthermore, 4âphenylbutyrate, an ERS inhibitor, suppressed cucurbitacinâIâinduced apoptosis, autophagy, autophagy flux, and autophagic cell death. Simultaneously, there are positive correlations among ERS and cucurbitacinâIâinduced reactive oxygen species and Ca
2+. Our results suggested that cucurbitacinâIâinduced cancer cell death through the excessive ERS and CHOPâBax and caspaseâ12âdependent ERSâassociated apoptosis, as well as ERSâdependent autophagy, autophagy flux, and caspaseâindependent nonapoptotic cell death. These novel signaling insights may be useful for developing new, effective anticancer strategies in oncotherapy.