Background/Aim: Ethyl β-carboline-3-carboxylate (β-CCE) is one of the effective ingredients of Picrasma quassioides (P. quassioides). As a β-carboline alkaloid, it can antagonize the pharmacological effects of benzodiazepines by regulating neurotransmitter secretion through receptors, thus affecting anxiety and physiology. However, its efficacy in cancer treatment is still unclear. Materials and Methods: We explored the effect of b-CCE on SiHa cells using MTT assay, western blot, flow cytometry, LDH release, T-AOC, SOD, and MDA assays. Results: We investigated the cytotoxicity of β-CCE in SiHa cells and verified that β-CCE could induce cell apoptosis in a time-and concentration-dependent manner. In this process, treatment with β-CCE significantly increased the levels of cytoplasmic and mitochondrial reactive oxygen species (ROS), which disturb the oxidation homeostasis by regulating the total antioxidant capacity (T-AOC), superoxide dismutase (SOD) activity, and malondialdehyde (MDA) production. Notably, the addition of N-acetylcysteine (NAC) (ROS scavenger) effectively alleviated β-CCE-induced apoptosis in SiHa cells. In addition, β-CCE might activate the p38/MAPK signaling pathway, as the pre-treatment with SB203580 (p38 inhibitor) significantly reduced β-CCEinduced apoptosis in SiHa cells. Conclusion: β-CCE has an anti-tumor activity. It activates the p38/MAPK signaling pathway by increasing intracellular ROS levels, which subsequently induce SiHa cell apoptosis. Our results provide a novel therapeutic target for treatment of cervical cancer.Cervical cancer is one of the most common female cancers with a high mortality rate worldwide (1). The main causes of cervical cancer include human papillomavirus (HPV) infection, smoking, and prolonged use of oral contraceptives. Cervical cancer has no obvious symptoms, however, as the disease progresses, abnormal vaginal bleeding (2) and vaginal discharge (3), pelvic pain, or pain during sexual intercourse are observed (4). Although cervical cancer can be effectively prevented through vaccination, it is still a growing burden for many developing and developed nations lacking effective screening and treatment methods. Hence, the development of inexpensive and effective drugs against cervical cancer is extremely important.In recent years, researchers have gradually realized the benefits of using active ingredients extracted from natural herbal medicines, which have very few side effects and are cost-effective. Ethyl β-carboline-3-carboxylate (β-CCE) is a β-carboline alkaloid extracted from P. quassioides. Studies have shown that β-carboline alkaloids have many therapeutic effects; for instance, they are used to treat mice pulmonary fibrosis (5), depression (6), bacterial infections (7), inflammatory diseases (8), and cancer (9). The anti-cancer effect of β-carboline alkaloids has been widely studied for the treatment of lung (10), liver (11), gastric (12), colon (13), and ovarian cancer (14). β-CCE is one of the most effective β-carboline alkaloids. However, , the research...