Abstract. Arsenic trioxide (As 2 O 3 ) has been recognized as a potential chemotherapeutic agent, yet the details concerning its mechanism of action in solid cancers remain undetermined. The present study assessed the role of Akt in the cell death induced by As 2 O 3 . The MTT assay showed that As 2 O 3 suppressed the proliferation of SGC-7901 cells in a dose-and time-dependent manner. Characteristic apoptotic changes were observed in the As 2 O 3 -treated cells by Hoechst 33342 staining, and FACS analysis showed that As 2 O 3 caused dose-dependent apoptotic cell death. As 2 O 3 activated caspase-3 and -9, and PARP cleavage in a dose-dependent manner. Compromised mitochondrial membrane potential and an increased protein level of Bax indicated involvement of mitochondia. As 2 O 3 decreased the levels of p-Akt (Ser473), p-Akt (Thr308) and p-GSK-3β (Ser9), suggesting that As 2 O 3 inactivated Akt kinase. In addition, LY294002 (a PI3 kinase inhibitor) augmented the apoptosis induced by As 2 O 3 . These results demonstrated that inhibition of PI3K/Akt signaling was involved in As 2 O 3 -induced apoptosis of gastric cancer SGC-7901 cells.