Purpose: D iarsenic oxide, As2O 3, has been reported to be effective in treating acute leukemia, and induce apoptosis in many tumor cells. In this study, the ability of a novel arsenical compound, As4O 6 (tetraarsenic oxide), along with As2O 3, for its ability to induce cell growth inhibition, as well as apoptosis, in human cervical cancer cells, S iH a cells, were evaluated in vitro.M aterials and M ethods: To examine the levels of apoptosis, S iH a cells were given two sensitive doses, 0.5 and 1μM , of arsenical compounds, and a D N A fragmentation assay and FAC S analysis were then conducted. In addition, a W estern blotting assay was performed to identify target molecules for apoptosis.R esults: Both As2O 3 and As4O 6 induced dosedependent inhibition of S iH a cell proliferation. In particular, As4O 6 was more effective at suppressing SiHa cell growth than As2O 3. In parallel with the inhibition of cell proliferation, As4O 6 caused a significantly greater increase in the sub-G 1 cell population than As2O 3, as determined by propidium iodide D N A staining. This was confirmed by a D N A fragmentation assay and annexin V staining. The W estern blotting analysis also showed that the expression of proliferating cell nuclear antigen (P C N A) was suppressed to a significantly greater extent by As4O 6 than As2O 3 at a dose of 0.5μM . H owever, the apoptosis-related protein, Bax, was expressed to a significantly greater extent due to As4O 6 than As2O 3.C onclusion: Taken together, these findings suggest that a novel arsenic compound, As4O 6, possesses more potent anti-proliferative effects on human cervical cancer cells, with the induction of apoptosis also, at least via the activation of Bax protein in vitro. (C ancer R es Treat. 2005;37:307-312)