OBJECTIVE: To study the effect and mechanism of physcion 8-O-β-glucopyranoside (PG) on the apoptosis of skin melanoma A375 cells. METHODS: After A375 cells were treated by PG with 0, 10, 20, 50 μg/mL for 24, 48, 72 h, CCK-8 method was adopted to determine the survival rate of cells. After A375 cells were treated by PG with 0 (control), 20, 50 μg/mL for 48 h, flow cytometry was used to detect the apoptosis rate of cells with membrane protein Ⅴ/propidium iodide (PI) double staining. Immunoblotting was used to detect the protein expressions of Caspase-3 and polyadenyl adenine diphosphate ribose polymerase (PARP) and protein expressions of cytochrome C inside and outside mitochondria. After A375 cells were treated by PG with 0 (control), 5, 10 μmol/L for 48 h, enzyme substrate method was used to determine the activities of Caspase-8 and Caspase-9. RESULTS: PG can effectively decrease the survival rate of A375 cells. Compared with control, apoptosis rate of cells was obviously increased after treated by PG with 20, 50 μg/mL (P<0.01); protein expressions of Caspase-3, PARP in cells and cytochrome C in cell matrix were obviously enhanced (P<0.05 or P<0.01); and protein expression of cytochrome C in mitochondria was obviously weakened (P<0.05 or P<0.01). Caspase-9 activity in cells was obviously enhanced after treated by PG with 5, 10 μmol/L (P<0.05 or P<0.01); and Caspase-8 activity had no obvious changes. CONCLUSIONS: PG can inhibit activity of A375 cells and promote its apoptosis, and its pro-apoptotic effects is achieved by destructing mitochondrial membrane potential and promoting cytochrome C outflow.