Inosine monophosphate dehydrogenase (IMPDH) catalyzes the rate-limiting reaction in the de novo synthesis pathway of
guanine nucleotides that is highly required for
cancer cell outgrowth. Herein, we found that IMPDH
isoform 2 (IMPDH2) is highly expressed in
colorectal cancer (CRC) and is correlated with poor patient prognosis. Via structure-based virtual screening, we identified
berberrubine, a critical ingredient of the medical plant Coptis chinensis, as a novel, selective, and competitive inhibitor of IMPDH2, which demonstrated over 15-fold selectivity to IMPDH2 than IMPDH1. Besides, we also confirmed the interaction between
berberrubine and IMPDH2. Of note,
berberrubine treatment significantly impairs the growth of human CRC cells in a dose-dependent manner, which can be rescued by supplementing with
guanosine. Furthermore,
oral administration of
berberrubine remarkably reduced
tumor volume and weight in a human cell line-derived xenograft model. Importantly, the anti-
cancer activity of
berberrubine was also confirmed by using the
azoxymethane (AOM) /
dextran sulfate sodium (DSS)-induced spontaneous CRC mouse model. Taken together, our study highlights that
berberrubine acts as a novel IMPDH2 inhibitor, suppressing the growth of CRC in vitro and in vivo, providing a fresh perspective for its potential application in the treatment of CRC.