BackgroundPancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy that is commonly detected after disease progression and shows poor response to current treatment. Ginkgetin (GK), a plant-derived biflavonoid from Ginkgo biloba, has shown anticancer activity, but its effect on PDAC remains insufficiently defined.PurposeThis study evaluated whether GK suppresses PDAC progression and clarified its relationship with ROS-associated apoptosis, epithelial-mesenchymal transition (EMT), mitochondrial dysfunction, and HSP90-associated AKT/GSK3β signaling.Study DesignAn integrated in vitro, reactive oxygen species (ROS)-rescue, network pharmacology, and xenograft study was performed.MethodsGK was examined in MIA PaCa-2, PANC-1, and HPNE cells using viability, colony formation, migration, qPCR, Western blotting, network pharmacology, flow cytometry, and N-acetyl-L-cysteine (NAC) rescue assays. Antitumor activity was examined in a PANC-1 xenograft model.ResultsGK suppressed PDAC cell proliferation, colony formation, migration, and EMT marker expression without significant toxicity in normal pancreatic cells. Network pharmacology linked GK to HSP90/AKT1/GSK3β, CASP3, BCL2, apoptosis, and focal adhesion pathways. GK induced HSP90 cleavage, reduced AKT and GSK3β phosphorylation, suppressed N-cadherin and vimentin, increased ROS, promoted apoptosis, and disturbed mitochondrial membrane potential and Ca2+-associated signals. NAC attenuated GK-induced ROS accumulation, apoptosis, HSP90 cleavage, and wound closure inhibition but did not clearly restore mitochondrial depolarization. In vivo, GK suppressed tumor growth without obvious body-weight loss and reduced PCNA, BCL-xL, and vimentin expression.ConclusionGK suppresses PDAC progression as a Ginkgo biloba-derived anticancer candidate by inducing ROS-associated apoptosis, mitochondrial stress, and HSP90-AKT/GSK3β-linked EMT modulation.