Background: The anticancer drug camptothecin (CPT), first isolated fromCamptotheca acuminata, was subsequently discovered in unrelated plants, includingOphiorrhiza pumila. Unlike known monoterpene indole alkaloids, CPT inC. acuminatais biosynthesized via the key intermediate strictosidinic acid, but howO. pumilasynthesizes CPT has not been determined.Results: In this study, we used nontargeted metabolite profiling to show that 3α-(S)-strictosidine and 3-(S), 21-(S)-strictosidinic acid coexist inO. pumila. After identifying the enzymesOpLAMT,OpSLS, andOpSTR as participants in CPT biosynthesis, we compared these enzymes to their homologues from two other representative CPT-producing plants,C. acuminataandNothapodytes nimmoniana, to elucidate their phylogenetic relationship. Finally, using labelled intermediates to resolve the CPT biosynthesis pathway inO. pumila, we showed that 3α-(S)-strictosidine, not 3-(S), 21-(S)-strictosidinic acid, is the exclusive intermediate in CPT biosynthesis.Conclusions: In our study, we found thatO. pumila, another representative CPT-producing plant, exhibits metabolite diversity in its central intermediates consisting of both 3-(S), 21-(S)-strictosidinic acid and 3α-(S)-strictosidine and utilizes 3α-(S)-strictosidine as the exclusive intermediate in the CPT biosynthetic pathway, which differs fromC. acuminata. Our results show that enzymes likely to be involved in CPT biosynthesis inO. pumila,C. acuminata, andN. nimmonianahave evolved divergently. Overall, our new data regarding CPT biosynthesis inO. pumilasuggest evolutionary divergence in CPT-producing plants. These results shed new light on CPT biosynthesis and pave the way towards its industrial production through enzymatic or metabolic engineering approaches.