Address for correspondence Larissa Saviani Ribeiro (larissasaviani@id.uff.br) Cancer is a leading cause of death worldwide. In Brazil, cervical cancer ranks third among women, with approximately 17,010 new cases expected annually in the 2023–2025 period. The high mortality associated with multidrug resistance emphasizes the urgent need for safer and more effective treatments. Natural products have become important sources of antitumor agents, particularly flavonoids, which modulate key signaling pathways involved in tumor cell proliferation, angiogenesis, metastasis, and apoptosis. Campomanesia xanthocarpa O. Berg (gabiroba), a member of the Myrtaceae family, is poorly studied despite known antidiabetic, antimicrobial, and anti-inflammatory properties. This study evaluates the antiproliferative activity of its fruit ethanolic extract on the HeLa cervical cancer cell line to identify potential bioactive compounds. Fruits were collected locally in Brazil. Six hundred grams of fresh fruits were macerated in two liters of 70% ethanol. Cytotoxicity was assessed by the MTT assay on HeLa (tumor) and NIH-3T3 (non-tumor) cell lines after 48 hours. The half-maximal inhibitory concentration (IC50) — the concentration needed to reduce cell viability by 50% — was calculated in micrograms per milliliter from dose-response curves. The selectivity index (SI) was determined by dividing the IC50 of NIH-3T3 cells by that of HeLa cells. Flavonoid content was measured using a colorimetric assay and expressed as micrograms of quercetin equivalents (QE) per milligram of dry extract. The extract decreased HeLa cell viability (IC50 = 18.33 µg/mL) and was less toxic to NIH-3T3 cells (IC50 = 37.32 µg/mL), resulting in an SI of 2.036. The positive control, doxorubicin, showed IC50 values of 1.3 µg/mL (HeLa) and 2.2 µg/mL (NIH-3T3), with an SI of 1.692. Phytochemical analysis indicated a flavonoid content of 7.3 µg quercetin equivalents (QE)/mg. In conclusion, the ethanolic extract of Campomanesia xanthocarpa fruit shows selective antiproliferative effects by significantly reducing cervical cancer cell viability while causing lower toxicity to non-tumor cells. Its favorable selectivity index compared to doxorubicin and its flavonoid content suggest promising potential as a source of bioactive compounds for developing cervical cancer therapies. Article published online: 26 June 2026 © 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/) Thieme Revinter Publicações Ltda. Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil