ABSTRACT
BACKGROUND: In Cervical cancer (CC), in addition to HPV infection, the most relevant alteration during CC initiation and progression is the aberrant activation of Wnt/ß-catenin pathway. Several inhibitory drugs of this pathway are undergoing preclinical and clinical studies. Long non-coding RNAs (lncRNAs) are associated with resistance to treatments. In this regard, understanding the efficiency of drugs that block the Wnt/ß-catenin pathway in CC is of relevance to eventually propose successful target therapies in patients with this disease. METHODS: We analyzed the levels of expression of 249 components of the Wnt/ß-catenin pathway in a group of 109 CC patients. Three drugs that blocking specific elements of Wnt/ß-catenin pathway (C59, NSC668036 and ICRT14) by TOP FLASH assays and qRT-PCR were tested in vitro in CC cells. RESULTS: 137 genes of the Wnt/ß-catenin pathway were up-regulated and 112 down-regulated in CC patient's samples, demonstrating that this pathway is dysregulated. C59 was an efficient drug to inhibit Wnt/ß-catenin pathway in CC cells. NSC668036, was not able to inhibit the transcriptional activity of the Wnt/ß-catenin pathway. Strikingly, ICRT14 was neither able to inhibit this pathway in HeLa cells, due to HOTAIR interaction with ß-catenin, maintaining the Wnt/ß-catenin pathway activated. CONCLUSIONS: These results demonstrate a mechanism by which HOTAIR evades the effect of ICRT14, a Wnt/ß-catenin pathway inhibitory drug, in HeLa cell line. The emergence of these mechanisms reveals new scenarios in the design of target therapies used in cancer.