Wnt/β-
catenin or canonical Wnt signaling pathway regulates the self-renewal of
cancer stem-like cells (CSCs) and is involved in
tumor progression and
chemotherapy resistance. Previously, we reported that this pathway is activated in a subset of
osteosarcoma CSCs and that
doxorubicin induced stemness properties in differentiated cells through Wnt/β-
catenin activation. Here, we investigated whether pharmacological Wnt/β-
catenin inhibition, using a
tankyrase inhibitor (IWR-1), might constitute a strategy to target CSCs and improve
chemotherapy efficacy in
osteosarcoma. IWR-1 was specifically cytotoxic for
osteosarcoma CSCs. IWR-1 impaired spheres' self-renewal capacity by compromising landmark steps of the canonical Wnt signaling, namely translocation of β-
catenin to the nucleus and subsequent TCF/LEF activation and expression of Wnt/β-
catenin downstream targets. IWR-1 also hampered the activity and expression of key stemness-related markers. In vitro, IWR-1 induced apoptosis of
osteosarcoma spheres and combined with
doxorubicin elicited synergistic cytotoxicity, reversing spheres' resistance to this
drug. In vivo, IWR-1 co-administration with
doxorubicin substantially decreased
tumor progression, associated with specific down-regulation of TCF/LEF transcriptional activity, nuclear β-
catenin and expression of the putative CSC marker Sox2. We suggest that targeting the Wnt/β-
catenin pathway can eliminate CSCs populations in
osteosarcoma. Combining conventional
chemotherapy with Wnt/β-
catenin inhibition may ameliorate therapeutic outcomes, by eradicating the aggressive
osteosarcoma CSCs and reducing drug resistance.