In a high percentage (≥85%) of both sporadic and
familial adenomatous polyposis forms of
colorectal cancer (CRC), the inactivation of the APC tumor suppressor gene initiates
tumor formation and modulates the Wnt/β-
Catenin transduction pathways involved in the control of cell proliferation, adhesion and
metastasis. Increasing evidence showed that the
endocannabinoids control
tumor growth and progression, both in vitro and in vivo. We evaluated the effect of
Rimonabant, a
Cannabinoid Receptor 1 (CB1) inverse agonist, on the Wnt/β-
Catenin pathway in HCT116 and SW48 cell lines carrying the genetic profile of metastatic CRC poorly responsive to
chemotherapies. In these models,
Rimonabant inhibited the Wnt/β-
Catenin canonical pathway and increased β-
Catenin phosphorylation; in HCT116 cells, but not in SW48, the compound also triggered the Wnt/β-
Catenin non canonical pathway activation through induction of Wnt5A and activation of
CaMKII. The
Rimonabant-induced downregulation of Wnt/β-
Catenin target genes was partially ascribable to a direct inhibition of p300/KAT3B
histone acetyltransferase, a coactivator of β-
Catenin dependent gene regulation. Finally, in HCT116 xenografts,
Rimonabant significantly reduced
tumor growth and destabilized the nuclear localization of β-
Catenin. Obtained data heavily supported the rationale for the use of
cannabinoids in combined
therapies for metastatic CRC harbouring activating mutations of β-
Catenin.