Many tumors are relevant to the abnormal up-regulated transcriptional activity of β-catenin that interacts with T-cell factor (TCF) and lymphoid-enhancing factor (LEF) to induce the transcription of Wnt/β-catenin-response genes. [1][2][3] Since β-catenin is commonly dysregulated in colon cancer, targeting of β-catenin has been considered for therapeutic purposes to treat colon cancer. [4][5][6][7] In order to identify small molecules with anti-cancer action via inhibition of β-catenin activity, we screened 9939 compounds including 2320 FDA-approved drugs and the representative library (7619 compounds in Korea Chemical Bank; http://eng.chembank.org) and selected 416 compounds exhibiting β-catenin activity less than 80% of the control at 1 μM, and among them, 59 compounds exhibited the dose-dependent inhibitory activity in the concentration range from 0.01 to 1 μM. Then, through third and fourth screenings using human colon HCT116 cells, finally homoharringtonine (HHT; Figure 1(a)) was selected as a hit compound to strongly inhibit the β-catenin activity, the cell viability and the expression levels of LEF/TCF transcriptional target proteins (proto-oncogene c-Myc and cyclin D1) compared to others (Figure S1 in Supporting information).After approval by the US FDA in 2012, HHT has been used as a drug substance (omacetaxine mepesuccinate) for curing patients with chronic myeloid leukemia (CML). 8 Until now, a few studies have reported that HHT treatment and its combination with aclarubicin (anthracycline anticancer drug) resulted in the reduction and inhibition of β-catenin in multiple myeloma and acute myeloid leukemia, respectively. 9,10 Therefore, in this study, we investigated the hypothesis that apoptotic HHT in colon cancer could result from its inhibitory potential to Wnt/β-catenin signaling. 11 HCT116 cells have a heterozygous mutation of β-catenin, resulting in an increase in β-catenin-TCF4-mediated transcriptional activity among several types of colon cancer cells. 12,13 The potential of HHT to inhibit β-catenin activity in HCT116 cells was confirmed. In a dose-dependent manner, HHT significantly inhibited the β-catenin activity (Figure 1(b)) and the viability of HCT116 cells (Figure 1 (c)). The potent inhibitory action of HHT on the β-catenin activity was also revealed by evaluating the protein expression levels of c-Myc and cyclin D1 (Figure 1(d)). [14][15][16][17][18] How could HHT inhibit the β-catenin activity? To clarify this question, the protein levels of key factors in the Wnt/βcatenin signaling axis were investigated. Low-density lipoprotein receptor-related protein 6 (LRP6) involved in cytoskeleton dynamics has been shown to promote metastasis of colorectal cancer, 19 and its phosphorylation plays an important role to the activation of β-catenin. 20 After the activation of fizzled receptors, cytoplasmic phosphoprotein disheveled (Dvl) subsequently transmits the signal to the downstream factors in mammals. Over-expression of Dvl has been reported in several carcinomas, and the functional relevance...