The canonical WNT signaling pathway regulates embryonic ovarian development as well as normal ovarian function and folliculogenesis by governing cellular proliferation and differentiation. Alterations in the WNT system have been implicated in ovarian cancer, however, the contribution of specific ligand partners associated with WNT signaling to ovarian tumorigenesis have not been elucidated. The goal of the current study was to examine the role and functional mechanisms of WNT7A in ovarian cancer. WNT7A was expressed in 40-60 % of high grade serous ovarian malignant tumors, and 20-30 % of mucinous and clear cell adenocarcinomas, but was not detected in borderline/benign tumors, normal ovary or endometrioid carcinomas. Further, WNT7A was detected in only the highly invasive SKOV3.ip1 cell line in a cohort of normal and malignant ovarian epithelial cells. Using lentiviral transfection of shRNA, WNT7A was silenced in SKOV3.ip cells and two subclones, ip11 and ip12, were selected for further study after confirmation of WNT7A mRNA and protein suppression. To characterize the role of WNT7A in advanced ovarian cancer, nude mice were injected with SKOV3.ip1, ip11, and ip12 intraperitoneally or subcutaneously. In the i.p. group, mice receiving ip11 and ip12 cells had significantly lower tumor burden and implanted tumor number. While mice injected with SKOV3.ip1 parental cells failed to gain weight during the experiment (a sign of advanced illness), those with ip11 and ip12 cells displayed increased body weight throughout the study. Gross and histological examination further revealed greatly reduced invasion of ip11 and ip12 cells into intestinal mesentery and serosa compared to SKOV3.ip parental cells. Tumor growth of ip11 and ip12 was significantly decreased compared to SKOV3.ip controls in mice given s.c. injection as well, and western blot analysis of homogenates verified sustained reduction of WNT7A expression in ip11 and ip12 tumors. Immunohistochemical staining of s.c. tumors showed decreased expression of cyclin D1, a WNT7A transcriptional target and regulator of cell cycle and proliferation, in ip11 and ip12 tumors compared to SKOV3.ip1. In vitro analysis of cell function revealed significantly reduced proliferation, adhesion, and migration, as well as cell cycle arrest in ip11 and ip12 cells compared to SKOV3.ip1 parental cells. Further, expression of MMP7, a transcriptional target of WNT7A involved in tumor invasion, was reduced in ip11 and ip12 cells compared to SKOV3.ip1 cells. These results were verified by stable overexpression of WNT7A in ovarian cancer cells which lack endogenous WNT7A. Increased proliferation, adhesion, and migration were observed in these cells. Activation of the TopFlash (TCF/LEF) reporter confirmed that transfection of WNT7A activates the canonical WNT/CTNNB1 pathway. Further, co-transfection with FZD5 (WNT receptor) produced an even greater increase in TopFlash reporter activity, and this effect was inhibited by co-transfection with the WNT receptor antagonist SFRP2. These results indicate that WNT7A is a critical regulator of ovarian cancer tumorigenesis and disease progression mediated by intracellular signaling through the WNT/CTNNB1 pathway. Supported by American Cancer Society Illinois Division #139038. (platform)