Objective:To investigate the relationship between the Wnt/β-catenin/TCF-4 pathway and livin expression in human renal cancer cell line 786-0,and to explore the apoptosis regulation mechanism of this pathway. Methods:786-0 cells were treated with different concentrations of indomethacin. Cell viability was then determined by CCK-8 assay. Flow cytometry was used to determine apoptosis change. The transcriptional changes of β-catenin,TCF-4,caspase-3,and livin were measured by quantitative real-time PCR,while the expression levels of β-catenin,caspase-3,and livin were measured by Western blot. Results:With the increase in the concentration of indomethacin,the cell viability decreased in a dose-response manner(P=0.000). Flow cytometry showed that the apoptosis rate increased with the increase in the concentration of indomethacin. The apoptosis rates of the 25 μmol/L group,50 μmol/L group,and 100 μmol/L group were (32.07±1.01)%,(40.03±1.95)%,and (72.33±0.02)%,respectively,all showing significant differences compared with those of the control group(P=0.000,0.002,and 0.000,respectively). Real-time PCR showed that the relative expression levels of β-catenin,TCF-4,and livin decreased significantly(P=0.002,0.000,and 0.000,respectively),while the level of caspase-3 increased significantly(P=0.001). Western blot revealed that,in the 25 μmol/L group,50 μmol/L group,and 100 μmol/L group,the relative expression levels of β-catenin were 0.568±0.020(P=0.001),0.396±0.030(P=0.000),and 0.142±0.038(P=0.000),respectively;the levels of livin were 0.139±0.016(P=0.005),0.050±0.006(P=0.000),and 0.011±0.001(P=0.000),re-spectively;and the levels of caspase-3 were 0.278±0.035(P=0.046),0.396±0.071(P=0.000),and 0.518±0.015(P=0.000),respectively. Conclusion:Indomethacin-mediated degradation of β-catenin/TCF-4 in renal cancer cells may lead to the tran-scriptional repression of livin and the up-regulation of caspase-3 expression,thereby inducing apoptosis of renal cancer cells.