Frizzled family receptor 7 (
FZD
7
), a Wnt signaling receptor, is associated with the maintenance of stem cell properties and cancer progression.
FZD
7 has emerged as a potential therapeutic target because it is capable of transducing both canonical and noncanonical Wnt signals. In this study, we investigated the regulatory pathway downstream of
FZD
7
and its functional roles. We found that
FZD
7
expression was crucial to the maintenance of the mesenchymal phenotype, anoikis resistance, and spheroid and tumor formation in ovarian cancer (OC). We identified
TWIST
1
as the crucial downstream effector of the
FZD
7
pathway.
TWIST
1
, a basic helix loop helix transcription factor, is known to associate with mesenchymal and cancer stem cell phenotypes. Manipulating
TWIST
1
expression mimicked the functional consequences observed in the
FZD
7
model, and overexpression of
TWIST
1
partially rescued the functional phenotypes abolished by
FZD
7
knockdown. We further proved that
FZD
7
regulated
TWIST
1
expression through epigenetic modifications of H3K4me3 and H3K27ac at the
TWIST
1
proximal promoter. We also identified that the
FZD
7
‐
TWIST
1
axis regulates the expression of
BCL
2
, a gene that controls apoptosis. Identification of this
FZD
7
‐
TWIST
1
‐
BCL
2
pathway reaffirms the mechanism of anoikis resistance in OC. We subsequently showed that the
FZD
7
‐
TWIST
1
axis can be targeted by using a small molecule inhibitor of porcupine, an enzyme essential for secretion and functional activation of Wnts. In conclusion, our results identified that the
FZD
7
‐
TWIST
1
axis is important for tumorigenesis and anoikis resistance, and therapeutic inhibition results in cell death in OCs.