Objective:To explore the association between single nucleotide polymorphisms(SNPs)in the Wnt signaling pathway genes and the curative effect and prognostic of metastatic colorectal cancer(mCRC)patients who received irinotecan-based chemotherapy. Methods:We selected seven key genes in the Wnt signaling pathway and genotyped the SNPs within seven genes among 110 mCRC patients treated with irinotecan-based chemotherapy. Logistic regression and cox regression analysis were performed to evaluate the association between SNPs and the curative effect and prognostic of mCRC patients. Results:Patients with the LRP6 rs10772542 C alleles had a lower disease control rate(DCR)compared with those with T alleles(OR=2.49,95%CI=1.28~4.83,P=0.007). LEF1 rs749414 G alleles had a longer progression-free survival(PFS)compared with the T alleles(HR=0.55,95%CI=0.40~0.78,P=0.001)and WNT7B rs10448605 T alleles had a shorter PFS compared with the C alleles(HR=1.65,95%CI=1.13~2.41,P=0.009). Furthermore,WNT2 rs2239957 C alleles had a longer overall survival(OS)compared with the G alleles(HR=0.54,95%CI=0.35~0.85,P=0.007). Conclusion:Genetic variants in the Wnt signaling pathway genes contribute to the curative effect and prognostic of mCRC patients who received irinotecan-based chemotherapy.