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Introduction: Cervical cancer (CC) is associated with persistent high-risk HPV infection, whose E6 and E7 oncoproteins inactivate tumor suppressors p53 and pRB. Cisplatin toxicity and tumor resistance reinforce the search for novel selective therapeutic agents. LyeTx-Ib-PEG, a synthetic peptide derived from Lycosa erythrognata venom, conjugated to polyethylene glycol (PEG), showed antimicrobial activity, but its antitumor effect in CC has yet to be investigated. Aims: To evaluate the antitumor activity of LyeTx-Ib-PEG in CC cell lines and its effects on apoptotic genes and HPV oncoproteins. Methods: Following IC50 determination in HeLa (HPV18), SiHa, CaSki (HPV16), and HEK293 (non-tumorigenic) cell lines, we evaluated clonogenic capacity, LyeTx-Ib-PEG/Cisplatin interaction (isobolographic analysis), and gene expression (RT-qPCR) related to apoptosis (CASP3, CASP8, CASP9, BAX, BCL2, TP53 and RB1) and viral oncogenes (E6 and E7). Results: Peptide IC50 values were 22.4 µM in HeLa, 14.3 µM in SiHa, 25.0 µM in CaSki, and 36.1 µM in HEK293. At IC50, clonogenic survival decreased to 0.20 in SiHa (p < 0.0001), 0.67 in CaSki (p = 0.002), and 0.33 in HeLa (p < 0.0001). Apoptotic gene expression was modulated exclusively in the CaSki cell line, characterized by a 1.3-fold upregulation of CASP8 (p = 0.002) along with BAX and BCL2 modulation. E6 and E7 fold changes decreased to 0.35–0.55 relative to control. Synergy with cisplatin occurred in CaSki (1:3 and 3:1) and an additive effect at 1:1; in HeLa and SiHa, interaction varied from additive to antagonistic. Conclusion: LyeTx-Ib-PEG showed selective antitumor activity in cervical cancer cell lines, reducing clonogenic survival and E6/E7 expression, modulating apoptotic pathways in a cell line-dependent manner, and synergizing with cisplatin in CaSki. Altogether, these preliminary findings demonstrate the antitumor activity of LyeTx-Ib-PEG, highlighting its potential for the development of a novel therapeutic agent against CC.
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