Skip to main content

The Hedgehog Signaling Pathway in Cancer Pathogenesis and Therapy

  • Chapter
  • First Online:

Abstract

Elucidation of the hedgehog signaling pathway in Drosophila represented a series of beautiful studies in developmental biology. As is often true in science, research in one area can have a significant impact in seemingly unrelated areas. Starting with studies on genetic predisposition to cancer, it soon became clear that mutations affecting the hedgehog pathway occur in a broad spectrum of human cancers. Understanding the biology of this pathway and its role in cancer pathogenesis has also provided significant opportunities for the development of novel-targeted therapies for a variety of cancers.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Alcedo J, Ayzenzon M, Von Ohlen T, Noll M, Hooper JE (1996) The Drosophila smoothened gene encodes a seven-pass membrane protein, a putative receptor for the hedgehog signal. Cell 86:221–232

    Article  PubMed  CAS  Google Scholar 

  • Bailey JM, Swanson BJ, Hamada T, Eggers JP, Singh PK, Caffery T, Ouellette MM, Hollingsworth MA (2008) Sonic hedgehog promotes desmoplasia in pancreatic cancer. Clin Cancer Res 14:5995–6004

    Article  PubMed  CAS  Google Scholar 

  • Bailey JM, Mohr AM, Hollingsworth MA (2009) Sonic hedgehog paracrine signaling regulates metastasis and lymphangiogenesis in pancreatic cancer. Oncogene 28:3513–3525

    Article  PubMed  CAS  Google Scholar 

  • Bale AE, Yu KP (2001) The hedgehog pathway and basal cell carcinomas. Hum Mol Genet 10:757–762

    Article  PubMed  CAS  Google Scholar 

  • Bar EE, Chaudhry A, Lin A, Fan X, Schreck K, Matsui W, Piccirillo S, Vescovi AL, DiMeco F, Olivi A (2007) Cyclopamine-mediated hedgehog pathway inhibition depletes stem-like cancer cells in glioblastoma. Stem Cells 25:2524–2533

    Article  PubMed  CAS  Google Scholar 

  • Baselga J (2006) Targeting tyrosine kinases in cancer: the second wave. Science 312:1175–1178

    Article  PubMed  CAS  Google Scholar 

  • Belloni E, Muenke M, Roessler E, Traverso G, Siegel-Bartelt J, Frumkin A, Mitchell HF, Donis-Keller H, Helms C, Hing AV, Heng HH, Koop B, Martindale D, Rommens JM, Tsui LC, Scherer SW (1996) Identification of sonic hedgehog as a candidate gene responsible for holoprosencephaly. Nat Genet 14:353–356

    Article  PubMed  CAS  Google Scholar 

  • Berlin J, Bendell J, Hart LL, Firdaus I, Gore I, Hermann RC, Mackey H, Yacht B, Graham RA, Low JA, Bray GL (2010) Phase II study of GDC-0449 (HPI) with concurrent chemotherapy and bevacizumab as first-line therapy for metastatic colorectal cancer. In: Proceedings of the European Society of Medical Oncology, Milan, Italy, 8–12 Oct 2010, Abstract #LBA21

    Google Scholar 

  • Berman DM, Karhadkar SS, Hallahan AR, Pritchard JI, Eberhart CG, Watkins DN, Chen JK, Cooper MK, Taipale J, Olson JM, Beachy PA (2002) Medulloblastoma growth inhibition by hedgehog pathway blockade. Science 297:1559–1561

    Article  PubMed  CAS  Google Scholar 

  • Berman DM, Karhadkar SS, Maitra A, Montes de Oca R, Gerstenblith MR, Briggs K, Parker AR, Shimada Y, Eshleman JR, Watkins DN, Beachy PA (2003) Widespread requirement for hedgehog ligand stimulation in growth of digestive tract tumors. Nature 425:846–851

    Article  PubMed  CAS  Google Scholar 

  • Bhattacharya R, Kwon J, Ali B, Wang E, Patra S, Shridhar V, Mukherjee P (2008) Role of hedgehog signaling in ovarian cancer. Clin Cancer Res 14:7659–7666

    Article  PubMed  CAS  Google Scholar 

  • Campbell VT, Nadesan P, Wang Y, Whetstone H, McGovern K, Read MA, Alman BA, Wunder JS (2011) Direct targeting of the Hedgehog pathway in primary chondrosarcoma xenografts with the smoothened inhibitor IPI-926. In: Proceedings of the American Association of Cancer Research Annual Meeting, Orlando, FL, 2–6 Apr 2011, Abstract LB380

    Google Scholar 

  • Chen JK, Taipale J, Cooper MK, Beachy PA (2002) Inhibition of hedgehog signaling by direct binding of cyclopamine to smoothened. Genes Dev 16:2743–2748

    Article  PubMed  CAS  Google Scholar 

  • Chen W, Ren XR, Nelson CD, Barak LS, Chen JK, Beachy PA, de Sauvage F, Lefkowitz RJ (2004) Activity-dependent internalization of smoothened mediated by beta-arrestin 2 and GRK2. Science 306:2257–2260

    Article  PubMed  CAS  Google Scholar 

  • Chiang C, Litingtung Y, Lee E, Young KE, Corden JL, Westphal H, Beachy PA (1996) Cyclopia and defective axial patterning in mice lacking sonic hedgehog gene function. Nature 383:407–413

    Article  PubMed  CAS  Google Scholar 

  • Clarke MF, Dick JE, Dirks PB, Eaves CJ, Jamieson CHM, Jones DL, Visvader J, Weissman IL, Wahl GM (2006) Cancer stem cells – perspective on current status and future directions: AACR workshop on cancer stem cells. Cancer Res 66:9339–9344

    Article  PubMed  CAS  Google Scholar 

  • Clement V, Sanchez P, de Tribolet N, Radovanovic I, Ruiz i Altaba A (2007) Hedgehog-Gli1 signaling regulates human glioma growth, cancer stem cell self-renewal, and tumorigenicity. Curr Biol 17:165–172

    Article  PubMed  CAS  Google Scholar 

  • Cooper MK, Porter JA, Young KE, Beachy PA (1998) Teratogen-mediated inhibition of target tissue response to Shh signaling. Science 280:1603–1607

    Article  PubMed  CAS  Google Scholar 

  • Creighton CJ, Lia X, Landis M, Dixon JM, Neumeister VM, Sjolund A, Rimm DL, Wong H, Rodriguez A, Herschkowitz JI, Fan C, Zhang X, He X, Pavlick A, Gutierrez MC, Renshaw L, Larionov AA, Faratian D, Hilsenbeck SG, Perou CM, Lewis MT, Rosen JN, Chang JC (2009) Residual breast cancers after conventional therapy display mesenchymal as well as tumor-initiating features. Proc Natl Acad Sci U S A 106:13820–13825

    Article  PubMed  CAS  Google Scholar 

  • Das S, Harris LG, Metge BJ, Liu S, Riker AI, Samant RS, Shevde LA (2009) The hedgehog pathway transcription factor GLI1 promotes malignant behavior of cancer cells by up-regulating osteopontin. J Biol Chem 284:22888–22897

    Article  PubMed  CAS  Google Scholar 

  • Dierks C, Grbic J, Zirlik K, Beigi R, Englund NP, Guo G-R, Veelken H, Engelhardt M, Mertelsmann R, Kelleher JF, Schultz P, Warmuth M (2007) Essential role of stromally induced hedgehog signaling in B-cell malignancies. Nat Med 13:944–951

    Article  PubMed  CAS  Google Scholar 

  • Dierks C, Beigi R, Guo G-R, Zirlik K, Stegert MR, Manley P, Trussell C, Schmitt-Graeff A, Landwerlin K, Veelken H, Warmuth M (2008) Expansion of Bcr-Abl-positive leukemic stem cells is dependent on hedgehog pathway activation. Cancer Cell 14:238–249

    Article  PubMed  CAS  Google Scholar 

  • Eichberger T, Kaser A, Pixner C, Schmid C, Klingler S, Winklmayr M, Hauser-Kronberger C, Aberger F, Frischauf AM (2008) GLI2-specific transcriptional activation of the bone morphogenetic protein/activin antagonist follistatin in human epidermal cells. J Biol Chem 283:12426–12437

    Article  PubMed  CAS  Google Scholar 

  • Epstein E, Tang JY, Mackay-Wiggan JM, Aszterbaum M, Lindgren J, Chang K, Coppola C, Campbell A, Chanana A, Marji J, Callahan C, Yacht R, Bickers DR (2011) An investigator-initiated, phase II randomized, double-blind, placebo-controlled trial of GDC-0449 for prevention of BCCs in basal cell nevus syndrome (BCNS) patients. In: Proceedings of the American Association of Cancer Research, Orlando, FL, 2–6 Apr 2011, Abstract #LB01

    Google Scholar 

  • Fan L, Pepicelli CV, Dibble CC, Catbagan W, Zarycki JL, Laciak R, Gipp J, Shaw A, Lamm MLG, Munoz A, Lipinski R, Thrasher JB, Bushman W (2004) Hedgehog signaling promotes prostate xenograft tumor growth. Endocrinology 145:3961–3970

    Article  PubMed  CAS  Google Scholar 

  • Farquharson C, Jefferies D, Seawright E, Houston B (2001) Regulation of chondrocyte terminal differentiation in the postembryonic growth plate: the role of the PtHrP-Indian Hh axis. Endocrinology 142:4131–4140

    Article  PubMed  CAS  Google Scholar 

  • Feldmann G, Habbe N, Dhara S, Bisht S, Alvarez H, Fendrich V, Beaty R, Mullendore M, Karikari C, Bardeesy N, Ouellette MM, Yu W, Maitra A (2008) Hedgehog inhibition prolongs survival in a genetically engineered mouse model of pancreatic cancer. Gut 57:1420–1430

    Article  PubMed  CAS  Google Scholar 

  • Geng L, Cuneo KC, Cooper MK, Wang H, Sekhar K, Fu A, Hallahan DF (2007) Hedgehog signaling in the murine melanoma microenvironment. Angiogenesis 10:259–267

    Article  PubMed  CAS  Google Scholar 

  • Goodrich LV, Milenković HKM, Scott MP (1997) Altered neural cell fates and medulloblastoma in mouse patched mutants. Science 277:1109–1113

    Article  PubMed  CAS  Google Scholar 

  • Growden WB, McCann CR, Curley M, Friel AM, Mandley E, Ferguson J, Foster R, MacDougal J, Rueda BR (2009) Hedgehog pathway inhibitor cyclopamine suppresses Gli1 expression and inhibits serous ovarian cancer xenograft growth (Abstract). In: Society of Gynecologic Oncologists annual meeting, San Antonio, TX, 5–8 Feb 2009, Abstract 18

    Google Scholar 

  • Hahn H, Wicking C, Zaphiropoulos PG, Gailani MR, Shanley S, Chidambaram A, Vorechovsky I, Holmberg E, Unden AB, Gillies S, Negus K, Smyth I, Pressman C, Leffell DJ, Gerrard B, Goldstein AM, Dean M, Toftgard R, Chenevix-Trench G, Wainwright B, Bale AE (1996) Mutations of the human homolog of Drosophila patched in the nevoid basal cell carcinoma syndrome. Cell 85:841–851

    Article  PubMed  CAS  Google Scholar 

  • Han Y-G, Kim HJ, Dlugosz AA, Ellison DW, Gilbertson RJ, Alvarez-Buylla AA (2009) Dual and opposing roles of primary cilia in medulloblastoma development. Nat Med 15:1062–1065

    Article  PubMed  CAS  Google Scholar 

  • He J, Sheng T, Stelter AA, Li C, Xhang X, Sinha M, Luxon BA, Xie J (2006) Suppressing Wnt signaling by the hedgehog pathway through sFRP-1. J Biol Chem 281:35598–35602

    Article  PubMed  CAS  Google Scholar 

  • Hegde GV, Peterson KJ, Emanuel K et al (2008) Hedgehog-induced survival of B-cell chronic lymphocytic leukemia cells in a stromal cell microenvironment: a potential new therapeutic target. Mol Cancer Res 6:1928–1936

    Article  PubMed  CAS  Google Scholar 

  • Incardona JP, Gaffield W, Kapur RP, Roellink H (1998) The teratogenic ceratrum alkaloid cyclopamine inhibits sonic hedgehog signal transduction. Development 125:3553–3562

    PubMed  CAS  Google Scholar 

  • Jackson-Fisher AJ, McMahon MJ, Lam J, Li C, Engstrom LD, Tsaparikos K, Shields DJ, Fang DD, Lira ME, Zhu Z, Robbins MD, Schwab R, Munchhof MJ, VanArsdale T (2011) PF-04449913, a small molecule inhibitor of Hedgehog signaling, is effective in inhibiting tumor growth in preclinical models. In: Proceedings of the American Association of Cancer Research Annual Meeting, Orlando, FL, 2–6 Apr 2011, Abstract #4504

    Google Scholar 

  • Jiang J, Hui C (2008) Hedgehog signaling in development and cancer. Dev Cell 15:801–812

    Article  PubMed  CAS  Google Scholar 

  • Kalluri R, Weinberg RA (2009) The basics of epithelial-mesenchymal transition. J Clin Invest 119:1420–1428

    Article  PubMed  CAS  Google Scholar 

  • Karhkadkar SS, Bova GS, Abdallah N, Dhara S, Gardner D, Maltra A, Isaccs JT, Berman DM, Beachy PA (2004) Hedgehog signalling in prostate regeneration, neoplasia and metastasis. Nature 431:707–712

    Article  Google Scholar 

  • Katoh Y, Katoh M (2008) Hedgehog signaling: epithelial-to-mesenchymal transition and miRNA (review). Int J Mol Med 22:271–275

    PubMed  CAS  Google Scholar 

  • Kaye S, Fehrenbacher L, Holloway R, Horowitz N, Karlan B, Amit A, Slomovitz B, Chang I, Yauch RL, Reddy JC (2010) Phase 2 randomized placebo controlled study of hedgehog pathway inhibitor GDC-0449 as maintenance therapy in patients with ovarian cancer in 2nd or 3rd complete remission. In: Proceedings of the European Society of Medical Oncology, Milan, Italy, 8–12 Oct 2010, Abstract #LBA25

    Google Scholar 

  • Keeler RF (1968) Teratogenic compounds of Veratrum californicum (Durand)-IV. Phytochemistry 7:303–306

    Article  CAS  Google Scholar 

  • Kovacs JJ, Whalen EJ, Liu R, Xiao K, Kim J, Chen M, Wang J, Chen W, Lefkowitz RJ (2008) β-Arrestin mediated localization of smoothened to the primary cilium. Science 320:1777–1781

    Article  PubMed  CAS  Google Scholar 

  • Kubo M, Nakamura M, Tasaki A, Yamanaka N, Nakashima H, Nomura M, Kuroki S, Katano M (2004) Hedgehog signaling pathway is a new target for patients with breast cancer. Cancer Res 64:6071–6074

    Article  PubMed  CAS  Google Scholar 

  • Kurtova AV, Balakrishnan K, Chen R, Ding W, Schnabl S, Quiroga MP, Sivina M, Wierda WG, Estrov Z, Keating MJ, Shehata M, Jäger U, Gandhi V, Kay NE, Plunkett W, Burger JA (2009) Diverse marrow stromal cells protect CLL cells from spontaneous and drug-induced apoptosis: development of a reliable and reproducible system to assess stromal cell adhesion-mediated drug resistance. Blood 114:4441–4450

    Article  PubMed  CAS  Google Scholar 

  • Lapidot T, Sirard C, Vormoor J, Murdoch B, Hoang T, Caceres-Cortes J, Minden M, Paterson B, Caligiuri MA, Dick JE (1994) A cell initiating human acute myeloid leukaemia after transplantation into SCID mice. Nature 367:645–648

    Article  PubMed  CAS  Google Scholar 

  • Li X, Deng W, Nail CD, Bailey SK, Kraus MH, Ruppert JM, Lobo-Ruppert SM (2006) Snail induction is an early response to Gli1 that determines the efficiency of epithelial transformation. Oncogene 25:609–621

    PubMed  CAS  Google Scholar 

  • Lin TL, Wang QH, Brown P, Peacock C, Merchant AA, Brennan S, Jones E, McGovern K, Watkins DN, Sakamoto KM, Matsui W (2010) Self-renewal of acute lymphocytic leukemia cells is limited by the hedgehog pathway inhibitors cyclopamine and IPI-926. PLoS One 5:e15262

    Article  PubMed  CAS  Google Scholar 

  • Liu A, Wang B, Niswander LA (2005) Mouse intraflagellar transport proteins regulate both the activator and repressor functions of Gli transcription factors. Development 132:3103–3111

    Article  PubMed  CAS  Google Scholar 

  • Liu S, Dontu G, Mantle ID, Patel S, Ahn N, Jackson KW, Suri P, Wicha MS (2006) Hedgehog signaling and Bmi-1 regulate self-renewal of normal and malignant human mammary stem cells. Cancer Res 66:6063–6071

    Article  PubMed  CAS  Google Scholar 

  • Long F, Zhang XM, Karp S, Yang Y, McMahon AP (2001) Genetic manipulation of Hh signaling in the endochondral skeleton reveals a direct role in the regulation of chondrocyte proliferation. Development 128:5099–5108

    PubMed  CAS  Google Scholar 

  • Maeda Y, Nakamura E, Nguyen M-T et al (2006) Indian Hh produced by postnatal chondrocytes is essential for maintaining a growth plate and trabecular bone. Proc Natl Acad Sci U S A 104:6382–6387

    Article  Google Scholar 

  • Mahadevan D, Von Hoff DD (2007) Tumor stroma interactions in pancreatic ductal adenocarcinoma. Mol Cancer Ther 6:1186–1197

    Article  PubMed  CAS  Google Scholar 

  • Mani SA, Guo W, Liao MJ, Eaton EN, Ayyanan A, Zhou AY, Brooks M, Reinhard F, Zhang CC, Shipitsin M, Campbell LL, Polyak K, Brisken C, Yang J, Weinberg RA (2008) The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell 133:704–715

    Article  PubMed  CAS  Google Scholar 

  • McCoy EL, Iwanaga R, Jedlicka P, Abbey NS, Chodosh LA, Heichman KA, Welm AL, Ford HL (2009) Six1 expands the mouse mammary epithelial stem/progenitor cell pool and induces mammary tumors that undergo epithelial-mesenchymal transition. J Clin Invest 119:2528–2531

    Article  Google Scholar 

  • Mill P, Mo R, Hu MC, Dagnino L, Rosenblum ND, Hui CC (2005) Shh controls epithelial proliferation via independent pathways that converge on N-Myc. Dev Cell 9:293–303

    Article  PubMed  CAS  Google Scholar 

  • Moraes RC, Zhang X, Harrington N, Fung JY, Wu MF, Hilsenbeck SG, Allred DC, Lewis MT (2007) Constitutive activation of smoothened (SMO) in mammary glands of transgenic mice leads to increased proliferation, altered differentiation, and ductal dysplasia. Development 134:1231–1242

    Article  PubMed  CAS  Google Scholar 

  • Nüsslein-Volhard C, Wieschaus E (1980) Mutations affecting segment number and polarity in Drosophila. Nature 287:795–801

    Article  PubMed  Google Scholar 

  • Ogden SK, Fei DL, Schilling NS, Ahmed YF, Hwa J, Robbins DJ (2008) G protein Gαi functions immediately downstream of smoothened in hedgehog signalling. Nature 456(7224):967–970

    Article  PubMed  CAS  Google Scholar 

  • Olive KP, Michael J, Davidson CJ, Gopinathan A, McIntyre D, Honess D, Madhu B, Goldgraben MA, Caldwell ME, Allard D, Frese KK, DeNicola G, Feig C, Combs C, Winter SP, Ireland H, Reichelt S, Howat WJ, Chang A, Dhara M, Wang L, Rückert F, Grützmann R, Pilarsky C, Izeradjene K, Hingorani SR, Huang P, Davies SE, Plunkett W, Egorin M, Hruban RH, Whitebread N, McGovern K, Adams J, Iacobuzio-Donahue C, Griffiths J, Tuveson DA (2009) Inhibition of hedgehog signaling enhances delivery of chemotherapy in a mouse model of pancreatic cancer. Science 324:1457–1461

    Article  PubMed  CAS  Google Scholar 

  • Oliver TG, Grasfeder LL, Carroll AL, Kaiser C, Gillingham CL, Lin SM, Wickramasinghe R, Scott MP, Wechsler-Reya RJ (2003) Transcriptional profiling of the sonic hedgehog response: a critical role for N-myc in proliferation of neuronal precursors. Proc Natl Acad Sci U S A 100:7331–7336

    Article  PubMed  CAS  Google Scholar 

  • Pan S, Wu X, Jiqing J, Gao W, Wan Y, Cheng D, Huan D, Liu J, Englund JP, Wang Y, Peukert S, Miller-Moslin K, Yuan J, Guo R, Matsumoto M, Vattay A, Jiang Y, Tsao J, Sun F, Pferdekamper AC, Dodd S, Tuntland T, Maniara W, Kelleker JF, Yao Y, Warmuth M, Williams J, Dorsch M (2010) Discovery of NVP-LDE225, a potent and selective smoothened antagonist. Med Chem Lett 1:130–134

    Article  CAS  Google Scholar 

  • Peacock CD, Wang Q, Gesell GS, Cocoran-Schwartz IM, Jones E, Kim J, Devereux WL, Rhodes JT, Huff CA, Beachy PA, Watkins DN, Matsui W (2007) Hedgehog signaling maintains a tumor stem cell compartment in multiple myeloma. Proc Natl Acad Sci U S A 104:4048–4053

    Article  PubMed  CAS  Google Scholar 

  • Pérez-Caro M, Cobaleda C, González-Herrero I, Vicente-Dueñas C, Bermejo-Rodríguez C, Sánchez-Beato M, Orfao A, Pintado B, Flores T, Sánchez-Martín M, Jiménez R, Piris MA, Sánchez-García I (2009) Cancer induction by restriction of oncogene expression to the stem cell compartment. EMBO J 28:8–20

    Article  PubMed  Google Scholar 

  • Pink M, Proctor J, Briggs KJ, MacDougall J, Whitebread N, Tremblay MR, Grogan M, Palombella VJ, Castro AC, Adams J, Read MA, Corcoron-Schwartz IM, Harcke T, Eberhart CG, Watkins DN, Sydor J (2008) Activity of IPI-926, a potent HH pathway inhibitor, in a novel model of medulloblastoma derived from Ptch/HIC +/- mice (Abstract). In: Proceedings of the 99th Meeting of the American Association for Cancer Research, San Diego, CA, 12–16 Apr 2008, Abstract 1588

    Google Scholar 

  • Quintás-Cardama A, Kantarjian H, Cortes J (2009) Imatinib and beyond – exploring the full potential of targeted therapy for CML. Nat Rev Clin Oncol 6:535–543

    Article  PubMed  Google Scholar 

  • Regl G, Kasper M, Schnidar H, Eichberger T, Neill GW, Philpott MP, Esterbauer H, Hauser-Kronberger C, Frischauf AM, Aberger F (2004) Activation of the BCL2 promoter in response to Hedgehog/GLI signal transduction is predominantly mediated by GLI2. Cancer Res 64:7724–7731

    Article  PubMed  CAS  Google Scholar 

  • Robarge KD, Brunton SA, Castanedo GM, Cui Y, Dina MS, Goldsmith R, Gould SE, Guichert O, Gunzner JL, Halladay J, Jia W, Khojasteh C, Koehler MF, Kotkow K, La H, Lalonde RL, Lau K, Lee L, Marshall D, Marsters JC Jr, Murray LJ, Qian C, Rubin LL, Salphati L, Stanley MS, Stibbard JH, Sutherlin DP, Ubhayaker S, Wang S, Wong S, Xie M (2009) GDC-0449-a potent inhibitor of the hedgehog pathway. Bioorg Med Chem Lett 19:5576–5581

    Article  PubMed  CAS  Google Scholar 

  • Roessler E, Belloni E, Gaudenz K, Jay P, Berta P, Scherer SW, Tsui LC, Muenke M (1996) Mutations in the human sonic hedgehog gene cause holoprosencephaly. Nat Genet 14:357–360

    Article  PubMed  CAS  Google Scholar 

  • Rohatgi R, Milenkovic L, Scott MP (2007) Patched-1 regulates hedgehog signaling at the primary cilium. Science 317:372–376

    Article  PubMed  CAS  Google Scholar 

  • Rohatgi R, Milenkovic L, Corcoran RB, Scott MP (2009) Hedgehog signal transduction by smoothened: pharmacologic evidence for a 2-step activation process. Proc Natl Acad Sci U S A 106:3196–3201

    Article  PubMed  CAS  Google Scholar 

  • Romer JT, Kimura H, Magdaleno S, Sasai K, Fuller C, Baines H, Connelly M, Stewart CF, Gould S, Rubin LL, Curran T (2004) Suppression of the Shh pathway using a small molecule inhibitor eliminated medulloblastoma in Ptc1 +/- p53 -/- mice. Cancer Cell 6:229–240

    Article  PubMed  CAS  Google Scholar 

  • Rudin CM, Hann CL, Peacock CD, Watkins DN (2008) Novel systemic therapies for small cell lung cancer. J Natl Compr Canc Netw 6(3):1–8

    Google Scholar 

  • Rudin CM, Hann CL, Laterra J, Yauch RL, Callahan CA, Fu L, Holcomb T, Stinson J, Gould SE, Coleman B, LoRusso PM, Von Hoff DD, de Sauvage FJ, Low JA (2009) Treatment of medulloblastoma with hedgehog pathway inhibitor GDC-0449. N Engl J Med 361:1173–1178

    Article  PubMed  CAS  Google Scholar 

  • Rudin CM, Jimeno A, Miller WH, Eigl B, Gettinger S, Chang A, Faia K, Sweeney J, Loewen G, Ross R, Weiss GJ (2011) A phase 2 study of IPI-926, a novel hedgehog pathway inhibitor, in patients with advance or metastatic solid tumors. In: Proceedings of the American Society of Clinical Oncology, Chicago, IL, 2–7 Jun 2011, Abstract #3014

    Google Scholar 

  • Sarangi A, Valadez JG, Rush S, Abel TW, Thompson RC, Cooper MK (2009) Targeted inhibition of the hedgehog pathway in established malignant glioma xenografts enhances survival. Oncogene 28:3468–3476

    Article  PubMed  CAS  Google Scholar 

  • Sasai K, Romer JR, Lee Y, Finkelstein D, Fuller C, McKinnon PJ, Curran T (2006) Shh pathway activity is down-regulated in cultured medulloblastoma cells: implications for preclinical studies. Cancer Res 66:4215–4222

    Article  PubMed  CAS  Google Scholar 

  • Shaw A, Gipp J, Bushman W (2009) The sonic hedgehog pathway stimulates prostate tumor growth by paracrine signaling and recapitulates embryonic gene expression in tumor myofibroblasts. Oncogene 28:4480–4490

    Article  PubMed  CAS  Google Scholar 

  • Sicklick JK, Li Y-X, Jayaraman A, Kannangai R, Qi Y, Vivekanandan P, Ludlow JW, Owzar K, Chen W, Torbenson MS, Diehl AM (2006) Dysregulation of the hedgehog pathway in human hepatocarcinogenesis. Carcinogenesis 27:748–757

    Article  PubMed  CAS  Google Scholar 

  • Stecca B, Mas C, Clement V, Zbinden M, Correa R, Piguet V, Beermann F, Ruiz I, Altaba A (2007) Melanomas require HEDGEHOG-GLI signaling regulated by interactions between GLI1 and the RAS-MEK/AKT pathways. Proc Natl Acad Sci U S A 104:5895–5900

    Article  PubMed  CAS  Google Scholar 

  • Stephenson J, Richards D, Wolpin B, Becerra C, Hamm J, Messersmith W, Devens S, Cushing J, Goddard J, Schmalbach T, Fuchs CS (2011) The safety of IPI-926, a novel hedgehog pathway inhibitor, in combination with gemcitabine in patients with metastatic pancreatic cancer. In: Proceedings of the American Society of Clinical Oncology, Chicago, IL, 2–7 Jun 2011, Abstract #4114

    Google Scholar 

  • Taipale J, Chen JK, Cooper MK, Wang B, Mann RK, Milenkovic L, Scott MP, Beachy PA (2000) Effects of oncogenic mutations in smoothened and patched can be reversed by cyclopamine. Nature 406:1005–1009

    Article  PubMed  CAS  Google Scholar 

  • Tawbi HA, Ahnert JR, Dummer R, Thomas AL, Granvil C, Shou Y, Dey J, Mita MM, Amakye DD, Mita AC (2011) Phase I study of LDE225 in advanced solid tumors: updated analysis of safety, preliminary efficacy, and pharmacokinetic-pharmacodynamic correlation. In: Proceedings of the American Society of Clinical Oncology, Chicago, IL, 2–7 Jun 2011, Abstract #3062

    Google Scholar 

  • Thayer SP, di Magliano MP, Heiser PW, Nielsen CM, Roberts DJ, Lauwers GY, Qi YP, Gysin S, Fernández-del Castillo C, Yajnik V, Antoniu B, McMahon M, Warshaw A, Hebrok M (2003) Hedgehog is an early and late mediator of pancreatic cancer tumorigenesis. Nature 425:851–856

    Article  PubMed  CAS  Google Scholar 

  • Tiet TD, Hopyan S, Nadesan P, Gokgoz N, Poon R, Lin AC, Yan T, Andrulis IL, Alman BA, Wunder JS (2006) Constitutive hedgehog signaling in chondrosarcoma up-regulates tumor cell proliferation. Am J Pathol 168:321–330

    Article  PubMed  CAS  Google Scholar 

  • Tojo H, Shibata S, Satoh Y, Kawamura M, Inazuka M, Yamakawa H, Kashiwag M, Miyamoto M, Kondo M, Oohashi T, Oguro Y, Sasaki S (2011) TAK-441, a novel investigational small molecule hedgehog pathway inhibitor for use in cancer therapy. In: Proceedings of the American Association of Cancer Research Annual Meeting, Orlando, FL, 2–6 Apr 2011, Abstract 4508

    Google Scholar 

  • Travaglione V, Peacock CD, MacDougall J, McGovern J, Cushing J, Yu LC, Trudeau M, Palombella V, Adams J, Hierman J, Rhodes J, Devereux WL, Watkins DN (2008) A novel HH pathway inhibitor, IPI-926, delays tumor recurrence post-chemotherapy in a primary human SCLC xenograft model (Abstract). In: Proceedings of the 99th meeting of the American Association for Cancer Research, San Diego, CA, 12–16 Apr 2008, Abstract 4611

    Google Scholar 

  • Tremblay MR, Nesler M, Weatherhead R, Castro AC (2009a) Recent patents for hedgehog pathway inhibitors for the treatment of malignancy. Expert Opin Ther Pat 19:1039–1056

    Article  PubMed  CAS  Google Scholar 

  • Tremblay M, Lescarbeau A, Grogan MJ, Tan E, Lin G, Austad BC, Yu LC, Behnke ML, Nair SJ, Hagel M, White K, Conley J, Manna JD, Alvarez-Diez TM, Hoyt J, Woodward CN, Sydor JR, Pink M, MacDougall J, Campbell MJ, Cushing J, Ferguson J, Curtis MS, McGovern K, Read MA, Palombella VJ, Adams J, Castro AC (2009b) Discovery of a potent and orally active hedgehog pathway antagonist (IPI-926). J Med Chem 52:4400–4418

    Article  PubMed  CAS  Google Scholar 

  • Varnat F, Duquet A, Malerba M, Zbinden M, Mas C, Gervaz P, I Altaba AR (2009) Human colon cancer epithelial cells harbor active hedgehog-Gli signaling that is essential for tumour growth, recurrence, metastasis and stem cell survival and expansion. EMBO Mol Med 1:1–14

    Article  Google Scholar 

  • Vestergaard J, Pedersen MW, Pedersen N, Ensinger C, Tümer Z, Tommerup N, Poulsen HS, Larsen LA (2006) Hedgehog signaling in small-cell lung cancer: frequent in vivo but a rare event in vitro. Lung Cancer 52:281–290

    Article  PubMed  Google Scholar 

  • Villavicencio E, Khanna P, Ditzler S, Pullar B, Hansen S, Read MA, Faia K, Hatton B, Knoblaugh S, Randolph-Habecker J, LeBlanc M, Shaw D, Friedman S, McGovern K, Olson J (2009) Activity of the Shh pathway inhibitor, IPI-926, in a mouse model of medulloblastoma. In: Proceedings of the 100th meeting of the American Association of Cancer Research, Denver, CO, 18–22 Apr 2009, Abstract #3199

    Google Scholar 

  • Von Hoff DD, LoRusso PM, Rudin CM, Reddy JC, Yauch RL, Tibes R, Weiss GJ, Borad MJ, Hann CL, Brahmer JR, Mackey HM, Lum BL, Darbonne WC, Marsters JC Jr, de Sauvage FJ, Low JA (2009) Inhibition of the hedgehog pathway in advanced basal-cell carcinoma. N Engl J Med 361:1164–1172

    Article  Google Scholar 

  • Watkins DN, Berman DM, Burkholder SG, Wang B, Beachy PA, Baylin SB (2003) Hedgehog signaling within airway epithelial progenitors and in small-cell lung cancer. Nature 422:313–317

    Article  PubMed  CAS  Google Scholar 

  • Welch KD, Panter KE, Lee ST, Gardner DR, Stegelmeier BL, Cook D (2009) Cyclopamine-induced synophthalmia in sheep: defining a critical window and toxicokinetic evaluation. J Appl Toxicol 29:414–421

    Article  PubMed  CAS  Google Scholar 

  • Williams JA, Guicherit OM, Zaharian BI, Xu Y, Chai L, Wichterle H, Kon C, Gatchalian C, Porter JA, Rubin LL, Wang FY (2003) Identification of a small molecule inhibitor of the hedgehog signaling pathway: effects on basal cell carcinoma-like lesions. Proc Natl Acad Sci U S A 100:4616–4621

    Article  PubMed  CAS  Google Scholar 

  • Wong SY, Seol AD, So P-L, Ermilov AN, Bichakjian CK, Epstein EH, Dlugosz AA, Reiter JR (2009) Primary cilia can both mediate and suppress hedgehog pathway-dependent tumorigenesis. Nat Med 15:1055–1061

    Article  PubMed  CAS  Google Scholar 

  • Xie J, Johnson RL, Zhang X, Bare JW, Waldman FM, Cogen PH, Menon AG, Warren RS, Chen L-C, Scott MP, Epstein EH Jr (1997) Mutations of the patched gene in several types of sporadic extracutaneous tumors. Cancer Res 57:2369–2372

    PubMed  CAS  Google Scholar 

  • Yauch RL, Gould SE, Scales SJ, Tang T, Tian H, Ahn CP, Marshall D, Fu L, Januario T, Kallop D et al (2008) A paracrine requirement for hedgehog signaling in cancer. Nature 455:406–410

    Article  PubMed  CAS  Google Scholar 

  • Yauch RL, Dijkgraaf GJ, Alicke B, Januario T, Ahn CP, Holcomb T, Pujara K, Stinson J, Callahan CA, Tang T, Bazan JF, Kan Z, Seshagiri S, Hann CL, Gould SE, Low JA, Rudin CM, de Sauvage FJ (2009) Smoothened mutation confers resistance to a hedgehog pathway inhibitor in medulloblastoma science. Science 326(5952):572–574

    Article  PubMed  CAS  Google Scholar 

  • Yoon JW, Kita Y, Frank DJ, Majewski RR, Konicek BA, Nobrega MA, Jacob H, Walterhouse D, Iannaccone P (2002) Gene expression profiling leads to identification of GLI1-binding elements in target genes and a role for multiple downstream pathways in GLI1-induced cell transformation. J Biol Chem 277:5548–5555

    Article  PubMed  CAS  Google Scholar 

  • Yu M, Gipp J, Yoon JW, Iannaccone P, Walterhouse D, Bushman W (2009a) Sonic hedgehog-responsive genes in the fetal prostate. J Biol Chem 287:5620–5629

    Google Scholar 

  • Yu M, Smolen GA, Zhang J, Wittner B, Schott BJ, Brachtel E, Ramaswamy S, Maheswaran S, Haber DA (2009b) A developmentally regulated inducer of EMT, LBX1, contributes to breast cancer progression. Genes Dev 23:1737–1742

    Article  PubMed  CAS  Google Scholar 

  • Yuan Z, Goetz JA, Singh S, Ogden SK, Petty WJ, Black CC, Memoli VA, Dmitrovsky E, Robbins DJ (2007) Frequent requirement of hedgehog signaling in non-small cell lung carcinoma. Oncogene 26:1046–1055

    Article  PubMed  CAS  Google Scholar 

  • Zhao C, Chen A, Jamieson CH, Fereshteh M, Abrahamsson A, Blum J, Kwon HY, Kim J, Chute JP, Rizzieri D, Munchhof M, VanArsdale T, Beachy PA, Reya T (2009) Hedgehog signalling is essential for maintenance of cancer stem cells in myeloid leukaemia. Nature 458:776–779

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Margaret A. Read .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Read, M.A., Palombella, V.J. (2012). The Hedgehog Signaling Pathway in Cancer Pathogenesis and Therapy. In: Frank, D. (eds) Signaling Pathways in Cancer Pathogenesis and Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1216-8_5

Download citation

Publish with us

Policies and ethics