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Updated: Jun 17, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Effects of oncogenic mutations in Smoothened and Patched can be reversed by cyclopamine
J Taipale1, J K Chen, M K Cooper
1Department of Molecular Biology and Genetics, Howard Hughes Medical Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA.
Abstract:
Basal cell carcinoma, medulloblastoma, rhabdomyosarcoma and other human tumours are associated with mutations that activate the proto-oncogene Smoothened (SMO) or that inactivate the tumour suppressor Patched (PTCH). Smoothened and Patched mediate the cellular response to the Hedgehog (Hh) secreted protein signal, and oncogenic mutations affecting these proteins cause excess activity of the Hh response pathway. Here we show that the plant-derived teratogen cyclopamine, which inhibits the Hh response, is a potential 'mechanism-based' therapeutic agent for treatment of these tumours. We show that cyclopamine or synthetic derivatives with improved potency block activation of the Hh response pathway and abnormal cell growth associated with both types of oncogenic mutation. Our results also indicate that cyclopamine may act by influencing the balance between active and inactive forms of Smoothened.
Insights
Cyclopamine, a plant-derived compound, inhibits the Hedgehog (Hh) signaling pathway. This compound shows potential as a therapeutic agent for various human tumors driven by Smoothened (SMO) or Patched (PTCH) mutations.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Mutations in Smoothened (SMO) or Patched (PTCH) genes activate the Hedgehog (Hh) signaling pathway.
- This aberrant Hh pathway activity is implicated in the development of various human tumors, including basal cell carcinoma, medulloblastoma, and rhabdomyosarcoma.
Purpose of the Study:
- To investigate the therapeutic potential of cyclopamine, a plant-derived inhibitor of the Hh pathway.
- To determine if cyclopamine can block Hh pathway activation and abnormal cell growth in tumors driven by SMO or PTCH mutations.
Main Methods:
- Treatment of tumor cells with cyclopamine and its synthetic derivatives.
- Assessment of Hh pathway activity and cell growth inhibition.
Main Results:
- Cyclopamine effectively inhibits the Hh response pathway.
- Cyclopamine and its derivatives block abnormal cell growth in tumors with oncogenic SMO or PTCH mutations.
- Cyclopamine's mechanism may involve modulating the balance of active and inactive Smoothened forms.
Conclusions:
- Cyclopamine is a potential mechanism-based therapeutic agent for SMO- and PTCH-driven tumors.
- Synthetic derivatives of cyclopamine offer improved potency for cancer treatment.
- Targeting the Hh pathway with cyclopamine presents a promising strategy for oncological therapies.
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