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Published on: September 1, 2010
The hedgehog pathway and basal cell carcinomas
1Department of Genetics, SHM I-321, Yale University School of Medicine, Box 208005, 333 Cedar Street, New Haven, CT 06520-8005, USA. allen.bale@yale.edu
Abstract:
Developmental pathways first elucidated by genetic studies in the fruit fly, Drosophila melanogaster, are conserved in vertebrates, and disruption of these pathways has been associated with various human congenital anomalies. Many developmental genes continue to play an important role in regulation of cell growth and differentiation after embryogenesis, and mutations in some of these genes can result in cancer. Basal cell carcinoma (BCC) of the skin is the most common type of cancer in humans. Although most BCCs are sporadic, in rare cases, individuals have a hereditary disease, Gorlin syndrome, that predisposes to multiple skin tumors as well as a variety of birth defects. Mutations in the human homolog of a Drosophila gene, patched, underlie Gorlin syndrome. Genetic studies in Drosophila show that patched is part of the hedgehog signaling pathway, important in determining embryonic patterning and cell fate in multiple structures of the developing embryo. Human patched is mutated in sporadic as well as hereditary BCCs, and inactivation of this gene is probably a necessary if not sufficient step for tumor formation. Delineation of the biochemical pathway in which patched functions may lead to rational medical therapy for skin cancer and possibly other tumors.
Insights
Mutations in the patched gene disrupt the hedgehog signaling pathway, leading to basal cell carcinoma (BCC) and Gorlin syndrome. Understanding this pathway may enable new skin cancer therapies.
Area of Science:
- Developmental Biology
- Cancer Genetics
- Molecular Oncology
Background:
- Conservation of developmental pathways from Drosophila melanogaster to vertebrates highlights their fundamental roles.
- Disruption of these conserved pathways is linked to human congenital anomalies and cancer.
- Basal cell carcinoma (BCC), the most common human cancer, can arise sporadically or due to hereditary predisposition like Gorlin syndrome.
Purpose of the Study:
- To investigate the role of the patched gene, a homolog of a Drosophila gene, in Gorlin syndrome and sporadic BCC.
- To elucidate the function of the patched gene within the hedgehog signaling pathway.
- To explore the potential for targeted therapies based on this pathway.
Main Methods:
- Genetic studies in Drosophila melanogaster to identify conserved developmental genes.
- Analysis of human patched gene homolog mutations in Gorlin syndrome and BCC.
- Biochemical pathway analysis of patched gene function in hedgehog signaling.
Main Results:
- The patched gene is crucial in the hedgehog signaling pathway, essential for embryonic patterning and cell fate.
- Mutations in the human patched gene are identified as the cause of Gorlin syndrome.
- Inactivation of the patched gene is implicated in the development of both hereditary and sporadic BCCs.
Conclusions:
- The patched gene and its role in the hedgehog pathway are critical for understanding BCC development.
- Targeting the patched gene's biochemical pathway offers potential for novel skin cancer treatments.
- Further research into this pathway may extend therapeutic strategies to other tumor types.
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